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Table 1 Overview of reports submitted to majorincidentreporting.org. All full-text reports are freely accessible in full-text at: http://www.majorincidentreporting.org/read.html#.VRuiQ4tx2pp

From: Implementing a template for major incident reporting: experiences from the first year

Reporter

Incident title

Summary

Example of a major lessons learned

Dr. Sollid HEMS physician Norway

Utøya shootings

• 21 July 2011

• On-going shooting caused delayed access to EMS. Therefore need for a better system for cooperating with police in incidents with on-going shooting.

• Terrorist attack on youth at a political summer camp on the Island of Utøya.

Dr. Hardy A&E doctor United Kingdom

Sheppey Crossing Bridge Road Traffic Accident

• 5 September 2013

• Successful triage performed by highly skilled paramedics avoided unnecessary patients being sent to hospital.

• Road traffic accident involving 150 cars and 200 people occurred on the Sheppey Crossing Bridge in Kent.

Dr. Cortes Picazo. Director of EMS Chile

Prison Fire in Santiago de Chile

• 8 December 2010

• Avoid overcrowding in prisons.

• Fire in Prison of San Miguel with 1900 inmates and guards inside.

• Most of the victims died of inhalation of smoke or toxic gases and burns.

Dr. Jama Medical Director of EMS Finland

School shooting in Jokela

• 7 November 2011

• Need for better communication between EMS and police. EMS was not allowed into the building as the shooter was still inside during the response phase.

• Student opened fire on school premises and killed eight people.

Dr. Iversen HEMS physician Norway

Buss roll over in Skaidi

• 19 November 2011

• As a strike of luck the first ambulance on-scene had the same triage system as the HEMS. Since the time this incident occurred a national standard for triage has been implemented in Norway.

• Buss carrying 23 persons rolled over in Skaidi; a cottage area in mountainous inland of Finnmark County.