Global & Disaster Medicine

Archive for the ‘Mass shooting’ Category

Active Shooter & Bronx-Lebanon Hospital: A crucial trial run for the new antiterrorism tactics including a system in which armed officers escort paramedics to the periphery of mass shootings to save bleeding victims; the fast response of elite officers armed with long guns (180 police vehicles arrived at the hospital in minutes); and a new doctrine in which the first officer on the scene goes in fighting, no matter what.

NY Times


At least seven people were wounded by a man with a knife who went on a stabbing rampage in the northern Russian city of Surgut.



August 1, 1966: Charles Whitman takes a stockpile of guns and ammunition to the observatory platform atop a 300-foot tower at the University of Texas and proceeds to shoot 46 people, killing 15 people and wounding 31.

History Channel


7/20/2012: A 24-year-old gunman goes on a rampage at a movie theater in the Denver suburb of Aurora, killing 12 people—the youngest a 6-year-old girl—and injuring at least 70 others.

History Channel

A bustling Bronx hospital had been turned into a corridor of horrors.

NY Times

  • “Go and hide! Go and hide!”
  • Dr. Tam had been fatally shot in the chest
  • A medical student who was shot in the head sustained a grievous brain injury.
  • Another bullet bored into the liver of a second-year resident in family medicine. There were more gunshot wounds, all of them severe — to a gastrointestinal fellow’s hand, a medical student’s abdomen and a medical resident’s neck.
  • Doctors dragged their colleagues and patients out of harm’s way and put them on elevators
  • “Wherever the doctors found them, they grabbed them, took them out,” Dr. Sridhar Chilimuri, Bronx-Lebanon’s physician in chief.
  • “The active shooting was still happening while we had them in the operating room. It’s pretty remarkable how well everybody functioned.”
  • Had doctors and nurses not treated the victims immediately, those who were shot might not have lived.
  • By Saturday, two victims — those with the brain and liver injuries — remained in critical condition, while the rest had been stabilized.
  • The victim with the liver wound was taken to Mount Sinai Hospital in Manhattan for specialized surgery.
  • The victim with the head wound was expected to remain at Bronx-Lebanon.
  • Workers hid in closets, called the police and ordered patients and their relatives to hide under beds.
  • “Someone tried to open the door and get in and we locked it.  Someone was trying to get in.”
* By Saturday morning, investigators had cleared the 16th floor and were letting hospital workers begin the long process of cleaning up.
* Blood was splattered on the floor
* Computers showed damage caused by a fire set by the gunman.
* The hospital’s 17th floor remained an active crime scene
* The hospital had closed part of the 15th floor for flood damage.
* The 11th floor was designated for victims’ families to wait and grieve.

The Unified Victim Identification System (UVIS)

UVIS Information Guide_NYC

A system for identifying victims in a catastrophe is already deployed in the City of New York. The Unified Victim Identification System (UVIS), developed by Connecticut-based Sapphire International, Inc, is a disaster management system that manages and coordinates all of the activities related to missing persons reporting and victim identification. In concert with the City’s 311-call center, UVIS enables a centralized communications and data collection processes to support the family assistance center (FAC). This coordinated system is essential to developing an accurate manifest of potential victims – a critical step in victim identification. Most importantly, the coordinated UVIS-311 call center system keeps the lines of communication open to the families, friends and associates of possible victims. Such a resource is invaluable in the chaos that follows any tragic event.

What is UVIS?

The Unified Victim Identification System (UVIS) is a web browser-based application that can greatly enhance the victim identification process. UVIS was developed from knowledge gained during responses to major catastrophes, such as the September 11, 2001 attacks, the American Airlines Flight 587 crash in addition to lessons learned from national and international disasters. The City of New York Office of Chief Medical Examiner, the largest Medical Examiner operation in the nation, its Department of Forensic Biology, the New York Police Department (NYPD), the NYC Department of Information Technology and Telecommunications (DoITT), the NYC Office of Emergency Management (OEM), the NYC Mayor’s Office and other agencies throughout the City provided direct input into its development.

Today, UVIS is ready to assist in the event of a terrorist attack, hurricane, earthquake, pandemic flu event or other mass fatality incident. UVIS can deal with both open and closed manifest incidents (i.e., when there are no decedent/missing person’s lists, and when a decedent/missing persons list is available) and includes a built-in Dental Identification Module (UDIM).

UVIS is designed to handle multiple types of scenarios, and can manage up to 156 simultaneous events if needed. For example a terrorist operation may target different discrete areas of a large city (multiple incidents), as was the case on July 7th 2005 when a series of coordinated bomb blasts hit London’s public transport system during the morning rush hour resulting in more that 121,000 call center reports.

Most importantly, UVIS enables the OCME to meet its primary objectives following a catastrophic incident. They include:

• Investigate, Recover & Process Decedents in a Dignified and Respectful Manner

• Accurately Determine Cause & Manner of Death

• Perform Accurate & Efficient Identification of Victims

• Provide Families with Factual & Timely Information in a Compassionate Manner

• Conduct Rapid Return of Victims to their Legal Next of Kin

History of UVIS (The Unified Victim Identification System)


2001: Software is developed in response to Sept 11th and Flight 587 disasters, out of which UVIS evolves.

2004: The first version of UVIS is developed in anticipation of the NYC Republican National Convention in 2004. This version has only the Call Center and Missing Person’s modules.

2005: The Family Assistance Center Module is added to UVIS. OCME and NYPD gain full Ante Mortem–Missing Persons interview capabilities.

2007: Documentation of the full cycle of victim identification is completed with the addition of the Post Mortem module. OCME now has the ability to track victims from “Cradle to Grave”. A forensic dental identification program was developed with new charting code and a smart search engine.

2008: In preparing for a possible Pandemic Influenza (PI) outbreak in the NYC area, the PI module is developed based upon the OCME’s “PI Surge Plan to Manage Decedents”. All 63 heath care facilities are connected to UVIS.

2009: UVIS continues to be developed and expanded in close collaboration with various Medical Examiners’ and Coroners’ Offices throughout the country. OCME and other Medical Examiners/Coroners offices provide important feedback for the future development of UVIS. UVIS is currently undergoing a major enhancement that will create a medicolegal case management system that will be fully integrated with all disaster components, laboratory systems and external information sources.

28 people were hurt in a shooting early Saturday after a dispute at a downtown Little Rock nightclub



Mass shooting at Bronx Lebanon Hopsital in The Bronx: One doctor was shot and killed and at least 6 were injured on Friday afternoon after a former doctor at the hospital opened fire with an assault rifle.



Active shooter rendered “inactive” at Bronx Lebanon Hospital


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