scholarly journals Measuring Information Management at MCI Simulation: Instruments Evaluation and Comparison

2020 ◽  
Vol 9 (1) ◽  
pp. 221-221
Author(s):  
Omer Perry ◽  
Eli Jaffe ◽  
Yuval Bitan
Keyword(s):  
Information Management ◽  
Medical Service ◽  
Phase 1 ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Self Assessment ◽  
Dynamic Information ◽  
Emergency Medical Service Personnel ◽  
Management Quality ◽  
Experienced Observer

Introduction: Information management (also known as “communication” or “gathering and analyzing information”) is one of the core tasks of MCI (Mass-Casualty Incident) commanders during the chaotic prehospital phase.1 To train EMS (emergency medical service) personnel on how to manage an MCI efficiently, simulation drills are conducted in which participant performance is evaluated. As such, varied instruments have been developed to measure information management quality during MCI simulations. Since every instrument could lead to different results, our goal at the current study was to evaluate what are the advantages of applying each one of the instruments. Methods: Three instruments were chosen for the current study: (1) The Self-Assessment Teamwork Tool for Students (SATTS), (2) a set of performance indicators aimed to be scored by an experienced observer, and (3) Dynamic Information Management Quantification Instrument (DIMQI) which allows quantifying information items. All instruments were applied to the same MCI simulation. Results and Conclusions: Applying each of the instruments yielded a different layer of information. Thus, researchers and instructors consider using all three instruments as they are complementary to each other.

Acceptability and perceived utility of drone technology among emergency medical service responders and incident commanders for mass casualty incident management

2017 ◽  
Vol 12 (4) ◽  
pp. 261-265 ◽  
Author(s):  
Alexander Hart, MD ◽  
Peter R. Chai, MD ◽  
Matthew K. Griswold, MD ◽  
Jeffrey T. Lai, MD ◽  
Edward W. Boyer, MD, PhD ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Tertiary Care ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Perceived Usefulness ◽  
Incident Management ◽  
Training Time ◽  
Perceived Utility ◽  
Emergency Medical

Objective: This study seeks to understand the acceptability and perceived utility of unmanned aerial vehicle (UAV) technology to Mass Casualty Incidents (MCI) scene management.Design: Qualitative questionnaires regarding the ease of operation, perceived usefulness, and training time to operate UAVs were administered to Emergency Medical Technicians (n = 15).Setting: A Single Urban New England Academic Tertiary Care Medical Center.Participants: Front-line emergency medical service (EMS) providers and senior EMS personnel in Incident Commander roles.Conclusions: Data from this pilot study indicate that EMS responders are accepting to deploying and operating UAV technology in a disaster scenario. Additionally, they perceived UAV technology as easy to adopt yet impactful in improving MCI scene management.

scholarly journals Dynamic Communication Quantification Model for Measuring Information Management During Mass-Casualty Incident Simulations

2021 ◽  
pp. 001872082110188
Author(s):  
Omer Perry ◽  
Eli Jaffe ◽  
Yuval Bitan
Keyword(s):  
Information Management ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Lessons Learned ◽  
Point Of View ◽  
Team Leaders ◽  
Treatment Area ◽  
Two Factors ◽  
Quantification Model ◽  
Information Gaps

Objective To develop a new model to quantify information management dynamically and to identify factors that lead to information gaps. Background Information management is a core task for emergency medical service (EMS) team leaders during the prehospital phase of a mass-casualty incident (MCI). Lessons learned from past MCIs indicate that poor information management can lead to increased mortality. Various instruments are used to evaluate information management during MCI training simulations, but the challenge of measuring and improving team leaders’ abilities to manage information remains. Method The Dynamic Communication Quantification (DCQ) model was developed based on the knowledge representation typology. Using multi point-of-view synchronized video, the model quantifies and visualizes information management. It was applied to six MCI simulations between 2014 and 2019, to identify factors that led to information gaps, and compared with other evaluation methods. Results Out of the three methods applied, only the DCQ model revealed two factors that led to information gaps: first, consolidation of numerous casualties from different areas, and second, tracking of casualty arrivals to the medical treatment area and departures from the MCI site. Conclusion The DCQ model allows information management to be objectively quantified. Thus, it reveals a new layer of knowledge, presenting information gaps during an MCI. Because the model is applicable to all MCI team leaders, it can make MCI simulations more effective. Application This DCQ model quantifies information management dynamically during MCI training simulations.

scholarly journals Prehospital Triage by Lay Person First Responders: A Scoping Review and Proposal for a new Prehospital Triage Tool

2021 ◽  
pp. 1-11
Author(s):  
Wesley D Jetten ◽  
Jeroen Seesink ◽  
Markus Klimek
Keyword(s):  
Scoping Review ◽  
Life Support ◽  
First Responders ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Lay People ◽  
Online Databases ◽  
Healthcare Experience ◽  
Prehospital Triage

Abstract Objective: The primary aim of this study is to review the available tools for prehospital triage in case of mass casualty incidents and secondly, to develop a tool which enables lay person first responders (LPFRs) to perform triage and start basic life support in mass casualty incidents. Methods: In July 2019, online databases were consulted. Studies addressing prehospital triage methods for lay people were analyzed. Secondly, a new prehospital triage tool for LPFRs was developed. Therefore, a search for prehospital triage models available in literature was conducted and triage actions were extracted. Results: The search resulted in 6188 articles, and after screening, a scoping review of 4 articles was conducted. All articles stated that there is great potential to provide accurate prehospital triage by people with no healthcare experience. Based on these findings, and combined with the pre-existing prehospital triage tools, we developed a, not-yet validated, prehospital triage tool for lay people, which may improve disaster awareness and preparedness and might positively contribute to community resilience. Conclusion: The prehospital triage tool for lay person first responders may be useful and may help professional medical first responders to determine faster, which casualties most urgently need help in a mass casualty incident.

The potential benefits of enzymatic debridement in multi-casualty burns incidents

Trauma ◽  
2021 ◽  
pp. 146040862110025
Author(s):  
John Kiely ◽  
Ibrahim Natalwala ◽  
Joseph Stallard ◽  
Orla Austin ◽  
Umair Anwar ◽  
...  
Keyword(s):  
Intensive Care ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Burn Wound ◽  
Post Injury ◽  
Wound Debridement ◽  
Potential Benefits ◽  
Goal Directed Fluid Therapy ◽  
Male Patients ◽  
Enzymatic Debridement

Bromelain-based enzymatic debridement (ED) is a topical treatment that is growing in popularity for the non-surgical management of burn wounds. Although initially used for small injuries, experience has grown in using it for burns >15% Total Burns Surface Area (TBSA). A household explosion resulted in burns to multiple patients, with four requiring burn wound debridement. This case report demonstrates their management using ED. Four adult male patients were treated with ED, mean age 38.4 years. Their injuries ranged from 5–24% TBSA (mean 14.9%), with a high proportion of intermediate-deep dermal injury to their faces and limbs. Our centre has performed enzymatic debridement since 2016 and all senior burns surgeons and burns intensive care specialists in the team are experienced in its use. We perform enzymatic debridement using Nexobrid™ (Mediwound Ltd., Israel). Three patients were managed on a single theatre list, using ED for their burns at 19, 16 and 23 hours post-injury. One patient had ED of his injuries on intensive care at 18 hours. Patients with >15% TBSA were treated in a critical care setting with goal directed fluid therapy. Through the use of enzymatic debridement we were able to achieve burn debridement for four patients in under 24 hours. While not a true mass casualty incident, our experience suggests that for an appropriately resourced service it is likely to have advantages in this scenario. We suggest that burns services regularly using this technique consider inclusion into mass casualty protocols, with training to staff to enable provision in such an incident.

Intentional mass-casualty incident simulation-based training: a qualitative study into nursing students’ perceptions and experiences

2021 ◽  
pp. 105051
Author(s):  
Luis Martin-Ibañez ◽  
Pablo Roman ◽  
María del Mar Diaz-Córtes ◽  
Cayetano Fernández-Sola ◽  
José Granero-Molina ◽  
...  
Keyword(s):  
Nursing Students ◽  
Qualitative Study ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Simulation Based

MASS CASUALTY INCIDENT (MCI) TRAINING: SCHOOLS, COMMUNITY AND UNIVERSITY COLLABORATION

2021 ◽  
Author(s):  
Kimberly Budisalich ◽  
Lori Lioce ◽  
Gary Maddux ◽  
Norven Goddard ◽  
Ishella Fogle ◽  
...  
Keyword(s):  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Training Schools
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