Intensive Care for Emergency Surgeons: Mass Casualties

  • Emmanouil A. PikoulisEmail author
  • Andreas E. Pikoulis
  • Athanasios N. Kalogeropoulos
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)


Disasters overwhelm human and material resources leaving a huge death toll behind. Healthcare systems struggle to manage and respond to major incidents with multiple casualties. Even highly specialized medical units like an ICU should plan far ahead and prepare accordingly in order to perform efficiently during a mass casualty incident. ICU response plan should focus on staff, stuff and space issues. During a major incident, both casualties and resources should be triaged, and level of treatment is adjusted accordingly. The dynamic environment and the stressful conditions of major incidents pose always a challenge. Effective ICU performance can be achieved through vigorous training and interdisciplinary cooperation. Disasters evolve through the years, and an ICU should always be prepared to accommodate terrorist victims, burn patients and CBRN casualties.


Intensive care unit Mass casualties incident Disasters preparedness Critical care 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Emmanouil A. Pikoulis
    • 1
    • 2
    • 3
    Email author
  • Andreas E. Pikoulis
    • 1
    • 2
  • Athanasios N. Kalogeropoulos
    • 1
    • 4
  1. 1.MSc “International Medicine – Health Crisis Management”, Medical School, NKUAAthensGreece
  2. 2.Department of SurgeryNational and Kapodistrian University of Athens, (NKUA)AthensGreece
  3. 3.Attiko HospitalChaidariGreece
  4. 4.Orthopaedics and TraumaHFR FreiburgerVillars-sur-GlâneSwitzerland

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