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Mass-Casualty, Terrorist Bombings: Implications for Emergency Department and Hospital Emergency Response (Part II)

  • Pinchas Halpern (a1), Ming-Che Tsai (a2), Jeffrey L. Arnold (a3), Edita Stok (a4) and Gurkan Ersoy (a5)...


This article reviews the implications of mass-casualty, terrorist bombings for emergency department (ED) and hospital emergency responses. Several practical issues are considered, including the performance of a preliminary needs assessment, the mobilization of human and material resources, the use of personal protective equipment, the organization and performance of triage, the management of explosion-specific injuries, the organization of patient flow through the ED, and the efficient determination of patient disposition. As long as terrorists use explosions to achieve their goals, mass-casualty, terrorist bombings remain a required focus for hospital emergency planning and preparedness.


Corresponding author

Medical Director, Yale New Haven Center for Terrorism and Emergency Preparedness, 1 Church Street, 5th Floor New Haven, CT 06510 USA, E-mail:


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