Ambulances & Vehicle Ops, Operations

The Perfect MCI Resources

Issue 11 and Volume 41.

Seattle Fire Department Mass Casualty Incident Vehicle (MCI-1)

The early dispatch of the mass casualty incident (MCI) assignment in Seattle was critical to the success of the Aurora Bridge incident because MCI-1, the Seattle Fire Department’s (SFD’s) MCI vehicle, arrived on scene just eight minutes into the incident.

This specialized mobile response unit is able to rapidly deploy equipment and supplies, including lifting and moving devices and lighting and power supplies, to care for more than 100 MCI patients.

Seattle fire MCI response vehicle
MCI-1 is set up with easy-to-find equipment and supply sections. Equipment on the street side includes: lighting; lifting and moving devices such as spine boards, evacuation chairs and portable stretchers; portable generators; and color-coded triage/treatment area tarps. Supply compartments store airway management supplies and oxygen tanks; soft packs for placement in treatment areas that hold bandaging and blankets; and IV supplies and high-usage medications.
Seattle fire MCI response vehicle
The larger cases store bulk supplies such as emergency bandages; Rusch airway bags that fold open for easy access (top) and i-gel supraglottic airways in multiple sizes (bottom left); MegaMover portable transport units to augment patient movement; and logistics supplies such as clipboards, pens, forms, maps, etc.

Seattle fire MCI response vehicle

Seattle Fire Department Medical Ambulance Bus (MAB-1)

MAB-1 is designed to serve multiple purposes based on incident needs. It can serve as a mobile BLS or ALS assessment and treatment area; as a secondary supply source; or as a multiple patient transport ambulance.

At the Aurora Bridge MCI, where ambulances were readily available to transport most patients, MAB-1 was dispatched about 39 minutes into the incident to serve as a support resource.

Seattle fire MCI response vehicle
MAB-1 can accommodate multiple patients on stretchers or seated and belted on fold-down seats.

Seattle fire MCI response vehicle
The ambulance bus contains multiple SSCOR suction units for use on scene and inside MAB-1.

Seattle fire MCI response vehicle
North American Rescue Combat Casualty Response bags are stored in a special compartment that can be opened and hung at patient locations for easy access to needed medical supplies. Other supplies, like blankets from Graham Medical and Taylor Healthcare, are stored throughout MAB-1.