Preparing for mass casualty events despite COVID-19

Tankel, James; Einav, Sharon

doi:10.1016/j.bja.2021.11.012

Cited by 2 publications

(11 citation statements)

References 23 publications

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“…These events can occur remotely to the health facility or within the health facility. All the literature on mass casualties come from the trauma surgical discipline [13]. The questions we now need to ask is, combined with COVID, do trauma protocols and triage principles need to change?…”

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

“…Tankel and Einov defined specific objectives that need to be planned for in a MCI, namely equipment and consumables, transport, hospital capacity, training, education, and debriefing, command and control and communication [13]. These are the same principles in disaster management, some of which will be highlighted in this text.…”

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

“…Data from the US stems from terrorism attacks and mass shooting events and have influenced MCI protocols [13]. The major difference between a MCI in a trauma setting and a pandemic is the length of the mass casualty.…”

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

“…Planning ahead, stock piling of equipment and consumables are integral to a response to a MCI [13,14]. However, consumables are a limiting factor in MCIs as well as in a pandemic as evidenced by the global oxygen supply shortage and ventilator shortage [16].…”

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

“…Tankel and Einov suggest that regional instead of local (individual hospital) stock piling is more cost effective, however maintenance of the consumables is questionable and therefore may not be functional when needed. One also needs to define MCI specific equipment for example during the pandemic this translated to oxygen and ventilators but in a trauma, setting could be theater capacity, availability of trauma surgeons and blood and blood products [13].…”

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

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Trauma Resuscitation, Mass Casualty Incident Management and COVID 19: Experience from a South African Trauma Unit

Laher¹

2022

ICU Management and Protocols

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The COVID 19 pandemic has spanned 2 years and is still ongoing with many questions arising. We attempt to answer some pertinent questions with literature as well as anecdotal evidence from our facility. To describe any changes to the resuscitation of trauma patients during the COVID 19 pandemic if any. During the COVID 19 pandemic, Johannesburg a city in the Gauteng Province of South Africa experienced civil unrest and a fire at one of its trauma units, this resulted in a mass casualty incident (MCI) at the only functional trauma unit in the public sector. Results of this observational study will be elucidated. Focus is placed on PPE protocols, trauma resuscitations, MCI management, triage principles and the changing surgeon’s role within the pandemic.

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Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

Section: Mass Casualty Incidents (Mcis)mentioning

confidence: 99%

See 3 more Smart Citations

Trauma Resuscitation, Mass Casualty Incident Management and COVID 19: Experience from a South African Trauma Unit

Laher¹

2022

ICU Management and Protocols

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Multispecialty resident physicians’ perceived preparedness for mass casualty events (MCEs) at an urban level I trauma center prior to the coronavirus disease 2019 (COVID-19) era

Voza,

Gupta,

Rossen

et al. 2024

Global Surg Educ

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Purpose Coronavirus disease 2019 (COVID-19) has underscored how ill-prepared healthcare systems are for mass casualty events (MCEs,) especially as MCEs increase worldwide. We hypothesized that resident physicians (RPs) across multiple specialties are underprepared for MCE. Methods Two similar surveys were conducted to assess awareness of disaster plans (DPs) and individual’s roles and responsibilities therein. Initially, we surveyed exclusively trainees who are trauma team members (TTMs,) including physician assistants (PAs), residents from emergency medicine (EMRs) and general surgery (GSRs.) Subsequently, we surveyed multi-specialty RPs, except GSRs and EMRs, and their program directors/associate program directors (PDs/APDs.) RPs’ awareness, knowledge of, and confidence in hospital MCE response plans were assessed, and barriers encountered were queried. Data were consolidated except with respect to PDs/APDs, who were queried only in the second survey. The Fisher exact test for multiple-group comparisons was used. Alpha = 0.05. Results For the first survey, the response rate was 74% (123/166), whereas 34% (129/380) responded to the second survey. Combined, the response rate was 46% (252/546.) Considering the RPs only for the two surveys combined, 103 (53%) respondents reported no awareness of institutional MCE response plans, 73% (n = 143) did not know/were unsure whether they were expected to contact someone, and 68% (n = 134) reported no formal MCE/disaster management (DM) training over the prior year. Additionally, the median response reported for level of knowledge of the MCE response plan among all RPs was “not at all,” with a significant difference observed between those aware of the plan and those who were not (p < 0.001). The median response reported for confidence level of RPs in MCE/DM training, excluding GSRs and EMRs (TTMs,) was “not at all,” with significant differences between surgical and non-surgical specialty RPs (p = 0.031), and between junior and senior RPs (p = 0.027). PDs/APDs (n = 12) reported “time” as the main barrier to implementation. Conclusions RPs across all surveyed specialties reported low levels of knowledge and minimal training regarding MCE/DM. Incorporation of MCE/DM preparedness into residency training in all specialties involving direct patient care is essential. Curricular restructuring will be required for meaningful participation of RPs in MCEs.

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Preparing for mass casualty events despite COVID-19

Cited by 2 publications

References 23 publications

Trauma Resuscitation, Mass Casualty Incident Management and COVID 19: Experience from a South African Trauma Unit

Trauma Resuscitation, Mass Casualty Incident Management and COVID 19: Experience from a South African Trauma Unit

Multispecialty resident physicians’ perceived preparedness for mass casualty events (MCEs) at an urban level I trauma center prior to the coronavirus disease 2019 (COVID-19) era

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