Ambulance Tasmania
Incident Response Plan
ATIRP
Ambulance Tasmania Incident Response Plan
(ATIRP)
SDMS Id Number:
20141005
SDMS Location:
Ambulance Tasmania
Effective From:
5 October, 2014
Replaces Doc. No:
Multi-casualty incident plan, November 2001.
Custodian and Review
Responsibility:
Emergency and Medical Services
Contact:
Director, Emergency and Medical Services
Applies to:
Ambulance Tasmania Paramedics and State Communications centre
staff.
Review Date:
5 October, 2017
Key Words:
Emergency, Incident, Mass-casualty, Plan, AIIMS, Response.
Routine Disclosure:
Yes
Acknowledgements:
The ATIRP is expressly intended for use by Ambulance Tasmania (AT) staff when performing duties
and delivering ambulance services for, and on behalf of, AT.
Under no circumstances will AT, its employees or agents, be liable for any loss, injury, claim, liability
or damages of any kind resulting from the unauthorised use of, or reliance upon ATIRP or the
contents therein.
AT acknowledges Ambulance Victoria (AV) in allowing AT to reproduce, in part, the AV Emergency
Response Plan (ERP) (2009).
AT also acknowledges TSG Associates LLP for permissions regarding the usage of copyrighted
images.
The production of the plan would not have been possible without the guidance and support of
regional staff and departments. Their contribution, time and support have made this plan possible.
Ambulance Tasmania Incident Response Plan (ATIRP) – September 2014
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Ambulance Tasmania Incident Response Plan
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Table of Contents
Introduction ................................................................................................................................................................. 4
Context ......................................................................................................................................................................... 4
Incident Response Plan Summary ........................................................................................................................... 4
Incident Management Principles .............................................................................................................................. 6
Role of the First Ambulance Crew......................................................................................................................... 7
Role of the Triage Officer ........................................................................................................................................ 8
Role of the Transport Officer ................................................................................................................................. 8
Triage Process ............................................................................................................................................................. 9
Concept of Operations ........................................................................................................................................... 11
Incident Management versus Normal Business ................................................................................................. 11
Structured Processes across all incidents ........................................................................................................... 11
Stages of an incident................................................................................................................................................. 12
Levels of Response ................................................................................................................................................... 13
Types of incidents ..................................................................................................................................................... 14
Response Matrix Tool ............................................................................................................................................. 15
State Communications Centre .............................................................................................................................. 15
Incident Control System Methodology ............................................................................................................... 16
Key locations during an Incident ........................................................................................................................... 16
Emergency Operations Centre /Incident Management Team ....................................................................... 18
Incident Control Centre ......................................................................................................................................... 19
Emergency Management Methodology ................................................................................................................ 19
Command, Control and Coordination ................................................................................................................ 19
Legislation and Arrangements ............................................................................................................................... 20
ATIRP Acronym Guide ........................................................................................................................................... 21
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Introduction
The aim of ATIRP is to:
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Ensure effective and efficient management of incidents of varying scale.
Allow continuation of core functions.
Enable a “whole of organisation approach”.
Context
The state of Tasmania has an estimated population of 513 000 (2014 ABS), almost half of whom
reside in greater Hobart. The Tasmanian state Natural Disaster Risk Assessment (TSNDRA) has
identified primary risks are due to natural disasters such as storm, fire, flood, landslide, and
earthquake.
The bushfire events of 2013 have highlighted that a large proportion of Tasmanians live within
bushfire prone areas.
AT provides emergency ambulance care, rescue and medical retrieval services and a non-emergency
patient transport service through a network of 55 ambulance stations state-wide. AT also
coordinates other providers of road ambulance services as well as fixed and rotary wing air services.
AT relies heavily on approximately 600 volunteer ambulance officers who either provide support
and work alongside paramedics in 15 stations, or respond from 21 wholly volunteer stations in rural
areas including King, Flinders and Bruny Islands. Volunteers also staff Community Emergency
Response Team (CERT) vehicles in smaller rural and remote areas with extended ambulance
response times.
AT is the competent authority established under the Ambulance Services Act for the provision of
out of hospital clinical care and transport of patients. AT is also responsible for the coordination and
tasking of St John Ambulance as a support agency under the Tasmanian Emergency Management Plan
(TEMP).
Tasmania’s Department of Premier and Cabinet report that Tasmania has the most regional and
dispersed population of any state in Australia, with 58 per cent of the population living outside the
greater capital city area. Tasmania’s population is the oldest in the country and ageing faster than any
other state or territory.
Just over 1 million (1 007 000) tourists visit the state each year (Tasmanian Visitor Survey) and the
number is increasing steadily. Most (86%) visitors come from interstate. Of the 143,600 overseas
visitors, 28% were from Asia, 20% from Europe, 19% from USA/Canada, 18% from the UK and 9%
from New Zealand. Tourist visits from Asian countries are increasing as traditional European
markets decline.
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Incident Response Plan Summary
AT has established an emergency response plan that uses a “whole of organisation” approach, while
coordinating with key external agencies and groups.
AT is responsible for the provision of pre-hospital care and coordination of medical treatment at the
scene of an emergency occurring within Tasmania consistent with the TEMP.
In addition, AT is responsible for the provision of inter-hospital transport for victims of major
incidents to appropriate destinations. AT is also responsible for the transport of any Medical
Assistance Teams from their place of origin to the incident site.
Under the Ambulance Services Act 1982, AT has responsibility and authority to coordinate and task:
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Aeromedical assets (including interstate).
Communication capability for Health and Human Services during the response phase.
Provision of staff to interagency specialist teams.
Coordination and direction of all interstate Medical and Paramedical teams deployed to an
incident.
This document provides a plan for AT to manage major incidents state-wide and highlights the key
responsibilities and activities of AT personnel during an incident.
AT is committed to the Emergency Management principles of the State Emergency Management Act
detailed in the TEMP and has its own statutory responsibilities in the TEMP as well as the Plan for
the Delivery of Integrated Emergency Management (PDIEM) within the Department of Health and
Human Services and Tasmanian Health Organisations and other related documents and legislation.
This response plan describes the following concepts
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Role of the first ambulance crew.
Concept of operations.
Stages of an incident.
Levels of response.
Key roles in AT’s Emergency Response plan.
Key locations in a major incident response.
Key external agencies.
Major incident field operations.
Useful tools such as CSCATT and ETHANE.
The specifications section is integral to the successful implementations of this plan. These are
detailed activity statements defining the main tasks and performance criteria for major incidents
attended by AT and are based on existing practices.
All AT staff are required to identify the specifications relevant to their role and familiarise
themselves with their required actions.
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Incident Management Principles
When tasked with handling an incident, it is easy to become overwhelmed with the task at hand. In
order to help prioritise the order of tasks and responsibilities, CSCATT is a useful tool. Similar to
DRABCDE, CSCATT will help guide priority of actions, tasks and eventualities not specifically
covered in this plan.
C – Command
(Decide and establish initial command structure)
S – Safety
(Ensure safety is a priority and PPE is worn)
C – Communication
(Establish communication to the ATSCC/AMEOC)
A – Assess the scene
(A useful guide for points to assess is ETHANE)
T – Triage
(Using Smart MCI system)
T – Treatment
(As appropriate for incident size, patient acuity, stores)
T – Transport
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A mnemonic tool of use is ETHANE. ETHANE helps ensure that staff within the Ambulance
Tasmania State Communications Centre (ATSCC) and other responding operational staff are able to
escalate or de-escalate resources. Provision of an ETHANE Situation Report (SITREP) is an ongoing
requirement and will have to be updated as new information comes to hand. Every incident or
potential incident will require the broadcast of ETHANE:
E – Exact location
T – Type of incident
H – Hazards present or potential hazards
A – Access and Egress Issues
N – Numbers of casualties (including triage priorities)
E – Emergency resources present or extra resources required
The role of the First Ambulance Crew
(reports to Incident Management Team (IMT) or the Ambulance Emergency
Operations Centre (AMEOC) if established, otherwise this is the State
Communications Centre (ATSCC))
“The actions for this first AT crew at an incident are crucial to establishing an appropriate response to an
incident. The overarching principles of CSCATT apply to all incidents, small and large”
It is essential that the first crew carry out the following tasks as soon as possible after arriving on the
scene of an incident:
1.
2.
3.
4.
Provide an initial Situation Report (SITREP) using the ETHANE template.
Conduct initial triage of the scene.
Adopt Triage and Transport Officer roles. Don role specific tabards if available.
Provide regular SITREP’s using the ETHANE template.
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Role of the Triage Officer
Primary Roles
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Triage and assess the number and category of patients.
Apply triage tags to every patient involved.
Allocate the clinical priority for patients.
Annotate and record the above information for all patients.
Secondary Roles
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Perform role of Ambulance Commander (AMBCOM) until the appointment of a manager or
more senior officer who will assume this role on arrival.
Establish a casualty clearing post.
Appoint and/or liaise with the Transport Officer and initially the Duty Manager –
Communications (DM-C).
Work collaboratively with the relevant response management agency commander/supervisor
whilst discharging AT’s statutory responsibilities.
Provide direction for on scene crews.
Appoints additional Triage Officers for each incident area and/or Casualty Clearing Post
(CCP).
Role of the Transport Officer
Primary Roles
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Coordination of transport vehicles to ensure appropriate transfer of patients.
Maintain casualty movement via a log regarding transport or outcome of all patients.
Provision of SITREPs.
Secondary Roles.
Liaise with the Triage Officer.
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Work collaboratively with other Agency commanders/supervisors.
Ensure appropriate access and egress for responding vehicles and crews.
Establish an Ambulance Loading Point (ALP) in consultation with AMBCOM or other relevant
emergency service.
Apply a patient number to the triage tag of each casualty prior to transport, ensure that the
number on the tag corresponds to the number used on the casualty movement log.
Consider aeromedical landing sites if relevant to incident.
Triage Process
Triage is a continuous, dynamic process. All patients should have their Triage Priority reassessed at
regular intervals.
Primary Triage needs to be rapid, simple, safe and reproducible. Thus, the triage-sieve method
should be applied whenever time and resources restrict the use of a detailed assessment
When sufficient time and resources are available, for example in a CCP, a more detailed Secondary
Triage can be undertaken. The triage-sort method should be applied in these circumstances.
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Triage Sort
Triage-Sort is based on the Triage Revised Trauma Score (TRTS). An individual score is assigned for
respiratory, circulatory and conscious state assessments. These three scores are then added to
create the TRTS. The TRTS is then used to assign a Triage priority.
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Concept of Operations
There are a number of key concepts in the ATIRP that apply to both AMEOC and Operational staff:
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Separation of incident management from normal business.
Levels of response.
Structured processes across all types of incidents.
Staged approach to incidents.
Incident Management versus Normal Business
The key concept of the ATIRP is to identify and separate the management and coordination of major
incidents from normal business operations. This is to ensure effective management of incidents while
minimising the impact on normal operations. Where possible, and when necessary, AT will adopt a
“Whole of organisation” approach in order to manage incidents.
This is achieved by clearly defining the roles of the DM-C and the Senior Communications Officers
(SCO) as resource managers and the AMEOC staff as incident managers.
The DM-C in consultation with AMBCOM where appointed, will monitor incidents for triggers for
escalation and use the ATIRP response matrix to classify the incident under the appropriate level of
incident response plan. This will trigger the escalation and notification of the appropriate managers
to undertake risk assessments, management and coordination of an incident.
Interagency communication and management of incident notification is facilitated at various levels
through the Incident Management Team (IMT).
Whole of organisation communication is undertaken by the AMEOC. The AMEOC has clear lines of
communications with other agencies. Other response management authorities may request
resources from AT, alternatively AT may request resources from other agencies.
The TEMP and PDIEM define specific agency roles within response to an incident.
Structured Processes across all incidents
To effectively manage a large incident (mass casualty or otherwise) processes and procedures need
to be understood. This allows the AMBCOM to focus on the efficient management of the incident,
and clearly defines the activities, criteria and definitions for all incidents.
Mass casualty incidents are an infrequent occurrence; consequently any procedure required to
manage the incidents should follow the same basic processes as smaller incidents. AT has adopted
this approach in the development of this plan. Essential processes such as incident escalation,
SITREPs and triage, notifications, activations and deactivations are applicable for all event types.
ATIRP also caters for notification of incidents (with or without a current AT response) that have the
potential to escalate.
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Stages of an incident
Three stages relate to an incident. ATIRP contains actions to be undertaken at each stage.
This is the alert and escalation phase
Notification
Commences when the initial call has been received for a possible incident, but
confirmation of the incident has not yet been received from the first AT crew
at scene. During this phase the initial assessment of the escalation will take
place in the Ambulance Tasmania State Communication Centre (ATSCC) in
accordance with (IAW) the response matrix.
Relevant managers are notified that an incident of significance is taking place
and the ATSCC is awaiting confirmation, or the incident has the potential to
develop. The DM-C is in command of the response and the deployment of all
AT resources until the arrival of the first crew on scene.
Managers will be responding to incidents prior to receiving a SITREP from the
first crew to ensure a timely management response. This deployment decision
will be made by the DM-C.
Commences when the first AT crew arrives on scene and provides a SITREP,
which allows the response level of the incident to be re-evaluated.
DM-C or AMEOC may establish links and relationships with external agencies
with a view to forming a joint agency response.
Response
Appropriate personnel are sent to the scene to manage AT activities within a
team. This team may consist of Ambulance Tasmania, Tasmania Police
(TASPOL), Tasmania Fire Service (TFS), and/or State Emergency Service (SES).
Members of AT’s Emergency and Medical Services (EMS) group will be notified
as appropriate by DM-C as per “Response Descriptor for ATSCC”.
The response phase continues until the final AT resource has left the incident
(or transitioned to normal business) and all patients have been handed over to
appropriate definitive care.
It is the responsibility of the AMBCOM to declare the incident complete and
commence arrangements to deescalate the response.
The organisation restores and replaces resources and accounts for all actions
taken in response to managing the incident.
This should include:
Recovery
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Internal and, if appropriate, external debriefings.
Audit of processes and procedures.
Production of reports relating to the incident as directed by the
Director of EMS.
Reconciliation of contractual arrangements.
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Levels of Response
Classification of the type of incident is essential to ensure that appropriate activations and
notifications of an incident occur. Once an incident has been classified it determines certain actions
that must be taken by ATSCC, it will also determine if the incident is coordinated at a regional or
state level.
Response Descriptor for ATSCC
Description
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Actions by ATSCC
Low impact on normal
operations
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Handled as normal business
Relevant Duty Manager notified
Medium impact on normal
operations
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AMBCOM responded
Regional Manager notified
Director EMS advised as appropriate by ATSCC
Major impact on normal
operations
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AMBCOM appointed at scene, or Duty Manager
responded to assume role.
Additional
leadership/supervisory
resources
responded, Regional Manager proceed to Regional
office/EOC
IMT/AMEOC activated at ATSCC, and State
Ambulance Incident Commander (SAIC) Appointed
Major incident messaging System activated as
appropriate via DM-C or SAIC
Director EMS proceed to EOC, CEO notified
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Severe impact on normal
operations
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AMBCOM responded
IMT/AMEOC activated at ATSCC, and State
Ambulance Incident Controller (SAIC) Appointed
Regional Manager responded to AMEOC/IMT
Major Incident messaging System activated as
appropriate via DM-C or SAIC
Director EMS assumes role of SAIC, CEO to attend
EOC and consideration given to interstate/federal
notification
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Types of incidents
A factor in determining the severity of an incident is the incident type. AT has adopted a set of
descriptors for types of incident which are applicable to all hazards. They relate to the ability to
access patients, the involvement of other agencies and the complexity of response.
Incident Matrix
Non-routine incident and/or infrequent procedure.
(CBRN, HAZMAT, Airport emergency).
Complex
*Due to the multitude of potential, it is not possible to include all eventualities
accurately within the Response Matrix Tool. Variables other than number of
patients may affect required response, therefore discretion may be required.
Controlled
Incident that has another response agency (e.g. Police, Fire, etc.) or large
number of a response agencies personnel present.
Restricted Access
Where access to patients is difficult due to hazards, environmental or
security factors.
Open
Where there are no access or egress issues regarding the patient or incident
scene.
Simple
Incident where routine AT procedures apply.
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Process for determination of Response level
Response Matrix Tool
The initial assessment of an incident occurs within the ATSCC and is undertaken by the DM-C. The
process is:
1.
2.
3.
4.
Potential incident is identified within ATSCC and is referred to DM-C.
The DM-C will use the Response Matrix Tool to determine the level of response.
If “Low impact”, incident is managed within the ATSCC.
If incident other than “Medium Impact” or higher, the Regional Duty Manager is notified and
responded.
Number of Patients
Response Matrix Tool
>12
8-12
5-8
3-5
0-2
Incident Type
Major
Major
Medium
Low
Low
Simple, open
Major
Major
Medium
Low
Low
Simple,
Restricted
Access
Est. TIME
<1hr
1-2hr
Severe
Major
Medium
Medium
Low
Simple,
Restricted
Access,
Controlled
2-4hr
Severe
Severe
Major
Medium
Medium
*Complex,
Controlled
4hr +
Severity of Incident
How to use the Response Matrix Tool for DM-C and AMBCOM:
1.
2.
3.
4.
Estimate the total likely response and “AT Scene” time and plot on the matrix
Determine the type of incident and plot it on the Response Matrix Tool
Determine the severity of incident by comparing the time estimate to the type of incident, and
selecting the greater (i.e. further to the right)
Determine the likely number of patients and plot against the Severity of Incident on the
Response Matrix
State Communications Centre
The functions of the IMT are initially undertaken within the ATSCC, Hobart and subsequently
transfer to the AMEOC if established.
The role of the AMEOC/IMT is to undertake the following actions:
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Coordinate all aspects of a major incident as determined by ATIRP.
Plan for future resource requirements of a major incident.
Ensure all key internal and external stakeholders are informed of current incident situations
and plans.
Pre-emptively activate based upon health intelligence received by EMS management group.
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Incident Control System Methodology
The organisational structure is based upon the Australasian Inter-agency Incident Management
System (AIIMS) which sets out specific tasks for all those within IMT structure.
AIIMS is a scalable management tool, which integrates personnel, procedures, facilities, equipment
and communications into a common organisational structure. It provides clear delegation of
responsibilities to effectively accomplish stated objectives.
AIIMS Principles
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One agency controller of an incident.
Functional delegation.
Management by objectives.
Management plans.
Span of control.
Command within Agencies.
Functional delegation and span of control are particularly emphasised as part of this plan. The roles
that these principles apply to in particular are AMBCOM, DM-C and members of the AMEOC/IMT.
A key element of AIIMS is the division of functions. Within AIIMS there are a number of functions
including:
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Control.
Operations.
Planning.
Logistics.
Public information.
Key locations during an Incident
Initial ambulance crews will be dispatched to a location in response to an incident following a
request or 000 call. The location may be a rendezvous point as advised by the Incident response
management authority in command.
First crews on scene will adopt the roles of Triage Officer and Transport Officer and establish a
casualty clearing post (CCP) and ambulance loading point (ALP).
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The Incident Scene
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The senior officer in attendance for the AT has primary responsibility for the care and welfare of
any person being provided ambulance services.
The senior officer in attendance for AT may recommend to another Agency the priority of, or
preference for, any activity performed by that Agency at the incident, if that activity may impact
on the care and welfare of a person being provided ambulance services at the incident.
The senior officer in attendance for the Agency that is the subject of the recommendation is to
provide reasonable grounds, to the senior officer in attendance for Ambulance Tasmania at the
time of the incident, for failing to comply with any recommendation.
Only minimal clinical management is performed within the incident scene.
Patients are moved away from incident scene as soon as practical.
Incident Management Team
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Location of the State Ambulance Incident Commander (SAIC) of the incident.
Located a safe distance from the incident (e.g. ATSCC).
Responsible for the control of the health response to the incident and the functions of incident
control, operations, planning, logistics and public Information.
Casualty Clearing Post
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Established and controlled by the Triage Officer and/or AMBCOM.
Staffed by Paramedics and/or staff from multi agency background.
Located a safe distance from incident scene (uphill, upwind).
Large enough to cater for the number of patients expected.
Provides shelter (where possible).
Patients managed in groups according to priority (Triage category).
Patients may receive treatment onsite and transported according to priority.
There may be more than one CCP established around geographical location or total number
of patients.
Perimeter and physical boundary security is to be established in order to prevent infection
control or security issues
Ambulance Loading Point
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Identified and managed by the Transport Officer under the direction of the AMBCOM.
Located near CCP for easy casualty movement.
Clear access and egress required.
Crews can be called forward as needed from the Ambulance Holding Point (AHP) by the
Transport Officer.
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Ambulance Holding Point
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Used when the ALP has restricted access.
Identified and managed by the transport officer under the direction of the AMBCOM.
Vehicles are directed to AHP by ATSCC.
Vehicles and crew remain at AHP until called forward by the Transport Officer.
Ambulance Staging Point (ASP)
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Used for pre-deploying and resupplying AT resources in an incident.
Identified by the AMEOC/IMT in consultation with key internal stakeholders.
Likely to be an AT owned location (Ambulance station).
Controlled by a Regional Duty Manager or other suitably senior person.
Resources are directed to ASP by AMEOC/IMT.
Vehicles and crews remain at ASP until called forward to AHP.
This location may be the site where goods and services required by AT in response to the
incident:
o
Stores and supplies.
o
Equipment.
o
Vehicle maintenance.
o
Critical Incident Stress Management debriefs.
Decontamination corridor
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Operated by TFS.
Located between incident site and the CCP.
Location of patient decontamination for patients and responders.
Emergency Operations Centre
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Located within the ATSCC.
Activated by the SCO on direction of the DM-C.
Responsible for communication of incident information to AT staff as per the ATIRP.
Responsible for the coordination of resources to the incident as required.
Communication maintained with:
o
AMBCOM;
o
Regional and Operations Managers;
o
Key AT staff; and
o
Key external stakeholders/Agencies.
Ensures a “whole of organisation approach” to appropriately manage an incident.
Liaises with DHHS health response representatives, first aid support agencies.
Responsible for the “recovery” phase of an incident, which includes debriefing and reporting
processes. These tasks may also be delegated to relevant staff.
Aeromedical asset staging/landing zone.
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Incident Control Centre
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Activated Agency (TASPOL, TFS, SES, Public Health)
Location of:
o
Incident Controller;
o
AMEOC\IMT;
o
Emergency service liaison officers from each agency involved; and
o
Local Government and support agency representatives.
To be located some distance from incident.
Medical Facility
Incident site
Triage
officer/s
Casualty
Collection Point
Ambulance
Loading Point
Ambulance
Holding Point
Ambulance
Commander
Emergency Management Methodology
Command, Control and Coordination
A major aspect of appropriate incident management is the integration of all responding resources
under one management team in an effort to provide appropriate and timely action. There are three
tasks in response management and they are Command, Control and Coordination.
Command
The internal direction of organisations resources during an incident.
Control
The overall direction and management of response and recovery operations for an incident.
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Coordination
The systematic acquisition and application of resources (personnel, equipment, goods and services)
during an incident response/recovery. Coordination can operate vertically within an organisation (as
a function of command), as well as horizontally across organisations (as a function of control).
Legislation and Arrangements
There are a number of current Federal and Tasmanian State Government acts and documents which
highlight the role of emergency service organisations during an emergency. AT is one of four
emergency service organisations under Tasmanian Legislation. The current incident plan is compliant
with the following:
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Tasmanian Emergency Management Plan, Issue 7.1, 2013.
Plan for the Delivery of Integrated Emergency Managements within the Department of Health
and Human Services and Tasmanian Health Organisations, 2013.
Emergency Management Act 2006.
Ambulance Service Act 1982.
Tasmanian Bushfires Inquiry Report, 2013.
Ambulance Tasmania Incident Response Plan (ATIRP) – September 2014
Page 20
Ambulance Tasmania Incident Response Plan
(ATIRP)
ATIRP Acronym Guide
AHP
AIIMS
AMBCOM
AMEOC
AT
ATIRP
ATSCC
CBRN
CCP
CEO
CSCATT
Deputy CEO
DHHS
DHHSEMP
DM-C
DRABCDE
EM
EMS
ETHANE
HAZMAT
ICS
IMT
MAT
SAIC
SCO
SITREP
SLT
TASPOL
TEMP
TFS
THO
TRTS
Ambulance Holding Point
Australasian Inter-Service Incident Management System
Ambulance Commander
Ambulance Emergency Operations Centre
Ambulance Tasmania
Ambulance Tasmania Incident Response Pan
Ambulance Tasmania State Communication Centre
Chemical, Biological, Radiation, Nuclear
Casualty Clearing Post
Chief Executive Officer
Emergency Management Mnemonic. Command, Safety, Communication,
Assessment, Treatment, Triage, Transport
Deputy Chief Executive Officer
Department of Health and Human Services
Department of Health and Human Services Emergency Management Plan
Duty Manager - Communications
Pre-hospital Care Mnemonic. Danger, Response, Airway, Breathing, Circulation,
Disability, Environment
Emergency Management
Emergency and Medical Services
Communication Mnemonic. Exact location, Type of incident, Hazards, Access,
Number of casualties, Extra resources
Hazardous Materials
Incident Control System
Incident Management Team
Medical Assistance Team
State Ambulance Incident commander
Senior Communications Officer
Situation Report
Senior Leadership Team
Tasmania Police
Tasmanian Emergency Management Plan
Tasmanian Fire Service
Tasmanian Health Organisation
Triage Revised Trauma Score
Ambulance Tasmania Incident Response Plan (ATIRP) – September 2014
Page 21
Ambulance Tasmania Incident Response Plan
(ATIRP)
Approval
Prepared by
Ky Wittich
Project Manager
Community Resilience
6211 7238
1 May 2014
Through
Kevin Bate
Director EMS / Deputy CEO
6230 8588
5 May 2014
Through
Ambulance Tasmania
Senior Leadership Team
Through
Mass Casualty Management Sub-Committee of the
State Health and Human Services Emergency
Committee
Cleared by
Dominic Morgan
30 June 2014
16 July 2014
CEO, Ambulance Tasmania
6230 8580
8 August 2014
Approved By Title
Amendment Notes
Revision History
Version
Approved By Name
Ambulance Tasmania Incident Response Plan (ATIRP) – September 2014
Page 22
GPO Box 125 , Hobart , Tasmania, 7000
Phone: (03)6230 8581
Visit: www.dhhs.gov.au/Ambulance
Ambulance Tasmania
@AmbulanceTas
Ambulance Tasmania