Mass Casualty
Adel Mohamad Alansary, MDAss. Prof. Anesthesia and Intensive Care
Ain Shams [email protected]
Increasing threat.Failing to prepare is preparing to
fail.Levels:
National.Province.Health Service.
Outline
Preparation. Triage. Treatment.
Types
1. Fire2. Earthquake3. Chemical factory leaks4. Bombing 5. Multivehicle accidents6. War7. Building collapse8. Volcano9. Mass gathering
Preparation
Planning. Equipment:
› Personal› Medical
Training
Planning
Familiarity with existing plans›Ambulance service›Hospital›Special incident
Familiarity with other emergency service plansFamiliarity with local high risk sitesInvolvement in planning
Plan what?
Command and Control. Communication. Safety. Assessment. Triage. Treatment. Transport.
Equipment
• Personal protectiveoSelectionoMaintenance
• MedicaloSelectionoTrainingoMaintenance
Personal Protection
• Safety• Function• Durability• Comfort
Personal Protection
• Head• Face/Eyes• Ears• Body• Hands• Feet
Commander Identification
Personal Protection
• Individuals who are inappropriately equipped will be denied access by the Ambulance Safety Officer
Personal ProtectionSpecial Situations
• Consider nature of risk
• Consider level of risk
• Consider body areas at risk
Additional Items
• Identification• Money• Pens• Notebook• Torch• Whistle
Medical EquipmentTypes
• Decontamination• Triage• Life saving first
aid• Advanced life
support• Specialist
medical
Medical Equipment
• Medical equipment should be compatible with ambulance service equipment
Medical Equipment
• Medical equipment should supplement rather than duplicate, and must reflect the extended skills of the medical staff