Episode Videos

Episode Audio

Show Notes

Episode Overview: In this episode, the team discuss the evolving strategies in handling mass casualty incidents (MCI). They are joined by Don Zimmerman, an expert with extensive experience in fire service, paramedicine, and education. The episode dives deep into the traditional and modern approaches to managing MCIs, particularly in the context of active shooter events and other dynamic situations.

Key Topics Discussed:

1. Introduction to Don Zimmerman:

   • Don’s background as a volunteer firefighter and career lieutenant paramedic.

   • His role in education and contributions to the mobile simulation lab.

2. Traditional MCI Management:

   • Historical approaches using triage tags and tarps.

   • Issues observed during real incidents like the Aurora, Colorado shooting.

3. Modern Challenges in MCI Response:

   • Differences between textbook training and real-world scenarios.

   • The impact of dynamic and rapidly evolving threats on traditional MCI management.

4. Evolving Strategies for Dynamic Events:

   • The necessity of reassessing triage methods in active shooter and chaotic scenarios.

   • The use of start triage vs. SALT triage and the importance of gut instincts in the field.

5. Technological Integration in MCI Response:

   • The potential of using barcodes and RFID tags for better patient tracking.

   • The role of technology in enhancing communication and coordination among responders.

6. Practical Insights and Recommendations:

   • Utilizing throw kits and pre-positioning ambulances for better access and response.

   • The importance of reassessing patients constantly and adapting strategies on the go.

   • The significance of collaboration with law enforcement and other agencies for unified command.

7. Final Thoughts:

   • The necessity for ongoing training and adaptation to new methods.

   • Encouragement for EMS providers to remain flexible and responsive to changing situations.

Resources and Additional Information:

• Visit prehospitalparadigm.com for more information and educational resources.

• Sign up for Ohio CE and potentially national CAPCE credits available with this episode.

• Follow and subscribe on YouTube for more episodes and updates.

From The Episode