Rethinking Prehospital Response to Mass Casualty Events: Move, Treat, and Transport.

Autor:	Rush SC; USAF Reserves, 308th Rescue Squadron, Patrick Space Force Base, FL.; NYU Langone Medical Center, NY, NY., Lauria MJ; USAF Reserves.; Department of Emergency Medicine Divisions of Critical Care and EMS at the University of Washington, Seattle, WA.; Airflift Northwest., DeSoucy ES; Trauma, Burn and Rehabilitative Medicine Team, Sheikh Shakhbout Medical City, Abu Dhabi, UAE., Koch EJ; Department of Emergency Medicine, Navy Medicine Readiness and Training Command, Portsmouth, VA., Kamler JJ; Weill Cornell Department of Emergency Medicine, New York Presbyterian Hospital, New York, NY., Remley MA; Army Medical Department., Alway N; U.S. Army., Brodie F; U.S. Marine Corps., Barendregt P; Alaska Air National Guard., Miller K; Kentucky Air National Guard., Hines R; U.S. Army., Champagne M; 306th Rescue Squadron, Tucson, AZ., Paladino L; 106th Rescue Wing, Westhampton Beach, NY.; Department of Emergency Medicine State University New York Downstate.; Kings County Hospital Medical Center, New York, NY., Shackelford SA; Defense Health Agency Colorado Market, Colorado Springs, CO., Miles EA; U.S. Army., Dorlac WC; Pre-hospital Trauma Life Support.; University of Colorado, Trauma and Acute Surgery, Medical Center of the Rockies, Loveland, CO., Gurney JM; Joint Trauma System, SanAntonio, TX., Robb D; Uniformed Services University for Health Sciences, Washington, DC., Kue RC; 86th IBCT (MTN), VTARNG.; FEMA US&R MA-TF1.; FEMA RED IST.
Jazyk:	angličtina
Zdroj:	Journal of special operations medicine : a peer reviewed journal for SOF medical professionals [J Spec Oper Med] 2024 Oct 02; Vol. 24 (3), pp. 24-29.
DOI:	10.55460/X38F-P3RH
Abstrakt:	Herein, we present a simplified approach to prehospital mass casualty event (MASCAL) management called "Move, Treat, and Transport." Prior publications demonstrate a disconnect between MASCAL response training and actions taken during real-world incidents. Overly complex algorithms, infrequent training on their use, and chaotic events all contribute to the low utilization of formal triage systems in the real world. A review of published studies on prehospital MASCAL management and a recent series of military prehospital MASCAL responses highlight the need for an intuitive MASCAL management system that accounts for expected resource limitations and tactical constraints. "Move, Treat, and Transport" is a simple and pragmatic approach that emphasizes speed and efficiency of response; considers time, tactics, and scale of the event; and focuses on interventions and evacuation to definitive care if needed. Competing Interests: The authors have indicated they have no financial relationships relevant to this article to disclose. (2024.)
Databáze:	MEDLINE
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