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Major Incident Management: Communication

CSCATT = "ABC's" of a Major Incident

CSCATT - ABCs of a Major Incident

Communication

Communication Methods

Radio use


CSCATT = "ABC's" of a Major Incident

Deal with any scene in the following sequence:

  1. Command & control
  2. Safety
  3. Communication
  4. Assessment
  5. Triage
  6. Treatment
  7. Transport


Communication

  • Communication is the most common failure at the scene of a Major Incident.
  • When pre-hospital staff arrive on scene they report and transmit information to the Control Room in a structured fashion.
  • This information is given in the form of a METHANE report.

M - My call-sign, or name & appointment

  •  Major incident STANDBY or DECLARED

E - Exact location

  • Grid reference / GPS

T - Type of incident

  • Number/type of vehicles (heavy vs light motor vehicle)

H - Hazards, present & potential

  • E.g. Fire, hazardous waste, traffic, bystanders

A - Access to scene & egress route

  • Potential heli landing site location

N - Number & severity of casualities

  • Not a formal triage - estimated only

E - Emergency services currently present & required

  •  Incl. EMS, Fire, Traffic, SAPS, Rescue

Communication Methods 

  • Radio
  • Cellphone
  • Runners
  • Hand signals
  • Face to face


Radio use

  • Air time should not be used unnecessarily.

Radio messaged should be:

  • Clear = rhythm should be steady, speed should be just slightly slower than normal speech, volume should not be a whisper or a shout, pitch not too high or low.
  • Accurate = use Nato phonetic alphabet


NeoHealth® ID 19821 · updated 9/15/2021