In the casualty department
| Local standard | International standard4,5 | Local conditions | Local response |
|---|---|---|---|
| None stated | (a) A team consisting of a surgeon, anaesthetist, and nurse at each casualty bay for receiving disaster victims. | • The casualty department was overwhelmed by injured arriving with family and friends | • Most of the injured were taken to hospital in private cars so did not receive on site triage. |
| • Even with patients carried by ambulance there was no on site triage to inform decision making at the receiving hospital. | |||
| Triage started at the disaster site to continue at the receiving hospital. | • Staff reinforcements could not be contacted because of out of date hospital telephone systems | • Hospital staff who were not on duty were not called. | |
| • No teams were set up to manage patients in casualty particularly the critically injured ones. |