{"title":"Full-scale simulation exercise-A preparedness for trauma mass casualty incident: Nepal.","authors":"Ashis Shrestha, Sumana Bajracharya","doi":"10.5055/ajdm.2022.0427","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This simulation exercise was conducted to test the functionality of the hospital incident command system, triage, treatment areas, and external coordination and communication.</p><p><strong>Design: </strong>This was an observational study. Coordination, logistic, technical design, staging, and evaluation of the exercise were planned for the exercise. The exercise was conducted in six hospitals. Observations were recorded, and a validated checklist was used to score.</p><p><strong>Setting: </strong>This was a semisurprise exercise in the hospital setup.</p><p><strong>Participants: </strong>Simulated patients and moulage were used for the exercise.</p><p><strong>Intervention: </strong>Full-scale simulation exercise.</p><p><strong>Main outcome: </strong>Gaps in knowledge and skills were identified in the running incident command center, skills of patient transferal from ambulance to triage area, and external coordination.</p><p><strong>Result: </strong>Out of a total score of 220 in the evaluation sheet, the mean score was 161 ± 3.2 (73.2 percent) and the median score was 161.5.</p><p><strong>Conclusion: </strong>Hospital incident command system, triaging, and patient transferal are the areas that can be improved in the future.</p>","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":"17 2","pages":"131-142"},"PeriodicalIF":0.0000,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of disaster medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5055/ajdm.2022.0427","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This simulation exercise was conducted to test the functionality of the hospital incident command system, triage, treatment areas, and external coordination and communication.
Design: This was an observational study. Coordination, logistic, technical design, staging, and evaluation of the exercise were planned for the exercise. The exercise was conducted in six hospitals. Observations were recorded, and a validated checklist was used to score.
Setting: This was a semisurprise exercise in the hospital setup.
Participants: Simulated patients and moulage were used for the exercise.
Intervention: Full-scale simulation exercise.
Main outcome: Gaps in knowledge and skills were identified in the running incident command center, skills of patient transferal from ambulance to triage area, and external coordination.
Result: Out of a total score of 220 in the evaluation sheet, the mean score was 161 ± 3.2 (73.2 percent) and the median score was 161.5.
Conclusion: Hospital incident command system, triaging, and patient transferal are the areas that can be improved in the future.
期刊介绍：
With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.
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