Global & Disaster Medicine

Archive for the ‘Mass fatalities’ Category

In the aftermath of Stoneman Parker, consequences for those who could’ve helped but didn’t.

NY Daily News

“……an 18-year veteran of the department, arrived at the school
three and a half minutes after Nikolas Cruz began shooting. With 17 people
already shot and 17 more already dead, Eason instead spent two minutes
driving to the opposite side of campus to put on his bulletproof vest and
fidgeting with his body camera……Capt. Jan Jordan resigned and Sgt. Brian Miller was
placed on restricted duty for the department’s failure to respond properly
to the Parkland shooting.

Four Stoneman Douglas employees – assistant principals Jeff Morford, Winfred
Porter Jr., and Denise Reed and security specialist Kelvin Greenleaf – were
reassigned pending investigations last week.

School resource officer Scot Peterson, who took cover outside the school
until the shooting was over, resigned in disgrace………”


Video supports Secure, Preserve, Fight over Run, Hide, Fight in specific healthcare venues


Active Shooter & Hockey Pucks

WDIV

“…… to fight effectively, faculty and students need to be prepared to throw objects that are heavy and will cause a distraction.

Hockey pucks provide the ability to be carried in brief cases or backpacks, are not considered a weapon, and will meet the goal of distracting the shooter, according to Gordon.

Currently, the union has distributed the pucks to its 800 members and is working with student groups to distribute an additional 1,700 pucks to students……..”


A suicide bomb attack on a gathering of religious scholars in the Afghan capital, Kabul, has killed at least 43 and wounded at least another 83.

BBC

 


Eleven people were killed at the Tree of Life synagogue in Pittsburgh

CNN

“…..Six people were wounded….. four of whom were police officers who responded to the scene. No children were among the dead…..”


Crimea: A student went on a rampage and at least 17 people were killed and 40 injured in a school shooting

NPR

 


10/16/1991: George Jo Hennard drives his truck through a window in Luby’s Cafeteria in Kileen, Texas, and then opens fire on a lunch crowd of over 100 people, killing 23 and injuring 20 more.

History Channel

 


The Pulse and Preventable Deaths

E. Reed Smith, Geoff Shapiro & Babak Sarani (2018) Fatal Wounding Pattern and Causes of Potentially Preventable Death Following the Pulse Night Club Shooting Event, Prehospital Emergency Care, DOI: 10.1080/10903127.2018.1459980

Abstract

“Background: Mortality following shooting is related to time to provision of initial and definitive care. An understanding of the wounding pattern, opportunities for rescue, and incidence of possibly preventable death is needed to achieve the goal of zero preventable deaths following trauma. Methods: A retrospective study of autopsy reports for all victims involved in the Pulse Nightclub Shooting was performed. The site of injury, probable site of fatal injury, and presence of potentially survivable injury (defined as survival if prehospital care is provided within 10 minutes and trauma center care within 60 minutes of injury) was determined independently by each author. Wounds were considered fatal if they involved penetration of the heart, injury to any non-extremity major blood vessel, or bihemispheric, mid-brain, or brainstem injury. Results: There were an average of 6.9 wounds per patient. Ninety percent had a gunshot to an extremity, 78% to the chest, 47% to the abdomen/pelvis, and 39% to the head. Sixteen patients (32%) had potentially survivable wounds, 9 (56%) of whom had torso injuries. Four patients had extremity injuries, 2 involved femoral vessels and 2 involved the axilla. No patients had documented tourniquets or wound packing prior to arrival to the hospital. One patient had an isolated C6 injury and 2 victims had unihemispheric gunshots to the head. Conclusions: A comprehensive strategy starting with civilian providers to provide care at the point of wounding along with a coordinated public safety approach to rapidly evacuate the wounded may increase survival in future events.


1 year ago today: Las Vegas


7/20/2012: A mass shooting at a movie theater in Aurora, CO that killed 12 and wounded 70 others.

History

“……On this day in 2012, gunman James Holmes started a mass shooting at a movie theater in Aurora, a Denver suburb, killing 12 people—the youngest a 6-year-old girl—and injuring at least 70 others.

The Aurora shooting took place shortly after the start of a crowded midnight showing of The Dark Knight Rises, which opened across the United States that day. It was the deadliest mass shooting in Colorado since the 1999 Columbine shooting…..”


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