WSES Handbook of Mass Casualties Incidents Management

Yoram Kluger, MD is the chief of the division of general surgery and the medical director of the pancreatic surgery service at Rambam Health Care Campus. He is Associate Professor of Medicine at the Technion-Israel Institute of Technology's Ruth & Bruce Rappaport Faculty of Medicine. He was recently appointed chairman of the Department of Surgery at the Faculty of Medicine. Dr. Kluger received his MD from the Hebrew University Hadassah Medical School (1980) Jerusalem and completed his general surgery residency at Hadassah Medical Center. He further trained in surgery at the Allegheny Medical Center in Pittsburgh, PA, USA. Dr. Kluger was the founder and director of the Rabin Trauma Center at Tel Aviv Medical Center and the first in Israel to establish a dedicated hospitalization center for patients with multiple injuries. He is recognized worldwide for his research on medical preparedness and medical infrastructure management in mass casualty situations. Dr. Kluger's main interests are surgical oncology and trauma surgery. He holds a position on the board of the World Society of Emergency Surgery and is the Israeli delegate to the European Society for Emergency Surgery and Trauma. Dr. Kluger has published more than 220 scientific papers. Federico Coccolini, MD, is currently working as a general, emergency and trauma surgeon at the General, Emergency and Trauma Surgery Dept. of Bufalini Hospital in Cesena (Italy). His main fields of interest are emergency surgery, trauma surgery, trauma patient management, as well as emergency and trauma system organization and implementation, and abdominal surgery. He has published widely (more than 100 papers) and has written several book chapters, most of them as first author. i He is the main investigator of IROA (International Register of Open Abdomen), the widest multicenter cohort study on open abdomen patients ever performed, which is recruiting hundreds of patients from all around the world.

Preface.- Mass Casualty Incident - definitions and current reality.- Surge capacity and the concept of triage hospital.- Common wounding mechanisms and injury patterns.- EMS setup and field triage.- Emergency Department setup.- Clinical evaluation in MCI setting.- Administration, media, victim identification, family support, information center.- Nursing in MCI.- Auxiliary clinical diagnostics.- Conventional and Interventional radiology in MCI.- Operating Room (OR) setup, resource and demands.- Prioritization surgeries and damage control strategy.- Intensive Care Unit (ICU) - resources and demands.- The pediatric patient in MCI.- Tertiary survey.- Non-conventional threats in the civilian medical arena.- Managing MCI in low resource setting.- Mass Casualties Incident- education, simulation and training.- Debriefing session- the process of self-evaluation and team restoration.