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A multiple casualty incident.
Here is an example of a multiple casualty incident.

What caused the incident?

A train crash with many individuals harmed.

What was the day, date?
Monday, August 19, 2013.

Where did the incident occur?
Khagaria district in Bihar.

What really happened?
The Saharsa-Patna Rajya Rani Express train going 80 km/hour ran over 37 in Bihar, and 50 others were injured. Around 1,000 people were walking on the track at that juncture, and 37 deaths were confirmed. The critically injured were taken to hospitals in boats.

How could this be prevented?
Do not walk on railway tracks.
People should cross the road at proper crossings. Emergency services should have reached the emergency spot within five minutes of the accident to prevent further harms.

How could this emergency be managed properly?
These questions need to be answered.

How long did it take for reinforcements to arrive?
It took the district magistrates and SPs of Khagaria and Saharsa six hours to reach the spot and pacify the irate mob.

What are examples of dereliction of duties?
The air force is meant to assist state police and state administration in emergencies.
On August 19, 2013, when this incident happened, the air force did not help the administration.
On August 20, 2013, in a subtle show of strength, the IAF landed its A C-130J Super Hercules at 0654 hours at DBO, the highest airstrip in the world, in the Aksai Chin area. The commanding officer was Group Captain Tejbir Singh.

Thirty-seven persons were killed in Bihar on August 19, 2013.
The IAF was doing recreation in Aksai Chin on August 20, 2013.
Suspension from duties is merited for Captain Tejinder Singh.
All who allowed him to get into public service in the air force should be profiled.
AK Anthony should be forced to resign.
We need better air force supervisors.

Questions that need to be answered.

Are you required to assist in emergencies or remain busy in recreation/leisure destinations?
Who provided access to this aircraft?
Where was this aircraft fueled?
Where was this aircraft serviced?
Was it their duty to verify if the aircraft has duty-oriented individuals?
If Asif Qureshi, founder of Qureshi University, could focus on the emergency in Bihar on August 19, 2013 from Chicago, Illinois, why couldnít local air force near Bihar focus on the emergency at a nearer location and having the duty to serve the public?
Who selected the crew for this aircraft?
What guidelines/instructions was the crew given to assist in emergencies?
Who is in charge of the state department of defense in Bihar?
How many helicopters are there in Bihar?
Why didnít helicopters reach the spot of the emergency within five minutes of the incident?
How many total aircraft are there in Bihar?
What is a multiple casualty or mass casualty incident?

An incident with multiple or mass casualties.

In some regions, a multiple casualty incident is called a disaster.

A multiple casualty incident is defined as any incident that outstrips the resources of the first responding units. A medical doctor, nurse, and paramedical worker with an ambulance can care for two patients; three or more is a small multiple casualty, needing at least one more ambulance.

At the same time, more than 10 people cannot be managed by a single health care resource or hospital. Other health care resource and hospitals have to be mobilized.

A multiple casualty incident needs more than one medical doctor, nurse, paramedic, and rescue worker at the site of the incident.

It may need more than two people to relocate people involved in the emergency to another location.

A multiple casualty incident with more than 10 people injured cannot be managed by a single health care resource or hospital. Other health care resources and hospitals have to be mobilized.

Some medical doctors have difficulty understanding multiple casualty incident.

An aircrash with more than two people injured on the ground is a multiple casualty incident. This will need more than one medical doctor, nurse, paramedic, and rescue worker with relevant resources for diagnosis and treatment.

Over a three-month period, a hospital gets referrals from various locations on various occasions regarding specific medical problems for about 1,000 patients. This is not a multiple casualty incident.

Multiple Casualty Incident
What is a multiple casualty or mass casualty incident?
What types of incidents usually lead to many casualties?
    Air crash.
    Auto collision involving more than two persons.
    A train crash with many individuals harmed.
    Bus collisions.
    Bombing(all harmful incidents subject to various independent investigations. Experience has shown people inflict harms, then reach out as saviors).
    Cold wave harms
    Crowded tour boat.
    Drinking water contamination
    Earthquake or sabotage.
    Heat wave harms
    Release of hazardous or toxic materials.
    Sabotage and building collapses.
    Ship Sinking.
    Targeted mass shootings.
      Biological Hazards
      Chemical Hazards
      Radiological Hazards
      Natural Disaster

    Here are further guidelines.
How should you declare a multiple casualty incident?
How should you manage a multiple casualty incident?
How do you audit a reported multiple casualty incident?
Are there any other emergencies?