During an MCI, what should be your first priority upon receiving a patient from the Fire Department?

The first priority when receiving a patient from the Fire Department, especially during a mass casualty incident (MCI), is to establish universal precautions. This is essential for ensuring the safety of both the patient and the responder, particularly in situations where the patient may present with unknown communicable diseases or hazardous materials. Universal precautions involve treating all blood and certain body fluids as if they are infectious, protecting healthcare workers from potential exposure to pathogens.

By implementing universal precautions first, responders can confidently provide care without risking cross-contamination or exposure to infectious diseases. This foundational step lays the groundwork for subsequent actions, such as patient assessment and treatment, while adhering to safety protocols that protect both the provider and the patient.

In the context of an MCI, while performing a quick assessment of the patient and calling for additional resources are both important actions, they should occur after ensuring that appropriate precautions are in place. Administering medications without first establishing safety measures may expose the responder to unnecessary risks. Prioritizing safety helps create a secure environment for effective patient care and overall incident management.