New strategies for hospitals during mass casualty incidents

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A community's ability to cope with mass casualty incidents (MCIs) is very dependent on the capacity and capability of its hospitals for handling a sudden surge of patients requiring resource-intensive and specialized needs.

In a recent paper published by the Disaster Medicine and Public Health Preparedness journal, authors Mersedeh TariVerdi, Elise Miller-Hooks from George Mason University, and Thomas Kirsch, from National Center for Disaster Medicine and Public Health, presented a whole-hospital simulation model to replicate medical staff, resources and space to investigate hospital responsiveness to MCIs. Using simulation software designed experiments were conducted to measure functionality and impact and transient system behavior. Diversion of patients to alternative facilities and modified triage were also investigated. Several important conclusions were made from these analyses;

1) response capability can depend on patient arrival pattern and injury types. Regional response planning can help a hospital with this. 2) Trauma level I hospitals could provide more space in the Emergency Department and Operating Rooms by increasing the number of beds in an internal general ward, whereas a trauma level III hospital could provide a better response by increasing the capacity of the emergency department.

The suggested strategies for expanding capacities were found to have a superlative effect overall especially when combined.

According to Dr. Kirsch "recent mass-casualty incidents, like the mass shooting in Las Vegas with over 500 casualties, has demonstrated the importance of improving hospital preparedness for these events. Perhaps more important is to use these models to help prepare an entire municipal healthcare system because few individual hospitals can care for more than a couple dozen acutely injured people."

Dr. Miller-Hooks reports that "the George Mason team (TariVerdi and Miller-Hooks) is currently studying the effectiveness of formalized collaboration strategies through which resources, including staff and supplies, can be shared across hospitals. We believe such measures can be crucial to patient welfare in MCIs of such [Las Vegas] magnitude."

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About the Journal

Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. DMPHP is an official journal of the Society for Disaster Medicine and Public Health, Inc. and is produced by Cambridge University Press.

About the Society

The Society for Disaster Medicine and Public Health, Inc. aims to evolve a discipline around disaster medicine and public health. The society's goal is to improve global health security, with the involvement and development of global health professionals and others who are involved in responding to and or managing significant events. The mission of the SDMPH is to advance and promote excellence in education, training and research in disaster medicine and public health for all potential health system responders based on sound educational principles, scientific evidence and best clinical and public health practices.

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Alice O'Donnell
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https://www.cambridge.org/core/journals/disaster-medicine-and-public-health-preparedness/article/strategies-for-improved-hospital-response-to-mass-casualty-incidents/AFA27D8C7A03E987F93BE04CD75FD142

Related Journal Article

http://dx.doi.org/10.1017/dmp.2018.4

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