Operational Response to Mass Casualty Incidents (ORMAC)

mass-casualty-incidentsAfter attending this program, participants will understand and recognize the fundamentals of mass casualty situations in public health emergencies and define the significance of medical treatment during such situations. Participants will learn how to evaluate current data to produce up-to-date emergency programs and procedures, as well as learn the difference between chemical, biological and radiological terrorism. Students will learn how to identify the steps to prepare for crisis communication in the hospital setting.

  • Mass casualty situations: definition and guidelines, interagency relations
  • Hospital and mass casualty: step-by-step organization
  • Importance of communications and the information center, including mental health in mass casualty situations.

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Typical Agenda for a two-day ORMAC program:

Day 1

0830 – 0835 – Welcome, course overview and objectives

0835 - 0915 - Israeli National Preparedness for Emergencies

  • The Israeli chain of command
  • Division of Emergency Preparedness

  0915 – 0945 – Disaster Preparedness in America:  Lessons learned after 7 years and 7 billion

0945 – 1015 – Definition and characteristics of mass casualty

Incidents (MCIs)

1015 – 1045 – Epidemiology of Conventional MCIs

  • What to expect?

1045 – 1100 – Break

1100 – 1130 - Principles of Pre-Hospital triage

1130 – 1145 - Tourniquets in the field

1145 – 1215 - “Scoop and Run” for MCIs

1215 – 1315 – Lunch

1315 – 1400 – Blast injuries

  • Classification
  • Medical management of blast injuries

1400 – 1430 – Principles of Triage at Hospital

1430 – 1500 - Medical management of conventional injuries

  • The medical philosophy for MCI

1500 - 1515 – Break

1515– 1545 - DVD - Conventional MCI + Discussion

1545 – 1600 – Summary Day 1

Day 2

Chemical / Toxicological mass casualties

0830 - 0900 - Decontamination for chemical/toxicological events: in the field or at the hospital?

0900 – 0945 - Hospital Preparedness for chemical/toxicological MCIs

0945 – 1015 – Video + Discussion - Decontamination for chemical warfare

1015 – 1100 – Break

1100 – 1130 - Biological events

      Epidemiology – What to expect

      Preparing the hospital for biological incidents

      “Bug Hospitals”

1130 – 1200 - Radiation/Nuclear events

Epidemiology – What to expect

Field management

Preparing the hospital for radiation/nuclear events

1200 – 1230 – Disaster plan and Surge Capacity: How to do it! 

1230 – 1330 - Lunch

Hospital preparedness for sudden mass casualties

1330 – 1400 - Hospital activation for MCI

1400 – 1430 - Drills

Types of drills

How to organize a realistic drill


Hospital drill at Tel Aviv

Hospital drill at JMH

Hospital drill at DHMC, DNC preparation

1430 – 1500 - The Ten Commandments for Management of Sudden Mass Casualties

1500-1515 - Break

1515 – 1600 - Lessons learned from deployment to remote disaster areas

1600 – Summary of course and adjourn


Dr. Lynn and all the folks at SSI™ did a great Job! I enjoyed the lecture and all I can say is that this course needs to be offered in longer format. I would recommend that all Hospital/EMS administrators take this course so that the information presented can be implemented. I look forward to SSI™ conducting more classes here in GAEMS.

I will be sure to have GHA and Everett County EMA attend this course. The program was excellent and I really enjoyed the presentation.

Keith Wages
Georgia Association of Emergency Medical Services

Case Study

As a proactive State association, GAEMS realized the need to have a course that could set everyone on the same page as far as the response to mass casualty. No stranger to mass casualty, Georgia suffered from violent storms that caused considerable fatalities in the Spring of 2011.

SSI™ ORMAC was a way to bring everyone together to discuss the pressing issues of the response to mass casualty, a positive step in itself. Making it much more so was the hands-on experience that the SSI™ presenter brings to the program. The presenter’s inside knowledge of the smallest details – such as preparing medical and hospital teams to go into an area of mass casualty - to the big picture - such as how to have hospitals prepared for surges in demand - meant a lot to the cohesion and policy of the agency.

After the conference, a further session was held a few weeks later to include more personnel. Georgia’s EMS, EMT, fire and law enforcement are now ready to drill some of the very practical conclusions that came out of the program.