The Rural Interhospital Disaster Plan

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Abstract
The rural area is not immune to multi-casualty incidents, and the complete rural EMS System reported here includes a plan to deal with one. The Susquehanna Valley Health Care Consortium [Pennsylvania, USA] was developed with this in mind, and addresses the points pertinent to the rural setting, including the large area served, available medical care, prehospital transport and communications. Six hospitals in 5 counties participate. New approaches to these problems, which emerged after 3-field tests, are: participants must be organized for successful triage and resuscitation; crowd and traffic control by police is mandatory; an overall commander is necessary; 2-way communication by several methods must be available; an administrator should track all victims; and air evacuation capability should be arranged.

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