The Emergency Room During Mass Casualty Incidents
Mass casualty incidents (MCIs), man-made or natural, have increased in recent years. In the 1970s, man-made events accounted for 16.5% of disasters and 4.3% of related deaths; in the 1990s, the number rose to 42.0% and 9.5%, respectively (not including “complex emergencies” involving armed conflict and a total breakdown of authority) . There are different types of MCIs, primarily categorized as either progressive disasters or a sudden disaster. A progressive disaster is easier to manage in terms of preparedness and response due to its advancing nature (Hurricane storm). However, a sudden MCI is much more challenging for the entire medical system at local, regional, and national levels. The challenges are organizational, logistical, and relate to a wide range of medical and nonmedical fields through the different pre-hospital and inter-hospital phases of the event, including triage.
Chief executive officer
Emergency medical services coordinator
Mass casualty incident
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