ASTM_F_1288_-_90_2009.pdf

Designation:F128890(Reapproved 2009)Standard Guide forPlanning for and Response to a Multiple Casualty Incident1This standard is issued under the fixed designation F1288;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revision,the year of last revision.A number in parentheses indicates the year of last reapproval.Asuperscript epsilon()indicates an editorial change since the last revision or reapproval.1.Scope1.1 This guide covers the planning,needs assessment,training,integration,coordination,mutual aid,implementation,provision of resources,and evaluation of the response of alocal emergency medical service(EMS)organization oragency to a multiple patient producing situation that may ormay not involve property loss.This guide is limited to thepre-hospital response and mitigation of an incident up to andincluding the disposition of patients from the incident scene.1.2 This guide addresses the background on planning,scope,structure,application,federal,state,local,voluntary,and nongovernmental resources and planning efforts involvedin developing,implementing,and evaluating an EMS annex,orcomponent,to the local jurisdictions emergency operationsplan(EOP)as defined in the Federal Emergency ManagementAgency(FEMA)publication,Civil Preparedness Guide(CPG)18.21.3 This standard does not purport to address the safetyconcerns associated with its use.It is the responsibility of theuser of this standard to establish appropriate safety and healthpractices and determine the applicability of regulatory limita-tions prior to use.2.Referenced Documents2.1 ASTM Standards:3F1149 Practice for Qualifications,Responsibilities,and Au-thority of Individuals and Institutions Providing MedicalDirection of Emergency Medical Services3.Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 command postthe physical location from whichincident command exercises direction over the entire incident.3.1.2 disastera sudden calamity,with or withoutcasualties,so defined by local,county,or state guidelines.3.1.2.1 medical disastera type of significant medical in-cident which exceeds,or overwhelms,or both,the capability oflocal resources and of routinely available regional or multi-jurisdictional medical mutual aid,and for which extraordinarymedical aid from state or federal resources is very likelyrequired for further diagnosis and treatment.3.1.3 EMS control/medical group supervisionthe firstemergency medical services response at the incident scene,ordesignated by the local response plan or incident command tobe responsible for the overall management of the incidentsEMS operation.3.1.4 extrication managementthe function of supervisingpersonnel who remove entrapped victims.3.1.5 fatality managementthe function designated by ex-isting plans,or the EMS control/medical group supervisor,toorganize,coordinate,manage,and direct morgue services.3.1.6 incident commanderthe individual responsible forthe overall on-site management and coordination of personneland resources involved in the incident.3.1.7 logistics resources managementthe function respon-sible for acquiring personnel,equipment(including vehicles),facilities,supplies,and services as requested by the incidentcommander.3.1.8 medical communications managementthe functiondesignated by the incident commander or EMS control/medi-cal group supervisor to establish,maintain,and coordinateeffective communication between on-site and off-site medicalpersonnel and facilities.3.1.9 medical supplies managementthe function desig-nated by the incident commander to manage equipment andreport to EMS control/medical group supervisor.3.1.10 mental health coordinatora qualified mental healthprofessional responsible for coordinating the psychosocialassessments and interventions for responders,affectedindividuals,and groups.3.1.11 multiple casualty incident(MCI)a type of signifi-cant medical incident that may fall into the following catego-ries:3.1.11.1 extendedan incident for which local medicalresources are available and adequate to provide for field1This guide is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.03 onOrganization/Management.Current edition approved March 1,2009.Published March 2009.Originallyapproved in 1990.Last previous edition approved in 2003 as F1288 90(2003).DOI:10.1520/F1288-90R09.2Available from FEMA,500 C St.,SW,Washington,DC 20472.3For referenced ASTM standards,visit the ASTM website,www.astm.org,orcontact ASTM Customer Service at serviceastm.org.For Annual Book of ASTMStandards volume information,refer to the standards Document Summary page onthe ASTM website.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 medical triage and stabilization,and for which appropriatelocal facilities are available and adequate for further diagnosisand treatment.3.1.11.2 majoran incident producing large