scholarly journals Mass casualty events: what to do as the dust settles?

2018 ◽  
Vol 3 (1) ◽  
pp. e000210 ◽  
Author(s):  
Rachel M Russo ◽  
Joseph M Galante ◽  
John B Holcomb ◽  
Warren Dorlac ◽  
Jason Brocker ◽  
...  
Keyword(s):  
Panel Discussion ◽  
Trauma Team ◽  
Mass Casualty ◽  
Lessons Learned ◽  
Detention Center ◽  
Plane Crash ◽  
Mass Casualty Events ◽  
Boston Marathon Bombing ◽  
Mass Casualty Event ◽  
Boston Marathon

Care during mass casualty events (MCE) has improved during the last 15 years. Military and civilian collaboration has led to partnerships which augment the response to MCE. Much has been written about strategies to deliver care during an MCE, but there is little about how to transition back to normal operations after an event. A panel discussion entitled The Day(s) After: Lessons Learned from Trauma Team Management in the Aftermath of an Unexpected Mass Casualty Event at the 76th Annual American Association for the Surgery of Trauma meeting on September 13, 2017 brought together a cadre of military and civilian surgeons with experience in MCEs. The events described were the First Battle of Mogadishu (1993), the Second Battle of Fallujah (2004), the Bagram Detention Center Rocket Attack (2014), the Boston Marathon Bombing (2013), the Asiana Flight 214 Plane Crash (2013), the Baltimore Riots (2015), and the Orlando Pulse Night Club Shooting (2016). This article focuses on the lessons learned from military and civilian surgeons in the days after MCEs.

First Responder Psychological Recovery Following a Mass Casualty Event

2017 ◽  
pp. 143-157
Author(s):  
Sara Garrido ◽  
John Nicoletti
Keyword(s):  
Psychological Impact ◽  
Crisis Response ◽  
Mass Casualty ◽  
Lessons Learned ◽  
Trauma Recovery ◽  
Community Members ◽  
Mass Casualty Events ◽  
Columbine High School ◽  
Crime Scene Investigators ◽  
The Impact

Mass Casualty Events (MCE) have an extraordinary impact on an entire community. The impact on victims' families, survivors, and community members is often the subject of significant attention; however, rarely does the impact on first responders (law enforcement officers, firefighters, dispatchers, crime scene investigators/photographers, etc.) garner the same coverage. Additionally, agencies can quickly become overwhelmed by the magnitude of the response causing them to overlook the psychological impact of these incidents on their personnel. Serving as specialists in police and public safety psychology, crisis intervention, and trauma recovery, the authors reflect on lessons learned from their response to multiple MCEs, including the 1999 Columbine High School shooting and the 2012 Aurora Century 16 Theater shooting, and offer recommendations to agencies regarding crisis response and trauma recovery.

Be Prepared — The Boston Marathon and Mass-Casualty Events

2013 ◽  
Vol 368 (21) ◽  
pp. 1958-1960 ◽  
Author(s):  
Paul D. Biddinger ◽  
Aaron Baggish ◽  
Lori Harrington ◽  
Pierre d'Hemecourt ◽  
James Hooley ◽  
...  
Keyword(s):  
Mass Casualty ◽  
Mass Casualty Events ◽  
Boston Marathon

Lessons Learned from the Boston Marathon Bombing Victim Services Program

2017 ◽  
Vol 45 (2) ◽  
pp. 111-123 ◽  
Author(s):  
April Naturale ◽  
Liam T. Lowney ◽  
Corina Solè Brito
Keyword(s):  
Lessons Learned ◽  
Victim Services ◽  
Boston Marathon Bombing ◽  
Boston Marathon

scholarly journals Aurora Bridge Bus Crash Review of a Mass Casualty Event Pre-hospital and Hospital Response, Lessons Learned

2017 ◽  
Vol 3 (2) ◽  
pp. 62-65
Author(s):  
Stephen C. Morris ◽  
◽  
Joshua Jauregui ◽  
Andrew M. McCoy ◽  
Steven H. Mitchell ◽  
...  
Keyword(s):  
Mass Casualty ◽  
Lessons Learned ◽  
Mass Casualty Event ◽  
Hospital Response

Two teams, one mission: A study using EMS units in hospital triage during active-shooter and other mass-casualty events

2020 ◽  
Vol 15 (1) ◽  
pp. 33-41
Author(s):  
Thomas Simons, MA ◽  
Anke Richter, PhD ◽  
Lauren Wollman, PhD
Keyword(s):  
Hospital Staff ◽  
Mass Casualty ◽  
Proof Of Concept ◽  
Active Shooter ◽  
Incident Command ◽  
Mass Casualty Events ◽  
Level Ii ◽  
Field Triage ◽  
Mass Casualty Event ◽  
Urban Level

Background: Recent mass-casualty events have exposed errors with common assumptions about response processes, notably triage and transport of patients. Response planners generally assume that the majority of patients from a mass-casualty event will have received some level of field triage and transport from the scene to the hospital will have been coordinated through on-scene incident command. When this is not the case, emergency response at the hospital is hampered as staff must be pulled to handle the influx of untriaged patients.Objective: Determine whether the use of emergency medical service (EMS) field resources in hospital triage could enhance the overall response to active-shooter and other mass-casualty events.Design: A proof of concept study was planned in conjunction with a regularly scheduled mass-casualty hospital exercise conducted by an urban level II trauma center in Utah. This was a cross-over study with triage initially performed by hospital staff, and at the midpoint of the exercise, triage was transferred to EMS field units. General performance was judged by exercise planners with limited additional data collection.Results: EMS crews at the hospital significantly enhanced the efficiency and efficacy of the triage operation in both qualitative and quantitative assessment.Conclusions: Hospital planners deemed the proof of concept exercise a success and are now experimenting with implementation of this alternate approach to triage. However, much additional work remains to fully implement this change in processes.

Palliative care in mass casualty events with scarce resources

2015 ◽  
pp. 823-834
Author(s):  
Anne Wilkinson ◽  
Marianne Matzo
Keyword(s):  
Palliative Care ◽  
Vulnerable Populations ◽  
Disaster Response ◽  
Mass Casualty ◽  
Current Level ◽  
Emergency Nursing ◽  
Scarce Resources ◽  
Mass Casualty Events ◽  
Mass Casualty Event ◽  
Response Plan

The purpose of this chapter is to offer an introduction to the topic of disaster response/emergency nursing and the role palliative care can play during a mass casualty event (MCE) for vulnerable populations not normally addressed in usual disaster planning and response. This chapter examines issues associated with providing medical care under MCE circumstances of scarce resources; the current level of preparation of nurses to respond in these emergencies; the role for palliative care in the support of individuals not expected to survive; and recommendations of specific actions for a coordinated disaster response plan.

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