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Lens: Incident Response Protocol (IRP) — Control Activation & Coordination

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Purpose

Provide a Control-led switchboard for a Major Medical Event (MME) so the incident lead can coordinate the response, create access to advanced care, and route the team to the correct next actions.

MME applies to both small venues (e.g., 2–3 staff on duty calling 999 and managing access) and larger events (dedicated medical provider / multiple teams).

Activation threshold (MME)

Activate MME when any of the below apply:

• Unconscious / reduced consciousness
• Not breathing / abnormal breathing or CPR/AED in progress
• Catastrophic bleed / life-threatening haemorrhage
• Suspected overdose with airway/breathing concern
• Serious head injury / suspected spinal injury
• Multiple casualties (or rapidly developing surge of casualties)
• Casualty located in a high-density crowd / difficult access environment
• Any incident requiring ambulance access management, medical team escort, or casualty extraction

Control first actions (0–3 minutes)

1. Confirm severity + exact location
   • Obtain: what / where (zone, landmark) / consciousness / breathing / bleeding / crowd condition / hazards.
2. Deploy immediate support
   • Dispatch nearest suitable unit(s) and request any on-site advanced medical capability (if present).
3. Access-to-care plan (make a route)
   • Identify the quickest route in and out.
   • Assign units to sterilise the route and hold pinch points.
   • Allocate a gate/door lead (keys/locks) if applicable.
4. Escalate to advanced care (site dependent)
   • Small venue / no dedicated medical: call 999 early and begin ambulance meet/escort plan.
   • Larger event / dedicated medical provider: activate the medical response team; escalate to 999 if requested or if condition worsens.

Comms discipline (standard update format)