WESTMORELAND
COUNTY
FIRE
CHIEF’S
HANDBOOK
1st Edition 2010
Printing made possible by:
Developed by the Fire Chiefs Association of Westmoreland County
The purpose of this guidebook is to enhance the safety of firefighter response personnel and improve operational consistency. Many firefighting tactics have been improved in the name of safety in recent years bringing many recommendations and protocols to fire officers that make for a safer fire ground. Most important for the fire officer is the incident management and fire ground personnel accountability and life safety. OSHA requirements for Hazardous Material Awareness has changed and NFPA Standards have brought many practices into the fire service that could prove to be a liability concern for you as an officer and the protection of your crews.
This guidebook is derived from many resources that have been recognized as leaders in firefighting information and instruction. It also has source information from other states and fire departments outside the County or the Commonwealth of Pennsylvania. Please remember this is only a guidebook and there is no substitute for your own research, training, and department or municipal guidelines and procedures. While this guidebook can help in refreshing your operational functions on the fire ground it is only to be used as a supplement to your department’s day to day response.
The Guidebook is formatted with a simple one page index with page numbers to lead you to the area you may want to review or use while managing an incident. Please consider creating a binder to hold this guidebook and place pages into the sections of the index as needed.
The Volunteer Fire Officer of the 21st century has become a professional of personnel management, finance & budget director, and a highly visible leader in the community. The tools within this guidebook are to help you assist with documentation and other aspects you may face today to be best prepared for situations meeting those demands.
Sources of material contained within this document:
Westmoreland Department of Public Safety
Westmoreland County Board of Commissioners
Lancaster County Fire Chiefs Handbook
FEMA Federal Emergency Management Agency
Kemah Fire Department, Texas
Mount Lebanon Fire Department, Pennsylvania
Volunteer & combination Officers Section of the IAFC
NFPA reference Fire Chief Magazine
Office of the State Fire Commissioner, Pennsylvania
International Critical Incident Stress Management, Inc. 2001
Mike McEvoy – FireRescue1.com Magazine2009 © 12/10/07
www.ResponderSafety.com
NFPA 472
Hazardous Material Emergency Planning & Response Act of 1990, P.L. 639, No. 165
Pennsylvania State Police – Greensburg
LEPC Local Emergency Planning Commission – Westmoreland County
PEMA Pennsylvania Emergency Management Agency
PA Region 13 Task Force
WCCC Westmoreland County Community College Public Safety Training Center
______________________________________________________
Index
-
ICS Chart and Basic information p. 4
-
Personnel Accountability p. 8
-
List of Special Teams p. 17
-
Incident Rehab p. 18
-
Critical Incident Stress Management LODD p. 20
-
PSP Fire Marshal Guidelines p. 26
-
Roadway Incident “Cue Card” p. 29
-
HAZMAT Response Protocols p. 31
-
Tier II Chemical Inventory Reports p. 40
-
Mass Casualty Protocols p. 41
-
Region 13 Equipment and Protocols p. 45
-
Apparatus Standards NIMS Types recommended p. 47
-
Fire Department Listing Addresses p. 51
-
Public Safety Training Center p. 59
-
Public Safety Communication SOG’s summary p. 62
-
Special Resources p. 66
-
Clear Text Communications p. 67
-
Department of Public Safety Contacts p. 69
___________________________________________________
-
ICS Chart and Basic information
-
WCDPS Organizational Chart
-
Generic ICS Fire Chart
-
Expanded incident ICS NIMS Chart
______________________________________________________
_________________________________________________________________________________
ICS Fire Chart
________________________________________________________________________
_______________________________________________________
-
Personnel Accountability
-
Fire Ground Accountability guidelines
-
MAYDAY – Command Response
-
Fire Incident Action Plan
-
Basic Accountability Charts
-
PAR Personnel Accountability Report guidelines
_______________________________________________________
FIREGROUND ACCOUNTABILITY SYSTEM
Purpose:
To maintain an accurate documentation of exposure times in hazardous environments
and also to insure the safety and well being of all firefighters.
INCIDENT COMMANDER - The highest ranking officer on the fireground
who has assumed responsibility for all fire department actions, at the time of the
incident, and works with EOC personnel when needed
SAFETY OFFICER - Appointed by the incident commander (or at the time my
be the incident commander) and is responsible for correct and accurate
documentation of all exposures and rest time; may have appointed assistant to
work staging areas. Reports to the incident commander.
AREA COMMANDER - Assigned by the incident commander and may
command any of numerous areas on, or off, the fireground itself. Assists in
whatever capacity needed and reports to the incident commander.
Guideline:
All firefighters are equipped with two (2) engraved accountability tags. The
accountability tags are used to identify and account for each firefighter who enters the
fireground, and to track their entry into interior sectors or rehabilitation sectors.
These tags should be used as follows:
Upon arrival at the fireground, one of the tags shall be removed immediately and placed
on the key ring on the apparatus the firefighter is responding on. This tag documents that
you are, or have been on the fireground. This enables the fireground safety officer to keep
count of the number of personnel used at the scene.
Upon your entry into a hazardous environment, the second tag shall be pulled and given
to the appointed safety officer or IC. The first in company should pull both tags, if they
know they will encounter a hazardous environment before the arrival of a safety officer
or IC. This action will document your time of entry and time of egress, for possible
medical review at a later date. The maximum number of entries into a hazardous
environment without rest time shall be limited to two (2). When you egress for the
second time, you will be given your tag and you should then proceed to the rest and
recuperation area give, the officer your tag and then rest and refresh yourself while
waiting further orders. Under most circumstances, the minimum time spent in R & R
shall be 30 minutes. This shall enable us to keep a fresh crew in rotation and thus make
our Department more efficient.
Once the incident commander has officially ended the incident the safety officer should
have no tags and all rings should be placed back on the apparatus. If a tag is left either
place, then someone left without picking up his or her tags or he or she is still on the
fireground somewhere and a search and rescue effort shall then be put into effect.
The safety officer, his assistant, and the area commanders shall then make a full report to
the incident commander who will file all documentation after review.
CONCLUSION
The safety and health of all firefighters is the reasoning behind this system. Accurate
documentation can and will help in the future. However, this system will only work if we
make it work for us. The cooperation of all firefighters is needed and appreciated.
www.kemahfire.com
Credit - Mt. Lebanon Fire Chief Nick Sohyda
Credit – Mt. Lebanon Fire Department
OPERATIONAL GUIDELINE - Sample
PAR - PERSONNEL ACCOUNTABILITY REPORT ROLL CALL PROCEDURES
PURPOSE
To identify a method to confirm that all personnel are accounted for within a geographic area, or "hot zone" of an incident. Use of this procedure will enhance personal safety, by providing the Incident Commander (IC) with an updated account of all personnel whenever there is significant change in the action plan or a catastrophic change in the incident.
DEFINITIONS
Positive communications: Contact maintained by visual, verbal, physical or electronic means.
Emergency Traffic: The phrase “emergency traffic” is the code word used in radio communications to indicate a critical, life safety related message. Emergency traffic has priority over all other radio communications WITH THE EXCEPTION OF A MAYDAY MESSAGE.
Hot Zone: The immediate area surrounding the incident that poses a threat to life, causes adverse health effects or would interfere with one’s ability to escape due to fire, hazardous materials, structural collapse, confined space, explosions, environmental features, etc. The zone extends far enough to prevent adverse effects from weather conditions or spontaneous releases.
Passport Accountability System: A recognized accountability system that identifies and tracks all personnel working at an incident.
Personnel Accountability Report (PAR): A term used to confirm that all personnel assigned to a group, division, unit or incident have been identified and located.
Example: "Engine 17 to Command, I have a PAR" (all members accounted for).
Standby: The term “standby” is a code word indicating that a leader is requesting more time (normally 2 minutes) to account for their personnel.
PROCEDURE
I. A roll call will be conducted in an orderly fashion by radio or face-to-face between the IC and each unit or command function/division, after each leader has had positive communication with the persons/crews within their direct span of control. Whenever possible, each division or group should account for personnel within their span without the use of the radio in order to keep operational channels open for emergency traffic.
II. The IC may chose to conduct an emergency roll call when crews are missing, injured, or trapped in order to expedite the rescue. This emergency roll call may only involve certain areas of the incident where the catastrophic change has occurred; therefore, it is important for all leaders/commanders to listen for an emergency roll call and be ready to answer, only if they are queried.
III. A Roll Call is recommended for the following situations:
1 . Any report of a missing or trapped fire fighter
2 . Any time a Mayday is called
3 . Any change from offensive to defensive
4 . Any sudden hazardous event at the incident - flashover, back draft, structural collapse, etc.
5 . At every 30 minutes of elapsed time
6 . At a report of fire under control
7 . Any time an “Abandon” order is given.
8 . Any time Command feels it is necessary
IV. The number of units assigned to an incident, the span of control, and the geographic area may determine how long the IC should wait to query leaders after announcing a roll call. A roll call should begin within 2 minutes for the normal incident. Although a systematic method of querying units/divisions is preferred (numerically, alphabetically), this doesn’t limit the IC to a random method based on Maydays, known areas of collapse, units within the hot zone, etc.
Example:
1 . The Incident Commander will order a PAR, specifying if it is an emergency PAR.
A. “Firecom & companies on the Cherrydale scene, stand by for a PAR”
2 . Firecom will repeat the request for a PAR:
A. “Companies operating at the Cherrydale scene, standby for a PAR”
3 . Each company/division will answer in one of the following manners when called by the IC:
A. “Engine 214 has a PAR” This response will mean all members assigned to
Engine 214 are safe.
B. “Division A – Standby: This response means that the Division A leader needs
more time to insure personnel are safe. In this case, the IC will pass over Division
A.
(1). Note: All companies, divisions or groups are called before returning to
those that have requested more time.
C. “Ladder 2121 has Emergency Traffic”: This response indicates there is no PAR
and the Incident Commander must initiate a firefighter rescue plan.
http://pcfca.infotracknw.com/Tactical%20Operations%20Manual/Incident%20Response/343%20PAR.pdf
_______________________________________________________
-
List of Special Teams
-
Greensburg VFD Dive & Swiftwater Rescue Team
-
Latrobe VFD Swiftwater Rescue Team
-
PA HART Helicopter Aquatics Rescue Team
-
Scottdale VFD (Fay-West) Swiftwater Rescue Team
-
Westmoreland #175 Swiftwater Rescue Team
-
Fay-West Dive Team
-
Westmoreland County Hazardous Materials Response Team 800
-
Westmoreland County Rough Terrain Fire & Rescue Team 211
-
Tactical Rescue Team of Westmoreland County
-
Westmoreland County Animal Rescue Team
-
Westmoreland County Trench Rescue Team
-
Region 13 Westmoreland County Department of Public Safety Equipment & Personnel
-
Bee Removal Team
-
Westmoreland CISD Team
-
WCDPS MCCC “Command Post”
-
WCDPS MARRV “Mobile Repeater Vehicle”
-
PLEASE CALL 9-1-1 FOR ASSISTANCE
_______________________________________________________
_______________________________________________________
-
NFPA Guideline
-
Rehab Teams
-
MAAS Team 300
-
Support 610 Medic 1
-
Salvation Army
-
Latrobe Canteen
_______________________________________________________
NFPA 1584, "Standard on the Rehabilitation Process for Members during Emergency Operations and Training Exercises”
Effective January 2008
Who's responsible for what?
Each department is responsible for developing and implementing rehab SOGs. On scene, the Company Officer or supervisor must assess his or her crew to determine members in need of rehab at least every 45 minutes. Individual firefighters and their supervisors should undergo rehab following use of a second 30-minute SCBA cylinder, after a single 45- or 60-minute cylinder, or after 40 minutes of intense work without SCBA. Supervisors are permitted to
adjust these time frames depending on work or environmental conditions. In addition, EMS staff must have the authority to detain members in rehab or transport members when there are obvious indications preventing them from return to full duty.
How to implement 1584
There are nine key components of rehab required by NFPA 1584:
1. Relief from climactic conditions — An area free of smoke and sheltered from extreme heat or cold is provided. This might be a non-fire floor in a high-rise building, a shaded area upwind from a brush fire or the heated fire apparatus cab during cold winter months. The theme is providing shelter from environmental extremes.
2. Rest and recovery — Members are afforded the ability to rest for at least 10 minutes or as long as needed to recover work capacity.
3. Cooling or rewarming — Members who feel hot should be able to remove their PPE, drink water and be provided with means to cool off. Members who are cold should be able to add clothing, wrap in blankets and be provided with means to warm themselves.
4. Re-hydration — Fluid replacement. Fluid volume requirements were eliminated from the standard with the exception of pre-hydration with 500 ml (16 oz) of fluids consumed two hours prior to scheduled events. On scene, potable fluids must be provided so members can satisfy thirst. Fluids should also be provided to encourage continued hydration after the incident.
5. Calorie and electrolyte replacement — When appropriate for longer duration events such as incidents exceeding three hours duration or situations where members are likely to work for more than one hour. Of note, whenever food is available, means for members to wash their hands and faces must also be provided.
6. Medical monitoring — Specifies a minimum of six conditions that EMS must assess in each member during rehab:
a. Presence of chest pain, dizziness, shortness of breath, weakness, nausea or headache.
b. General complaints such as cramps or aches and pains.
c. Symptoms of heat or cold-related stress.
d. Changes in gait, speech or behavior.
e. Alertness and orientation to person, place and time.
f. Any vital signs considered abnormal in local protocol. The specific vital signs and what defines normal is entirely up to local medical control and department medical authorities. Vital signs listed in the 1584 annex include temperature, pulse, respirations, blood pressure, pulse oximetry and carbon monoxide assessment using either an exhaled breath CO monitor or a pulse CO-oximeter (i.e. a pulse oximeter designed to measure carboxyhemoglobin).
7. EMS treatment in accordance with local protocol — Available on scene for members who require treatment or transport. Note that medical monitoring is documented in the fire department data collection system. When EMS treatment or transport is provided, a medical report must be generated and included in the member’s employee medical record.
8. Member accountability —The personnel accountability system must track members assigned to rehab by Incident Command as they enter and leave.
9. Release — Prior to leaving rehab, EMS must confirm that members are able to safely perform full duty.
© Copyright 2009 - FireRescue1.com. All Rights Reserved. Excerpt 12/10/2007 Mike McEvoy
Sponsored by Masimo
-
Critical Incident Stress Management LODD
-
PA State Fire Commissioner Guidelines
_______________________________________________________
Critical Incident Stress
Management
Assists Emergency Service personnel
to construct a shared picture of…..
⇒ How the incident occurred
⇒ What each of them was thinking
⇒ What each of them was doing
⇒ How each individual is reacting
and feeling
⇒ How the department is reacting
It is designed to assist firefighters
and the department to…..
⇒ Begin the recovery process
⇒ Learn from the experience
⇒ Honor its lost member(s)
⇒ Rebound from challenging
events
⇒ Collectively move forward
Edward A. Mann
State Fire Commissioner
724 357-0103
724 357-2992 fax
wruth@state.pa.us
For more info contact:
William P. Ruth
276 Stormer Road
Indiana, Pa 15701
Preplanning Before the LODD
Things to do before “it” happens:
1. Beneficiary cards completed
2. Training records up to date
3. Obtain telephone numbers
County EMA
__________________________________________________________________
County Coroner
__________________________________________________________________
Police
__________________________________________________________________
PEMA EOC
800 424-7362
OSFC
800 670-3473
CISM
__________________________________________________________________
Worker Comp Carrier
__________________________________________________________________
Insurance Carrier
__________________________________________________________________
Municipal Contact
__________________________________________________________________
Local Honor Guard
__________________________________________________________________
Fire Associations
__________________________________________________________________
__________________________________________________________________
Other
Immediately After the Death
When you are made aware of a Line of Duty Death, there are many steps you must immediately take. You must make sure that the proper notifications have been made. Notify your County Emergency Management Agency and have them notify the Pennsylvania Emergency management Agency’s EOC. This will automatically notify the State Fire Commissioner and staff. Also, notify your County Coroner of the LODD and that the LODD autopsy protocol must be followed. Basic steps to take before the arrival of a staff member from the Office of the State Fire Commissioner:
1. Make notification of County EMA
2. Advise Coroner of LODD
3. Contact local CISM team
4. Support deceased family with any
immediate needs.
5. Make sure of your fire fighters well being.
6. Lower flags to half-staff
7. Secure training records of deceased
8. Notify Municipality of death
9. Notify insurance carriers
10. Have the Officers on the call make
a written statement as to what happened
(only facts)
Place a temporary memorial in front of Fire Station
To honor the memory of the deceased, many FD’s place a temporary memorial consisting of a turnout coat and helmet secured to a chair in front of the station. A candle and flowers are appropriate at the base. This also gives mourning citizens of the community the opportunity to add to the memorial. Depending on availability, a photo of the deceased may be displayed.
Appoint a Public Information Officer
A PIO must be immediately appointed to control rumors and to release only the facts that the FD determines necessary. All sensitive information should be released with discretion (and family approval).
The PIO should be the only spokes person for the FD. Information must be gathered as soon as possible to include:
1. Name of deceased
2. Dept. info (rank, date joined etc.)
3. Next of kin information
A. Name
B. Relationship
C. Address
D. Telephone number
4. Gather insurance information
A. Worker Comp
B. FD life insurance policy
C. Fire Assoc. insurance policies
5. Prepare a formal news release
6. Prepare for news media/briefings
______________________________________________________
-
PSP Fire Marshal Guidelines
______________________________________________________
_______________________________________________________
-
Roadway Incident Cue Card
_______________________________________________________
-
HAZMAT Response Protocols
-
Dispatch
-
NFPA 472
-
Billing
_______________________________________________________
What is Hazardous Materials?
-
Any material or substance that if not properly contained, poses a threat to health, safety, & environment and is of such a nature requires implementation of special control procedures which supplements standard department procedures; which may require use of specialized equipment & reference materials.
INITIAL DISPATCH!
-
Give as much information as possible
-
Let them know what they are going to be in for!!
-
DON’T WAIT –
-
If you got a piece of info – give it out!!!
CLUES -
-
Wind Direction
-
Smoke/Vapors
-
Movement trees/bushes
-
Chemical flow direction
-
Sounds
-
Placards
-
Markings
Bottom Line -
If they – see it - smell it – feel it
They should be instructed to leave area immediately!!!
-
Stop at a safe distance!
-
Use binoculars to assess situation!!
RESPONSE ZONES
-
COLD – Street Clothes
-
WARM – Some Level of Protection
-
HOT - Highest Level of Protection
KEY QUESTIONS
-
Physical location
-
Color smoke/vapor cloud
-
Noises
-
Unusual Smells
-
Irritations
-
Markings/Labels
-
Substance Name
-
Leak or Spill?
-
How much material involved?
-
Container Type?
-
Near populated area?
-
What material involved?
-
Leak or Spill?
-
Dripping
-
Large amount on ground?
-
How Much involved?
-
5-gal or 10,000 gal tanker.
-
Container Type?
-
TT Tanker or Box trailer?
-
Railroad tanker or Box car?
-
UPS Delivery truck?
-
NEAR A POPULATED AREA
-
WATER SUPPLY
-
STORM DRAIN
-
Possible evacuation procedures
-
Shutting down water intakes
-
WHAT MATERIAL IS INVOLVED?
-
?????
TEAM 800 NOTIFICATION
-
Requested by local authority:
-
Fire Chief, EMS, Police
-
County EMA Director
-
County Elected Official
-
Dispatched by 911 Center
-
Gbg Fire Frequency
-
County Minitors
-
Pagers
SCENE OPERATIONS
-
Isolate Hazard Area – Set up Zones!!
-
Establish ICS
-
Make Assignments
-
Identify Substance/Determine Hazards
-
Determine Level of Protection!!
-
Choose necessary equipment
-
Mitigate Incident
-
D-Con personnel/equipment
-
Conduct debriefing/critique
-
Secure from scene.
-
WE DO NOT DO CLEAN-UP!!!
-
Responsibility of responsible party!!
-
Contain – Control leak
-
Stop leak if possible
-
Protect environment/public
-
Professional Licensed Clean-up Companies
RESPONSE TYPES
-
HAZMAT – Chemicals
-
Petroleum Products Releases
-
Airport Response
-
Anthrax (White Powder) calls
-
Assessments
-
Stand-bys
-
Rapid Intervention Team
AIRPORT RESPONSE
-
Assist/Augment Airport Crash Truck
-
Rescue & Foam Application
-
Under direction of Airport Tower Chief
-
Arnold Palmer Regional Airport
-
Rostraver Airport
HAZMAT Coordinator Summary
Hazardous Materials incident activations propel into motion an enormous amount of specialized experience and assets formulated and supported by the County. The cost of this preparedness asserts minimum charges for each level of response as outlined by suggested response criteria. NFPA (National Fire Protection Association) 472, Recommended Practice for Responding to Hazardous Materials Incidents enumerates the criteria. This proposal uses this NFPA 472 extract to define a minimum billing per tier level of response.
NFPA 472 Summary
-
LEVEL I (One or two HMRT Officer Response): Easily Handled by emergency first responders with technical advice from a HMRT readily available resources.
-
LEAK SEVERITY: No release or small release contained or confined with readily available resources.
-
LIFE SAFETY: No life-threatening situation from materials involved, no significant public protection required.
-
ENVIRONMENTAL IMPACT: (Potential): Minimal.
-
-
LEVEL II (Several HMRT Officers/members or HAZMAT Element Response): Handled by emergency first responders with assistance from HMRT specialty resources such as product identification, product or container specialists, spill containment teams, decontamination teams, air monitoring equipment, consultation and technical advise or other HMRT resources that are of a defensive mode only and do not require the full team.
-
LEAK SEVERITY: Release or spill has been or can be easily controlled or contained with the addition of HMRT resources.
-
LIFE SAFETY: Greater hazard from the material involved A moderate level public protection required within a localized area.
-
ENVIRONMENTAL IMPACT: (Potential): Moderate.
-
-
LEVEL III (Full HMRT Response as Listed): Requires an official dispatch of full compliment of the HMRT.
-
LEAK SEVERITY: Release may not be controllable even with special resources.
-
LIFE SAFETY: Greatest hazard involved from the material(s). May require major public protection to a large area or mass evacuation.
-
ENVIRONMENTAL IMPACT: Severe.
Minimum Billing Response Level Schedule:
Billing is based on the levels of HMRT 800 & WCDPS response. Any costs incurred by local municipalities and emergency services are the sole responsibility, to separately bill for costs, of and by the municipality in which the incident occurred.
Westmoreland County Billing Resolution
RESOLUTION #R-11-2007
WHEREAS, the “Hazardous Material Emergency Planning & Response Act” Act of 1990, P.L. 639, No. 165 Section 210, Recovery of response costs, mandates that Westmoreland County; may collect operational, administrative, and legal costs incurred from it’s initial response up to the time that it recovers it’s costs; and
WHEREAS, in preparation to the mandate stated above, this County has prepared a procedure that follows a scope, objective, identifies documentation, adopts NFPA response level criteria, forwarding of billing, receiving of receipts and other agency billing to define appropriate action regarding the above stated Act; and
WHEREAS, this County has provided for a Hazardous Materials Response Team 800, coordinated by the Department of Public Safety Hazardous Materials Coordinator, that prepares from reported incident documentation the billing allowable under this above stated Act; and
NOW, THEREFORE, we, the undersigned Commissioners of Westmoreland County do hereby approve, adopt and place into immediate effect the Hazardous Materials Response Team 800-Department of Public Safety Billing Procedure. This procedure will be maintained and followed by the Westmoreland County Department of Public Safety Hazardous Materials Coordinator regarding the “Hazardous Material Emergency Planning & Response Act” Act of 1990, P.L. 639, No. 165, Section 210, Recovery of response costs.
THIS RESOLUTION approved and adopted by the Commissioners of Westmoreland County, Pennsylvania, this 10th day of May, 2007.
*Original copy on file Westmoreland County Department of Public Safety HAZMAT Coordinator’s Office.
_______________________________________________________
-
Tier II Chemical Inventory Reports
-
ACT 165
-
Request for Inspection
-
Sample Report
_______________________________________________________
_______________________________________________________
_______________________________________________________
-
Sample Report to be filed with fire departments and the Local Emergency Planning Commission
_______________________________________________________
-
Mass Casualty Protocols
-
Protecting the Scene for investigation
-
Special resources available from Region 13
_______________________________________________________
MASS FATALITIES INCIDENTS
A mass fatalities incident can be defined as one in which there are more sets of remains than can be handled using local resources. For some jurisdictions, a mass fatalities incident may involve two sets of remains, whereas in others, a mass fatalities response may not be triggered until there are 50 or more sets of remains.
All disasters and emergencies start and end at the local level. No matter what the size of the mass fatalities incident, there is a need for teamwork among responders. A firm understanding by all agencies involved regarding local, State and Federal roles and responsibilities is key in managing an incident of this type. A proven management system is necessary to ensure that remains are recovered, inventoried, identified, and released as efficiently as possible. The Federal government now requires the use of the Incident Command System (ICS) to manage all domestic incidents, including Mass Fatalities incidents. This requirement was put in place with the implementation of the National Response Framework and the National Incident Management System – NIMS. Using ICS can help organize the many tasks required of all personnel involved in a mass fatalities response. Virtually all mass fatalities incidents should be managed using Unified Command.
In most cases, those working at the scene of mass fatalities incident will be under the authority of the Medical Examiner or County Coroner. (In the state of Pennsylvania, there are 67 coroners and two Medical Examiners.) Private sector and voluntary organizations may be involved as well. It may be necessary to request assistance from Disaster Mortuary Response Teams (DMORTs).
There are three areas that incident operations encompass:
-
On-scene operations, including:
-
Staging
-
Search and recovery
-
Notification of response personnel
-
Morgue operations
-
Family Assistance Center (FAC) operations
Each of these areas involves special and separate considerations during planning for a mass fatalities incident. In addition to the standard ICS facilities, mass fatalities incidents require two additional facilities – a morgue (and related facilities) and a Family Assistance Center (FAC). The morgue site should primarily focus on the health, safety, security and logistical needs of morgue personnel. A Family Assistance Support Operations, including a Family Assistance Center (FAC) is an important, but sensitive, operation to provide relatives of victims with information and access to support services. The morgue site should not be located near the Family Assistance Center.
In the event of a mass fatalities incident, sufficient resources may not be available to State and local agencies to meet emergency requirements. Federal assistance may be required to identify and deploy resources from outside the affected area to ensure a timely, efficient, and effective response.
Some of the Federal Resources include:
-
National Transportation Safety Board (NTSB)
-
National Disaster Medical System (NDMS):
-
Disaster Mortuary Operational Response Teams (DMORTs):
-
DMORT Disaster Portable Morgue Unit
-
Family Assistance Center
-
DMORT WMD Team
Other resources include:
-
Department of Health and Human Services
-
FBI Office of Victims’ Assistance
-
The American Red Cross
-
Department of State
-
U.S. Department of Homeland Security/FEMA
-
National Disaster Medical System (NDMS)
-
Urban Search & Rescue Teams
-
Department of Defense (DOD)
-
Department of Justice (DOJ)/FBI
-
Non-FBI Department of Justice agencies
-
Centers for Disease Control (CDC)
-
Environmental Protection Agency (EPA)
-
Department of Energy (DOE)
Derived from FEMA Mass Casualty Incident Instructors Guide
“Multi-Casualty and “Mass Casualty” traditionally are interchangeable terms.
The terms reference an incident that meets locally defined thresholds in accordance
with the jurisdiction emergency response plan.
Large numbers of injured persons
Large multi-agency response teams
Inherently hazardous environments
High stress environments
Local disaster plans should identify the specific formula for each jurisdiction; knowing the local criteria is crucial to early recognition and declaration of an MCI.
What is a Mass Casualty?
FEMA Mass Casualty Incident Definition
Mass casualty incidents are incidents resulting from man-made or natural causes resulting in
illness or injuries that exceed or overwhelm the EMS and hospital capabilities of a locality,
jurisdiction, or region. A mass casualty incident is likely to impose a sustained demand for health
and medical services rather than the short, intense peak demand for these services typical of
multiple casualty Incidents.
What is a Multi-Casualty Incident?
FEMA Multi-Casualty Incident Definition
Multi-casualty incidents are incidents involving multiple victims that can be managed, with
heightened response (including mutual aid if necessary), by a single EMS agency or system.
Multi-casualty incidents typically do not overwhelm the hospital capabilities of a jurisdiction and/or
region, but may exceed the capabilities for one or more hospitals within a locality. There is
usually a short, intense peak demand for health and medical services, unlike the sustained
demand for these services typical of mass casualty incidents.
MCI Threshold Definition
The point at which the number of patients at an MCI and the severity of their conditions are
beyond the ability of available resources to provide adequate care.
The day-to-day EMS response is designed to assure scene safety and to triage, treat and
transport no more than a few patients. If day-to-day procedures were followed at the scene of a
large number of casualties, several problems could occur with scene management, triage,
treatment, and transport.
A common threshold formula is….
# Ambulances within 15 minutes X 2 victims +1 would constitute an MCI declaration for
that community
Example: 6 ambulances X 2 victims = 12 victims
12 victims + 1 = 13 (MCI declaration)
MCI Threshold = 13 victims
If the numbers of victims exceeds the threshold, but few, if any, appear to be seriously injured,
consideration should be given to not declaring an MCI.
“Fire Department Chief officers should consider the following as a recommended guideline for declaring a MCI”…
Three or more ambulances to any incident
Three critical (red) victims and/or
Ten victims
Reference: North Central CT EMS Council January 2009
-
Region 13 Equipment and Protocols
-
Equipment Available
-
Request Protocols
_______________________________________________________
WESTMORELAND COUNTY
DEPARTMENT OF PUBLIC SAFETY
REGION 13 EQUIPMENT REQUEST PROCEDURES
-
THE FOLLOWING PROCEDURES WILL BE USED TO CALL OUT ANY OF THE WESTMORELAND COUNTY REGION 13 EQUIPMENT.
-
IF A FIRE DEPARTMENT REQUEST ANY EQUIPMENT THE FIRE CHIEF OR THE OFFICER IN CHARGE, OR THE EMERGENCY MANAGEMENT COORDINATOR OF THE INCIDENT WILL NOTIFY THE 911 CENTER FOR THE EQUIPMENT.
-
IF YOU NEED ANY OF THIS EQUIPMENT PLEASE CALL THE 9-1-1 CENTER AND THE DISPATCHER/SUPERVISOR WILL GET YOUR NAME, PHONE NUMBER AND WHAT EQUIPMENT YOU ARE REQUESTING AND SOMEONE WILL CALL YOU BACK.
-
THESE PROCEDURES WILL BE FOLLOWED FOR ANY INCIDENT THAT IS ONGOING. IF YOU REQUEST ANY EQUIPMENT FOR NON-EMERGENCY FUNCTIONS THE CHIEF MUST WRITE A LETTER REQUESTING THE EQUIPMENT A MONTH IN ADVANCE.
_______________________________________________________
-
Apparatus Standards NIMS Types recommended
_______________________________________________________
_______________________________________________________
|
Larimer Fire Department
PO Box 306
Larimer, PA 15647
|
Strawpump Fire Department
130 North Thompson Lane
North Huntingdon, PA 15642
ATTN: Fire Chief
|
8650 Broadway St.
Westmoreland City, PA 15692
ATTN: Fire Chief
|
|
Hartford Heights Fire Dept
14335 Rt. 30
North Huntingdon, PA 15642
ATTN: Fire Chief
|
Shafton Fire Department
681 Jackson Street
North Huntingdon, PA 15642
ATTN: Fire Chief
|
Fairmont-Hahntown Fire Dept
890 Rose Street
North Huntingdon, PA 15642
ATTN: Fire Chief
|
|
Paintertown Fire Department
1010 Tray Street
Irwin, PA 15642
ATTN: Fire Chief
|
Circleville Fire Department
129 Robbins Station Road
North Huntingdon, PA 15642
ATTN: Fire Chief
|
Level Green Fire Department
536 Harrison City Road
Level Green, PA 15085
ATTN: Fire Chief
|
|
Adamsburg Fire Department
Box 92
Adamsburg, PA 15611
ATTN: Fire Chief
| Sutersville Fire Department
320 Municipal Ave.
Sutersville, PA 15083
ATTN: Fire Chief
|
North Irwin Fire Department
2nd at Broadway
North Irwin, PA 15642
ATTN: Fire Chief
|
|
Manor Fire Department
PO Box 567
Manor, PA 15665
ATTN: Fire Chief
|
Rillton Fire Department
PO Box 185
Rillton, PA 15678
ATTN: Fire Chief
|
Herminie Fire Department
101 Sewickley, Ave
Herminie, PA 15637
ATTN: Fire Chief
|
|
Lowber Fire Department
22 Cherry Street
Lower, PA 15660
ATTN: Fire Chief
|
Smithton Fire Department
Box 756
Smithton, PA 15479
ATTN: Fire Chief
|
Madison Fire Department
Box 232
Madison, PA 15663
ATTN: Fire Chief
|
|
Yukon Fire Department
PO Box 427
Yukon, PA 15698
ATTN: Fire Chief
|
Murrysville Fire Department
PO Box 93
Murrysville, PA 15668
ATTN: Fire Chief
|
Grapeville Fire Department
PO Box 162
Grapeville, PA 15634
ATTN: Fire Chief
|
|
Export Fire Department
PO Box 457
Export, PA 15632
ATTN: Fire Chief
|
Carbon Fire Department
421 Juniper Street
Greensburg, PA 15601
ATTN: Fire Chief
|
Southwest Greensburg Fire Dept
401 Guthrie Street
Greensburg, PA 15601
ATTN: Fire Chief
|
|
New Stanton Fire Department
PO Box 20
New Stanton, PA 15672
ATTN: Fire Chief
|
Youngwood Fire Department
PO Box 236
Youngwood, PA 15697
ATTN: Fire Chief
|
Hunker Fire Department
PO Box 223
Hunker, Pa 15639
ATTN: Fire Chief
|
|
Midway St.Clair Fire Dept.
1966 Broadway Ave
Greensburg, PA 15601
ATTN: Fire Chief
|
Hempfield # 2 Fire Dept.
PO Box 279
Greensburg, PA 15601
ATTN: Fire Chief
|
Delmont Fire Dept.
PO Box 12
Delmont, PA 15626
ATTN: Fire Chief
|
|
Webster Fire Department
PO Box 303
Webster, PA 15087
ATTN: Fire Chief
|
South Greensburg Fire Dept.
1515 Poplar Street
Greensburg, PA 15601
ATTN: Fire Chief
|
Marguerite Fire Dept
138 Continental Dr
Latrobe, PA 15650
ATTN: Fire Chief
|
|
Crabtree Fire Department
PO Box Q
Crabtree, PA 15624
ATTN: Fire Chief
|
Trauger Fire Dept
196 Dutch Hill Rd
Latrobe, PA 15650
ATTN: Fire Chief
|
Pleasant Unity Fire Dept
PO Box 197
Pleasant Unity, PA 15676
ATTN: Fire Chief
|
|
Norvelt Fire Dept
PO Box 173
Norvelt, PA 15674
ATTN: Fire Chief
|
Mt. Pleasant Fire Department
100 S. Church St
Mt. Pleasant, PA 15666
Attn: Fire Chief
|
Youngstown Fire Dept
PO Box 283
Youngstown, PA 15696
ATTN: Fire Chief
|
|
Derry Fire Department
116 E. 2nd Ave
Derry, PA 15627
ATTN: Fire Chief
|
Darlington Fire Department
P.O. Box 923
Ligonier, PA 15658
ATTN: Fire Chief
|
Ligonier Hose Co #1
PO Box 573
Ligonier, PA 15658
ATTN: Fire Chief
|
|
Ligonier Twp #1 Fire Dept
44 Firehall Rd
Ligonier, PA 15658
ATTN: Fire Chief
| Ligioner Twp #2 Fire Dept
379 Wilpen Rd
Ligioner,PA 15658
ATTN: Fire Chief
|
New Florence Fire Department
PO Box 19
New Florence, PA 15944
ATTN: Fire Chief
|
|
Seward Fire Department
Box 183
Seward, PA 15954
ATTN: Fire Chief
|
Oklahoma Fire Department
225 Rear Longfellow St
Vandergrift, Pa 15690
ATTN: Fire Chief
|
Vandergrift #2 Fire Department
229 Emerson St
Vandergrift, Pa 15690
ATTN: Fire Chief
|
|
Vandergrift #1 Fire Department
278 Franklin Ave
Vandergrift, PA 15690
ATTN: Fire Chief
|
Hyde Park Fire Department
PO Box 223
Hyde Park, PA 15641
ATTN: Fire Chief
|
West Leechburg Fire Dept
Plazak St
West Leechburg, Pa 15656
ATTN: Fire Chief
|
|
Lower Burrell #1 Fire Dept
34 New York Ave
Lower Burrell, PA 15068
ATTN: Fire Chief
|
Avonmore Fire Department
PO Box 586
Avonmore, PA 15618
ATTN: Fire Chief
|
New Kensington Fire Dept
1101 Victoria Ave
New Kensington, Pa 15068
ATTN: Fire Chief
|
|
Irwin Fire Department
PO Box 139
Irwin, PA 15642
ATTN: Fire Chief
|
Scottdale Fire Department
PO Box 73
Scottdale, PA 15683
ATTN: Fire Chief
|
Slickville Fire Dept
PO Box 123
Slickville, Pa 15684
ATTN: Fire Chief
|
|
High Park Fire Department
400 Baughman Ave
Jeannette, Pa 15644
ATTN: Fire Chief
|
Claridge Fire Department
PO Box 400
Claridge, Pa 15623
ATTN: Fire Chief
|
White Valley Fire Department
6215 Old William Penn Hwy
Export, PA 15632
ATTN: Fire Chief
|
|
Latrobe Fire Dept
1 Main St
Latrobe, Pa 15650
ATTN: Fire Chief
| Lloydsville Fire Dept
208 Dickens St
Latrobe, PA 15650
ATTN: Fire Chief
|
Upper Burrell Twp Fire Dept
4370 7th St Rd
New Kensington, PA 15068
ATTN: Fire Chief
|
|
Westinghouse Waltz Mill Fire
PO Box 158
Madison, PA 15663
ATTN: Fire Chief
|
St Vincent Fire Department
300 Fraser Purchase Rd
Latrobe, Pa 15650
ATTN: Fire Chief
|
Lower Burrell Fire Dept #4
567 Burgly Ave
Lower Burrell, Pa 15068
ATTN: Fire Chief
|
North Hempfield Fire Dept
1284 Rt 66
Greensburg, Pa 15601
ATTN: Fire Chief
|
Bell Twp Fire Dept
Box 245
Salina, Pa 15680
ATTN: Fire Chief
|
Alcoa Fire Dept
100 Technical Dr
Alcoa Center, PA 15069
ATTN: Fire Chief
|
|
Lower Burrell #3 Fire Dept
3255 Leechburg Rd
Lower Burrell, Pa 15068
ATTN: Fire Chief
|
Bradenville Fire Department
PO Box 325
Bradenville, PA 15620
Attn: Fire Chief
|
Whitney-Hostetter Fire Dept
PO Box 93
Whitney, PA
ATTN: Fire Chief
|
|
East Huntingdon Fire Dept
120 Fire Department Rd
Tarrs, PA 15688
ATTN: Fire Chief
|
Hannastown Fire Department
Box 171
Hannastown, PA 15635
ATTN: Fire Chief
|
Kecksburg Fire Dept
5128 Water St
Mt. Pleasant, Pa 15666
ATTN: Fire Chief
|
|
New Alexandria Fire Dept
212 Gay St
New Alexandria, PA 15670
ATTN: Fire Chief
| Sardis Fire Dept
Po Box 604
Murrysville, Pa 15668
ATTN: Fire Chief
|
Greensburg Fire Dept
Alexandria St
Greensburg, PA 15601
ATTN: Fire Chief
|
|
North Belle Vernon Fire Dept
Speer/Arch Sts
Belle Vernon, PA 15012
ATTN: Fire Chief
|
Monessen Fire Department
441 Reed Ave
Monessen, PA 15062
ATTN: Fire Chief
|
West Newton Fire Department
100 Riverside Dr
West Newton, Pa 15089
ATTN: Fire Chief
|
|
Mutual Fire Department
214 Mutual Firehall Rd
Greensburg, PA 15601
ATTN: Fire Chief
|
Bovard Fire Department
PO Box 81
Bovard, PA 15619
ATTN: Fire Chief
|
Hutchinson Fire Dept
261 Firehall Ave
Hutchinson, Pa 15640
ATTN: Fire Chief
|
|
Trafford Fire Dept
400 Duquesne Ave
Trafford, PA 15085
ATTN: Fire Chief
|
Harrison City Fire Department
Po Box 419
Harrison City, Pa 15636
ATTN: Fire Chief
|
Hecla Fire Dept
PO Box 213
Southwest, Pa 15685
ATTN: Fire Chief
|
|
Bolivar Fire Department
PO Box 3
Bolivar, PA 15923
ATTN: Fire Chief
|
Forbes Road Fire Department
PO Box 214
Forbes Road, PA 15633
ATTN: Fire Chief
|
Dry Ridge Fire Dept
116 White School Rd
Greensburg, PA 15601
ATTN: Fire Chief
|
|
Eastern Derry Fire Department
1426 State Rt 217
Derry, PA 15627
ATTN: Fire Chief
|
Luxor Fire Department
PO Box 85
Luxor, PA 15662
ATTN: Fire Chief
|
Penn Boro Fire Department
600 Railroad St
Penn, Pa 15675
ATTN: Fire Chief
|
|
Citizens Vol. Fire Dept #1
601 Drey St
Arnold, PA 15068
ATTN: Fire Chief
|
Arnold # 2 Fire Dept.
1100 Drey St
Arnold, PA 15068
ATTN: Fire Chief
|
West Point Fire Dept.
100 Volunteer Dr
Greensburg, PA 15601
ATTN: Fire Chief
|
|
Allegheny Twp Fire Department
Po Box 487
Leechburg, PA 15656
ATTN: Fire Chief
|
Markle Fire Dept.
470 Joyce Ave
Apollo, Pa 15613
ATTN: Fire Chief
|
Washington Twp Fire Dept
778 Rt 66
Apollo, PA 15613
ATTN: Fire Chief
|
|
Collinsburg Fire Dept
514 Rostraver Rd
West Newton, PA 15089
ATTN: Fire Chief
|
Fort Allen Fire Dept
PO Box 4007
Greensburg, Pa 15601
ATTN: Fire Chief
|
Rostraver Central Fire Dept
PO Box 562
Belle Vernon, Pa 15012
ATTN: Fire Chief
|
|
Grandview Fire Dept
1655 Ridge Ave
Jeannette, Pa 15644
ATTN: Fire Chief
|
Turkeytown Fire Department
90 Supervisor Rd
West Newton, PA 15089
Attn: Fire Chief
|
Calumet Fire Dept
PO Box 195
Calumet, PA 15621
ATTN: Fire Chief
|
|
Chestnut Ridge Fire Dept
PO Box 160
Stahlstown, PA 15687
ATTN: Fire Chief
|
Fairfield Twp Fire Department
PO Box 307
New Florence, Pa 15944
ATTN: Fire Chief
|
Jeannette Fire Dept
S.2nd & Clay Ave
Jeannette, Pa 15644
ATTN: Fire Chief
|
|
Torrance State Hospital Fire
Torrance State Hospital
Torrance, PA 15779
ATTN: Fire Chief
|
Westmoreland County Airport
200 Pleasant Unity Rd
Latrobe, Pa 15650
ATTN: Fire Chief
| Greensburg Fire Co #1 McLaughlin Dr
Greensburg, Pa 15601
ATTN: Captain |
| Greensburg Fire Co#2
P.O. Box 1111
Greensburg, Pa 15601
ATTN: Captain | Greensburg Fire Co #3
304 Alexandria St
Greensburg, Pa 15601
ATTN: Captain |
Greensburg Fire Co #6
542 W. Otterman St
Greensburg, Pa 15601 ATTN: Captain |
| Greensburg Fire Co #7
719 E. Pittsburg St.
Greensburg, Pa 15601
ATTN: Captain
| Greensburg Fire Co #8
900 Highland Ave
Greensburg, Pa 15601
ATTN: Captain
|
Lloydsville Fire Department
P.O. Box 403
Latrobe, Pa 15650
Attn: Fire Chief
|
|
Do'stlaringiz bilan baham: |