Westgate shootings: An emergency department approach to a mass-casualty incident

Benjamin W. Wachira, Ramadhani O. Abdalla, Lee A. Wallis

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


At approximately 12:30 pm on Saturday September 21, 2013, armed assailants attacked the upscale Westgate shopping mall in the Westlands area of Nairobi, Kenya. Using the seven key Major Incident Medical Management and Support (MIMMS) principles, command, safety, communication, assessment, triage, treatment, and transport, the Aga Khan University Hospital, Nairobi (AKUH,N) emergency department (ED) successfully coordinated the reception and care of all the casualties brought to the hospital. This report describes the AKUH,N ED response to the first civilian mass-casualty shooting incident in Kenya, with the hope of informing the development and implementation of mass-casualty emergency preparedness plans by other EDs and hospitals in Kenya, appropriate for the local health care system.

Original languageEnglish
Pages (from-to)538-541
Number of pages4
JournalPrehospital and Disaster Medicine
Issue number5
Publication statusPublished - 4 Aug 2014


  • Kenya
  • disaster planning
  • emergency preparedness
  • terrorism


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