Integrating Clinical Documentation with Operational Protocols in Mass Casualty Incidents

Aghdam, Hamed; ,

نشریه علمی پژوهشی طب انتظامی Journal of Police Medicine

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Volume 14, Issue 1 (2025) J Police Med 2025, 14(1) | Back to browse issues page

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Aghdam H. Integrating Clinical Documentation with Operational Protocols in Mass Casualty Incidents. J Police Med 2025; 14 (1) : e2
URL: http://jpmed.ir/article-1-1358-en.html

Integrating Clinical Documentation with Operational Protocols in Mass Casualty Incidents

Hamed Aghdam ^*¹

1- , hamedaghdam@gmail.com

English Extended Abstract: (43 Views)

Managing mass casualty incidents (MCIs) in operational environments requires a strategic balance between immediate clinical interventions and accurate medical documentation. Given that information gaps and the bureaucracy of traditional records can lead to irreparable medical errors, this paper advocates for a transition toward agile operational forms based on the MARCH PAWS algorithm. The rationale behind this concept is that aligning documentation with the execution phases of trauma—ranging from massive hemorrhage control to supportive care—reduces the cognitive load on the medical team and ensures patient safety through real-time recording of critical and paraclinical data. Localizing such management tools within healthcare infrastructures not only enhances the quality of the chain of care and team accountability but also provides robust documentation for after-action reviews and forensic medical requirements in civil defense.

Article number: e2

Keywords: Mass Casualty Incidents, Documentation, Emergency Medical Services, Patient Safety, Wounds and Injuries, Civil Defense.

Article Type: Letter to Editor | Subject: Police Medicine Emergencies
Received: 2024/03/31 | Accepted: 2024/05/20 | Published: 2026/07/8

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