Management of a Mass Casualty Event Caused by Electrocution Using Doctor Helicopters

Ishikawa, Kouhei; Jitsuiki, Kei; Ohsaka, Hiromichi; Yoshizawa, Toshihiko; Obinata, Mariko; Omori, Kazuhiko; Oode, Yasumasa; Takahashi, Masatoshi; Yanagawa, Youichi

doi:10.1016/j.amj.2015.12.012

Cited by 11 publications

(4 citation statements)

References 7 publications

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“…Moreover, the role of spontaneous volunteers and bystanders both in assisting relief efforts [ 88 , 107 , 133 , 134 , 141 , 144 , 166 ] and in providing information through social media that could be used for rapid situation assessment [ 129 ] consistently emerges in the included references. Lastly, a recurrent notion highlighted in the included references was the need for a structured MCI plan able to regulate the use of technical advances, to foster education and training competences across different agencies, to allow for structured debriefing in a collaborative manner, and to promote the use of key performance indicators to evaluate and improve the response [ 83 – 86 , 91 , 98 , 100 – 104 , 107 , 109 – 112 , 116 , 119 , 120 , 122 , 124 , 131 , 135 , 137 , 142 , 145 , 148 , 153 , 158 , 160 , 164 , 166 ].…”

Section: Discussionmentioning

confidence: 99%

Advancing the scientific study of prehospital mass casualty response through a Translational Science process: the T1 scoping literature review stage

Weinstein

Cuthbertson

Herbert

et al. 2023

Eur J Trauma Emerg Surg

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Purpose The European Union Horizon 2020 research and innovation funding program awarded the NIGHTINGALE grant to develop a toolkit to support first responders engaged in prehospital (PH) mass casualty incident (MCI) response. To reach the projects’ objectives, the NIGHTINGALE consortium used a Translational Science (TS) process. The present work is the first TS stage (T1) aimed to extract data relevant for the subsequent modified Delphi study (T2) statements. Methods The authors were divided into three work groups (WGs) MCI Triage, PH Life Support and Damage Control (PHLSDC), and PH Processes (PHP). Each WG conducted simultaneous literature searches following the PRISMA extension for scoping reviews. Relevant data were extracted from the included articles and indexed using pre-identified PH MCI response themes and subthemes. Results The initial search yielded 925 total references to be considered for title and abstract review (MCI Triage 311, PHLSDC 329, PHP 285), then 483 articles for full reference review (MCI Triage 111, PHLSDC 216, PHP 156), and finally 152 articles for the database extraction process (MCI Triage 27, PHLSDC 37, PHP 88). Most frequent subthemes and novel concepts have been identified as a basis for the elaboration of draft statements for the T2 modified Delphi study. Conclusion The three simultaneous scoping reviews allowed the extraction of relevant PH MCI subthemes and novel concepts that will enable the NIGHTINGALE consortium to create scientifically anchored statements in the T2 modified Delphi study.

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Section: Discussionmentioning

confidence: 99%

Advancing the scientific study of prehospital mass casualty response through a Translational Science process: the T1 scoping literature review stage

Weinstein

Cuthbertson

Herbert

et al. 2023

Eur J Trauma Emerg Surg

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“…The journey from the southern tip of the peninsula to the critical care medical center of our hospital takes 1.5 h by ambulance but only 15 min by helicopter. Currently, the most severe cases are transported using this helicopter emergency medical service to our hospital …”

Section: Methodsmentioning

confidence: 99%

Characteristics of patients who fell into open drains: a report from a single emergency center in East Shizuoka

Jitsuiki

Ohsaka

Ishikawa

et al. 2016

Acute Medicine & Surgery

Self Cite

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Aim: To clarify the characteristics of injuries caused by falling into an open drain. Methods: A medical chart review was retrospectively carried out of all patients in East Shizuoka, Japan, who were injured due to falling into an open drain, and who were subsequently transported to hospital by ambulance or a physician-staffed helicopter, between January 2013 and December 2014. The patients were divided into two groups, those treated as outpatients and those who were admitted to hospital.Results: During the investigation period, there were 33 patients who had accidentally fallen into an open drain. The ages of the subjects ranged from 10 to 90 years, with an average age of 58.8 years. The average age of the subjects, the ratio of female patients, and the average injury severity score in the admission group were higher than that of the outpatient group. One patient in the admission group who had cardiac arrest due to a cervical cord injury eventually died. Conclusion:Falls into open drains are especially frequent in elderly people and female patients, and older patients tend to more frequently require admission due to severe injury. To prevent injuries of this type, some measures are required to improve the safety of open drains.

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“…17 , 18 Research on prehospital emergency rescue has included triage and medical evacuation, such as DIORAMA-II system proposed by the USA, 19 a new triage method established by Spain, 20 and a doctor-helicopter system in Japan. 21 – 23 To conclude, a handful of developed countries have achieved some success in promoting rescue efficiency and decreasing the mortality of MCIs.…”

Section: Introductionmentioning

confidence: 99%

Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model

Yu¹,

Lv²,

Hu³

et al. 2018

PPA

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Objectives Emergency medical system for mass casualty incidents (EMS-MCIs) is a global issue. However, China lacks such studies extremely, which cannot meet the requirement of rapid decision-support system. This study aims to realize modeling EMS-MCIs in Shanghai, to improve mass casualty incident (MCI) rescue efficiency in China, and to provide a possible method of making rapid rescue decisions during MCIs. Methods This study established a system dynamics (SD) model of EMS-MCIs using the Vensim DSS program. Intervention scenarios were designed as adjusting scales of MCIs, allocation of ambulances, allocation of emergency medical staff, and efficiency of organization and command. Results Mortality increased with the increasing scale of MCIs, medical rescue capability of hospitals was relatively good, but the efficiency of organization and command was poor, and the prehospital time was too long. Mortality declined significantly when increasing ambulances and improving the efficiency of organization and command; triage and on-site first-aid time were shortened if increasing the availability of emergency medical staff. The effect was the most evident when 2,000 people were involved in MCIs; however, the influence was very small under the scale of 5,000 people. Conclusion The keys to decrease the mortality of MCIs were shortening the prehospital time and improving the efficiency of organization and command. For small-scale MCIs, improving the utilization rate of health resources was important in decreasing the mortality. For large-scale MCIs, increasing the number of ambulances and emergency medical professionals was the core to decrease prehospital time and mortality. For super-large-scale MCIs, increasing health resources was the premise.

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Management of a Mass Casualty Event Caused by Electrocution Using Doctor Helicopters

Cited by 11 publications

References 7 publications

Advancing the scientific study of prehospital mass casualty response through a Translational Science process: the T1 scoping literature review stage

Advancing the scientific study of prehospital mass casualty response through a Translational Science process: the T1 scoping literature review stage

Characteristics of patients who fell into open drains: a report from a single emergency center in East Shizuoka

Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model

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