Mass casualty management: Jos University Teaching Hospital experience.
Three experiences of management of mass casualties in Jos University Teaching Hospital were analysed. Classification into minor, moderate and major mass casualties was done using multiple criteria of number of casualties, number of doctors required to contain the situation, number of nurses and paramedical staff, degree of distruption of hospital services and time required to handle the immediate stabilisation of the casualties. The classification recognises a category called "regional disaster" and attempts to enunciate a principle of initiation, mobilisation and co-ordination of management of such disasters among hospitals and human and material resources within the region. It is envisaged that coalescence of "regional disaster preparedness" would from the bedrock of national ambulance services system.
Nwadiaro
H C
HC
Department of Surgery, Jos University Teaching Hospitals, P.M.B. 2076 Jos, Nigeria.
Iya
D
D
Yiltok
S J
SJ
Kidmas
A T
AT
D000063:Accidents, Traffic / Q000706:statistics & numerical data; D002985:Clinical Protocols; D004189:Disaster Planning / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D008485:Medical Audit; D009104:Multiple Trauma / Q000145:classification / Q000453:epidemiology / Q000628:therapy*; D020380:Needs Assessment; D009549:Nigeria / Q000453:epidemiology; D012017:Referral and Consultation / Q000458:organization & administration; D012041:Regional Medical Programs / Q000458:organization & administration; D012189:Retrospective Studies; D013996:Time and Motion Studies; D014218:Triage / Q000458:organization & administration