Designation:F1288−90(Reapproved2009)StandardGuideforPlanningforandResponsetoaMultipleCasualtyIncident1ThisstandardisissuedunderthefixeddesignationF1288;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(´)indicatesaneditorialchangesincethelastrevisionorreapproval.1.Scope1.1Thisguidecoverstheplanning,needsassessment,training,integration,coordination,mutualaid,implementation,provisionofresources,andevaluationoftheresponseofalocalemergencymedicalservice(EMS)organizationoragencytoamultiplepatientproducingsituationthatmayormaynotinvolvepropertyloss.Thisguideislimitedtothepre-hospitalresponseandmitigationofanincidentuptoandincludingthedispositionofpatientsfromtheincidentscene.1.2Thisguideaddressesthebackgroundonplanning,scope,structure,application,federal,state,local,voluntary,andnongovernmentalresourcesandplanningeffortsinvolvedindeveloping,implementing,andevaluatinganEMSannex,orcomponent,tothelocaljurisdiction’semergencyoperationsplan(EOP)asdefinedintheFederalEmergencyManagementAgency(FEMA)publication,CivilPreparednessGuide(CPG)1–8.21.3Thisstandarddoesnotpurporttoaddressthesafetyconcernsassociatedwithitsuse.Itistheresponsibilityoftheuserofthisstandardtoestablishappropriatesafetyandhealthpracticesanddeterminetheapplicabilityofregulatorylimita-tionspriortouse.2.ReferencedDocuments2.1ASTMStandards:3F1149PracticeforQualifications,Responsibilities,andAu-thorityofIndividualsandInstitutionsProvidingMedicalDirectionofEmergencyMedicalServices3.Terminology3.1DefinitionsofTermsSpecifictoThisStandard:3.1.1commandpost—thephysicallocationfromwhichincidentcommandexercisesdirectionovertheentireincident.3.1.2disaster—asuddencalamity,withorwithoutcasualties,sodefinedbylocal,county,orstateguidelines.3.1.2.1medicaldisaster—atypeofsignificantmedicalin-cidentwhichexceeds,oroverwhelms,orboth,thecapabilityoflocalresourcesandofroutinelyavailab...
