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...
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...
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...
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...
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...
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...
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...
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...