The medical response to domestic terrorism and major incident management

2010 ◽  
pp. 64-87
Keyword(s):  
Domestic Terrorism ◽  
Major Incident ◽  
Incident Management ◽  
Medical Response

Information sharing and interoperability: the case of major incident management

2014 ◽  
Vol 23 (4) ◽  
pp. 418-432 ◽  
Author(s):  
David K Allen ◽  
Stan Karanasios ◽  
Alistair Norman
Keyword(s):  
Information Sharing ◽  
Major Incident ◽  
Incident Management

Challenges of Major Incident Management When Excess Resources are Allocated: Experiences from a Mass Casualty Incident after Roof Collapse of a Military Command Center

2004 ◽  
Vol 19 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Luis Romundstad ◽  
Knut Ole Sundnes ◽  
Johan Pillgram-Larsen ◽  
Geir K. Røste ◽  
Mads Gilbert
Keyword(s):  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Major Incident ◽  
Incident Management ◽  
Field Hospital ◽  
Rescue Work ◽  
Incident Command ◽  
Set Up ◽  
Minor Injuries ◽  
Command Center

AbstractDuring a military exercise in northern Norway in March 2000, the snowladen roof of a command center collapsed with 76 persons inside. Twentyfive persons were entrapped and/or buried under snow masses. There were three deaths. Seven patients had serious injuries, three had moderate injuries, and 16 had minor injuries.A military Convalescence Camp that had been set up in a Sports Hall 125 meters from the scene was reorganized as a causality clearing station. Officers from the Convalescence Camp initially organized search and rescue. In all, 417 persons took part in the rescue work with 36 ambulances, 17 helicopters, three ambulance airplanes and one transport plane available. Two ambulances, five helicopters and one transport aircraft were used. Four patients were evacuated to a civilian hospital and six to a field hospital.The stretcher and treatment teams initially could have been more effectively organized. As resources were ample, this was a mass casualty, not a disaster. Firm incident command prevented the influx of excess resources.

Course in Prehospital Major Incidents Management for Health Care Providers in Saudi Arabia

2018 ◽  
Vol 33 (6) ◽  
pp. 587-595 ◽  
Author(s):  
Nidaa A. Bajow ◽  
Wajdan I. AlAssaf ◽  
Ameera A. Cluntun
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Providers ◽  
Core Competencies ◽  
Wilcoxon Test ◽  
Major Incident ◽  
Incident Management ◽  
Care Providers ◽  
Post Test ◽  
Major Incidents

AbstractIntroductionUnacceptable practices of health care providers during disasters have been observed because they work outside the scope of their daily practices and have inadequate training. A greater need for the involvement of health professionals in disaster management has been noted in Saudi Arabia. This study evaluates the efficacy of a training course in prehospital major incident management for health care providers in Saudi Arabia.MethodsAn interactive course for general principles in prehospital major incident management was developed with domains and core competencies. The course was designed according to the local context and was based on international standards. It was piloted over four days at the Officers Club of the Ministry of Interior (Riyadh, Saudi Arabia) and was sponsored by Mohammed Bin Naif Medical Center, King Fahd Security College in Riyadh, Saudi Arabia. The participants (n=29) were from different disciplines from main government health facilities in Riyadh. They completed a pre-test and a post-test.ResultsThe overall score was 55.1% on the pre-test and 68.4% on the post-test (Wilcoxon test for paired samples, P <.05). Three out of the four domains had significant difference between pre- and post-test results, as well as the overall total knowledge.Conclusion:Conducting inter-disciplinary and competency-based disaster medicine courses for health care providers can augment appropriate disaster preparedness for major incidents in Saudi Arabia.BajowNA,AlAssafWI,CluntunAA.Course in prehospital major incidents management for health care providers in Saudi Arabia.Prehosp Disaster Med.2018;33(6):587–595.

Casualty and Scene Medical Management

2017 ◽  
Author(s):  
Ian Greaves ◽  
Paul Hunt
Keyword(s):  
Personal Protective Equipment ◽  
Medical Management ◽  
Systematic Approach ◽  
Major Incident ◽  
Protective Equipment ◽  
Roles And Responsibilities ◽  
Medical Response ◽  
National Emergency ◽  
Mass Fatalities

Chapter 5 covers the declaration of a major incident and practice of the initial situation report from the scene. A summary is given of the systematic approach and organization of the on-scene medical response including key medical roles and responsibilities at scene, triage, decontamination, personal protective equipment, dealing with the dead and human remains, evacuation, survivor reception, mass fatalities and national emergency mortuary arrangements, management of contaminated fatalities, and the role of the police senior investigation manager.

An Introduction to Major Incident Management

2017 ◽  
Author(s):  
Ian Greaves ◽  
Paul Hunt
Keyword(s):  
Emergency Services ◽  
Major Incident ◽  
Incident Management ◽  
Roles And Responsibilities ◽  
Communication Assessment ◽  
Major Incidents ◽  
And Control ◽  
Structured Approach ◽  
Mass Fatalities

Chapter 1 covers information on what a major incident is, definitions and classifications including chemical, biological, radiological and nuclear (CBRN), special arrangements, historical and recent major incidents, mass fatalities, the Civil Contingencies Act 2004, nomenclature, and the Joint Emergency Services Inter-operability Programme (JESIP). The phases and objectives of a response to a major incident are described. This chapter also outlines the generic structured approach including command and control, safety (including zones and cordons), communication, assessment, triage and categorization systems, casualty treatment, roles and responsibilities, and casualty transportation.

scholarly journals Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Science and the CBRNE Science Medical Operations Science Support Expert (CMOSSE)

2019 ◽  
Vol 13 (5-6) ◽  
pp. 995-1010
Author(s):  
C. Norman Coleman ◽  
Judith L. Bader ◽  
John F. Koerner ◽  
Chad Hrdina ◽  
Kenneth D. Cliffer ◽  
...  
Keyword(s):  
Subject Matter ◽  
Systems Approach ◽  
Lessons Learned ◽  
Incident Management ◽  
Senior Managers ◽  
Preparedness Planning ◽  
Medical Response ◽  
Core Elements ◽  
Subject Matter Expertise ◽  
Response And Recovery

ABSTRACTA national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.

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