scholarly journals Major incident preparedness: a curriculum and workplace necessity

2020 ◽  
Vol 28 (1) ◽  
Author(s):  
Dominic Hampson
Keyword(s):  
Emergency Preparedness ◽  
Medical Curriculum ◽  
Healthcare Setting ◽  
Major Incident ◽  
Incident Response ◽  
Emergency Responder ◽  
Improved Outcomes ◽  
Major Incidents ◽  
Student Training ◽  
Multiple Component

AbstractMajor incidents are defined as: An event or situation with a range of serious consequences, which require special arrangements to be implemented by one, or more emergency responder agency. The ability for a healthcare system to respond effectively relies upon multiple component parts working effectively. Simulating, understanding and learning from major incidents is not widespread throughout the wider healthcare setting. However, anyone can be involved without warning. Staff working in any healthcare setting should have the knowledge and skills to respond to major incidents. It is time to include major incident response and emergency planning into the undergraduate medical curriculum. Further, it should be mandatory in all routine staff and student training. These events occur infrequently, but if managed poorly can be disastrous. This new significance placed on emergency preparedness will equip staff to face these challenges and deliver improved outcomes.

How a major incident plan can be used in an acute healthcare setting

2018 ◽  
Vol 166 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Seth Makin ◽  
L Smith ◽  
K McDevitt
Keyword(s):  
Emergency Preparedness ◽  
Healthcare Setting ◽  
Healthcare Services ◽  
The Body ◽  
Major Incident ◽  
Diverse Range ◽  
Major Incidents ◽  
Infrastructure Failure ◽  
Key Aspects ◽  
Acute Healthcare

All NHS Trusts face a diverse range of potential threats and disruptions that can overwhelm the delivery of their routine healthcare services. Major incidents range from significant infrastructure failure to responding to significant casualty numbers from natural disasters and malicious incidents. Major incident plans are one of the body of documents that support trusts and in this instance acute NHS trusts in emergency preparedness. Major incident plans can be used as a reference point for staff of all disciplines, that is, clinical and non-clinical. Major incident plans incorporate the requirements of the Civil Contingencies Act 2004 for NHS-funded providers to ensure trusts conduct risk assessments, emergency planning, cooperating with other organisations, and internal and external communication. This paper summarises some of the key aspects in the construction and the use of major incident plans in acute care trusts.

Improving Agent-Based Simulation of Major Incident Response in the United Kingdom through Conceptual and Operational Validation

2015 ◽  
Vol 7 (4) ◽  
pp. 1-25
Author(s):  
Glenn I. Hawe ◽  
Graham Coates ◽  
Duncan T. Wilson ◽  
Roger S. Crouch
Keyword(s):  
United Kingdom ◽  
Emergency Preparedness ◽  
Emergency Services ◽  
Major Incident ◽  
Agent Based ◽  
The United Kingdom ◽  
Major Incidents ◽  
Operational Validation ◽  
The Uk

The aim of this paper is to report on how the credibility of an agent-based model (ABM) of the United Kingdom emergency services' response to major incidents has been improved through a process of conceptual validation, and how the ABM's software implementation has been improved through a process of operational validation. Validating the authors' ABM and its implementation contributes towards the long term goal of agent-based modelling and simulation being accepted by emergency planning officers as a means of performing emergency exercises thus playing a useful role in emergency preparedness. Both conceptual and operational validation led to the identification of potential improvements, which when implemented resulted in the authors' ABM software simulating the response to major incidents in the UK more realistically than was possible previously.

Changes in NHS Major Incident management and their relevance to the Defence Medical Services

2018 ◽  
Vol 166 (2) ◽  
pp. 84-88 ◽  
Author(s):  
Ian Gurney ◽  
S Horne ◽  
C Wright
Keyword(s):  
Emergency Services ◽  
Medical Personnel ◽  
Medical Services ◽  
Major Incident ◽  
Incident Management ◽  
Incident Response ◽  
Resource Limited ◽  
Major Incidents ◽  
The Face ◽  
The Uk

High-profile Major Incidents in the UK civilian setting in the last few years have appropriately raised awareness of the principles and frameworks involved in the design of reliable response systems. The introduction of the Joint Emergency Services Interoperability Principles in tandem with increased investment in Major Incident Planning has supported practitioners to successfully respond to high numbers of incidents.Defence Medical Services personnel are increasingly being asked to deploy to resource-limited 'contingency' settings where much of the established guidance relating to Major Incident response requires reconsideration and modification in the face of severely constrained space, manpower and equipment.This editorial seeks to review contemporary theories and principles of Major Incident response and discuss how military medical personnel may need to adapt these to address the various Major Incident challenges that they may face on operations.

Major Incident Response

2020 ◽  
pp. 231-240
Author(s):  
Alastair Faulkner ◽  
Mark Nicholson
Keyword(s):  
Major Incident ◽  
Incident Response

scholarly journals A Surprise Mass Casualty Incident Simulation: Does It Improve Knowledge or Is It Just a Bit of Fun?

2019 ◽  
Vol 34 (s1) ◽  
pp. s18-s19
Author(s):  
Brad Mitchell ◽  
Karen Hammad ◽  
Dana Aldwin
Keyword(s):  
Emergency Department ◽  
Low Cost ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Major Incident ◽  
Likert Scales ◽  
The Past ◽  
Emergency Department Nurses ◽  
Major Incidents ◽  
Simulation Scenario

Introduction:We opened a national conference in Australia with a surprise mass casualty simulation scenario of a van versus multiple persons outside the conference venue. The purpose of this exercise was to increase awareness of, and preparation for, mass casualty incident (MCI) events for the conference delegates who were paramedics, emergency department nurses, and doctors.Aim:The aim of the research is to understand whether a surprise MCI simulation is a useful way to increase knowledge and motivate preparedness.Methods:A survey hosted on Qualtrics was circulated to delegates via email. The survey was designed by the research team and had 38 questions about demographics and respondents’ experience with MCIs, as well as their perceptions of the simulation exercise. The questions were a mixture of 5-point Likert scales, multiple choice, and short answers.Results:The majority of respondents were clinicians (n = 66, 76%) and those who worked in emergency departments or the prehospital setting (n = 75, 86%). While the majority had not responded to an MCI in the past 5 years (n = 67, 77%), more than half (n = 50, 57%) had undertaken MCI training during this time. Overall, a vast majority of respondents found the simulation to be a worthwhile exercise that increased knowledge and preparedness. An overwhelming majority also reported that the simulation was relevant to practice, of high quality, and a useful way to teach about major incidents.Discussion:Our surprise major incident simulation was a fun and effective way to raise awareness and increase knowledge in prehospital and emergency department clinicians about MCI response. This approach to simulation can be easily replicated at relatively low cost and is, therefore, a useful solution to training a group of multidisciplinary health professionals outside of the workplace.

Major incident response

2005 ◽  
Vol 17 (7) ◽  
pp. 22-22 ◽  
Author(s):  
Polly Lee
Keyword(s):  
Major Incident ◽  
Incident Response

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.

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 Alternative Leadership in Flexible Surge Capacity—The Perceived Impact of Tabletop Simulation Exercises on Thai Emergency Physicians Capability to Manage a Major Incident

2020 ◽  
Vol 12 (15) ◽  
pp. 6216 ◽  
Author(s):  
Phatthranit Phattharapornjaroen ◽  
Viktor Glantz ◽  
Eric Carlström ◽  
Lina Dahlén Holmqvist ◽  
Amir Khorram-Manesh
Keyword(s):  
Emergency Management ◽  
Major Incident ◽  
Emergency Physicians ◽  
Surge Capacity ◽  
Incident Command ◽  
Perceived Ability ◽  
Major Incidents ◽  
Knowledge And Attitude ◽  
And Control ◽  
Simulation Exercises

Flexible surge capacity aims to activate and utilize other resources than normally are surged in a community during the primary and secondary surge capacity. The presence of alternative leadership, skilled and knowledgeable in hospital and prehospital emergency management, is invaluable. Thai emergency physicians work at both levels, emphasizing their important role in emergency management of any source in a disaster-prone country. We aimed to investigate Thai emergency physicians’ ability in terms of knowledge and preparedness to manage potential emergencies using tabletop simulation exercises. Using an established method for training collaboration, two training courses were arranged for over 50 Thai emergency physicians, who were divided into three teams of prehospital, hospital, and incident command groups. Three scenarios of a terror attack along with a bomb explosion, riot, and shooting, and high building fire were presented, and the participants’ performance was evaluated regarding their preparedness, response and gained knowledge. Two senior observers followed the leadership characteristic in particular. Thai physicians’ perceived ability in command and control, communication, collaboration, coordination, and situation assessment improved in all groups systematically. New perspectives and innovative measures were presented by participants, which improved the overall management on the final day. Tabletop simulation exercise increased the perceived ability, knowledge, and attitude of Thai emergency physicians in managing major incidents and disasters. It also enabled them to lead emergency management in a situation when alternative leadership is a necessity as part of the concept of a flexible surge capacity response system.

scholarly journals Westgate Shootings: An Emergency Department Approach to a Mass-casualty Incident

2014 ◽  
Vol 29 (5) ◽  
pp. 538-541 ◽  
Author(s):  
Benjamin W. Wachira ◽  
Ramadhani O. Abdalla ◽  
Lee A. Wallis
Keyword(s):  
Emergency Department ◽  
Emergency Preparedness ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
University Hospital ◽  
Shopping Mall ◽  
Major Incident ◽  
Local Health ◽  
Publication Type ◽  
Communication Assessment

AbstractAt approximately 12:30 pm on Saturday September 21, 2013, armed assailants attacked the upscale Westgate shopping mall in the Westlands area of Nairobi, Kenya. Using the seven key Major Incident Medical Management and Support (MIMMS) principles, command, safety, communication, assessment, triage, treatment, and transport, the Aga Khan University Hospital, Nairobi (AKUH,N) emergency department (ED) successfully coordinated the reception and care of all the casualties brought to the hospital.This report describes the AKUH,N ED response to the first civilian mass-casualty shooting incident in Kenya, with the hope of informing the development and implementation of mass-casualty emergency preparedness plans by other EDs and hospitals in Kenya, appropriate for the local health care system.WachiraBW, AbdallaRO, WallisLA. Westgate shootings: an emergency department approach to a mass-casualty incident. Prehosp Disaster Med. 2014;29(5):1-4.

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