Major Incident clinical administration and Support (MIMMS) is the coursebook for the complex lifestyles help Group’s across the world taught education for future health care execs responding to significant incidents. the sensible process hired in MIMMS has proved a useful reduction to either civilian and armed forces medical professionals, nurses and paramedics operating in catastrophe administration world wide.
The 3rd version has been absolutely revised to make MIMMS applicable for the twenty first century, with larger emphasis on human components, a extra dependent method of clinical administration, and new chapters on:
Chapter 1 creation (pages 1–8):
Chapter 2 The based method of significant Incidents (pages 9–14):
Chapter three future health carrier constitution and Roles (pages 15–30):
Chapter four Emergency provider employer and Roles (pages 31–35):
Chapter five aid provider supplier and Roles (pages 36–37):
Chapter 6 making plans (pages 39–44):
Chapter 7 own apparatus (pages 45–49):
Chapter eight clinical gear (pages 50–57):
Chapter nine education (pages 58–59):
Chapter 10 Command and keep an eye on (pages 61–69):
Chapter eleven healthiness provider Scene structure (pages 70–73):
Chapter 12 security on the Scene (pages 74–77):
Chapter thirteen Communications (pages 78–83):
Chapter 14 evaluation (pages 84–87):
Chapter 15 Triage (pages 89–102):
Chapter sixteen therapy (pages 103–107):
Chapter 17 shipping (pages 108–112):
Chapter 18 unsafe fabrics and CBRN Incidents (pages 113–120):
Chapter 19 Incidents related to huge Numbers of youngsters (pages 121–125):
Chapter 20 Incidents concerning Casualties with a number of Burns (pages 126–127):
Chapter 21 Mass Gatherings (pages 128–130):
Chapter 22 common mess ups (pages 131–134):
Chapter 23 Uncompensated significant Incidents (pages 135–140):
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Additional resources for Major Incident Medical Management and Support: The Practical Approach at the Scene, Third Edition
Where resources allow it, the Medical Commander may release clinicians to assist in primary triage. The Medical Commander must ensure that effective secondary triage is performed at the Casualty Clearing Station and repeated appropriately. By providing adequate personnel with the right skill mix, they will oversee the delivery of the best possible treatment for all casualties. C H A P T E R 3 H E A LT H SE R VI C E ST R U C T U R E A N D R OL ES 27 Forward Medical Commander(s) Depending on available resources, this role may or may not feature as part of the incident management structure.
Personal identiﬁcation This is essential for any staff who travel independently to the scene since access may be denied if they are unable to prove their identity. It is less critical for staff arriving in marked emergency vehicles, though still desirable. Mobile telephone The use of cellular telephones at the scene of a major incident will be unavoidable and in some circumstances may be more important for commanders than a radio (Chapter 13). A spare battery is useful. Notebook A log of actions and events is essential.
Law and order The scene of a major incident is a potential scene of crime. Evidence must be protected for use in later criminal investigations. In the case of a large-scale evacuation of the public, empty properties present easy targets for opportunist thieves and looters. Police ofﬁcers are responsible for the protection of property. 3. 3: Police aid to the medical services • Assist with the transport of medical personnel either directly or by providing an escort (local agreement) • Maintain clear transport routes to ensure the uninhibited movement of ambulances • Provide escorts for individual casualties to hospital (local agreement) • Collate information on the whereabouts of the injured and their condition • Request the establishment of a Survivor Reception Centre • Liaise with friends and relatives of casualties and survivors • Provide conference facilities for brieﬁngs or media statements by incident commanders • May be able to provide a helicopter(s) for the aerial assessment of the scene RO LE O F THE FI RE AND RE SCUE SE RVICE AT A M AJOR INCIDE NT The Fire and Rescue Service has a major role in the management of hazards at the scene.
Major Incident Medical Management and Support: The Practical Approach at the Scene, Third Edition