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CBRNE and HAZMAT: Be Prepared!

CBRNE and HAZMAT: Be Prepared!

by Patrick Fisk | Jan 19, 2023 | Critical Care, Grand Round Summaries, Mass Casualty / Disaster, Resuscitation

This post seeks to provide some insights and discussion around CBRNE events (Chemical, Biological, Radioactive, Nuclear and Explosive). We want to review procedures within a mass casualty CBRNE event, principles related to decontamination, PEE, and review the...
Using Simulation for COVID-19 Preparation

Using Simulation for COVID-19 Preparation

by Lindsay Cheskes, Josee Malette | Jan 7, 2021 | COVID-19, Featured, Grand Round Summaries, Mass Casualty / Disaster, Resuscitation

In situ simulation, informally thought of as “crash testing the dummy”, is defined as a team-based training technique conducted within the actual patient care environment, involving members of the healthcare team using equipment and resources from the...
Blast Injuries: What you Need to Know!

Blast Injuries: What you Need to Know!

by Richard Hoang | Aug 22, 2019 | Critical Care, Mass Casualty / Disaster, Pre-Hospital, Trauma

Blast injuries resulting from explosions have the capacity to cause life-threatening multisystem injuries in multiple victims simultaneously. The biggest potential challenge in managing blast injuries is the creation of large numbers of simultaneous critically ill...
Code Orange: Lessons Learned from the Westboro Bus Collision

Code Orange: Lessons Learned from the Westboro Bus Collision

by Harrison Carmichael, Richard Hoang, Shankar Sethuraman | Jun 6, 2019 | Grand Round Summaries, Mass Casualty / Disaster, Quality Improvement, Resuscitation, Trauma

A Code Orange is a hospital-scale response to any event or group of events that results in a patient influx that outstrips available hospital resources. It realigns the way the hospital functions to support the emergency department and rapidly increases the number of...
Mass Gathering Medicine: The New Frontier

Mass Gathering Medicine: The New Frontier

by Jillian Coleby, Richard Hoang, Shankar Sethuraman | Feb 28, 2019 | Grand Round Summaries, Mass Casualty / Disaster, Pre-Hospital

Mass gathering medicine (MGM) is an exciting niche field of emergency medicine focused on providing emergency medical care at large events. Mass gatherings, as the name implies, are events in which “large numbers of people assemble in public or private spaces to...
EMS Bootcamp – An introduction to pre-hospital medicine

EMS Bootcamp – An introduction to pre-hospital medicine

by Richard Hoang | Nov 22, 2018 | Mass Casualty / Disaster, Medical Education, Pre-Hospital

As dedicated in-hospital emergency providers, few of us truly understand or get to experience the difficulties and unique challenges facing our pre-hospital colleagues. Beyond the EMS handover and transfer of patient care, we seldom interact with this large and...
Introduction to Tactical Combat Casualty Care (TCCC)

Introduction to Tactical Combat Casualty Care (TCCC)

by Richard Hoang | Jul 19, 2018 | Featured, Mass Casualty / Disaster, Pre-Hospital

TCCC (Tactical combat casualty care) outlines the priorities of care for casualties in combat applications Nearly 90% of combat fatalities occur before reaching a medical treatment facility Prehospital phase is the focus of efforts to reduce deaths in combat TCCC...
Code Silver: Sanctuary Under Fire

Code Silver: Sanctuary Under Fire

by Julie Kim, Richard Hoang | Feb 22, 2018 | Featured, Grand Round Summaries, Mass Casualty / Disaster

A Code Silver represents the planned response for a person with a weapon within the hospital. The Ontario Hospital Association has recommended the addition of Code Silver to separate the response of a person who is actively killing from that of a hostage situation...
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