Essays

What Mass-Casualty Medicine Teaches You About Decision-Making

Plan for the worst and hope for the best.


What Mass-Casualty Medicine Teaches You About Decision-Making by Derek MacDonald

Plan for the worst and hope for the best.

Read on Substack

 

Stress exposes our fatal flaw — logic and emotion compete. It’s not that they don’t like each other, it’s just that decision making tends to pick one at a time by default.

Emergency medicine teaches triage as a structured process to evaluate and prioritize treatment for victims. If there are 10 victims, for example, triage is used to assess who needs life-or-death attention and in what order.

Life or death? Stop and fix.

Stable? Find out who’s next.

Not stable anymore? Decide who needs to wait.

Navigating a mass-casualty incident requires a team. Their ability to triage victims effectively relies on clear definitions of roles and responsibilities.

onward.

-dmac


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