Reconsidering the Resources Needed for Multiple Casualty Events: Lessons Learned From the Crash of Asiana Airlines Flight 214

JAMA Surgery
Eric M CampionRachael A Callcut

Abstract

To date, a substantial portion of multiple casualty incident literature has focused exclusively on prehospital and emergency department resources needed for optimal disaster response. Thus, inpatient resources required to care for individuals injured in multiple casualty events are not well described. To highlight the resources beyond initial emergency department triage needed for multiple casualty events, using one of the largest commercial aviation disasters in modern US history as a case study. Prospective case series of injured individuals treated at an urban level I trauma center following the crash of Asiana Airlines flight 214 on July 6, 2013. This analysis was conducted between June 1, 2014, and December 1, 2015. Commercial jetliner crash. Medical records, imaging data, nursing overtime, blood bank records, and trauma registry data were analyzed. Disaster logs, patient injuries, and blood product data were prospectively collected during the incident. Among 307 people aboard the flight, 192 were injured; 63 of the injured patients were initially evaluated at San Francisco General Hospital and Trauma Center (the highest number at any of the receiving medical facilities; age range, 4-74 years [23 were aged <17 years and 3 ...Continue Reading

Citations

Apr 8, 2018·Journal of the Royal Army Medical Corps·Seth MakinK McDevitt
Dec 29, 2018·AORN Journal·Lisa Spruce
May 2, 2020·International Journal of Environmental Research and Public Health·Karin HugeliusAnnsofie Adolfsson
Dec 22, 2016·The Journal of Trauma and Acute Care Surgery·M Margaret Knudson
Apr 8, 2020·Vox Sanguinis·Glenn Ramsey
Nov 23, 2018·The Journal of Surgical Research·Jane Y ZhaoWeidun Alan Guo
Jul 7, 2021·World Medical & Health Policy·Timothy DeVitaRebecca Katz

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