Management of Mass Casualty Incidents

1. Mass-Casualty Incident-
(MCI) Management

2. Mass Casualty Incident
 High number of casualties with serious injuries.
 Insufficient availability of resources and medical
personnel to move in a timely manner.
 Inability to handle the wounded with the usual
criteria.

3. Mass Casualty Incident
 Two main strategies for action:
 Israelite: Immediate evacuation of victims to the nearest
hospital
 Short distances to hospitals
 Risk of trap attacks after the incident
 European: Triage and initial on-site care.
 Fastest care during the “gold hour”
 Optimized evacuation and customized victims care
 Tassica is working with European strategy
 Emergency services should have tablets and
wireless communications.

4. Stage and overall operational in MCI
FOCUS

5. Escenario y operativa general en un IMV
FOCUS

6. Stage and overall operational in MCI
FOCUS

7. Escenario y operativa general en un IMV
FOCUS
FOREWARD
COMMAND POST
Incident Medical Commander

8. Escenario y operativa general en un IMV
NEAR
RESCUE
FOCUS
BASE ZONE RELIEF
AREA
FOREWARD
COMMAND POST
Incident Medical Commander

9. Escenario y operativa general en un IMV
NEAR
Executive RESCUE
TRIAGE
CONCENTRA
Resource TION OF FOCUS
VICTIMS
Management ZONE
BASE ZONE RELIEF
AREA
FOREWARD
COMMAND POST
Incident Medical Commander

10. Escenario y operativa general en un IMV
NEAR
Executive RESCUE
TRIAGE
CONCENTRA
Resource TION OF FOCUS
VICTIMS
Management ZONE
GREEN
AREA
BASE ZONE RELIEF
ASP AREA
Medical Commander
MORGUE
FOREWARD
LOADING COMMAND POST
ZONE
Incident Medical Commander

11. Escenario y operativa general en un IMV
NEAR
Executive RESCUE
TRIAGE
CONCENTRA
Resource TION OF FOCUS
VICTIMS
Management ZONE
GREEN
AREA
BASE ZONE RELIEF
ASP AREA
Medical Commander
MORGUE
FOREWARD
LOADING COMMAND POST
ZONE
Incident Medical Commander

12. Escenario y operativa general en un IMV
NEAR
Executive RESCUE
TRIAGE
CONCENTRA
Resource TION OF FOCUS
VICTIMS
Management ZONE
GREEN
AREA
BASE ZONE RELIEF
ASP AREA
Medical Commander
MORGUE
FOREWARD
LOADING COMMAND POST
ZONE
Incident Medical Commander

13. Escenario y operativa general en un IMV
NEAR
Executive RESCUE
TRIAGE
CONCENTRA
Resource TION OF FOCUS
VICTIMS
Management ZONE
GREEN
HOSPITAL AREA
BASE ZONE RELIEF
ASP AREA
Medical Commander
MORGUE
FOREWARD
LOADING COMMAND POST
ZONE
Incident Medical Commander

14. Opening of MCI Focus
TRIAGE
Control de FOCO
Recursos
Mando Médico

15. Opening of MCI Focus

16. Opening of MCI Focus

17. Geo-positioning of MCI stage

18. Accessibility initial critical information

19. Annotation of resources as they arrive

20. Decision Making of Incident Medical
Commander

21. Reliable intercom with internal messaging

22. Reliable intercom with internal messaging

23. Reliable intercom with internal messaging

24. Identification and tracking of victims using
Tassica cards
• Material appropriate to the context
• Easy to hook to the victim
• Uniform guide for the participants
• Traceability of victims during assistance

25. Identification and tracking of victims using
Tassica cards
• Material appropriate to the context
• Easy to hook to the victim
• Uniform guide for the participants
• Traceability of victims during assistance

26. Identification and tracking of victims using
Tassica cards
• Material appropriate to the context
• Easy to hook to the victim
• Uniform guide for the participants
• Traceability of victims during assistance

27. Early victims scoring at first triage

28. Confirmation data of first triage

29. Confirmation data of first triage
New victim: data coming from Tassica triage card

30. Confirmation data of first triage
New victim: data coming from Tassica triage card

31. On-line monitoring in the Emergency
Operations Center and authorities
Executive
Where there is a + sign, you are
allowed to access to detailed data

32. Reception of victims at Advanced Sanitary
Post
Filiation Manager certifies the entrance of a victim to the
Advanced Sanitary Post introducing data from triage card

33. Reception of victims at Advanced Sanitary
Post
Filiation Manager certifies the entrance of a victim to the
Advanced Sanitary Post introducing data from triage card

34. Victims care and second triage
During assistance in the advanced
sanitary post and in the area of green
victims, commonly accepted
methodologies are used, guided by a
reading from up to down of the Tassica
card

35. Management and outcomes annotation
of second triage

36. Management and outcomes annotation
of second triage
The Medical Commander in Advanced Sanitary Post performs a series of
systematized questions to the sanitary assistants to gain speed and security

37. Management and outcomes annotation
of second triage
The Medical Commander in Advanced Sanitary Post performs a series of
systematized questions to the sanitary assistants to gain speed and security

38. Management of evacuation prioritiy
The system proposes an evacuation level protocol based on
Revised-RTS. The medical commander takes the final decision

39. Allocation of target hospitals

40. Implementation of evacuations

41. Implementation of evacuations

42. Confirmation of evacuations

43. Confirmation of evacuations
Personal data if available. In any case, traceability is always maintained
based on the unique number of Tassica triage card

44. Confirmation of evacuations
Personal data if available. In any case, traceability is always maintained
based on the unique number of Tassica triage card

45. Traceability continued during evacuation
The victim arrives at hospital with
data of identification and
traceability, of the received
care, and vital data monitored
during the process leading to the
evacuation

46. Preventive monitoring of expected victims
from a hospital

47. Clinical report generated at the request of
hospital

48. Executive report to the authorities at
the end of MCI
Executive

49. Executive report to the Emergency
Operations Centre at the end of MCI

50. TASSICA IMV Management: Summary
 Customizable system developed with free
software and web based architecture.
 Available under traditional license model and SaaS.
 Stand alone service or called by corporate
applications via web services

51. TASSICA IMV Management: Summary
 Performance and benefits (I/II):
 Guides to the participants:
 Reduces the risk in decision making
 Reduces the risk of post-traumatic stress
 Unifies procedures:
 Quality of care
 Continuing care process.
 Traceability of actions on victim
 Costs savings.
 operating efficiency
 Continuous Improvement

52. TASSICA IMV Management: Summary
 Performance and benefits (II/II):
 Records the data where it is produced.
 Relevant information to each level of care
 Informed decision making
 Transparency in public information
 Internal communication more fluid and effective.
 Decreases overall time of victims attention
 Direct influence on survival and sequelae
 Reduces the physical risk of the participants

53. TASSICA
Triage y Asistencia Sanitaria Sistematizada en Incidentes de Múltiples Víctimas y CAtástrofes
• Experts in training professionals in the
emergency
• Consultancy specializing in emergency
• Solutions for emergency management
www.tassica.com
tassica@tassica.com