Triage and hospital surge plan
The term 'mass-casualty incident' indicates any situation in which the number and severity of casualties exceed accessible medical resources. To ensure the best efficiency it is essential to quickly distinguish life-threatening injuries and determine the priority of treatment and transport of the wounded as well as to differentiate patients who cannot be saved. To facilitate the process, we can use one of several triage models (e.g. Triage and identification tags which evaluate victim's respiration, circulation and state of consciousness). In this algorithm, one can try to treat basic types of injuries caused in a multiple-vehicle collision.
Review
The problematics of urgent medicine characterised by a large number of injured in one incident, has its own specifics. It is not possible to follow common schemes of examination and treatment used in standard conditions. Cooperation of all sections of emergency services and hospitals is important for providing the necessary urgent medical care. The objective is to minimalise both health and material consequences of the mass casualty incident. The authors of this learning material have purported to clarify the differences in providing medical care in aforementioned exceptional circumstances.
Sources
GREAVES, Ian a Keith PORTER. Oxford handbook of pre-hospital care. Oxford: Oxford University Press, 2007. ISBN 9780198515845
ŠEBLOVÁ, Jana a Jiří KNOR. Urgentní medicína v klinické praxi lékaře. Praha: Grada, 2013. ISBN 9788024744346
DOBIÁŠ, Viliam, Táňa BULÍKOVÁ a Peter HERMAN. Prednemocničná urgentná medicína. 2. ed. Martin: Osveta, 2012. ISBN 9788080633875
Česká lékařská společnost J.E. Purkyně Společnosti urgentní medicíny a medicíny karastrof. Doporučený postup č. 18 - Hromadné postižení zdraví - postup řešení zdravotnickou záchrannou službou v terénu [online]. 2011 (accessed 30. 1. 2017). Available at: https://www.urgmed.cz/postupy/2011_HPZ.pdf
Česká lékařská společnost J.E. Purkyně. Třídící a identifikační karta pro lékařské třídění při hromadném postižení zdraví na uzemí ČR online]. 2009 (accessed 11. 5. 2017). Available at: https://www.urgmed.cz/postupy/2009_visacka.pdf
URBÁNEK, Pavel. Hromadná postižení zdraví – modelové postupy a řešení v přednemocniční péči. Brno, 2007. Dissertation. Masaryk University, Faculty of Medicine. Supervisor Michal Mašek.
