During large-scale disasters and mass casualty incidents (MCIs), the EMS system transforms into the primary logistical and operational command structure for initial on-site medical response. Whether facing the aftermath of an earthquake, a major transportation crash, or a terrorist attack, EMS is responsible for performing rapid triage, a systematic process of prioritizing victims based on the severity of their injuries and likelihood of survival. This strategic allocation of limited resources prevents the overwhelm of fixed hospital resources and ensures that the maximum number of lives are saved through organized, calm, and decisive action under extreme pressure.
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