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Peep Talving, Joseph DuBose, Galinos Barmparas, Kenji Inaba, Demetrios Demetriades |
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Terrorist violence has emerged as an increasingly
common cause of mass casualty incidents (MCI) due to
the sequelae of explosive devices and shooting massacres.
A proper emergency medical system disaster
plan for dealing with an MCI is of paramount importance
to salvage lives. Because the number of casualties
following a MCI is likely to exceed the medical
resources of the receiving health care facilities, patients
must be appropriately sorted to establish
treatment priorities. By necessity, clinical signs are
likely to prove cornerstones of triage during MCI. An
appropriate and effective application of experiences
learned from the use of selective nonoperative management
(SNOM) techniques may prove essential in
this triage process. The present appraisal of the
available literature strongly supports that the appropriate
utilization of these clinical indicators to identify
patients appropriate for SNOM is essential, critical,
and readily applicable. We also review the initial
emergent triage priorities for penetrating injuries to
the head, neck, torso, and extremities in a mass
casualty setting. |
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