7. Treatment Rules

  1. Lieutenant Colonel Rob Russell MB, BS, MRCP(UK), FCEM, DipIMCRCSEd, RAMC Clinical Lead (Emergency and Critical Care) Consultant Senior Lecturer1,2,3,
  2. Colonel Timothy J Hodgetts CBE, QHP, MMEd, MBA, CMgr, FRCP, FRCSEd, FCEM, FIMCRCSEd, FIHM, FCMI, FRGS, L/RAMC Professor Consultant3,4,5,
  3. Colonel Peter F Mahoney OBE, TD, MSc, FRCA, L/RAMC Defence Professor Consultant5,6 and
  4. Nicholas Castle MSc, DipIMCRCSEd, RGN, SRPara Nurse Consultant Honorary Research Fellow7,8

Published Online: 18 NOV 2010

DOI: 10.1002/9781444329681.ch7

Disaster Rules

Disaster Rules

How to Cite

Russell, L. C. R., Hodgetts, C. T. J., Mahoney, C. P. F. and Castle, N. (2010) Treatment Rules, in Disaster Rules, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444329681.ch7

Author Information

  1. 1

    Emergency Medicine, Peterborough, and Stamford Hospitals NHS Foundation Trust, UK

  2. 2

    Military Emergency Medicine, Royal Centre for Defence Medicine, UK

  3. 3

    Emergency Medicine, University of Birmingham, UK

  4. 4

    College of Emergency Medicine, UK

  5. 5

    University Hospitals Birmingham NHS Foundation Trust, UK

  6. 6

    Royal College of Anaesthetists, UK

  7. 7

    Frimley Park Hospital NHS Foundation Trust, UK

  8. 8

    Durban University of Technology, Republic of South Africa

Publication History

  1. Published Online: 18 NOV 2010
  2. Published Print: 24 NOV 2010

ISBN Information

Print ISBN: 9781405193788

Online ISBN: 9781444329681



  • Treatment Rules;
  • minor injury units (MIU);
  • Medical Emergency Response Incident Team (MERIT);
  • Clearing Station (CCS);
  • Forward Medical Commander (FMC);
  • Patient report form (PRF);
  • visual analogue scale (VAS);
  • acute renal failure (ARF)


This chapter contains sections titled:

  • Rule 35: You will treat more T3 than T1

  • Rule 36: If staff are of little use to the hospital, they have no merit on MERIT

  • Rule 37: Surgical teams leave with their patients; medical teams stay

  • Rule 38: Medical equipment should be interoperable

  • Rule 39: CPR will rarely be indicated at a major incident

  • Rule 40: Not all patients require surgical intervention

  • Rule 41: Pain is the 5th vital sign: be prepared to treat it

  • Rule 42: After the crush, remember to flush

  • References