Assessment of hospital disaster plans for conventional mass casualty incidents following terrorist explosions using a live exercise based upon the real data of actual patients

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
I AshkenaziM Michaelson

Abstract

The National Committee for Hospital Preparedness for Conventional Mass Casualty Incidents and the Hospital Preparedness Division of the Home Front Command are in charge of preparing live exercises held yearly in public hospitals in Israel. Our experience is that live exercises are limited in their ability to test clinical decision making and its influence upon incident management. A live exercise was designed upon real patient data and tested in several public hospitals. The aim of the manuscript is to describe the impact of this new format on clinical decision making in large-scale live exercises. A database of histories, physical examination findings, laboratory results and imaging results for 420 patients treated following terrorist explosions was created using information derived from actual patient encounters. Similar information for 100 patients treated following motor vehicle accidents was also collected. Information from the database was used to create victim profiles used during the course of exercises held in eight public hospitals with 60-800-bed capacities. Before implementing the new injury tags, no conclusions could be made concerning the quality of clinical decision making. Conducting the exercise using the new f...Continue Reading

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Citations

Dec 2, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Kay B LeissnerW Scott Beattie
Aug 14, 2019·Transfusion·Erin E TuottJohn R Hess
Feb 16, 2021·International Anesthesiology Clinics·Jeffrey L Tong
Jul 30, 2021·Curēus·Mary E MoranRichard L George
Oct 30, 2021·Disaster Medicine and Public Health Preparedness·Seema BiswasMiklosh Bala

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