Mass casualty events (MCE) are an infrequent occurrence to most daily healthcare systems however these incidents are the causation for new hospital preparedness and the development of coordinated emergency services. Personal injury, casualty recoveries, and special needs trusts | Washington State Health Care Authority Triage is repeated prior to transport . 'he went to casualty to have a cut stitched'; Casualty noun (chiefly in insurance) an accident or disaster The data was collected from the casualty registers/records and the medical record department. This series of cases was written by Drs. Alex Wong / Getty Images News. casualty | emergency | Emergency is a synonym of casualty. In the 1970s, man-made events accounted for 16.5% of disasters and 4.3% of related deaths; in the 1990s, the number rose to 42.0% and 9.5%, respectively (not including "complex emergencies" involving armed conflict and a total breakdown of authority) [].There are different types of MCIs, primarily . Effective management of these cases requires planning, training, emergency communications, and coordination at the community level. To find your service's long-term case management program, contact: Army's Survivor Outreach Services. Casualty Loss means, with respect to any item of Equipment, the loss, theft, damage beyond repair or governmental condemnation or seizure of such item of Equipment. Explosives or munitions emergency response means all immediate response activities by an explosives and munitions emergency response specialist to control, mitigate, or eliminate the actual or potential threat encountered during an explosives or munitions emergency. St. Michael Medical Center in Silverdale, Washington has made national headlines again. It has to include more than one patient, and in many jurisdictions, it is generally defined as at least three. Congressman Ro Khanna (D-Calif.), to 160 emergency nurses who gathered in Washington, D.C., to advocate for legislation promoting a safe workplace for health care employees. (ORC 4511.01(D)). Dr. Rebecca Shaw is an emergency physician currently working as a medical education fellow within the Emergency Department of b) In case there are no vacant beds, the patient has to be given all due care. Medico-legal issues in casualty and Hosptial chetan samra Follow -- Advertisement Recommended Medico Legal Aspects Of Prehospital Care Ashendu Pandey 2.4k views 77 slides Duty of doctors medico legal aspects sarosem 6.1k views 77 slides Legal issues in emergency medicine SCGH ED CME 11.9k views 27 slides 3)Medico Legal And Ethical Issues For critically ill medical and trauma patients specialists on call are contacted for their opinion and immediate intervention. Site area emergency means events may occur, are in progress, or have occurred that could lead to a significant release of radioactive material and that could require a response by offsite response organizations to protect persons offsite. Learning Objectives. (Knowledge) 3. Results: A total of 5555 patients attended the casualty, with a Medicine: Surgical cases ratio of 3:2.The analysis revealed that highest number of patients attending casualty belonged to medicine and allied speciality Conclusion: It can be concluded that almost 50% of the patients attending the casualty department had trivial complains which did not required much attention. Because Rep. Khanna sponsored a bill The Healthcare Workplace Violence Prevention Act designed to better protect workers in the health care settings, it seemed . The "Casualty", which comprised those who were supposed to require temporary treatment for simple diseases or injuries. mutual synonyms sentence examples collocations. Insurance Proceeds Account has the meaning given to such term in the Accounts Agreement. Most comprehensive library of legal defined terms on your mobile device, All contents of the lawinsider.com excluding publicly sourced documents are Copyright 2013-, Explosives or munitions emergency response, Explosives or munitions emergency response specialist. In this first EMC Journal Club (where we take the "boring" out of journal clubs and deliver clear, concise, practical practice changing critical appraisal knowledge based on an Emergency Medicine journal article that may have passed your radar - not too detailed and not too brief), Dr. Rohit Mohindra, an Emergency Physician at North York General in Toronto and SREMI researcher works his critical appraisal magic on the article "Fever therapy in febrile adults: systematic review with meta-analyses and trial sequential analyses" by Holgersson et al. RELATED STORIES. September 28, 2022 New E-EFMP system supports Army families with special needs members; March 18, 2022 U.S. Army STAND-TO! The National Hospital Ambulatory Medical Care Survey (NHAMCS) released a 2006 Emergency Department Summary that gathered statistics of emergency department use, including the most common reasons adults and children sought medical care and treatment 1. Several practical issues are considered, including the performance of a preliminary needs assessment, the mobilization of human and material resources, the use of personal protective equipment, the organization and performance of triage, the management of . A medical emergency consists of sudden physical symptoms, such as seizure, intense bleeding, head trauma, loss of consciousness, chest pain, lack of breath or pulse, choking, sudden dizziness, or weakness. . Phone: 833-313-1960. #5. However, if a Casualty Value Table is attached to the relevant Schedule its terms will control. Emergency Medical Products (EMP) carries a wide range of Mass Casualty Incident (MCI) supplies to help you respond to natural disasters, mass shootings, bombings and other unfortunate scenarios where many people are injured. Shah Hospital 24hr Contact Centre Line: +254 111 000 600 info@mpshahhospital.org Find our Location Casualty - Accident & Emergency (A&E) Casualty - Accident & Emergency (A&E) A Glimpse of What We Do Our Casualty Accident & Emergency (A&E) Centre provides services 24 hours a day, 7 days a week. The World Health Organization defines mass casualty incidents (MCI) as disasters and major incidents characterized by quantity, severity, and diversity of patients that can rapidly . hawaiian0n 1 day ago. Case Studies. For other enquiries please use the contacts below: Graves. Complete Emergency Drugs Name & Uses List Contents hide 1 Emergency Drugs Name and Uses 2 Life-Saving Drugs 3 Painkillers (Analgesics) 4 Cardiac Drugs 5 Respiratory Drugs 6 Central Nervous System (CNS) Drugs 7 Gastrointestinal Drugs 8 Obstetrics and Gynecology Drugs 9 Allergy 10 Antibiotics 11 Miscellaneous Emergency Drugs Name and Uses Introduction Changes in geopolitical dynamics have brought conflicts and modern warfare into civilian arenas. In some cases you can use "Emergency" instead a noun "Casualty". Casualty Proceeds means, with respect to any Casualty Event, the amount of any insurance proceeds or condemnation awards received by the Borrower, any Parent Guarantor or any of their respective Subsidiaries in connection therewith, but excluding any proceeds or awards required to be paid to a creditor (other than the Lenders) which holds a first-priority Lien permitted by Section 7.2.3 on the property which is the subject of such Casualty Event. Majority of cases were male (75.36%) and 57.70% cases were of road traffic accident. Casualty Value means the greater of the aggregate Rent remaining to be paid for the balance of the lease term or the Fair Market Value of the Equipment immediately prior to the Casualty Loss. A four-day training course and field exercise are planned for May 29 to June 1 at Ramn Ruiz Arnau Hospital in Bayamon, about 30 minutes south of San Juan. The Treatment Area has been divided into three zones keeping the serious nature of the illness in mind: The Green Zone has been ear-marked to cater to Non Serious patients. Each hospital should institute a surge plan in preparation for . | U.S. Army March to Service Campaign; March 31, 2020 U . Emergency Cases are attended promptly. If required by Lender, the release of any such portion of the Casualty Retainage shall be approved by the surety company, if any, which has issued a payment or performance bond with respect to the contractor, subcontractor or materialman. In May, I had the privilege of introducing U.S. CASUALTY AND EMERGENCY SERVICES EMERGENCY MEDICINE Phone Number of Emergency :- 26594405, 26594706 ( round the clock) Location:- Ground floor, AB wing, easily accessible from AIIMS entrance on Aurobindo Marg. Abstract and Figures Objective: To study the case mix pattern of emergency cases attending the casualty department by grouping them under various specialties and to analyze the disposition. For a medical emergency, call 0860 999 911. Explosives and munitions emergency responses can occur on either public or private lands and are not limited to responses at RCRA facilities. Casualty shall have the meaning set forth in Section 6.2 hereof. COMMENCEMENT DATE - is defined in each Schedule. Triage is one key strategy used to ensure that all patients who present to an emergency care setting receive access to care in an organised, equitable and timely manner. In season 11's 15th episode . Emergency work means any urgent measures which in the opinion of the Engineer-in-Charge become necessary during the progress of the work to obviate any risk of accident or failure or which become necessary for security. Officials said the plane experienced severe turbulence roughly 30 minutes outside of Honolulu. - Volume 21 Issue S2 Some examples include, use of weapons of mass destruction, severe weather like Hurricane Katrina, the pandemic influenza, and terrorist attacks. The Massachusetts Emergency Medical Services (EMS) Mass Casualty Incident (MCI) Plan January 11, 2016 Contact for Questions Please direct any questions about this MCI Plan to: Department of Public Health Office of Emergency Medical Services 99 Chauncy Street, 11th floor Boston, MA 02111 Telephone: (617) 753-7300 Fax: (617) 753-7320 Mass casualty incidents (MCIs), man-made or natural, have increased in recent years. Natural disasters, such as 2005's Hurricane Katrina and 2017's Hurricanes Harvey, Irma, and Maria show the unfortunate reality that medical facilities can become drastically overwhelmed without much or any warning. Three recent large-scale incidents have challenged the existing emergency response process and have raised the need to improve and develop incident management for better resilience in times of crisis. Society of St. Josephs Hospital is a charitable society registered under the societies registration Act of 1973 with the Registration No: 1696, located in Hoshangabad, M.P, was established in the year 1989 and is owned and managed by the Franciscan Clarist Congregation (FCC). The Earthquake (Season 11) Leave it to Grey's Anatomy to have an earthquake episode and not make it the biggest disaster facing the show that season. Andrew Healy on organ donation do's and don'ts (20:00). The thirty-seventh series of the British medical drama television series Casualty began airing on BBC One in the United Kingdom on 20 August 2022. Any reasonable delay in the completion of an explosives or munitions emergency response caused by a necessary, unforeseen, or uncontrollable circumstance will not terminate the explosives or munitions emergency. Condemnation means a temporary or permanent taking by any Governmental Authority as the result or in lieu or in anticipation of the exercise of the right of condemnation or eminent domain, of all or any part of the Property, or any interest therein or right accruing thereto, including any right of access thereto or any change of grade affecting the Property or any part thereof. 1. Example: During the months of August and September, there will be a series of Mass Casualty Drills in the Emergency Department. INTERNATIONAL JOURNAL OF CURRENT RESEARCH. Top of Page. Features: * All-in-one trauma treatment & evacuation platform for treatment of multiple trauma patients * Ideal for use as a vehicle trauma kit * Includes 8 non-rigid, disposable QuikLitters * Pocket system holds self- or buddy-aid point-of-wounding medical supplies * Bag features back pack straps for easy transport from the vehicle to the . Plus, for the EBM keeners, we have Dr. Shelley McLeod, clinical epidemiologist at SREMI give us a research methodology hot take on the difference between a traditional meta-analysis and a network meta-analysis and why it matters Top 10 of 2022 EM Cases Podcasts & Blogs Highlights of the Year, EM Quick Hits 45 ETCO2 in Cardiac Arrest, Organ Donation, Paraphimosis, Medicolegal Myths, QI Corner, Ep 177 Bronchiolitis Diagnostic Challenges and Management Pitfalls, ECG Cases 38 ECG Interpretation in Cocaine Chest Pain. Casualty and Emergency Related words. Casualty . The author has reached out to CMS for clarification on this issue, but as of the submission date of the article has not yet received a reply. The casualty distribution mechanisms based only on the responding hospitals' available capacity and current load can perform inefficiently because they overlook the trade-off between the times casualties spend in traveling and in queues. the We Love Manchester Emergency Fund means the registered charity of that name (number 1173260) established on 30th May 2017; Condemnation Proceeds All awards or settlements in respect of a Mortgaged Property, whether permanent or temporary, partial or entire, by exercise of the power of eminent domain or condemnation, to the extent not required to be released to a Mortgagor in accordance with the terms of the related Mortgage Loan Documents. Verify Status of Engine Room Staff and Operations. An emergency department ( ED ), also known as an accident and emergency department ( A&E ), emergency room ( ER ), emergency ward ( EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. Emergency . This case was filed in Orange County Florida Courts, Orange County Courthouse located in Orange, Florida. During his ED stay, however, the patient will develop massive hemoptysis with airway compromise, requiring learners to secure the airway, reverse anticoagulation, and manage massive hemoptysis. 2. Intense desire to hurt yourself or someone else constitutes a mental health emergency. Primary triage is carried out at the scene of an accident and secondary triage at the casualty clearing station at the site of a major incident. Casualty noun - A person or thing harmed . Property Insurance Proceeds Proceeds of any title policy, hazard policy or other insurance policy covering a Mortgage Loan, to the extent such proceeds are received by the Servicer and are not to be applied to the restoration of the related Mortgaged Property or released to the Mortgagor in accordance with the Servicer's servicing procedures, subject to the terms and conditions of the related Mortgage Note and Mortgage. The series focuses on the professional and personal lives of medical and ancillary staff at the emergency department (ED) of the fictional Holby City Hospital. Rebecca Shaw, Nemat Alsaba, and Victoria Brazil. Bleeding Cuts and wounds cause bleeding, but severe injury can also cause internal bleeding that you can't see. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies. Need for Community Level . Event of Loss means, with respect to any Property, any of the following: (a) any loss, destruction or damage of such Property or (b) any condemnation, seizure, or taking, by exercise of the power of eminent domain or otherwise, of such Property, or confiscation of such Property or the requisition of the use of such Property. For casualty and compassionate cases contact our 24/7 telephone helpline 01452 519951. Apply the principles of triage in a Mass Casualty Incident (MCI) in prioritizing patient care. This article reviews the implications of mass-casualty, terrorist bombings for emergency department (ED) and hospital emergency responses. The Yellow Zone treats the moderately sick. 01452 712612 ext 6304/6442/7659. A multi-casualty incident (MCI) is an emergency situation where the number of patients overwhelms the available resources. Introduction. The Judge overseeing this case is Amy J Carter. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies. This four-day course (usually offered in Anniston, AL) provides emergency medical personnel with hands-on training in the pre-hospital management of Chemical, Biological, Radiological, Nuclear, Explosives and mass casualty incidents, as well as on-scene triage, and field treatment of victims exposed to chemical hazards, biological agents, radiological hazards and explosions. Study of emergency cases in casualty Author: Dr. Hemlata S. Talwelkar and Dr. Pragna G. Chudasama Subject Area: Health Sciences Abstract: Background: Emergency care is one of the most sensitive area of health care, this sensitivity is commonly based on a combination of factors such as urgency and crowding. Dr. Hemlata S. Talwelkar and Dr. Pragna G. Chudasama, Copyright @ 2010 International Journal Of Current Research. 07574-257835 or contact form. Explosives or munitions emergency response specialists include Department of Defense (DOD) emergency explosive ordnance disposal (EOD), technical escort unit (TEU), and DOD-certified civilian or contractor personnel; and other Federal, State, or local government, or civilian personnel similarly trained in explosives or munitions emergency responses. Casualty noun a person or thing badly affected by an event or situation 'the building industry has been one of the casualties of the recession'; Casualty noun the department of a hospital providing immediate treatment for emergency cases. Casualty Noun the department of a hospital providing immediate treatment for emergency cases. Jon Sen continues his role as the executive producer and Liza Mellody begins her position . If necessary shut down operations in Engine Room. Access to all cases was restricted to CORD members although the cases/ templates/ evaluation forms have become widely utilized in EM education and assessment. As nouns the difference between casualty and emergency is that casualty is chance nature; randomness while emergency is a situation which poses an immediate risk and which requires urgent attention. Here are some of the most common medical emergencies that people experience: 1. The Red Zone handles critically ill patients. Call Chief Engineer / Inform Bridge. Casualty & Emergency OPD In case of patients involved in medico legal cases the procedure enumerated below shall be followed. Nearby Words: casual, casually. Check for navigational hazards in vicinity. Introduction. Results: A total of 2,015 patients attended the A&E during the one-month study period, of whom 335 (16.6%) were GP referred. The casualty patients were attended to in a new building. And the "Outpatient" who, after receiving a regular letter of admission, was entitled to the advice of the assistant surgeons and physicians for a period of two months. Mass Casualty Incident Case Studies - RHIhub Emergency Preparedness Toolkit Shares brief summaries of case studies describing how rural communities, healthcare facilities, first responders, and others have responded to and recovered from mass casualty incidents. Casualty / Emergency The Department of Emergency is the face of the hospital and also one of its main pillars .It provides round the clock services which include any acute illness and cases which the patients and their relatives consider them to be attended immediately. 11 are in serious condition and 9 are in stable condition. In the Department of the Air Force, a casualty assistance representative also serves as a long-term case manager. In patients with cocaine chest pain who are STEMI negative, beware STEMI(-)OMI including subtle ST elevation, hyperacute T waves, reciprocal change, and refractory ischemia. Explosives or munitions emergency response specialist means an individual trained in chemical or conventional munitions or explosives handling, transportation, render-safe procedures, or destruction techniques. Duty Doctors are available on call round the clock in all specialties. Michael Menna, DO. 10 necessary actions to be followed in case of machinery spaces casualty. Mass casualty and mass fatality incidents can both result from natural or unnatural causes. With a full ER and an ambulance bay full, as well as several others en route with severe . Sarah Foohey on foodcourt hacks - paraphimosis, rectal prolapse, food bolus obstruction (28:10) In 2006, emergency departments across the United States treated more than 119 million cases. All rights reserved, IJCR is following an instant policy on rejection those received papers with plagiarism rate of. Emergency noun - A time or state of affairs requiring prompt or decisive action. Aim and objective: The aim of present study is to survey of emergency cases in casualty at PDU medical college and Hospital Rajkot. Insurance and Condemnation Proceeds shall have the meaning assigned to such term in the Servicing Agreement or such other analogous term used in the Servicing Agreement. The Entrance is a closed compact area comprising Reception, Registration, Accounts and Admission counters. A mass casualty event (MCE) is characterized by multiple fatalities and a sudden temporal surge of injured patients necessitating emergency services. 2022 All Rights Reserved. Emergency ECG, Blood sugar, ABG and X rays are done as per requirement. Current MCEs are an epidemic culminating from mass shootings, bombings, or other atrocities against human life. Emergency Works means any urgent measures which in the opinion of the Engineer-in- Charge, become necessary during the progress of the work to obviate any risk of accident or failure which become necessary for security. Discovery 911 Discovery 911 offers real-time emergency care for all Discovery Health Medical Scheme members. Medically reviewed by. All accidents /assaults /suspicious cases /poisoning and RTA related brought dead cases shall be enlisted as MLC and recorded in the case sheets and maintained separately. Topics in this EM Quick Hits podcast. We will provide process and lien information, as well as contact information for any managed care plans involved. Or just call us now, if you have any Emerangcy by health problem contact this No. How can we innovate our way out of this crisis in EM and cope until we do? Unprepared hospitals can be overwhelmed and unable to respond to patient needs in the event of an emergency. Veterinary certificates for emergency or casualty slaughter bovine animals in the Republic of Ireland: are the welfare needs of certified animals adequately protected? Methods: Clinical data were collected from the Accident and Emergency Department (A&E) case notes regarding patient demographics, reason for referral by GP, triage group, diagnosis and course of management. Please feel free to contact us. ABC. #3. 6. This is the sixth and final case in a six-part mini-series focusing on the management of geriatric patients in the ED. Show all . An emergency does not necessarily require a hospital admission. We will get back to you. Tahara Bhate in QI Corner - sorting out the the dizzy patient (10:00). An explosives or munitions emergency response may include in-place render-safe procedures, treatment or destruction of the explosives or munitions and/or transporting those items to another location to be rendered safe, treated, or destroyed. An EMS Problem (Still) With a Simple Solution Scenario Medic 41 is dispatched as part of a mass casualty task force responding to multiple persons injured in a pedestrian-struck incident in your. In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. Net Condemnation Proceeds The Condemnation Proceeds received with respect to any Mortgage Loan or Serviced Companion Loan (including an REO Mortgage Loan or REO Companion Loan) net of the amount of (i) costs and expenses incurred with respect thereto and (ii) amounts required to be applied to the restoration or repair of the related Mortgaged Property; provided that, in the case of an Outside Serviced Mortgage Loan, Net Condemnation Proceeds under this Agreement shall be limited to any related Condemnation Proceeds that are received by the Trust Fund in connection with such Outside Serviced Mortgage Loan, pursuant to the allocations set forth in the related Co-Lender Agreement. This episode focuses on a differential diagnosis of MSK injuries that are occult to X-ray with the help of the SCARED OF mnemonic. Casualty Department also known as Emergency department (ED) Accident & Emergency Department (A&E) Emergency room (ER) Emergency ward (EW) a) A patient who needs emergency medical care should be treated and admitted. Advise engineer officer on watch. The Department of Emergency is the face of the hospital and also one of its main pillars .It provides round the clock services which include any acute illness and cases which the patients and their relatives consider them to be attended immediately. CMS IOM 100-7, State Operations Manual, Appendix V, Interpretive Guidelines - Responsibilities of Medicare Participating Hospitals in Emergency Cases; 42 C.F.R. Emergency vehicle means emergency vehicles of municipal, township or county departments or public utility corporations when identified as such as required by law, the Ohio Director of Public Safety or local authorities, and motor vehicles when commandeered by a police officer. All the items required are made available during mass casualties. Print. Advanced emergency medical technician or AEMT means an individual who has successfully completed a course of study based on the United States Department of Transportations Advanced Emergency Medical Technician Instructional Guidelines (January 2009), has passed the psychomotor and cognitive examinations for the AEMT, and is currently certified by the department as an AEMT. We may ask you or your treating provider for additional information to confirm the emergency. Diagnosing Posterior MI and RVMI. The casualty is 10 bedded with additional 2 emergency obstetric beds and is equipped with all the necessary instruments and emergency drugs. Co-ordinate with Bridge Operation of Emergency Squads. IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. EMC Journal Club 1 Does Treating Fever Make A Difference. Confido Multi Speciality Hospital. ECG Cases 31 Is a 15 lead ECG better than 12? The Department of Emergency is the face of the hospital and also one of its main pillars .It provides round the clock services which include any acute illness and cases which the patients and their relatives consider them to be attended immediately. Other Comparisons: What's the difference? Emergencyward vs Casualty Casualty Amount means Five hundred thousand Dollars ($500,000) (or the equivalent in any other currency); Authorized emergency vehicle means any of the following: Casualty Event means any event that gives rise to the receipt by the Borrower or any Restricted Subsidiary of any insurance proceeds or condemnation awards in respect of any equipment, fixed assets or real property (including any improvements thereon) to replace or repair such equipment, fixed assets or real property. GUAYNABO, Puerto Rico - The Government of Puerto Rico is teaming up with FEMA's Center for Domestic Preparedness to train emergency and healthcare workers to respond to mass casualty incidents. 20 patients, ranging from adults to a 14-month-old, were transported, officials said. To study the case mix pattern, the patients coming to the casualty were grouped under the broad speciality heading of medical, surgical and others. WTBS 28 Im OK, How Are You? The Treatment Area has been divided into three zones: The Green Zone to cater to non serious patients. Triage is the process of sorting patients as they present to the emergency care setting. Casualty Medical officer and resident doctors are available 24 hrs all days. These services are available 24 hour a day, throughout the year. Individuals from 44 Emergency Medicine residency programs contributed as authors and editors to develop 65 oral board cases posted on the CORD SharePoint Site. Wiktionary Emergency Noun The casualty functions round the clock on all days. The emergency response to mass casualty incidents in Lebanon lacks uniformity. 10. Not all incidents of bleeding need emergency medical treatment, often they can be treated by first aid at home following advice from a pharmacist or GP. There are several factors that make MCI preparedness in rural communities different, and in some cases, more difficult than in heavily populated areas. A casualty loss can result from the damage, destruction, or loss of your property from any sudden, unexpected, or unusual event such as a flood, hurricane, tornado, fire, earthquake, or volcanic eruption. Sample 1 Sample 2 Based on 4 documents Casualty/Emergency Room means the Casualty or Emergency Department of a Hospital (that is part of the Hospital or a separate GP practice) providing immediate treatment for emergency cases. Background: Emergency care is one of the most sensitive area of health care, this sensitivity is commonly based on a combination of factors such as urgency and crowding. Net Casualty Proceeds means, with respect to any Casualty Event, the amount of any insurance proceeds or condemnation awards received by the Borrower or any of its U.S. Subsidiaries in connection with such Casualty Event (net of all collection or similar expenses related thereto), but excluding any proceeds or awards required to be paid to a creditor (other than the Lenders) which holds a first priority Lien permitted by clause (d) of Section 7.2.3 on the property which is the subject of such Casualty Event. Casualty - Accident & Emergency (A&E) - M.P. Tactical Casualty Care (TCC) is the delivery of specialized adjunct tactical emergency medical services to casualties of active shooter and terrorism events by first responders from an established EMS system to include, but not be limited to, public safety personnel, EMT's, Advanced EMT's, and paramedics as described by CCR Title 22, Division 9, Chapters 1.5 and Chapters 2-4. 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