Reflections on Major Incident Management with Keir Rutherford and Alec Wilding

In this conversation we will examine some of the lessons learnt
from anecdotal experiences in major incidents, together with the
reflections from previous recommendations in major incident
enquiries such as the Manchester bombings. We will examine the
differentiation of terrorist attacks at point of call from an
otherwise normal RTC or ‘typical’ incident. We also look at the
initial approach to triage, who and how this should be done as
well as the integration and relationship of the Ten Second Triage
(TST) algorithm, the Major Incident Triage Tool (MITT) and levels
of enhanced care at the scene. Also, the concept of casualty
clearing and when and how this should be performed. We also
examine the level/ceiling of intervention that is beneficial from
the empirical research in such events and how this should be
approached. We also examine inter-disciplinary working with other
services such as police responders and fire brigade. 





Keir Rutherford is an Advanced Paramedic Practitioner in Critical
Care and also a flight paramedic with London’s Air Ambulance.
Alec is also an Advanced Paramedic Practitioner in Critical Care
and the Emergency Planning Resilience and Response (EPRR) lead
for Festival Medical Services, who are a charity providing event
medical cover including at Glastonbury and also a Specialist
Paramedic for Hampshire Isle of Wight Air Ambulance.





To read more on some of the information referred to in the
Manchester Bombing inquiry please see here:
https://manchesterarenainquiry.org.uk/





This is part 1 of a 2 part conversation as we felt there was too
much to include in just one episode.