Tassica presentacion imv_ok_eng

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Management of Mass Casualty Incidents

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Tassica presentacion imv_ok_eng

  1. 1. Mass-Casualty Incident- (MCI) Management
  2. 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. 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. 4. Stage and overall operational in MCI FOCUS
  5. 5. Escenario y operativa general en un IMV FOCUS
  6. 6. Stage and overall operational in MCI FOCUS
  7. 7. Escenario y operativa general en un IMV FOCUS FOREWARD COMMAND POST Incident Medical Commander
  8. 8. Escenario y operativa general en un IMV NEAR RESCUE FOCUS BASE ZONE RELIEF AREA FOREWARD COMMAND POST Incident Medical Commander
  9. 9. Escenario y operativa general en un IMV NEARExecutive RESCUE TRIAGE CONCENTRA Resource TION OF FOCUS VICTIMS Management ZONE BASE ZONE RELIEF AREA FOREWARD COMMAND POST Incident Medical Commander
  10. 10. Escenario y operativa general en un IMV NEARExecutive 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. 11. Escenario y operativa general en un IMV NEARExecutive 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. 12. Escenario y operativa general en un IMV NEARExecutive 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. 13. Escenario y operativa general en un IMV NEAR Executive RESCUE TRIAGE CONCENTRA Resource TION OF FOCUS VICTIMS Management ZONE GREENHOSPITAL AREA BASE ZONE RELIEF ASP AREA Medical Commander MORGUE FOREWARD LOADING COMMAND POST ZONE Incident Medical Commander
  14. 14. Opening of MCI Focus TRIAGEControl de FOCORecursos Mando Médico
  15. 15. Opening of MCI Focus
  16. 16. Opening of MCI Focus
  17. 17. Geo-positioning of MCI stage
  18. 18. Accessibility initial critical information
  19. 19. Annotation of resources as they arrive
  20. 20. Decision Making of Incident Medical Commander
  21. 21. Reliable intercom with internal messaging
  22. 22. Reliable intercom with internal messaging
  23. 23. Reliable intercom with internal messaging
  24. 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. 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. 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. 27. Early victims scoring at first triage
  28. 28. Confirmation data of first triage
  29. 29. Confirmation data of first triage New victim: data coming from Tassica triage card
  30. 30. Confirmation data of first triage New victim: data coming from Tassica triage card
  31. 31. On-line monitoring in the Emergency Operations Center and authoritiesExecutive Where there is a + sign, you are allowed to access to detailed data
  32. 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. 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. 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. 35. Management and outcomes annotation of second triage
  36. 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. 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. 38. Management of evacuation prioritiy The system proposes an evacuation level protocol based on Revised-RTS. The medical commander takes the final decision
  39. 39. Allocation of target hospitals
  40. 40. Implementation of evacuations
  41. 41. Implementation of evacuations
  42. 42. Confirmation of evacuations
  43. 43. Confirmation of evacuationsPersonal data if available. In any case, traceability is always maintainedbased on the unique number of Tassica triage card
  44. 44. Confirmation of evacuationsPersonal data if available. In any case, traceability is always maintainedbased on the unique number of Tassica triage card
  45. 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. 46. Preventive monitoring of expected victims from a hospital
  47. 47. Clinical report generated at the request of hospital
  48. 48. Executive report to the authorities at the end of MCIExecutive
  49. 49. Executive report to the EmergencyOperations Centre at the end of MCI
  50. 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. 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. 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. 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

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