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Latvia strengthens preparedness for mass-casualty incidents

PublishedOctober 22, 2026

To ensure that Latvia is better prepared for disasters and other emergencies involving large numbers of casualties, the country is continuing to implement the internationally recognised Major Incident Medical Management and Support (MIMMS) system.

MIMMS provides a standardised set of principles for organising medical assistance in situations involving large numbers of casualties, when a rapid and coordinated response from multiple emergency services is essential.

Three individuals collaborating around a whiteboard filled with diagrams and notes, one person is writing while the others observe.

The system is widely recognised internationally for managing mass-casualty incidents. It is already used in several European countries, including Estonia, and is also recognised by NATO for civil-military cooperation.

A group of twelve people attentively listening to a presentation in a classroom setting, with a whiteboard in front displaying diagrams. Some participants are holding folders and notepads.

Latvia has so far been spared major disasters and large-scale incidents. However, terrorist attacks across Europe, devastating natural disasters and the war in Ukraine over the past decade have significantly changed the security landscape.

Every country must be prepared for situations in which large numbers of people may require medical assistance within a short period of time.

Two men engaged in a serious discussion, with one looking intently at the other. In the background, several people observe the conversation, creating a collaborative atmosphere.

“In such incidents, it is essential to follow unified, internationally recognised and standardised principles that are understood by every responder involved, regardless of the country they represent. This system enables medical assistance to be organised more effectively, the work of medical teams to be coordinated with other emergency services, priorities for treating casualties to be established, and their evacuation from the scene to hospitals to be planned jointly. For the public, this means greater safety in both complex everyday emergencies and situations that threaten national security. It also strengthens Latvia’s ability to cooperate with emergency services from other countries during international incidents. The clearer, more precise and more coordinated the response in a crisis, the faster and more effectively casualties can receive assistance,” says Liene Cipule, Director of the State Emergency Medical Service (NMPD).

Three professionals engaged in a discussion at a meeting table, with flags in the background, including the Latvian and EU flags.

This week, Latvia is hosting its first nationally organised MIMMS training exercises for emergency medical service personnel.

Three individuals engaged in a collaborative activity around a table, with one person leaning over to assist another. They appear to be working on papers and taking notes in a workshop setting.

The training is being led by certified instructors from Latvia and Justin Burke-Jones, an experienced mass-casualty medical management expert from the United Kingdom.

A close-up of the cover of the book 'Major Incident Medical Management and Support', fourth edition, featuring emergency responders and a fire truck in the background.

The programme provides in-depth knowledge and includes practical scenario-based simulations.

Photos: NMPD, https://www.facebook.com/photo?fbid=1555555006603453&set=pcb.1555555106603443

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