The Epidemiological Profile of Multiple Casualty Incidents in Northern Spain: 2014-2020

González, Pedro Ignacio Arcos; Campos, Carlos Adrian Vargas; Martínez, José Antonio Cernuda; Gómez, Cecilia; Aguilar, Ignacio Villellas; Castro, Begoña Lea; Masid, Marta Dorribo; Sanchez, Emilio Dominguez; Delgado, Rafael Castro

doi:10.1017/dmp.2022.267

Cited by 2 publications

References 13 publications

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National Burden and Epidemiological Features of Mass Casualty Incidents in Spain, from 2014 to 2022

Arcos González,

Gan,

Cernuda Martínez

2024

Disaster med. public health prep.

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Objectives Mass Casualty Incidents (MCIs) pose significant challenges to health care systems, especially regarding emergency preparedness and response. This study aims to analyze the epidemiological characteristics and burden of MCIs in Spain from 2014 to 2022, focusing on the type, frequency, and impact of these incidents on public health and emergency services. Methods A population-based retrospective observational study examined MCIs in Spain between January 2014 and December 2022. Data were collected from various emergency services. Incidents involving 4 or more victims requiring medical assistance and ambulance mobilization were included. The study categorized MCIs into 5 types: road traffic accidents, fires and explosions, chemical poisonings, maritime accidents, and others. Results A total of 1618 MCIs resulting in 8556 victims were identified, averaging 15 (95% CI, 11-19) incidents per month, with 79% due to road traffic accidents and 13% to fires and explosions, which also had the highest average of 7.6 victims per incident. Despite maritime accidents comprising only 1.9% of incidents, they had the highest fatality rate. MCIs were more frequent on weekends, in January and July, and between 3:00 PM and 9:00 PM. The average response time was 38 minutes, with 35% of victims sustaining severe injuries. Conclusions Despite a slight decrease in annual MCIs from 2014 to 2022 in Spain, the trend is not statistically significant. The study highlights the need for a national registry and standardized data collection to enhance emergency preparedness and response planning and facilitate the reduction of the MCI burden.

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National Burden and Epidemiological Features of Mass Casualty Incidents in Spain, from 2014 to 2022

Arcos González,

Gan,

Cernuda Martínez

2024

Disaster med. public health prep.

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Effectiveness of VR and Traditional Training in Medical Education for Mass Casualty Management: An OSCE Evaluation (Preprint)

Zhe,

Liwen,

Wan

et al. 2024

Preprint

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BACKGROUND Effective training in mass casualty incidents (MCIs) is crucial for medical students, particularly in scenarios such as road traffic accidents. Traditional lecture-based training is common, while VR offers immersive and potentially superior learning. This study evaluates VR-based training against traditional methods to determine which approach better enhances both theoretical knowledge and practical skills in MCI management. OBJECTIVE This study aimed to evaluate the effectiveness of VR-based training compared to traditional lecture-based training for medical students in managing MCIs, specifically focusing on road traffic accidents. The primary assessment was performed using an Objective Structured Clinical Examination (OSCE) and a theoretical knowledge test METHODS A randomized controlled trial was conducted with 46 medical students receiving emergency medicine training. Participants were randomly assigned to either a VR group or a traditional lecture group, with each group receiving a 2-hour training session on mass casualty management. The training effectiveness was evaluated through pre- and post-training knowledge tests, OSCE performance, and post-training feedback questionnaires. Statistical analyses were performed to compare the two groups RESULTS Baseline characteristics were well-matched between groups. The VR group demonstrated significantly higher post-test scores (83.96 ± 13.11) compared to the traditional group (72.17 ± 20.89, p = 0.03). The learning gain was also significantly greater in the VR group (40.26 ± 15.61) compared to the traditional group (28.26 ± 17.04, p = 0.02). OSCE results showed the VR group consistently outperformed the traditional group across all stations, with significant improvements in triage, injury assessment, and overall scene management. Additionally, feedback from the post-training questionnaire revealed that the VR group reported greater confidence in performing critical tasks CONCLUSIONS VR-based training offers a more effective and engaging approach for teaching mass casualty management compared to traditional methods. It enhances both theoretical knowledge and practical skills, helping to better prepare students for high-pressure scenarios such as MCIs. As VR technology continues to evolve, its integration into medical education holds strong potential for improving preparedness and clinical performance in emergency settings

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The Epidemiological Profile of Multiple Casualty Incidents in Northern Spain: 2014-2020

Cited by 2 publications

References 13 publications

National Burden and Epidemiological Features of Mass Casualty Incidents in Spain, from 2014 to 2022

National Burden and Epidemiological Features of Mass Casualty Incidents in Spain, from 2014 to 2022

Effectiveness of VR and Traditional Training in Medical Education for Mass Casualty Management: An OSCE Evaluation (Preprint)

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