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Major Incident Medical Management and Support: The Practical Approach in the Hospital, 2nd Edition




Major Incident Medical Management and Support: The Practical Approach in the Hospital, 2nd Edition

Advanced Life Support Group (ALSG)

ISBN: 978-1-119-50104-6 October 2018 Wiley-Blackwell 176 Pages


The new edition of Major Incident Medical Management and Support is a vital component in the blended learning course from Advanced Life Support Group (ALSG), which aims to provide hospital staff at all levels with essential information on the preparation, management and support elements of dealing with casualties in a major incident.

Split into five sections, each focuses on the elements requisite in preparing for, and responding, to a major incident. The first section discusses the epidemiology and incidences of major incidents and the structured approach to the hospital response. The second section contains the preparation required in planning for major incidents, including equipment and training. The third section covers the management of a major incident, concentrating on the clinical, nursing and management hierarchies. The fourth includes the various stages of support in a major incident, including declaring an incident and activating the plan, the reception, triage, definitive care and recovery phases of an incident. The final section focuses on special incidents which require additional consideration, including those involving hazardous chemicals, burns and children.

Written in collaboration with the National Emergency Planning, Major Incident Medical Management and Support is an invaluable reference in the emergency department and beyond for staff needing to prepare for the rare, but inevitable, hospital major incidence response.

Working group vii

Contributors to first edition viii

Preface to the second edition ix

Preface to the first edition x

Contact details and further information xi

How to use your textbook xii

PART 1: Introduction 1

1 The epidemiology and incidence of major incidents 3

2 Are we ready for the next major incident? 11

3 The structured approach to the hospital response 15

PART 2: Preparation 21

4 Planning for major incidents 23

5 Major incident equipment 27

6 Training 33

PART 3: Management 37

7 The scaleable hierarchy concept 39

8 The clinical hierarchy 43

9 The nursing hierarchy 55

10 The management hierarchy 65

PART 4: Support 79

11 Declaring a major incident and activating the plan 81

12 The reception phase 87

13 Triage 97

14 The definitive care phase 107

15 The recovery phase 111

PART 5: Special incidents 115

16 Incidents involving hazardous chemicals 117

17 Incidents involving a large number of burns 129

18 Incidents involving large numbers of children 139

Template annexe of local highlights 149

Glossary 159

Index 161