Simulation of a hospital disaster plan: a virtual, live exercise.

Abstract:

INTRODUCTION:Currently, there is no widely available method to evaluate an emergency department disaster plan. Creation of a standardized patient database and the use of a virtual, live exercise may lead to a standardized and reproducible method that can be used to evaluate a disaster plan. PURPOSE:A virtual, live exercise was designed with the primary objective of evaluating a hospital's emergency department disaster plan. Education and training of participants was a secondary goal. METHODS:A database (disastermed.ca) of histories, physical examination findings, and laboratory results for 136 simulated patients was created using information derived from actual patient encounters. The patient database was used to perform a virtual, live exercise using a training version of the emergency department's information system software. RESULTS:Several solutions to increase patient flow were demonstrated during the exercise. Conducting the exercise helped identify several faults in the hospital disaster plan, including outlining the important rate-limiting step. In addition, a significant degree of under-triage was demonstrated. Estimates of multiple markers of patient flow were identified and compared to Canadian guidelines. Most participants reported that the exercise was a valuable learning experience. CONCLUSIONS:A virtual, live exercise using the disastermed.ca patient database was an inexpensive method to evaluate the emergency department disaster plan. This included discovery of new approaches to managing patients, delineating the rate-limiting steps, and evaluating triage accuracy. Use of the patient timestamps has potential as a standardized international benchmark of hospital disaster plan efficacy. Participant satisfaction was high.

journal_name

Prehosp Disaster Med

authors

Franc-Law JM,Bullard M,Della Corte F

doi

10.1017/s1049023x00005999

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

346-53

issue

4

eissn

1049-023X

issn

1945-1938

journal_volume

23

pub_type

杂志文章
  • Examining self-perceived first-aid abilities after the Northridge earthquake.

    abstract:INTRODUCTION:This study examines those factors predictive of self-perceived first-aid abilities among a community-based sample after the 1994 Northridge earthquake. METHODS:A probabilities-proportionate-to-size (pps) sample of residents of Los Angeles Country and 11 pre-selected zip codes from southeastern Ventura Cou...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Nguyen LH,Shoaf KI,Rottman SJ,Bourque LB

    更新日期:1997-10-01 00:00:00

  • State Preparedness for Crisis Standards of Care in the United States: Implications for Emergency Management.

    abstract::State governments and hospital facilities are often unprepared to handle a complex medical crisis, despite a moral and ethical obligation to be prepared for disaster. The 2019 novel coronavirus disease (COVID-19) has drawn attention to the lack of state guidance on how hospitals should provide care in a crisis. When t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001405

    authors: Ingram AE,Hertelendy AJ,Molloy MS,Ciottone GR

    更新日期:2021-02-01 00:00:00

  • Chronic diseases and natural hazards: impact of disasters on diabetic, renal, and cardiac patients.

    abstract:BACKGROUND:Inadequately controlled chronic diseases may present a threat to life and well-being during the emergency response phase of disasters. Chronic disease exacerbations (CDE) account for one of the largest patient populations during disasters, and patients are at increased risk for adverse outcomes. OBJECTIVE:T...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00005835

    authors: Miller AC,Arquilla B

    更新日期:2008-03-01 00:00:00

  • Misconception as a barrier to teaching about disasters.

    abstract:INTRODUCTION:This paper is a report on an exercise designed to reveal the extent of belief in the common myths about disasters held by members of four groups of students from the University of Massachusetts and three groups of trainee emergency workers from Italy. METHODS:A questionnaire was administered in which stud...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00004441

    authors: Alexander DE

    更新日期:2007-03-01 00:00:00

  • Are race, age, gender, and insurance status determinants in interhospital helicopter transport time and frequency?

    abstract:OBJECTIVE:To examine the effects of age, race, gender, and insurance status on utilization and times-to-transport (TTT) for interhospital air medical transfers from rural hospitals to tertiary care centers. DESIGN:A retrospective review of interhospital transport records. The TTT was examined as a function of age, ge...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00040565

    authors: Furlong BR,Heller MB,Auble TE

    更新日期:1993-10-01 00:00:00

  • Survey of medical services at major league baseball stadiums.

    abstract:OBJECTIVE:To analyze the availability and level of medical services for fans at major league baseball games in the United States. METHODS:A 10-item questionnaire was sent to the operations managers of each of 28 major league baseball stadiums. The survey was distributed in cooperation with a major league baseball club...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00042151

    authors: Ma OJ,Pirrallo RG,Rubin JM

    更新日期:1995-10-01 00:00:00

  • The Forgotten Responders: The Ongoing Impact of 9/11 on the Ground Zero Recovery Workers.

    abstract::In the years following the September 11, 2001 terrorist attacks (9/11; New York USA), emergency first responders began experiencing a range of physical health and psychosocial impacts. Publications documenting these tended to focus on firefighters, while emerging reports are starting to focus on other first responders...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1800064X

    authors: Smith EC,Burkle FM

    更新日期:2018-08-01 00:00:00

  • Prehospital Naloxone Administration as a Public Health Surveillance Tool: A Retrospective Validation Study.

    abstract:BACKGROUND:Abuse or unintended overdose (OD) of opiates and heroin may result in prehospital and emergency department (ED) care. Prehospital naloxone use has been suggested as a surrogate marker of community opiate ODs. The study objective was to verify externally whether prehospital naloxone use is a surrogate marker ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004793

    authors: Lindstrom HA,Clemency BM,Snyder R,Consiglio JD,May PR,Moscati RM

    更新日期:2015-08-01 00:00:00

  • Diagnosis according to time of arrival at "The Great New York State Fair".

    abstract:OBJECTIVE:To study the diagnoses of patients presenting to a medical facility within a mass-gathering public event, "The Great New York State Fair" (NYSF) based on chief complaints, diagnoses, and time of arrival. The goal of the study was to assess the need for increased staffing, services, or supplies during certain ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X13009187

    authors: Nacca K,Scott J,Grant W

    更新日期:2014-02-01 00:00:00

  • Balancing between closeness and distance: emergency medical services personnel's experiences of caring for families at out-of-hospital cardiac arrest and sudden death.

    abstract:INTRODUCTION:Out-of-hospital cardiac arrest (OHCA) is a lethal health problem that affects between 236,000 and 325,000 people in the United States each year. As resuscitation attempts are unsuccessful in 70-98% of OHCA cases, Emergency Medical Services (EMS) personnel often face the needs of bereaved family members. P...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000167

    authors: Bremer A,Dahlberg K,Sandman L

    更新日期:2012-02-01 00:00:00

  • Post-war Kosovo: Part 3. Development and rehabilitation of emergency services.

    abstract::The recent crisis in Kosovo led to nearly complete destruction of a healthcare system serving the needs of approximately 2 million people. Even prior to the crisis, the pre-existing healthcare system had inadequate provisions for the delivery of Emergency Medical Services. More than 440 diverse governmental and non-go...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00043429

    authors: Lis J,Eliades MJ,Benishi D,Koci B,Gettle D,VanRooyen MJ

    更新日期:2001-10-01 00:00:00

  • February 2009 airplane crash at Amsterdam Schiphol Airport: an overview of injuries and patient distribution.

    abstract:OBJECTIVE:The objective of this study was to describe the injuries and distribution of casualties resulting from the crash of Turkish Airlines flight TK 1951 near Schiphol Airport in the Netherlands on 25 of February 2009. METHODS:This was a retrospective, descriptive study. Based on a review of the hospital records f...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X11006467

    authors: Postma IL,Winkelhagen J,Bloemers FW,Heetveld MJ,Bijlsma TS,Goslings JC,MOTAC study group.

    更新日期:2011-08-01 00:00:00

  • Moral experience of Canadian healthcare professionals in humanitarian work.

    abstract:INTRODUCTION:Expatriate healthcare professionals frequently participate in international relief operations that are initiated in response to disasters due to natural hazards or humanitarian emergencies in low resource settings. This practice environment is significantly different from the healthcare delivery environmen...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00007445

    authors: Hunt MR

    更新日期:2009-11-01 00:00:00

  • Impact of Early Vasopressor Administration on Neurological Outcomes after Prolonged Out-of-Hospital Cardiac Arrest.

    abstract::Introduction Vasopressors are associated with return of spontaneous circulation (ROSC), but no long-term benefit has been demonstrated in randomized trials. However, these trials did not control for the timing of vasopressor administration which may influence outcomes. Consequently, the objective of this study was to ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17000115

    authors: Hubble MW,Tyson C

    更新日期:2017-06-01 00:00:00

  • Spinal Immobilization in Disasters: A Systematic Review.

    abstract::In response to the International Liaison Committee on Resuscitation (ILCOR; Niel, Belgium) release of an updated recommendation related to out-of-hospital spinal immobilization (SI) practice in 2015, a systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20000680

    authors: Cuthbertson JL,Weinstein ES

    更新日期:2020-08-01 00:00:00

  • Understanding barriers to emergency care in low-income countries: view from the front line.

    abstract:INTRODUCTION:Morbidity and mortality due to acute but treatable conditions remain high in the developing world, as many significant barriers exist to providing emergency medical care. This study investigates these barriers in a rural region of Ethiopia. HYPOTHESIS:The limited capacity of frontline healthcare workers t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00005240

    authors: Levine AC,Presser DZ,Rosborough S,Ghebreyesus TA,Davis MA

    更新日期:2007-09-01 00:00:00

  • Poison control centers' role in glow product-related outbreak detection: implications for comprehensive surveillance system.

    abstract:INTRODUCTION:The development of syndromic surveillance systems to detect bioterrorist attacks and emerging infectious diseases has become an important and challenging goal to many governmental agencies and healthcare authorities. This study utilized the sharp increase of glow product-related calls to demonstrate the ut...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00006567

    authors: Chu AF,Marcus SM,Ruck B

    更新日期:2009-01-01 00:00:00

  • Reasons prehospital personnel do not administer aspirin to all patients complaining of chest pain.

    abstract:INTRODUCTION:Aspirin is administered to patients with acute coronary syndromes (ACSs), but prehospital providers do not administer aspirin to all patients with chest pain that could be secondary to an ACS. OBJECTIVE:To identify reasons prehospital providers fail to administer aspirin to all patients complaining of che...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003435

    authors: Hooker EA,Benoit T,Price TG

    更新日期:2006-03-01 00:00:00

  • Training healthcare personnel for mass-casualty incidents in a virtual emergency department: VED II.

    abstract:INTRODUCTION:Training emergency personnel on the clinical management of a mass-casualty incident (MCI) with prior chemical, biological, radioactive, nuclear, or explosives (CBRNE) -exposed patients is a component of hospital preparedness procedures. OBJECTIVE:The objective of this research was to determine whether a V...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00008505

    authors: Heinrichs WL,Youngblood P,Harter P,Kusumoto L,Dev P

    更新日期:2010-09-01 00:00:00

  • Enhancing the quality of humanitarian assistance: taking stock and future initiatives.

    abstract::During the last five years, the debate on the performance of humanitarian assistance has intensified. The motivation to "do better" has come both from within the humanitarian agencies as well as from pressure exerted by the donors and the media. Paradoxically, until now, the voice of those who are to benefit from this...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00043326

    authors: Griekspoor A,Sondorp E

    更新日期:2001-10-01 00:00:00

  • An Overview of Chicago (Illinois USA) Marathon Prehospital Care Demographics, Patient Care Operations, and Injury Patterns.

    abstract:INTRODUCTION:Large-scale mass-sporting events are increasingly requiring greater prehospital event planning and preparation to address inherent event-associated medical conditions in addition to incidents that may be unexpected. The Bank of America Chicago Marathon (Chicago, Illinois USA) is one of the largest marathon...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X19004345

    authors: Chan JL,Constantinou V,Fokas J,Van Deusen Phillips S,Chiampas G

    更新日期:2019-06-01 00:00:00

  • Minimum data set for mass-gathering health research and evaluation: a discussion paper.

    abstract::This paper discusses the need for consistency in mass-gathering data collection and biomedical reporting. Mass gatherings occur frequently throughout the world, and having an understanding of the complexities of mass gatherings is important to inform health services about the possible required health resources. Factor...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12001288

    authors: Ranse J,Hutton A

    更新日期:2012-12-01 00:00:00

  • The efficacy of integrating "smart simulated casualties" in hospital disaster drills.

    abstract:INTRODUCTION:Full-scale disaster drills are complex, expensive, and may involve hundreds or thousands of people. However, even when carefully planned, they often fail to manifest the details of medical care given to the casualties during the drill. OBJECTIVE:To assess the feasibility of integrating physicians among th...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Gofrit ON,Leibovici D,Shemer J,Henig A,Shapira SC

    更新日期:1997-04-01 00:00:00

  • Airway Clearance Using Suction Devices in Prehospital Combat Casualty Care: A Systematic Review.

    abstract::Airway management is at the forefront for combat medics dealing with battlefield trauma. For military service members, compromised airways are the second leading cause of potentially survivable death on the battlefield, accounting for one in ten preventable combat deaths. Effective suction is a critical component of a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001065

    authors: Jain P,Akhter F,Schoppe A,Hood RL,De Lorenzo RA

    更新日期:2020-12-01 00:00:00

  • Outcomes of a Provincial Myocardial Infarction Reperfusion Strategy: A Population-Based, Retrospective Cohort Study.

    abstract:BACKGROUND:Fibrinolysis is an acceptable treatment for acute ST-segment elevation myocardial infarction (STEMI) when primary percutaneous coronary intervention (PCI) cannot be performed within 120 minutes. The American Heart Association has recommended Emergency Medical Services (EMS) interventions such as prehospital ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20000801

    authors: Cook J,Carter A,Goldstein J,Travers A,Brown R,Swain J,Jensen J,Matheson K,Cain E,Lee T

    更新日期:2020-10-01 00:00:00

  • ECMO Transport without Physicians or Additional Clinicians.

    abstract:BACKGROUND:Extracorporeal membrane oxygenation (ECMO) has accelerated rapidly for patients in severe cardiac or respiratory failure. As a result, ECMO networks are being developed across the world using a "hub and spoke" model. Current guidelines call for all patients transported on ECMO to be accompanied by a physicia...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001272

    authors: Condella A,Richards JB,Frakes MA,Grant CJ,Cohen JE,Wilcox SR

    更新日期:2021-02-01 00:00:00

  • Fluid therapy in pediatric victims of the 2003 bam, Iran earthquake.

    abstract:INTRODUCTION:On 26 December 2003, at 05:26 hours, an earthquake of magnitude 6.6 (Richter scale) caused a disaster in the Bam region of Southeastern Iran, which had a population of approximately 102,000. In this study, the clinical and laboratory features and therapeutic interventions in pediatric (three months to 14 y...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00007305

    authors: Sanadgol H,Najafi I,Rajabi Vahid M,Hosseini M,Ghafari A

    更新日期:2009-09-01 00:00:00

  • Evacuation Preparedness in the Event of Fire in Intensive Care Units in Sweden: More is Needed.

    abstract::Introduction Hospitals, including intensive care units (ICUs), can be subject to threat from fire and require urgent evacuation. Hypothesis The hypothesis was that the current preparedness for ICU evacuation for fire in the national public hospital system in a wealthy country was very good, using Sweden as model. MET...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17000152

    authors: Löfqvist E,Oskarsson Å,Brändström H,Vuorio A,Haney M

    更新日期:2017-06-01 00:00:00

  • An analysis of prehospital mortality in an earthquake. Disaster Reanimatology Study Group.

    abstract:INTRODUCTION:Anecdotal observations about prehospital emergency medical care in major natural and human-made disasters, such as earthquakes, have suggested that some injured victims survive the initial impact, but eventually die because of a delay in the application of life-saving medical therapy. METHODS:A multidisci...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00041005

    authors: Pretto EA,Angus DC,Abrams JI,Shen B,Bissell R,Ruiz Castro VM,Sawyers R,Watoh Y,Ceciliano N,Ricci E

    更新日期:1994-04-01 00:00:00

  • Emergency medical services liability litigation in the United States: 1987 to 1992.

    abstract:INTRODUCTION:Although emergency medical services (EMS) liability litigation is a concern of many prehospital health care providers, there have been no studies of these legal cases nationwide and no local case studies since 1987. METHODS:A retrospective case series was obtained from a computerized database of trial cou...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x0004142x

    authors: Morgan DL,Wainscott MP,Knowles HC

    更新日期:1994-10-01 00:00:00