Casualty Management Guidelines

The Handbook for Pandemic and Mass-Casualty Planning and Response offers the disaster medicine professional community the information and tools to better prepare, individually and collaboratively, to mitigate mortality and morbidity when catastrophe occurs. It captures the lectures and teachings of an extraordinary 12 day NATO Advanced Study Institute held in Croatia in late 2011: ‘Applying lessons learned and sharing best practices in addressing pandemics and catastrophic health events.’ The results of this event, held under the auspices of the NATO Science for Peace and Security Programme, are presented in three sections: The Context of Catastrophic Health Planning; Principles of Response to Catastrophes with Mass Casualties; and Communication and Information Sharing. The handbook presents rigorous, standardized cross-disciplinary training, such as Medical Response to Major Incidents; the need to guide medical and humanitarian efforts by ethical principles; the importance of risk communication and trustworthy information; treatment guidelines along with medical and surgical practices for amputation, burns, and blast injuries; triage guidelines and treatment algorithms; principles of mass-casualty planning; and the need to identify and correctly position -in advance- the networks and collaborative structures that must work together and share capabilities. Drawing on experts from Croatia, Slovenia, Ukraine, the United Kingdom, the Russian Federation, Italy, Spain, Mexico and the United States - and especially on Croatia’s experience handling mass casualties during its Homeland War in the 1990s - this handbook combines research and real-world examples to assist the disaster response community in preparing for mass-casualty incidents.

The aim of this booklet is to bridge the gap between rescue of a patient with an acute head injury and his or her treatment by a neurosurgeon. It provides a protocol for management of acute head injuries aimed at paramedics, all accident and emergency department staff, orthopaedic and general surgeons, casualty consultants, armed forces medics.

This manual, written by world opinion leaders in the field, is designed to provide readily accessible, step-by-step guidance on all aspects of the management of mass casualty incidents. Readers will find a wealth of helpful practical suggestions as well as information on the latest relevant scientific advances and their implications. Globally, mass casualty incidents are becoming more frequent even in unexpected places. There is a need for a dependable manual suitable for use by all who must be prepared to face mass casualty incidents, including practicing physicians, surgeons, anesthesiologists, nurses, and administrators. This book meets that need. It is the first practical manual to be devoted to the topic, and its portable format will allow it to be kept in the pocket at all times, ready for immediate consultation. The innovative nature of much of the content and the inclusion of up-to-date literature reviews ensure that the manual will remain relevant for years to come.

The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise-including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication-to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation.

This book provides guidelines for emergency managers, responders, and health care professionals to establish a mass casualty/mass fatality (MC/MF) management plan. It identifies a need for a stronger and more global management structure for MC/MF events that includes standardized practices of identification, disposition, and possible repatriation to restore the situation to pre-event levels. This book covers this comprehensive process including disaster mortuary operational response teams (DMORTs), simple triage and rapid treatment (START) and national nurse response teams. It also demonstrates leadership in MC/MF events within government agencies, the public sector and international organizations featuring case studies, scenario questions and summaries of lessons learned.

Over 700 total pages ... The JTS Clinical Practice Guidelines (CPGs) are to the greatest extent possible evidence-based. The guidelines are developed using a rigorous process that involves subject matter experts in each field evaluating the best available data. If you are interested in learning more about the process of developing CPGs, please click this link: CPG Development Process. This guide for CPG development will help lead you through the methods used to develop and monitor CPGs. The JTS remains committed to using the highest levels of analytical and statistical analysis in its CPG development process. COMPLETE LIST OF CURRENT JTS CPGs JTS CPG Documentation Process - 01 December 2017 Acute Extremity Compartment Syndrome - Fasciotomy - 25 July 2016 Acute Respiratory Failure - 23 January 2017 Airway Management of Traumatic Injuries - 17 July 2017 Amputation - 1 July 2016 Anesthesia - 23 Jun 2016.pdf Aural Blast Injury/Acoustic Trauma and Hearing Loss - 12 Aug 2016 Battle/Non-Battle Injury Documentation Resuscitation Record - 5 Dec 13 Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination - 12 August 2016 Burn Care - 11 May 2016 Catastrophic Non-Survivable Brain Injury 27 Jan 2017 Cervical & Thoracolumbar Spine Injury Evaluation, Transport, and Surgery in Deployed Setting - 05 August 2016 Clinical Mgmt of Military Working Dogs Combined - 19 Mar 2012 Clinical Mgmt of Military Working Dogs Zip - 19 Mar 2012.zip Damage Control Resuscitation - 03 Feb 2017 DCoE Concussion Management Algorithm Cards.pdf DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting Drowning Management - 27 October 2017 Emergent Resuscitative Thoracotomy - 11 June 2012 Fresh Whole Blood Transfusion - 24 Oct 12 Frostbite and Immersion Foot Care - 26 Jan 2017 Frozen Blood - 11 July 2016 High Bilateral Amputations and Dismounted Complex Blast Injury - 01 August 2016 Hyperkalemia and Dialysis in the Deployed Setting - 24 January 2017 Hypothermia Prevention - 20 Sept 2012 Infection Prevention in Combat-Related Injuries - 08 August 2016 Inhalation Injury and Toxic Industrial Chemical Exposure - 25 July 2016 Initial Care of Ocular and Adnexal Injuries - 24 Nov 2014 Intratheater Transfer and Transport - 19 Nov 2008 Invasive Fungal Infection in War Wounds - 04 August 2016 Management of Pain Anxiety and Delirium 13 March 2017 Management of War Wounds - 25 April 2012 Neurosurgery and Severe Head Injury - 02 March 2017 Nutritional Support Using Enteral and Parenteral Methods - 04 August 2016 Orthopaedic Trauma: Extremity Fractures - 15 July 2016 Pelvic Fracture Care - 15 March 2017 Prehospital Care - 24 Nov 2014 Prevention of Deep Venous Thrombosis - Inferior Vena Cava Filter - 02 August 2016 Radiology - 13 March 2017 REBOA for Hemorrhagic Shock - 06 July 2017 Unexploded Ordnance Management - 14 Mar 2017 Urologic Trauma Management - 1 Nov 2017 Use of Electronic Documentation - 5 Jun 2012 Use of MRI in Mgmt of mTBI in the Deployed Setting - 11 June 2012 Vascular Injury - 12 August 2016 Ventilator Associated Pneumonia - 17 Jul 2012