scholarly journals Evaluating the Effectiveness of the Chemical-Mass Casualty Incident Response Education Module (C-MCIREM): A Pilot Simulation Study With a Before and After Design

Cureus ◽  
2021 ◽  
Author(s):  
Myeong-sik Kim ◽  
Heejun Shin ◽  
Giwoon Kim ◽  
Jae Hyuk Kim ◽  
Sori Kang ◽  
...  
Keyword(s):  
Simulation Study ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Incident Response ◽  
Before And After

The effect of training and experience on mass casualty incident triage performance: Evidence from emergency personnel in a high complexity university hospital

2019 ◽  
Vol 14 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Juan P. Vargas, MD, MSc ◽  
Ives Hubloue, MD, PhD ◽  
Jazmín J. Pinzón, MD ◽  
Alejandra Caycedo Duque, MD
Keyword(s):  
Emergency Department ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
University Hospital ◽  
Trauma Patients ◽  
Post Intervention ◽  
Cross Sectional ◽  
Emergency Department Staff ◽  
Department Staff ◽  
Before And After

Mass casualty incident (MCI) can occur at any time and place and health care institutions must be prepared to deal with these incidents. Emergency department staff rarely learn how to triage MCI patients during their medical or nurse degrees, or through on-the-job training. This study aims to evaluate the effect of training and experience on the MCI triage performance of emergency personnel.Methodology: This was a cross-sectional prospective study that analyzed the performance of 94 emergency department staff on the triage classifications of 50 trauma patients, before and after a short training in MCI triage, while taking into account their academic background and work experience.Results: The participants were assigned initially to one of two groups: low experience if they had less than 5 years of practice, and high experience if they had more than 5 years of practice. In the low experience group, the initial accuracy was 45.76 percent, over triage 45.84 percent, and subtriage 8.38 percent. In the high experience group, the initial accuracy was 53.80 percent, over triage 37.66 percent, and sub triage 8.57 percent.Postintervention Results: In the low experience group, the post intervention accuracy was 63.57 percent, over triage 21.15 percent, and subtriage 15.30 percentage. In the high experience group, the post-intervention accuracy was 67.66 percentage, over triage 15.19 percentage, and subtriage 17.14 percentage.  Conclusion: Upon completion of this study, it can be concluded that MCI triage training significantly improved the performance of all those involved in the workshop and that experience plays an important role in MCI triage performance.

Utilization of computer simulation to enhance mass casualty incident response skills

1985 ◽  
Vol 14 (5) ◽  
pp. 517 ◽  
Author(s):  
RD Kelley ◽  
KC Harrison ◽  
SM Lyon ◽  
LC Baldwin ◽  
CR Hansen
Keyword(s):  
Computer Simulation ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Incident Response ◽  
Enhance Mass

scholarly journals Modeling Uncertain and Dynamic Casualty Health in Optimization-Based Decision Support for Mass Casualty Incident Response

2013 ◽  
Vol 5 (2) ◽  
pp. 32-44
Author(s):  
Duncan T. Wilson ◽  
Glenn I. Hawe ◽  
Graham Coates ◽  
Roger S. Crouch
Keyword(s):  
Decision Support ◽  
Health Assessment ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Support Program ◽  
Incident Response ◽  
Dynamic Nature ◽  
Significant Challenge ◽  
Optimisation Model ◽  
Health Model

When designing a decision support program for use in coordinating the response to Mass Casualty Incidents, the modelling of the health of casualties presents a significant challenge. In this paper we propose one such health model, capable of acknowledging both the uncertain and dynamic nature of casualty health. Incorporating this into a larger optimisation model capable of use in real-time and in an online manner, computational experiments examining the effect of errors in health assessment, regular updates of health and delays in communication are reported. Results demonstrate the often significant impact of these factors.

scholarly journals An armed assailant in our hospital: Are we prepared?

2021 ◽  
Vol 50 (9) ◽  
pp. 712-716
Author(s):  
Sohil Pothiawala ◽  
Rabind Charles ◽  
Wai Kein Chow ◽  
Kheng Wee Ang ◽  
Karen Hsien Ling Tan ◽  
...  
Keyword(s):  
Emergency Preparedness ◽  
Hospital Setting ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Incident Response ◽  
Potential Threat ◽  
Healthcare Facilities ◽  
Response Strategies ◽  
Hospital Preparedness ◽  
Response Plan

ABSTRACT While armed assailant attacks are rare in the hospital setting, they pose a potential risk to healthcare staff, patients, visitors and the infrastructure. Singapore hospitals have well-developed disaster plans to respond to a mass casualty incident occurring outside the hospital. However, lack of an armed assailant incident response plan can significantly reduce the hospital’s ability to appropriately respond to such an incident. The authors describe various strategies that can be adopted in the development of an armed assailant incident response plan. Regular staff training will increase staff resilience and capability to respond to a potential threat in the future. The aim of this article is to highlight the need for the emergency preparedness units of all hospitals to work together with various stakeholders to develop an armed assailant incident response plan. This will be of great benefit for keeping healthcare facilities safe, both for staff as well as for the community. Keywords: Armed assailant, hospital, preparedness, response, strategies

scholarly journals Immediate response to major incidents: defining an immediate responder!

2019 ◽  
Vol 46 (6) ◽  
pp. 1309-1320 ◽  
Author(s):  
Amir Khorram-Manesh ◽  
Patricia Plegas ◽  
Åsa Högstedt ◽  
Mahmoudreza Peyravi ◽  
Eric Carlström
Keyword(s):  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Extensive Literature ◽  
Expert Group ◽  
The Public ◽  
Know How ◽  
Life Saving ◽  
Before And After ◽  
Major Incidents ◽  
Appropriate Education

Abstract Purpose There is a gap in time between the occurrence of a mass casualty incident (MCI) and the arrival of the first responders to the scene, which offers an opportunity for the public (immediate responders) to perform life-saving measures. The purpose of this study was to identify these measures and the public’s willingness to conduct them. Method An extensive literature review was performed to identify the possible measures that can be undertaken by the public. A group of experts were asked to prioritize and rank the feasibility of performing the measures by the public. Finally, the public was asked whether they were willing to do the chosen measures before and after an appropriate education. Results Twenty different measures were identified and presented in a questionnaire as statements, which were prioritized and ranked by the expert group into four categories: what (1) should be done, (2) is good to know how, (3) is not necessary to know, and (4) should not be done. All statements were converted into understandable statements and were sent to the public. There were some differences and some agreements between the experts and the public regarding what an immediate responder should do. However, the willingness of the public to perform most of the measures was high and increased after being offered an appropriate education. Conclusion The use of immediate responders is a life-saving approach in MCIs and in situations when every minute counts and every human resource is an invaluable asset. Multiple steps, such as education, empowerment, and access, should be taken into consideration to enable bystanders to effectively help struggling survivors.

Mass Casualty Incident Response: Flexing PACU Muscles

2019 ◽  
Vol 34 (4) ◽  
pp. e14-e15
Author(s):  
Elizabeth Resweber ◽  
Alya Nadji ◽  
Aviva Mandel
Keyword(s):  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Incident Response

scholarly journals Use of Moulage in Multi-Disciplinary Mass Casualty Incident (MCI) Training: Cost-Effective Tool or an Expectation?

2019 ◽  
Vol 34 (s1) ◽  
pp. s19-s19
Author(s):  
Sasha Rihter ◽  
Veronica Coppersmith
Keyword(s):  
Emergency Medicine ◽  
Training Session ◽  
Cost Effective ◽  
Disaster Planning ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Emergency Physicians ◽  
Disaster Plan ◽  
Before And After ◽  
Training Cost

Introduction:A 2018 poll by the American College of Emergency Physicians shows 93% of surveyed doctors believe their emergency department is not fully prepared for patient surge capacity in the event of a natural or man-made disaster. While an emergency disaster plan is activated during any incident where resources are overwhelmed, many US emergency physicians today think of a mass casualty incident (MCI) as the inciting event. To better prepare our communities, an MCI simulation took place in Chicago 2018 with participation from local and federal representatives. Included were Chicago fire, police, and emergency medical services agencies, emergency medicine physicians, resident participants, and medical student volunteer victims.Aim:The study’s aim was to determine whether resource intensive moulage was an expected component or a beneficial adjunct, if moulage-based training would improve physician preparedness, and if such a training would increase the likelihood of future involvement in local disaster preparations. Analysis was performed on pre- and post-training surveys completed by participants. By reviewing the benefits versus cost, future MCI simulation planners can efficiently use their funds to achieve training goals.Methods:Thirty-two emergency medicine physicians were surveyed before and after a five-hour training session on October 20, 2018, which included 89 moulage victims. Twenty-four after-event surveys were completed. All completed surveys were utilized in data analysis.Results:Of polled participants, a 68% improvement in general preparedness was achieved. While only 19% of participants cited current involvement in their facility’s disaster planning in pre-event survey, the likelihood of involvement after training was 8.2/10. Overall, the importance of moulage an essential component to such trainings remained constant.Discussion:Moulage is an expected and crucial element to MCI training and should be incorporated as extensively as resources allow. MCI trainings improve physician preparedness and potentially increase physician involvement in disaster planning at home institutions.

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