Hospital Surge Capacity during Expo 2015 in Milano, Italy

Prehospital and Disaster Medicine
Roberto FaccincaniPierluigi Ingrassia

Abstract

IntroductionHospital Acute Care Surge Capacity (HACSC), Hospital Acute Care Surge Threshold (HACST), and Total Hospital Capacity (THC) are scales that were developed to quantify surge capacity in the event of a multiple-casualty incident (MCI). These scales take into consideration the need for adequate care for both critical (T1) and moderate (T2) trauma patients. The objective of this study was to verify the validity of these scales in nine hospitals of the Milano (Italy) metropolitan area that prepared for a possible MCI during EXPO 2015. Both HACSC and HACST were computed for individual hospitals. These were compared to surge capacities declared by individual hospitals during EXPO 2015, and also to surge capacity evaluated during a simulation organized on August 23, 2016. Both HACSC and HACST were smaller compared to capacities measured and reported by the hospitals, as well as those found during the simulation. This resulted in significant differences in THC when this was computed from the different methods of calculation. Surge capacity is dependent on the method of measurement. Each method has its inherent deficiencies. Until more reliable methodologies are developed, there is a benefit to analyze surge capacity using sev...Continue Reading

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Citations

Jan 25, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Itamar AshkenaziFernando Turégano Fuentes
Feb 16, 2021·Disaster Medicine and Public Health Preparedness·Roberto FaccincaniRoberto Fumagalli
May 13, 2021·Disaster Medicine and Public Health Preparedness·Paolo TruccoRoberto Faccincani
Jun 12, 2021·Disaster Medicine and Public Health Preparedness·Roberto FaccincaniEric S Weinstein

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