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This paper defines a specific plan which allows two separate institutions, with different capabilities, to function as a single receiving entity in the event of a mass casualty incident. The street between the two institutions will be closed to traffic and a two-phase process initiated. Arriving ambulances will first be quickly screened to expedite the most critical patients followed by formal triage and directing patients to one of the two facilities. Preparation for this plan requires prior coordination between local authorities and the administrations of both institutions. This plan can serve as a general model for disaster preparedness when two or more institutions with different capabilities are located in close proximity.
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http://dx.doi.org/10.4103/0974-2700.50746 | DOI Listing |
Prehosp Disaster Med
September 2025
CACI, Inc, Falls Church, VirginiaUSA.
Introduction: Targeted identification, effective triage, and rapid hemorrhage control are essential for optimal outcomes of mass-casualty incidents (MCIs). An important aspect of Emergency Medical Service (EMS) care is field triage, but this skill is difficult to teach, assess, and research.
Study Objective: This study assessed triage efficacy and hemorrhage control of emergency responders from different professions who used the Sort, Assess, Life-Saving Treatment (SALT) triage algorithm in a virtual reality (VR) simulation of a terrorist subway bombing.
Injury
August 2025
Sheba Medical Center, Israel; James Cook University, Queensland, Australia; Department of Medicine, University of Melbourne, Australia.
Introduction: Mass casualty incidents (MCIs) involving extensive ballistic and explosive injuries place considerable pressure on healthcare resources. This study aimed to evaluate the rehabilitation resources required for individuals who sustained blast and ballistic injuries during an MCI.
Methods: A retrospective review was conducted using Electronic Medical Records (EMRs) of patients admitted to Sheba Medical Center (SMC), Israel, following an MCI on 7 October 2023.
J Emerg Med
July 2025
Department of Emergency Medicine, Hadassah University Hospital- Ein Kerem, Jerusalem, Israel; Faculty of Medicine, Hebrew University School of Medicine, Jerusalem, Israel.
Background: On October 7, 2023, approximately 2,500 Hamas terrorists infiltrated southern Israel from Gaza. Over 1,200 people were killed and 1600 were injured in the largest mass casualty incident (MCI) in Israel's history. Emergency departments (EDs) throughout the country were overwhelmed with patients and working under missile fire.
View Article and Find Full Text PDFAnasthesiol Intensivmed Notfallmed Schmerzther
September 2025
Over the past 12 months, Germany has experienced a number of significant events that have led to mass casualty incidents. Major emergencies, natural disasters and hazardous situations, including terrorism and amok, are characterized by an unexpected and simultaneous occurrence of a large number of casualties. Hospitals are key elements in the management of a mass casualty incident.
View Article and Find Full Text PDFCureus
July 2025
Medicine, Hamdard University, Karachi, PAK.
This study presents a comprehensive retrospective analysis of 300 simulated mass casualty incidents (MCIs) in Pakistan from 2010 to 2024, aiming to evaluate emergency preparedness and response strategies. It is structured across four analytical domains: descriptive statistics, exploratory data analysis (EDA), inferential statistics, and predictive modeling. Findings reveal that terrorist attacks (n=115, 38.
View Article and Find Full Text PDF