Prehospital Mass Casualty Incident Response to a Fire in a Nursing Home in Milan, Italy: Actions Taken and Shortcomings

被引：1

作者：

Ripoll-Gallardo, Alba ^{[1
]}

D'Ambrosio, Annapaola ^{[2
]}

Manzoni, Paola ^{[1
]}

Grifone, Vincenzo ^{[1
]}

Pedrazzi, Catia ^{[2
]}

De Luca, Giovanni ^{[1
]}

Arghetti, Davide ^{[2
]}

Stellini, Armando ^{[2
]}

Zambelan, Alessandro ^{[2
]}

Ruggiero, Ilaria ^{[1
]}

Cusma-Piccione, Riccardo ^{[1
]}

Bacullo, Gianluca ^{[2
]}

Lorito, Franco ^{[1
]}

Perbellini, Paolo ^{[2
]}

Giacovelli, Matteo ^{[1
]}

De Donno, Massimo ^{[2
]}

Pela, Simone ^{[1
]}

Colzani, Giacomo ^{[2
]}

Brioschi, Elena ^{[2
]}

Chiodini, Gianliuca ^{[2
]}

Sechi, Giuseppe ^{[2
]}

Zoli, Alberto ^{[2
]}

Fumagalli, Roberto ^{[3
,4
]}

Stucchi, Riccardo ^{[1
]}

机构：

[1] ASST Grande Osped Metropolitano Niguarda, Dipartimento Emergenza & Accettaz, Agenzia Reg Emergenza Urgenza AREU, SSD AAT Milano, Milan, Italy

[2] Agenzia Reg Emergenza Urgenza AREU, Milan, Italy

[3] ASST Grande Osped Metropolitano Niguarda, Dipartimento Emergenza & Accettaz, SC Anestesia & Rianimaz 1, Milan, Italy

[4] Univ Milano Bicocca, Dept Med & Surg, Milan, Italy

来源：

DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS | 2023年 / 17卷

关键词：

evacuation; mass casualty incident; nursing home fire; START triage;

D O I：

10.1017/dmp.2023.198

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

On July 7, 2023, at 1:21 am, a fire was declared in a retirement home in Milan, Italy. The number of casualties (n = 87) according to the Simple Triage and Rapid Treatment (START) triage system was categorized as 65 green, 14 yellow, 2 red, and 6 black; 75% were women, and the mean age was 85.1 years (+/- 9). Most patients were unable to walk. A total of 30 basic life support (BLS) ambulances, 3 advanced cardiac life support (ACLS) teams on fast cars, 2 buses, and 1 coordination team were deployed. A scoop and run approach was adopted with patients being transported to 15 health care facilities. The event was terminated at 5:43 am. Though the local mass casualty incident (MCI) response plan was correctly applied, the evacuation of the building was difficult due to the age and comorbidities of the patients. START failed to correctly identify patients categorized as minor. Communication problems arose on site that led to the late evacuation of critical patients.

引用

页数：3

共 7 条

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