It's taken years to get crews into a standardized mindset to practice incident command (IC) and mass casualty incident (MCI) management in a non-chaotic and coordinated manner.
Progressive systems now routinely set up MCI operations at incidents that tax their available resources, request pre-arranged MCI waves/levels of units or task forces, and refrain from scooping up the first patients that come to them.
Instead, they perform systematic triage, begin tagging patients according to their severity, set up patient collection points (PCPs) with color-coded tarps staffed by red, yellow and green priority treatment coordinators, establish and staff a transportation group, stage ambulances and assign patients to units and hospitals by highest criticality first, and begin the systematic flow of patients from the scene in an even distribution to hospitals.
But terrorist and active shooter attacks have changed things and place our crews and patients in harm's way, so we modify our plans and mode of operations in certain circumstances.
Read full article here: http://www.jems.com/articles/print/volume-41/issue-8/departments-columns...