No forehead numbering, wrist bands to identify mass casualty victims

At least 23 people were killed and 38 were injured in a stampede at Mumbai’s Elphinstone railway station. The incident occurred during peak hours following rains. The victims were taken to KEM Hospital. However, KEM Hospital administration received flak for numbering the dead bodies. Now, KEM Hospital has decided to put wrist bands to identity mass casualty victims


  • In September this year, the head of the Forensic department of the Hospital was heavily criticised for numbering Elphinstone stampede victims. 
  • While numbering victims of mass casualty is a scientific method, the Hospital had a set up a committee to prepare SOPs for mass casualty management.  
  • Now, KEM Hospital has decided to put wrist bands to identity mass casualty victims.
  • Black wrist band for dead person, red for severely injured, yellow for minor injuries and green for newly admitted injured patients.

Standard Operating Procedures (SOPs):

  • How to control the crowd in the Hospital
  • To check whether enough medicines are available
  • To treat the injured immediately
  • To make the patient’s relatives stress-free
  • Food facilities for patients and their relatives
  • To treat patients in individual ward during emergencies

Speaking to My Medical Mantra, Dr Avinash Supe, Dean, KEM Hospital said, “Earlier, there were guidelines during emergency. But, it was improvised after Elphinstone stampede. Now, the SOPs are ready and will be presented on January 22, that is on its foundation day.”

Dr Supe said, “A board will be put up in the hospital about what to do and what not do during the emergencies. There will be guidelines issued for the doctors, nurses and the other workers. If any major incident takes place, the patients will be treated immediately.”