The Boston bombing incident was a recent civilian mass casualty terrorist event that demonstrated effective transfer of the lessons of combat casualty care to inform effective civilian medical care. Thirty-nine patients were seen at Brigham and Women's Hospital and thirteen patients received emergency surgery in the first few hours after the event. The subsequent management, total hospital days...

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...

To those familiar with the Robert Jones and Agnes Hunt Orthopaedic Hospital it may at first seem a little incongruous that a hospital whose past reputation was founded on 'cold orthopaedics' should concern itself with problems of trauma and the casualty department. The reason is not because we are concerned about the little trauma we receive from the surrounding countryside but because all of t...

Antarctica is one of the most remote regions on Earth. Mass casualty incident (MCI) responses in Antarctica are prone to complications from multiple environmental and operational challenges. This review of the current status of MCI risks and response strategies for Antarctica focuses on aeromedical evacuation, a critical component of many possible MCI scenarios. Extreme cold and weather, a lack...

A. Donner, C. Adler, M. Ben-Amar, and M. Werner 1 DLR, Institute of Communications and Navigation, Münchner Str. 20, 82234 WeßlingOberpfaffenhofen, Germany 2 Ludwig-Maximilians-Universität München, Departement Psychologie, Leopoldstr. 13, 80802 München, Germany 3 Euro-DMS Ltd., Anzengruberstr. 10A, 82140 Olching, Germany 4 TriaGnoSys GmbH, Argelsrieder Feld 22, 82234 Weßling, Germany anton.donn...

Violence fromexplosivesand firearms results inmass casualty events inwhich the injured havemultiple penetrating and soft tissue injuries. Events such as those in Boston,Massachusetts;Newtown,Connecticut;andAurora, Colorado, as well as those in other locations, such as Europe and the Middle East, demonstrate that civilian trauma may at times resemble that seen in a combat setting. As the civilia...

To discover new experience-based clinical and care delivery knowledge learned in the Iraq and Afghanistan combat zones, 107 Air Force, Army, and Navy nurses were interviewed. Eight areas of experiential knowledge were identified in the new care delivery system that featured rapid transport, early trauma and surgical care, and expeditious aeromedical evacuation: (1) organizing for mass casualtie...