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The incident of mass casualty has been described in the study. The incident happened to the paramedical students. This is a situational analysis that tests the capability of the students to handle these situations. The situation would enable paramedical students to handle critical situations under severe circumstances. The study will be developed by defining the ultimate issue. A car crash happened in a shopping who killed around the people causing injury of many. Chaos reigned everywhere. Thus, it was the duty of the paramedical students to bring the situation under control. It was a testing time for the paramedical students. The test would revolve out the capability of the students to handle such emergency and violent situation. The rationale of the study will describe the importance of the practice al learning process in mass casualty. The second part of the study has identified the environmental scan planning approach. The third part of the study will analyse the role of health professionals during the mass casualty. The concluding part of the study will summarise the whole study and will outline an overall recommendation on emergency care for mass casualty. Hence, a strategic plan would be described to mitigate the medical risk factors on the mass casualty. The mock mass casualty incident would be helpful for the paramedical students to organise mass care programs properly.

The mass casualty issue has been identified in this study. A car crashed into the shopping mall causing deaths of 3 and injury of many. The car driver was not physically fit enough as he was suffering from diabetic syndrome. It may be the cause that the driver of the car was not in his sense and lost control over the car. Moreover, this can also be a minor terrorist attack where the terrorists intentionally invaded the shopping mall to kill several people and create terror all around. The paramedic team was quite responsive to the issue. They rushed to the spot and tried to secure the victims as much as possible. The work process of the emergency response team was not as easy as there was no power in that building. They used torchlight for their rescue venture. I saw the ill-fated situation of the ailing who were stuck in the inside the shopping. The car crash not only made severe damage to life but also to property as well.  

It was power cut when the emergency team came into the spot. They used torchlight for the venture. Moreover, they tried to bring the power back in order to rescue the ailing properly. The evacuation team reached the spot and tried to evacuate the people who were stuck in the mall. The code of the evacuation team was red and yellow that they used to evacuate the injured people. Being a part of the paramedical team, I followed each of the actions of the response team and tried to learn from their rescue activities.  The emergency paramedical team followed the triad process to provide treatment to the victims due to the existence of a large number of casualties (Brindley, 2018). The paramedical teams developed two tents on the field for the deceased and injured people. The red tent was developed for the deceased people, and the injured people were transferred to the yellow tents (Gholipour Moghaddam et al., 2014).

The Incident and Situational Analysis

All the victims were shocked by the sudden incident. Moreover, some of them went to a traumatised situation. Additionally, the situation of the deceased people was declining. However, it is notable that the emergency rescue team took a good amount of time for the overall process. This caused the delay in emergency quality care for the ailing. I observed the delay in the treatment. The emergency first aid was provided to the injured people way later than the real incident. According to the personnel of the emergency medical team, the fractured legs of the people were plastered quickly and treatment process was provided to each of the victims. I think the emergency aid can be provided earlier for a better outcome.

Internal stakeholders: The disaster that occurred was mainly a man-made disaster. The Internal stakeholders of the disasters were the victims who suffered due to the disaster (Preston, Larkins, Taylor & Judd, 2016).  The victims were mainly trapped in the site of the incident and had to be rescued by the paramedic team.

External stakeholders: The external stakeholders are considered as the stakeholders who escaped from the site of the disaster. The external stakeholders may face mental trauma and minor injuries (Preston, Larkins, Taylor & Judd, 2016). The internal stakeholders are more important and priority to rescue should be given to the internal stakeholders. The primary treatments of the external stakeholders were done properly.

There was a chaotic situation in the disaster management site. Victims were traumatised and were running all over the disaster site. There was a lack of proper management in the outside part of the building. It is seen that victims are stuck inside the building. Some improvement in the rescue plan is required. It is seen that less amount of personals were present in the disaster management site. Due to lack of personnel’s the whole process of rescuing the victims from the building was getting delayed. If there was sufficient number of personnel’s then the rescue operation would have been done in a systematic manner (Franks & Seaton, 2017). It was seen that there was a lack of communication among the team members. The tents set up were delayed that caused confusion and trauma among the victims. Through proper communication and teamwork, the paramedic team will be able to mitigate this kind of disaster in a systematic way in the future .

The scenario depicts a disaster situation that needs proper mitigation strategies. The health professionals play a pivotal role in this kind of disaster scenario (Lamelas, 2017). In this case, the victims of the disaster are the individuals who escaped from the accident. There is a huge amount of psychological trauma among the individuals who have escaped from the accident. As I have some experience in the public health domain, I could help to analyse the situation in a proper manner.  In this case, the car crashed inside a shopping mall killing three individuals and severely injuring eight persons. The injured individuals are in a state of mental and physical shock. As a health professional my prime responsibility is to take the injured person from the site of the accident to a safe location. The injured individuals were carried safely to the tent and counselling was done to calm their nerves. The primary treatment was initiated. Mainly there were issues of fractures to the legs and shoulders of the individuals. The primary medicines were provided to ease the pain of the patient. Plaster was done to the legs and shoulders of the individuals and then the patients were transferred to the nearest hospital by the paramedic team.

Environmental Scan Planning Approach

The health professionals have a major role to play during the occurrence of any disaster. They should be able to perform the situational analysis in a proper way (Jackson, 2017). Analysis of the scenario will help the health professionals to implement the rescue plan in a proper manner. At the site of the disaster, the victims with the most injuries should be separated and attended with proper focus (Greiner, 2018). The response should be done according to the demand of the situation. The rescue at the disaster management site was not managed in a systematic way. The delegation of the work among the paramedic team was not properly done. There should have been at least one person outside the building whose prime responsibility would be to calm the nerves of the traumatised persons (Hamdami Nejad et al., 2014). Later it is seen that some of the paramedic staffs came out of the building and tried to calm the nerves of the victims. Providing first aid to the victims is one of the essential duties of the health professionals. In this case, it is seen that the less injured individuals were not properly provided with the first aid. They had to wait outside the building for a long time before getting attendance from the paramedic persons. The paramedic team need to focus on the implementation part rather than discussion of the management plan.

Conclusion

The study presents a set of simulated events that provide real-life experience.  A car crash occurred in a shopping mall taking 3 lives and injuring 8 individuals. The paramedic team arrived at the situation and the health professional with the implementation of the strategic plan tried to mitigate the situation. There was some lacuna in the communication and coordination of the paramedic team during mitigation of the disaster. In spite of that through this study, I comprehended the disaster management plan in a proper manner.

The disaster management plan comprises of the following components.

                                                                               Fig: Disaster management cycle, Source: Google

Analyzing Role of Health Professionals

Preparation: The preparatory stage is essential as it comprises of the primary assessment. If the preparation is done in a proper manner then the next phase can be implemented in a systematic way (Yadav, Preetham & Anchalia, 2016).

Response:  After the preparatory stage comes the response stage.  In the response stage, the situational analysis is the prime component. The situational analysis should be done properly to study the effects of the disaster (Gunay, 2017). Synchronizing with the preparation the response should be done by the disaster management team.

Restoration: After the primary response stage the next step is the restoration. In this phase restoration and recovery of the materials due to the disaster is done in a proper and systematic manner (Rheem, Choi, Kwak & Oh, 2016).

Mitigation: The mitigation part includes the learning from the operation. After the recovery and the restoration is done thorough review and analysis improvement plan should be formulated. This improvement plan should be implemented to mitigate the disaster (Kwak, Seo, Ko & Choi, 2017).

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