• Santiago Echevarría-Zuno, Felipe Cruz-Vega, Sandra Elizondo-Argueta, Everardo Martínez Valdés, Rubén Franco-Bey, and Luis Miguel Méndez-Sánchez.
• Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social, México, DF Mexico.
• Cir Cir. 2013 May 1; 81 (3): 246-55.

AbstractProviding medical assistance in emergencies and disaster in advance makes the need to maintain Medical Units functional despite the disturbing phenomenon that confronts the community, but conflict occurs when the Medical Unit needs support and needs to be evacuated, especially when the evacuation of patients in a Critical Care Unit is required. In world literature there is little on this topic, and what is there usually focuses on the conversion of areas and increased ability to care for mass casualties, but not about how to evacuate if necessary, and when a wrong decision can have fatal consequences. That is why the Mexican Social Security Institute gave the task of examining these problems to a working group composed of specialists of the Institute. The purpose was to evaluate and establish a method for performing a protocol in the removal of patients and considering always to safeguard both staff and patients and maintain the quality of care.

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