Instructions:
After reading the Comprehensive Preparedness Guide, write a Mass Casualty Incident Specific
Annex describing the response to a high amount of casualties during a disaster in Bobsville.
Resources:
Comprehensive Preparedness Guide - Chapter 3 - Page 3-18 as well as Appendix C - Page C-27
Click here for an Incident-Specific Annex Example. The example provides you with additional
information on an Incident-Specific Annex and shows what that Annex looks like. Note: The
Incident-Specific Example document I have provided goes into much greater detail than is
required for this assignment. The example is also a state incident-specific example. It is based on
flooding but can be used as an example for any type of specific incident. This assignment is
based on the local level. Local, state, and federal EOPs all come from the same FEMA template
but are reworded to reflect the local, state, or federal entity. Your wording should reflect
Bobsville.
You are also allowed to consult other sample ESF's as a reference but you must write your
Annex for Bobsville specifically.
Citing and Referencing:
It is common practice in the Emergency Management field to share and adopt proven documents
and templates which are then tailored to account for local hazards and resources available.
Because of that, you do not need to cite or reference any sources you use to help in the
development of your EOP.
Your annex should:
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•
•
•
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Identify the departments and agencies designated to perform response and recovery
activities and specifies tasks they must accomplish
Outline the integration of assistance that is available to local jurisdictions during disaster
situations that generate emergency response and recovery needs beyond what the local
jurisdiction can satisfy
Specify the direction, control, and communications procedures and systems that will be
relied upon to alert, notify, recall, and dispatch emergency response personnel; warn the
public; protect residents and property; and request aid/support from other jurisdictions
and/or the Federal Government (including the role of the Governor's Authorized
Representative)
Provide coordinating instructions and provisions for implementing Mutual Aid
Agreements (MAAs)
Describes the logistical support for planned operations.
Use the below format. Do not provide any more information than what is provided below.
This week's assignment is similar to, but less involved than All-Hazards EOP but instead of
being based on an all-hazards plan, it is based on a specific incident.
Page 1 – Cover Page (Be Creative)
Page 2 – Approval and Implementation Plan
Page 3 – Table of Contents
- You must number every page in the paper, either in the header or the footer and then in the
Table of Contents.
Page 4 to the end of the paper as follows:
1.0 Introduction
1.1 Purpose
1.2 Scope
1.3 Situation Overview to include the following three components:
1.3.1 Hazard Analysis Summary
1.3.2 Vulnerability Assessment
1.3.3 Capability Assessment
1.4 Planning Assumptions
2.0 Concept of Operations
2.1 Response and Recovery Agencies - Identify the departments and agencies designated to
perform response and recovery activities and specifies tasks they must accomplish.
2.2 Coordination - Outline the integration of assistance that is available to local jurisdictions
during disaster situations that generate emergency response and recovery needs beyond what the
local jurisdiction can satisfy.
2.3 Mutual Aid Agreements - Provide coordinating instructions and provisions for implementing
Mutual Aid Agreements (MAAs).
2.4 Direction, Control, and Communication - Specify the direction, control, and communications
procedures and systems that will be relied upon to alert, notify, recall, and dispatch emergency
response personnel; warn the public; protect residents and property; and request aid/support from
other jurisdictions and/or the Federal Government (including the role of the Governor’s
Authorized Representative).
2.5 Logistical Support - Describes the logistical support for planned operations.
3.0 Annex Development and Maintenance
Copying and Pasting:
It is best to not Copy and Paste information into the above sections as I have seen too many
students forget to change the font or the formatting, and have even forgotten to take out other
cities names. Huge points loss for these mistakes.
Additional Instructions:
Double space, must utilize the Verdana 12 point black font along with 1-inch margins on the top,
bottom, and sides of each page.
Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
Mass Casualty Incidence Annex
Annex C to the Bobsville Emergency Operations Plan
16th October 2020
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Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
Approval and Implementation Plan
The city of Bobsville Mass Casualty Incident Annex accompanies the Bobsville
Emergency Operations Plan (BEOP) and guides how the city will coordinate
support to jurisdictions impacted by mass casualty incidents. It provides a
framework for the city to prepare for, respond to, and recover from a
significant mass casualty event. This planning document is consistent with
applicable local, state, and federal standards.
The incident annex addresses Bobsville's vulnerability to mass casualty
incidents through a hazards analysis and addresses policies, protocols, and
coordination efforts for a comprehensive response by federal, state, local,
volunteer, and private sector entities.
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Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
Table of Contents
1.0
Introduction .............................................................................................................................. 4
1.1
Purpose ...................................................................................................................................... 4
1.2
Scope .......................................................................................................................................... 4
1.3
Situation Overview................................................................................................................. 4
1.3.1
Hazard Analysis Summary .......................................................................................... 4
1.3.2
Vulnerability Assessment ............................................................................................ 4
1.3.3
Capability Assessment.................................................................................................. 5
1.4
2.0
Planning Assumptions........................................................................................................... 5
Concept of Operations ......................................................................................................... 6
2.1
Response and Recovery Agencies.................................................................................... 6
2.2
Coordination ............................................................................................................................. 6
2.3
Mutual Aid Agreements ........................................................................................................ 6
2.4
Direction, Control, and Communication ........................................................................ 7
2.5
Logistical Support................................................................................................................... 7
3.0
Annex Development and Maintenance ...................................................................... 7
References.............................................................................................................................................. 8
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Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
1.0 Introduction
1.1 Purpose
1.1.1
Establish Mass Casualty Incident policies and guidelines for
emergency service agencies in Bobsville City and its environs.
1.1.2
Describe roles and responsibilities of both on-scene and BEOP
personnel.
1.1.3
Provide guidelines for agencies and key personnel that provide
emergency services such as rescue, triage, treatment, and
transportation at a multiple casualty incident occurring in or
affecting Bobsville City
1.2
Scope
This annex describes the responsibilities of all county responders. It
identifies who will be in charge of an incident and provides guidelines
for coordinating city council emergency response resources during a
multiple casualty incident. It also describes how the incident command
agency will coordinate with county, state, and federal agencies, local
jurisdictions, and volunteer organizations.
1.3
Situation Overview
Although Bobsville rarely faces mass casualty incidents, the city must
be ready for any eventualities, including terrorism, pandemics, forest
fires, natural disasters, and even mass shootings. The BEOP must cover
mass care incident deployment in case of multiple casualties.
1.3.1
Hazard Analysis Summary
FEMA defines a mass casualty incident (MCI) as an event
that overwhelms the local health care system, where the
number of casualties vastly exceeds the local resources
and capabilities in a short period of time. During MCI, the
goal of the coordinating agency is to do the best possible,
manage scarce resource and avoid relocating the
disaster. There are many disasters that can cause mass
casualty in Bobsville, including earthquakes, tornadoes,
drought, flooding, terrorism, pandemics, mass shootings
and others.
1.3.2
Vulnerability Assessment
Multiple casualty incidents listed above can significantly
strain the healthcare system, emergency response, and
evacuation agencies. It can also result in massive
property and infrastructure damage. The most significant
potential impacts of MCI include:
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Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
1.1.1.1 Injuries and loss of life due to health system strain
1.1.1.2 Damage to infrastructure
1.1.1.3 State, public, commercial, and personal property
damage or loss
1.1.1.4 Impact on the healthcare organization's operations
from unusual service demands such as Severe
Acute Respiratory Syndrome during the occurrence
of tornadoes.
1.3.3
1.4
Capability Assessment
Bobsville is a small city with modest resources to handle
MCI. Bunny Ville General Hospital has a limited capacity
and inadequate staff. The next closest hospital is
Bobstown General Hospital, which has at least 100 beds
and requisite staff to support the hospital should the
need arise. The town has only one ambulance, which is
not enough to handle multiple casualties. Therefore, it
may be necessary to involve other agencies who can
assist in the transportation of injured people to hospitals
where they can receive the requisite care and support.
Planning Assumptions
2.1.1
For this plan's purpose, an MCI is any single incident that
results in more patients than the responding agency can
handle and as determined by the coordinating agency.
2.1.2
The city council will attempt, consistent with its
resources, to ensure there is an adequate response to
the incident. Upon exhaustion of resources, the city
council will request a local declaration for an MCI event.
2.1.3
The protection of life and the treatment of injured
persons shall have the highest priority in emergency
operations.
2.1.4
Medical treatment of patients will be in accordance with
guidelines established by the State of Oklahoma Board of
Medical Examiners and by the U.S. Department of
Transportation.
2.1.5
Transportation of medical patients to receiving hospitals
will be accomplished on a schedule of priority based upon
the extent and severity of the patients' injuries. The
initial medical destination of patients will be determined
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Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
by the predetermined
ambulance service.
2.1.6
2.0
protocol
of
each
individual
Ambulance service providers within Bobsville City will be
the initial emergency medical resources providers in
incidents involving multiple casualties. These resources
will be supplemented by mutual-aid agreements with
neighboring
cities,
private
ambulance
service
agreements, as well as with state and federal agencies
Concept of Operations
2.1 Response and Recovery Agencies
2.1.1
Bobsville City Sherriff's Office- provide security and
logistical support in rescue, recovery, and transportation
of casualties
2.1.2
Bobsville Fire Department- the first responders to a
multiple casualty situation and also responsible for first
aid and transport of victims
2.1.3
Bobsville Emergency Manager- assisting the Fire Chief's
Office in providing essential services during MCI.
2.1.4
Mayor of Bobsville City- chairs meetings to coordinate the
performance of recovery functions
2.1.5
Bobsville Medical Complex- the treatment and referral of
patients
2.1.6
National Weather Service's Tornado Warning Centre
2.2
Coordination
The National Weather Service's Tornado Warning Centre in
conjunction with the Sherriff and the Fire Department will issue
the necessary warning and advice to the residents of Bobsville
City. These local primary agencies will also coordinate with
Oklahoma Emergency Services to ensure that there is adequate
support for all the overwhelmed facilities. For instance, federal
agencies can provide additional transport and airlift victims to
other states and federal health facilities.
2.3
Mutual Aid Agreements
Pre-established mutual aid agreements are considered essential
for an effective response to and recovery from MCI. The Bobsville
Emergency Manager with the Mayor shall coordinate requests for
assistance under the existing mutual aid agreements with state
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Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
and federal agencies. The following scenarios will be used to
illustrate various planning, response, and recovery situations:
Town Hall Meetings
Church functions
Radio station announcements
Race-track and kayaking events
Cow Chip Throwing Festival
2.4
2.5
Direction, Control, and Communication
After determination of the existence of a multiple casualty
incident, Bobsville's 911 Communications Center duties will
include:
2.4.1
Relaying of updated information, as it is received, to the
City Fire Chief, Emergency Manager, City Sheriff, and
other agencies as appropriate.
2.4.2
Informing cities adjacent to Bobsville as to the nature
and extent of the incident.
2.4.3
The public will be notified through, among other ways,
the use of press releases to local radio stations for
broadcast. The Emergency Manager shall be responsible
for
Logistical Support
The Bobsville Emergency Management agencies like the Fire
Department, the Sherriff's Department and the hospital will use
their existing contracts to acquire the necessary resources.
Disaster County will also help the city in transportation,
evacuation and treatment through its many agencies.
3.0 Annex Development and Maintenance
This annex will be reviewed every five years and updated as required. In
addition, the guides shall be evaluated for recommended revisions and
corrective measures as an integral part of the agency exercise or event after
action reports/improvement plans, as well as internal reviews that will follow
the issuance of any Governor Executive Order or passage of legislation
impacting the agency.
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Mass Casualty Incident Annex
Bobsville Emergency Operations Plan
References
Farahani, R. Z., Lotfi, M. M., Baghaian, A., Ruiz, R., & Rezapour, S. (2020).
Mass casualty management in disaster scene: A systematic review of
OR&MS research in humanitarian operations. European Journal of
Operational Research.
Hambridge, N. B., Howitt, A. M., & Giles, D. W. (2017). Coordination in crises:
Implementation of the national incident management system by surface
transportation agencies. Homeland Security Affairs, 13(1-30).
Jensen, J., & Youngs, G. (2015). Explaining implementation behaviour of the
national incident management system (NIMS). Disasters, 39(2), 362388.
Niska, R. W., & Shimizu, I. (2011). Hospital preparedness for emergency
response; United States, 2008.
Sadiq, A. A., Tharp, K., & Graham, J. D. (2016). FEMA versus local
governments: Influence and reliance in disaster preparedness. Natural
hazards, 82(1), 123-138.
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