Updated 03/27/2008
2008 Hampton Roads Mass Casualty Incident Response Guide
The Hampton Roads Mass Casualty Incident Response Guide is intended as the primary reference and guide for use by EMS Agencies operating within the Peninsulas EMS Council and Tidewater EMS Council regions when responding to a mass casualty incident. This document is designed as an "all hazards" guide and addresses techniques in field operations that must be employed during a multiple or mass casualty incident.
We strongly recommend that all Emergency Medical Technicians, EMS Agency Officers/Supervisors, Operational Medical Directors, Emergency Department Nurse Managers, and Emergency Department Staff members familiarize themselves with the contents of this document.
This major revision of the Hampton Roads Mass Casualty Incident Response Guide contains several new or significantly revised chapters and annexes such as:
Emergency Management of Contaminated Patients
Guidance on Managing Victims with Special Needs and Assistance Animals
Air Operations Section
Demobilization Guidance
Emergency Communications Directory
NIMS Compliant Prehospital Job Checklists
Emergency Department/Hospital MCI Forms
Driving Directions to Hospitals
Regional Specialty Teams
State & Federal Mass Casualty Incident Response Resources
Mass Casualty Incident Management Training Resources
The 2008 Hampton Roads Mass Casualty Incident Response Guide will be distributed in a kelly green, three ring binder, to each licensed EMS agency, each emergency department/hospital, each jurisdictions' Emergency Manager & respective Emergency Communications Center/911 Dispatch Center.
Click Here to request a copy of the 2008 Hampton Roads Mass Casualty Incident Response Guide.
2007 Hampton Roads MCI Pocket Guides Are Still Available
An abbreviated version of the Hampton Roads Mass Casualty Incident Response Guide is published as the Hampton Roads Mass Casualty Incident Response Pocket Guide. The cover of the 2007 version of the MCI Pocket guide is now "florescent green" in color. This version replaces the September 2001 version of the pocket guide with the orange cover.
Distribution: One hard copy of the MCI Pocket Guide has been printed for every certified EMS provider in the Tidewater & Peninsulas EMS Council regions, plus one copy for each emergency vehicle. Each licensed EMS agency will receive one hard copy of the MCI pocket guide for every certified provider whose primary affiliation is with that agency.
Once your agency receives their copies your agency is responsible for distributing one copy of the pocket guide to each of their primary affiliated EMS providers, and placing one copy is each of your licensed emergency vehicles.
Additional copies of the pocket guide may be requested by e-mailing the Mass Casualty Preparedness Coordinator.
To download a copy of the pocket guide click on the link below:
2007 Hampton Roads Mass Casualty Incident Response Pocket Guide
(Please note that this pocket guide may be difficult to print. The pocket guide is in *.pdf format which was originally developed as a Microsoft Word booklet. In order to print this document properly you will need to set your printer to print on duplex (both sides of the paper.) and make additional adjustments to your printer settings.)
Commonwealth of Virginia Triage Tag Order Form
The state has a contract with Columbia Business Forms in Columbia, South Carolina for the official Commonwealth of Virginia Tag. The state contract number, the vendor's contact information, billing and shipping information can be found on the Triage Tag Request Form. Download the Triage Tag Request Form and submit the form with your order.
BASIC ORDERING INFORMATION:
Unit of Issue: Package (There are 75 tags in a package)
Cost: $102.00 per packageClick here to download the Commonwealth of Virginia Triage Tag Order Form.
Notice for Emergency Operations Instructors
Our point-of-contact at the Office of EMS has changed effective December 7, 2007.
Please read the Notice for Emergency Operations Instructors.
Virginia Mass Casualty Incident Management I & II Training Courses
Virginia Mass Casualty Incident Management - Module I (Awareness Level) & Mass Casualty Incident Management - Module II (Operations Level) courses are available upon request. These courses are available FREE of charge to:
- All licensed EMS Agencies
- Agencies/Organizations sponsoring First Responder & EMT Training Courses
- Fire Departments (both career & volunteer)
- Hospitals
- Law Enforcement Agencies (Police, Sheriff, Dept. of Corrections, Virginia State Police, etc.)
- Citizens Emergency Response Teams (CERT)
- Medical Reserve Corps Units (MRCs)
- Other Health Care Organizations
- Other Community Organizations (Boy & Girl Scouts, etc.)
Courses for Virginia EMS providers should be scheduled 40 days in advance to allow ample time to obtain approval to grant Virginia Office of Emergency Medical Services (OEMS) CEUs to students successfully completing a particular course, or courses. Please e-mail the Mass Casualty Preparedness Coordinator, Ms. Judy Shuck, or call (757) 963-0632 to request a course.
An on-line S.T.A.R.T and JumpS.T.A.R.T. Triage review course has been developed and will soon be available on the new TEMS education site at: http://education.tidewaterems.org (The anticipated start date for this course will be in May 2008.)
This course is NOT intended to replace the standard Mass Casualty Incident Management: Module I course. The purpose of this course is to allow health care providers and others to review their knowledge and application of the S.T.A.R.T and JumpS.T.A.R.T. triage algorithms.
Michael D. Brown, Under Secretary of the U.S. Department of Homeland Security for Emergency Preparedness and Response, has announced a new online course designed to assist EMS personnel to respond more effectively when faced with a multiple-casualty incident (MCI). The new independent study course, “EMS Operations at Multi-Casualty Incidents,” is a four-hour, web-based course that addresses preparedness planning; management of the incident; safe and efficient triage, treatment and transportation of patients; and the de-escalation of the response. It is not intended to provide detailed steps in the care of patients.
Upon successful completion of this course, the participant/student will be able to:
- Describe the characteristics of multiple-casualty incidents.
- Describe the types and indicators of chemical, biological, radiological, nuclear or explosive (CBRNE) agents.
- Describe the steps of responding to a multiple-casualty incident, including preparedness planning, triage, treatment, transportation and incident demobilization.
- Describe the purpose of triage and how to perform it.
- Describe the purpose of decontamination and the resources required to perform it.
- Describe specialized medical treatment that can be administered to victims of CBRNE incidents.
EMS experts from across the country worked with training specialists at FEMA’s U.S. Fire Administration (USFA) to develop this course. The USFA has many other training programs, both online and classroom-based, that are designed to assist emergency responders in becoming better prepared for all types of emergencies. Information on these training programs and other USFA initiatives and publications can be found at http://nfaonline.dhs.gov/browse/index.shtm.
NOTE: "Q" courses will no longer be available through the National Emergency Training Center Virtual Campus; all students must enroll through NFA Online.
Mass Casualty Drills & Exercise Support
The Tidewater EMS Council (TEMS) in collaboration with the Hampton Roads Metropolitan Medical Response System (HRMMRS) is prepared to assist your agency/organization in the design, development, execution, patient scenarios, moulage, and the evaluation of mass casualty incident drills and exercises tailored to your needs.
TEMS & HRMMRS have recently supported the following MCI drill and exercises:
Drill or Exercise Name Sponsoring Organizations Pediatric MCI Drill Sentara Norfolk General Hospital / Children's Hospital of the King's Daughters / Eastern Virginia Medical School Operation KITTIE (Active Shooter MCI Exercise) City of Portsmouth, Portsmouth Public Schools, Portsmouth Local Emergency Planning Committee MCI Drill Sentara Leigh Memorial Hospital Operation Chain Reaction Exercise Series (Series of 3 exercises) City of Virginia Beach / HRMMRS MCI Drill Sentara Obici Hospital, The Pruden Center for Industry & Technology, Nansemond-Suffolk Vol. Rescue Squad, Suffolk Fire-Rescue Operation Vigilant Spear Fort Eustis Operation Safe Flight Norfolk International Airport
PEMS-TEMS Mass Casualty Incident Working Group
Visit here for meeting dates and locations
If you have any questions or comments regarding these documents, MCIM I & II training, or mass casualty drills & exercises please e-mail the Mass Casualty Preparedness Coordinator, Ms. Judy Shuck, or call (757) 963-0632.
More Disaster and NIMS Resources