Increasing threat. Failing to prepare is preparing to fail. Levels: National. Province. Health Service.

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