MIMMS

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MIMMS

  1. 1. MAJOR INCIDENT MEDICALMANAGEMENT AND SUPPORT Paleerat Jariyakanjana, MD Faculty of Medicine, Naresuan University 1 Apr 2013
  2. 2. Definition Major Incidents: any incident where the number, severity, type or location of live casualties requires extraordinary resources Disaster: need > resource Mass casualty incident: Healthcare need > resource
  3. 3. Disaster Management Cycle
  4. 4. Major Incident Medical Management and Support (MIMMS) major incident training course systematic, all hazards approach to the principles of pre- hospital, multiple- casualty incident medical management
  5. 5. DISASTER Paradigm Detection Incident command Scene security and safety Assess hazards Support Triage and Treatment Evacuation Recovery
  6. 6. Management and Support PrinciplesDISASTER Paradigm MIMMS Detection  Command Incident command  Safety Scene security and safety  Communication Assess hazards  Assessment Support  Triage Triage and Treatment  Treatment Evacuation  Transport Recovery
  7. 7. CSCATTTCommand
  8. 8. CSCATTT SafetyThe 1-2-3 of Safety1. Staff2. Situation3. Survivors
  9. 9. CSCATTTCommunication
  10. 10. CSCATTT Assessment My call sign/Major incident declared Exact location: Grid ref. Type of incident Hazards: Present/Potential Access: Roads, Landing area Number of casualties: Type, Severity Emergency services: Present and Required
  11. 11. CSCATTT TRIAGE
  12. 12.  Aim: provide the best possible care for the greatest number of patients
  13. 13. PRIORITIES
  14. 14. Triage sieve
  15. 15. Triage sort
  16. 16. Triage sort
  17. 17. START (Simple triage and rapid treatment)
  18. 18. SALT (Sort, Assess, Life-SavingInterventions, Treatment and/or Transport)
  19. 19. CSCATTT Treatment Aim: “do the most for the most”
  20. 20. CSCATTT Transport Aim: get the right casualty to the right place in the right time Casualties should be dispersed to different hospitals, most appropriate to their need. Mechanism of injury Injury found or suspected Signs (vital signs) Treatment given
  21. 21. Take home message Sieve disability pt mental status change P1 death sort
  22. 22. Reference Ppt , , https://sites.google.com/site/dimersarred/disaste r-management-cycle https://sites.google.com/site/sarbook1/excerpt- incident-command
  23. 23. ANY QUESTIONS?

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