The Evaluation of Research Methods during Disaster Exercises: Applicability for Improving Disaster Health Management

Legemaate, G.A. Guido; Burkle, Frederick M.; Bierens, Joost J.L.M.

doi:10.1017/s1049023x11006789

Cited by 23 publications

(23 citation statements)

References 14 publications

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“…Simulation exercises are used to prepare frontline workers for disasters and infrequent events (Legemaate, Burkle Jr., and Bierens 2012;Sundnes and Birnbaum 2003;Bewley and O'Neil 2013). Simulation and training have several advantages: they improve learner commitment, support repetitive practice and provide means of adjusting training difficulty to match learner objectives.…”

Section: Introductionmentioning

confidence: 99%

Studying distributed cognition of simulation-based team training with DiCoT

et al. 2015

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Funding This work was supported by the Swedish Civil Contingencies Agency (MSB) and The SwedishGovernmental Agency for Innovation Systems (VINNOVA). AcknowledgementsThe authors thank the ETS instructors and simulation participants for enabling and contributing to this study. We also thank the reviewers for clear and constructive criticism that clarified the paper. Lastly, we thank our department colleagues Mattias Kristiansson, Erik Prytz, and Robin Keskisärkkä at Linköping University for our discussions on DCog and DiCoT.

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Section: Introductionmentioning

confidence: 99%

Studying distributed cognition of simulation-based team training with DiCoT

et al. 2015

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“…In an MCI, triage is an area that has been recognized as an essential part of patient management. Currently, a standardized methodology of triage is lacking, and this area is in need of a more evidence-based approach [143].…”

Section: Scientific Approachmentioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

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Triage, derived from the French word for sorting, aims to assess and prioritize injured patients, regardless of whether the injuries are sustained from everyday road traffic accident with few injured or a mass casualty incident. Triage seeks to provide the greatest benefit to the largest number of casualties in order to minimize morbidity and mortality. Triage in a pre-hospital setting entails management and sorting of patients according to an assessment of medical need, prioritization, and evacuation. In-hospital triage aims to rapidly identify the most injured and ensure timely and appropriate treatment according to the patient's clinical urgency. A number of different systems for performing triage have been established and implemented globally. The methodology is recognized and utilized but there is still a need for an evidence-based strategy to optimize training and the efficacy of the different systems.The main aim of this thesis was to determine triage performance among prehospital personnel and investigate the potential advantage of a triage system for trauma patients. The papers included in this thesis evaluated the triage skills of physicians, pre-hospital personnel, and rescue services personnel by testing their performance before and after an educational intervention. The last paper evaluated potential benefits of using a triage system for trauma patients admitted to the emergency department at MOI Teaching and Referral Hospital in Eldoret, Kenya.The results presented in this thesis illustrate that triage skills are lacking among physicians. Experienced pre-hospital personnel are more skilled in performing triage than physicians. The triage skills of the rescue services personnel improved significantly after the educational intervention. Moreover, the potential benefit to trauma patients of implementing an in-hospital triage system in a resource-poor environment was shown. In conclusion, health care personnel, especially physicians without experience but highly involved in trauma patient management, seem to be in need of triage training. How to train, how to implement, and how to evaluate triage skills must be considered in order to develop effective training. POPULÄRVETENSKAPLIG SAMMANFATTNINGOrdet triage kommer från franskans "sortera" och är ett av det första stegen i omhändertagandet av skadade när det råder resursbrist. Från 1800-talets blodiga slagfält, till dagens skadeplats och akutmottagningar har sättet att triagera patienter utvecklats. Men då, som nu, är grundtanken den samma, att sortera och prioritera de skadade utifrån tillgängliga resurser och patienternas vårdbehov. Följaktligen har begreppet kommit att bli centralt inom ämnet katastrofmedicin. Att avlida till följd av skador i samband med allvarliga händelser men också skador i till exempel vardagstrafiken är ett globalt hälsoproblem. Tiden från olycka till sjukhusbehandling är en viktig och ofta avgörande överlevnadsfaktor för en patient. I det här sammanhanget talas det om "den gyllene timmen", som påvisar vikten av att få ...

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“…71 Communication is another core task of commanders, 3,36,38,45,50,[56][57]91 including ''information management'' and ''gathering and analyzing information.'' 101,105 Information that needs to be communicated includes: the incident address or position, 74 68,101 and vulnerability and risks. 79 Liaison with collaborating agencies (police, fire and rescue, and others) through their commanders, is highlighted.…”

Section: What Are the Basic Assumptions Underlying Incident Command Smentioning

confidence: 99%

Literature Review on Medical Incident Command

Rimstad

Braut

2015

Prehosp. Disaster med.

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The competence and experience of the commanders, upon which an efficient ICS has to rely, cannot be compensated significantly by plans and procedures, or even by guidance from superior organizational elements such as coordination centers. This study finds that neither a certain system or structure, or a specific set of plans, are better than others, nor can it conclude what system prerequisites are necessary or sufficient for efficient incident management. Commanders need to be sure about their authority, responsibility, and the functional demands posed upon them.

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The Evaluation of Research Methods during Disaster Exercises: Applicability for Improving Disaster Health Management

Cited by 23 publications

References 14 publications

Studying distributed cognition of simulation-based team training with DiCoT

Studying distributed cognition of simulation-based team training with DiCoT

TRIAGE : Management of the trauma patient

Literature Review on Medical Incident Command

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