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Dami F et al. - The authors used an innovative on-site medical command and control system, based on a binomial team. Two hours after the accident, the last of the injured had been evacuated and first aid on the site had ended. This article describes how the Emergency Medical Services from the State of Vaud, Switzerland, handled the situation and how the binomial team is structured.


Exclusive Author Commentary
Fabrice Dami, 06/05/09

For the first time on a major accident, we used an innovative on-site medical command team composed of one emergency doctor and one paramedic, both trained for disaster management. This team also got the help of one professionnal dispatcher which took care of all communication from the on-site medical command car. This allowed the medical command team to spend more time on stategy and tactics rather than communications.

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