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Articles by Rosel Tallach
Mass casualty medicine: time for a 21st century refresh
Summary Mass casualty events are on the rise globally, as we face increasing pressures from scarcity of resources, population growth, systemic inequalities, geopolitical instabilities, and polarised discourse. Although they are rare events for an individual practitioner, they are going to happen to someone, somewhere, this week, this month, this year.
Embracing uncertainty in mass casualty incidents
Summary Uncertainty is the defining state of the first minutes and hours of a mass casualty event, yet decisions must be taken and actions must happen before the picture is complete. To move forwards in face of uncertainty, we must acknowledge that there will be insufficient information for us to be comfortable in our decisions and actions. We discuss here a range of solutions that allow us to tolerate, even flourish, in the midst of uncertainty.
Refining mass casualty plans with simulation-based iterative learning
Abstract Background Preparatory, written plans for mass casualty incidents are designed to help hospitals deliver an effective response. However, addressing the frequently observed mismatch between planning and delivery of effective responses to mass casualty incidents is a key challenge. We aimed to use simulation-based iterative learning to bridge this gap. Methods We used Normalisation Process Theory as the framework for iterative learning from mass casualty incident simulations.
Learning from terrorist mass casualty incidents: a global survey
Abstract Background Reports published directly after terrorist mass casualty incidents frequently fail to capture difficulties that may have been encountered. An anonymised consensus-based platform may enable discussion and collaboration on the challenges faced. Our aim was to identify where to focus improvement for future responses. Methods We conducted a mixed methods study by email of clinicians' experiences of leading during terrorist mass casualty incidents.
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