Major Incident Medical Management & Support
Course End Date:
“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
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
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
and have experience
of the pre -hospital
environment. This is in addition to coping with the
enormous strain that
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.
• The structured approach to a major incident
Health service structure and roles
Emergency service organization and roles
Support service organization and roles
Command and control
Health service scene layout
Safety at the scene
• Medical Support
• Special Incidents
Hazardous materials and CBRN incidents
Incidents involving large numbers of children
Incidents involving casualties with multiple burns
• Session I:
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:
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