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Extra info for Establishing a Mass Casualty Management System (PAHO Occasional Publication)

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This patient required immediate surgical care (for internal abdominal bleeding and crush syndrome). The officer in charge of the hospital triage contacted the Hospital Command Post requesting immediate access to the operating theater. This being possible, Mr. Smith was immediately transferred to the operating theater. While the anesthesiologist was preparing him for surgery, blood samples were sent to the laboratory requesting standard blood tests and blood prepared for transfusion. Mr. Smith underwent surgical amputation of the right leg and splenectomy for a ruptured spleen.

Yards (26 m2). In general, the minimum area required for an AMP is approximately 85 sq. yards (73 m2). ii. The triage area must not house more than two victims at a time. Victims will be tagged in RED/YELLOW/GREEN/BLACK. Registration will be done simultaneously and victims transferred to the appropriate treatment sub-area, where they will be stabilized. Once stable, victims will progress to the evacuation area where registration of departure will be completed. Triage Area (reception): Acute: - Triage Officer: most experienced physician (preference of experience: emergency physician, anesthesiologist, surgeon).

1 The "Noria" Principle Patient movement (whether by walking, by stretcher, by vehicle) must be in a "one way" direction and without any crossing. From impact zone site to collecting point, from collecting point to AMP entrance, from AMP entrance to treatment area, from treatment area to evacuation area, from evacuation area to hospital receiving area, from hospital receiving area to appropriate care area, the victims will be on a kind of oneway "conveyor belt," taking them from a basic first aid care level to sophisticated care level (see Figure 12).

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