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High Velocity Gun Shot Wounds & Bomb Blast Injuries

Network Event - September 2011

Programme - Joint Network Event September 2011

Learning from the Military
This event was run by the Network, to support greater resilience in responding to mass casualty incidents involving patients with high velocity gun shot and bomb blast injuries.
It was attended by 180 senior clinical staff from critical care, emergency departments, trauma, and ambulance services as well as members of the DH Emergency planning team.

Our three Military speakers helped us consider

mechanisms of injuries;
managing catastrophic haemorrhage – the CABC approach;
novel haemostatics that arise;
changing mind-sets: rapid access to surgery and staging surgical interventions for patients so that ”enough” is done for “many”;
assessing likely impact on organisations and departments in handling many casualties simultaneously and successfully responding to this challenge.
Definitive clinical messages included

manage catastrophic haemorrhage first
into damage limitation surgery fast
consumables stockpile intelligence
Together we identified ways to save more lives by

changing practice in exceptional circumstances;
getting the most out of the resources available at the time, within an organisation from ED to theatre, to ICUs;
informing critical care practice (should it come to the time)
With grateful thanks to Colonel Rob Russell RAMC, Wing Commander Simon Turner RAF and Major Tom Konig RAMC.

Mass Casualty Emergency Department & Critical Care Consumables List

This list describes high volume clinical consumables required in the event of mass casualties. It has been produced by multi disciplinary clinical staff. It supports stockpile intelligence and emergency restock situations.