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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

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

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

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

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