Systematic reporting to improve the emergency medical response to major incidents: A pilot study
dc.contributor.author | Hardy, Sophie | |
dc.contributor.author | Fattah, Sabina | |
dc.contributor.author | Wisborg, Torben | |
dc.contributor.author | Raatiniemi, Lasse | |
dc.contributor.author | Staff, Trine | |
dc.contributor.author | Rehn, Marius | |
dc.date.accessioned | 2019-01-16T14:19:28Z | |
dc.date.accessioned | 2019-02-15T09:08:13Z | |
dc.date.accessioned | 2021-04-27T09:16:11Z | |
dc.date.available | 2019-01-16T14:19:28Z | |
dc.date.available | 2019-02-15T09:08:13Z | |
dc.date.available | 2021-04-27T09:16:11Z | |
dc.date.issued | 2018-01-24 | |
dc.identifier.citation | Hardy S, Fattah S, Wisborg TW, Raatiniemi L, Staff T, Rehn M. Systematic reporting to improve the emergency medical response to major incidents: A pilot study. BMC Emergency Medicine. 2018;18:4:1-7 | en |
dc.identifier.issn | 1471-227X | |
dc.identifier.issn | 1471-227X | |
dc.identifier.uri | https://hdl.handle.net/10642/6630 | |
dc.description.abstract | Background: Major incidents affect us globally, and are occurring with increasing frequency. There is still no evidence-based standard regarding the best medical emergency response to major incidents. Currently, reports on major incidents are non-standardised and variable in quality. This pilot study examines the first systematic reports from a consensus-based, freely accessible database, aiming to identify how descriptive analysis of reports submitted to this database can be used to improve the major incident response. Methods: Majorincidentreporting.net is a website collecting reports on major incidents using a standardised template. Data from these reports were analysed to compare the emergency response to each incident. Results: Data from eight reports showed that effective triage by experienced individuals and the use of volunteers for transport were notable successes of the major incident response. Inadequate resources, lack of a common triage system, confusion over command and control and failure of communication were reported failures. The following trends were identified: Fires had the slowest times for several aspects of the response and the only three countries to have a single dialling number for all three emergency services had faster response times. Helicopter Emergency Medical services (HEMS) were used for transport and treatment in rural locations and for triage and treatment in urban locations. In two incidents, a major incident was declared before the arrival of the first Emergency Medical Services (EMS) personnel. Conclusion: This study shows that we can obtain relevant data from major incidents by using systematic reporting. Though the sample size from this pilot study is not large enough to draw any specific conclusions it illustrates the potential for future analyses. Identified lessons could be used to improve the emergency medical response to major incidents. | en |
dc.description.sponsorship | The www.majorincidentreporting.net webpage was sponsored by the Norwegian Air Ambulance. They have also contributed to the financial costs for editing and publishing this paper, but did not play any role in conducting the study. | en |
dc.language.iso | en | en |
dc.publisher | BMC | en |
dc.relation.ispartofseries | BMC Emergency Medicine;18:4 | |
dc.rights | © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Major incidents | en |
dc.subject | Disaster medicines | en |
dc.subject | Uniform reportings | en |
dc.subject | Standardised data | en |
dc.title | Systematic reporting to improve the emergency medical response to major incidents: A pilot study | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-01-16T14:19:28Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | http://dx.doi.org/10.1186/s12873-018-0153-x | |
dc.identifier.cristin | 1592985 | |
dc.source.journal | BMC Emergency Medicine |
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Except where otherwise noted, this item's license is described as © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.