Mci ?

EMSANTHEM

EMSANTHEM

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Today my Vol. Service conducted a Mock MCI..

I'm wondering if anyone has actually worked or was the first crew on scene for a MCI??

EMSANTHEM
 
Witnessed, first on scene, and took initial command on a two car accident with eight patients.
 
Several times.
 
2 hours out of our response area witnessed a 2 car TC on the freeway. 6 patients total (4 adults and 2 kids). Next unit in was 14 minutes after I called 911. Stopped all traffic except for 1 lane. Triage the patients an start to treat. My partner at the time was an extremely incompetent EMT so he wasn't much help.
 
Several times.

My first one ever was right after I was released on my own. Was at the gas station all by myself with the brush truck and witnessed a two vehicle accident on the US highway. I was borderline freaking out. All by myself, like a week out of probation and here I was with like 10 patients. Hahaha!

Anyhow, I've been on many MCIs since then. They get much easier. And being first in is nice, because then you do triage, take command as units come in, and then don't end up transporting anything until maybe at the very very end, and then even if you do, it is some very minor patient.
 
lightsandsirens5 said:
Several times.

My first one ever was right after I was released on my own. Was at the gas station all by myself with the brush truck and witnessed a two vehicle accident on the US highway. I was borderline freaking out. All by myself, like a week out of probation and here I was with like 10 patients. Hahaha!

Anyhow, I've been on many MCIs since then. They get much easier. And being first in is nice, because then you do triage, take command as units come in, and then don't end up transporting anything until maybe at the very very end, and then even if you do, it is some very minor patient.
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I prefer being the second in unit and taking the two sickest patients. That makes the time fly on the way to the hospital.
 
Agreed. I'd much rather be the second unit in. ;)

We complete triage tags on every ALS patient on the first day of the month. It's a great way to stay on top of how to fill 'em out and do the paperwork. It's automatic now.
 
n7lxi said:
Agreed. I'd much rather be the second unit in. ;)

We complete triage tags on every ALS patient on the first day of the month. It's a great way to stay on top of how to fill 'em out and do the paperwork. It's automatic now.
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That's a really good idea. I love hearing how people slip in useful training.
 
Yes to Both, worked them and have been 1st in.
 
Yes. First MCI, I was first unit on for an MVC with one fatality, multiple red, a yellow and the rest green with extended extrication.


More common in the rural setting where you and your partner and a couple of cops are all that's it for any length of time, unlike in the urban setting.
 
The last one I worked we were first on of a four patient MVC with two "pinkish" pediatrics, one yellow adult and one more green pedi. 45 minutes away from the next truck, 55 for air. Fun stuff...
 
Linuss said:
Yes. First MCI, I was first unit on for an MVC with one fatality, multiple red, a yellow and the rest green with extended extrication.


More common in the rural setting where you and your partner and a couple of cops are all that's it for any length of time, unlike in the urban setting.
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My favorite.

In a rural area, it's not hard to qualify for actualy MCI status.

In the city, a bus wreck is the most common MCI. The highest priority task upon arrival on scene is to post a cop at the door to the bus and tell all the people that if they get off, there's no proof they were ever on to begin with.

Once we went for a guy who *slipped and fell* on a city bus and it was an MCI because of the 5 other people complaining of neck pain.
 
been on a few MCIs. being first due on a 2 person crew with one fatality/traumatic arrest, 2 serious patients and one walking wounded sucks. you only have two hands, and the best thing to do is call for help early.

plus the assorted minor MVAs or bus accidents where it's mostly green tags or jacoby and meyers calls.
 
I love being the patients for mock mcis. I am always the sleeper crazy person.

Not much for MCIs But I've pulled up on a few car accidents one had multiple actually injured patients one with declining mental status.

Hopefully we get some mcis this summer with the hurricanes.
 
Sasha said:
I love being the patients for mock mcis. I am always the sleeper crazy person.

Not much for MCIs But I've pulled up on a few car accidents one had multiple actually injured patients one with declining mental status.

Hopefully we get some mcis this summer with the hurricanes.
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Hopefully not... but we did have one yesterday on I95. 3 dead on scene, 2 critical and 10 yellow/green. Be careful what you wish for.
 
We've had multiple big MCIs in the last year. Never ran on any though.

It was someone's day off and that someone was ignoring their pager... :unsure: kinda wish I hadn't now but from the stories I'm also kinda glad I did.
 
Yes on both also.

325.
 
lightsandsirens5 said:
And being first in is nice, because then you do triage, take command as units come in, and then don't end up transporting anything until maybe at the very very end, and then even if you do, it is some very minor patient.
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Never been involved in one, but this post got me thinking. Say I'm returning back to the city from a transfer in my BLS ambulance. A multi-vehicle MVC occurs in front of me, so we stop, notify dispatch, and begin triage. Eventually, the FD with jurisdiction arrives with their ambulance, engine, and shift officer. I give them a report and point to the immediate patients and work commences.

So here's the question: first arriving unit assumes triage and command. Is it appropraite for me to give command to the AHJ as soon as possible? Realistically speaking, the FD shift officer is going to have a lot easier time getting resources to the scene and I have one of two ambulances on scene. It seems to me that I should pass the command off and treat and transport the next most serious patient. The engine crew (BLS at least) and shift officer can manage the scene until more ambulances arrive, but am I going to be called onto the carpet for leaving the incident early?

I realize this rather "what-ify" and if extrication is needed it's different, but the crux here is, at what point can I acceptably transition from triage and command and move to the "treatment and transport" role given that there is someone capable of taking command available?
 
Whats the question here?

Did a plane crash once, crashed out in thick swamp land. 6 or so pts from the plane and a few emergency services types who done got bit by the fuel and the cold.

A couple of car accidents and so forth.

Are you after something in particular OP?
 
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