ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
The Great Belt train accident: the emergency medical services response.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Cross-border collaboration in a major incident: emergency medical services response to a train crash.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Concrete silo collapse: emergency medical services response to a mass casualty incident.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Existing Data Sources in Clinical Epidemiology: The Danish Prehospital Medical Record System.Clinical epidemiology · 2025Review
- The Field's mass shooting: emergency medical services response.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- The Use of Prehospital Intensive Care Units in Emergencies-A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Emergency medical services preparedness in mass casualty incidents: A qualitative study.Health science reports · 2023Article
- Construction of COVID-19 Epidemic Prevention and Control and Public Health Emergency Response System Based on Discrete Stochastic Mathematical Model.Computational and mathematical methods in medicine · 2022Article
- Triple train collision at Bahanaga Bazar: Disaster response and management: An observational study.International journal of critical illness and injury scienceArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMajor incidents (MI) are rare occurrences in Scandinavia. Literature depicting Scandinavian MI management is scarce and case reports and research is called for. In 2019, a trailer falling off a freight train struck a passing high-speed train on the Great Belt Bridge in Denmark, killing eight people instantly and injuring fifteen people. We aim to describe the emergency medical services (EMS) response to this MI and evaluate adherence to guidelines to identify areas of improvement for future MI management. CASE PRESENTATION: Nineteen EMS units were dispatched to the incident site. Ambulances transported fifteen patients to a trauma centre after evacuation. Deceased patients were pronounced life-extinct on-scene. Radio communication was partly compromised, since 38.9% of the radio shifts were not according to the planned radio grid and presented a potential threat to patient outcome and personnel safety. Access to the incident site was challenging and delayed due to traffic congestion and safety issues.
conclusionDespite harsh weather conditions and complex logistics, the availability of EMS units was sufficient and patient treatment and evacuation was uncomplicated. Triage was relevant, but at the physicians' discretion. Important findings were communication challenges and the consequences of difficult access to the incident site. There is a need for an expansion of capacity in formal education in MI management in Denmark.
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