Kent County Chiefs Association

Standard Operating Guidelines &

Standard Operating Procedures

Subject: Mass Casualty

SOG # 1-3

Approved

June 1998

Approved by: President Dan Menchey

Revised

July 2020

1. PURPOSE

To establish guidelines that shall serve to provide a standard for Mass

Casualty Incidents in Kent County

II. SCOPE

This Policy/Procedure applies to all Fire and Rescue and EMS Companies or

Department or Agencies that may respond to a Mass Casualty Incident in Kent

County, Maryland and all employees of the Kent County Office of Emergency

Services Communications Division and EMS Division.

III. POLICY

The Kent County Chief’s Association in conjunction with Kent County

Office of Emergency Services has established the following

guidelines for Mass Casualty Incidents.

IV. Definitions

1. S.O.G. – Standard Operating Guideline

2. Mass Casualty Incident – An incident that requires an emergency response and has any number of casualties that exceeds the resources normally available from local resources.

V. Guideline

1. When a Mass Casualty Incident is declared, the on duty 9-1-1 Specialist shall automatically implement the Mass Casualty Plan. To utilize this plan, follow the instructions below.

1. When an incident commander declares an MCI they will advise if they need a Phase I, II, or III response.

2. If they do not advise which phase, request from them the number of patients to be transported and dispatch the appropriate phase or phases.

3. Follow the criteria in each phase and dispatch the appropriate units.

VI. PHASE 1 (5-9 PATIENTS)

1. Dispatch the following

1. Re-alert first alarm Fire and EMS apparatus that has not made a response.

2. Dispatch next 3 Ambulances.

1. Ensure 1 Ambulance for each priority 1 patient.

3. Dispatch next due Engine, Rescue, and Special Ops Trailer 8.

2. 2. All units are to operate on the assigned Talkgoup.

3. Coordinate Talkgoups with the Incident Commander, as needed

1. Command Channel

2. Operations Talkgroup

3. Medical Talkgroup to include Triage, Treatment & Transport

4. Aviation Talkgroup

4. Notify the closest hospitals of the situation and possible number of patients.

5. Dispatch additional Fire Police from county area.

6. Dispatch transfers to all depleted areas, for Fire, EMS and Rescue.

1. This request should be from surrounding counties/states as appropriate

7. Notify the Chief of Communications, via phone call.

1. Contact the closest off duty Dispatch staff and request two to report to duty

7. If after normal coverage hours for county paramedic, notify of same

for response.

8. Notify the Chief of EMS

9. Notify the Director of Emergency Services

VII. PHASE 2 (10-14 PATIENTS)

1. If a phase 2 MCI had been declared, and a phase 1 has not, you shall dispatch all equipment due on a phase 1 and phase 2, you shall then follow instruction under phase 1 and 2.

2. Dispatch additional resources

1. 5 Ambulances

1. Utilize any existing covers-ups.

2. 1 Engine

1. Utilize any existing cover-ups.

3. 1 Rescue

1. Utilize any existing cover-ups.

3. Automatically provide transfers for any depleted areas.

4. Notify SYSCOM MIEMISS duty officer and closest appropriate hospitals of

MCI.

5. Consider mass casualty units from neighboring counties.

VIII. PHASE 3 (15-AND ABOVE # OF PATIENTS)

1. If as phase 3 had be declared and a phase 1 and/or 2 has not, you shall dispatch all equipment due on a phase 1 and 2, you shall then follow the instructions for phase 1, 2 and 3

2. If a phase 3 MCI is declared ascertain approximate number of priority 1, 2 and 3 patients.

1. Ensure 1 Ambulance for each priority 1 patient.

2. Ensure enough Ambulances for priority 2 patients.

3. Notify SYSCOM of total # of patients to be transported.

IX. Additional Resources

1. The Incident Commander may request additional resource that may have to be

completed by Emergency Management Director and the Emergency

Operations Center Staff

1. Check with Army National Guard for mass medical evacuation of priority patients.

2. Check with School Board for buses for priority 3 patients

3. Contact Maryland State Funeral Directors Association for mobile morgue if large loss of life is involved.

4. Check with private Ambulance Companies

X. SPECIAL INSTRUCTIONS

1. If an incident commander wishes to deviate from the plan, pick the phases apart, or add equipment, they are permitted to do so.

Betterton Volunteer Fire Company, Inc.

Chief Daniel Menchey

Chestertown Volunteer Fire Company, Inc.

Chief John Darling

Community Volunteer Fire Company of Millington, Inc.

Chief Richard McIntyre

Galena Volunteer Fire Company, Inc.

Chief Christopher A. Powell

Kennedyville Volunteer Fire Department, Inc.

Chief James L. Price, Jr.

Kent & Queen Anne’s Rescue Squad, Inc.

Chief Allan Schauber

Rock Hall Volunteer Fire Company, Inc.

Chief Troy White

Kent County Emergency Service Board

Chair Charlene Perry

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