Decision in this matter must be taken early by the rescue leader upon advice from the doctor in command. The rapidly given medico-technical rescue care led to patients with curable injuries quickly receiving qualified therapy at hospitals, and therefore survived. The tactics used at the accident site and at hospitals meant that lethal complications were avoided. Alarm and action plans for police, fire brigade and health care systems in Gothenburg do function well in at least major accidents during weekday office hours. The corresponding preparedness for other times and for less densely populated areas is, for obvious reasons, different.
Communication problems do exist within the health care system.
Psycho-social care of relatives and personnel should be well integrated in health care emergency and disaster preparedness and also in community preparedness. Information to the general public and contacts with mass media calls for quick initiatives from the police, fire brigade and health care system in order to be efficient and avoid complications. The shortest possible turnout times for medical teams to the accident site should be sought. This means that the medical teams should in principle be able to leave the hospital within 5 minutes of the alert. Personnel in specialized ambulances should be trained to direct medical activities at the accident site in major accidents.