Major Incident Medical Management & Support

Course Properties

Course date: 25-02-2018
Course End Date: 01-03-2018
Location Dubai


         “It couldn’t happen to us” is not an acceptable excuse for being ill-prepared to deal with a major

               incident. A major incident could occur anytime, anywhere.


       Guidelines exist for the health services response to a major incident and these cover both the

              hospital and the scene. Each hospital must have its own Major Incident Plan and this should

              be regularly exercised. How well do we teach the principles of the major incident response to

              our medical and nursing staff? How much do we learn from our exercises? Are mistakes being



        It is no longer acceptable to approach the scene of a major incident as an enthusiastic amateur. The

             transition from working in the emergency department to working at the scene does not simply

             involve putting on a reflective jacket  and a pair of Wellington boots. The medical service

             must, like the police, fire, and ambulance services, be skilled in command and  communications,

             and have experience of the pre -hospital environment. This is in addition to coping with the

             enormous strain that mass casualties will place on the medical resources. To do this requires

             knowledge and training.


       This course has been prepared and structured to teach the principles of management and support at a major incident to health

              service staff. This course will prepare both the Incident Officers, and other members of the scene medical response for their

              duties in the event of a major incident.

Course Objectives / Description:

                • MIMMS provides all the information needed when responding to a major incident or disaster.

                • It deals with organization of services management / support.

                • It incorporates all aspects of assessment, Triage / commanding at scene.

                • Tabletop exercises / live outdoor practical simulated scenes complement the theoretical part.

Participant will be able to:

                • Describe the development & evaluation of the Major Incident Medical Management.

                • Improve functional effectiveness at the scene.

                • Review simple triage techniques.

Course Contents:

                • Introduction

                • The structured approach to a major incident

                • Organization

                                  Health service structure and roles

                                  Emergency service organization and roles

                                  Support service organization and roles

                • Preparation

                                  Planning

                                  Personal equipment

                                  Medical Equipment

                                  Training

                • Management

                                  Command and control

                                  Health service scene layout

                                  Safety at the scene

                                  Communications

                                  Assessment

                • Medical Support

                                  Triage

                                  Treatment

                                  Transport

                • Special Incidents

                                  Hazardous materials and CBRN incidents

                                  Incidents involving large numbers of children

                                  Incidents involving casualties with multiple burns

Teaching Methodology

                • Session I:

                                  Introduction

                                  Lecture: Goal/Objectives/Terminology/START

                                  Show START video

                                  Lecture: Triage categories/START practice

                                  Triage Assessment Exercise 1

                                  Demonstrate the use of Triage System

                                  Lecture: Triage Goal & Priorities/Triage, Tag Filed Trial/Tactical Benchmarks

                                  MCI Review (Self – Graded Quiz)

                • Session II:

                                  Introduction

                                  Review START

                                  Triage Assessment Exercise II

                                  Use of the Triage System

                                  Responsibilities of the First Unit on Scene

                                  Review the use of EMS Tactical Benchmarks

                                  Simulated Multi – System Incident (5 – 10 patients) using the Triage System

                                  Optional Lecture: MCI's involving