According to Incident Command who is in charge by a MVA?

[ninjaemtff]

Here for the most part its a mutual thing. Someone from the EMS side and someone from the fire/rescue side work together in command so that we can get the job done. They establish command then ask us (whoever' is in the car with the pt) what we want done, and they put it in place. It works really well, but like everything else it sometimes fails because well it is not a perfect world and you have this.

[Diazepam618]

ICS FAIL!

ICS does not designate an agency, or even an individual or a rank, as Command for any particular incident or type of incident. Local protocol will usually determine that, but asking what the Incident Command System says about auto accidents is a major failure to grasp ICS 100 concepts.

What are you talking about?, ICS requires specific ranks for specific assignments in the higher command post.

[rock_shoes]

In my area police and rescue turn to us. Typically the police direct traffic and rescue does whatever we need to safely extricate the patient(s). Most of the time we're first on scene. When the police get there first they turn over to us on arrival and ask what we need. When we leave with our patient(s) the police assume control and reestablish traffic flow. Things change a little if it's a hazmat situation. In that instance fire/rescue take control until the hazardous material is taken care of. It's all about which department is more qualified for the situation at hand. We don't tell fire how to put out a blaze nor do we tell the police how to deal with a domestic dispute. In return they don't tell us how to deal with a medical emergency. We've consistently been able to work together in a professional courteous manner. I wish every area could be so fortunate.

[Arkymedic]

ICS does not require specific ranks for any position. ICS is initiated by the first person on scene. Once someone of a higher "rank" arrives that person can choose to take command or to let the original IC remain in command. There is nothing that says I must be a LT. Capt, Chief, Supervisor, Director/Owner, or EM coordinator or director to run an incident. Granted, the incident may be better managed by those with more experience; however, it is not required. I know of several responders that given a chance, would run an incident much more effective than leadership. A perfect example is usually SAR incidents. Most significant incidents require an unified command. Too often, most forget to check their badge and ego at staging/check in so this often does not go smoothly.

What are you talking about?, ICS requires specific ranks for specific assignments in the higher command post.

[FormerEMSLT297]

Ask this question in NY and you are bound to get an argument.. NYC got so bad they had to have the Mayors office do a flow sheet, if this emerg, then cops ,, if this than Fire,, etc.... LOL..

[Rescue0ne]

I'll have to co-sign what some of the others said previously. It's best if your local departments agree to a plan beforehand.

At present, an MVA/MVC in my area, it's broken down like this.

Fire Department - Fire Suppression/Extrication/HazMat/Traffic/ALS First Response

Volunteer EMS (Crew/Squad/Etc) - BLS Transport (ALS Transport w/ an FD ALS Provider on board)

State/Town Police - Law Enforcement/Accident Investigation

If County EMS is available, however, they become primary EMS. They have no other responsibility on the scene other than that.

If the incident is a very prolonged one, Virginia DOT has a contractor that will arrive and take over traffic control, freeing up the FD for other activities.

Hope this was at least a little bit useful.

FYI: The "Code of Virginia" states that at the scene of an MVA/C, the senior Fire Officer on scene is in overall command, with EMS & Police doing their own thing, of course.

[CBEMT]

What are you talking about?, ICS requires specific ranks for specific assignments in the higher command post.

Please match each rank with it's ICS command post assignment: Chief, Deputy Chief, Assistant Chief, Captain, Lieutenant, Sergeant, Officer, Firefighter, EMT, Paramedic.

[Arizonaffcep]

Arizona's funky (not that this should be surprising...) but if you read the letter of the law (on highways) the ULTIMATE authority is actually DOT...not PD/FD/HP, etc. However...on surface streets, PD almost NEVER sets up command. The one's are FD...no real 3rd service ambos that don't bow to FD...so that eliminates most.

[JOHN GIORDANO]

According to Incident Command who is in charge by a motor vehicle accident? Fire, EMS, or Police?

Thanks

The first EMT on location.

[Arizonaffcep]

The first EMT on location.

To get even more specific...the first person who is qualified to run command (has the propper training), be it PD, FD, EMS, DOT, FEMA (although I would heistate ).