Utstein-Style Template for Uniform Data Reporting of Acute Medical Response in Disasters

Debacker, Michel; Hubloue, Ives; Dhondt, Erwin; Rockenschaub, Gerald; Rüter, Anders; Codreanu, Tudor A.; Koenig, Kristi L.; Schultz, Carl H.; Peleg, Kobi; Halpern, Pinchas; Stratton, Samuel J.; Corte, Francesco Della; Delooz, Herman; Ingrassia, Pier Luigi; Colombo, Davide; Castrèn, Maaret

doi:10.1371/4f6cf3e8df15a

Cited by 57 publications

(79 citation statements)

References 164 publications

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“…Since 2003, there have been concerted efforts to develop consensus on definitions of disaster research terminology in guidelines for acute medical response in disaster events. 3 In this issue of Prehospital and Disaster Medicine (PDM), the overview paper for the latest effort to refine disaster research and evaluation is published. 4 This newest work by Birnbaum, Daily, O'Rourke, and Loretti represents years of research and refinement of concepts and frameworks for disaster research.…”

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confidence: 99%

Disaster Research and Evaluation Frameworks–RETRACTED

Stratton¹

2014

Prehosp. Disaster med.

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In 2003, Volume 1 of the Health Disaster Management: Guidelines for Evaluation and Research in the Utstein Style 1 was published. Publication of this monograph was an effort by organizations representing international disaster professionals and communities to define disaster terms and research standards. The 2003 publication became known as the ''Guidelines for Disaster Research and Evaluation.'' It took seven years to complete and was based on collaboration using the Utstein 2 method for consensus. The primary goal for the 2003 Guidelines was to provide structure for research and evaluation of disasters to allow for comparison of data and information and to operationalize much of the information developed regarding disaster sciences.In the past decade, disaster research and evaluation have continued to evolve. During this time, disaster science has become recognized as a legitimate field for scientific exploration and is accepted by academics and those involved in actual events. In evolution, disaster science has developed newer areas of focus including mass-gathering medicine, emergency public health, humanitarian response, and simulation evaluation. Additionally, traditional disaster science has become more sophisticated, with exploration of the fundamental aspects of disaster epidemiology, mitigation, response, and effects.Most problematic for application of disaster research has been difficulty in agreement on the meaning and definition of terms used to describe concepts and study variables. Since 2003, there have been concerted efforts to develop consensus on definitions of disaster research terminology in guidelines for acute medical response in disaster events. 3 In this issue of Prehospital and Disaster Medicine (PDM), the overview paper for the latest effort to refine disaster research and evaluation is published. 4 This newest work by Birnbaum, Daily, O'Rourke, and Loretti represents years of research and refinement of concepts and frameworks for disaster research. The authors recognize five frameworks for disaster research and evaluation: (1) Conceptual; (2) Longitudinal; (3) Transectional Societal; (4) Relief-Recovery; and (5) Risk Reduction. Reliefrecovery and risk reduction have long been recognized categories for disaster research. For relief-recovery and risk reduction, the authors of the new paper provide updated concepts and refined definitions of terminology.The Conceptual framework is a foundation for the other research and evaluation frameworks, and includes standardized definitions of the terms used to describe factors that lead to and affect the occurrence and severity of a disaster. This is perhaps the most controversial area explored by the frameworks because disaster experts have failed to agree on operational disaster-related terms and definitions. The ongoing debate over terminology has done much to limit the effectiveness of disaster research and evaluation. In a field of research where data is difficult to obtain and variables hard to predict or control, the lack of standardized te...

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confidence: 99%

Disaster Research and Evaluation Frameworks–RETRACTED

Stratton¹

2014

Prehosp. Disaster med.

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“…A systematic review compared different available protocols of standardized reporting [14] and we chose this protocol because it was developed to report real incidents, has a practical approach, is freely available, has been published [1,15,16] and has been used previously [10,17,18]. Other protocols are more extensive but less practical, such as the Utstein template [19], the DISAST-CIR, a protocol used by the Israeli Defense Force Home Front and Ministry of Health [20][21][22][23][24][25][26][27][28] and two unused protocols [29,30]. None of these protocols have been tested on Internal and external validity [14].…”

Section: Discussionmentioning

confidence: 99%

Indoor fire in a nursing home: evaluation of the medical response to a mass casualty incident based on a standardized protocol

Koning

Ellerbroek

Leenen

2014

Eur J Trauma Emerg Surg

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Purpose This retrospective study reports the outcome of a mass casualty incident (MCI) caused by a fire in a nursing home. Methods Data from the medical charts and registration system of the Major Incident Hospital (MIH) and ambulance service were analyzed. The evaluation reports from the MIH and an independent research institute were used. The protocol for reports from major accidents and disaster was used to standardize the reporting [Lennquist, in Int J Disaster Med 1(1): [79][80][81][82][83][84][85][86] 2003]. Results The emergency services were quickly at the scene. The different levels of pre-hospital management performed a tight coordination. However, miscommunication led to confusion in the registration and tracking of patients. In total, 49 persons needed medical treatment, 46 were treated in the MIH. Because of (possible) inhalation injury nine patients needed mechanical ventilation and nine patients were hospitalized to exclude delayed onset of pulmonary symptoms. No incident related deaths occurred. The intensive care unit of the MIH was initially understaffed despite the efforts of the automated calling system and switchboard operators. The handwritten registration of incoming staff was incomplete and should be performed digitally. Some staff members were unfamiliar with the MIH procedures. The medical chart appeared too extensive. Miscommunication between chain partners resulted in the delayed sharing of (semi) medical information. Conclusion The different levels of incident managers performed a tight coordination. The MIH demonstrated its potency to provide emergency care for 46 patients and 9 intubated patients. No deaths or persistent disabilities occurred. Areas of improvement were recognized both in the pre-hospital as the hospital phase.

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“…Triage has been identified as one of the areas in disaster medicine for which training is especially important [1,57]. Triage is rarely used in the daily management of injured patients, and in combination with the rare occurrence of MCIs, practice and exercise is essential [3,58].…”

Section: Training and Educationmentioning

confidence: 99%

“…In a disaster, triage seeks to provide the greatest benefit to the largest number of casualties in order to minimize morbidity and mortality [1]. Triage has been described as one of the key factors in patient management in disaster situations [2,3].…”

Section: Introduction Triagementioning

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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Utstein-Style Template for Uniform Data Reporting of Acute Medical Response in Disasters

Cited by 57 publications

References 164 publications

Disaster Research and Evaluation Frameworks–RETRACTED

Disaster Research and Evaluation Frameworks–RETRACTED

Indoor fire in a nursing home: evaluation of the medical response to a mass casualty incident based on a standardized protocol

TRIAGE : Management of the trauma patient

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