Initial Response and Triage in Mass Shooting Incident
In a case study involving a multiple gunshot wounds scenario at a local sporting event, responders face challenges of limited resources amidst high casualties. The urgency of disaster detection, incident command, and patient sorting unfolds as they encounter various critical cases, including severe hemorrhages, respiratory distress, and fatalities. With immediate, delayed, and expectant patients requiring quick and precise assessment and treatment, the operational dynamics of triage and prioritization in such dire situations are vividly portrayed.
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Presentation Transcript
MCI CASE STUDY Section 2
CASE STUDY Multiple GSW at Local Sporting Event You and partner respond (one ambulance) 10 casualties
INITIAL CONSIDERATIONS DISASTER Detection Multi-Casualty event Needs are greater than resources Incident Command Scene Safety/Security Active shooter? Secondary devices?
INITIAL SORTING OF PATIENTS Walk 2 patients Wave 3 patients (1 with obvious severe hemorrhage) Still 5 patients
STILL Immediate 29 yr male GSW left chest, radial pulse present, severe respiratory distress Consider needle decompression Expectant 8 yr female GSW head (through and through), visible brain matter, respiratory rate of 4, radial pulse present Dead 50 yr male GSW to abdomen, chest, and extremity, no movement or breathing
STILL - CONT. 40 yr female GSW neck with gurgling respirations, marked respiratory distress, radial pulse present Immediate Dead 16 yr male GSW right chest. No respiratory effort
WAVING DELAYED** IMMEDIATE 14 year male GSW right upper extremity, active massive hemorrhage, good pulses **after tourniquet LSI IMMEDIATE 65 year male Severe chest pain, diaphoretic, obvious respiratory distress, no obvious GSW DELAYED 22 year female GSW right lower extremity, good pulses, no active bleeding
WALKED Minimal 29 yr male Superficial GSW in the skin of left upper extremity Delayed 37 yr male GSW left hand. Exposed muscle, tendon and bone fragments, peripheral pulse present
