Disaster & Mass Casualty Response
Large-scale emergency management and MCI protocols
MCI Response Active
Remember: Scene safety first • Establish command early • Triage before treatment • Request resources early
Triage Categories
RED
Immediate
Life-threatening, salvageable
YELLOW
Delayed
Urgent, can wait
GREEN
Minor
Walking wounded
BLACK
Expectant/Deceased
Not salvageable/dead
Response Timeline
Initial Response
0-15 min
- Scene Safety
- Size-up
- Request Resources
- Establish Command
Triage & Treatment
15-60 min
- Primary Triage
- Treatment Areas
- Life-saving Interventions
- Secondary Triage
Transport
30+ min
- Destination Decisions
- Load Balancing
- Hospital Notification
- Documentation
Recovery
Hours-Days
- Demobilization
- Debriefing
- Resupply
- After-Action Review
Incident Types & Protocols
Mass Casualty Incidents
Multi-patient incidents and surge capacity protocols
START Triage
JumpSTART
SALT
Field Treatment
Natural Disasters
Response protocols for natural catastrophes
Earthquakes
Floods
Hurricanes
Tornadoes
CBRN Events
Chemical, Biological, Radiological, Nuclear response
Decontamination
PPE Levels
Antidotes
Isolation
Structural Collapse
Building collapse and confined space rescue
USAR
Crush Syndrome
Confined Space
Extrication
Transportation Incidents
Multi-vehicle and mass transit incidents
MVC
Aviation
Rail
Maritime
Active Threat/Violence
Active shooter and mass violence response
Threat Suppression
RTF
Hemorrhage Control
Evacuation
Incident Command Structure
Incident Command
Overall incident management and coordination
- •Strategic decisions
- •Resource allocation
- •Public information
- •Safety officer
Medical Branch
Medical operations and patient care
- •Triage
- •Treatment
- •Transport
- •Medical supply
Operations
Tactical operations and rescue
- •Search & Rescue
- •Extrication
- •Hazmat
- •Security
Logistics
Resources and support services
- •Supplies
- •Communications
- •Transportation
- •Staging
Communications
Multi-agency coordination and resource requests
Staging Areas
Treatment zones, transport, and supply staging
Multi-Agency
Coordination with fire, police, hospitals, and emergency management