A railway accident in a remote area of Pakistan resulted in 122 injured patients. Triage was conducted on three levels: at the site, at the primary health center, and at the tertiary referral center. This article compares the results of the three triage processes. Only one death resulted after the triage processes were begun. The authors point out that although “triage in a disaster is neither perfect nor democratic”, it is “a practical solution to deal with mass casualties, especially when resources are limited”. (

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An extensive body of literature exists on fall prevention and intervention, but there is no clear message on how best to prevent falls in older adults. A recent study conducted a systematic review and meta-analyses of 40 trials, looking at outcomes of falling at least once during follow up and at the monthly rate of falling. The authors conclude that the most effective intervention was a multifaceted risk assessment and management program. Exercise programs were also effective, but there was no evidence for the independent effectiveness of education or environmental modification alone. (

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Suicide …