Global & Disaster Medicine

Archive for the ‘Mass shooting’ Category

A barrage of gunshots and smoke bombs at The Borderline

Update: Twelve people including a cop were killed by a gunman dressed in black at a crowded bar in Thousand Oaks, CA.


Authorities responded to a nightclub in Thousand Oaks after reports of a mass shooting Wednesday night with at least 11 people injured




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


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

At a Pittsburgh synagogue: At least 4 killed, more shot (3 cops) in an active shooter situation; gunman captured.



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



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


“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.

Florence, South Carolina: 7 law enforcement officers were shot, one fatally, during a standoff Wednesday.


1 year ago today: Las Vegas


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