In September, Iraqi Kurd leader Masoud Barzani insisted on holding a referendum on independence despite warnings from allies and neighbors alike of the destabilizing. A Hail Mary was originally ruled down at the 1yard line and both teams headed for the locker rooms. But the review that followed created some chaos. Dante Robinson, previously charged in Autumn Pasquales 2012 killing, was shot in the Gloucester Township home invasion. Ransomware attack The cleanup continues after WannaCry chaos. Hospitals and businesses are still trying to get back to normal following ransomware infections, while. Controlled Chaos at Las Vegas Hospital Trauma Center After Attack. Photo. Outside the University Medical Center of Southern Nevada in Las Vegas on Monday. By daybreak 1. 04 patients had arrived, and more as were expected. Credit. Isaac Brekken for The New York Times On Sunday night, Toni Mullan drove 1. University Medical Center of Southern Nevada, where she had just worked a 1. Her car was smoking as she pulled into a three hour parking spot close to the trauma center. Ms. Mullan, 5. 4, left her hazard lights blinking as she shut the car door and raced inside. Around a dozen patients had already arrived from the shooting scene at a music festival on the Las Vegas Strip. Two were dead and two had been black tagged fully assessed and found to have injuries that were not survivable. Ms. Mullans daughter, Antoinette Cannon, 2. The minute I got there, I looked at the situation and said How am I going to utilize my resources Ms. Mullan, a registered nurse, said in a telephone interview Monday morning. By daybreak, 1. 04 patients had arrived. University Medical Center is the only level one trauma center in Nevada and one of only a few free standing trauma units in the nation. That means it is fully staffed with surgeons and trauma nurses day and night to handle injuries and mass casualties, from vehicle crashes that bring in 1. After The Chaos' title='After The Chaos' />Las Vegas Strip, sending 1. Last week, there had been 1. But even with 1. 1 trauma bays, three operating rooms, a CT scanner, a trauma intensive care unit and a pediatric intensive care unit all under one roof, the trauma center had never faced a torrent like this. For two or three hours, the patients came nonstop. The radio at the clerks desk blared with transmissions from paramedics. With the frequency overburdened, other paramedics resorted to calling in patients by phone. Many patients simply arrived in cars or, in one instance, several in the back of a truck. To an outsider, it would look like a disaster zone, a chaotic scene, very chaotic, Ms. Mullan said. If a nonmedical person were to be sitting there watching this, they would think nothing was being accomplished. But in fact much was being done. She+was+never+under+hades+control+only+the+chaos+kin+_8f36e59799669f2a055a0d52b1a5e3c8.png' alt='After The Chaos' title='After The Chaos' />It had been a busy day, which meant some of the day shift was still present and stayed to work alongside the night shift. Pagers went off with a be beep be beep each time a severe trauma case was identified. Patients, most of them with gunshot wounds, were doubled up two stretchers to a trauma bay. At one point, beepers screeched as five trauma cases were clocked in at the same time. We couldnt hear each other talk, it was that crazy, Ms. Mullan said. The injured also poured into other area hospitals. At Sunrise Hospital Medical Center, about six miles from the concert site, 9. Monday the total had reached 1. Is this real Seven hours of chaos, bravery at Las Vegas hospital after mass shooting. This portrait of Sunrise Hospital coping with the massacre is based on more. Multiple arrests were made as chaos unfolded at a Florida airport Monday evening after several Spirit Airlines flights were canceled. Time Lines are longer. In the aftermath of Hurricane Harvey, one of the most damaging natural disasters in U. S. history, those hardest hit by the storm are struggling to pick up. After a night when chaos was the only constant for Bellator MMA, company CEO Scott Coker remained predictably understated. Of those, 1. 24 met the criteria for trauma activation, said Dr. Jeffrey Murawsky, the hospitals chief medical officer. They included patients with single and multiple gunshot wounds to the head, face, chest, body, arms and, in one case, a finger. By Monday afternoon, sixteen patients had died, some on arrival and others after being treated. Patients were sorted in the lobby of the emergency room on a scale of one to five, with one being the most critical, a system used daily. On Monday afternoon, operating teams at Sunrise were still at work. More than 5. 0 patients had undergone surgery. Hospital leaders should think about the unthinkable, practice the unthinkable, even in a limited way, Dr. Murawsky said. Dignity Health St. Rose Dominican received 6. Siena location, a level three trauma center. As of Monday evening, five of those patients were in critical condition, one was in surgery, and at least 2. Jennifer Cooper, a spokeswoman. None had died. Most had endured gunshot wounds, but others had been trampled while fleeing, or had been hurt climbing fences to escape the gunfire. Before patients came into the hospitals, medics had to extract them from the scene of the violence. At 1. 0 0. 8 p. m., the call came to the Clark County Fire Department, which covers the area where the shooting occurred. Not knowing whether the gunman or gunmen had been neutralized, emergency workers wore ballistic helmets and body protection. They were exposed to significant trauma, things that are very very unusual a lot of deaths, a lot of injury, a lot of hysteria in one place, a lot of tragedy, so quite frankly many of them will probably be dealing with this for the rest of their lives, said Jeff Buchanan, a deputy fire chief with Clark County. Ultimately, 1. 08 fire personnel worked on the scene, including those from neighboring fire departments. Mr. Buchanan, who served at a command post, was later sent to the scene of the concert, where only the dead remained. It felt apocalyptic, he said. All the smatterings of blood, the blood footprints, just the pooling of bodily fluids, valuables strewn all over the place, phones, money, wallets, clothing just everywhere. Private ambulance companies staged in four intersections to the north, south, east and west. AMR Las Vegas and Medic. West sent 1. 20 trucks and more than 2. Officer Victor Avila described the aftermath of the shooting as mass chaos, as hundreds of people rushed to selfevacuate from the store. Damon Schilling, a community affairs manager for both companies. Some of the first to appear were the walking wounded, people who were able to escape and had less grievous injuries. Ambulance crews tried to focus on transporting critical patients to nearby hospitals. At the trauma center at University Medical Center, workers rolled gurneys and wheelchairs outside so they wouldnt take up space inside a lesson Ms. Mullan said came from a recent training session with a doctor who had served after the Orlando Pulse nightclub shooting. Still, patients kept filling the trauma center. We had them in the hallway, we had them everywhere, Ms. Mullan said. Wherever we could find a spot we did. The next step was to open up more places to receive them a recovery room, a preoperative area, and an ambulatory surgery center were staffed and made ready. A separate place was set aside for the patients with unsurvivable injuries to receive comfort care until they died. Two areas were established for patients with injuries that were not life threatening. With staff and volunteers pouring in, these patients, too, received immediate care from a dedicated doctor. Teams reassessed intensive care patients, moving the less critical to make room for others. The trauma center repeatedly ran out of supplies including IV tubing and fluids, chest tubes, blood pressure cuffs, urinals and blankets, and begged, borrowed and stole them from other departments of the hospital. The cafeteria was turned into a respite area for families searching for loved ones. Many patients arrived at the hospital and others as unidentified Does. Asterix Deutsch Pdf S. Ms. Mullan said as of Monday morning that the list of which patients were where was still a work in progress. In the end, Ms. Mullan said, the systems in place were able to flex with the extra burden and bring care to those who needed it. In the midst of the disaster, the trauma center even took in a burn victim and a pedestrian hit by a motor vehicle. For other hospitals that may be called on in future mass shootings, Ms. Mullan had advice. Be prepared and practice, she said. As she remained at the hospital late Monday morning, Ms. Mullan reflected on all the people who arrived to help, including workers who were not on shift and every hospital administrator. Ive been a nurse for 3. Ive had, the worst injuries, she said.