NATO international advanced course on best way of training for mass casualty situations

Authors: L. Klein 1,2;  M. Michaelson 3,4
Authors‘ workplace: Katedra válečné chirurgie Fakulty vojenského zdravotnictví UO Hradec Králové, přednosta doc. MUDr. Leo Klein, CSc. 1;  Chirurgická klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Alexander Ferko, CSc. 2;  Rambam-Health Care Campus, Teaching Center, Haifa, Izrael, vedoucí Moshe Michaelson, MD 3;  Rambam-Medical and Trauma Center, Haifa, Izrael, ředitel prof. Rafael Beyar, MD, DSc. 4
Published in: Vnitř Lék 2010; 56(7): 676-680
Category: 80th Birthday - Jaroslava Blahoše, MD, DrSc.


NATO Advanced Training Course on Best Way of Training for Mass Casualty Situations was held in Haifa, Israel in November 16–18, 2009. In total, 22 participants from 8 countries of the Partnership for Peace and Mediterranean Dialogue Programmes attended the course. The participants, divided within three groups, discussed and practised the training methods for the preshospital aspect, the hospital aspect and the non‑conventional aspect of the mass casualty management. An international team of experts, among others, used following teaching methods: general lectures, guided discussions, utilization of advanced multimedia tools, tabletop drills, and large scale drill as training tools. The trainees also learned about medical and clinical simulation as a training tool, and subsequently practiced it. A mass casualty drill was held in Rambam Health Care Campus at the end of the Course. The trainees of the course participated as observers and reviewers in the drill, and debriefed it together with Rambam medical staff. Realisation of the successful course was made possible by utilizing a grant of the NATO Science for Peace and Security Programme.

Key words:
mass casualty situations – training of its management – teaching methods – medical simulation – tabletop and large scale drills – NATO programmes


1. Michaelson M, Hyams G. Preparedness of Health Systems, Guidelines for Mass Casualty Situations. A statement paper of the NATO Advanced Research Workshop on Mass Casualty Situations. Israel, Haifa: Rambam Health Care Campus, The Teaching Center 2006.

2. Klein L. Druhá mise českého zdravotnictví do Izraele. Revue ČLS JEP 2006; 3: 21–25.

3. Ben-Ishai Z. Rambam Health Care Campus 70th Anniversary (1938–2008). Israel, Haifa: Rambam Health Care Campus, Eli Meir Offset Press Ltd. 2008.

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