Mohan Vamsi C, Gillipelli Srinithya R, Schmidt Josephine L, Bovill John D, Latham Kerry P
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas.
Semin Plast Surg. 2025 Mar 26;39(1):14-18. doi: 10.1055/s-0044-1801408. eCollection 2025 Feb.
Mass casualty incidents (MCIs) can transpire through a multitude of mechanisms, the most common of which are mass shootings. These events result in several injuries and/or deaths and often strain or overwhelm available medical resources. Since the injuries that result from these incidents vary in type and severity, effective identification and triage is needed. Bystanders, first responders, ancillary medical staff, nurses, and physicians are integral in managing the victims, and efficient communication is required to provide timely and adequate medical care. From soft tissue injury and burns to facial trauma, the craniomaxillofacial surgeon is a crucial member of the team and their expertise is vital in triaging and in treating the injured. This review discusses triage, patterns of injury, and the role of craniomaxillofacial surgeons in MCIs.
大规模伤亡事件(MCIs)可通过多种机制发生,其中最常见的是大规模枪击事件。这些事件会导致多人受伤和/或死亡,常常使现有的医疗资源紧张或不堪重负。由于这些事件造成的伤害在类型和严重程度上各不相同,因此需要进行有效的识别和分诊。旁观者、急救人员、辅助医务人员、护士和医生在管理受害者方面至关重要,需要高效的沟通以提供及时和充分的医疗护理。从软组织损伤、烧伤到面部创伤,颅颌面外科医生是团队中的关键成员,他们的专业知识在分诊和治疗伤者方面至关重要。本综述讨论了分诊、损伤模式以及颅颌面外科医生在大规模伤亡事件中的作用。