Pre-course: Disaster Medicine

Saturday 23 September: 8:30 - 17:30 & Sunday 24 September: 8:30-12:30

 

Mass Gun Shooting and Blast: how to deal with these new challenges

 

Course Directors

  • Massimo Azzaretto (Italy)
  • Francesco Della Corte (Italy)
  • Abdo Khoury (France)

Faculty

  • Pinchas Halpern (Israel)
  • Hayato Kuryhara (Italy)
  • Mathieu Langlois (France)
  • Luca Ragazzoni (Italy)
  • Benoit Vivien (France)
  • Antoine Tran (Nice)

Course description and learning objectives

New threats and challenges are facing our health systems. EMS and In hospital community has to adapt and be prepared to such kind of violent actions and deal with their impacts. Planning for an adequate surge is crucial as well as accessing patients quickly and providing damage control (e.g., tourniquets) and rapid evacuation to an appropriate trauma center to address internal injuries. Paris, Istanbul, Brussels among many others, are crucial examples of what we are facing now and what our future unfortunately can be.
 
The aim of this course is to address all these issues and enable colleagues whom are not familiar with this type of clinical practice, to feel more confident in managing mass shooting multiple casualties. Experienced speakers from the military combined with Civil EMS will help us understand where to focus to improve their response capability in prehospital and hospital settings.

Schedule

Saturday 23 September

08:50 Welcome & Introduction Massimo Azzaretto, Francesco Della Corte, Abdo Khoury  
09:00

Introduction

 
  - Terrorism: New era, new threats: Abdo Khoury (France)  
09:30

State of the Art (part 1)

 
  - Mechanism of blast injuries: Francesco Della Corte (Italy)  
  - Mechanism of gun shooting: Massimo Azzaretto (Italy)  
10:30 Coffee Break and Networking   
11:00 State of the Art (Part 2)  
  - Triage in terrorist attacks: Where and how?  Pinchas Halpern (Israel)  
  - Tactical Medicine: SWAT medics.  Mathieu Langlois (France)  
  - Children in mass shooting. Nice experience Antoine Tran (France)  
12:30 Lunch break
 
13:30

How to prepare for such an MCI?  How to set the plans? 

 
  - Prehospital preparedness: Benoit Vivien (France)
 
  - In hospital preparedness: Pinchas Halpern (Israel)  
 15:00

Hands on (All faculties)

 
M Tourniquet, junctional/pelvis   
A

Crico, Intubation and alternatives

 
R

PNX treatment, penetrating chest injuries

 
C IO device, tourniquet, packing  
H

hypothermia prevention, head trauma management

 
17:00

Discussion and 1st day Wrap up (All faculty)

 

Sunday 24 September

08:30 - 13:00

Damage Control: From the military to the civilian

  - Damage Control Ground Zero : Mathieu Langlois (France)
  - Damage Control ressuscitation : Benoit Vivien (France)
  - Damage Control surgery: Hayato Kuryhara (Italy)
10:00 - 11:00 Training by simulation: Luca Ragazzoni (Italy)
11:00 - 12:00 

Evaluation, wrap up and discussion