scholarly journals Emergency imaging after a mass casualty incident: role of the radiology department during training for and activation of a disaster management plan

2016 ◽  
Vol 89 (1061) ◽  
pp. 20150984 ◽  
Author(s):  
Ferco H Berger ◽  
Markus Körner ◽  
Mark P Bernstein ◽  
Aaron D Sodickson ◽  
Ludo F Beenen ◽  
...  
Keyword(s):  
Disaster Management ◽  
Mass Casualty Incident ◽  
Management Plan ◽  
Mass Casualty ◽  
Radiology Department ◽  
Emergency Imaging

scholarly journals The Role of Veterinarians in Mass Casualty Disasters: A Continuing Need for Integration to Disaster Management

2021 ◽  
Vol 9 ◽  
Author(s):  
Lindsey S. Holmquist ◽  
James Patrick O'Neal ◽  
Ray E. Swienton ◽  
Curtis A. Harris
Keyword(s):  
Disaster Management ◽  
Disaster Response ◽  
Clinical Skills ◽  
Healthcare Access ◽  
Mass Casualty ◽  
Effective Response ◽  
Medical Resources ◽  
Medical Response ◽  
Mass Casualty Events

The need to prepare veterinarians to serve as part of the disaster medical response for mass casualty incidents has been recognized since at least the 1960's. The potential value of incorporating veterinarians for mass casualty disaster response has been noted by organizations throughout the world. Clinical veterinarians are highly trained medical professionals with access to equipment, medications, and treatment capabilities that can be leveraged in times of crisis. The ongoing threat of disasters with the current widespread healthcare access barriers requires the disaster management community to address the ethical constraints, training deficiencies and legal limitations for veterinary medical response to mass casualty disasters. An ethical imperative exists for veterinarians with translatable clinical skills to provide care to humans in the event of a mass casualty disaster with insufficient alternative traditional medical resources. Though this imperative exists, there is no established training mechanism to prepare veterinarians for the provision of emergency medical care to humans. In addition, the lack of clear guidance regarding what legal protections exist for voluntary responders persists as a barrier to rapid and effective response of veterinarians to mass casualty disasters. Measures need to be undertaken at all levels of government to address and remove the barriers. Failure to do so reduces potentially available medical resources available to an already strained medical system during mass casualty events.

Emergency Imaging after a Mass Casualty Incident: An Operational Perspective via a Simulation Study

2020 ◽  
Author(s):  
Joseph Sismondo ◽  
Vahid Sarhangian ◽  
Emmett Borg ◽  
Eric Roberge ◽  
Ferco H. Berger
Keyword(s):  
Simulation Study ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Emergency Imaging

Mass Casualty Imaging—Policy, Planning, and Radiology Response to Mass Casualty Incidents

2020 ◽  
Vol 71 (3) ◽  
pp. 388-395
Author(s):  
Siobhán B. O’Neill ◽  
Brian Gibney ◽  
Michael E. O’Keeffe ◽  
Sarah Barrett ◽  
Luck Louis
Keyword(s):  
Health Care Providers ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Radiology Department ◽  
Policy Planning ◽  
Care Providers ◽  
Planning Stage ◽  
Large Numbers ◽  
Routine Procedures ◽  
Regional Hospitals

A mass casualty incident (MCI) is an event that generates more patients at one time than locally available resources can manage using routine procedures. By their nature, many of these incidents have no prior notice but result in large numbers of casualties with injuries that range in severity. They can happen anywhere and at any time and regional hospitals and health-care providers have to mount a response quickly and effectively to save as many lives as possible. Radiologists must go from passenger to pilot when it comes to MCI planning. When involved at the hospital-wide planning stage, they can offer valuable expertise on how radiology can improve triage accuracy and at what cost in terms of time and resources and thereby contribute a pragmatic understanding of radiology’s role and value during MCIs. By taking ownership of MCI planning in their own departments, radiologists can ensure that the radiology department can respond quickly and effectively to unforeseen emergencies. Well-designed radiology protocols will save lives in an MCI setting.

A Simple Graphical Method for Quantification of Disaster Management Surge Capacity Using Computer Simulation and Process-control Tools

2014 ◽  
Vol 30 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Jeffrey Michael Franc ◽  
Pier Luigi Ingrassia ◽  
Manuela Verde ◽  
Davide Colombo ◽  
Francesco Della Corte
Keyword(s):  
Computer Simulation ◽  
Process Control ◽  
Statistical Method ◽  
Disaster Management ◽  
Graphical Method ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Patient Volume ◽  
Statistical Tools ◽  
Surge Capacity

AbstractIntroductionSurge capacity, or the ability to manage an extraordinary volume of patients, is fundamental for hospital management of mass-casualty incidents. However, quantification of surge capacity is difficult and no universal standard for its measurement has emerged, nor has a standardized statistical method been advocated. As mass-casualty incidents are rare, simulation may represent a viable alternative to measure surge capacity.Hypothesis/ProblemThe objective of the current study was to develop a statistical method for the quantification of surge capacity using a combination of computer simulation and simple process-control statistical tools. Length-of-stay (LOS) and patient volume (PV) were used as metrics. The use of this method was then demonstrated on a subsequent computer simulation of an emergency department (ED) response to a mass-casualty incident.MethodsIn the derivation phase, 357 participants in five countries performed 62 computer simulations of an ED response to a mass-casualty incident. Benchmarks for ED response were derived from these simulations, including LOS and PV metrics for triage, bed assignment, physician assessment, and disposition. In the application phase, 13 students of the European Master in Disaster Medicine (EMDM) program completed the same simulation scenario, and the results were compared to the standards obtained in the derivation phase.ResultsPatient-volume metrics included number of patients to be triaged, assigned to rooms, assessed by a physician, and disposed. Length-of-stay metrics included median time to triage, room assignment, physician assessment, and disposition. Simple graphical methods were used to compare the application phase group to the derived benchmarks using process-control statistical tools. The group in the application phase failed to meet the indicated standard for LOS from admission to disposition decision.ConclusionsThis study demonstrates how simulation software can be used to derive values for objective benchmarks of ED surge capacity using PV and LOS metrics. These objective metrics can then be applied to other simulation groups using simple graphical process-control tools to provide a numeric measure of surge capacity. Repeated use in simulations of actual EDs may represent a potential means of objectively quantifying disaster management surge capacity. It is hoped that the described statistical method, which is simple and reusable, will be useful for investigators in this field to apply to their own research.FrancJM, IngrassiaPL, VerdeM, ColomboD, Della CorteF. A simple graphical method for quantification of disaster management surge capacity using computer simulation and process-control tools. Prehosp Disaster Med. 2015;30(1):1-7.

scholarly journals A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Angelina Klein ◽  
Julian Heuser ◽  
Esther Henning ◽  
Nadine Sprössel ◽  
Ann-Christin Kordsmeyer ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Organizational Development ◽  
Organizational Structures ◽  
Mass Casualty Incident ◽  
Management Plan ◽  
Mass Casualty ◽  
Work Processes ◽  
Step Process ◽  
Cruise Ships ◽  
Multiple Step

Abstract Background The project “ARMIHN” (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes. Methods A selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed. Results The current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations (n = 18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35 min. Based on their specialist expertise, 14 of the 31 listed clinics were selected. Conclusion The purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID.

Emergency Medical Consequence Planning and Management for National Special Security Events After September 11: Boston 2004

2008 ◽  
Vol 2 (3) ◽  
pp. 166-173 ◽  
Author(s):  
Kristy A. Kade ◽  
Kathryn H. Brinsfield ◽  
Richard A. Serino ◽  
Elena Savoia ◽  
Howard K. Koh
Keyword(s):  
Public Health ◽  
September 11 ◽  
Mass Casualty Incident ◽  
Management Plan ◽  
Mass Casualty ◽  
Lessons Learned ◽  
Federal State ◽  
Medical Consequence ◽  
Emergency Medical ◽  
State And Local

ABSTRACTThe post-September 11 era has prompted unprecedented attention to medical preparations for national special security events (NSSE), requiring extraordinary planning and coordination among federal, state, and local agencies. For an NSSE, the US Secret Service (USSS) serves as the lead agency for all security operations and coordinates with relevant partners to provide for the safety and welfare of participants. For the 2004 Democratic National Convention (DNC), designated an NSSE, the USSS tasked the Boston Emergency Medical Services (BEMS) of the Boston Public Health Commission with the design and implementation of health services related to the Convention. In this article, we describe the planning and development of BEMS’ robust 2004 DNC Medical Consequence Management Plan, addressing the following activities: public health surveillance, on-site medical care, surge capacity in the event of a mass casualty incident, and management of federal response assets. Lessons learned from enhanced medical planning for the 2004 DNC may serve as an effective model for future mass gathering events. (Disaster Med Public Health Preparedness. 2008;2:166–173)

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