A/V 7-1

The students will be able to:
•
Describe the responsibilities of the
Staging Area Manager.
•
Describe the responsibilities of the
Command Staff.
•
Describe the expansion of the Incident
Command System (ICS) organization.
•
Explain when and why the expansion of the ICS organization is necessary.
A/V 7-2

Incident
Command
Rescue/
Extrication Group
Medical
Group
Treatment
Triage
Patient
Transportation
Group
A/V 7-3

Incident
Command
Rescue/
Extrication Group
Medical
Group
Treatment
Triage
Staging Area
Manager
Patient
Transportation
Group
A/V 7-4

Manages an area for resources to be temporarily located while awaiting tactical assignment
Assembles, coordinates, and controls resources assigned to Staging
•
Ensures unimpeded access and egress to and from the Staging Area
•
Establishes an accurate inventory system for all responding units
A/V 7-5

STAGING AREA MANAGER
(cont'd)
• Provides routing instructions for resources given tactical assignments
•
Requests maintenance services for staged resources as needed
•
Safeguards Staging
•
Determines required reserve level(s) for assigned resources
• Advises Operations Section Chief when a resource is at or near minimum reserve level
A/V 7-6

STAGING AREA MANAGER
(cont'd)
•
Coordinates access to EMS vehicles with the Ground Ambulance Coordinator
•
Ensures safety of members operating in the Staging Area
•
Evaluates Staging Area operations for efficacy and communicates resources requirements to the Operations Section
Chief
•
Provides frequent progress reports
A/V 7-7

Incident
Command
Rescue/
Extrication Group
Medical
Group
Treatment
Triage
Staging Area
Manager
Patient
Transportation
Group
Helibase
Manager
A/V 7-8

•
Locates a safe and adequately sized
Landing Zone (L/Z)
•
Advises Command and the
Transportation Officer of the L/Z location
•
Ensures L/Z site safety
•
Maintains communications with helicopters
A/V 7-9

•
Secures safe routes for ground ambulances entering and exiting the
L/Z
•
Requests and supervises resources as needed
•
Maintains incident documentation
A/V 7-10

Incident
Command
Safety Officer
Rescue/
Extrication Group
Medical
Group
Operations
Section
Staging Area
Manager
Patient
Transportation
Group
Treatment
Triage
Helibase
Manager
A/V 7-11

SAFETY OFFICER
•
Evaluates scene operations and advises the
Incident Commander (IC) of all potential or actual unsafe environments or procedures at the scene
•
Constantly evaluates the total operation, making recommendations to the IC on enhancing effectiveness, efficiency, and safety
•
Provides frequent progress reports to the IC
•
Communicates resource requirements to IC
A/V 7-12

Incident
Command
Safety Officer
Information
Officer
Rescue/
Extrication Group
Medical
Group
Operations
Section
Staging Area
Manager
Patient
Transportation
Group
Treatment
Triage
Helibase
Manager
A/V 7-13

• Controls media access to patient treatment areas and the Incident Command Post (ICP)
• Obtains authorization from the IC for media releases relative to the incident
•
Obtains complete and accurate information relative to the incident and subsequent operations
•
Coordinates all media requests
•
Identifies and prepares personnel for interviews
A/V 7-14

•
Tracks media contacts
•
Consults with the IC when appropriate
•
Develops materials for use in media briefings
•
Communicates resource requirements to
IC
•
Provides frequent progress reports to the
IC
A/V 7-15

Rescue/
Extrication Group
Medical
Group
Incident
Command
Safety Officer
Information
Officer
Liaison
Officer
Operations
Section
Staging Area
Manager
Patient
Transportation
Group
Treatment
Triage
Helibase
Manager
A/V 7-16

•
Pertains to the number of individuals one supervisor can manage effectively.
•
In ICS, the span-of-control for any supervisor falls within a range of three to seven. If fewer than three people report, or more than seven, some adjustment should be considered.
•
The rule of thumb in ICS is one supervisor to five subordinates.
A/V 7-17

Medical
Group
Triage Unit
Triage Personnel
Treatment Unit
Operations
Section
Staging Area
Manager
Patient
Transportation
Group
A/V 7-18

Medical
Group
Operations
Section
Staging Area
Manager
Patient
Transportation
Group
Triage Unit
Triage Personnel
Treatment Unit
Immediate
Treatment
Manager
Minor Treatment
Manager
A/V 7-19

Medical
Group
Operations
Section
Staging Area
Manager
Patient
Transportation
Group
Triage Unit
Triage Personnel
Treatment Unit
Treatment
Dispatch Manager
Immediate
Treatment
Manager
Minor Treatment
Manager
A/V 7-20

Operations
Section
Staging Area
Manager
Medical
Group
Medical Supply
Coordinator
Triage Unit
Triage Personnel
Treatment Unit
Treatment
Dispatch Manager
Immediate
Treatment
Manager
Delayed Treatment
Manager
Minor Treatment
Manager
Patient
Transportation
Group
A/V 7-21

Operations
Section
Staging Area
Manager
Medical
Group
Medical Supply
Coordinator
Triage Unit
Triage Personnel
Morgue Manager
Treatment Unit
Treatment
Dispatch Manager
Immediate
Treatment
Manager
Delayed Treatment
Manager
Minor Treatment
Manager
Patient
Transportation
Group
A/V 7-22

Operations
Section
Staging
Rescue/
Extrication
Group
Triage Unit
Morgue
Manager
Medical Group/
Division
Supervisor
Medical Supply
Coordinator
Patient
Transportation
Group Supervisor
Treatment
Unit
Treatment
Dispatch
Manager
Treatment
Teams
Medical
Communications
Coordinator
Ground
Ambulance
Coordinator
Air
Ambulance
Coordinator
Lines of
Helibase
Manager communications
A/V 7-23

Purpose
To address several issues relative to incident management, including organizational structure, resource needs, and potential problems.
A/V 7-24

TIME: 2000 hours
DATE: January 20
WEATHER: 45 degrees, winds from SSE @ 5 to 10 knots, overcast skies
A/V 7-25

Liberty communications to:
Liberty Engine 203
Central Truck 101
Liberty Battalion 1
LifeLine 22
Liberty County Sheriff's Units
Reported traffic accident at the intersection of State Route 52 and East Lake. Possible people trapped.
A/V 7-26

Liberty Communications--Able Flight 1:
Currently over the East Lake accident.
Appears to be a minimum of three vehicles.
Two vehicles over the side. One appears to be a large vehicle. We will try to get a closer look.
Liberty Communications--Liberty Battalion 1
Copy Able's traffic--multiple vehicles
A/V 7-27

Liberty Communications--Able Flight 1:
Confirmed three vehicles. Two over the side. One appears to be a bus. The other two sedans.
Liberty Communications--Liberty Engine 203
Engine 203 on scene; stand by for report on conditions
A/V 7-28

Liberty Communications--Liberty Engine 203
Three vehicles involved. Multiple victims trapped inside an overturned bus which is off the road and down an embankment 25 feet. Appear to be at least 15 victims.
Assuming Lake Command
Liberty Communications--LifeLine 22
On scene
A/V 7-29

Liberty Communications--Lake Command
This will be a mass-casualty incident.
Triage in progress. Request an MCI response per Liberty County EMS plan.
Lake Command--Liberty Communications
Copy MCI response--prepare to copy resources
Liberty Battalion 1 Copies
A/V 7-30

Liberty Communications--Central Truck 101
On scene
Liberty Communications--Liberty Battalion 1
On scene assuming Lake Command
A/V 7-31

Lake Command--Liberty Communications
Copy Liberty Battalion 1 now Lake
Command
Stand by to copy the MCI response
Liberty Chief has been notified and is responding--ETA 20 minutes
A/V 7-32

Lake Command--Liberty Communications
MCI response and ETA's are
Liberty Battalion 2--5 minutes
Liberty Engine 201--6 minutes
Liberty Engine 202--6 minutes
Liberty Engine 205--7 minutes
Central Truck 102--8 minutes W/3
Central Mass-Casualty--8 minutes W/1
A/V 7-33

2009 HOURS (cont'd)
MCI response and ETA's (cont'd)
Medflight 1--8 minutes
Medflight 2--16 minutes
LifeLine 21--5 minutes
LifeLine 24--5 minutes
LifeLine 25--8 minutes
Community 31--6 minutes
Community 33--8 minutes
Community 34--9 minutes
Central Medic 101--7 minutes
Central Medic 103--9 minutes
Central Medic 106--10 minutes
A/V 7-34

Lake Command--Triage
There is a total of 30 patients. Triage report is being brought to the Command
Post at this time.
At least 10 patients will require extensive extrication work. At least 2 hours to free all patients.
The bus appears stable. No fuel leak detected at this time. Second vehicle stable with fuel leak. One DOA.
A/V 7-35