Timings of Pre-hospital Life-saving Interventions in Mass Casualty Incidents An Observational Simulation Study

The authors conducted a simulation study to examine the time intervals (TIs) pre-hospital care providers needed to perform life-saving interventions during a mass casualty incident (MCI). Overall, it took less than 130 seconds to perform all TIs except for rapid sequence induction and intubation (which took more than twice as long). They also found that administering oral fentanyl, oxygen delivery, and i-gel can be performed in similar or significantly less time compared to triage life-saving interventions and encourage incorporating these considerations into triage protocols to potentially reduce on-scene mortality and provide timely critical care.