Question

* 4 paragraphs 1. Disaster Management: Topic: Mass Shooting a. Review the literature of lessons hospitals learned from caring for mass shooting victims b. List and Discuss at least 5 lessons learned to improve future responses when caring for mass shooting victims.

Answer 1

Review of literature:

.Las Vegas Hospitals Call For Backup To Handle Hundreds Of Shooting Victims. Hospitals are prepared to build capacity,"They'll get the most critical patients into surgery quickly, they'll stabilize more in the ER and some will even be treated in the lobby.

They are focusing on how they can save lives moving forward. First, Liao said, is “primary prevention.” This includes broad, long-term concerns such as firearm safety, health care research and mental health counseling.

During texas incident, For secondary prevention, more whole blood units have been placed in EMS vehicles — both ambulances and air carriers around a 54,000-square-mile radius in South Texas.

“When people die, they die of hemorrhage,” And they advocate for more “Stop the Bleed” training classes. The classes are part of a Texas and nationwide campaign to teach bystanders how to act quickly to stop rapid blood loss due to an injury.

We have to prepare more. We have to drill more. We do have regular disaster type of drills but not mass shooting drills.”

Lessons learned:

1) very active disaster preparedness committees is to be formulated that regularly plan and execute disaster drills, which involve coordinated responses from multiple agencies
2) debriefing for staff members should be carried out and engage nurses in self-advocacy.

3) be prepare to expand emergency department area by using existing resourcses, making room in the Emergency Department for casualties by admitting, discharging or asking existing patients to wait if medically possible

4) Mobilize physicians, nurses, and first responders. To prepare for the sudden influx of patients, hospital officials will need to call in additional staff and, if needed, coordinate with first responders from local fire departments.

5) activating an incident command system; and implementing disaster triage. Note that during a mass casualty event not all patients arrive at hospitals at the same time, and many do not arrive via ambulance

6) not to overcommit resources to those less injured who usually are the first to arrive, but to conserve resources for the more highly injured patients from the disaster scene.

7) Hospital staff should deploy all available hands—even civilian bystanders—to stop bleeding. Use tourniquets, apply direct pressure to the injury, or pack it with gauze or other material. train physicians to teach bystanders effectively and quickly how to provide care, teaching civilians to stop bleeding

8) continuously review and update based on recent events