Nurses and Nursing in Mass Casualties Incidents

  • Ben Rozenblit
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)


Mass Casualties Incidents are, and will continue to be, a huge challenge to every hospital and health care system.

When trying to prepare your medical system for a MCI, one of the first steps that you need to take is deciding who will help manage/lead this type of event in your organization. My proposal is to delegate it upon your nurses.

Responding to emergencies is far more than knowing how to identify the signs and symptoms of traumatic injury or exposure to hazardous chemicals.

Effective response requires a disciplined team in which each participating individual follows clear lines of communication and performs according to clearly assigned role directions. Since most health professionals do not respond to emergencies every day, it was necessary for nurses to identify the core abilities needed to become a part of an emergency response team and perform well. The nurses and the nursing profession have been dealing with emergencies for many years now, and proof to that are in the history books.

As we look at the future, nurses will continue to be key players in local and national level emergency response. As members of the community, the basic emergency preparedness of nurses can be an example to other members of the community.

In Hospitals and other healthcare organizations, nurses are among the most flexible of staff. They often possess key clinical care, communication, and management skills that can be used to fill a wide range of roles under emergency circumstances. As hospitals and communities plan more comprehensively for a range of disaster events, it has become clear that nurses are the key for successful management of mass casualties events.

This chapter will focus on the nurses part in preparing and managing a MCI.


Nurses Nursing Mass casualties incidents Emergency room Hospital Command and control Equipment Sites Emergencies Protocol Preparedness 


  1. 1.
    Ben-Ishay O, et al. Mass casualties incidents: time to engage. World J Emerg Surg. 2016;11:8.CrossRefGoogle Scholar
  2. 2.
    Centre for Research on the Epidemiology of Disasters (CRED) Institute of Health and Society (IRSS). The numbers and trends. Université catholique de Louvain—Brussels, Belgium. Annual disaster statistical review 2016.Google Scholar
  3. 3.
    Measuring and understanding the impact of terrorism. Institute for Economics and Peace. Global Terrorism Index. 2017.Google Scholar
  4. 4.
    The contribution of nursing and midwifery in emergencies. Report of a WHO Consultation. Geneva: WHO Headquarters; 22–24 Nov 2006.Google Scholar
  5. 5.
    The role of the nurse in emergency preparedness. J Obstet Neonatal Nurs. 2012;41(2):322–24.Google Scholar
  6. 6.
    State of Israel, Ministry of Health, MCI protocol. July 2011.Google Scholar
  7. 7.
    Haim Sheba Medical Center. Emergency Department. MCI protocol.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ben Rozenblit
    • 1
    • 2
    • 3
  1. 1.RN, MPH. Emergency and Disaster ManagementTel Aviv UniversityTel AvivIsrael
  2. 2.Emergency Medicine DepartmentSheba Medical CenterRamat GanIsrael
  3. 3.Nursing SchoolTel HaShomer, Ramat GanIsrael

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