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miércoles, 7 de septiembre de 2016

Prepare for mass casualty incidents

Trauma System News
Trauma centers: Prepare for mass casualty incidents by understanding the 10 predictable stages of disruption
Trauma Systems News - July 22, 2016 - By Potter C
"Mass casualty incidents (MCIs) seem to strike at random. That is one reason why these incidents — particularly mass shootings — are so frightening. But while the timing and location of most MCIs are unpredictable, the way these events play out at a trauma center is not.
Longstanding research shows that no MCI is truly unique — whether it is a natural disaster such as an earthquake, hurricane, flood or tornado, or the result of human violence. At the receiving hospital, an MCI triggers a sequence of disruptions that follow a predictable pattern.
Not every disruption occurs in every event, but all of them are possible. And the larger the MCI, the more likely it is that the trauma center will experience every one of these problems:
  1. Communication breakdown creates confusion at trauma center
  2. Minimally injured arrive in first wave of patients
  3. “Convergers” descend on hospital
  4. Medical volunteers begin to appear
  5. Demand surges for supplies and equipment
  6. Demand surges for rooms and beds
  7. Recordkeeping systems become overloaded
  8. The need for compassionate care increases
  9. Caregiver needs return to the forefront
  10. The trauma center becomes the victim
Learn more
Preparing for a mass casualty incident requires careful planning and extensive collaboration. To learn more, read U.S. Trauma Center Preparedness for a Terrorist Attack in the Community. This CDC-funded report (R49 CE000792-01) from the Trauma Center Association of America identifies best practices and profiles several hospitals that define excellence in MCI preparedness. In addition, read “Déjà vu: This Is Not a Drill” in the upcoming August issue of Homeland Security Today."