Mass Casualties Management

Burkle, F. M. (2002). Mass casualty management of a large scale bioterrorist event An epidemiological approach that shapes triage decisions. Emergency Medicine Clinics of North America, 20, 409-436. 

Khateri presents the experience of Iranian medics and paramedics which confront the mass casualties management in large scale chemical attacks during the war with Iraq (1980-1988). In the paper with Ghanei, Soroush,and Haines he discusses long-term health status of mustard-exposed children, 14 years after chemical bombardment of Sardasht, Iran. 

The First International exercise on Delivery of Assistance (ASSISTEX-1) was a good opportunity to assess the effectiveness of a medical plan for mass casualty management in case of a chemo-terroristic attack. 

The medical management plan for the exercise was first treatment for casualties in the Emergency Medical Treatment (EMT) point as well as in the field hospital according to the special protocol for mass casualties management containing ... 

There was One Triage Officer (Expert in Mass Casualties Management) at the entry point of EMT for primary triage of casualties... 

There was a Triage officer at the entry point of Field hospital (Expert in Mass Casualties Management) who was responsible to re-triage the patient as well as two other medical doctors one of them expert in Intensive care to supervise the treatment of patients with severe exposure or traumatic injuries in the ICU and another one to supervise the treatment of casualties in other wards of... 

Robert M Gum,John D Hoyle.CBRNE - Chemical Warfare Mass Casualty Management, 9 Jan 2003... 

Wheeler, D.S., Poss, W.B., 2003. Mass casualty management in a changing world. 

Medical [Centers for Disease Control and Prevention (CDC), case definition, differential diagnosis, signs and symptoms, mass-casualty triage recommendations, casualty management, fatality management]... 

Training of emergency responders (firefighters, police, and emergency medical services) for responding to weapons of mass destruction should emphasize critical concepts for self-preservation and effective casualty management. Training should include both classroom instructions on basic concepts and principles, hands-on demonstrations of required skills, and drills to reinforce basic procedures. The recommended topics to be covered include ... 

In the confusion that often follows a mass casualty event, managing a hospital can be challenging. Past mass casualty events can be valuable as they reveal patterns of hospital use. It is possible to estimate initial casualty volume and pattern after a mass casualty event. Public health professionals and hospital administrators can use this information to handle resource and staffing issues during a mass casualty event. 

Plans should ensure an adequate supply of qualified providers who are trained specifically for a mass casualty event. This includes providing protection to providers and their families (e.g., personal protective equipment, prophylaxis, staff rotation to prevent burnout, and stress management programs). 

Chapter 12 Management of Burn Mass Casualty Incidents... 

Certain events are blatantly catastrophic, and it is immediately clear that a mass casualty incident has occurred. Activation of the disaster plan occurs and a structured response is mobilized. Other events, such as an apartment building fire may not immediately declare themselves as disasters as casualties accumulate and local resources are dispensed, it will be decided if part of the entire disaster plan must be activated. The on-scene incident commander may be a firefighter or other first responder, depending on the nature of the incident. Please see chapter 8, Disaster Management, for information regarding the structure and function of the Incident Command System. 

This section is intended to give basic guidelines for initial clinical management of a burn patient in a mass casualty incident. For information about becoming certified in Advanced Burn Life Support, go to http // www.ameriburn.org/ABLS/ABLS.htm. 

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