Hospital Mimms The Practical Approach in the Hospital

This is the course book for a new ALSG course on preparation for and medical management of major incidents within the hospital. It will be a companion volume to MIMMS, which deals with the prehospital situation, and will meet an ever increasing need as natural and other disasters affect hospital staff and administrators.

Part 1 Introduction.

The epidemiology and incidence of major incidents.

Are we ready for the next major incident?.

The structured approach to the hospital response.

Part 2 Preparation.

Planning for major incidents.

Major incident equipment.

Training.

Part 3 Management.

The collapsable hierarchy concept.

The clinical hierarchy.

The nursing hierarchy.

The management hierarchy.

Part 4 Support.

Declaring a majjor incident and activating the plan.

The reception phase.

Triage.

The definitive care phase.

The recovery phase.

Part 5 Special incidents.

Incidents involving hazardous chemicals.

Incidents involving a large number of burns.

Incidents involving a large number of children