Emergency medical services preparedness in mass casualty incidents: A systematic review.

Q3 Medicine American journal of disaster medicine Pub Date : 2023-12-01 DOI:10.5055/ajdm.0461

Vahid Saadatmand, Milad Ahmadi Marzaleh, Hamid Reza Abbasi, Mahmoud Reza Peyravi, Nasrin Shokrpour

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Abstract

Objective: The role of emergency medical services (EMS) preparedness in mass casualty incidents (MCIs) is crucial. MCIs are increasing worldwide, and EMS must enhance preparedness for them. For this purpose, the main components of EMS preparedness should be identified. This study aimed to describe the components of EMS preparedness in response to MCIs.

Design and setting: This systematic review was conducted based on the Preferred Reporting Item for Systematic Reviews and Meta-analyses guideline. The articles published from January 1970 to February 2022 were searched to discover the main components of EMS preparedness in MCIs. The electronic databases including PubMed, Cochrane Library, Scopus, Science Direct, and ProQuest were searched using predetermined keywords. Ten articles were selected and included in this review.

Results: After reviewing the articles, we identified the components of EMS preparedness in MCIs. Accordingly, 16 main components were extracted and classified into four categories, ie, individual improvement, group improvement, resources, and operations.

Conclusion: MCIs are so complicated that they require adequate prehospital preparedness. This study described the components of EMS preparedness in MCIs. The authorities in EMS will benefit from this framework in planning and responding to MCIs.

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大规模伤亡事件中的紧急医疗服务准备:系统回顾。

目的:紧急医疗服务(EMS)准备在大规模伤亡事件(MCIs)中的作用至关重要。MCIs在世界范围内不断增加，EMS必须加强对它们的准备。为此目的，应确定环境管理体系准备的主要组成部分。本研究旨在描述应对MCIs时EMS准备的组成部分。设计和设置:本系统评价是根据系统评价和荟萃分析指南的首选报告项目进行的。检索1970年1月至2022年2月发表的文章，以发现MCIs EMS准备的主要组成部分。使用预定关键词检索PubMed、Cochrane Library、Scopus、Science Direct、ProQuest等电子数据库。本综述选取了10篇文章。结果:在回顾文章后，我们确定了MCIs中EMS准备的组成部分。据此，提取了16个主要成分，并将其分为个人改进、群体改进、资源和操作四大类。结论:MCIs非常复杂，需要充分的院前准备。本研究描述了MCIs中EMS准备的组成部分。医疗服务管理当局在规划和应对MCIs时将受益于这一框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of disaster medicine Medicine-Medicine (all)

CiteScore

1.10

自引率

0.00%

发文量

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.