Mass casualty incidents can be a seemingly overwhelming event for any sized medical treatment facility. Adhering to several principles of wartime trauma care and several major organizational structural design elements for the facility can make even an overwhelming situation much more manageable. Recognizing and following a single mission for the unit, training the personnel to deliver efficient trauma care, and understanding the principles of patient movement are three main pillars of effective mass casualty management. Likewise, piecing together the basic principles of organizational structure such as identifying the most appropriate triage officer, identifying the locations of the different triage areas, and understanding the roles of the command team will improve the organization and flow of the event and improve survival.


MASCAL Mass casualty Triage officer Patient movement Triage categories Triage Incident command system Limited resources MCI communications Alterations of care 

Suggested Reading

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    Department of Defense. Emergency war surgery: NATO handbook. Seattle: Pacific Publishing Studio; 2011.Google Scholar
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    Lynn M. Mass casualty incidents. New York: Springer; 2016.CrossRefGoogle Scholar
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    Martin M, Beekley A. Front line surgery: a practical approach. New York: Springer; 2011.CrossRefGoogle Scholar
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    Lammie JJ, Kotora JG, Riesberg JC. Combat triage and mass casualty management. In: Martin MJ, Beekley AC, editors. Front line surgery: a practical approach. New York: Springer; 2011.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jayson Aydelotte
    • 1
    • 2
  1. 1.Trauma and Surgical Critical Care, Dell Seton Medical CenterUniversity of TexasAustinUSA
  2. 2.Dell Medical SchoolUniversity of Texas at AustinAustinUSA

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