In an MCI, what is the first priority for the Incident Commander?

The primary responsibility of the Incident Commander in a Mass Casualty Incident (MCI) is to establish command and control over the situation. This crucial first step ensures that there is a clear leader who can coordinate all responding units and resources effectively. By establishing the role of the Incident Commander promptly, it sets the groundwork for organized response efforts, as the commander will direct operations, prioritize resource allocation, and maintain overall situational awareness.

Establishing the Incident Commander also facilitates communication among different teams and agencies, which is vital in the chaotic environment of an MCI. Having a designated leader enhances decision-making processes and helps in the efficient management of both personnel and patients throughout the incident. Once command is firmly established, the subsequent steps, such as performing patient triage and communication or declaring the incident an MCI, can occur more effectively.