With gun regulation failing yet again, the US healthcare industry begins preparing for the continued fallout from mass shootings with automatic weaponry:

Across the nation, and the world, the realization that mass killings are the new normal has been gradually sinking in. On Friday, the National Academy of Medicine in Washington published a discussion paper — titled “Health and Medical Response to Active Shooter and Bombing Events” — that details best practices to help communities become better prepared. It warns that many are ill equipped for a “surge in major trauma cases.”

Dr. Havron (trauma surgeon in Orlando) and five other trauma surgeons at the hospital performed 28 operations that night. Of the 44 patients brought to the trauma center, eight died in the emergency room within minutes of their arrival, another died on the way to the operating room and 35 were admitted. As of Sunday, four remained in critical condition.

“Everybody that made it to the operating room is still alive,” Dr. Havron said.

But Dr. Jay Falk, the academic chairman of emergency medicine at the trauma center, warned that if there had been twice as many casualties, they might have overwhelmed the system.

This is a problem the hospital will have to address, he said, adding, “We have to rethink that.”

The dead were brought to the Orange County morgue, which upgraded its capacity in 2010 to store as many as 150 bodies, with a plane crash or a tornado in mind. Dr. Joshua D. Stephany, the county medical examiner, supervised the autopsies and performed some himself.

At the Orlando Fire Department, Chief Roderick S. Williams, who supervised many of the paramedics first on the scene, is planning to “tell others our lessons learned.” Fire chiefs from New York; Aurora, Colo.; and Boston — cities that have also confronted traumas — have already reached out to share their information.

“As the next city to experience a horrific event like this,” Chief Williams said, “we have to pay it forward.

 – excerpted from How Can Communities Prepare for Mass Shootings? Orlando Offers Lessons, NY Times, 6/20/2016

Managing the results and not the source.

orlando erHospital personnel waiting with stretchers on June 12 at the emergency entrance to Orlando Regional Medical Center after the mass shooting at the Pulse nightclub. Credit Phelan M. Ebenhack/Associated Press