A

The authors describe “The Main Gate Syndrome” as arising when large numbers of severely injured bombing victims arrive simultaneously at a hospital’s main entrance, overwhelming resources. They present their experience introducing a “semi-evacuation hospital” with a second surgical triage as a novel, flexible approach to manage such surges, concluding that this represents a new format for mass-casualty victim management and should be integrated into planning [Sockeel et al., 2007, PMID 19106867].