Sudden-Onset Disaster Mass-Casualty Incident Response A Modified Delphi Study on Triage Pre-Hospital Life Support and Processes

Cuthbertson, J., Weinstein, E., Franc, J., et al. (2023). Sudden-Onset Disaster Mass-Casualty Incident Response: A Modified Delphi Study on Triage, Pre-Hospital Life Support, and Processes. Prehospital Disaster Medicine. 38(5):570-580.
The authors conducted a literature review to answer the question “What are the common denominators in the provision of mass-casualty incident triage, prehospital life support and damage control, and prehospital processes to enhance operational capacities during the prehospital management of mass-casualty incidents?” Consensus outcome statements are found in Table 2 and include feedback such as “It should be possible to perform the initial assessment without diagnostic equipment;” “Each medical first response agency should develop permissive hypotension clinical guidelines, education, and training to achieve and maintain competencies;” and “Each jurisdiction should develop contingency plans for casualty collection points (i.e., advanced medical posts, field hospitals, alternate care sites, repurposing health care facilities) to meet the demand of mass-casualty incident response.”
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