@article{ref1,
title="Prehospital mass casualty incident response to a fire in a nursing home in Milan, Italy: actions taken and shortcomings",
journal="Disaster medicine and public health preparedness",
year="2023",
author="Ripoll-Gallardo, Alba and D'Ambrosio, Annapaola and Manzoni, Paola and Grifone, Vincenzo and Pedrazzi, Catia and De Luca, Giovanni and Arghetti, Davide and Stellini, Armando and Zambelan, Alessandro and Ruggiero, Ilaria and Cusmà-Piccione, Riccardo and Bacullo, Gianluca and Lorito, Franco and Perbellini, Paolo and Giacovelli, Matteo and De Donno, Massimo and Pelà, Simone and Colzani, Giacomo and Brioschi, Elena and Chiodini, Gianliuca and Sechi, Giuseppe and Zoli, Alberto and Fumagalli, Roberto and Stucchi, Riccardo",
volume="17",
number="",
pages="e563-e563",
abstract="On July 7, 2023, at 1:21 am, a fire was declared in a retirement home in Milan, Italy. The number of casualties (n = 87) according to the Simple Triage and Rapid Treatment (START) triage system was categorized as 65 green, 14 yellow, 2 red, and 6 black; 75% were women, and the mean age was 85.1 years (± 9). Most patients were unable to walk. A total of 30 basic life support (BLS) ambulances, 3 advanced cardiac life support (ACLS) teams on fast cars, 2 buses, and 1 coordination team were deployed. A scoop and run approach was adopted with patients being transported to 15 health care facilities. The event was terminated at 5:43 am. Though the local mass casualty incident (MCI) response plan was correctly applied, the evacuation of the building was difficult due to the age and comorbidities of the patients. START failed to correctly identify patients categorized as minor. Communication problems arose on site that led to the late evacuation of critical patients.<p /> <p>Language: en</p>",
language="en",
issn="1935-7893",
doi="10.1017/dmp.2023.198",
url="http://dx.doi.org/10.1017/dmp.2023.198"
}