Silver Medical Commander

Command and Control

• Start an incident log
• Take command of all medical assets at scene
• Make key medical command appointments;
• Bronze Medical Commander (BMC)
• Casualty Clearing Officer (CCO)
• CCS Medical Team Leader
• Primary Triage Officer (PTO)
• Casualty Loading Officer (CLO)
• Co-locate with Silver Commander
• Confirm Silver & Bronze cordon locations

Safety

• Take responsibility for the safety of all medical personnel and casualties at the scene
• Confirm hazards and necessary mitigations

Communication

• Liaise with Silver Commander for shared situational awareness - (JESIP)
• Send METHANE report to Gold command and update regularly
• Request regular ETHANE reports from BMC, CCO and CLO
• Confirm communication plan with BMC, CCO and CLO

Assess

• Assess the scene and establish key medical locations
• Assess developing hazards to medical staff and casualties
• Match casualty estimate with medical resources at scene
• Establish additional equipment / personnel requirements and ongoing life support needs.

Triage

• Confirm the triage system
• Provide triage teams for bronze area
• Delegate primary triage responsibility to Bronze medical commander
• Delegate secondary triage responsibility to Casualty Clearing Officer
• Ensure prioritisation for evacuation at point of injury and treatment at the CCS has been carried out.

Treatment

• Confirm treatment at point of injury
• Confirm level of treatment at CCS
• Provide medical teams for the CCS

Transport

• Establish a transport plan with Gold command
• Coordinate evacuation of casualties to receiving hospitals with the CLO