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confusion and occasional miscommunication.Boston six major trauma centers, which treated the most seriously injured bombing victims, have already made some changes for handling mass emergencies and are continuing to review their performance for ways to strengthen the city already sophisticated trauma system and share their lessons with hospitals nationwide so they prepared for the next time.In particular, the bombings brought forward a problem that has vexed trauma hospitals for years: the identification of victims.Within minutes of the April 15 bombing, many patients arrived unconscious and without purses, wallets, or family members to identify them. An ambulance brought one woman to Massachusetts General Hospital with a handbag, but it wasn hers. It belonged to her best friend, who was killed on Boylston Street. Before the mixup was noticed, the family of the dead woman was told she was in a hospital bed.There were challenges keeping patients straight at Brigham and Women Hospital, too. Staff assigned unidentified victims six digit numbers, but they were confusing, and doctors and nurses had to continually double check that imaging test results and medications were going to the correct patient. There were no mix ups, said Dr. Eric Goralnick, medical director of emergency preparedness, but had some near misses. and friends crowded waiting rooms, desperately searching for loved ones and pleading for any shred of information about their conditions. It didn help that siblings and spouses had been separated and that wounded parents and children, too, had been rushed to different hospitals.A