Incident Command Systems (ICS)

2006 ◽  
pp. 95-118
Keyword(s):  
Incident Command ◽  
Command Systems

Equity and Disasters: Reframing Incident Command Systems

2021 ◽  
Vol 111 (5) ◽  
pp. 844-848
Author(s):  
Eric Goralnick ◽  
Richard Serino ◽  
Cheryl R. Clark
Keyword(s):  
Incident Command ◽  
Command Systems

Managing Multiple-Casualty Incidents: A Rural Medical Preparedness Training Assessment

2013 ◽  
Vol 28 (4) ◽  
pp. 334-341 ◽  
Author(s):  
Steven D. Glow ◽  
Vincent J. Colucci ◽  
Douglas R. Allington ◽  
Curtis W. Noonan ◽  
Earl C. Hall
Keyword(s):  
Emergency Department ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Incident Management ◽  
Roles And Responsibilities ◽  
Incident Command ◽  
Post Test ◽  
Bed Capacity ◽  
Multiple Casualty Incidents ◽  
Command Systems

AbstractObjectiveThe objectives of this study were to develop a novel training model for using mass-casualty incident (MCI) scenarios that trained hospital and prehospital staff together using Microsoft Visio, images from Google Earth and icons representing first responders, equipment resources, local hospital emergency department bed capacity, and trauma victims. The authors also tested participants’ knowledge in the areas of communications, incident command systems (ICS), and triage.MethodsParticipants attended Managing Multiple-Casualty Incidents (MCIs), a one-day training which offered pre- and post-tests, two one-hour functional exercises, and four distinct, one-hour didactic instructional periods. Two MCI functional exercises were conducted. The one-hour trainings focused on communications, National Incident Management Systems/Incident Command Systems (NIMS/ICS) and professional roles and responsibilities in NIMS and triage. The trainings were offered throughout communities in western Montana. First response resource inventories and general manpower statistics for fire, police, Emergency Medical Services (EMS), and emergency department hospital bed capacity were determined prior to MCI scenario construction. A test was given prior to and after the training activities.ResultsA total of 175 firefighters, EMS, law enforcement, hospital personnel or other first-responders completed the pre- and post-test. Firefighters produced higher baseline scores than all other disciplines during pre-test analysis. At the end of the training all disciplines demonstrated significantly higher scores on the post-test when compared with their respective baseline averages. Improvements in post-test scores were noted for participants from all disciplines and in all didactic areas: communications, NIMS/ICS, and triage.ConclusionsMass-casualty incidents offer significant challenges for prehospital and emergency room workers. Fire, Police and EMS personnel must secure the scene, establish communications, define individuals’ roles and responsibilities, allocate resources, triage patients, and assign transport priorities. After emergency department notification and in advance of arrival, emergency department personnel must assess available physical resources and availability and type of manpower, all while managing patients already under their care. Mass-casualty incident trainings should strengthen the key, individual elements essential to well-coordinated response such as communications, incident management system and triage. The practice scenarios should be matched to the specific resources of the community. The authors also believe that these trainings should be provided with all disciplines represented to eliminate training “silos,” to allow for discussion of overlapping jurisdictional or organizational responsibilities, and to facilitate team building.GlowSD, ColucciVJ, AllingtonDR, NoonanCW, HallEC. Managing multiple-casualty incidents: a rural medical preparedness training assessment. Prehosp Disaster Med. 2013;28(4):1-8.

Definition and Functions of Health Unified Command and Emergency Operations Centers for Large-scale Bioevent Disasters Within the Existing ICS

2007 ◽  
Vol 1 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Frederick M. Burkle ◽  
Edbert B. Hsu ◽  
Michael Loehr ◽  
Michael D. Christian ◽  
David Markenson ◽  
...  
Keyword(s):  
Large Scale ◽  
Emergency Operations ◽  
Roles And Responsibilities ◽  
Incident Command ◽  
Emergency Operations Center ◽  
Potential Structure ◽  
Health Related ◽  
Response And Recovery ◽  
Unified Command ◽  
Command Systems

ABSTRACTThe incident command system provides an organizational structure at the agency, discipline, or jurisdiction level for effectively coordinating response and recovery efforts during most conventional disasters. This structure does not have the capacity or capability to manage the complexities of a large-scale health-related disaster, especially a pandemic, in which unprecedented decisions at every level (eg, surveillance, triage protocols, surge capacity, isolation, quarantine, health care staffing, deployment) are necessary to investigate, control, and prevent transmission of disease. Emerging concepts supporting a unified decision-making, coordination, and resource management system through a health-specific emergency operations center are addressed and the potential structure, function, roles, and responsibilities are described, including comparisons across countries with similar incident command systems. (Disaster Med Public Health Preparedness. 2007;1:135–141)

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