King County Emergency Medical Services (KC EMS) annually updates the Medical Incident Report Form (MIRF). There are changes for the 2010 form and it is essential that EMT-Bs are accurate when filling out these forms. KC EMS has published a Two Minute Trainer regarding these 2010 changes - please familiarize yourself with them! http://www.emsonline.net/assets/TwoMinuteMIRFTrainer.pdf
MIRFs (paper and electronic) must be completed for every patient (not all SAR missions have a patient); exceptions may include MCIs, code greens, or discontinued calls as per your agency protocols.
Use a ball point pen & press hard enough to mark through all copies of the paper form (long or short).
Mass Casualty Incidents
Patient #___ out of ___
Components of a Good Report
All available information regarding the incident or patient care should be recorded.
Describe exactly what happened.
Legibility (on paper forms)
Narrative: should have correct spelling, be legible and precise
Who gets a copy?
Please give a copy of the MIRF to the KCSO SAR Duty Officer (usually the Incident Commander on the mission)for the mission file. Other copies will go to:
- King County EMS
- Medical Review
Last updated on February 12, 2010.