Mobile DIORAMA-II: Infrastructure less information collection system for mass casualty incidents

Ganz, Aura; Schafer, James; Yang, Zhuorui; Yi, Jun; Lord, Graydon C.; Ciottone, Gregory R.

doi:10.1109/embc.2014.6944175

Cited by 17 publications

(7 citation statements)

References 4 publications

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“…ere is currently a true lack of information over this matter, although its importance of it is outlined by studies that stress the need for proper assessments and adjustments on scene and remotely [2]. At the same time, there are studies under way that evaluate new action models [3,4,5], real or simulated [6], without a proper reference point.…”

Section: Discussionmentioning

confidence: 99%

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Stănescu

Boeriu

Copotoiu

2016

Acta Medica Marisiensis

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Background: The current study outlines some of the main particularities of both real and simulated mass casualty incidents (MCI) and disasters in Romania as reported by medical and paramedical participating personnel. Methods: A non-profit organization in Romania trained 1250 doctors, nurses and paramedics for proper MCI interventions through a dedicated programme for the last part of the year 2013. Half a year later, an email with a unique link to an online questionnaire was sent to each participant to assess their opinion over the participation in real or already simulated MCI or disasters. The questionnaire consisted of 25 specific topics, out of which only a fraction were considered for the current study. Results: Out of all participants, 145 doctors, 184 nurses and 115 paramedics provided valid answers, totaling 444 responders. Most participants were satisfied with the information about the location and type of the incident they would respond to. The amplitude of a given event is generally well anticipated under simulation conditions as compared to real events, where the amplitude tends to be higher rather than lower than expected (p=0.0082). About three quarters of participants under real or simulated events repeated or demanded repeating the information trafficked through mobile radios, almost a quarter misinterpreted the information, and almost a half reported delayed operations due to miscommunication. Conclusions: Simulations are a proper method of communication evaluation for mass casualty incidents and disasters, which can also stress the common communication issues encountered during a real MCI unfolding. BackgroundMass casualty incidents (MCI) and disasters are relatively rare events that by de nition overwhelm the intervention capacity of the responding agencies. May that be momentarily for MCI or over a longer period of time for disasters, both raise particular management problems that are the object of timely training in order to achieve the best possible results under real circumstances.However, an e cient management is not the only concern for these events. During their unfolding, a larger number of problems arise like miscommunication between participants, delays or lack of necessary information -medical and operational [1]. Certainly, some of these issues are not avoidable not because of the human factor but because of the technical limitations like communicating through a uni ed TETRA channel, adding an extra layer of push-to-talk radio communication or the inability to speci cally lter the participants' exchanged information with the current setup.In Romania, simulated MCI exercises are carried out regularly with preset scenarios. Unannounced evaluations are generally more useful and are a better indication of an actual initial response, but they are a lot more expensive and require the participation of already limited resources.Studies regarding the professionals' perspective over their participation on MCI and disasters are very rare and are not generally dedicated to the investigation ...

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Section: Discussionmentioning

confidence: 99%

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Stănescu

Boeriu

Copotoiu

2016

Acta Medica Marisiensis

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“…DIORAMA system which we introduced in [ 6 , 7 ] provides a comprehensive situational awareness and communication platform between the incident commander and the emergency responders and will significantly enhance the effectiveness of the response. Moreover, the system integrates seamlessly with the emergency responders current triage and transport procedures.…”

Section: Overviewmentioning

confidence: 99%

“…DIORAMA-II architecture shown in Figure 1 was introduced in [ 7 ]. The responders carry an active RFID reader denoted as DM-track and a Smartphone.…”

Section: Diorama-ii Architecturementioning

confidence: 99%

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Evaluation of a Scalable Information Analytics System for Enhanced Situational Awareness in Mass Casualty Events

Ganz

Schafer

Yang

et al. 2016

International Journal of Telemedicine and Applications

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We investigate the utility of DIORAMA-II system which provides enhanced situational awareness within a disaster scene by using real-time visual analytics tools and a collaboration platform between the incident commander and the emergency responders. Our trials were conducted in different geographical areas (feature-rich and featureless regions) and in different lighting conditions (daytime and nighttime). DIORAMA-II obtained considerable time gain in efficiency compared to conventional paper based systems. DIORAMA-II time gain was reflected in reduction of both average triage time per patient (up to 34.3% average triage time reduction per patient) and average transport time per patient (up to 76.3% average transport time reduction per red patient and up to 66.3% average transport time reduction per yellow patient). In addition, DIORAMA-II ensured that no patients were left behind or transported in the incorrect order compared to the conventional method which resulted in patients being left behind and transported in the incorrect order.

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“…Such details are important not only for casualties and evacuees in disasters but also in emergency medical and other risk-management situations. 1,3,4 This issue has a profound effect on communication among accident scenes, hospitals, and other organizations. 2,5,6 From this point of view, a personal identification (ID) code that is allocated in a uniform way by first responders is one of the solutions.…”

Section: Introductionmentioning

confidence: 99%

Simulation study of a low‐tech and reliable identification coding method for mass casualties

Kato

Tarui

Yamaguchi

2018

Acute Medicine & Surgery

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AimTo evaluate the ease of use, reliability, and duplication risks of a new identification (ID) coding method, which works for mass casualty events such as disaster scenes.MethodsThe new ID code consisted of 16 alphanumeric characters: seven characters for the responder's information and nine for the casualty, which can be created in a very low‐tech manner without using any electronic devices. A simulated triage was carried out for virtual causalities by students of the same grade at our university's medical school. Each participant was instructed to triage and create IDs for the same 10 virtual casualties. Eighty‐nine participants created a total of 890 IDs, which were examined for correct coding and ID duplication rates.ResultsDespite situations in which the risk of duplication might be considered high, complete duplication of IDs occurred in only one case (0.2%), and the other 888 IDs (99.8%) were unique. The simulation was done in a reasonable amount of time without any confusion.ConclusionsIn the mass casualty incident triage simulation, our new coding method proved easy and useful in creating IDs with an extremely low duplication rate. To develop this method for broader use, further evaluation is needed in more simulations and real disaster situations.

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Mobile DIORAMA-II: Infrastructure less information collection system for mass casualty incidents

Cited by 17 publications

References 4 publications

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Evaluation of a Scalable Information Analytics System for Enhanced Situational Awareness in Mass Casualty Events

Simulation study of a low‐tech and reliable identification coding method for mass casualties

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