scholarly journals (P1-36) Mass Casualty Incident Awareness of Remote Location Staff in Western Australia

2011 ◽  
Vol 26 (S1) ◽  
pp. s110-s110
Author(s):  
R. Goswami
Keyword(s):  
Western Australia ◽  
Medical Staff ◽  
Online Survey ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Population Spread ◽  
Complex Decision Making ◽  
Complex Decision ◽  
Remote Health ◽  
Better Than

IntroductionThe state of Western Australia has a remote population spread throughout an immense area. Remote health and retrieval is strained on a day-to-day basis, let alone in mass casualty incidents (MCIs). Anecdotally, remote medical staff has minimal training in MCI response. There is no research into how aware these staff is on principles of MCI response.MethodologyAn online survey was devised to ascertain the awareness and knowledge of medical staff most likely to be involved in a disaster. Demographic as well as questions in scenario format were disseminated to rural general practitioners (GPs), nurses and paramedics. Data was collected over a 4-month period.Results117 surveys were completed online. Analysis revealed an astute awareness of resources and environment in a potential MCI but triaging was poor and complex decision-making results were equivocal. Trained respondents handled scenarios better than experienced (MCI involvement or planning) respondents.ConclusionsIn general, remote medical staff is aware of only certain MCI principles. Further training is warranted. Voluntary feedback from these staff also strongly corroborated this view.

Disaster Response to a Mass Casualty Incident in a Hospital Fire by Regional Disaster Medical Assistance Team: Characteristics of Hospital Fire

2020 ◽  
pp. 1-4
Author(s):  
Jae Ho Jang ◽  
Jin-Seong Cho ◽  
Youg Su Lim ◽  
Sung Youl Hyun ◽  
Jae-Hyug Woo ◽  
...  
Keyword(s):  
Medical Records ◽  
Medical Staff ◽  
Disaster Response ◽  
Fire Department ◽  
Treatment Method ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Medical Assistance ◽  
Fire Disaster ◽  
Field Triage

ABSTRACT Objective: A disaster in the hospital is particularly serious and quite different from other ordinary disasters. This study aimed at analyzing the activity outcomes of a disaster medical assistance team (DMAT) for a fire disaster at the hospital. Methods: The data which was documented by a DMAT and emergent medical technicians of a fire department contained information about the patient’s characteristics, medical records, triage results, and the hospital which the patient was transferred from. Patients were categorized into four groups according to results of field triage using the simple triage and rapid treatment method. Results: DMAT arrived on the scene in 37 minutes. One hundred and thirty eight (138) patients were evacuated from the disaster scene. There were 25 patients (18.1%) in the Red group, 96 patients (69.6%) in the Yellow group, and 1 patient (0.7%) in the Green group. One patient died. There were 16 (11.6%) medical staff and hospital employees. The injury of the caregiver or the medical staff was more severe compared to the family protector. Conclusions: For an effective disaster-response system in hospital disasters, it is important to secure the safety of medical staff, to utilize available medical resources, to secure patients’ medical records, and to reorganize the DMAT dispatch system.

A unique hospital physician disaster response system for a nonemployed medical staff

2009 ◽  
Vol 4 (2) ◽  
pp. 95-100
Author(s):  
James D. Leo, MD, FCCP ◽  
Desiree Thomas, RN, MSN, CCRN ◽  
Ginger Alhadeff, BA, RN, MA
Keyword(s):  
Medical Staff ◽  
Disaster Response ◽  
Medical Center ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Care Needs ◽  
For Profit ◽  
Major Disaster ◽  
Physician Care ◽  
Special Challenge

Private hospitals with nonemployed, volunteer medical staffs face a special challenge in meeting the patient-care needs posed by a mass casualty incident (MCI). Although most disaster response systems focus on emergency department and trauma management, such systems often do not provide for the need to triage existing inpatients to create room for incoming casualties, for continuity of physician care for those patients, as well as for MCI victims in case of major disaster. Such systems must also provide a mechanism for ethical and appropriate rationing of limited resources during a MCI. Community hospitals without 24/7 in-house physicians must provide a mechanism for physician care for patients in situations in which access to the hospital may be limited by the disaster (eg, major earthquake or flood). This article describes a system established at Long Beach Memorial Medical Center, a 740-bed not-for-profit hospital with a volunteer medical staff, to ensure continuity of physician care in a major disaster. To our knowledge, this is the first published report of such a system.

scholarly journals Current collaboration between palliative care and neurology: a survey of clinicians in Europe

2020 ◽  
pp. bmjspcare-2020-002322
Author(s):  
David Oliver ◽  
Gian Domenico Borasio ◽  
Simone Veronese ◽  
Raymond Voltz ◽  
Stefan Lorenzl ◽  
...  
Keyword(s):  
Palliative Care ◽  
Online Survey ◽  
Ethical Issues ◽  
Neurological Diseases ◽  
Physical Symptom ◽  
European Academy ◽  
Complex Decision Making ◽  
Complex Decision ◽  
Lateral Sclerosis

IntroductionThe collaboration between palliative care and neurology has developed over the last 25 years and this study aimed to ascertain the collaboration between the specialties across Europe.MethodsThis online survey aimed to look at collaboration across Europe, using the links of the European Association for Palliative Care and the European Academy of Neurology.Results298 people completed the survey—178 from palliative care and 120 from neurology from over 20 countries across Europe. They reported that there was good collaboration in the care for people with amyotrophic lateral sclerosis and cerebral tumours but less for other progressive neurological diseases. The collaboration included joint meetings and clinics and telephone contacts. All felt that the collaboration was helpful, particularly for maintaining quality of life, physical symptom management, psychological support and complex decision making, including ethical issues.DiscussionThe study shows evidence for collaboration between palliative care and neurology, but with the need to develop this for all neurological illness, and there is a need for increased education of both areas.

Short Text Messages (SMS) as an Additional Tool for Notifying Medical Staff in Case of a Hospital Mass Casualty Incident

2015 ◽  
Vol 10 (1) ◽  
pp. 38-41 ◽  
Author(s):  
Dariusz Timler ◽  
Katarzyna Bogusiak ◽  
Anna Kasielska-Trojan ◽  
Aneta Neskoromna-Jędrzejczak ◽  
Robert Gałązkowski ◽  
...  
Keyword(s):  
Medical Staff ◽  
Arrival Time ◽  
Extreme Values ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Text Messages ◽  
Time Of Arrival ◽  
Short Text ◽  
Additional Tool ◽  
The Mean

AbstractObjectiveThe aim of the study was to verify the effectiveness of short text messages (short message service, or SMS) as an additional notification tool in case of fire or a mass casualty incident in a hospital.MethodsA total of 2242 SMS text messages were sent to 59 hospital workers divided into 3 groups (n=21, n=19, n=19). Messages were sent from a Samsung GT-S8500 Wave cell phone and Orange Poland was chosen as the telecommunication provider. During a 3-month trial period, messages were sent between 3:35 PM and midnight with no regular pattern. Employees were asked to respond by telling how much time it would take them to reach the hospital in case of a mass casualty incident.ResultsThe mean reaction time (SMS reply) was 36.41 minutes. The mean declared time of arrival to the hospital was 100.5 minutes. After excluding 10% of extreme values for declared arrival time, the mean arrival time was estimated as 38.35 minutes.ConclusionsShort text messages (SMS) can be considered an additional tool for notifying medical staff in case of a mass casualty incident. (Disaster Med Public Health Preparedness. 2016;10:38–41)

scholarly journals (P2-96) A Single, Simple Triage Method

2011 ◽  
Vol 26 (S1) ◽  
pp. s167-s167
Author(s):  
M. Raviolo ◽  
M. Bortolin ◽  
M. Vivalda ◽  
D. Bono
Keyword(s):  
Heart Rate ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Sieve Methods ◽  
Triage System ◽  
Substantial Problem ◽  
Adults And Children ◽  
Single Method ◽  
Actual Mass ◽  
Better Than

IntroductionAt this time, no triage method is considered better than another in comparison to the outcome of the casualties. It is important and useful to identify a triage method that can be used for both adults and children at the same time. It should consider the anatomical and physiological differences between adults, children, and infants.ObjectivesTo revise and adapt the current triage system in use in the Piemonte Emergency Medical Services for the first triage in a validated method that is effective for adults, children, and babies in order to unify and simplify the triage system.MethodsIn accordance with pediatricians, the “Triage Sieve” procedure and parameters were revised into a single method.ResultsSetting the height of the casualty was considered to be both quick and easy. In this revised method, all the casualties are classified with the sieve methods, but some changes have been introduced. Casualties with a stature < 59 cm are classified as infants, and are therefore priority T1 (red) in every case. Casualties > 60 cm but < 120 cm in stature are classified as children. Children with a respiratory rate < 15 or > 40 breaths per minute and a heart rate < 80 or > 160 beats per minute are classified as T1.ConclusionsChildren will probably be over-triaged in this method, but the authors do not consider that a substantial problem. This first triage system is simple and effective. But, it has not yet been tested effectively during an actual mass-casualty incident or disaster.

scholarly journals A Delphi Study Investigating Clinicians’ Views on Access to, Delivery of, and Adaptations of MBCT in the UK Clinical Settings

Mindfulness ◽  
2021 ◽  
Author(s):  
Kate Williams ◽  
Samantha Hartley ◽  
Peter Taylor
Keyword(s):  
Delphi Study ◽  
Good Practice ◽  
Evidence Base ◽  
Clinical Settings ◽  
Training Support ◽  
Decision Making Processes ◽  
Complex Decision Making ◽  
Complex Decision ◽  
The Uk ◽  
Clinical Populations

Abstract Objectives Mindfulness-based cognitive therapy (MBCT) is a well-evidenced relapse-prevention intervention for depression with a growing evidence-base for use in other clinical populations. The UK initiatives have outlined plans for increasing access to MBCT in clinical settings, although evidence suggests that access remains limited. Given the increased popularity and access to MBCT, there may be deviations from the evidence-base and potential risks of harm. We aimed to understand what clinicians believe should be best clinical practice regarding access to, delivery of, and adaptations to MBCT. Methods We employed a two-stage Delphi methodology. First, to develop statements around best practices, we consulted five mindfulness-based experts and reviewed the literature. Second, a total of 59 statements were taken forward into three survey rating rounds. Results Twenty-nine clinicians completed round one, with 25 subsequently completing both rounds two and three. Forty-four statements reached consensus; 15 statements did not. Clinicians agreed with statements regarding sufficient preparation for accessing MBCT, adherence to the evidence-base and good practice guidelines, consideration of risks, sufficient access to training, support, and resources within services, and carefully considered adaptations. The consensus was not reached on statements which reflected a lack of evidence-base for specific clinical populations or the complex decision-making processes involved in delivering and making adaptations to MBCT. Conclusions Our findings highlight the delicate balance of maintaining a client-centred and transparent approach whilst adhering to the evidence-base in clinical decisions around access to, delivery of, and adaptations in MBCT and have important wide-reaching implications.

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