Novel Wounding at Hostile, Mass Casualty Events and EMS Best Practices

Active shooter / hostile events (ASHEs) are significantly increasing in the United States. These events typically target civilians and result in large numbers of dead and injured. ASHEs include active shooter events, vehicle-as-a-weapon events, mass stabbing events, explosives, and fire-as-a-weapon. The research shows that the wounding patterns in these events are different in non-mass casualty events, even when similar weapons are used. Much of the wounding pattern data published on hostile mass-casualty events focuses on combat research. However, recently published data indicates a significant difference in the wounding pattern when civilians are the target.


In this presentation, the presenter will look at the difference in wounding patterns for hostile mass casualty events when compared to the same weapon used in a non-mass casualty event. This data examines research conducted nationally and internationally, with data captured from significant hostile mass-casualty events. The presenter will discuss wounding patterns for active shooter events, mass stabbing events, explosive events, chemical attacks, fire-as-a-weapon events, and vehicle-as-a-weapon events. 


In the second part of this presentation, the presenter will look at medical best practices for hostile mass-casualty events. Prehospital trauma care in the United States has changed significantly in the last 25 years. A significant body of research indicates that many current prehospital trauma treatments are detrimental to the patient, and in some cases, the prehospital treatment is a predictor of patient mortality. Additional research studies have also found that mortality increases based on provider skill level. Numerous studies have indicated that advanced life support treatment of urban, penetrating trauma patients is directly detrimental to the survivability of the patient.

The presenter will discuss the debate of prehospital trauma treatments including, advanced airway management, IV therapy, needle thoracostomies, triage, and more. Despite widespread practice of many of these treatments, scholastic research indicates that these treatments may not be necessary, and worse, may actually increase patient mortality. 

To download a PDF document on the topics addressed in this course, please click here. If you would like more information on booking this course, please email, or call 1-800-231-9106.


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Phone: 800.231.9106

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