Mass casualty incident training in a resource-limited environment

Abstract

Pre-existing MCI programmes based on first-world logistics do not account for challenges encountered when caring for casualties in resource-constrained settings. Logistical training, rather than medical skills or knowledge, was identified as the educational priority.

Met and unmet needs for surgery in Sierra Leone: A comprehensive, retrospective, countrywide survey from all health care facilities performing operations in 2012

“…20 Barriers to operative care in similar settings include lack of human resources, often the result of limited surgical training opportunities, poor operative health care infrastructure, long distances, the resultant costs related to operative care, and fear of undergoing surgery. [21][22][23] Another intriguing finding was the division of operative activity between governmental and private actors. The fact that only 40% of all operations and almost no orthopedic operations were performed in public hospitals suggests that training opportunities are limited for the upcoming operative work force within governmental institutions.…”

Critical Appraisal of Emergency Medicine Education Research: The Best Publications of 2012

“…The sources of funding were as follows: five federal (two NIH, one Canada, and one Taiwan), five universitysponsored, two industry-supported, and two organizationally funded. Research methodology included 17 surveys (36%), 17,19,21,25,30,31,33,37,40,42,46,[50][51][52]54,60,61 15 (31%) observational analyses, [14][15][16]22,23,27,32,33,38,44,47,49,56,57,59 and three (6%) qualitative methodology studies. 19,28,45 There were only 12 (25%) with an experimental or quasi-experimental study design, 20,24,26,35,36,39,41,43,48,53,55,57 with five of the highlighted articles using this rigorous design.…”

“…Publication in EM journals predominated (36; 75%). Three (6%) appeared in medical education journals, and nine (19%) were published in journals ranging from surgery 33,42,44,54 to psychiatry. 31,52 Others included palliative medicine, 26 critical care, 56 and simulation.…”

“…41,55 Each of the articles with a pediatric focus had the primary or supporting author with specialized pediatric training. Other prevalent subject areas with specialty author collaboration were psychiatry, 23,31,50,52,54 education, 15,16,18,20,33,34,36,57 and disaster medicine, 22,30,34,36,42 with all but one using simulation in their studies. Five articles (10%) this year evaluated tools that were developed for educational purposes 14,29,32,36,56 and learning methods were evaluated in eight articles (17%).…”

Exploring the perception of aid organizations’ staff about factors affecting management of mass casualty traffic incidents in Iran: a grounded theory study

“…In Iran, traffic incidents are the first cause of years of life lost (YLL) and the second cause of mortality ( 11 ). A mass casualty incident, by definition, is one for which the available facilities and normal operational processes are not enough to manage the incident and the injured people ( 12 , 13 ). The Disaster and Emergency Medical Management Center has introduced a definition for special traffic incidents that includes incidents with more than three deaths or five injured at paramedic stage ( 14 , 15 ).…”