Current Trauma Reports

, Volume 4, Issue 2, pp 138–148 | Cite as

MASCAL Management from Baghdad to Boston: Top Ten Lessons Learned from Modern Military and Civilian MASCAL Events

  • John Kuckelman
  • Michael Derickson
  • William B. Long
  • Matthew J. Martin
The Military Perspective (MJ Martin and M Schreiber, Section Editors)
Part of the following topical collections:
  1. Topical Collection on The Military Perspective


Purpose of Review

This article reviews the key steps required for preparation and execution of patient care during mass casualty (MASCAL) events.

Recent Findings

The experience provided by the recent conflicts in the Middle East as well as multiple civilian attacks or incidents resulting in mass number of casualties have afforded the health care providers with a wealth of data and experience to aid in the preparation and execution when forced to deal with this type of situation.


The following compiles the lessons learned by presenting the reader with ten critical concepts that are crucial to proper preparation and deployment of resources to effectively manage and successfully approach a mass casualty event.


Mass casualty Triage Multiple trauma Active shooter Bombings Natural disasters 


Financial Disclosure

The authors have no relevant financial interests to disclose.


The views expressed are those of the authors and do not reflect the official policy of the Department of the Army, the Department of Defense, or the U.S. Government.

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • John Kuckelman
    • 1
  • Michael Derickson
    • 1
  • William B. Long
    • 2
  • Matthew J. Martin
    • 1
    • 2
  1. 1.Department of SurgeryMadigan Army Medical CenterTacomaUSA
  2. 2.Trauma and Emergency Surgery ServiceLegacy Emanuel Medical CenterPortlandUSA

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