The Strategy of the Surgical Team At Combined Military Hospital Peshawar During Mass Casualties In the Year January 2017 to April 2018

Objective: to study the surgical and managerial management of mass casualties at CMH Peshawar. Study design: Retrospective longitudinal study Place and duration of study: CMH Peshawar, Pakistan from Jan 2017 to Apr 2018. Methodology: We used patient documents to collect the data. When a mass casualty disaster arises, rapid communication between the forward medical team and CMH Peshawar, the number of victims, and the nature of injuries reaching CMH Peshawar are analysed. Surgical and anaesthesia teams organised themself to function in shifts so that the operation theatre could operate round the clock before the arrival of causalities. When the casualties are received, triage is performed, followed by trauma room examination and resuscitation of patients. Our team conducted Laboratory investigation, X-rays, FAST scans, and Doppler ultrasound in a trauma centre or ICU. We carried out lifesaving surgeries first, followed by limb saving surgeries. Results: There were 12 mass casualties crises during 16 month period under study, with a total number of 218 casualties. The mean age was 34.46±12.06 years, with the youngest patient being 12 years old, and the oldest was 67 years old. There were 203(92.7%) males and 15(7.3%) females. In triage, 156(71.6%) were in the red area, 41(18.9%) in the yellow zone, and 21(9.7%) in the green zone. Lower limb injuries 83(38.1%) were the most predominant, followed by upper limb (48, 22.0%), chest (45, 20.6%), and ......... Conclusion: Mass casualty incidents (MCI) result in an unexpected influx of patients, requiring extraordinary .........