Background

The foundation of effective PCC is accurate triage for both treatment in the PCC setting and for transportation to a higher level of care, as well as effective resource management across the entire trauma system. Resource management includes the appropriate utilization of medical and non-medical personnel, equipment and supplies, communications, and evacuation platforms. Like most Mass Casualty incidents (MASCAL), the purpose of triage in a PCC setting is to swiftly identify casualty needs for optimal resource allocation in order to improve patient outcomes. However, PCC presents unique and dynamic triage challenges while managing casualties over a prolonged period with a low likelihood of receiving additional medical supplies or personnel with enhanced medical capabilities apart from pre-established networks. MASCAL in a PCC environment will necessitate more conservative resource allocation than traditional MASCAL in mature theaters or fixed medical facilities where damage control surgery, intensive care, and medical logistical support are more readily available, and resupply is more likely. PCC dictates the need for implementing various triage and resource management techniques to ensure the greatest good for all. The objectives and basic strategies are the same for all MASCAL; however, tactics will vary depending on the available resources and situations.