Case Managers in Mass Casualty Incidents

Einav, Sharon; Schecter, William P.; Matot, Idit; Horn, Jan K.; Hersch, Moshe; Reissman, Petachia; Spira, Ram M.

doi:10.1097/sla.0b013e31819a6f17

Cited by 12 publications

(9 citation statements)

References 14 publications

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“…[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][32][33][34][35][36][37][38][39][40][41][42][43]48,49,53 All observational studies were cohort studies; all but four were retrospective. 32,42,43,46 Eight studies described interventions to improve care during times of capacity strain, [55][56][57][58][59][60][61][62] none using randomization to assign treatment category. Outcomes for children were separately analyzed in only six of the observational studies 23,26,32,45,46,51 and none of the experimental studies.…”

Section: Resultsmentioning

confidence: 99%

“…We did not find any randomized studies of interventions to improve care during times of capacity strain; all but one of the eight experimental studies utilized historical controls only 60 ( Table 2). Types of interventions varied greatly and included interventions to increase bed availability, 55,58,59,62 decrease inefficiency and improve patient flow in busy hospitals, 57,61 coordinate care during mass casualty incidents, 56 and limit spread of an emerging infectious illness during an epidemic. 60 Interventions were not associated with improved health outcomes in any studies; seven studies described postintervention improvements in time-based measures (e.g., hospital LOS, time to surgery), ambulance diversion, or use of non-trauma ICUs for trauma patients.…”

Section: Benefits and Harms Of Interventions To Improve Care During Tmentioning

confidence: 99%

“…60 Interventions were not associated with improved health outcomes in any studies; seven studies described postintervention improvements in time-based measures (e.g., hospital LOS, time to surgery), ambulance diversion, or use of non-trauma ICUs for trauma patients. [55][56][57][58][59]61,62 None of the studies separately analyzed outcomes for children.…”

Section: Benefits and Harms Of Interventions To Improve Care During Tmentioning

confidence: 99%

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The Association Between Hospital Capacity Strain and Inpatient Outcomes in Highly Developed Countries: A Systematic Review

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Benefits and Harms Of Interventions To Improve Care During Tmentioning

confidence: 99%

Section: Benefits and Harms Of Interventions To Improve Care During Tmentioning

confidence: 99%

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The Association Between Hospital Capacity Strain and Inpatient Outcomes in Highly Developed Countries: A Systematic Review

et al. 2016

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“…Following abstract and article review for relevance, a total of 313 articles addressing surge and surge capacity remained. Following detailed text review, 50 quantitative and 11 concept papers (consensus conference recommendations) met all inclusion criteria (Tables A–E and Data Supplement S1, available as supporting information in the online version of this paper). Of the quantitative articles judged relevant, 31 articles focused on criteria and methods for decision‐making for scarce resource allocation, 16 were related to effective triage protocols, nine concerned key decision makers for surge‐capacity planning and evaluating response efficacy, seven addressed meeting workforce needs, and seven were related to developing communication and information‐sharing strategies.…”

Section: Resultsmentioning

confidence: 99%

Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007–2015

Morton

DeAugustinis

Velasquez

et al. 2015

Academic Emergency Medicine

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Objectives: In 2006, Academic Emergency Medicine (AEM) published a special issue summarizing the proceedings of the AEM consensus conference on the "Science of Surge." One major goal of the conference was to establish research priorities in the field of "disasters" surge. For this review, we wished to determine the progress toward the conference's identified research priorities: 1) defining criteria and methods for allocation of scarce resources, 2) identifying effective triage protocols, 3) determining decision-makers and means to evaluate response efficacy, 4) developing communication and information sharing strategies, and 5) identifying methods for evaluating workforce needs.Methods: Specific criteria were developed in conjunction with library search experts. PubMed, Embase, Web of Science, Scopus, and the Cochrane Library databases were queried for peer-reviewed articles from 2007 to 2015 addressing scientific advances related to the above five research priorities identified by AEM consensus conference. Abstracts and foreign language articles were excluded. Only articles with quantitative data on predefined outcomes were included; consensus panel recommendations on the above priorities were also included for the purposes of this review. Included study designs were randomized controlled trials, prospective, retrospective, qualitative (consensus panel), observational, cohort, case-control, or controlled before-and-after studies. Quality assessment was performed using a standardized tool for quantitative studies.Results: Of the 2,484 unique articles identified by the search strategy, 313 articles appeared to be related to disaster surge. Following detailed text review, 50 articles with quantitative data and 11 concept papers (consensus conference recommendations) addressed at least one AEM consensus conference surge research priority. Outcomes included validation of the benchmark of 500 beds/million of population for disaster surge capacity, effectiveness of simulation-and Internet-based tools for forecasting of hospital and regional demand during disasters, effectiveness of reverse triage approaches, development of new disaster surge metrics, validation of mass critical care approaches (altered standards of care), use of telemedicine, and predictions of optimal hospital staffing levels for disaster surge events. Simulation tools appeared to provide some of the highest quality research.

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“…29 The secondary transfer of patients-that is, the evacuation of patients from one hospital to another-is challenging. However, it may be the best option.…”

Section: Composition Of Casualties In Mass-casualty Incidents In Isramentioning

confidence: 99%

On Constant Alert: Lessons To Be Learned From Israel’s Emergency Response To Mass-Casualty Terrorism Incidents

Adini

Peleg

2013

Health Affairs

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In its short modern history, Israel has had to contend with numerous mass-casualty incidents caused by terrorism. As a result, it has developed practical national preparedness policies for responding to such events. Israel's Supreme Health Authority, a committee of the Ministry of Health, coordinates emergency management nationwide. All emergency personnel, health care providers, and medical facilities operate under national policies designed to ensure a swift and coordinated response to any incident, based on an "all hazards" approach that emphasizes core elements commonly encountered in mass-casualty incidents. Israel's emergency management system includes contingency planning, command and control, centrally coordinated response, cooperation, and capacity building. Although every nation is unique, many of the lessons that Israel has learned may be broadly applicable to preparation for mass-casualty incidents in the United States and other countries.

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Case Managers in Mass Casualty Incidents

Abstract: During an MCI, case managers increase surge capacity by improving efficacy (workup/treatment times and use of resources) and may improve patient care via increased personal accountability, continuity of care, and involvement in treatment decisions.

Cited by 12 publications

References 14 publications

The Association Between Hospital Capacity Strain and Inpatient Outcomes in Highly Developed Countries: A Systematic Review

The Association Between Hospital Capacity Strain and Inpatient Outcomes in Highly Developed Countries: A Systematic Review

Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007–2015

On Constant Alert: Lessons To Be Learned From Israel’s Emergency Response To Mass-Casualty Terrorism Incidents

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