scholarly journals The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Krzysztof Goniewicz ◽  
Mariusz Goniewicz ◽  
Anna Włoszczak-Szubzda ◽  
Frederick M. Burkle ◽  
Attila J. Hertelendy ◽  
...  
Keyword(s):  
Medical Personnel ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Cross Sectional ◽  
Knowledge And Skills ◽  
Professional Groups ◽  
Level Of Knowledge ◽  
General Training ◽  
Disaster Training ◽  
Periodic Evaluation

Abstract Background Effective preparedness to respond to mass casualty incidents and disasters requires a well-planned and integrated effort by all involved professionals, particularly those who are working in healthcare, who are equipped with unique knowledge and skills for emergencies. This study aims to investigate and evaluate the level of knowledge and skills related to mass casualty and disaster management in a cohort of healthcare professionals. Methods A cross-sectional brief study was conducted using a validated and anonymous questionnaire, with a sample of 134 employees at a clinical hospital in Lublin, Poland. Results The findings of this study may indicate a need for standardization of training for hospitals employees. It also suggests a knowledge gap between different professional groups, which calls for adjusting such general training, to at least, the weakest group, while special tasks and mission can be given to other groups within the training occasion. Conclusion Pre-Training gap analyses and identification of participants’ competencies and skills should be conducted prior to training in mass casualty incidents and disasters. Such analyses provides an opportunity to develop training curriculum at various skill and knowledge levels from basic to advance. All training in mass casualty incidents and disasters should be subject to ongoing, not just periodic, evaluation, in order to assess continued competency.

Using Baseline Data to Address the Lack of Hospital Beds during Mass-Casualty Incidents

2008 ◽  
Vol 23 (4) ◽  
pp. 377-379 ◽  
Author(s):  
Hysham Hadef ◽  
Jean-Claude Bartier ◽  
Herve Delplancq ◽  
Jean-Pierre Dupeyron
Keyword(s):  
Medical Personnel ◽  
Mass Casualty ◽  
Baseline Data ◽  
Mass Casualty Incidents ◽  
Free Access ◽  
Data Systems ◽  
Hospital Beds ◽  
Access Information ◽  
Data Program ◽  
Information Database

AbstractThe management of victims during mass-casualty incidents (MCIs) is improving. In many countries, physicians and paramedics are well-trained to manage these incidents. A problem that has been encountered during MCIs is the lack of adequate numbers of hospital beds to accommodate the injured. In Europe, hospitals are crowded. One solution for the lack of beds is the creation of baseline data systems that could be consulted by medical personnel in all European countries. A MCI never has occurred in northeastern Europe, but such an event remains a possibility. This paper describes how the use of SAGEC 67, a free-access, information database concerning the availability of beds should help the participating countries, initially France, Germany, and Switzerland, respond to a MCI by dispatching each patient to an appropriate hospital and informing their families and physicians using their own language.Baseline data for more than 20 countries, and for hospitals, especially those in Germany, Switzerland, and France, were collected. Information about the number of beds and their availability hour-by-hour was included. In the case of MCIs, the baseline data program is opened and automatically connects to all of the countries. In case of a necessary hospital evacuation, the required beds immediately are occupied in one of these three countries.Questions and conversations among medical staff or family members can be accomplished between hospitals through computer, secured-line chatting that automatically translates into appropriate language.During the patient evacuation phase of a MCI, respondents acknowledged that a combination of local, state, and private resources and international cooperation eventually would be needed to meet the demand. Patient evacuation is optimized through the use of SAGEC 67, a free baseline database.

scholarly journals Life threatening arrhythmias: Knowledge and skills among nurses working in critical care settings at Muhimbili National Hospital, Dar es Salaam, Tanzania

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Dinnah I. Ruhwanya ◽  
Edith A.M. Tarimo ◽  
Menti Ndile
Keyword(s):  
Critical Care ◽  
Medical Condition ◽  
Electrode Placement ◽  
Muhimbili National Hospital ◽  
National Hospital ◽  
Cross Sectional ◽  
Major Barrier ◽  
Knowledge And Skills ◽  
Life Threatening ◽  
Level Of Knowledge

Introduction: A life threatening arrhythmia is a medical condition that requires immediate intervention, or it can cost a patient’s life. However, there is limited understanding of nurses’ knowledge and skills in identification and care provided to patients with life threatening arrhythmias in Tanzania.  The objective of this study was to assess knowledge and skills of nurses in identifying life threatening arrhythmias and the required patient care.Methods: A descriptive cross-sectional study was conducted to assess the knowledge and skill level of nurses in identification of life threatening arrhythmias and the required patient care, as well as exploring the barriers in acquiring and implementing particular knowledge and skills. A convenient sample of 141 nurses working in critical care areas at Muhimbili National Hospital, were recruited.Results: The majority (44%) of the participants were 31-40 years old and more than three quarters were females. The majority (60%) scored highly when tested about their knowledge of life threatening arrhythmia identification. However, the majority of nurses (84.4%) scored poorly when being observed on their skills. A total of 116 (82.3%) nurses were able to identify asystole on an electrocardiogram strip, and demonstrated a high level of knowledge (95%) in the nursing care of patients in asystole. Although they demonstrated poor skills in general, nurses were competent (97.9%) in electrode placement on the patient’s chest before connecting the patient to the cardiac monitor. The overwhelming workload was identified by many (68.8%) as the major barrier in acquiring and implementing knowledge and skills.Conclusion: Although the majority of the participants scored highly in their level of knowledge regarding life threatening arrhythmias, they scored poorly in most of the observed skills when identifying and treating this patient group. It is important that hospital administration take into consideration the identified areas of deficiency and work to improve the skills among nurses and enhance optimal care of patients.

scholarly journals Disaster Preparedness and Professional Competence Among Healthcare Providers: Pilot Study Results

2020 ◽  
Vol 12 (12) ◽  
pp. 4931 ◽  
Author(s):  
Krzysztof Goniewicz ◽  
Mariusz Goniewicz
Keyword(s):  
Pilot Study ◽  
Disaster Response ◽  
Healthcare Workers ◽  
Professional Competence ◽  
Negative Impact ◽  
Healthcare Providers ◽  
Medical Personnel ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Study Results

The preparedness of a hospital for mass-casualty incident and disaster response includes activities, programs and systems developed and implemented before the event. These measures are designed to provide the necessary medical care to victims of disasters, and to minimize the negative impact of individual events on medical services. Up until now, there has been no systematic survey in Poland concerning the readiness of hospitals, as well as medical personnel, to deal with mass-casualty incidents. Consequently, little is known about the knowledge, skills, and professional competences of healthcare workers. The objective of this pilot study was to start an exploration and to collect data on the competences of healthcare workers, in addition to assessing the preparedness of hospitals for mass-casualty incidents. Utilizing an anonymous survey of a random sample, 134 healthcare providers were asked to respond to questions about the competencies they needed, and hospital preparedness during disaster response. It turned out that the test subjects evaluate their own preparedness for mass-casualty incidents and disasters better than the preparedness of their current place of work. The pilot study demonstrated that a properly designed questionnaire can be used to assess the relationship between hospital and staff preparedness and disaster response efficiency. Evaluation of the preparedness and effectiveness of disaster response is a means of finding and removing possible gaps and weaknesses in the functioning and effective management of a hospital during mass-casualty incidents.

Large-Scale Airmedical Transport from a Peripheral Hospital to Level-1 Trauma Centers after Remote Mass-Casualty Incidents in Israel

2009 ◽  
Vol 24 (6) ◽  
pp. 549-555 ◽  
Author(s):  
Ophir Lavon ◽  
Dan Hershko ◽  
Erez Barenboim
Keyword(s):  
Large Scale ◽  
Medical Personnel ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Trauma Patients ◽  
Trauma Centers ◽  
Preparedness Plan ◽  
Peripheral Hospital ◽  
Number Of Patients ◽  
Level 1

AbstractIntroduction:Mass-casualty incidents (MCIs) result in the evacuation of many patients to the nearest medical facility. However, an overwhelming number of patients and the type and severity of injuries may demand rapid, mass airmedical transport to more advanced medical centers. This task may be challenging, particularly after a MCI in a neighboring country. The Israeli Air Force Rescue and Airmedical Evacuation Unit (RAEU) is the main executor of airmedical transport in Israel, including MCIs.Problem:The available data on airmedical transport from remote MCIs are limited. The objective of this study was to evaluate the airmedical transport from a rural hospital after two remote MCIs.Methods:The study was retrospective and reviewed descriptive records of airmedical transports.Results:The RAEU was involved in airmedical transports from a peripheral hospital shortly after two remote MCIs that occurred in the Sinai desert near the Egyptian-Israeli border. Nineteen (22.4%) and 25 (100%) of the treated trauma patients from each event were airmedically transported to Level-1 Trauma Centers in Israel within hours of the dispatch. The rapid dispatch and accumulation of medical personnel and equipment was remarkable. The airmedical surge capacity was broad and sufficient. Cooperation with local authorities and a tailored boarding procedure facilitated a quality outcome.Conclusions:The incorporation of a large-scale airmedical transport program with designated multidisciplinary protocols is an essential component to a remote disaster preparedness plan.

scholarly journals Gambaran Tingkat Pengetahuan pada Ojek Online Terhadap Bantuan Hidup Dasar (BHD)

2021 ◽  
Vol 17 (2) ◽  
pp. 162
Author(s):  
Eko Budi Santoso ◽  
Dadi Santoso ◽  
Ali Mufti Hisbulloh
Keyword(s):  
Basic Life Support ◽  
Life Support ◽  
Descriptive Analysis ◽  
Medical Personnel ◽  
Taxi Driver ◽  
Cross Sectional ◽  
Taxi Drivers ◽  
Risk Of Death ◽  
Level Of Knowledge ◽  
Motorcycle Taxi

Background: Online motorcycle taxi drivers are part of a community that is very closely related to traffic. The high number of road accidents requires that anyone who looks to help both lay people or medical personnel. Knowledge of basic life support (BLS) is needed to provide correct help according to health procedures and minimize the risk of death. Objective : Finding out the level of knowledge in online motorcycle taxis on basic life support (BLS). Method : The research method used is the cross sectional approach. Total population of 102 online motorcycle taxi drivers in the Gombong area. The number of samples is 50 respondents. Data collection using a questionnaire. Data analysis using bivariate test is descriptive analysis test with SPSS. Results: The characteristics of the data obtained by the age of online motorcycle taxi drivers in the Gombong area in the final adolescent category were 26 respondents (52.20%). And o Online motorcycle taxi drivers education in the high school / equivalent category was 36 respondents (72.00%). Description of the level of basic life support knowledge in the majority of online motorcycle taxi drivers in the category of less than 31 respondents (62.00%). Descriptions of readiness to help the majority of online motorcycle taxi drivers in a good category of 29 respondents (58.00%). Conclusion: Level of basic life support knowledge (BHD) of readiness to help the online motorcycle taxi driver is lacking. And the results of readiness to help the online motorcycle taxi drivers with good categories.

scholarly journals Knowledge, attitude, and skill of medical students in dealing with patients with cardiac disorders before and after the cardiac internship

2019 ◽  
Vol 7 (2) ◽  
pp. 45-51
Author(s):  
Hamid Reza Morteza-Bagi ◽  
Shabnaz Navabifar ◽  
Fariba Abdollahi ◽  
Hamideh Nouriasl ◽  
Amir Ghaffarzad
Keyword(s):  
Medical Students ◽  
Significant Relationship ◽  
Heart Diseases ◽  
Self Assessment ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Knowledge And Skills ◽  
Skill Scores ◽  
Before And After ◽  
Level Of Knowledge

Introduction: Patients with heart diseases who require emergency care need rapid diagnosis and treatment. Medical students are usually among the first individuals to be trained to help these patients in the course of their internship in the treatment chain and have a significant role in reducing mortality and morbidity among patients with heart diseases referred to the emergency ward. Methods: In this cross-sectional descriptive-analytical study that was conducted in Tabriz, Iran, in 2016, 100 medical students were enrolled in a census course. Knowledge, attitude, and skill of interns toward airway management were evaluated in patients by the students before and after the cardiac internship using a valid and reliable researcher-made self-assessment questionnaire. Data were then analyzed using SPSS software. Results: Although the level of knowledge and skill of the interns before and after the cardiovascular education course was significant (P ≤ 0.001), the knowledge and skill scores were lower than the average before and after the course. There was no significant relationship between the gender of the interns with knowledge, attitude, and skill. There was also no significant relationship between the marital status of the participants and the level of knowledge and skills of the interns. Married people had a more positive attitude toward managing patients with cardiovascular diseases (CVDs) compared others (P = 0.013). Conclusion: The level of knowledge and skills of interns in dealing with cardiac patients, before and after the education of cardiac course was low, requiring more attention to training of students in this field.

scholarly journals (A319) Using a Computer Simulation (CS) to Improve Training and Event Management of Paramedics for Mass Casualty Incidents (MCI)

2011 ◽  
Vol 26 (S1) ◽  
pp. s89-s90
Author(s):  
E. Jaffe ◽  
A. Dagan ◽  
E. Zahavi
Keyword(s):  
Computer Simulation ◽  
Test Group ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Average Score ◽  
Control Group ◽  
Event Management ◽  
Knowledge And Skills ◽  
Group 2 ◽  
Group 1

Using a Computer Simulation (CS) to improve training and event management of paramedics for Mass Casualty Incidents (MCI). Eli Jaffe, Avi Dagan, Eyal Zahavi, Einat Aviel, Bruria Adini. The Department of Emergency Medicine, Ben-Gurion University of the Negev Magen David Adom (MDA) is the national emergency organization in Israel. Over the past few decades MDA personnel have been required to deal with MCIs involving large numbers of casualties. Recently, there have been fewer terrorist related MCIs, however, there is a continuing need for to maintain the knowledge and skills of paramedics to manage MCIs.ObjectiveTo examine performance of paramedics exposed to a CS compared to a control group exposed to a traditional lecture based learning experience.MethodAn interactive CS based on the MDA standard operating procedure for managing MCIs was developed. The participants were randomly divided into two groups. Group 1 received the lecture format, and Group 2 the CS. Both groups were given a pre-test (Group 1 average score 56.3, Group 2 average score 53.1), and two post-tests. One immediately following completion of the intervention, and a second a month after completion of the course.ResultsAverage scores for the CS Group (n = 15) was significantly different on the first post-test (Group 1 average score 53.2, Group 2 average score 68.7), by 30% and on the second (Group 1 average score 71.9, Group 2 average score 80.8) by 12% compared to the Lecture Group (N = 17) (P = < 0.00).ConclusionCS allow for the use of multiple media formats based on real events, and are able to replicate reality using real media material. MDA has recommended that continuing education interventions for emergency medical personnel for maintaining knowledge and skills required for the management of MCIs utilize a CS based training methods.

Hubungan Pengetahuan Tentang Manajemen Bencana Dengan Prevention Masyarakat Dalam Menghadapi Bencana Gunung Meletus Pada Kepala Keluarga Di Rt 06/Rw 01 Dusun Puncu Desa Puncu Kecamatan Puncu-Kediri

1970 ◽  
Vol 5 (2) ◽  
pp. 01
Author(s):  
Didit Damayanti ◽  
Pria Wahyu R.G ◽  
Muhanni’ah Muhanni’ah
Keyword(s):  
Disaster Management ◽  
Volcanic Eruption ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Head Of Household ◽  
Correlational Research ◽  
Level Of Knowledge ◽  
Independent Variable ◽  
Negative Impacts

Introduction: Disaster management is a dynamic, continual, and integrated process as to increase the qualities of the actions which are relevant to the process of observation and analysis of disaster as well as minimalizing the negative impacts, mitigation, readiness, early warning, immediate emergency, rehabilitation and reconstruction. The aim of this research is to analyse theconnection between disaster management and the prevention of community breakdown in order to face a volcanic eruption for every head of household. Method: The design of this research is correlational research with a cross sectional approach. The demographic group that is used for this research is the head of households in Rt 06/Rw 01 dusun Puncu desa Puncu, by using the purposive sampling technique which has been collected from the sampling of the 33 heads of households. Independent variable is the knowledge of disaster management, and the dependent variable is the prevention of community breakdown in the handling of the disaster. The data has been received by using the questionnaire, and the results have been analysed by using spearman rho test. Result:  As according to the statistics test, it is found that p-value= 0,000 on the significant level (α) = 0,05 and r = 0,752. It is concluded that there is a connection between knowledge and the prevention of community breakdown in handling of the volcanic eruption in Rt 06/Rw 01. This research shows that the level of knowledge within the community about disaster management and prevention in handling volcanic eruption has been increasing. Conclution: This is shown by the capability of the community in mitigating the effects of the disaster. It is hoped that the community will further engage in training education and simulation to reduce the negative impacts of a disaster. The location where the participants resideis Kelud Volcano, and it is therefore hoped that the communities are willing to participate in better handling of any disaster by joining the education training and simulation; Kata kunci : Pengetahuan, Manajemen bencana, Prevention.

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