Mass casualties in young people: scenarios and possible ways to prepare for it

Introduction Mass casualties with younger people are a rare incident, but the effects are devastating. MCs can be from a fire in leisure facilities; or from terroristic attacks, especially with radioactive materials. Coping requires not only addressing organizational needs but also treatment modalities usable in a major-event scenario under scarce resources. Material and methods Analysis of incidents and their handling will be done. The Importance of preparation, informa- tion, and cooperation will be. The period available for identification of the number, the degree of severity and special needs like ventilators weil as available resources at the local and national level and organizing transports is short. Optimally all this should happen within five days. Based on literature treatment methods are evaluated and the usability is evaluated Results Planning and training on a local, regional and national level is crucial. Strategies are to be de- veloped, how to treat a multitude of patients locally or with dislocation and relocation without 1055 oftreatment quality. Consideration of psychosocial care after hospitalization for victims and staff are crucial as weil. Methods require pain and workload reduction and support of out patient treatment. Material support under a high demand has to be strategically planned as weil as alternatives Discussion In a mass casualty situation, there is always a shortage of resources such as staff, ORs, treatment facilities and materials like banked skin, ventilators and pain medication. Polylactide membranes help to treat superficial and partially deep and mixed burns, as weil as to cover donor sites. The need in an MC situation can be easily estimated and the handling of a situation like the Formosa Color Dust Explosion can be made much easier. Strategic storage is very meaningful.