Major Incident Medical Management and Support (MIMMS) is the coursebook for the Advanced Life Support Group s internationally taught training for health care professionals responding to major incidents. The practical approach employed in MIMMS has proved an invaluable aid to both civilian and military doctors, nurses and paramedics working in disaster management worldwide. The third edition has been fully revised to make MIMMS appropriate for the 21st century, with greater emphasis on human factors, a more structured approach to medical management, and new chapters on: Hazardous materials Incidents involving large numbers of children Management of a major incident with multiple burn casualties Mass gatherings Natural disasters There are also revised appendices covering responsibility for the dead, radio use, and voice procedures, and what to do beyond the immediate situation. Covering all eventualities in medical management during major incidents, MIMMS provides a comprehensive and practical guide for all who are involved in this aspect of emergency medicine.

Major Incident Medical Management and Support (MIMMS) is thecoursebook for the Advanced Life Support Group'sinternationally taught training for health care professionalsresponding to major incidents. The practical approach employed inMIMMS has proved an invaluable aid to both civilian and militarydoctors, nurses and paramedics working in disaster managementworldwide.The third edition has been fully revised to make MIMMSappropriate for the 21st century, with greater emphasis on humanfactors, a more structured approach to medical management, and newchapters on:* Hazardous materials* Incidents involving large numbers of children* Management of a major incident with multiple burncasualties* Mass gatherings* Natural disastersThere are also revised appendices covering responsibility forthe dead, radio use, and voice procedures, and what to do beyondthe immediate situation.Covering all eventualities in medical management during majorincidents, MIMMS provides a comprehensive and practical guide forall who are involved in this aspect of emergency medicine.

Preface to the third edition, viiPreface to the first edition, viiiAcknowledgements, ixInternational reference group and UK working group, xContributors, xiContact details and website information, xiiiPart I: IntroductionChapter 1 Introduction, 3Chapter 2 The structured approach to major incidents, 9Part II: OrganisationChapter 3 Health Service structure and roles, 17Chapter 4 Emergency service organisation and roles, 31Chapter 5 Support service organisation and roles, 36Part III: PreparationChapter 6 Planning, 41Chapter 7 Personal equipment, 45Chapter 8 Medical equipment, 50Chapter 9 Training, 58Part IV: ManagementChapter 10 Command and control, 63Chapter 11 Health Service scene layout, 70Chapter 12 Safety at the scene, 74Chapter 13 Communications, 78Chapter 14 Assessment, 84Part V: Medical supportChapter 15 Triage, 91Chapter 16 Treatment, 103Chapter 17 Transport, 108Part VI: Special incidentsChapter 18 Hazardous materials and CBRN incidents, 115Chapter 19 Incidents involving large numbers of children121Chapter 20 Incidents involving casualties with multiple burns126Chapter 21 Mass gatherings, 128Chapter 22 Natural disasters, 131Chapter 23 Uncompensated major incidents, 135Part VII: AppendicesAppendix A Psychological aspects of major incidents, 143Appendix B The media, 145Appendix C Logs, 148Appendix D Responsibility for the dead, 151Appendix E Radio use and voice procedures, 154Appendix F The hospital response, 163Appendix G Human factors, 169Index, 173