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Mass Casualty Incident: Definitions and Current Reality

  • Laura Lomaglio
  • Luca Ansaloni
  • Fausto Catena
  • Massimo Sartelli
  • Federico Coccolini
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

A Mass Casualty Incident (MCI) is an overwhelming event, which generates more patients at a time than locally available resources can manage using routine procedures. It requires exceptional emergency arrangements and additional or extraordinary assistance. MCIs can occur as a consequence of a wide variety of events: disasters (both natural and man-made), terrorist attacks, motor vehicle collisions, etc. Whatever the causing event is, the characterizing feature of an MCI is the number of victims large enough to disrupt the normal functioning of health care services. MCIs can be classified into different levels, according to either the number of potential victims or the entity of the response—in terms of resources—required to face them. This classification is a useful tool when redacting an MCI management plan. In fact, preparedness is the key to success in these situations; it implies consciousness that risk and vulnerability exist, and awareness by both government and local community of the benefit to plan and to have appropriate legislation. An optimal MCI/disaster management plan should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery.

Keywords

Mass casualty incident MCI management plan Disasters Disaster cycle Incident command system 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Laura Lomaglio
    • 1
  • Luca Ansaloni
    • 2
  • Fausto Catena
    • 3
  • Massimo Sartelli
    • 4
  • Federico Coccolini
    • 2
  1. 1.General Surgery Residency ProgramUniversity of MilanMilanItaly
  2. 2.Unit of General and Emergency SurgeryBufalini Hospital, AUSL RomagnaCesenaItaly
  3. 3.Emergency Surgery DepartmentParma University HospitalParmaUSA
  4. 4.General SurgeryMacerata HospitalMacerataItaly

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