INTRODUCTION In Maryland, there have been no military/civilian training exercises of the Medical Mutual Aid Agreement for >20 years. The aims of this paper are to describe the National Disaster Medical System (NDMS), to coordinate military and civilian medical mutual aid in response to arrival of overseas mass casualties, and to evaluate the mass-casualty reception and bed "surge" capacity of M...

For some time now, it has been recognised that a major shift is occurring in the population age distributions of most motorised countries resulting in a growing number of older persons with an increasing need for mobility. It is expected that the mobility of older persons will become even more reliant on the motor vehicle as European countries in particular undergo transitions towards decentral...

Introduction: The lack of planning and coordination by the mass gathering event organizers involving other stakeholders, especially from health sector, caused casualty incidents which could not be managed in a timely manner resulted many victims. This was worsened fact that nearest facilities to did have disaster management plan such as hospital preparedness which, if any, operational. No firm ...

the currently reactor wreckage in fukushima raised the following important questions: is our knowledge of the possible dangers of ionizing radiation sufficient to warrant special action? what is the role of the medical community in technical radiation accidents from windscale to fukushima? what is the role of the medical community in terrorist radiation attacks? are we prepared for those challe...

BACKGROUND A core task for commanders in charge of an emergency response operation is to make decisions. The purposes of the study were to describe what critical decisions the ambulance commander and the medical commander make in a mass casualty incident response and to explore what the underlying conditions affecting decision-making are. The study was conducted in the context of the 2011 gover...

BACKGROUND To assess the pattern of mass casualty incidents managed at our hospital over the last eight years, and evolve a differentiating classification based on this pattern. A combination of retrospective and prospective assessment was made. MATERIAL AND METHODS All patients receiving injuries in mass casualty incidents and managed at our hospital. Patients with an injury severity score a...

DIORAMA system which is using rapid information collection and accurate resource tracking can assist incident commanders in their attempt to bring order to the chaos as they direct rescue operations for Mass Casualty Incidents (MCI). This system makes use of active Radio Frequency Identification (RFID) tags to identify the location and status of the patients and responders involved in a MCI. Th...