Mci

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Druu831

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So today, at our EMT-B skills lab we ran a staged MCI (Mass Casualty Incident) drill and the first drill we ran was pretty unorganized and it didn't flow well at all, the second time around was better and I feel like I really learned more from it. Has anybody here ever ran an actual MCI call at any point in their career??? Just curious as to see how common MCI's are in real life.



-Druu
 
I think that depends on what you mean when you say MCI. If you mean something like the scenario you probably did with dozens and dozens of patients, that is not very common. If you mean just an incident where the number of patients is more than can be handled by the first arriving crew (for example, a multi-vehicle car accident), this is much more common.
 
yeah of course, when they explained to us what an MCI is they described it as something huge, with dozens of patients but the scenarios we did today were: a school shooting with about 8 patients and an explosion on school property with about 5 patients and several deceased. It was a pretty fun drill to run, I felt as if I learned more even though there was no new material being covered.
 
Here's an earlier thread

http://www.emtlife.com/showthread.php?t=9683
I had a five occupant/two car MVA with my partner once in the sticks at night with a Cadillac ambo (only one was fairly serious), and once had five combatants in one jail fight, responded by myself (and some deputies), none serious .
 
YES. Hurricane Katrina, Hurricane Rita, Hurricane Andrew, a school bus vs. train with 33 injuries, 19 serious and 2 fatalities, school bus vs. 18 wheeler with 41 injuries, 11 serious. You will never be prepared. We ran so many simulations it was pathetic. When the real thing comes it is a totally different story.
 
Awesome medic I used to work with had an MCI as her first call as a medic (IIRC)... church youth group bus crash. Several hundred feet off the road in a gully in driving snow. 57 on board, about 50 transported, 2 critical, 3 dead (don't remember how many of those were DOA vs transported as critical).

You never know what you're gonna get. This was in a very rural area with limited resources. She ended up coming up back to that scene many times, and had lots of patients in the bus each time she came in to the hospital.
 
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New Years Eve of this year I was the first unit on scene of a 3 car, 9 person, 1 fatality MVC MCI.


They aren't UNCOMMON, depending on how you define them. I'm a somewhat rural service so if I work a car accident with 3+ people, it's technically an MCI till I get a backup truck on scene.
 
the first drill we ran was pretty unorganized and it didn't flow well at all, the second time around was better and I feel like I really learned more from it.
Click to expand...

MCIs are generally like military assaults, if it's going well something is about to go very, very wrong. (The actual military saying is "If the attack is going well, it's an ambush").
 
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