Mass casualty management

Charles M. Miramonti, Dan P. O'Donnell, Andrew C. Stevens, Elizabeth Weinstein, Josh D. Mugele, Kacy L. Allgood, Bobby A. Courtney

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Emergency medical services medical directors and EMS physicians are often called upon to play a variety of roles before, during, and after multicasualty and mass casualty incidents (MCIs). Little evidence or guidance exists to support physicians in these roles, leading to confusion, disruption, and ineffective utilization of the physician as an asset during any given MCI response. This chapter seeks to assemble best practices to provide a template for physician roles throughout the MCI response, and focuses on the medical director's role during disaster mitigation and preparedness with strategies to develop a local infrastructure of partnerships, communications, and protocols. Throughout response and recovery, medical directors should focus on facilitating patient flow and distribution instead of acute care and command, serving as a liaison under unified command. Physicians should also have an awareness of the evolving roles health care coalitions and social media play by establishing and maintaining multiagency collaboration and information exchange.

Original languageEnglish (US)
Title of host publicationMedical Oversight of EMS
Publisherwiley
Pages292-302
Number of pages11
Volume2
ISBN (Electronic)9781118990810
ISBN (Print)9781118865309
DOIs
StatePublished - Feb 12 2015

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Keywords

  • Disaster planning
  • Emergency medical services
  • Health care intelligence
  • Interinstitutional relations
  • Mass behavior
  • Mass casualty incidents
  • Physician's role
  • Surge capacity
  • Transportation of patients
  • Triage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Miramonti, C. M., O'Donnell, D. P., Stevens, A. C., Weinstein, E., Mugele, J. D., Allgood, K. L., & Courtney, B. A. (2015). Mass casualty management. In Medical Oversight of EMS (Vol. 2, pp. 292-302). wiley. https://doi.org/10.1002/9781118990810.ch106