A commuter train has derailed in a semi-urban area, and approximately 60 patients are reported. You are the consultant in a regional Emergency Department that will receive multiple casualties.

1. Define a Mass Casualty Incident (MCI). 2 marks

2. Outline (4) principles of initial hospital response in the first 10 minutes of notification. 4 marks

3. Outline (3) key principles of effective disaster triage. 3 marks

4. Outline (3) strategies to manage ED surge and flow once casualties start arriving. 3 marks