Biomaterial Database

Full-scale simulation exercise-A preparedness for trauma mass casualty incident: Nepal. 2022

Ashis Shrestha, and Sumana Bajracharya

Department of General Practice and Emergency Medicine, Patan Academy of Health Sciences, Lalitpur, Nepal. ORCID: https://orcid.org/0000-0001-9572-0649.

OBJECTIVE This simulation exercise was conducted to test the functionality of the hospital incident command system, triage, treatment areas, and external coordination and communication. METHODS 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. METHODS This was a semisurprise exercise in the hospital setup. METHODS Simulated patients and moulage were used for the exercise. METHODS Full-scale simulation exercise. RESULTS 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. RESULTS 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. CONCLUSIONS Hospital incident command system, triaging, and patient transferal are the areas that can be improved in the future.

UI	MeSH Term	Description	Entries
D003198	Computer Simulation	Computer-based representation of physical systems and phenomena such as chemical processes.	Computational Modeling,Computational Modelling,Computer Models,In silico Modeling,In silico Models,In silico Simulation,Models, Computer,Computerized Models,Computer Model,Computer Simulations,Computerized Model,In silico Model,Model, Computer,Model, Computerized,Model, In silico,Modeling, Computational,Modeling, In silico,Modelling, Computational,Simulation, Computer,Simulation, In silico,Simulations, Computer
D004189	Disaster Planning	Procedures outlined for the care of casualties and the maintenance of services in disasters.	Disaster Management,Emergency Preparedness,Disaster Relief Planning,Management, Disaster,Planning, Disaster,Planning, Disaster Relief,Preparedness, Emergency,Relief Planning, Disaster
D006761	Hospitals	Institutions with an organized medical staff which provide medical care to patients.	Hospital
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014218	Triage	The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment.	Triages
D054527	Mass Casualty Incidents	Events that overwhelm the resources of local HOSPITALS and health care providers. They are likely to impose a sustained demand for HEALTH SERVICES rather than the short, intense peak customary with smaller scale disasters.	Mass Casualties,Casualties, Mass,Casualty Incident, Mass,Casualty Incidents, Mass,Casualty, Mass,Incident, Mass Casualty,Incidents, Mass Casualty,Mass Casualty,Mass Casualty Incident