Preparing for Emergencies Guidance
This guidance provides advice, considerations, and support from a strategic lens for Health Boards to effectively prepare for emergencies in compliance with relevant legislation.
Appendix 7 - Information to assist planning for a Major Incident with Mass Casualties (MIMC)
The levels of response for adults and children that need to be planned for are:
Level 1. Normal
Description
- Normal
Who to Notify
- No Notification required
Level 2. Concern
Description
- Burn Major Incident with casualties admitted locally
- Local Board coping in handling burns casualties, sufficient to absorb additional capacity
- Burn Service operating normally
Who to Notify
- Contact neighbouring Boards
- Contact relevant Burns service
- Notify Board on-call Executive and Board Emergency Planning Lead/ Officer or equivalent
Level 3. Pressure
Description
- Casualties admitted from Burn Major Incident
- Normal activity not possible at local Board level
- Normal activity being maintained in Burns Service
Who to Notify
- Contact neighbouring Boards
- Contact relevant Scottish National Burns Centre to check bed capacity
- Notify Board on-call Director and Board Emergency Planning Lead/ Officer or equivalent
- Notify Scottish Ambulance Service Control Room Tactical Adviser
- Notify Scottish Government Health EPRR
Level 4. Severe Pressure
Description
- Normal activity not possible in Burn Service
- More than one Burn Service now engaged to admit casualties from Burn Major Incident
Who to Notify
- Notify National Burns Bed Bureau
- Establish Burn Network communication to determine when Burn capacity will be exceeded
- Notify Board on-call Executive and Board Emergency Planning Lead
- Notify Scottish Ambulance Service Control Room or Tactical Adviser
- Notify Scottish Government Health EPRR
Level 5. Critical
Description
- Combined resources of burns care capacity and capability in Scotland being fully utilised to deal with casualties from incident
- Consideration given to transfer patients out with NHS Scotland
Who to Notify
- Notify National Burn Bed Bureau
- Notify Board on-call Executive and Board Emergency Planning Lead
- Contact Scottish Government Health EPRR for support
Level 6. Capacity Exceeded
Description
- Combined Scottish & UK capacity and capability unable to absorb the additional activity
- Consideration of international mutual aid
Who to Notify
- Ask Board on-call Executive to request support from Scottish Government via SG Health EPRR
Contact
Email: health.eprr@gov.scot
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