KOPH ED Clinical Pathway for Multiple Patient Events
and Mass Casualty Incidents

View this KOPH pathway on your mobile device.
KOPH ED Notified of Multiple Incoming Patients
  • Huddle
    • KOPH APOD, ED Charge RN, House Supervisor
  • Actions
    • Determine number of patients to accept:
      • 0-1 Red Critical, life-threatening illness
      • 3 Yellow Seriously ill, stable
      • 8 Green Mild illness
  • Determine type of alert:
    • Review current situation, patient ETA
    • ED, hospital, ICU census
    • Staff currently available to respond
  • Emergency-preparedness on-call:
    • Available to provide guidance
    • Secure chat: KOPH Emerg Prep Escalate 1st Contact, Groups
Determine the Alert Type
MCI Standby
Multiple Patient Event, MPE
MPE Alert
Mass Casualty, MCI
  • Initial report lacking details
  • Upgrade as indicated
  • Additional human resources required for initial response from KOPH resources on-site
  • Notify:
    • PHL PICU
    • Transport EMCP
    • Transport as indicated
  • Requires enterprise-wide response, resources
    • Includes PHL campus
    • Human, space, supply
  • Notify:
    • Emergency Preparedness
      if MCI considered
Activate Appropriate Alert
Use 4CODE App or Dial 4CODE
Communication Specialists send Everbridge Alert
  • Huddle:
    • APOD, ED Charge RN, House Supervisor ED Team
    • Resuscitation Room Entrance
  • Actions:
    • Relay details of event
    • Expected patient number, ETA
    • Assign roles, MPE/MCI roles
Planning for Additional Resources
MCI Standby Ask current staff to remain in hospital after their shift ends
MPE Alert
MCI Alert
Posted: December 2023
Revised: April 2024
Editors: Clinical Pathways Team