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MCI

Definition- The number of patients/victims exceeds the capabilities of the first
arriving units.

Standard- Florida Incident Field Guide section 14

MCI Levels-
MCI Level 1 (5-10 victims)
MCI Level 2 (11-20 Victims)
MCI Level 3 (over 21 Victims)
MCI Level 4 (over 100 Victims)
MCI Level 5 (over 1,000 Victims)

Responsibilities
1. Count patients to determine MCI level,
2. Declare level, MCI 1, MCI 2, MCI 3,MCI 4, and MCI 5.
3. Triage and tag injured patients with triage ribbons

Triage categories- Ribbon Colors:

BLACK - Deceased (Non-Salvageable)
RED - Immediate Care
YELLOW - Delayed Care
GREEN - Ambulatory (Minor)

RPM
RPM mnemonic used to initiate START triage.
Respirations, Perfusion, Mental Status.

1. CONSTRUCTION.
The triage tag is constructed of Synthetic Paper making it
100% resistant to all commonly used decontamination
solutions. This feature allows the patient to be decontaminated
while wearing the tag.

2. SLUDGEM
The tag's features will help alert first responders to the
possibility of Nuclear, Biological or Chemical agents. Using the
mnemonic SLUDGEM responders can record signs and
symptoms displayed by victims and record findings by marking
or circling boxes. Check appropriate boxes if any of the
following symptoms exist such as Salivation, Lacrimation,
Urination, Defecation, G.I., Distress, Emesis, and Miosis
(pinpoint pupils).

3. AUTO INJECTORS
Indicate type of Auto Injector and number of Auto Injectors
administered.

4. CONTAMINATED STRIP
“Contaminated” Tear-off. This is the magenta strip that:
• MUST be removed if the patient is not contaminated.
• If the patient is contaminated, when the patient’s clothes
are removed, and decon procedures have commenced, the
strip should be removed and placed in with the patient’s
clothes for evidence collection.
If the magenta strip is not removed, the patient is considered
CONTAMINATED and the Triage Tag will be used to record
DECONTAMINATION.

5. PERSONAL PROPERTY RECEIPT
The “Personal Property Receipt” is used when:
• Patient’s valuables must be removed from the patient. The
tag is removed and placed on a plastic zipper bag with the
patient’s belongings.

6. PATIENT TRACKING
The second perforated tag provides for Patient Tracking. This
part of the tag shall be removed at the ambulance loading area
to record patient destination. To expedite patient processing
the name of the victim should be recorded on the back of this
part of the tag. It is this tag that the Transportation recorder
uses to capture patient data.

7. DECON
The tag provides an area to record patient decontamination
information, gross decon, secondary decon, as well as the
solutions used. This information shall be recorded prior to the
victim leaving the contamination reduction zone.

8. AGENT SYMBOL IDENTIFICATION
Check agent if known:
-Radiological
-Biological
-Chemical

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