Scribd
Upload
191 views35 pages

Mimms 20 June 2013

The document provides information on MIMMS (Major Incident Medical Management and Support), which is a standardized approach to managing major incidents adopted by 46 countries including South Africa. It defines a major incident as one requiring extraordinary resources due to the number, severity, or type of casualties, or its location. Major incidents can be either compensated, where additional resources are sufficient, or uncompensated/disasters where resources are insufficient. The MIMMS approach establishes a standardized command and control structure with bronze (operational), silver (tactical), and gold (strategic) levels to coordinate the emergency response between agencies. It also outlines key roles and responsibilities for incident commanders.

Uploaded by

mudrika
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
191 views35 pages

Mimms 20 June 2013

The document provides information on MIMMS (Major Incident Medical Management and Support), which is a standardized approach to managing major incidents adopted by 46 countries including South Africa. It defines a major incident as one requiring extraordinary resources due to the number, severity, or type of casualties, or its location. Major incidents can be either compensated, where additional resources are sufficient, or uncompensated/disasters where resources are insufficient. The MIMMS approach establishes a standardized command and control structure with bronze (operational), silver (tactical), and gold (strategic) levels to coordinate the emergency response between agencies. It also outlines key roles and responsibilities for incident commanders.

Uploaded by

mudrika
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 35

MIMMS – Major Incident Medical

Management and Support

INTRODUCTION
History

• 46 Countries – NATO Standard


• Imported in 2008 by NDOH
• Roll out to all provinces before FIFA 2010
• Western Cape – training about 800 First
Responders per annum
MIMMS – Who
• Provincial EMS Services country wide
• Private EMS – country wide
• South African Military Health Services
• Forensic Pathology Services (W.Cape)
• State and private hospitals
What is a
MAJOR INCIDENT?
Major Incident
Definition
An incident where the

NUMBER, SEVERITY, or TYPE


of LIVE casualties,
or by its LOCATION,

requires EXTRAORDINARY resources


Major Incident
Definition
An incident that presents a serious threat to
the health of the community

An incident that disrupts the health service


Major Incident Frequency: civilian

UK 3-4 per year, range 0-11


SA data??? – database needed
Major Incident
Classification

• Compensated

• Uncompensated
Major Incident
Classification: uncompensated

Uncompensated
Major Incident
=
DISASTER
CSCATTT

• Command and Control


• Safety
• Communication
• Assessment
• Triage
• Treatment
• Transport
MIMMS

Command and Control


• Command and control are the cornerstones
of major incident management
• Good command and control requires good
communication both vertically and
horizontally
Command and Control

PC

IMC FC
Local
Authority
Scene Command and Control
Control of Movement
• Outer cordon

• Inner cordon
SILVER

BRONZE
Command and Control
Tiers of Command
• Bronze (operational)

• Silver (tactical)

• Gold (strategic)
Command and Control
Bronze (operational)
• Bronze commanders are directly responsible to
their silver commander

• The first EMS vehicle on scene become silver


command (Incident Medical Commander)
Command and Control
Sectors
• A number of sectors may exist within a
single incident

• Each sector is a bronze area

• Each sector has forward commanders

• Silver control oversees all bronze areas


ICP SILVER

2 3 BRONZE
1

VOC
Command and Control
Silver (tactical)
• Incident commanders form “Silver Control”

• Incident commanders may physically move


into the Bronze area

• More senior officers may take over the job


as they arrive
Command and Control
Gold (strategic)
• Distant from the scene

• Chief officers of emergency services

• Local authority and other representatives


Command and Control
Health Services
• Ambulance

• Medical
MIMMS – Pre hospital
HMIMMS – Hospital
Incident Medical Commander

• Command
• In charge of Health Service resources
• Delegation of key tasks to other officers
• Safety
• Overall responsibility for safety of health service personnel
(delegated to Safety & Security Officer)
• Communications
• Liaison with other commanders
Incident Medical Commander

• Assessment
• Health service scene assessment
• Need for additional ambulances
• Need for medical support
• Need for voluntary agency support
• Need for equipment
Incident Medical Commander

• Triage
• Oversee scene triage
• Determine the use of the expectant priority
• Treatment
• Oversee treatment
• Transport
• Organise the provision of suitable transport
Sector Medical Commander

• Bronze controller
• Direct health service resources to ensure
correct triage on the site
• Direct health service resources to ensure
correct treatment on the site
• Direct health service resources to ensure
adequate and timely transport to the
Casualty Clearing Station
rest centre

ICP SILVER
media liaison point

2 3 BRONZE
1
CCS SRC

HLZ VOC

ambulance loading

ambulance parking
Command and Control
Summary
• One service will have overall CONTROL

• Cordons will be set up

• Different tiers of COMMAND will operate

• Incident Medical Commander is in charge of the


health service response
• Poor communication is the commonest
failing in major incident management
Communication
Causes of Poor Communications

• Lack of information

• Lack of confirmation

• Lack of co-ordination
Poor discipline and poor liaison
I was left with the clear impression that
opportunities to pass vital information
between the emergency services were missed

Desmond Fennell, OBE QC


Investigation into the Kings Cross Fire
•Questions ?

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy