Disaster Training for Prehospital Providers

Chaput, C.J.; Deluhery, M.R.; Stake, Christine E.; Martens, K.A.; Cichon, Mark

doi:10.1080/00207450701537076

Cited by 33 publications

(34 citation statements)

References 17 publications

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“…An additional 19% reported only one to five hours of training in the preceding year in MCEs or CBRN. 9 A study by Reilly et al 10 also demonstrated a persistent lack of adequate training in disaster and terrorism response for EMS providers. They state that "responder training .…”

Section: Training and Educationmentioning

confidence: 99%

“…10,11 The lack of standardized training and well-defined core competencies in disaster management makes it difficult to assess preparedness of the EMS community. 9 Emergency medical services medical directors have been tasked with establishing and enhancing competency-based core curricula in emergency preparedness and response for EMS providers and ensuring that adequate training is implemented.…”

Section: Training and Educationmentioning

confidence: 99%

See 1 more Smart Citation

Role of Emergency Medical Services in Disaster Response: Resource Document for the National Association of EMS Physicians Position Statement

Catlett

Jenkins

Millin

2011

Prehospital Emergency Care

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The National Association of EMS Physicians (NAEMSP) advocates for a strong emergency medical services (EMS) role in all phases of disaster management-preparedness, response, and recovery. Emergency medical services administrators and medical directors should play a leadership role in preparedness activities such as training and education, development of performance metrics, establishment of memoranda of understanding (MOUs), and planning for licensure and liability issues. During both the planning and response phases, EMS leadership should advocate for participation in unified command, modified scope of practice appropriate for providers and the event, and expanded roles in community and federal response efforts. To enhance recovery, EMS leadership should strongly advocate for national recognition for EMS efforts and further research into strategies that foster healthy coping techniques and resiliency in the EMS workforce. This resource document will outline the basis for the corresponding NAEMSP position statement on the role of

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Section: Training and Educationmentioning

confidence: 99%

Section: Training and Educationmentioning

confidence: 99%

Role of Emergency Medical Services in Disaster Response: Resource Document for the National Association of EMS Physicians Position Statement

Catlett

Jenkins

Millin

2011

Prehospital Emergency Care

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“…Surveys taken in the United States that asked paramedics about perceived preparedness for terrorist events or events from weapons of mass destruction showed similar results. [15][16][17] In Canada, at the federal level, there is infrastructure for planning and training; however, the "trickle down" to the local level has not been substantial. The Canadian Emergency Management College trains teams in combined CBRN response, but this is a slow process.…”

Section: Discussionmentioning

confidence: 99%

“…[11][12][13][14] Three surveys published in 2007 evaluated the self-reported training of EMS providers for CBRN-type events in the United States and found that the rates of training were worryingly low. [15][16][17] We could not locate an equivalent survey of Canadian EMS providers, and are aware of only a small number of specific CBRN teams in selected locations. We have previously studied Canadian hospital readiness for CBRN events, 2 but no study describes the prehospital component.…”

Section: Introductionmentioning

confidence: 99%

Chemical, biological, radiological and nuclear preparedness training for emergency medical services providers

Kollek

Wanger

Welsford

2009

CJEM

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Objective:We assessed the self-reported theoretical and practical preparedness training of Canadian emergency medical services (EMS) providers in chemical, biological, radiological and nuclear (CBRN) events. Methods: We designed an online survey to address the theoretical and practical CBRN training level of prehospital providers. Emergency medical services staff in British Columbia and Ontario were invited to participate. Results: Of the 1028 respondents, 75% were male, and the largest demographic groups were front-line personnel with more than 15 years of experience. Only 63% of respondents indicated they had received either theoretical or practical training to work in a contaminated environment, leaving 37% who indicated they had received neither type of training. Of those that had received any training, 61% indicated they had received "hands-on" or practical training and 82% indicated they had received some training in identification of a possibly contaminated scene. Only 42% had received training for symptoms of nerve agents, 37% had received training for symptoms of blister agents and 46% had received training for symptoms of asphyxiants. Thirty-two percent had received training for the treatment of patients exposed to nerve agents, and 30% had received training for the treatment of patients exposed to blister agents. Only 31% of all respondents had received training for detecting radiation. Conclusion: CBRN events involve unique hazards and require specific education and training for EMS providers. A large proportion of Canadian EMS providers report not having received the training to identify and work in contaminated environments. RÉSUMÉObjectif : Nous avons évalué le degré de préparation théorique et pratique autodéclarée par le personnel des services médicaux d'urgence au Canada en cas de menaces chimiques, biologiques, radiologiques et nucléaires (CBRN). Méthodes : Nous avons conçu un questionnaire administré en ligne pour mesurer le degré de préparation théorique et pratique du personnel des services préhospitaliers en cas de menaces CBRN. Le personnel des services médicaux d'urgence de la Colombie-Britannique et de l'Ontario a été invité à y répondre. Résultats : Parmi les 1028 répondants, 75 % étaient de sexe masculin et les groupes démographiques les plus volumineux se composaient de personnel de première ligne cumulant plus de 15 années d'expérience. Soixante-trois pour cent seulement des répondants ont mentionné avoir reçu une formation théorique ou pratique pour travailler dans un milieu contaminé, les 37 % restants ayant signalé n'avoir reçu ni l'une ni l'autre. Parmi ceux qui avaient reçu un type de formation, 61 % ont indiqué avoir reçu une formation pratique ou concrète et 82 % ont indiqué avoir reçu un type de formation pour la reconnaissance d'une zone potentiellement contaminée. Seulement 42 % avaient reçu une formation relative aux symptômes occasionnés par les agents neurotoxiques, 37 %, pour les symptômes occasionnés par les agents vésicants, et 46 %, pour les symptômes occasionnés pa...

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“…2,4,7,8 However, there are frequent reports of a lack of preparedness and EMS provider training for chemical mass-casualty situations. [9][10][11][12][13] The level of Finnish EMS preparedness for chemical mass-casualty situations is unknown. The aim of this study was to assess the current level of preparedness of the Finnish EMS for responding to chemical mass-casualty situations in Finland.…”

Section: Introductionmentioning

confidence: 99%

Preparedness of Finnish Emergency Medical Services for Chemical Emergencies

Jama

Kuisma

2016

Prehosp. Disaster med.

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IntroductionThe preparedness level of Finnish Emergency Medical Services (EMS) for treating chemical emergencies is unknown. The aim of this study was to survey the preparedness level of EMS systems for managing and handling mass-casualty chemical incidents in the prehospital phase in Finland.HypothesisThe study hypothesis was that university hospital districts would have better clinical capability to treat patients than would central hospital districts in terms of the number of patients treated in the field within one hour after dispatching as well as patients transported to hospital within one hour or two hours after dispatching.MethodsThis cross-sectional study was conducted as a Webropol (Wuppertal, Germany) survey. All hospital districts (n=20) in continental Finland were asked about their EMS preparedness level in terms of capability of treating and transporting chemically affected patients in the field. Their capability for decontamination of affected patients in the field was also inquired.ResultsUniversity hospital district-based EMS systems had at least 20% better absolute clinical capacity than central hospital-based EMS systems for treating chemically affected patients concerning all treatments inquired about, except the capacity for non-invasive ventilation (NIV)/continuous positive airway pressure (CPAP) treatment in the field. Overall, there was a good level of preparedness for treating chemical accident patients with supplemental oxygen, bronchodilators, and inhaled corticosteroids. Preparedness for providing antidote therapy in cases of cyanide gas exposure was, in general, low. The variation among the hospital districts was remarkable. Only nine of 15 central hospital district EMS had a mobile decontamination unit available, whereas four of five university hospital districts had one.ConclusionEmergency Medical Services capacity in Finland for treating chemically affected patients in the field needs to be improved, especially in terms of antidote therapy. Mobile decontamination units should be available in all hospital districts.JamaTJ, KuismaMJ. Preparedness of Finnish Emergency Medical Services for chemical emergencies. Prehosp Disaster Med. 2016;31(4):392–396.

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Disaster Training for Prehospital Providers

Cited by 33 publications

References 17 publications

Role of Emergency Medical Services in Disaster Response: Resource Document for the National Association of EMS Physicians Position Statement

Role of Emergency Medical Services in Disaster Response: Resource Document for the National Association of EMS Physicians Position Statement

Chemical, biological, radiological and nuclear preparedness training for emergency medical services providers

Preparedness of Finnish Emergency Medical Services for Chemical Emergencies

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