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Last updated on 2024年8月7日

You're facing a mass casualty incident. How do you decide which medical supplies to prioritize?

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In the face of a mass casualty incident, quick and effective decision-making is crucial, especially when it comes to medical supplies. You might feel overwhelmed by the urgency and scale of the situation, but understanding how to prioritize these resources can save lives. The key lies in assessing the scenario, identifying the most critical needs, and distributing supplies in a way that maximizes their impact. This article will guide you through the essential considerations to help you make informed choices during these high-pressure moments.

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Sudesh Bedi

DRR Consultant | Founder/CEO | ECO PAHADI | Harmony with nature Resilience for tomorrow | NDRF certified A Grade…
Joseph Pangaro

CSO Integra Serivces

1 Triage Basics

Triage is the process of determining the priority of patients' treatments based on the severity of their condition. In a mass casualty incident, you'll use triage to decide which medical supplies are needed first. Start by categorizing patients into immediate, delayed, or minor treatment groups. Supplies that stabilize patients in life-threatening conditions, like tourniquets for severe bleeding or airway management tools for those struggling to breathe, should be your top priority. Remember, the goal is to do the greatest good for the greatest number.

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Sudesh Bedi

DRR Consultant | Founder/CEO | ECO PAHADI | Harmony with nature Resilience for tomorrow | NDRF certified A Grade Instructor
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It may sound funny but the technique we use in the field to triage mass casualties is to filter those who shout the most. We've seen when we attempt the examinations lot's of people shout and ask for help prioritising their safety such people are conscious, fit enough to walk and mentally fit to shout. We filter them out first. We focus on silent slow victims who may not be breathing, moving or having severe bleeding condition. Such victims can not shout or move because of the pain, discomfort or confusion caused by Shock.

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Joseph Pangaro

CSO Integra Serivces
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Being prepared in advance is always the best option. Based on the size of the facility, the number of people creating medical go bags or quick response. Triage bags is the way to go. These bags can be in a centralized location or they can be placed strategically around the facility so that anyone grabs it and you’ll have multiple items.

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Ellen Nepilly, MSc, PMH-C, IBCLC

Counsellor & Coach | Perinatal Mental Health Cert | Infant Feeding Specialist | Strong cultural and cross-cultural competence | Native level English and German language skills, Fluent in Japanese
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Of course you want to stabilise patients first and stop bleeding therefore tourniquets for severe bleeding or airway management tools are a top priority

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Ahmed Mostafa

MBBCh, M.Sc., Orthopedic and Arthroscopic surgeon at Menofia University Hospitals
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Triage is a critical process especially in mass casualty incidents, where resources are limited and decisions must be made quickly. It involves assessing patients and prioritizing treatment based on the severity of their injuries and the likelihood of survival. The Goal of Triage to maximize survival and save as many lives as possible by rapid assessment and effective resource allocation. Triage Categories: *Red: Immediate - Patients with life-threatening injuries requiring immediate medical attention. *Yellow: Delayed - Patients with serious injuries but can wait for treatment. *Green: Minor - Patients with minor injuries who can wait for treatment. *Black: Deceased - Patients with unsurvivable

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2 Essential Supplies

When prioritizing medical supplies, focus on essentials that address life-threatening conditions. Hemostatic agents to control bleeding, chest seals for punctured lungs, and intravenous fluids for shock are critical. These items can make the difference between life and death in the initial minutes following an incident. Ensure you have a sufficient stock of these basics, as they will be in high demand. Balancing quality and quantity is vital; high-impact supplies that can be used quickly and effectively should be at the top of your list.

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Ahmed Mostafa

MBBCh, M.Sc., Orthopedic and Arthroscopic surgeon at Menofia University Hospitals
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The specific supplies needed for a mass casualty incident will vary depending on the nature of the event (e.g., natural disaster, terrorist attack, industrial accident). However, there are some essential supplies that are generally required such as:Trauma kits, medications, fluids and personal protective equipment.

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3 Medication Management

Medications are a cornerstone of emergency treatment, but you must be selective under mass casualty conditions. Prioritize broad-spectrum antibiotics for infection control and pain management drugs to alleviate suffering. Epinephrine for allergic reactions and life-threatening asthma attacks, as well as medications for cardiac conditions, should also be high on your list. It's important to have a system in place for tracking medication usage to prevent shortages and ensure that those in critical need receive them.

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Ahmed Mostafa

MBBCh, M.Sc., Orthopedic and Arthroscopic surgeon at Menofia University Hospitals
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Medications such as:Pain relievers, antibiotics, oxygen and Intravenous fluids For fluid resuscitation, are very important to face mass casualty incidents. It must be supplied with planties to cover cases as much as possible, to save and rescue as much as possible.

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4 Specialized Equipment

While general medical supplies are crucial, don't overlook specialized equipment that may be necessary for certain injuries. For example, if you're dealing with a building collapse, equipment for extrication and immobilization becomes a priority. This includes cervical collars and splints to prevent further injury during rescue operations. The nature of the incident will dictate which specialized tools are essential, so always assess the situation and adjust your priorities accordingly.

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5 Supportive Care

After addressing immediate life-threatening issues, consider supplies for supportive care. This includes blankets to prevent hypothermia, electrolyte solutions for hydration, and nutritional supplements. While these items might not be the first you reach for, they are essential for patient recovery and can prevent secondary complications. Ensuring comfort and care in the aftermath of a mass casualty incident is also a part of effective emergency management.

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6 Logistics Coordination

Efficient logistics coordination is the backbone of emergency supply management. You need to understand the supply chain, from procurement to distribution. Establish clear communication with suppliers to ensure a steady flow of necessary items and have a contingency plan for potential shortages. Knowing how to allocate and track supplies using an inventory management system will help maintain control over resources and ensure they reach those who need them most.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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You're facing a mass casualty incident. How do you decide which medical supplies to prioritize?

1

2

3

4

5

6

7

1 Triage Basics

2 Essential Supplies

3 Medication Management

4 Specialized Equipment

5 Supportive Care

6 Logistics Coordination

7 Here’s what else to consider

Emergency Management

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You're facing a mass casualty incident. How do you decide which medical supplies to prioritize?

1

2

3

4

5

6

7

1 Triage Basics

2 Essential Supplies

3 Medication Management

4 Specialized Equipment

5 Supportive Care

6 Logistics Coordination

7 Here’s what else to consider

Emergency Management

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