Mountain Res-Q
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Hahahaha, Mountain.... I've run some pretty large scale ICS responses. Course, the last two I was involved with, I was a logistics assistant, and an IC trainee (unofficial, the IC was almost certain I'd be next in line for IC, then, someone higher up burst both our bubbles, thought I didn't have enough boot-to-turf experience)....
Define "Large Scale", because it is relative. We, in SAR, have run calls where we have 200+ rescuers on scene from 10-12 agencies, multiple helicopters, ATV Teams, Trackers, Dozens of Dog Teams, Mounted Teams, Overhead, Logistics, etc..., but when I compare that to what Fire does on California's larger fires, our largest operations pale in comparision to the ~5,000 (or way more) Firefighters, Hundreads of engines and water tenders, the handcrews, the dozens of air tankers and helos, the massive amount of logistical support, and the other public service agencies that might be needed - LEOs for evacuations and road closures, EMS for injuries and standby support, Disaster Relief Agencies for the displaced... in the end you can have dozens of agencies (multiple local FDs, State Fire, the Federal Fire Agencies, OES, Multiple LE Agencies, EMS, etc...) it is stagering that things run as smoothly as they do... But in pure EMS it is likely that you are going to be just one small part in the Medical Section of the Operations Division on a large scale incident... Likely it will be Fire, LEO, OES, or some other government "chiefs" that will man the key Command Positions in ICS... therefore, as we tell our newbies, it is vital that you remember only two ICS rules:
1. Know what your job is
2. Know who you report to
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