Sudden-Onset Disaster Mass-Casualty Incident Response: A Modified Delphi Study on Triage, Prehospital Life Support, and Processes
The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to improve practice. The objective of this translational science study was to align common principles of approach and action and to identify how...
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Published in: | Prehospital and disaster medicine Vol. 38; no. 5; pp. 570 - 580 |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format: | Journal Article |
Language: | English |
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New York, USA
Cambridge University Press
01-10-2023
Jems Publishing Company, Inc |
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Abstract | The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to improve practice. The objective of this translational science study was to align common principles of approach and action and to identify how technology can assist and enhance response. To achieve this objective, the application of a modified Delphi methodology study based on statements derived from key findings of a scoping review was undertaken. This resulted in 18 triage, eight life support and damage control interventions, and 23 process consensus statements. These findings will be utilized in the development of evidence-based prehospital mass-casualty incident response tools and guidelines. |
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AbstractList | The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to improve practice. The objective of this translational science study was to align common principles of approach and action and to identify how technology can assist and enhance response. To achieve this objective, the application of a modified Delphi methodology study based on statements derived from key findings of a scoping review was undertaken. This resulted in 18 triage, eight life support and damage control interventions, and 23 process consensus statements. These findings will be utilized in the development of evidence-based prehospital mass-casualty incident response tools and guidelines. Abstract The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to improve practice. The objective of this translational science study was to align common principles of approach and action and to identify how technology can assist and enhance response. To achieve this objective, the application of a modified Delphi methodology study based on statements derived from key findings of a scoping review was undertaken. This resulted in 18 triage, eight life support and damage control interventions, and 23 process consensus statements. These findings will be utilized in the development of evidence-based prehospital mass-casualty incident response tools and guidelines. |
Author | Lennquist, Stenn Marzi, Federica Malik, Nabeela Castro Delgado, Rafael Magalini, Sabina Cheeranont, Piyapan Hecker, Norman Philipp Faccincani, Roberto Brugger, Hermann Kolstadbraaten, Knut Magne Fresu, Giovanni Neeki, Michael Achaz, Gerhard Marzoli, Marcello Fransvea, Pietro Dobson, Bob Fidanzio, Andrea Weinstein, Eric Lamine, Hamdi Pirrallo, Ronald Kerbage, Anthony Farah Dell’Aringa, Marcelo Rafalowsky, Chaim Vale, Luis Borrello, Alessandro Tilsed, Jonathan Gui, Daniele Strapazzon, Giacomo Cuthbertson, Joe Benítez, Carlos Yanez Franc, Jeffrey Michael Bala, Miklosh Lennquist, Kristina Ragazzoni, Luca Callcut, Rachel Caviglia, Marta Jones, Peter Claudius, Ilene |
AuthorAffiliation | 15. Institute of Mountain Emergency Medicine , Eurac Research, Bolzano , Italy; University of Padova, Padova, Italy; International Commission for Mountain Emergency Medicine, Zurich, Switzerland 20. Department of Emergency Medicine, Harbor-UCLA , Torrence , California USA 12. Department of Emergency Medicine, Prisma Health University of South Carolina School of Medicine Greenville , Greenville , South Carolina USA 16. Institute of Mountain Emergency Medicine , Eurac Research, Bolzano, Italy; Medical University Innsbruck, Innsbruck , Austria; International Commission of Mountain Emergency Medicine-ICAR MedCom, Zurich, Switzerland 17. Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem , Israel 14. Department of Medicine, Oviedo University , Oviedo , Spain 22. University of California Davis Department of Surgery , Sacramento , California USA 19. Department of Traumatology, Oslo University Hospital – Ullevaal , Oslo , Norway 2. Monash Uni |
AuthorAffiliation_xml | – name: 2. Monash University Disaster Resilience Initiative, Monash University , Clayton VIC Australia – name: 22. University of California Davis Department of Surgery , Sacramento , California USA – name: 12. Department of Emergency Medicine, Prisma Health University of South Carolina School of Medicine Greenville , Greenville , South Carolina USA – name: 8. Department of Surgery, San Jorge University Hospital , Huesca , Spain – name: 13. Health Service of the Principality of Asturias (SAMU-Asturias), Health Research Institute of the Principality of Asturias (Team Leader of the Research Group on Prehospital Care and Disasters, GIAPREDE) , Oviedo , Spain – name: 16. Institute of Mountain Emergency Medicine , Eurac Research, Bolzano, Italy; Medical University Innsbruck, Innsbruck , Austria; International Commission of Mountain Emergency Medicine-ICAR MedCom, Zurich, Switzerland – name: 23. Department of Internal Medicine, Hôtel-Dieu de France hospital , Beirut , Lebanon – name: 6. Department of Surgery, Catholic University of the Sacred Heart , Policlinico Gemelli, Rome , Italy – name: 10. University Hospitals Birmingham NHS Trust , Edgbaston, Birmingham , United Kingdom – name: 11. Clinical Professor of Emergency Medicine, Arrowhead Regional Medical Center , Colton , California USA ; Professor of Medical Education, California University of Science and Medicine, Colton, California USA – name: 17. Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem , Israel – name: 18. Department of Fire Service, Public Rescue and Civil Defence , Ministero dell’Interno, Rome , Italy – name: 14. Department of Medicine, Oviedo University , Oviedo , Spain – name: 25. Department of Translational Medicine, Università del Piemonte Orientale , Novara , Italy – name: 15. Institute of Mountain Emergency Medicine , Eurac Research, Bolzano , Italy; University of Padova, Padova, Italy; International Commission for Mountain Emergency Medicine, Zurich, Switzerland – name: 19. Department of Traumatology, Oslo University Hospital – Ullevaal , Oslo , Norway – name: 5. Department for Sustainable Development and Ecological Transition, Università del Piemonte Orientale , Vercelli , Italy – name: 20. Department of Emergency Medicine, Harbor-UCLA , Torrence , California USA – name: 24. ESTES—European Society for Trauma and Emergency Surgery , Disaster and Military Surgery Section, Milan , Italy – name: 1. CRIMEDIM – Center for Research and Training in Disaster Medicine, Humanitarian Aid, and Global Health, Università del Piemonte Orientale , Novara , Italy – name: 4. Assistance Publique – Hópitaux de Paris (APHP), SAMU de Paris Hôpital Necker , Paris , France – name: 3. Department of Emergency Medicine, University of Alberta , Edmonton , AB , Canada – name: 9. London Ambulance Service NHS Trust , London, London , United Kingdom – name: 21. Faculty of Medicine, Praboromarajchanok Institute, Ministry of Public Health , Nonthaburi , Thailand – name: 7. Department of Neurosciences, Catholic University of the Sacred Heart , Policlinico Gemelli, Rome , Italy |
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Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy; University of Padova, Padova, Italy; International Commission for Mountain Emergency Medicine, Zurich, Switzerland – sequence: 21 givenname: Marcelo surname: Farah Dell’Aringa fullname: Farah Dell’Aringa, Marcelo organization: .CRIMEDIM – Center for Research and Training in Disaster Medicine, Humanitarian Aid, and Global Health, Università del Piemonte Orientale, Novara, Italy – sequence: 22 givenname: Hermann surname: Brugger fullname: Brugger, Hermann organization: 6. 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London Ambulance Service NHS Trust, London, London, United Kingdom – sequence: 29 givenname: Ilene orcidid: 0000-0002-3292-9696 surname: Claudius fullname: Claudius, Ilene organization: 0.Department of Emergency Medicine, Harbor-UCLA, Torrence, California USA – sequence: 30 givenname: Piyapan surname: Cheeranont fullname: Cheeranont, Piyapan organization: 1.Faculty of Medicine, Praboromarajchanok Institute, Ministry of Public Health, Nonthaburi, Thailand – sequence: 31 givenname: Rachel surname: Callcut fullname: Callcut, Rachel organization: 2. University of California Davis Department of Surgery, Sacramento, California USA – sequence: 32 givenname: Miklosh surname: Bala fullname: Bala, Miklosh organization: 8.Department of Fire Service, Public Rescue and Civil Defence, Ministero dell’Interno, Rome, Italy – sequence: 33 givenname: Anthony surname: Kerbage fullname: Kerbage, Anthony organization: 3.Department of Internal Medicine, Hôtel-Dieu de France hospital, Beirut, Lebanon – sequence: 34 givenname: Luis surname: Vale fullname: Vale, Luis organization: .Department for Sustainable Development and Ecological Transition, Università del Piemonte Orientale, Vercelli, Italy – sequence: 35 givenname: Norman Philipp surname: Hecker fullname: Hecker, Norman Philipp organization: 4. ESTES—European Society for Trauma and Emergency Surgery, Disaster and Military Surgery Section, Milan, Italy – sequence: 36 givenname: Roberto surname: Faccincani fullname: Faccincani, Roberto organization: 4. ESTES—European Society for Trauma and Emergency Surgery, Disaster and Military Surgery Section, Milan, Italy – sequence: 37 givenname: Luca orcidid: 0000-0002-2528-4375 surname: Ragazzoni fullname: Ragazzoni, Luca organization: .CRIMEDIM – Center for Research and Training in Disaster Medicine, Humanitarian Aid, and Global Health, Università del Piemonte Orientale, Novara, Italy – sequence: 38 givenname: Marta orcidid: 0000-0002-4164-4756 surname: Caviglia fullname: Caviglia, Marta organization: .CRIMEDIM – Center for Research and Training in Disaster Medicine, Humanitarian Aid, and Global Health, Università del Piemonte Orientale, Novara, Italy |
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Copyright | The Author(s), 2023. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine The Author(s), 2023. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Author(s) 2023 2023 The Author(s) |
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Snippet | The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to... Abstract The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for... |
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SubjectTerms | Delphi method Disasters Emergency medical care Focus groups Integrated approach Mass casualty incidents Original Research Questionnaires Research methodology Scandals |
Title | Sudden-Onset Disaster Mass-Casualty Incident Response: A Modified Delphi Study on Triage, Prehospital Life Support, and Processes |
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