Access and Emergency Medical Care for Massive or Multiple Injuries
Lenjani B et al. - Access and Emergency Medical Care for Massive or Multiple Injuries


multiple injuries
emergency plan

How to Cite

Lenjani, B., Baftiu, N., Krasniqi, B., Makolli, S., Lenjani, D., Mišanović, V., Ljuhar, K., & Dogjani, A. (2023). Access and Emergency Medical Care for Massive or Multiple Injuries. Albanian Journal of Trauma and Emergency Surgery, 7(1), 1181-1188.


Access and emergency medical care for massive or multiple injuries is an comprehensive interdisciplinary challenge. Taking care of the growing causes of emergency care levels as well as cross-sectoral collaboration in the management of multiple incidents, reducing disease, disability, and mortality in the population with multiple disorders. In a disaster or extraordinary situation with mass casualties is a state in which the health care system is overloaded and the ability to provide emergency health care is considerably hindered. The aim of this review is to present the current state of knowledge on what we, the authors, say are the central aspects of trauma management of mass casualty incidents. Emergency planning and methodology are related to accidental states, elementary medical staff disasters, medical equipment, drilling material, concretizing assessment tools, monitoring, mass incident prevention. In terms of implementing a good action plan, effective collaboration between state agencies such as fire departament and law enforcement is necessary in identifying and directing critically ill patients to designated trauma centres. The integration of emergency systems for incident management, through providing resources like, medical equipment, drugs, autoambulances,  ongoing education and training. This has the impact of increasing knowledge of medical emergency procedures that would help reduce the risk of consequences of mass incidents. When applied to MCI responses, damage-control principles reduce resource utilization and optimze surge capacity, consequently reducing the rate of mortality.
Lenjani B et al. - Access and Emergency Medical Care for Massive or Multiple Injuries


Hugelius K, Becker J, Adolfsson A. Five Challenges When Managing Mass Casualty or Disaster Situations: A Review Study. Int J Environ Res Public Health. 2020 Apr 28;17(9):3068. doi: 10.3390/ijerph17093068. PMID: 32354076; PMCID: PMC7246560.

(PPI), W. B. (2021). Diagnostic Report Emergency Preparedness Emergency Preparedness. International Bank for Reconstruction and Development / The World Bank, 3.7.

Neugebauer, E. A. (2012). The Treatment of Patients With Severe and Multiple Traumatic Injuries. Deutsches Ärzteblatt International | Dtsch Arztebl Int 2012; 109(6): 102–8, 102=107.

Michael Frink, P. P. (2017). Multiple Trauma and Emergency Room Management. Journal List Dtsch Arztebl Int v.114(29-30); 2017 Jul PMC5569556, 497=505.

Agron Dogjani, Kastriot Haxhirexha, Arben Gjata, Alfred Ibrahimi, Amarildo Blloshmi. Medical Emergency Services in Albania, the Challenges and Improvements of Concepts in Management. Journal of Surgery and Research 5 (2022): 456-461. J Surg Res 2022 DOI:

Ciottone, G. R. (2016). Disaster Medicine, 2nd Edition, Israel: Elsevier Inc. All rights reserved.

Basri Lenjani Emergency medicine School Book. p. 597-603-620, 2022

WHO. (2004). Participant Manual_ Emergency Care And Treatment - ECAT - in Disasters. Pan American Health Organization (PAHO), 2004, P 5-18, 23-25, 71 2004.

Basri Lenjani, Nuhi Arslani, Agron Dogjani, & Esen Uysal. (2021). Medical Traffic. Pristine: textbook. (p. 291).

Group, P. G. (2018). Level 3 guideline on the treatment of patients with severe/multiple injuries. European Journal of Trauma and Emergency Surgery, volume 44, pages3–271 (2018).

Parvin Kashani, A. S. (2019). Management of multiple traumas in emergency medicine department: A review. © 2019 Journal of Family Medicine and Primary Care | Published by Wolters Kluwer - Medknow, 3789=3794.

Martin Heinrich 1, 2. ,. (t 2020). Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries. Journal of Clinical Medicine, 3=13.

NHTS. (2019). National EMS Scope Of Practice Model. EMS NHTS, 34-42.

Bhandari Roshan Bhakta & Owen Christine & Trist Cain, 2015. "Incident Management Approaches above the Incident Management Team Level in Australia," Journal of Homeland Security and Emergency Management, De Gruyter, vol. 12(1), pages 101-119, April.

Samuel E. Shartar, MSN, RN, Brooks L. Moore, MD, Lori M. Wood MSEM 2017-12-01.

Brataj, S., & Dogjani, A. (2019). The Emergency Medical System in Albania: The Mission of the National Emergency Medical Center (NEMC). Albanian Journal of Trauma and Emergency Surgery, 3(1), 270–275.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.