14 February, 2018

How One Las Vegas ED Saved Hundreds of Lives After the Worst Mass Shooting in U.S. History - Emergency Physicians Monthly

How One Las Vegas ED Saved Hundreds of Lives After the Worst Mass Shooting in U.S. History - Emergency Physicians Monthly:

  • Flow is king. Destroy the choke points to allow patients to flow to definitive care.
  • By organizing patients into clear physical zones, they were able to avoid wasting time writing too many tags. That’s precious time that could be spent with resuscitations.
  • The Orange tag in triage allowed Menes’s team to focus on the most critically wounded while keeping a very close eye on those who were badly wounded but would soon crash.
  • Don’t have enough ventilators? Pair patients of similar size, double the tidal volume, and use Y tubing to ventilate two patients on one vent.
  • Mentally rehearse difficult scenarios ahead of time. This can be just as valuable as actual practice. Think through what you will do if/when your current plan of action fails.
  • Not enough monitors? Place all patients in line of sight, and use clinical judgment to find the crashing patients.


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