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Rethinking Prehospital Response to Mass Casualty Events: Move, Treat, and Transport
Stephen C Rush1,2, Michael J Lauria3,4,5, Erik Scott DeSoucy6
1USAF Reserves, 308th Rescue Squadron, Patrick Space Force Base, FL.
Summary
This study introduces "Move, Treat, and Transport," a simplified prehospital mass casualty event (MASCAL) management approach. It addresses the gap between MASCAL training and real-world chaotic incidents, prioritizing speed and efficiency.
Area of Science:
- Emergency Medicine
- Disaster Management
- Prehospital Care
Background:
- Formal mass casualty event (MASCAL) triage systems show low utilization in real-world incidents.
- Complex algorithms, infrequent training, and chaotic environments hinder effective MASCAL response.
- Existing MASCAL management strategies often fail to account for resource limitations and tactical constraints.
Purpose of the Study:
- To present a simplified and intuitive prehospital mass casualty event management approach.
- To bridge the gap between MASCAL response training and actual field performance.
- To develop a pragmatic system for chaotic MASCAL scenarios.
Main Methods:
- Review of published studies on prehospital MASCAL management.
- Analysis of recent military prehospital MASCAL responses.
- Development of the "Move, Treat, and Transport" protocol.
Main Results:
- The "Move, Treat, and Transport" approach emphasizes speed and efficiency.
- This protocol considers critical factors like time, tactics, and event scale.
- Focus is placed on essential interventions and timely evacuation to definitive care.
Conclusions:
- "Move, Treat, and Transport" offers a simplified and pragmatic solution for prehospital MASCAL management.
- The approach is designed for intuitive use in chaotic, resource-limited environments.
- This system aims to improve response effectiveness during mass casualty events.
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