Organizing the Trauma Team in the Military and Civilian Settings

  • Michael B. Yaffe
  • Alok Gupta
  • Allison Weisbrod
  • James R. Dunne


A large influx of patients can strain resources at either a military or a civilian hospital. Overwhelming the hospital available resources and subsequent alteration of goals of care from doing the best for each individual to the best for the most individuals is disaster medicine and triage. Steps may be taken to minimize the impact of these situations. Pre-event planning is one of the crucial elements to success in disaster situations. Another critical component is the identification and eradication of “bottlenecks.” One area of bottlenecking is the availability of the operating room. This may be overcome with a standardized multidisciplinary intraoperative approach. A third is streamlining daily care which allows the care team to provide a high level of care for a large number of patients while at the same time engaging the patients in their care. Many challenges exist in disaster situations, but each may be overcome with planning and willingness to streamline routine practices. What follows is a description of the military and civilian approach to disaster management.


CONUS evacuation Rounds Staffing Operating room logistics 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Michael B. Yaffe
    • 1
  • Alok Gupta
    • 2
  • Allison Weisbrod
    • 3
  • James R. Dunne
    • 4
  1. 1.Acute Care Surgery, Trauma and Surgical Critical CareBeth Israel Deaconess Medical CenterBostonUSA
  2. 2.Division of Acute Care Surgery, Trauma, and Critical CareBeth Israel Deaconess Medical Center, Harvard Medical SchoolBostonUSA
  3. 3.Department of SurgeryNaval Hospital Camp LejeuneCamp LejeuneUSA
  4. 4.Department of Trauma/Surgical Critical CareMemorial Health University Medical CenterSavannahUSA

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