How Emergency Department Nurses Handle Mass Casualty Incidents

Abstract

Mass Casualty Incidents (MCIs) present extreme challenges for healthcare systems, especially within emergency departments (EDs). Nurses in the ED are often the first medical responders responsible for triage, stabilization, and ongoing patient care during these crises. This article explores the multifaceted roles ED nurses play in the management of MCIs, including pre-incident preparedness, rapid triage under pressure, interdepartmental coordination, and psychological resilience. Emphasis is placed on standardized protocols such as START (Simple Triage and Rapid Treatment), the use of incident command systems, and the importance of simulation-based training. By understanding how ED nurses respond to these high-stakes scenarios, healthcare systems can better prepare for future disasters and enhance the effectiveness of emergency nursing interventions.