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Disasters and Mass Casualty Incidents

The Nuts and Bolts of Preparedness and Response to Protracted and Sudden Onset Emergencies

  • Book
  • © 2019

Overview

Editors:
  1. Mauricio Lynn

    1. Miller School of Medicine, University of Miami, Miami, USA

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  2. Howard Lieberman

    1. Miller School of Medicine, University of Miami Health System, Miami, USA

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  3. Lior Lynn

    1. Lynn Therapy, Pembroke Pines, USA

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  4. Gerd Daniel Pust

    1. Miller School of Medicine, University of Miami Health System, Miami, USA

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  5. Kenneth Stahl

    1. Miller School of Medicine, University of Miami Health System, Miami, USA

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  6. Daniel Dante Yeh

    1. Miller School of Medicine, University of Miami Health System, Miami, USA

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  7. Tanya Zakrison

    1. Miller School of Medicine, University of Miami Health System, Miami, USA

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  • Written by world experts in the field of MCI management.

  • Contains real-life lessons learned.

  • Provides a practical, standard and protocol driven approach.

  • Contains algorithms / checklists for rapid response to events.

  • Fully updated and expanded new edition.

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Table of contents (30 chapters)

  1. Front Matter

    Pages i-xii
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  2. Planning and Response to Sudden Mass Casualty Incidents

    1. Front Matter

      Pages 1-1
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    2. General Information

      • Mauricio Lynn
      Pages 3-9

    3. Prehospital Planning and Response to Sudden Mass Casualty Incidents

      • Mauricio Lynn
      Pages 11-28

    4. Hospital Planning and Response to Sudden Mass Casualty Incidents

      • Mauricio Lynn
      Pages 29-58

    5. Medical Challenges in Managing Blast Injuries

      • Mauricio Lynn
      Pages 59-62

    6. Medical Aspects of Volcanic Eruptions

      • Bradley S. Moffat
      Pages 63-65

    7. Burns Mass Casualty Incident

      • Mauricio Lynn, Nicholas Namias
      Pages 67-69

    8. Medical Response to Mass Shootings

      • Bradley S. Moffat
      Pages 71-74

    9. Use of Tourniquets in Mass Casualty Incidents and “Stop the Bleed” Program

      • Mauricio Lynn
      Pages 75-78

    10. Psychological Considerations in the Aftermath of School Sudden Mass Casualty Incidents

      • Lauren Zakaib
      Pages 79-80

    11. Planning the Medical Response to Earthquakes

      • Mauricio Lynn
      Pages 81-84

    12. Search and Rescue Techniques in the Aftermath of Earthquakes

      • Mauricio Lynn
      Pages 85-86

    13. Management of Crush Injuries and Crush Syndrome

      • Mauricio Lynn
      Pages 87-88

  3. Non-conventional Sudden Mass Casualty Incidents

    1. Front Matter

      Pages 89-89
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    2. Decontamination for Chemical Exposure: At the Scene or at the Hospital?

      • Mauricio Lynn
      Pages 91-93

    3. Hospital Planning and Response for Sudden Chemical Mass Casualty Incidents

      • Mauricio Lynn
      Pages 95-99

    4. Medical Principles for the Management of a “Dirty Bomb”

      • Mauricio Lynn
      Pages 101-102

  4. Special Considerations in Management of Sudden Mass Casualty Incidents

    1. Front Matter

      Pages 103-103
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    2. Maritime Sudden Mass Casualty Incidents

      • Mauricio Lynn
      Pages 105-106
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Keywords

About this book

Mass Casualty events may occur as a result of natural or human-caused disasters or after an act of terrorism. The planning and response to disasters and catastrophes needs to take into consideration the distinction between progressive   and sudden events. Insidious or slowly progressive disasters produce a large number of victims but over a prolonged time period, with different peaks in the severity of patients presenting to the hospital. For example, radiation events will produce a large number of victims who will present days, weeks, months, or years after exposure, depending on the dose of radiation received. The spread of a biological agent or a pandemic will produce an extremely high number of victims who will present to hospitals during days to weeks after the initial event, depending on the agent and progression of symptoms.


On the other hand, in a sudden disaster, there is an abrupt surge of victims resulting from an event such as an explosion or a chemical release. After the sarin gas attack in a Tokyo subway in 1995, a total of 5500 victims were injured and required medical attention at local hospitals immediately after the attack. The car bomb that exploded near the American Embassy in Nairobi, Kenya, killed 213 people and simultaneously produced 4044 injured patients, many requiring medical care at local hospitals. The Madrid train bombing in March 2004 produced more than 2000 injured victims in minutes, overwhelming the city’s healthcare facilities. More than 500 injured patients were treated at local hospital after the mass shooting in Las Vegas. Finally, earthquakes may produce a large number of victims in areas in which the medical facilities are partially or completely destroyed. Sudden events bring an immediate operational challenge to community healthcare systems, many of which are already operating at or above capacity.


The pre-hospital as well as hospital planning and response to sudden mass casualty incidents (SMCI’s) is extremely challenging and requires a standard and protocol driven approach.  Many textbooks have been published on Disaster Medicine; although they may serve as an excellent reference, they do not provide a rapid, practical approach for management of SMCI’s. 



The first edition of “Mass Casualty Incidents: The Nuts and Bolts of Preparedness and Response for Acute Disasters” dealt exclusively with sudden mass casualty incidents. 
The second edition will expand its focus and include planning and response for insidious and protracted disasters as well. 


This new book is designed to provide a practical and operational approach to planning, response and medical management of sudden as well as slow progressive events.  The target audience of the second edition will be health care professionals and institutions, as well as allied organizations, which respond to disasters and mass casualty incidents.  



Parts I and II are essentially the first edition of the book and consist of planning of personnel, logistic support, transport of patients and equipment and response algorithms.  These 2 parts will be revised and updated and include lessons learned from major mass shootings that occurred recently in the United States and other parts of the world 


Part III will describe the planning process for progressive disasters and include response algorithms and checklists.


Part IV will handle humanitarian and mental health problems commonly encountered in disaster areas.


Part V will deal with team work and communication both critical topics when handling catastrophes and mass casualty incidents. 


This new book will be a comprehensive tool for healthcare professionals and managers and should perform demonstrably better in sales and downloads.  It will be of value at the pre-hospital as well as the hospital level, to plan and respond to the majority of catastrophes and mass casualty incidents.

Reviews

“This book provides a very simplified description of the issues surrounding a mass casualty situation. It does not provide recommendations which are not already covered in other emergency medical service, emergency medicine, trauma surgery, or toxicologic references.” (Daniel Joseph McCabe, Doody's Book Reviews, March, 2018)​

Editors and Affiliations

  • Miller School of Medicine, University of Miami, Miami, USA

    Mauricio Lynn

  • Miller School of Medicine, University of Miami Health System, Miami, USA

    Howard Lieberman, Gerd Daniel Pust, Kenneth Stahl, Daniel Dante Yeh, Tanya Zakrison

  • Lynn Therapy, Pembroke Pines, USA

    Lior Lynn

About the editors

Mauricio Lynn
University of Miami Miller School of Medicine
Jackson Memorial Hospital
Miami, FL
USA
 
Howard Lieberman
University of Miami Miller School of Medicine
Jackson Memorial Hospital
Miami, FL
USA
 
Lior Lynn
Lynn Therapy, LLC
Pembroke Pines, FL 
USA
 Gerd Daniel Pust
University of Miami Miller School of Medicine
Jackson Memorial Hospital
Miami, FL
USA
 
Kenneth Stahl
University of Miami Miller School of MedicineJackson Memorial Hospital
Miami, FL
USA
 
D. Dante Yeh
University of Miami Miller School of Medicine
Jackson Memorial Hospital
Miami, FL
USA
 
Tanya L. Zakrison
University of Miami Miller School of Medicine
Jackson Memorial Hospital
Miami, FL
USA

Bibliographic Information

  • Book Title: Disasters and Mass Casualty Incidents

  • Book Subtitle: The Nuts and Bolts of Preparedness and Response to Protracted and Sudden Onset Emergencies

  • Editors: Mauricio Lynn, Howard Lieberman, Lior Lynn, Gerd Daniel Pust, Kenneth Stahl, Daniel Dante Yeh, Tanya Zakrison

  • DOI: https://doi.org/10.1007/978-3-319-97361-6

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2019

  • Softcover ISBN: 978-3-319-97360-9Published: 23 November 2018

  • eBook ISBN: 978-3-319-97361-6Published: 10 November 2018

  • Edition Number: 2

  • Number of Pages: XII, 171

  • Number of Illustrations: 6 b/w illustrations, 75 illustrations in colour

  • Topics: General Surgery, Traumatic Surgery, Emergency Medicine, Surgical Orthopedics, Health Administration, Nursing

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