Multiple Patient Management Plan Update

Transcription

1 Multiple Patient Management Plan Update

2 Agenda The Multiple Patient Management Plan Standard dispatch orders EMResource (by EMSystem) California Health Alert Network (CaHAN) Future exercises

3 The Multiple Patient Management Plan

4 MPMP Components Level 1 may be referred to as a Multiple Victim Incident (MVI) or a Multiple Casualty Incident (MCI) Level 2-3 may be referred to as a Multiple Casualty Incident (MCI) Level 4-5 may be referred to as a Mass Care Incident.

5 Local Countywide Alerts

6 Local Alerts Local Alerts are called by a public safety jurisdiction. Launches departments actions rather than County actions. Each Department must develop an internal procedure for a Local Alert.

7 Local Alerts Early notification of events occurring within the County. Hospital notification via EMResource. Notification made via CAHAN to partner organizations and PSAPs. Addition of a CAD-based messaging system will be the priority alerting system for provider organizations.

8 Countywide Alerts May be requested by anyone executed by the EMS Agency. Goal is to ensure 911 System stability and support a single or multiple incidents.

9 Countywide Alert Examples Earthquake, flood, fire, etc. Credible threat that could result in illness or injury. Overwhelming EMS call volume Public Health events Critical infrastructure failure

10 Activation Levels Activation 1-2 Tactical Focus at the local level with support from the County. Activation 3-4 Operational Focus at the County Level with tactical local level activity. Activation 4-5 Strategic & Policy Level Focus at the County level with the same at the local level in addition to operational and tactical actions.

11 Level 1 Activation Local Jurisdiction Multi- Victim Incident Up to (4) 911 System Ambulances Less than 10 Anticipated Patients that require ambulance transport. Diversion applies Automatic dispatch of 3- ALS Ambulances Code 3. Automatic dispatch of 1- EMS Supervisor Code 3. EMS Duty Chief monitors and manages the 911- System.

12 Level 1 Example Typical EMS event has 1 ambulance assigned. Local Jurisdiction initiates Level 1 Activation upon arriving on scene. 3 additional ambulances and 1 supervisor are dispatched to the incident. For a total of 4 ambulances = 4

13 Level 1 Example Local Jurisdiction initiates Level 1 Activation upon evaluating call details and prior to dispatch of initial ambulance. 3 ambulances and 1 supervisor are dispatched to the incident. More ambulances can be requested if needed = 3

14 Level 2 Activation Local Jurisdiction Multi- Casualty Incident Up to (10) 911 System Ambulances Less than 20 Anticipated Patients that require ambulance transport. Diversion may apply Automatic dispatch of 6- ALS Ambulances Code 3. Automatic dispatch of 1- EMS Supervisor Code 3. EMS Duty Chief monitors, ensures management the 911-System, and/or may respond.

15 Level 3 Activation Countywide Impact (Actual or Suspected) Not based on numbers of patients. Use of the Region for resources. Field Treatment Sites may be used. PH DOC involved County EOC involved Alternative EMS System Response (Menu) No hospital diversion

16 Level 4 Activation Countywide Impact Not based on numbers of patients. Use of the Region for resources. Alternative Care and Field Treatment Sites Mutual Aid Use PH DOC involved County EOC involved Alternative EMS System Response (Menu) No hospital diversion Sustained operations necessary

17 Level 5 Activation Catastrophic Event Use of the Region for resources. Alternate Care and Field Treatment Sites are used. Mutual Aid is used PH DOC involved County EOC involved Alternative EMS System Response (Menu) No hospital diversion Sustained operations necessary

18 Standard Dispatch Orders

19 Standard Dispatch Orders The following actions may be implemented in order to ensure the stability of the Santa Clara County Emergency Medical-Health Services System. These orders may be executed by the EMS Agency, County Communications Watch Commander, and authorized agents of the Public Health Department.

20 Standard Dispatch Orders SDO 1: Confirm EOA contractor s low ambulance levels & high system volume management actions are in place. SDO 2: Alert EMS Command Staff to monitor command 92 for instructions or information. SDO 3: Suspend all hospital ring-downs on command 92 - Allocate for countywide EMS command and control communications.

21 Standard Dispatch Orders SDO 4: Alert all EMS system units. SDO 5: Alert all private ambulance dispatch centers. SDO 6: Alert all hospitals. SDO 7: All hospitals ordered open.

22 Standard Dispatch Orders SDO 8: Discontinue all PCRs and replace with triage tags. SDO 9: Conduct and EMS system resource roll call - determine status and welfare. SDO 10: Place all available EOA and Non-EOA ambulances in service.

23 Standard Dispatch Orders SDO 11: Notify San Jose, Santa Clara City, and Gilroy Fire Departments that unrestricted use STAR Units have been authorized with their jurisdictions (Non system-wide use). SDO 12: Notify San Jose, Santa Clara City, and Gilroy Fire Departments that unrestricted use STAR Units have been authorized and units may be used system-wide.

24 Standard Dispatch Orders SDO 13: Dispatch BLS ambulances to Alpha, Bravo, and/or Code 2 EMS events. SDO 14: All ambulances responses are handled Code 3. SDO 15: All ambulance transports to the hospitals to be handled Code 3.

25 Standard Dispatch Orders SDO 16: Ambulances shall transport to the closest open emergency department. SDO 17: Automatic ambulances dispatches are suspended until a first response unit arrives on-the-scene and verifies that a patient needing emergency transport exists.

26 Standard Dispatch Orders SDO 18: Ambulance dispatches to Alpha, Bravo, and/or Code 2 EMS calls are suspended. SDO 19: PSAPs may discontinue use of pre-arrival instructions (PAI). SDO 20: PSAPs may discontinue use of emergency medical dispatching (EMD) procedures.

27 Standard Dispatch Orders SDO 21: Patient routing directed by the County. SDO 22: Move all ambulances to muster stations. SDO 23: Level 3 activation of the multiple patient management plan.

28 Standard Dispatch Orders SDO 24: Level 4 activation of the multiple patient management plan. SDO 25: Level 5 activation of the multiple patient management plan. SDO 26: CHEMPACK request notification

29 Standard Dispatch Orders SDO 27: CHEMPACK deployment notification SDO 28: Shelter-in-place.

30 Critical Action Guide A quick reference guide for private EMS service providers in Santa Clara County

31 Critical Action Guide A quick reference guide for private EMS service providers in Santa Clara County

32 Critical Action Guide A quick reference guide for private EMS service providers in Santa Clara County

33 Critical Action Guide A quick reference guide for private EMS service providers in Santa Clara County

34 Critical Action Guide A quick reference guide for private EMS service providers in Santa Clara County

35 Critical Action Guide A quick reference guide for private EMS service providers in Santa Clara County

36 EMResource by EMSystem

37 California Health Alert Network

38 Future Exercises

39 Questions and Answers