{"id":1085,"date":"2021-02-25T11:26:58","date_gmt":"2021-02-25T11:26:58","guid":{"rendered":"http:\/\/majorincidentreporting.net\/?page_id=1085"},"modified":"2021-03-08T08:22:22","modified_gmt":"2021-03-08T08:22:22","slug":"published-reports","status":"publish","type":"page","link":"https:\/\/majorincidentreporting.net\/index.php\/published-reports\/","title":{"rendered":"Published Reports"},"content":{"rendered":"\n\t\t\t\t\t\t\t<h3 style=\"margin-bottom:20px;display:block;width:100%;margin-top:10px\">Published Reports <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/chile-flag-round-icon-32.png?resize=32%2C32\" alt=\"\" width=\"32\" height=\"32\" class=\"alignnone size-full wp-image-529\" \/> Chile <\/h3>\r\n\t\t\t\t\t\t<style>\r\n\t\t\t\t<style>\r\n#wpsm_accordion_1090 .wpsm_panel-heading{\r\n\tpadding:0px !important;\r\n}\r\n#wpsm_accordion_1090 .wpsm_panel-title {\r\n\tmargin:0px !important; \r\n\ttext-transform:none !important;\r\n\tline-height: 1 !important;\r\n}\r\n#wpsm_accordion_1090 .wpsm_panel-title a{\r\n\ttext-decoration:none;\r\n\toverflow:hidden;\r\n\tdisplay:block;\r\n\tpadding:0px;\r\n\tfont-size: 18px !important;\r\n\tfont-family: Open Sans !important;\r\n\tcolor:#000000 !important;\r\n\tborder-bottom:0px !important;\r\n}\r\n\r\n#wpsm_accordion_1090 .wpsm_panel-title a:focus {\r\noutline: 0px !important;\r\n}\r\n\r\n#wpsm_accordion_1090 .wpsm_panel-title a:hover, #wpsm_accordion_1090 .wpsm_panel-title a:focus {\r\n\tcolor:#000000 !important;\r\n}\r\n#wpsm_accordion_1090 .acc-a{\r\n\tcolor: #000000 !important;\r\n\tbackground-color:#e8e8e8 !important;\r\n\tborder-color: #ddd;\r\n}\r\n#wpsm_accordion_1090 .wpsm_panel-default > .wpsm_panel-heading{\r\n\tcolor: #000000 !important;\r\n\tbackground-color: #e8e8e8 !important;\r\n\tborder-color: #e8e8e8 !important;\r\n\tborder-top-left-radius: 0px;\r\n\tborder-top-right-radius: 0px;\r\n}\r\n#wpsm_accordion_1090 .wpsm_panel-default {\r\n\t\tborder:1px solid transparent !important;\r\n\t}\r\n#wpsm_accordion_1090 {\r\n\tmargin-bottom: 20px;\r\n\toverflow: hidden;\r\n\tfloat: none;\r\n\twidth: 100%;\r\n\tdisplay: block;\r\n}\r\n#wpsm_accordion_1090 .ac_title_class{\r\n\tdisplay: block;\r\n\tpadding-top: 12px;\r\n\tpadding-bottom: 12px;\r\n\tpadding-left: 15px;\r\n\tpadding-right: 15px;\r\n}\r\n#wpsm_accordion_1090  .wpsm_panel {\r\n\toverflow:hidden;\r\n\t-webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\tbox-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\t\tborder-radius: 4px;\r\n\t}\r\n#wpsm_accordion_1090  .wpsm_panel + .wpsm_panel {\r\n\t\tmargin-top: 5px;\r\n\t}\r\n#wpsm_accordion_1090  .wpsm_panel-body{\r\n\tbackground-color:#ffffff !important;\r\n\tcolor:#000000 !important;\r\n\tborder-top-color: #e8e8e8 !important;\r\n\tfont-size:16px !important;\r\n\tfont-family: Open Sans !important;\r\n\toverflow: hidden;\r\n\t\tborder: 2px solid #e8e8e8 !important;\r\n\t}\r\n\r\n#wpsm_accordion_1090 .ac_open_cl_icon{\r\n\tbackground-color:#e8e8e8 !important;\r\n\tcolor: #000000 !important;\r\n\tfloat:right !important;\r\n\tpadding-top: 12px !important;\r\n\tpadding-bottom: 12px !important;\r\n\tline-height: 1.0 !important;\r\n\tpadding-left: 15px !important;\r\n\tpadding-right: 15px !important;\r\n\tdisplay: inline-block !important;\r\n}\r\n\r\n\t\t\t\r\n\t\t\t<\/style>\t\r\n\t\t\t<\/style>\r\n\t\t\t<div class=\"wpsm_panel-group\" id=\"wpsm_accordion_1090\" >\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_1090 \" href=\"javascript:void(0)\" data-target=\"#ac_1090_collapse1\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-laptop\"><\/span>\r\n\t\t\t\t\t\t\t\t\tPrison Fire in Santiago de Chile\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_1090_collapse1\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\tAccordion <div id=\"print1\">\r\n\r\nCountry: Chile\u00a0 \u2022 \u00a0Report\u00a0published: April\u00a017, 2015\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Patricio Cort\u00e9s Picazo\r\n<\/strong>Director EMS SAMU Metropolitano Santiago de Chile 2010-2013\r\nEmergency Medical Services SAMU Metropolitano Santiago de Chile\r\n\r\n<strong>Role in incident: <\/strong>\r\nChief Operations Network Emergency Medical Services And Hospital System\r\n\r\n<strong>Co-authors:<\/strong>\r\nDr. Carlos Becerra, Dr. Luis Herrada, Mr. Roberto Araneda, Ms. Carolina Astorga\r\n<h5>Summary:\u00a0Prison Fire in Santiago de Chile<\/h5>\r\nOn December 8, 2010 (6:12AM), the SAMU Metropolitan Santiago de CHILE (EMS) was alerted of a fire in the Prison of San Miguel with 1,900 inmates and guards inside. Most of the victims died of inhalation of smoke or toxic gases and burns (81 deads).\r\n\r\nIn addition to ambulances in EMS of Santiago de Chile with advanced life support (ALS) and basic life support (BLS) hospitals with burn units, general public and private hospitals, other EMS [100 km +\/-] as well as the \"centralized beds unit\" were activated.\r\n\r\nThe \"Centralized Beds Unit\" was a unit created 5-6 years ago to coordinate needs and costs due to ICU beds always being full. It is a unit managed by nurses and doctors that overviews availability of public and private Intensive Care Units beds in the city and some regions of the country. This unit is in constant communication with EMS communication centre, Emergency Rooms and ICUs. Both are in the city and located away from the incident. Other relevant organizations like Civilian Protection and Ministry of Health were alerted of this Mass Casualty Incident in progress from EMS coordinating centre (131).\r\n\r\nOn scene work consisted of: primarily triage of 466 patients who were burned (using START triage), of whom 81 were declared dead on-scene, 20 patients were evacuated to 9 different Emergency rooms. There were 7 ambulances with ALS competency and 13 ambulances with BLS competency on-scene. No patients were transported more than 17 km in the primary evacuation, none died after 24 hours. All patients were discharged from secondary health care facilities alive.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id8031' alt='Print summary' title='Print summary' data-print_target='div#print1'><\/div> <div class='printomatictext' id='id8031' alt='Print summary' title='Print summary' data-print_target='div#print1'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" \"src=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/Files-Pdf-icon.png\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" class=\"alignnnone size-full wp-image-559\"\/> <a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/picazo3.pdf\" target=\"blank\" rel=\"noopener\">Download report<\/a>\u00a0 \u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" class=\"alignleft size-full wp-image-561\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d106467.26479808208!2d-70.64953964849454!3d-33.498722607284336!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x9662dac8720208ef%3A0xf7b632837d8d2e2!2sSan+Francisco+4756%2C+San+Miguel%2C+Regi%C3%B3n+Metropolitana%2C+Chile!5e0!3m2!1sno!2sno!4v1444032665298\">Incident location map<\/a>\u00a0\u00a0\u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" class=\"alignleft size-full wp-image-562\" \/>\"\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>Sample Description\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\r\n<script type=\"text\/javascript\">\r\n\t\r\n\t\tfunction do_resize(){\r\n\r\n\t\t\tvar width=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).width();\r\n\t\t\tvar height=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).height();\r\n\r\n\t\t\tvar toggleSize = true;\r\n\t\t\tjQuery('iframe').animate({\r\n\t\t\t    width: toggleSize ? width : 640,\r\n\t\t\t    height: toggleSize ? height : 360\r\n\t\t\t  }, 250);\r\n\r\n\t\t\t  toggleSize = !toggleSize;\r\n\t\t}\r\n\t\t\r\n<\/script>\t\n\n\n\n\t\t\t\t\t\t\t<h3 style=\"margin-bottom:20px;display:block;width:100%;margin-top:10px\">Published Reports <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/finland-flag-round-icon-32.png?resize=32%2C32\" alt=\"\" width=\"32\" height=\"32\" class=\"alignnone size-full wp-image-530\" \/>Finland <\/h3>\r\n\t\t\t\t\t\t<style>\r\n\t\t\t\t<style>\r\n#wpsm_accordion_1097 .wpsm_panel-heading{\r\n\tpadding:0px !important;\r\n}\r\n#wpsm_accordion_1097 .wpsm_panel-title {\r\n\tmargin:0px !important; \r\n\ttext-transform:none !important;\r\n\tline-height: 1 !important;\r\n}\r\n#wpsm_accordion_1097 .wpsm_panel-title a{\r\n\ttext-decoration:none;\r\n\toverflow:hidden;\r\n\tdisplay:block;\r\n\tpadding:0px;\r\n\tfont-size: 18px !important;\r\n\tfont-family: Open Sans !important;\r\n\tcolor:#000000 !important;\r\n\tborder-bottom:0px !important;\r\n}\r\n\r\n#wpsm_accordion_1097 .wpsm_panel-title a:focus {\r\noutline: 0px !important;\r\n}\r\n\r\n#wpsm_accordion_1097 .wpsm_panel-title a:hover, #wpsm_accordion_1097 .wpsm_panel-title a:focus {\r\n\tcolor:#000000 !important;\r\n}\r\n#wpsm_accordion_1097 .acc-a{\r\n\tcolor: #000000 !important;\r\n\tbackground-color:#e8e8e8 !important;\r\n\tborder-color: #ddd;\r\n}\r\n#wpsm_accordion_1097 .wpsm_panel-default > .wpsm_panel-heading{\r\n\tcolor: #000000 !important;\r\n\tbackground-color: #e8e8e8 !important;\r\n\tborder-color: #e8e8e8 !important;\r\n\tborder-top-left-radius: 0px;\r\n\tborder-top-right-radius: 0px;\r\n}\r\n#wpsm_accordion_1097 .wpsm_panel-default {\r\n\t\tborder:1px solid transparent !important;\r\n\t}\r\n#wpsm_accordion_1097 {\r\n\tmargin-bottom: 20px;\r\n\toverflow: hidden;\r\n\tfloat: none;\r\n\twidth: 100%;\r\n\tdisplay: block;\r\n}\r\n#wpsm_accordion_1097 .ac_title_class{\r\n\tdisplay: block;\r\n\tpadding-top: 12px;\r\n\tpadding-bottom: 12px;\r\n\tpadding-left: 15px;\r\n\tpadding-right: 15px;\r\n}\r\n#wpsm_accordion_1097  .wpsm_panel {\r\n\toverflow:hidden;\r\n\t-webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\tbox-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\t\tborder-radius: 4px;\r\n\t}\r\n#wpsm_accordion_1097  .wpsm_panel + .wpsm_panel {\r\n\t\tmargin-top: 5px;\r\n\t}\r\n#wpsm_accordion_1097  .wpsm_panel-body{\r\n\tbackground-color:#ffffff !important;\r\n\tcolor:#000000 !important;\r\n\tborder-top-color: #e8e8e8 !important;\r\n\tfont-size:16px !important;\r\n\tfont-family: Open Sans !important;\r\n\toverflow: hidden;\r\n\t\tborder: 2px solid #e8e8e8 !important;\r\n\t}\r\n\r\n#wpsm_accordion_1097 .ac_open_cl_icon{\r\n\tbackground-color:#e8e8e8 !important;\r\n\tcolor: #000000 !important;\r\n\tfloat:right !important;\r\n\tpadding-top: 12px !important;\r\n\tpadding-bottom: 12px !important;\r\n\tline-height: 1.0 !important;\r\n\tpadding-left: 15px !important;\r\n\tpadding-right: 15px !important;\r\n\tdisplay: inline-block !important;\r\n}\r\n\r\n\t\t\t\r\n\t\t\t<\/style>\t\r\n\t\t\t<\/style>\r\n\t\t\t<div class=\"wpsm_panel-group\" id=\"wpsm_accordion_1097\" >\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_1097 \" href=\"javascript:void(0)\" data-target=\"#ac_1097_collapse1\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-laptop\"><\/span>\r\n\t\t\t\t\t\t\t\t\tSchool shooting in Jokela\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_1097_collapse1\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print2\">\r\n\r\nCountry: Finland\u00a0 \u2022 \u00a0Report\u00a0published: April\u00a017, 2015\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Timo Jama<\/strong>\r\nMedical Director of EMS\r\nP\u00e4ij\u00e4t-H\u00e4me Social and Health Care Group\r\n\r\n<strong>Role in incident: <\/strong>Incident Commander (working duty officer\/HEMS physician at that time)\r\n<h5>Summary:\u00a0School shooting in Jokela<\/h5>\r\nOn November 7th 2007 a student at Jokela high school opened fire on students and employees inside the school building. He also attempted to start a fire, but did not succeed.\r\n\r\nEight people (the principle, school nurse and six young high school students) were killed by a student at the school who opened fire on school premises. The shooter shot himself and died afterwards in hospital.\r\n\r\nChallenges were that it took 2 hours to secure the site for Emergency Medical Services to access. TETRA radio was periodically not working.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id6459' alt='Print summary' title='Print summary' data-print_target='div#print2'><\/div> <div class='printomatictext' id='id6459' alt='Print summary' title='Print summary' data-print_target='div#print2'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/06\/jokela-shooting.pdf\" target=\"blank\" rel=\"noopener\">Download full report<\/a>\u00a0 \u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d31383.801395182614!2d24.948763351467242!3d60.552668697263705!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x468e068c75e6d071%3A0xf2c52c66ccb4ab88!2s05400+Jokela%2C+Finland!5e0!3m2!1sno!2sno!4v1444034076687\">Incident location map<\/a> \u00a0 \u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"collapsed\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_1097 \" href=\"javascript:void(0)\" data-target=\"#ac_1097_collapse2\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-laptop\"><\/span>\r\n\t\t\t\t\t\t\t\t\tPlane crash exercise Oulu\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_1097_collapse2\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print8\">\r\n\r\nCountry: Finland\u00a0 \u2022 \u00a0Report published:\u00a0December 29, 2015\r\n<h5>Reporter<\/h5>\r\n<strong>Mr. Lasse Viljam Raatiniemi\r\n<\/strong>Chief of Medicine for ground EMS at Oulu University Hospital, Division of Pre-Hospital Emergency Care<strong>\r\n<\/strong>\r\n\r\n<strong>Role in incident:<\/strong> Author works as Chief of Medicine for ground\u00a0EMS units in health care district\u00a0and as HEMS doctor in\u00a0FinnHEMS 50. The author did not\u00a0directly participate in the\u00a0excercise.\r\n<h5>Summary: Plane crash exercise Oulu<\/h5>\r\nThe disaster exercise was organised on the coast of Oulu, the largest city in northern Finland with 196,382 inhabitants. There is a university hospital located in Oulu and it functions as a major trauma center for the entire northern part of Finland with about 750,000 inhabitants. The land area of the catchment area is about 50% of the land area in Finland. Oulu is known as a technology city and is also an important university city (Oulu University).\r\nOulu airport is located in Oulunsalo, about 15 kilometres from Oulu center. It is the second largest airport in Finland. The road-network is well-developed and the university hospital is easily accessed by ground ambulance. Hailuoto is the third largest island of Finland with a population about 1000 inhabitants. Hailuoto is accessed by ferry and transport from Hailuoto center to Oulu center (ferry and driving time by car) is about one hour. The organisation responsible for administration of pre-hospital emergency medical services is Oulu University hospital (Northern Ostrobothnia Health Care District). Emergency medical services are operated by Fire Brigades (urgent missions) and privatists (non-urgent missions). The physician-staffed helicopter emergency medical services are operated by FinnHEMS. The only HEMS unit, FinnHEMS 50, has its base in Oulu airport. EMS have four tiers: first responders (fire brigade), basic- and advanced level ambulances and FinnHEMS 50. Field commander on duty has the operational commando for EMS- units on daily basis. Field commanders have education as paramedics. Dispatch center has catchment area for the whole of the North of Finland. All 112 calls are answered by specially-educated operators, units are dispatched based on risk evaluation and operational procedures.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id8953' alt='Print summary' title='Print summary' data-print_target='div#print8'><\/div> <div class='printomatictext' id='id8953' alt='Print summary' title='Print summary' data-print_target='div#print8'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/29-12-15-Raatiniemi.pdf\" target=\"_blank\" rel=\"noopener\">Download full report<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m14!1m8!1m3!1d3451645.956691964!2d25.4539002!3d65.0126133!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x468032a8c02185c1%3A0x8bb02d322b12e97d!2s90100+Oulu%2C+Finland!5e0!3m2!1sen!2sno!4v1451328463363\">Incident location map<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"collapsed\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_1097 \" href=\"javascript:void(0)\" data-target=\"#ac_1097_collapse3\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-laptop\"><\/span>\r\n\t\t\t\t\t\t\t\t\tPlane crash exercise Kuusamo\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_1097_collapse3\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print13\">\r\n\r\nCountry: Finland\u00a0 \u2022 \u00a0Report published:\u00a0December\u00a009, 2016\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Lasse Raatiniemi<\/strong><strong>\r\n<\/strong>\r\n\r\n<strong>Role in incident:<\/strong>\u00a0Treatment officer\r\n<h5>Co-authors<\/h5>\r\n<strong>Tommi pekanoja<\/strong>\r\nRole in incident:\u00a0Observer, Field supervisor\r\n\r\n<strong>Pasi Lehto<\/strong>\r\nRole in incident:\u00a0Observer, pre-hospital anaesthesiologist\r\n<h5>Summary: Plane crash exercise Kuusamo<\/h5>\r\nThe incident took place in Finland at Kuusamo Airport. A passenger aircraft with 20 passangers and four crew members had a tough landing after light contact with another aircraft in the air. In the secondary triage: three red, seven yellow, 12 green and two black patients.\r\nThe success factors in this major incident excercise were very fast initiation of major incident protocol, the use of local emergency medical response team and good communication. Another success factor was that EMS units also from other hospital districts were dispatched and they communicated and worked effectively during the exercise. In a very rural area, with limited number of EMS units, co-operation with other hospital districts is of great importance. The mandatory major incident communication simulation trainings have probably improved the communication during full scale excercies. The EMS communication plan is similar in all hospital districts in Northern Finland.\r\nHEMS unit was not able to fly to the scene due to weather restrictions. However, HEMS doctor (DOC) and HEMS crew member (HCM) responded using a rapid response unit.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id8804' alt='Print summary' title='Print summary' data-print_target='div#print13'><\/div> <div class='printomatictext' id='id8804' alt='Print summary' title='Print summary' data-print_target='div#print13'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/06\/kuusamo_v2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Download full report<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d51955.30129250433!2d29.17161206257289!3d65.98745748446083!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x44294fcd50dcb3c5%3A0xb095816fe340ffa3!2sKuusamo+lufthavn+(KAO)!5e0!3m2!1sno!2sus!4v1481281108240\">Incident location map<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"collapsed\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_1097 \" href=\"javascript:void(0)\" data-target=\"#ac_1097_collapse4\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-laptop\"><\/span>\r\n\t\t\t\t\t\t\t\t\tNightClub Exercise, Kalajoki\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_1097_collapse4\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print19\">\r\n\r\nCountry: Finland  \u2022 \u00a0Report submitted:\u00a0June\u00a006, 2016\r\n<h5>Reporter<\/h5>\r\n<strong>Pauliina Valkovirta<\/strong><strong>\r\n<\/strong>\r\n\r\n<strong>Role in incident:<\/strong>\u00a0Planner and organizer of Master degree program in Emergency Care Management.\r\n\r\n<hr> Summary: Meris\u00e4rkk\u00e42016 - night club fire exercise.<\/h5> \r\nThe night club fire exercise took Place in Finland at Kalajoki Hiekkas\u00e4rk\u00e4t. The exercise was planned and organised by six students of the Master`s degree programme in Emergency Care Management and it was carried out in co-operation with local emergency care service, fire service, police and other authorities.\r\nKalajoki Hiekkas\u00e4rk\u00e4t is popular tourist attraction on the coast of Kalajoki especially at summer time. Kalajoki is quite small town with about 12500 inhabitants and the land area is 2391,30km2. The town is known as travelling, farming and metal industry. the area of Kalajoki Hiekkas\u00e4rk\u00e4t is located about ten kilometres away from Kalajoki town to the south.\r\nNight club Meris\u00e4rkk\u00e4 is one of many restaurants anf nigth clubs of the area of Hiekkas\u00e4rk\u00e4t. At the best season there can be even 3000 people having a party at the Meris\u00e4rkk\u00e4 night club.\r\nWe decided to plan and organize that kind of exercise because there has been many disastrous night club accidents around the world in recent years. As we also know there has ever been that kind of exercise in Finland before. The major incident exercice planning and organizing was part of our Master`s degree studies.Hiekkas\u00e4rk\u00e4t of Kalajoki is located about ten kilometres away from the town of Kalajoki by the seaside.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id1467' alt='Print summary' title='Print summary' data-print_target='div#print19'><\/div> <div class='printomatictext' id='id1467' alt='Print summary' title='Print summary' data-print_target='div#print19'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> \r\n<a href=\"https:\/\/majorincidentreporting.net\/wp-content\/uploads\/2023\/12\/Nightclub-exercise.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Download full report<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m14!1m12!1m3!1d1734.2686757580923!2d23.812882013032958!3d64.23547390902829!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!5e0!3m2!1sno!2sno!4v1702033745098!5m2!1sno!2sno\">Incident location map<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\r\n<script type=\"text\/javascript\">\r\n\t\r\n\t\tfunction do_resize(){\r\n\r\n\t\t\tvar width=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).width();\r\n\t\t\tvar height=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).height();\r\n\r\n\t\t\tvar toggleSize = true;\r\n\t\t\tjQuery('iframe').animate({\r\n\t\t\t    width: toggleSize ? width : 640,\r\n\t\t\t    height: toggleSize ? height : 360\r\n\t\t\t  }, 250);\r\n\r\n\t\t\t  toggleSize = !toggleSize;\r\n\t\t}\r\n\t\t\r\n<\/script>\t\n\n\n\n\t\t\t\t\t\t\t<h3 style=\"margin-bottom:20px;display:block;width:100%;margin-top:10px\">Published Reports <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/mexico-flag-round-icon-32.png?resize=32%2C32\" alt=\"\" width=\"32\" height=\"32\" class=\"alignnone size-full wp-image-531\" \/> Mexico <\/h3>\r\n\t\t\t\t\t\t<style>\r\n\t\t\t\t<style>\r\n#wpsm_accordion_1092 .wpsm_panel-heading{\r\n\tpadding:0px !important;\r\n}\r\n#wpsm_accordion_1092 .wpsm_panel-title {\r\n\tmargin:0px !important; \r\n\ttext-transform:none !important;\r\n\tline-height: 1 !important;\r\n}\r\n#wpsm_accordion_1092 .wpsm_panel-title a{\r\n\ttext-decoration:none;\r\n\toverflow:hidden;\r\n\tdisplay:block;\r\n\tpadding:0px;\r\n\tfont-size: 18px !important;\r\n\tfont-family: Open Sans !important;\r\n\tcolor:#000000 !important;\r\n\tborder-bottom:0px !important;\r\n}\r\n\r\n#wpsm_accordion_1092 .wpsm_panel-title a:focus {\r\noutline: 0px !important;\r\n}\r\n\r\n#wpsm_accordion_1092 .wpsm_panel-title a:hover, #wpsm_accordion_1092 .wpsm_panel-title a:focus {\r\n\tcolor:#000000 !important;\r\n}\r\n#wpsm_accordion_1092 .acc-a{\r\n\tcolor: #000000 !important;\r\n\tbackground-color:#e8e8e8 !important;\r\n\tborder-color: #ddd;\r\n}\r\n#wpsm_accordion_1092 .wpsm_panel-default > .wpsm_panel-heading{\r\n\tcolor: #000000 !important;\r\n\tbackground-color: #e8e8e8 !important;\r\n\tborder-color: #e8e8e8 !important;\r\n\tborder-top-left-radius: 0px;\r\n\tborder-top-right-radius: 0px;\r\n}\r\n#wpsm_accordion_1092 .wpsm_panel-default {\r\n\t\tborder:1px solid transparent !important;\r\n\t}\r\n#wpsm_accordion_1092 {\r\n\tmargin-bottom: 20px;\r\n\toverflow: hidden;\r\n\tfloat: none;\r\n\twidth: 100%;\r\n\tdisplay: block;\r\n}\r\n#wpsm_accordion_1092 .ac_title_class{\r\n\tdisplay: block;\r\n\tpadding-top: 12px;\r\n\tpadding-bottom: 12px;\r\n\tpadding-left: 15px;\r\n\tpadding-right: 15px;\r\n}\r\n#wpsm_accordion_1092  .wpsm_panel {\r\n\toverflow:hidden;\r\n\t-webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\tbox-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\t\tborder-radius: 4px;\r\n\t}\r\n#wpsm_accordion_1092  .wpsm_panel + .wpsm_panel {\r\n\t\tmargin-top: 5px;\r\n\t}\r\n#wpsm_accordion_1092  .wpsm_panel-body{\r\n\tbackground-color:#ffffff !important;\r\n\tcolor:#000000 !important;\r\n\tborder-top-color: #e8e8e8 !important;\r\n\tfont-size:16px !important;\r\n\tfont-family: Open Sans !important;\r\n\toverflow: hidden;\r\n\t\tborder: 2px solid #e8e8e8 !important;\r\n\t}\r\n\r\n#wpsm_accordion_1092 .ac_open_cl_icon{\r\n\tbackground-color:#e8e8e8 !important;\r\n\tcolor: #000000 !important;\r\n\tfloat:right !important;\r\n\tpadding-top: 12px !important;\r\n\tpadding-bottom: 12px !important;\r\n\tline-height: 1.0 !important;\r\n\tpadding-left: 15px !important;\r\n\tpadding-right: 15px !important;\r\n\tdisplay: inline-block !important;\r\n}\r\n\r\n\t\t\t\r\n\t\t\t<\/style>\t\r\n\t\t\t<\/style>\r\n\t\t\t<div class=\"wpsm_panel-group\" id=\"wpsm_accordion_1092\" >\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_1092 \" href=\"javascript:void(0)\" data-target=\"#ac_1092_collapse1\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-laptop\"><\/span>\r\n\t\t\t\t\t\t\t\t\tGas explosion\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_1092_collapse1\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print11\">\r\n\r\nCountry: Mexico\u00a0 \u2022 \u00a0Report published:\u00a0September 27, 2016\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Fernando Rom\u00e1n-Morales\r\n<\/strong>Coordinator of Prehospital and Disaster Medicine for the Health Secretariat<strong>\r\n<\/strong>\r\n\r\n<strong>Role in incident\r\n<\/strong>Coordinator of Prehospital and Disaster Medicine for the Health Secretariat. At his arrival on scene he tried to stablish a Medical Command Post and worked as the Medical Command Officer.\r\n\r\n<strong>Co-authors\r\n<\/strong>Mr. Mart\u00edn Dur\u00e1n-Lara &\r\nDr. J. Sebasti\u00e1n Espino-N\u00fa\u00f1ez\r\n<h5>Summary: Gas explosion<\/h5>\r\nAn initial gas leak from a gas tank vehicle caused a gas explosion on the premises of a hospital in the periphery of Mexico City on January 29, 2015. The gas explosion destroyed 70% of the hospital building and an estimated number of 71 persons were injured, 27 of them neonates. Evacuation of injured from the scene was quickly established, but was uncoordinated and ad hoc. Major challenges in the MI management on scene were hazards from biological and infectious residues and radiation from diagnostic equipment, fire and collapsed building structures. \u00a0Access to the scene was impaired by traffic, evacuation was done by road and helicopter EMS to nearby hospitals. Allocation of patient to hospitals was not coordinated, and there seems to have been a significant under- and overtriage. Communication between emergency units was challenging because two emergency communication systems were in use, but communication to the public seems to have been adequate with the use of social media and television. Incident command was established approximately 2 hours after the incident, at that point all victims had been evacuated. The major issue to be addressed in the management of the MI is the fragmented emergency care and general health care system in Mexico City and the lack of a unified MI plan and lack of coordination on scene.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id9027' alt='Print summary' title='Print summary' data-print_target='div#print11'><\/div> <div class='printomatictext' id='id9027' alt='Print summary' title='Print summary' data-print_target='div#print11'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" class=\"alignleft size-full wp-image-559\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/06\/mexico_gas_report_v2.pdf\" target=\"blank\" rel=\"noopener noreferrer\">Download full report<\/a>\u00a0\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" class=\"alignleft size-full wp-image-561\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d3290.475478690539!2d-99.30309139250814!3d19.347035937147524!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x0%3A0x0!2zMTnCsDIwJzUwLjgiTiA5OcKwMTgnMDMuNCJX!5e0!3m2!1sen!2sno!4v1474975203550\">Incident location map<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" class=\"alignleft size-full wp-image-562\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\r\n<script type=\"text\/javascript\">\r\n\t\r\n\t\tfunction do_resize(){\r\n\r\n\t\t\tvar width=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).width();\r\n\t\t\tvar height=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).height();\r\n\r\n\t\t\tvar toggleSize = true;\r\n\t\t\tjQuery('iframe').animate({\r\n\t\t\t    width: toggleSize ? width : 640,\r\n\t\t\t    height: toggleSize ? height : 360\r\n\t\t\t  }, 250);\r\n\r\n\t\t\t  toggleSize = !toggleSize;\r\n\t\t}\r\n\t\t\r\n<\/script>\t\n\n\n\n\t\t\t\t\t\t\t<h3 style=\"margin-bottom:20px;display:block;width:100%;margin-top:10px\">Published reports <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/norway-flag-round-icon-32.png?resize=32%2C32\" alt=\"\" width=\"32\" height=\"32\" class=\"alignnone size-full wp-image-532\" \/> Norway <\/h3>\r\n\t\t\t\t\t\t<style>\r\n\t\t\t\t<style>\r\n#wpsm_accordion_537 .wpsm_panel-heading{\r\n\tpadding:0px !important;\r\n}\r\n#wpsm_accordion_537 .wpsm_panel-title {\r\n\tmargin:0px !important; \r\n\ttext-transform:none !important;\r\n\tline-height: 1 !important;\r\n}\r\n#wpsm_accordion_537 .wpsm_panel-title a{\r\n\ttext-decoration:none;\r\n\toverflow:hidden;\r\n\tdisplay:block;\r\n\tpadding:0px;\r\n\tfont-size: 18px !important;\r\n\tfont-family: Open Sans !important;\r\n\tcolor:#000000 !important;\r\n\tborder-bottom:0px !important;\r\n}\r\n\r\n#wpsm_accordion_537 .wpsm_panel-title a:focus {\r\noutline: 0px !important;\r\n}\r\n\r\n#wpsm_accordion_537 .wpsm_panel-title a:hover, #wpsm_accordion_537 .wpsm_panel-title a:focus {\r\n\tcolor:#000000 !important;\r\n}\r\n#wpsm_accordion_537 .acc-a{\r\n\tcolor: #000000 !important;\r\n\tbackground-color:#e8e8e8 !important;\r\n\tborder-color: #ddd;\r\n}\r\n#wpsm_accordion_537 .wpsm_panel-default > .wpsm_panel-heading{\r\n\tcolor: #000000 !important;\r\n\tbackground-color: #e8e8e8 !important;\r\n\tborder-color: #e8e8e8 !important;\r\n\tborder-top-left-radius: 0px;\r\n\tborder-top-right-radius: 0px;\r\n}\r\n#wpsm_accordion_537 .wpsm_panel-default {\r\n\t\tborder:1px solid transparent !important;\r\n\t}\r\n#wpsm_accordion_537 {\r\n\tmargin-bottom: 20px;\r\n\toverflow: hidden;\r\n\tfloat: none;\r\n\twidth: 100%;\r\n\tdisplay: block;\r\n}\r\n#wpsm_accordion_537 .ac_title_class{\r\n\tdisplay: block;\r\n\tpadding-top: 12px;\r\n\tpadding-bottom: 12px;\r\n\tpadding-left: 15px;\r\n\tpadding-right: 15px;\r\n}\r\n#wpsm_accordion_537  .wpsm_panel {\r\n\toverflow:hidden;\r\n\t-webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\tbox-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\t\tborder-radius: 4px;\r\n\t}\r\n#wpsm_accordion_537  .wpsm_panel + .wpsm_panel {\r\n\t\tmargin-top: 5px;\r\n\t}\r\n#wpsm_accordion_537  .wpsm_panel-body{\r\n\tbackground-color:#ffffff !important;\r\n\tcolor:#000000 !important;\r\n\tborder-top-color: #e8e8e8 !important;\r\n\tfont-size:16px !important;\r\n\tfont-family: Open Sans !important;\r\n\toverflow: hidden;\r\n\t\tborder: 2px solid #e8e8e8 !important;\r\n\t}\r\n\r\n#wpsm_accordion_537 .ac_open_cl_icon{\r\n\tbackground-color:#e8e8e8 !important;\r\n\tcolor: #000000 !important;\r\n\tfloat:right !important;\r\n\tpadding-top: 12px !important;\r\n\tpadding-bottom: 12px !important;\r\n\tline-height: 1.0 !important;\r\n\tpadding-left: 15px !important;\r\n\tpadding-right: 15px !important;\r\n\tdisplay: inline-block !important;\r\n}\r\n\r\n\t\t\t\r\n\t\t\t<\/style>\t\r\n\t\t\t<\/style>\r\n\t\t\t<div class=\"wpsm_panel-group\" id=\"wpsm_accordion_537\" >\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_537 \" href=\"javascript:void(0)\" data-target=\"#ac_537_collapse1\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-ambulance\"><\/span>\r\n\t\t\t\t\t\t\t\t\tTruck and tunnel fire\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_537_collapse1\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print3\">\r\n\r\nCountry: Norway\u00a0\u00a0\u2022 \u00a0Report published:\u00a0October 3, 2015\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Jon-kenneth Heltne\r\n<\/strong>MD\r\nHaukeland University Hospital<strong>\r\n<\/strong>\r\n\r\n<strong>Role in incident\r\n<\/strong>Consultant at the Air Ambulance, one of several HEMS physicians on scene. Took part in the rescue efforts, triage and treatment of victims from Gudvanga tunnel fire.\r\n<h5>Summary:\u00a0Truck and tunnel fire<\/h5>\r\n<strong>Truck and tunnel fire in Gudvanga tunnel in Western Norway.<\/strong>\r\n\r\nOn August 5th 2013 a fire started in a truck inside the Gudvanga tunnel in Western Norway.\r\n\r\nThe Gudvanga tunnel is the second longest tunnel (11 kilometers) along the ferry free Europe road 16 between Oslo and Bergen. The incident happened in a sparsely populated area 40 kilometers from Voss with 14000 inhabitants, nearest large city Bergen has a population of about 300 000 people. Nearby several beautiful tourist attractions and fjords.\r\n\r\nTraffic authorities measured 1995 vehicles per 24 hours in average. There were 66 casualties, all of them taken to nearby hospitals some with serious inhalation injuries, but no fatalities. Although the biggest tunnel fire seen so far it has been hailed a miracle that there were no deaths.\r\n\r\nEmergency services communicated via old analogue network and local coverage in the area was poor. Challenges were communication systems not working inside tunnel and 2 evacuation sites, one on each side of tunnel reporting to 2 different dispatch centers. In addition, the electrical system melted and lead to no light or fans working inside the tunnel. Heavy smoke made access difficult.\r\n\r\nEffective triage by HEMS, appropriate use of transportation and several hospitals involved in patient distribution made the evacuation successful.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id6987' alt='Print summary' title='Print summary' data-print_target='div#print3'><\/div> <div class='printomatictext' id='id6987' alt='Print summary' title='Print summary' data-print_target='div#print3'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/heltne.pdf\" target=\"blank\" rel=\"noopener\">Download full report<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d248408.6399488367!2d6.645266737440723!3d60.89502516882229!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x463e0e8df1681a1f%3A0x7671a5b0bfdc0ba!2sGudvangatunnelen%2C+Aurland!5e0!3m2!1sno!2sno!4v1444035104842\">Incident location map<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"collapsed\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_537 \" href=\"javascript:void(0)\" data-target=\"#ac_537_collapse2\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-ambulance\"><\/span>\r\n\t\t\t\t\t\t\t\t\tUt\u00f8ya shootings\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_537_collapse2\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print5\">\r\n\r\nCountry: Norway\u00a0\u00a0\u2022 \u00a0Report published: April\u00a014, 2015\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Stephen J.M Sollid<\/strong>\r\nConsultant at the Air Ambulance Department of Oslo University Hospital, Norway.\r\n\r\n<strong>Role in incident: <\/strong>One of several HEMS physicians called in extra following the terrorist attacks of July 22, 2011. He took part in the rescue efforts, triage and treatment of victims from the Ut\u00f8ya shooting both on the first triage point and on the island itself.\r\n<h5 id=\"1-link-14\" class=\"sh-link 1-link sh-show\">Summary:\u00a0Ut\u00f8ya shootings<\/h5>\r\n<div class=\"sh-link 1-link sh-show\">In July 22nd 2011 a perpetrator detonated a bomb in Oslo government district, Norway. Following this attack he travelled to Ut\u00f8ya island where approximately 700 youth from the Norwegian Labor Party were gathered. Once on the Island he opened fire killing 76 persons. Difficulties encountered in the response phase were delay in access due to ongoing violence, no access by road. Communications systems broke down.\r\n\r\nUt\u00f8ya is a 0.12 sqkm island 39km from Oslo by road. The island has no permanent inhabitants, but is owned and used by the Labour Party youth organization. The island is only accessible by boat and there are no roads on the island. A ferry travels between shore and the island and can carry one vehicle. A secondary road passes by the ferry site. Nearest hospital (local hospital) is in the town H\u00f8nefoss 17 km from the shore side of Ut\u00f8ya. Mobile phone coverage in the area is fair. Emergency services communicate via old analogue network and local coverage in the area is poor.<\/div>\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id545' alt='Print summary' title='Print summary' data-print_target='div#print5'><\/div> <div class='printomatictext' id='id545' alt='Print summary' title='Print summary' data-print_target='div#print5'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/> <a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/06\/utoya.pdf\" target=\"blank\" rel=\"noopener noreferrer\">Download full report<\/a>\u00a0 \u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d64104.848236680795!2d10.248042249999425!3d60.02343389165122!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x4641051f7623e015%3A0x178612c6b4b71d14!2zVXTDuHlhLCBIb2xlLCBOb3JnZQ!5e0!3m2!1sno!2sus!4v1444041200334\">Incident location map<\/a>\u00a0 \u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"collapsed\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_537 \" href=\"javascript:void(0)\" data-target=\"#ac_537_collapse3\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-ambulance\"><\/span>\r\n\t\t\t\t\t\t\t\t\tTrain collision\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_537_collapse3\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print10\">\r\n\r\nCountry: Norway\u00a0\u00a0\u2022 \u00a0Report published:\u00a0February 1, 2016\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Marius Rehn\r\n<\/strong>HEMS SpR, Assoc Professor\r\nNorwegian Air Ambulance Foundation<strong>\r\n<\/strong>\r\n\r\n<strong>Role in incident\r\n<\/strong>Participated in immediate rescue operations as winchman on Sea King 330 Sqn, Rygge, RNoAF\r\nThe content of this report is based on the report: \u00c5staulykken. Norges Offentlige Utredninger 2000: 30. and the personal accounts of the reporter (MR)\r\n<h5>Summary:\u00a0Train collision<\/h5>\r\nOn January 4th, 2000, two trains collided at \u00c5sta station between Rudstad and Rena.\r\nThe locomotive of the southbound train was severely crushed and tilted to its side. The engine car of the northbound train was completely destroyed, the two front carriages derailed, while the remaining cars received minor damage and stayed on the tracks. The crash resulted in an immediate major fire burning the locomotive and spreading through the trains. The collision and the subsequent fire resulted in 19 fatalities, whereas 67 passengers survived the accident with only minor injuries.\r\n\r\nPopulation density, terrain: The area is a rural, farmland region with combined forest and cultivated grounds. The scene was situated close to a main road (State Highway 3) and was directly accessible from the road. Distance from scene using roads are: 7,9 km to Rena and 25,5 km to Elverum\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id4998' alt='Print summary' title='Print summary' data-print_target='div#print10'><\/div> <div class='printomatictext' id='id4998' alt='Print summary' title='Print summary' data-print_target='div#print10'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/06\/Train_collision.pdf\" target=\"blank\" rel=\"noopener noreferrer\">Download full report<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d1976139.2671654394!2d11.343202314544543!3d61.07351192505383!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x466a10454a66e7a5%3A0x740a67ad74f91ce9!2zw4VzdGE!5e0!3m2!1sen!2sno!4v1454319127575\">Incident location map<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"collapsed\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_537 \" href=\"javascript:void(0)\" data-target=\"#ac_537_collapse4\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-ambulance\"><\/span>\r\n\t\t\t\t\t\t\t\t\tBus rollover in Skaidi\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_537_collapse4\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print4\">\r\n\r\nCountry: Norway\u00a0 \u2022 \u00a0Report\u00a0published: April\u00a017, 2015\r\n<h5>Reporter<\/h5>\r\n<strong>Mrs. Hanne Rikstad Iversen<\/strong>\r\nChief physician\r\nFinnmarkssykehuset\r\n\r\n<strong>Role in incident: <\/strong>HEMS doctor\r\n<h5 id=\"2-link-14\" class=\"sh-link 2-link sh-show\">Summary:\u00a0Bus rollover in Skaidi<\/h5>\r\nOn November 19th 2011 a buss with twenty three passengers rolled over in Skaidi in the county of Finnmark in Northern Norway. Twenty two persons were transported to either Hammerfest or Troms\u00f8 hospital. Finnmark is characteristic for bad weather conditions such as snow shower and reduced visibility. The road traffic is often difficult during winter. This part of Norway is vulnerable concerning resources and long distances. The risk of hypothermia was a challenge. The Emergency coordinating center did not summon their doctor or additional resources which lead to a lack of resources available in the response phase. It was pure luck that the first ambulance on-site used the same triage system as the first air ambulance to arrive on-site.\r\n\r\nThere were relatively good telecommunications network at the accident site.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id8197' alt='Print summary' title='Print summary' data-print_target='div#print4'><\/div> <div class='printomatictext' id='id8197' alt='Print summary' title='Print summary' data-print_target='div#print4'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/06\/bus_rollover_report.pdf\" target=\"Blank\" rel=\"noopener noreferrer\">Download full report<\/a>\u00a0 \u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d340772.53739200666!2d24.011867452179438!3d70.51045037654539!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x45c8c91757b00127%3A0x95339d6bd438b2a2!2sKvalsundveien+189%2C+9620+Kvalsund!5e0!3m2!1sno!2sno!4v1444036106751\">Incident location map<\/a>\u00a0 \u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"collapsed\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_537 \" href=\"javascript:void(0)\" data-target=\"#ac_537_collapse5\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-ambulance\"><\/span>\r\n\t\t\t\t\t\t\t\t\tTunnel Car Crash\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_537_collapse5\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print15\">\r\n\r\nCountry: Norway\u00a0\u00a0\u2022 \u00a0Report published:\u00a0October 17, 2023\r\n<h5>Reporter<\/h5>\r\n<strong>Jan Robert Boee\r\n<\/strong>Nurse at AMK (113) Medical Emergency line in Norway<strong>\r\n<\/strong>\r\n\r\n<strong>Role in incident\r\n<\/strong>I am registering all the trauma incidents\/patients at our district in Nordland county concerning the hospital \"Nordlanssykehuset avd. somatikk, Bod\u00f8. The registering platform is \"Nasjonalt traumeregister Norway\" (NTR) (The National register\r\n<h5>Summary:\u00a0Tunnel Car Crash<\/h5>\r\nMay 15th, 2022. Nordland county. Halfway into the \"Steigen tunnel\" which is 8 km long) See coordinates below). A Volkswagen Multivan 2005 model with 5 tourists crashed into the back of a slow-driving tractor pulling a heavily stone-loaded wagon. 4 passengers in the Volkswagen were immediately killed. The driver was heavily wounded. The driver of the tractor was not wounded at all. Tunnel in the midst of Steigen and Hamar\u00f8y. Not a densily populated area, but the only road to get to and from Steigen (approx 2500 inhabitants). Coordinates: 67.927675, 15.759004The investigation has not yet concluded with what really happened. About 3 cars in the same area at the time have not been of any help in analyzing the incident either. The driver of the Volkswagen is still not interviewed by the police, now 11 months after the incident. This was informed in the news in our region recently.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id5924' alt='Print summary' title='Print summary' data-print_target='div#print15'><\/div> <div class='printomatictext' id='id5924' alt='Print summary' title='Print summary' data-print_target='div#print15'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"https:\/\/majorincidentreporting.net\/wp-content\/uploads\/2023\/10\/Steigen.pdf\" target=\"blank\" rel=\"noopener noreferrer\">Download full report<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m17!1m12!1m3!1d11230.604228131777!2d15.766565954942088!3d67.92613602796477!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m2!1m1!2zNjfCsDU1JzM5LjYiTiAxNcKwNDUnMzIuNCJF!5e0!3m2!1sno!2sno!4v1697537463529!5m2!1sno!2sno\">\"&gt;Incident location map<\/a>\u00a0\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\" \/>\u00a0<a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\r\n<script type=\"text\/javascript\">\r\n\t\r\n\t\tfunction do_resize(){\r\n\r\n\t\t\tvar width=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).width();\r\n\t\t\tvar height=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).height();\r\n\r\n\t\t\tvar toggleSize = true;\r\n\t\t\tjQuery('iframe').animate({\r\n\t\t\t    width: toggleSize ? width : 640,\r\n\t\t\t    height: toggleSize ? height : 360\r\n\t\t\t  }, 250);\r\n\r\n\t\t\t  toggleSize = !toggleSize;\r\n\t\t}\r\n\t\t\r\n<\/script>\t\n\n\n\n\t\t\t\t\t\t\t<h3 style=\"margin-bottom:20px;display:block;width:100%;margin-top:10px\">Published Reports <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/united-kingdom-flag-round-icon-32.png?resize=32%2C32\" alt=\"\" width=\"32\" height=\"32\" class=\"alignnone size-full wp-image-533\" \/>UK <\/h3>\r\n\t\t\t\t\t\t<style>\r\n\t\t\t\t<style>\r\n#wpsm_accordion_1095 .wpsm_panel-heading{\r\n\tpadding:0px !important;\r\n}\r\n#wpsm_accordion_1095 .wpsm_panel-title {\r\n\tmargin:0px !important; \r\n\ttext-transform:none !important;\r\n\tline-height: 1 !important;\r\n}\r\n#wpsm_accordion_1095 .wpsm_panel-title a{\r\n\ttext-decoration:none;\r\n\toverflow:hidden;\r\n\tdisplay:block;\r\n\tpadding:0px;\r\n\tfont-size: 18px !important;\r\n\tfont-family: Open Sans !important;\r\n\tcolor:#000000 !important;\r\n\tborder-bottom:0px !important;\r\n}\r\n\r\n#wpsm_accordion_1095 .wpsm_panel-title a:focus {\r\noutline: 0px !important;\r\n}\r\n\r\n#wpsm_accordion_1095 .wpsm_panel-title a:hover, #wpsm_accordion_1095 .wpsm_panel-title a:focus {\r\n\tcolor:#000000 !important;\r\n}\r\n#wpsm_accordion_1095 .acc-a{\r\n\tcolor: #000000 !important;\r\n\tbackground-color:#e8e8e8 !important;\r\n\tborder-color: #ddd;\r\n}\r\n#wpsm_accordion_1095 .wpsm_panel-default > .wpsm_panel-heading{\r\n\tcolor: #000000 !important;\r\n\tbackground-color: #e8e8e8 !important;\r\n\tborder-color: #e8e8e8 !important;\r\n\tborder-top-left-radius: 0px;\r\n\tborder-top-right-radius: 0px;\r\n}\r\n#wpsm_accordion_1095 .wpsm_panel-default {\r\n\t\tborder:1px solid transparent !important;\r\n\t}\r\n#wpsm_accordion_1095 {\r\n\tmargin-bottom: 20px;\r\n\toverflow: hidden;\r\n\tfloat: none;\r\n\twidth: 100%;\r\n\tdisplay: block;\r\n}\r\n#wpsm_accordion_1095 .ac_title_class{\r\n\tdisplay: block;\r\n\tpadding-top: 12px;\r\n\tpadding-bottom: 12px;\r\n\tpadding-left: 15px;\r\n\tpadding-right: 15px;\r\n}\r\n#wpsm_accordion_1095  .wpsm_panel {\r\n\toverflow:hidden;\r\n\t-webkit-box-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\tbox-shadow: 0 0px 0px rgba(0, 0, 0, .05);\r\n\t\tborder-radius: 4px;\r\n\t}\r\n#wpsm_accordion_1095  .wpsm_panel + .wpsm_panel {\r\n\t\tmargin-top: 5px;\r\n\t}\r\n#wpsm_accordion_1095  .wpsm_panel-body{\r\n\tbackground-color:#ffffff !important;\r\n\tcolor:#000000 !important;\r\n\tborder-top-color: #e8e8e8 !important;\r\n\tfont-size:16px !important;\r\n\tfont-family: Open Sans !important;\r\n\toverflow: hidden;\r\n\t\tborder: 2px solid #e8e8e8 !important;\r\n\t}\r\n\r\n#wpsm_accordion_1095 .ac_open_cl_icon{\r\n\tbackground-color:#e8e8e8 !important;\r\n\tcolor: #000000 !important;\r\n\tfloat:right !important;\r\n\tpadding-top: 12px !important;\r\n\tpadding-bottom: 12px !important;\r\n\tline-height: 1.0 !important;\r\n\tpadding-left: 15px !important;\r\n\tpadding-right: 15px !important;\r\n\tdisplay: inline-block !important;\r\n}\r\n\r\n\t\t\t\r\n\t\t\t<\/style>\t\r\n\t\t\t<\/style>\r\n\t\t\t<div class=\"wpsm_panel-group\" id=\"wpsm_accordion_1095\" >\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<!-- Inner panel Start -->\r\n\t\t\t\t\t<div class=\"wpsm_panel wpsm_panel-default\">\r\n\t\t\t\t\t\t<div class=\"wpsm_panel-heading\" role=\"tab\" >\r\n\t\t\t\t\t\t  <h4 class=\"wpsm_panel-title\">\r\n\t\t\t\t\t\t\t<a  class=\"\"  data-toggle=\"collapse\" data-parent=\"#wpsm_accordion_1095 \" href=\"javascript:void(0)\" data-target=\"#ac_1095_collapse1\" onclick=\"do_resize()\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ac_open_cl_icon fa fa-plus\"><\/span>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t \r\n\t\t\t\t\t\t\t\t<span class=\"ac_title_class\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span style=\"margin-right:6px;\" class=\"fa fa-laptop\"><\/span>\r\n\t\t\t\t\t\t\t\t\tSheppey Crossing Bridge Road Traffic Accident\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t  <\/h4>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t<div id=\"ac_1095_collapse1\" class=\"wpsm_panel-collapse collapse \"  >\r\n\t\t\t\t\t\t  <div class=\"wpsm_panel-body\">\r\n\t\t\t\t\t\t\t<div id=\"print6\">\r\n\r\nCountry: United Kingdom\u00a0 \u2022 \u00a0Report published: April\u00a016, 2015\r\n<h5>Reporter<\/h5>\r\n<strong>Dr. Sophie Elizabeth Hardy<\/strong>\r\nA&E core trainee\r\nMedway Maritime Hospital, Medway nhs trust\r\n\r\n<strong>Role in incident: <\/strong>Junior Doctor on duty in A&E at time of Major incident\r\n<h5>Summary:\u00a0Sheppey Crossing Bridge Road Traffic Accident<\/h5>\r\nOn 5th September 2013, a road traffic accident involving 150 cars and 200 people occurred on the Sheppey Crossing bridge in Kent. It occured at 7:15 am under thick fog where visibility was reduced to 25 yards. Cars continued to impact each other for a further 10 minutes following the first collision and as the fog lifted, it was evident that the pile up involved cars extending across most of the 1270 metre long bridge. There were 69 casualties: 37 were taken to surrounding hospitals, 8 of them with serious injuries but no fatalities. 32 were directed to minor injuries by critical care paramedics on scene.\r\n\r\nThe crash was one of the worst seen on British roads and it has been hailed as a miracle that there were no deaths and very few serious injuries. Although declared a major incident, there was minimal disruption to the routine emergency and healthcare services. This was in a large part due to the effective triage by paramedic practitioners and critical care paramedics on scene and to appropriate use of ambulances and the patient distribution to various receiving hospitals.\r\n\r\n<\/div>\r\n<div class='printomatic pom-default ' id='id4858' alt='Print summary' title='Print summary' data-print_target='div#print6'><\/div> <div class='printomatictext' id='id4858' alt='Print summary' title='Print summary' data-print_target='div#print6'>Print summary<\/div><div style='clear: both;'><\/div>\r\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1411 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_pdf.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\"  \/> <a href=\"http:\/\/majorincidentreporting.net\/wp-content\/uploads\/2020\/06\/Sheppey_Crossing_Bridge.pdf\" target=\"blank\" rel=\"noopener\"> Download full report\u00a0<\/a>\u00a0\u00a0<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1410 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_map.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\"\/> <a class=\"fancybox-iframe\" href=\"https:\/\/www.google.com\/maps\/embed?pb=!1m19!1m8!1m3!1d19918.014212313803!2d0.74716!3d51.38924!3m2!1i1024!2i768!4f13.1!4m8!3e6!4m0!4m5!1s0x47d8d583d5322f07%3A0xef9549effa62ccd7!2sSwale%2C+Storbritannia!3m2!1d51.38924!2d0.7471599999999999!5e0!3m2!1sno!2sus!4v1444037801899\">Incident location map<\/a>\u00a0 <img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1409 size-full\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/ico_comment.gif?resize=24%2C24\" alt=\"\" width=\"24\" height=\"24\"\/> <a href=\"http:\/\/majorincidentreporting.net\/index.php\/comment-on-a-report\/\">Comment<\/a>\r\n\r\n<hr noshade=\"noshade\" size=\"1\" \/>\t\t\t\t\t\t  <\/div>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<!-- Inner panel End -->\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\r\n<script type=\"text\/javascript\">\r\n\t\r\n\t\tfunction do_resize(){\r\n\r\n\t\t\tvar width=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).width();\r\n\t\t\tvar height=jQuery( '.wpsm_panel .wpsm_panel-body iframe' ).height();\r\n\r\n\t\t\tvar toggleSize = true;\r\n\t\t\tjQuery('iframe').animate({\r\n\t\t\t    width: toggleSize ? width : 640,\r\n\t\t\t    height: toggleSize ? height : 360\r\n\t\t\t  }, 250);\r\n\r\n\t\t\t  toggleSize = !toggleSize;\r\n\t\t}\r\n\t\t\r\n<\/script>\t\n\n\n\n<figure class=\"wp-block-image\"><img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/STRIPES4.gif?w=605&#038;ssl=1\" alt=\"\" class=\"wp-image-347\"\/><\/figure>\n\n\n\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"12\" height=\"12\" class=\"alignnone wp-image-519\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/new_window.png?resize=12%2C12&#038;ssl=1\" alt=\"new_window\">&nbsp;&nbsp;<a href=\"https:\/\/majorincidentreporting.net\/index.php\/how-to-use-the-database-connected-to-majorincidentreporting-net\/\">Apply to submit your own report<br> <\/a><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"12\" height=\"12\" class=\"alignnone wp-image-519\" src=\"https:\/\/i0.wp.com\/majorincidentreporting.net\/wp-content\/uploads\/2020\/07\/new_window.png?resize=12%2C12&#038;ssl=1\">&nbsp;&nbsp;<a href=\"https:\/\/majorincidentreporting.net\/index.php\/newsletter\/\">Subscribe to our newsletter and&nbsp;receive notifications when new reports are added<\/a><a href=\"https:\/\/majorincidentreporting.net\/index.php\/how-to-use-the-database-connected-to-majorincidentreporting-net\/\"><br> <\/a><\/p>\n\n\n<div id=\"1-link-1095\" class=\"sh-link 1-link sh-hide\"><a href=\"#\" onclick=\"showhide_toggle('1', 1095, '\u2193 Show&nbsp;disclaimer &nbsp;(128 Words)', '\u2191 Hide&nbsp;disclaimer (128 Less Words)'); return false;\" aria-expanded=\"false\"><span id=\"1-toggle-1095\">\u2193 Show&nbsp;disclaimer &nbsp;(128 Words)<\/span><\/a><\/div><div id=\"1-content-1095\" class=\"sh-content 1-content sh-hide\" style=\"display: none;\">The editorial board of majorincidentreporting.org or any sponsors or endorsing societies for majorincidentreporting.org are not responsible for the content of the reports,&nbsp;the correctness or accuracy of the information contained by the report or the information causing breach of law, instructions, public or private regulations etc. being sensitive, confidential or under professional secrecy.<\/p>\n<p>The editorial board of majorincidentreporting.org, or any sponsors or endorsing societies for majorincidentreporting.org are not liable for any direct or indirect loss relating to the information provided or use of information, reports or other material from the majorincidentreporting.org platform.<\/p>\n<p>The authors of the reports submitted to majorincidentreporting.org are solely responsible for the content of the reports, that the reports comply with ethical and privacy legislation and for not submitting sensitive or confidential information or information under professional secrecy.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;&nbsp;Apply to submit your own report &nbsp;&nbsp;Subscribe to our newsletter and&nbsp;receive notifications when new reports are added<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1085","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/pages\/1085","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/comments?post=1085"}],"version-history":[{"count":9,"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/pages\/1085\/revisions"}],"predecessor-version":[{"id":1136,"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/pages\/1085\/revisions\/1136"}],"wp:attachment":[{"href":"https:\/\/majorincidentreporting.net\/index.php\/wp-json\/wp\/v2\/media?parent=1085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}