Preparation for the next major incident: the case report of Gubbio
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Abstract
In maxi-emergencies, disproportion between extraordinary medical request and adequate medical response is always a challenging, typical matter. The goals are clear: offering the best and most qualitative and fast-paced medical solutions for population and reduce as much as possibile the morbility and morbidity burden. In this article we review the management of a maxi-emergency in the higly seismic area setting of Gubbio (Italy) underlining any possible consequences of an earthquake in this geographic area. We review the management of an extraordinary medical response in this area and evaluate the best emergency exit ways and best Advanced Medical Headquarter strategical points; moreover we discuss about the best strategies according to efficient triage modalities, traffic and road management and possible “bottleneck” pitfalls. Massive injured people Emergency Plan (a.k.a. PEIMAF) is also discussed according to the Hospital actual medical response and capability. Despite the number of injured patients and complexity of the clinical cases, the Medical response need to be efficient and highly organized. Moreover the main coordinating role and freedom of intervention of the clinical leader and his staff is accurately reviewed.
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