Major incident response: how each tragedy informs future nursing care

With every mass-casualty event comes fresh clinical understanding and greater preparedness
Nursing staff prepare to respond to Westminster Bridge attack

With every mass-casualty event comes improved clinical understanding and greater preparedness

  • NHS England has produced fresh guidance on responding to major incidents
  • Lessons learned from terrorism in the UK have improved health services' readiness for future attacks
  • Reflecting on clinical responses to mass-casualty events reveals how dynamic teams can be in developing practice

When a bullet is fired into a gelatine block, the gelatine behaves in a similar way to human muscle tissue. By using high-speed digital photography, the impact of the bullet can be tracked.


people killed by terrorists in the UK between 2000 and 2017

Source: Global Terrorism Database

A bullet from an AK47 assault rifle, for example, flies straight but then becomes


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