increasing threat. failing to prepare is preparing to fail. levels: national. province. health...

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Mass Casualty Adel Mohamad Alansary, MD Ass. Prof. Anesthesia and Intensive Care Ain Shams University [email protected]

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Page 1: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Mass Casualty

Adel Mohamad Alansary, MDAss. Prof. Anesthesia and Intensive Care

Ain Shams [email protected]

Page 2: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Increasing threat.Failing to prepare is preparing to

fail.Levels:

National.Province.Health Service.

Page 3: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Outline

Preparation. Triage. Treatment.

Page 4: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Types

1. Fire2. Earthquake3. Chemical factory leaks4. Bombing 5. Multivehicle accidents6. War7. Building collapse8. Volcano9. Mass gathering

Page 5: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Preparation

Planning. Equipment:

› Personal› Medical

Training

Page 6: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Planning

Familiarity with existing plans›Ambulance service›Hospital›Special incident

Familiarity with other emergency service plansFamiliarity with local high risk sitesInvolvement in planning

Page 7: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Plan what?

Command and Control. Communication. Safety. Assessment. Triage. Treatment. Transport.

Page 8: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Equipment

• Personal protectiveoSelectionoMaintenance

• MedicaloSelectionoTrainingoMaintenance

Page 9: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Personal Protection

• Safety• Function• Durability• Comfort

Page 10: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Personal Protection

• Head• Face/Eyes• Ears• Body• Hands• Feet

Page 11: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Commander Identification

Page 12: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Personal Protection

• Individuals who are inappropriately equipped will be denied access by the Ambulance Safety Officer

Page 13: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Personal ProtectionSpecial Situations

• Consider nature of risk

• Consider level of risk

• Consider body areas at risk

Page 14: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Additional Items

• Identification• Money• Pens• Notebook• Torch• Whistle

Page 15: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Medical EquipmentTypes

• Decontamination• Triage• Life saving first

aid• Advanced life

support• Specialist

medical

Page 16: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Medical Equipment

• Medical equipment should be compatible with ambulance service equipment

Page 17: Increasing threat.  Failing to prepare is preparing to fail.  Levels:  National.  Province.  Health Service

Medical Equipment

• Medical equipment should supplement rather than duplicate, and must reflect the extended skills of the medical staff