title: Challenges of major incident management when excess resources are allocated: experiences from a mass casualty incident after roof collapse of a military command center.
abstract: During a military exercise in northern Norway in March 2000, the snow-laden roof of a command center collapsed with 76 persons inside. Twenty-five persons were entrapped and/or buried under snow masses. There were three deaths. Seven patients had serious injuries, three had moderate injuries, and 16 had minor injuries. A military Convalescence Camp that had been set up in a Sports Hall 125 meters from the scene was reorganized as a causality clearing station. Officers from the Convalescence Camp initially organized search and rescue. In all, 417 persons took part in the rescue work with 36 ambulances, 17 helicopters, three ambulance airplanes and one transport plane available. Two ambulances, five helicopters and one transport aircraft were used. Four patients were evacuated to a civilian hospital and six to a field hospital. The stretcher and treatment teams initially could have been more effectively organized. As resources were ample, this was a mass casualty, not a disaster. Firm incident command prevented the influx of excess resources.
authors.affiliation: Medical Battalion, Division 6, Norwegian Defense Forces. luisro@klinmed.uio.no
authors.forename: Luis
authors.initials: L
authors.lastname: Romundstad
authors.forename: Knut Ole
authors.initials: KO
authors.lastname: Sundnes
authors.forename: Johan
authors.initials: J
authors.lastname: Pillgram-Larsen
authors.forename: Geir K
authors.initials: GK
authors.lastname: Røste
authors.forename: Mads
authors.initials: M
authors.lastname: Gilbert
mesh_terms: D003081:Cold Climate; D003252:Construction Materials; D004189:Disaster Planning / Q000458:organization & administration*; D004190:Disasters; D004631:Emergency Medical Service Communication Systems; D004632:Emergency Medical Services / Q000458:organization & administration*; D005060:Europe; D006801:Humans; D007391:International Cooperation; D007857:Leadership; D008887:Military Medicine / Q000458:organization & administration*; D009664:Norway; D018635:Rescue Work / Q000458:organization & administration*; D012914:Snow; D013997:Time Factors; D000078329:Workforce; D014947:Wounds and Injuries / Q000453:epidemiology / Q000628:therapy