*I'm walking down the hallway of Shiloh County Hospital towards the staff break room. Time for a quick snack and a breather. It's been a busy night. Just as I reach the door, my pager goes off.*
'That's weird.', I think. Usually, I get calls and messages on my hospital VOIP phone. It dawns on me....that's the EMS pager.
*I hastily grab it from my waste band, and take a look*
'MCI Activation-MD Required: Bus. Pls call FD EMS dispatch'
'Shit' I mutter to myself. In over a year, I have never had an actual MCI activation, in fact, this pager's only gone off twice, both were from the EMS shift commander asking questions about a crew screw-up.
I walk into the staff room and head over to the locker room area. I get on the phone and call EMS dispatch to get the information. I place them on speaker mode as I quickly change from my scrub pants into the pair of EMT style pants that I have in the locker for just such an event. I change my tennis shoes to boots, grab the pull-over job shirt I have hanging up. I finish getting the details and hang up my phone. I leave the locker room, break area, and hastily move to the ambulance triage area. Hidden in a cabinet in the EMS radio/med control room are two jump bags. I grab both of them and head out into the ambulance triage area towards the back door into the ambulance bay.
'I got an MCI activation. Dump truck vs Bus, 15+ confirmed casualties. Monitor MedNet and the radios.' I tell the ambulance triage nurse and the nurse monitoring the EMS radio as I leave. They look at me puzzled, then spring into action notifying everyone they can about the pending influx of patients.
MedNet is a cool computerized tool that all of the area hospitals utilize. It allows hospitals to publish how many beds are available and whether or not they are open to receiving patients. Its very useful in situations like this, where coordinating with other hospitals to spread the burden of an MCI like this around the area is important.
I head out into the ambulance bay where my response car is parked in the back corner. I unlock the door, pop the trunk and throw my bags into the back. The bags are mostly extra supplies, field surgical supplies, and MCI related equipment.
I head to the driver's side and get in. Before I take off, I shoot a text to Dr. Braun:
Got an MCI activation. enroute to dump truck vs bus. 15+ pts
After sending the text, I type the address into google maps. I start the engine, and pull out of the ambulance bay, pausing before pulling out into traffic. I pick up the car radio, turn it on and move it to the EMS dispatch channel.
"MD-2 enroute to North Third" I say. "MD-2 copy" I hear in response.
*I switch the radio over to Ops 1 to get a preview of whats to come, then I pull into traffic with lights and siren going. God it's been a long time since I've done this."