The Major Incident Medical Management and Support (MIMMS) course equips multidisciplinary teams with a system to manage multi-casualty incidents, including pre-event planning, triage, command & control, radio procedure and patient transport.

Delivered by experts in EMS and Emergency Medicine, the course focuses on a hands-on, integrated approach to incident planning and management.

Certification is through the Advanced Life Support Group (ALSG) and is recognised as the industry standard qualification in disaster management.


It is intended for participants who provide immediate on-site emergency medical support at disaster scenes (air/rail/road incidents) and mass gatherings (concerts, sports events, festivals). Suitable candidates include (but are not limited to) doctors, nurses, paramedics, EMTs, first responders, voluntary first-aiders, health and safety staff and event promoters

Eligibility Checklist

Healthcare qualification is strongly recommended (eg First-Aid, EMS, Nurse, Doctor)

Course content

The online (VLE) tutorials cover

  • Emergency services structure
  • Command and Control
  • Bronze, Silver, Gold strategic areas
  • Major Incident Planning
  • CBRN incidents

The 2-Day face-to-face practicals cover

  • Scene assessment
  • Triage sieve of victims
  • Triage sorting at CCS
  • Transport off-site
  • Personal protection
  • Radio procedure
  • Table-top exercises
  • Putting it All Together Practice Sessions
  • Running a Code
  • Practical exercises without casualties


Online VLE: approx 4 hours. Face-to-face: 16 hours

Criteria for successful completion

  • Complete MANDATORY pre-course tutorials (VLE)
  • Actively participate in, practice, and complete all skills and learning stations
  • Demonstrate competence in OSPEs covering METHANE message, radio communication, scene assessment, triage sieve, triage sort
  • Score a minimum grade (80% or higher) on the final Multiple Choice Question (MCQ) paper.


We issue a ALSG MIMMS Certificate, valid for 4 years. We also issue a certificate of attendance signed by the course Course Director. CPD/CME/CUE credits are available for this course – up to 16 credits face-to-face, up to 4 credits online.


Our expert instructors are highly-experienced in EMS and Emergency Medicine with a proven ability to teach. Faculty are drawn from Ireland and the UK and represent Emergency Medicine, EMS, Health Planning Authorities and Clinical Education.

Course materials

The following materials are delivered to the candidate’s work address by registered courier.

  • MIMMS Provider Manual
  • Login details for ALSG VLE
  • Course Programme
  • Criteria for Successful Completion

Online component?


CPD/CEU credits?

All Code Blue courses are eligible for CPD/CME points. The exact number of points you can claim depends on what your occupation/speciality is.

This course is eligible for up to 16 hours of face-to-face CPD and 4 hours of online CPD.

More information on Medical Council and An Bord Altranais

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