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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: The role of the intensive care physician in mass casualty incidents: planning, organisation, and leadership. | Available online http ccforum.eom content 12 3 214 Review Clinical review The role of the intensive care physician in mass casualty incidents planning organisation and leadership Peter J Shirley and Gerlinde Mandersloot Royal London Hospital Whitechapel London E1 1BB UK Corresponding author Peter Shirley Peter.Shirley@bartsandthelondon.nhs.uk Published 14 May 2008 This article is online at http ccforum.com content 12 3 214 2008 BioMed Central Ltd Critical Care 2008 12 214 doi 10.1186 cc6876 Abstract There is a long-standing broad assumption that hospitals will ably receive and efficiently provide comprehensive care to victims following a mass casualty event. Unfortunately the majority of medical major incident plans are insufficiently focused on strategies and procedures that extend beyond the pre-hospital and early-hospital phases of care. Recent events underscore two important lessons a the role of intensive care specialists extends well beyond the intensive care unit during such events and b non-intensive care hospital personnel must have the ability to provide basic critical care. The bombing of the London transport network while highlighting some good practices in our major incident planning also exposed weaknesses already described by others. Whilst this paper uses the events of the 7 July 2005 as its point of reference the lessons learned and the changes incorporated in our planning have generic applications to mass casualty events. In the UK the Department of Health convened an expert symposium in June 2007 to identify lessons learned from 7 July 2005 and disseminate them for the benefit of the wider medical community. The experiences of clinicians from critical care units in London made a large contribution to this process and are discussed in this paper. Introduction 7 July 2005 witnessed the first suicide bombing on the UK mainland targeting the public in London. The multiple bomb explosions on the London Underground and bus transport system resulted in
