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by JshWright 3147 days ago
I work in EMS in the US (upstate New York).

Generally there is an "MCI kit", which has a form that can be attached to the patient (an elastic band around the wrist or ankle, generally). That form will contain whatever information we know about the patient, interventions thus far, etc. It stays with them throughout the process (in the triage and treatment areas, to the OR, etc). That being said, documentation is often a tertiary concern at best in large scale events like this.

As far as infection control goes, the OR is obviously using standard sterile procedures. In the ER, infection control is mostly "changing your gloves a lot" (be sure to put on two pairs, any only change the top pair, as your hands are going to get really sweating, and putting a new pair of gloves on your bare hands is going to be impossible).

2 comments

> documentation is often a tertiary concern at best in large scale events like this...

People came in so grievously injured and so many at a time that Fisher, who is the medical head of trauma services for the hospital, and his colleagues used markers, writing directly on patients, to do triage.

When someone arrived, an emergency room physician would mark their wounds. It was quick, simple and impersonal by necessity.

Fisher says in those first few hours, the patients were functionally anonymous to the surgeons trying to save their lives. "There's no paper charts prepared for all those patients," says Fisher. "No documentation, so literally they just write on the patient. Just write where the wounds are."

https://www.npr.org/sections/health-shots/2017/10/04/5555849...

> As far as infection control goes...

How soon do patients get antibiotics administered?

Yeah, that's another common technique in extreme circumstances. You can sharpie a lot of info onto someone's forehead...
used markers, writing directly on patients

We did this in the Army.

Hell, I took an outdoor emergency course (the national ski patrols first responder course) and even we are trained on MCI's and triage.