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