Trauma, multiple casualties
L.Dadák, M.D.
St. Ann's University Hospital Brno, Czech Republic

Multiple casualties
4 several causalties at the same time.
1. Alarm ER services
2. Assess the scene  - without puting your safety  at risk.
3. Triage
 'do the most for the most'

Triage
4Ability to walk
4Airway
4Respiratory rate
4Pulse rate or capillary return
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Road accidents
4fall from a bicycle …. major incident with many causalties.
4serious risks to safety - traffic

1. Make the area safe
4protect yourself,  the causalty and other road users.
–Park your car safely, turn lights on, set hazard lights flashing.
–Do not across a bussy motorway to reach other side
–Set others to warn other comming drivers
–Set up warning triangles or lights 200 metres in each direction.
4Swich off ignition of any damaged vehicle.
4Is anyone smoking?

2. Check all caulsalties
4quick assess
4no moving
4apply life-saving treatment

3. Treat
4in the position found
4first life-threatening or potentialy serious injuries

4. search all area
4Shocked victims


How to move unconscious casualty
4do not move the casualty unless it is absolutely necessary
4assume neck injury until proved otherwise
–support head and neck with your hands, so he can breathe freely
Apply a collar, if possible
–There should be only 1 axis (head, neck, thorax)
no moving to sides, no flexion, no extension.
–with other 3-4 people
1 support head (he is directing others), other one  shoulders and chest, other one hips and
abdomen, last one - legs.