Evaluation of admissions to the Major Incident Hospital based on a standardized protocol.
Introduction: The Major Incident Hospital (MIH) is a unique facility strictly reserved to provide immediate large-scale emergency care for victims of disasters and major incidents. We evaluated the implemented organization to identify strengths and weaknesses , and provide knowledge essential for fu...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 37; no. 1; pp. 19 - 30 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104815650&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104815650 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Feb2011 vid: 37 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104815650 58132803 10.1007/s00068-010-0067-0 104815650 ppf: 19 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Evaluation of admissions to the Major Incident Hospital based on a standardized protocol. aug: au: Marres, G. Eijk, J. Bemelman, M. Leenen, L. affil: Department of Surgery and Trauma, University Medical Centre Utrecht and Central Military Hospital, Utrecht The Netherlands sug: subj: Patient Admission Trauma Centers Human Disasters Mass Casualty Incidents Hospitals, Military Maps Netherlands Descriptive Statistics Disaster Planning ab: Introduction: The Major Incident Hospital (MIH) is a unique facility strictly reserved to provide immediate large-scale emergency care for victims of disasters and major incidents. We evaluated the implemented organization to identify strengths and weaknesses , and provide knowledge essential for further improvement of preparedness. Method: According to the Protocol for Reports from Major accidents and Disasters (PRMD) and along with our five scenarios for activation, we analyzed all the data from evaluation reports of all our deployments since the MIH was founded in 1991. Results: The MIH was able to provide group-wise emergency care to military (29 admissions) as well as civilian victims of major incidents and disasters, both national (260) and international (226). Group-wise treatment was advantageous for quarantine, logistics, registration, emotional support and (pre)arrangements for family, media and security. Strong points are preparedness and availability of a dedicated facility, including ICU, X-ray and OR facilities, irrespective of MRSA status and prearranged cooperation, e.g., with a trauma centre, poison centre and the military. Evaluation, research and training resulted in a barcode registration system and continuous adaptations to improve preparedness. Shortage of resources did not occur; use of the MIH's available resources for national incidents though, could be further optimized. Conclusions: Recommendations for the future are: improvement of imbedding in regional and national procedures, continued dedicated time and staff for training, research and development, improvement of nuclear/biological/chemical decontamination facilities and preparedness, implementation of standardized scoring systems and expansion of registration systems to the prehospital setting. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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