Emergency Preparedness and Mass Casualty Considerations for Anesthesiologists

Kuza, Catherine M.; McIsaac, Joseph H.

doi:10.1016/j.aan.2018.07.002

Cited by 15 publications

(12 citation statements)

References 48 publications

(59 reference statements)

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“…The purpose of this project was to better understand staff perspectives of MCI preparedness after participating in MCI simulation drills at a tertiary referral center and Level I trauma center. Existing literature is either anecdotal [7][8][9][10][11][12][14][15] or uses quantitative methods [13,[19][20]22,24,[26][27][28][29] to demonstrate the impact of simulation on emergency preparedness. Findings from this study help elaborate on the staff perspectives, adding to the body of research, and may impact the planning and implementation of emergency preparedness training at other health care institutions.…”

Section: Discussionmentioning

confidence: 99%

“…Professional organizations, including the American College of Surgeons (ACS), have come forward to declare an obligation of healthcare leaders and providers to take an active role in the interdisciplinary preparation of MCIs [6][7]. Because hospitals and their staff will be responsible for treating and managing injured victims of MCIs, these institutions have an imperative role within MCI preparedness [8][9][10][11], which could result in subsequent lives saved [12].…”

Section: Introductionmentioning

confidence: 99%

“…Routine Emergency Department (ED) triage is insufficient during an MCI, as it requires significant time and would delay throughput [8][9][10][11]. Furthermore, surgical services such as the Operating Room (OR) and Post-Anesthesia Care Unit (PACU) may need to make modifications to their day-to-day protocols.…”

Section: Introductionmentioning

confidence: 99%

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Staff Perspectives of Mass Casualty Incident Preparedness

Moran

Zimmerman

Chapman

et al. 2021

Cureus

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IntroductionMass casualty incidents (MCI) are low-frequency, high-risk events that disrupt the day-to-day operations of medical centers. Day-to-day protocols are insufficient for effectively managing MCI events, creating a need to develop and test MCI-specific protocols. The aim of this project was to utilize interviews to gain insight into staff experience and perspective on MCIs and their institution's response plans. MethodsStaff members who participated in an MCI drill were asked semi-structured interview questions regarding their perspectives on their current priorities, the information needed to perform their role, and their greatest concerns about an MCI. This quality improvement (QI) project utilized a qualitative methodology to thematically organize the results of the staff responses. ResultsA total of 64 staff members with various levels of patient care experience were interviewed to reach thematic saturation. The use of staff interviews helped to identify the four primary themes that emerged, which were: 1) process, 2) supplies and resources, 3) communication, and 4) roles. Furthermore, each theme also included a number of subthemes. ConclusionsThis project demonstrated the importance of staff experiences related to MCI simulation training and preparedness, which may be useful for future training and emergency response planning. Additionally, the results may be helpful for other institutions when building a robust MCI simulation training program or designing an emergency response plan.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Staff Perspectives of Mass Casualty Incident Preparedness

Moran

Zimmerman

Chapman

et al. 2021

Cureus

View full text Add to dashboard Cite

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“…The Association of American Medical Colleges (AAMC) recommends that medical students be trained in disaster preparedness and response. 3 This includes education for chemical, biological, radiological, nuclear and environmental agents by having a didactic and experiential learning component in their medical school training curriculum. 4 , 5 However, a survey of interns representing 42 medical schools from 20 states in the United States found that only 47% received any type of disaster preparedness training in medical school.…”

Section: Introductionmentioning

confidence: 99%

“…The number of disaster events, both natural and man-made, are on the rise. 3 These types of events often result in mass casualty incidents that require quick and thoughtful action. As our culture changes, it is important to highlight disaster training for our future physicians to ensure they are properly equipped for the challenges they will face.…”

Section: Introductionmentioning

confidence: 99%

Disaster Day: A Simulation-Based Disaster Medicine Curriculum for Novice Learners

Gable

Misra

Doos

et al. 2021

Journal of Medical Education and Curricular Development

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Background: Mass casualty and multi-victim incidents have increased in recent years due to a number of factors including natural disasters and terrorism. The Association of American Medical Colleges (AAMC) recommends that medical students be trained in disaster preparedness and response. However, a majority of United States medical students are not provided such education. Objective: The goal of this study was to evaluate the effectiveness of a 1 day, immersive, simulation-based Disaster Day curriculum. Settings and Design: Learners were first and second year medical students from a single institution. Materials and Methods: Our education provided learners with information on disaster management, allowed for application of this knowledge with hands-on skill stations, and culminated in near full-scale simulation where learners could evaluate the knowledge and skills they had acquired. Statistical analysis used: To study the effectiveness of our Disaster Day curriculum, we conducted a single-group pretest-posttest and paired analysis of self-reported confidence data. Results: A total of 40 first and second year medical students participated in Disaster Day as learners. Learners strongly agreed that this course provided new information or provided clarity on previous training, and they intended to use what they learned, 97.6% and 88.4%, respectively. Conclusions: Medical students’ self-reported confidence of key disaster management concepts including victim triage, tourniquet application, and incident command improved after a simulation-based disaster curriculum. This Disaster Day curriculum provides students the ability to apply concepts learned in the classroom and better understand the real-life difficulties experienced in a resource limited environment.

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The Multiple Casualty Scenario: Role of the Anesthesiologist

Lam

Murray

2020

Curr Anesthesiol Rep

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Purpose of Review Mass casualty disasters (natural and man-made) present an acute, critical situation that taxes healthcare resources and clinician acumen. This review summarizes the characteristics and management skill sets that anesthesiologists possess that make them valuable clinicians during mass casualty events and why we as anesthesiologists must continually educate ourselves on this important topic. Recent Findings Anesthesiologists should be involved in all aspects of emergency preparedness-mitigation, planning, response, and recovery. The anesthesia department should have a plan for how it will deal with managing patients during natural and man-made (unintentional or intentional) disasters, one that takes into account a risk hazard analysis and institutional goals. Unfortunately, most practicing anesthesiologists have not had training and ongoing education for such events, and few academic centers train anesthesiology residents and staff to prepare for mass casualty scenarios. Summary The everyday clinical practice of anesthesiologists involves the utilization of some of the skills (vascular access, tracheal intubation) commonly required to successfully manage mass casualty scenarios. Anesthesiologists' knowledge of anti-cholinesterases makes them subject matter experts on nerve agent poisoning, and their experience managing trauma patients will serve them well, depending on the nature of the mass casualty event. Practicing anesthesiologists however need to continually educate themselves on their role during mass casualty events. and current anesthesiology residency programs should develop a curriculum and incorporate simulation training to better prepare future generations of anesthesiologists.

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Emergency Preparedness and Mass Casualty Considerations for Anesthesiologists

Cited by 15 publications

References 48 publications

Staff Perspectives of Mass Casualty Incident Preparedness

Staff Perspectives of Mass Casualty Incident Preparedness

Disaster Day: A Simulation-Based Disaster Medicine Curriculum for Novice Learners

The Multiple Casualty Scenario: Role of the Anesthesiologist

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