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Major Incident Medical Management and Support: The Practical Approach at the Scene

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MAJOR INCIDENT MEDICAL MANAGEMENT AND SUPPORT

FOURTH EDITION
MAJOR INCIDENT MEDICAL MANAGEMENT AND SUPPORT
THE PRACTICAL APPROACH AT THE SCENE

The Major Incident Medical Management and Support (MIMMS) course, developed by the Advanced Life Support Group (ALSG), is taught to healthcare professionals worldwide. Integrated into both civilian and military medical practice, MIMMS is the only international standard in major incident medical management – focused on delivering the medical support needed to many casualties through triage, treatment and transport. The Fourth Edition of Major Incident Medical Management and Support: The Practical Approach at the Scene is the most current coursebook for the MIMMS curriculum.

This new edition has been fully revised to ensure doctors, nurses and paramedics are able to prepare for, and implement, a structured response to major incidents such as those involving hazardous materials, natural disasters, mass gatherings, multiple burn casualties and large numbers of children. The wide range of topics covered include communications, personal and medical equipment, command and control, planning, assessment and the psychological aspects of major incidents. This new edition also includes:

  • Practical information and clear guidelines for medical professionals delivering care to multiple casualties at the scene both during and after an incident
  • The organisations, structures and different roles involved in the medical management of major incidents
  • Contributions from an international team of experts in fields including emergency medicine and nursing, fire and rescue services, disaster preparedness and response and emergency transport
  • Appendices covering responsibility for the dead, radio use and voice procedures, the media, the hospital response and the steps to take beyond the immediate situation

Major Incident Medical Management and Support is required reading for all those undertaking the MIMMS education programme.

The Advanced Life Support Group (ALSG) improves outcomes for people in life-threatening situations, anywhere along the healthcare pathway, anywhere in the world. ALSG is a leading medical education charity and have delivered advanced life support training to over 225 000 clinicians in 44 countries, across 5 continents, for over 25 years.

For more information on the complete range of Wiley medical student and junior doctor publishing, please visit: www.wiley.com

For more information on the Advanced Life Support Group, please visit: www.alsg.org

To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email

This new edition is also available as an e-book. For more details, please see www.wiley.com/buy/9781119348382

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Author(s): Tony Gleeson, Kevin Mackway-Jones
Series: Advanced Life Support Group
Edition: 4
Publisher: Wiley-Blackwell
Year: 2022

Language: English
Pages: 236
City: Hoboken

Cover
Title Page
Copyright Page
Contents
UK working group
International reference group
Contributors to fourth edition
Contributors to previous editions
Foreword to fourth edition
Preface to fourth edition
Preface to first edition
Acknowledgements
Contact details and further information
How to use your textbook
Part I Introduction
CHAPTER 1 Introduction
1.1 What is a major incident?
1.2 Classification of major incidents
1.3 Summary
CHAPTER 2 The structured approach to major incidents
2.1 Preparing for a major incident
2.2 The structured response to a major incident
2.3 Recovering from a major incident
2.4 Summary
Part II Organisation
CHAPTER 3 Health service structure and roles
3.1 Command and control
3.2 Ambulance services organisation
3.3 Medical services organisation
3.4 Command and control of the health service response
3.5 Ambulance services at a major incident
3.6 Ambulance service key roles
3.7 Medical services at a major incident
3.8 Medical command appointments
3.9 Clinical staff at the scene
3.10 Summary
CHAPTER 4 Emergency service organisation and roles
4.1 Organisation
4.2 Role of the police at a major incident
4.3 Role of the fire and rescue service at a major incident
4.4 Role of the maritime and coastguard services at a major incident
4.5 Summary
CHAPTER 5 Support service organisation and roles
5.1 Introduction
5.2 Specific services
5.3 Summary
Part III Preparation
CHAPTER 6 Planning
6.1 Introduction
6.2 Guidance
6.3 General principles
6.4 Incorporating the structured approach into the response
6.5 Recovery
6.6 Summary
CHAPTER 7 Personal equipment
7.1 Minimum clothing
7.2 Additional items
7.3 Summary
CHAPTER 8 Medical equipment
8.1 Introduction
8.2 Levels of medical intervention
8.3 Equipment containers
8.4 Equipment resupply
8.5 Equipment Officer
8.6 Summary
CHAPTER 9 Training
9.1 Introduction
9.2 Education
9.3 Summary
Part IV Management
CHAPTER 10 Command and control
10.1 Introduction
10.2 Incident command
10.3 Incident control
10.4 Cordons
10.5 Tiers of command
10.6 The chain of command
10.7 Summary
CHAPTER 11 Health service scene layout
11.1 Introduction
11.2 Key locations
11.3 Control of key areas
11.4 Summary
CHAPTER 12 Safety at the scene
12.1 Introduction
12.2 Health and safety legislation
12.3 The 1-2-3 of safety
12.4 After the incident is over
12.5 Summary
CHAPTER 13 Communications
13.1 Introduction
13.2 Communication methods
13.3 Summary
CHAPTER 14 Assessment
14.1 Introduction
14.2 Initial assessment
14.3 Continued assessment
14.4 Responsibility
14.5 Summary
Part V Medical support
CHAPTER 15 Triage
15.1 Introduction
15.2 Aims
15.3 Timing
15.4 Site
15.5 Priorities
15.6 Triage systems
15.7 Triage methods
15.8 Triage labelling
15.9 Personnel
15.10 The NHS Major Incident Triage Tool (MITT)
15.11 Summary
15.12 Reference
CHAPTER 16 Treatment
16.1 Introduction
16.2 Who carries out treatment at the scene?
16.3 Hierarchy of medical support
16.4 Clinical responsibility
16.5 Summary
CHAPTER 17 Transport
17.1 Introduction
17.2 Organisation
17.3 Evacuation decisions
17.4 Methods of transportation
17.5 Summary
CHAPTER 18 Responsibility for the dead
18.1 Introduction
18.2 Pronouncing death
18.3 Labelling the dead
18.4 Moving the dead
18.5 Temporary mortuary
18.6 Identifying the dead
18.7 Summary
Part VI Special incidents
CHAPTER 19 Hazardous materials and CBRNe incidents
19.1 Introduction
19.2 Roles and responsibilities of responding agencies
19.3 Cordons and zones
19.4 Safety
19.5 Treatment
19.6 Summary
CHAPTER 20 Incidents involving large numbers of children
20.1 Introduction
20.2 Preparation
20.3 Medical support
20.4 Summary
CHAPTER 21 Incidents involving multiple casualties with burns
21.1 Introduction
21.2 Capacity
21.3 Burns specialist advice team/burns specialist care team
21.4 Patient dispersal
21.5 Summary
CHAPTER 22 Mass gatherings
22.1 Introduction
22.2 What is a mass gathering?
22.3 Preparation and planning
22.4 Training
22.5 Summary
CHAPTER 23 Natural disasters
23.1 Introduction
23.2 Geological disasters
23.3 Meteorological disasters
23.4 Summary
CHAPTER 24 Uncompensated major incidents
24.1 Introduction
24.2 Factors contributing to an incident being uncompensated
24.3 Case studies
24.4 Responses to uncompensated incidents: altered treatment aims
24.5 Summary
CHAPTER 25 Marauding terrorist attacks
25.1 Introduction
25.2 Response
25.3 Health services
25.4 Summary
PART VII Appendices
Appendix A Psychological aspects of major incidents
A.1 Introduction
A.2 Immediate effects
A.3 Early effects
A.4 Late effects
Appendix B The media
B.1 Introduction
B.2 At the scene
B.3 At the hospital
Appendix C Logs
C.1 Introduction
C.2 Record keeping
C.3 After the event
Appendix D Radio use and voice procedures
D.1 Introduction
D.2 Practical procedures
D.3 Voice procedure
Appendix E The hospital response
E.1 Introduction
E.2 Command and control
E.3 Key areas
E.4 Staff call-in
E.5 Preparation
E.6 Action cards
E.7 Team organisation
E.8 Treatment
E.9 Staff responsibilities
E.10 Documentation
Appendix F Human factors
F.1 Introduction
F.2 Extent of healthcare error
F.3 Causes of healthcare error
F.4 Error chains
F.5 Learning from error
F.6 Communication
F.7 Team working, leadership and followership
F.8 Situational awareness
F.9 Improving team and individual performance
Template annexe of local highlights
Glossary
Index
EULA