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Mass casualty management

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A mass casualty incident is defined as an event which generates more patients at one time than locally available resources can manage using routine procedures. It requires exceptional emergency arrangements and additional or extraordinary assistance.

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Mass casualty management

  1. 1.  A disaster is a natural or human-made (or technological) hazard resulting in an event of substantial extent causing significant physical damage or destruction, loss of life, or drastic change to the environment.  A disaster is an event that results in a demand for services that exceeds available resources.
  2. 2. A disaster is a serious disruption of the functioning of a society, causing widespread human, material, or environmental losses that exceed the ability of the affected society to cope using only its own resources.
  3. 3. 1. Human activities play a role in the frequency and severity of disasters. 2. A natural disaster is a disruption in the balance of the environment.
  4. 4.  A mass casualty incident is defined as an event which generates more patients at one time than locally available resources can manage using routine procedures. It requires exceptional emergency arrangements and additional or extraordinary assistance.
  5. 5.  High number of casualties with serious injuries.  Insufficient availability of resources and medical personnel to move in a timely manner.  Inability to handle the wounded with the usual criteria.
  6. 6.  Every country develops such as programs or health policies according to the safety needs and danger factors for mass casualty incidence due to disasters.  Even WHO build a Mass Casualty Management Systems and defined acquired (Strategies and guidelines) for such as program.
  7. 7. • Consider social, cultural, economic, demographic situation and expected emergencies.Define project • Team of emergency response.Planning Group • country vulnerability to which dangers.Analyze Potential Problems • Resources available to build such as program (human and financial).Analyze Resources • Coordination mechanisms between members or agencies, ….etc.Role & Responsibilities • Technical and administrative organization for the emergency preparedness.Develop Strategy
  8. 8. 1. Agencies and responders: 2. Triage: 3. Treatment: 4. Transport:
  9. 9. Triage = establishing priorities of patient care for urgent treatment based on the severity of their condition while allocating limited resources. S.M.A.R.T Triage Simple Triage And Rapid Treatment
  10. 10. Initial triage: Secondary triage: • Minor injury (walking wounded)GREEN • Delayed- can waitYELLOW • Immediate!RED BLACK dead
  11. 11. 1. Ambulation. 2. Respirations. 3. Perfusion. 4. Mental status.
  12. 12.  Treatment: given in area of incidence if available or after transporting patients to health facilities.  Transport:
  13. 13.  Many lives could be saved if the affected communities were better prepared, with an organized scalable response system already in place. In addition, survivors of mass casualty incidents often suffer disabilities or health impairment – physical or psychological. These can severely strain the health sector. Again, much of this is avoidable.  In September 2006, a Global Consultation on Mass Casualty Management was held in Geneva at WHO headquarters.
  14. 14.  Experience shows that the community is the first to provide emergency assistance in such incidents.  For this reason, preparedness planning increasingly emphasizes building capacity (human, organizational and infrastructural) at the community level. Empowering communities to develop emergency management plans for mass casualty incidents requires strong involvement by health authorities at all levels, especially the national level, as well as support from other sectors.
  15. 15. When disaster strikes, nurses are needed. ANA has policy, resources, and educational opportunities for nurses on disaster preparedness. When we are a prepared profession, we can cope and help our communities recover from disasters better, faster, and stronger.

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