Global & Disaster Medicine

Archive for the ‘Mass fatalities’ Category

November 5, 2009: 13 are killed and more than 30 others are wounded when a U.S. Army officer goes on a shooting rampage at Fort Hood, TX

October 23, 1983: A suicide bomber drives a truck packed with explosives into the U.S. Marine barracks in Beirut, killing 241 U.S. military personnel.

“….58 French soldiers were killed in their barracks two miles away in a separate suicide terrorist attack…..”

39 people were found dead in a truck container at an industrial park in Essex, 30 kilometers east of London. Human trafficking gone awry?


10/16/1991: one of the deadliest shootings in U.S. history.


“George Jo Hennard drives his truck through a window in Luby’s Cafeteria in Killeen, Texas, and then opens fire on a lunch crowd of over 100 people, killing 23 and injuring 20 more. Hennard then turned the gun on himself and committed suicide……”

Civilian Public Mass Shooting in the US: Who died, how they died, and was the death preventable?


J Am Coll Surg. 2019 Sep;229(3):244-251. doi: 10.1016/j.jamcollsurg.2019.04.016. Epub 2019 Apr 25.
Incidence and Cause of Potentially Preventable Death after Civilian Public Mass Shooting in the US.


The incidence and severity of civilian public mass shooting (CPMS) events continue to rise. Understanding the wounding pattern and incidence of potentially preventable death (PPD) after CPMS is key to updating prehospital response strategy.


A retrospective study of autopsy reports after CPMS events identified via the Federal Bureau of Investigation CPMS database from December 1999 to December 31, 2017 was performed. Sites of injury, fatal injury, and incidence of PPD were determined independently by a multidisciplinary panel composed of trauma surgery, emergency medicine, critical care paramedicine, and forensic pathology.


Nineteen events including 213 victims were reviewed. Mean number of gunshot wounds per victim was 4.1. Sixty-four percent of gunshots were to the head and torso. The most common cause of death was brain injury (52%). Only 12% (26 victims) were transported to the hospital and the PPD rate was 15% (32 victims). The most commonly injured organs in those with PPD were the lung (59%) and spinal cord (24%). Only 6% of PPD victims had a gunshot to a vascular structure in an extremity.


The PPD rate after CPMS is high and is due mostly to non-hemorrhaging chest wounds. Prehospital care strategy should focus on immediate point of wounding care by both laypersons and medical personnel, as well as rapid extrication of victims to definitive medical care.

The deadliest mass shooting in U.S. history at the time of the attack: “On the night of October 1, 2017, a gunman opens fire on a crowd attending the final night of a country music festival in Las Vegas, killing 58 people and injuring more than 800. The shooting only lasted 10 minutes

A deadly American summer: 26 mass shootings; 126 people dead.


“……During the unofficial summer season, between Memorial Day and Labor Day, America endured 26 mass shootings in 18 states…….Mass killings can be inspired by bigotry, by domestic anger, by botched drug deals, or, in one case this summer in California, by an argument over golf. But sometimes, including in Las Vegas in 2017, the site of the deadliest mass shooting in modern American history, the reasons for a massacre are never discovered……..”

A bomb attack at an election rally in Afghanistan has killed at least 24 people

9/3/2004: A three-day hostage crisis at a Russian school comes to a violent conclusion with the deaths of more than 300 people, many of them kids.



September 1, 2004: An armed gang of Chechen separatist rebels enters a school in southern Russia and takes more than 1,000 people hostage and eventually killing 340 and wounding ~700 more.


“……The rebels demanded the withdrawal of Russian troops from the disputed nearby region of Chechnya. September 1 was the first day of a new school year for millions of students across Russia, a day of celebration in schools that both parents and students traditionally attend. Nearly 340 people, about half of them children, died in the ensuing three-day ordeal. ……700 more were wounded……”


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