دانلود کتاب مدیریت و پشتیبانی پزشکی حوادث عمده – رویکرد عملی در صحنه

In health service terms a major incident can be defined as any incident where the location, number, severity or type of live casualties requires extraordinary resources. The number of casualties alone does not determine a major incident for the health services. Thirty minor injuries that self-evacuate from the scene may be managed effectively by one hospital without the requirement for additional pre-hospital or hospital resources. The same number of severely injured casualties will almost certainly require extraordinary resources. Certain medical resources may be very scarce (for example, intensive care beds) or regionalised (for example, burns surgery), and small incidents with relatively few casualties can therefore require early involvement of regional or national resources. Where there are large numbers of dead with few or no survivors, there is often no major incident for the health services. An incident in a remote or difficult to access location may also demand greater resources to effect the rescue of casualties.