OBJECTIVE To examine the accuracy of theoretical triage decision making among emergency prehospital health care professionals, using a multiple casualty paper exercise. METHODS A standardised 20 casualty paper exercise requiring each casualty to be prioritised for treatment was given to 100 doctors, 59 nurses, and 74 ambulance paramedics who could potentially be involved at the scene of a mul...

Addressing health disorders at the early stage during mass casualty is one of the important issues to be thrown light nowadays. If mass casualty occurs in remote locations where proper health care equipments or analysis of medical information is not available, a special team must be appointed to monitor and control it. When an emergency occurs, especially in mass casualty incidents, lots of vic...

O 7, 2011, marked the end of the 10th year of US combat operations in Iraq and Afghanistan. As in previous conflicts, these wars have led to major advances in treating combat casualties, and the advances are also being translated into injury management paradigms in civilian trauma centers. Coincident with these advances was an increase in combat casualty research directed toward identifying new...

Statistics of accidents in British coal-mines have been collected in one form or another since 1873 (Ministry of Power, 1957). From those early days there has been a steady decline in the numbers of fatalities but even now more than 300 men a year are killed in mining accidents. About a million and a half injuries, varying from the trivial to the fatal, are reported in a year and coal-miners, w...

The Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events hosted a workshop at the request of the Federal Interagency Committee on Emergency Medical Services (FICEMS) that brought together a range of stakeholders to broadly identify and confront gaps in rural infrastructure that challenge mass casualty incident (MCI) response and potential mechanisms to...

In some circumstances, burn care must be delivered in a simple manner without the luxury of modern resources. Such circumstances include care in low- and middle-income countries, war zones, and mass casualty incidents. Triage decisions need to be made carefully, allowing the focus of limited personnel and equipment on those most likely to survive. Simple techniques can be used to help many burn...