Mass Casualty Events: Lessons Learned from Military-Civilian Collaboration (T)

This session has been identified and designated as Credit to Meet ACS Accreditation/Verification Requirements for Trauma. Learn more about ACS Accreditation/Verification Requirements.

Session Description

Civilian trauma systems operate with continuous high-quality services but have less experience with major mass casualty (MASCAL) events. The military has extensive experience with MASCAL management, but few stateside military centers are integrated into their local civilian trauma systems. Bringing the resources and experiences of these two systems together benefits both with improved readiness and management for MASCAL/disaster events. This session will focus on the lessons learned from recent U.S. civilian MASCAL events where there was active engagement between U.S. military medical resources and the civilian trauma system. We will use these events to illustrate essential agreements for collaboration, communication and triage, training and protocol development, and discuss the obstacles and challenges that have been encountered. Pathways will be proposed for greater military-civilian integration.

Moderator: Kimberly A. Davis, MD, FACS, New Haven, CT

Co-Moderator: Eric A. Elster, MD, FACS, Bethesda, MD


The Las Vegas No Notice Mass Shooting: Southern Nevada Response and Lessons Learned
Deborah A. Kuhls, MD FACS, Las Vegas, NV

U.S. Air Force Military Civilian Partnership: Smart and Responsive
Stephanie M. Streit, MD, FACS, Las Vegas, NV

Faster Than a Speeding Locomotive: Train Derailment Outside a Military Trauma Center
Matthew J. Martin, MD, FACS, FASMBS, San Diego, CA

Integrated Civilian Military Response to the First Baptist Church of Sutherland Springs Mass Shooting
Ronald M. Stewart, MD, FACS, San Antonio, TX

Sponsored by the Committee on Trauma and the Board of Governors Surgical Care Delivery Workgroup

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care


For questions about the course, please contact

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
Course opens: 
Course expires: 

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation.

(Download the full list of disclosures).

Faculty and Disclosures

Deborah Ann Kuhls MD FACS - Nothing to Disclose
Eric A. Elster MD, FACS - Nothing to Disclose
Kimberly A. Davis MD, FACS - Nothing to Disclose
Matthew J. Martin MD, FACS, FASMBS - Nothing to Disclose
Ronald M. Stewart MD FACS - Nothing to Disclose
Stephanie Marie Streit MD FACS - Nothing to Disclose

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - Nothing to Disclosure
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - Nothing to Disclosure


David C. Borgstrom, MD, FACS, Morgantown, WV - Nothing to Disclosure
Daniel L. Dent, MD, FACS, San Antonio, TX - Nothing to Disclosure
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Cynthia D. Downard, MD, FACS, Louisville, KY - Nothing to Disclosure
Audra A. Duncan, MD, FACS, London, ON - Nothing to Disclosure
Mariam F. Eskander, MD, Boston, MA - Nothing to Disclosure
Paula Ferrada, MD, FACS, Richmond, VA - Nothing to Disclosure
Neil H. Hyman, MD, FACS, Chicago, IL - Nothing to Disclosure
Martin S. Karpeh, Jr., MD, FACS, New York, NY - Nothing to Disclosure
Dennis H. Kraus, MD, FACS, New York, NY - Nothing to Disclosure
Kenneth W. Sharp, MD, FACS, Nashville, TN - Nothing to Disclosure


Daniel M. Herron, MD, FACS, FASBMS, New York, NY - Nothing to Disclosure
Edith Tzeng, MD, FACS, Pittsburgh, PA - Nothing to Disclosure


Barbara Lee Bass, MD, FACS, FRCSEng(Hon), FRCSI(Hon), FCOSECSA(Hon), Houston, TX - Nothing to Disclosure
Quan-Yang Duh, MD, FACS, San Francisco, CA - Nothing to Disclosure
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - Nothing to Disclosure
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - Nothing to Disclosure

Continuing Medical Education Credit Information


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1.5 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
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This course is available as part of the Clinical Congress 2019 Webcast Packages