Global & Disaster Medicine

Archive for the ‘Mass fatalities’ Category

The 10 deadliest mass shootings in modern US history


1. The Harvest Music Festival: 58 killed
October 1, 2017
2. Pulse night club: 49 killed
June 12, 2016
3. Virginia Tech: 32 killed
April 16, 2007
4. Sandy Hook: 27 killed
December 14, 2012
5. First Baptist Church in Sutherland Springs: 26 killed
November 5, 2017
6. Luby’s Cafeteria: 23 killed
October 16, 1991
7. McDonald’s in San Ysidro: 21 killed
July 18, 1984
8. University of Texas: 18 killed
August 1, 1966
9. High school in Parkland, Florida: At least 17 killed
February 14, 2018
10. San Bernardino: 14 killed
December 2, 2015
10. Edmond, Oklahoma: 14 killed
August 20, 1986





The Las Vegas Massacre

Las Vegas Gunman Took Elaborate Steps to Hide His Tracks


Puerto Rico: 472 more people died this September compared with the same month last year.

NY Times

“…..On Wednesday, Puerto Rico officials, facing increasing questions about the accuracy of the official death toll from the storm, acknowledged for the first time that 472 more people died this September compared with the same month last year. The storm made landfall on Sept. 20. The government’s official death toll is 55.

The numbers confirmed what had been speculated for weeks: After the waters receded and the roads were cleared, people here continued to die at rates far beyond normal.

As temperatures frequently rose above 90 degrees, the lack of power in nursing homes, private houses and hospitals hit the elderly particularly hard. Soaring temperatures accelerated the deaths of people who were already seriously ill. Ambulances could not arrive, medicines ran out and oxygen tanks that ran on electricity were useless, several funeral directors said….”

The massacre at the First Baptist Church in Sutherland Springs was called “the largest mass shooting in our state’s history” by Texas Gov. Greg Abbott.


“A shooter killed 26 people at a Texas church and at least eight of those victims were members of the same family…..

The attack came during a Sunday morning service and left about 20 others wounded……”


  • Victims between the ages of 5 to 72 years old
  • Rifle used, a Ruger military-style rifle;
  • At least eight of the people killed were members of one family
  • A woman who was about five months pregnant and three of her children were killed.
  • The pregnant woman’s brother-in-law — her husband’s brother — and his young child were also killed
  • Three other members of the same family were injured.
  • Among those killed included the 14-year-old daughter of the church’s pastor
  • Shooter found dead in his vehicle
  • The gunman was identified as Devin Patrick Kelley, 26;

  • Kelley had served in the Air Force at a base in New Mexico but was court-martialed in 2012 on charges of assaulting his wife and child. He was sentenced to 12 months’ confinement and received a “bad conduct” discharge in 2014, according to Ann Stefanek, the chief of Air Force media operations.


11/5/2009: Major Nidal Malik Hasan, an Army psychiatrist, kills 13 and wounds more than 30 others, nearly all of them unarmed soldiers, during a shooting rampage at Fort Hood, TX (the worst mass murder at a U.S. military installation).

History Channel


A gunman walked into a small Baptist church in rural Texas on Sunday and opened fire, killing at least 25 people and wounding perhaps another 2 dozen.

NY Times


Las Vegas’ trie first responders: Volunteers combed the grounds for survivors and carried out the injured. Strangers used belts as makeshift tourniquets to stanch bleeding, and then others sped the wounded to hospitals in the back seats of cars and the beds of pickup trucks.

NY Times

Las Vegas: Dodging bullets, first responders respond to a crisis

NY Times

“……At the medical tent, people lay everywhere. He saw his medical technicians applying pressure to chest and leg wounds, using tourniquets to try to stop the bleeding.

“I saw my personnel checking for pulses, realizing the person did not have a pulse, and we literally had to push the body out of the tent and make room for another patient,” he said.

People Mr. Simpson assumed were family members or friends begged the medical workers to perform CPR. But they were following principles of disaster triage, which, in the most extreme circumstances, call for bypassing those whose hearts have already stopped. So in some cases, family members began CPR themselves…..”

Las Vegas: At least 58 people were killed and more than 500 wounded; suspect dead.


While flooding is a natural disaster, the scale of the human tragedy in Freetown is very much man-made.

Amnesty International

‘…..“The authorities should have learned lessons from previous similar incidents and put in place systems to prevent, or at least minimise, the consequences of these disasters. Devastating floods are now an annual occurrence in the country’s capital. Yet, due to a lack of regulation and insufficient consideration for minimum standards and environmental laws, millions of Sierra Leoneans are living in dangerously vulnerable homes.”
The right to adequate housing under international law requires that every home be ‘habitable’, which includes providing protections against disasters such as this. However, poor regulation and failures to ensure environmental factors are part of urban planning in Sierra Leone often result in structures being built that are both unsafe and situated in dangerous locations…..’



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