Loma Linda University Health, Department of Emergency Medicine, Loma Linda, California.
Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California.
West J Emerg Med. 2020 Feb 24;21(2):382-390. doi: 10.5811/westjem.2019.11.43437.
Emergency departments (ED) are on the front line for treating victims of multi-casualty incidents. The primary objective of this study was to gather and detail the common experiences from those hospital-based health professionals directly involved in the response to the San Bernardino terrorism attack on December 2, 2015. Secondary objectives included gathering information on experiences participants found were best practices.
We undertook a qualitative study using Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines by performing semi-structured interviews with physicians, nurses, and incident management staff from multiple institutions responding to the San Bernardino terrorist attack. We coded transcripts using qualitative analysis techniques and we delineated and agreed upon a refined list with code definitions using a negotiated group process. Final themes were developed and analyzed.
A total of 26 interviews were completed; 1172 excerpts were coded and categorized into 66 initial themes. Six final categories of communication, training, unexpected help, process bypassed, personal impact/emotions, and practical advice resulted.
Our study provides context regarding the response of healthcare personnel from multiple institutions to a singular terrorist attack in the United States. It elucidates several themes to help other institutions prepare for similar events. Understanding these common experiences provides opportunity to prepare for future incidents and develop questions to study in future events.
急诊科（ED）是治疗多人伤亡事件受害者的第一线。本研究的主要目的是收集并详细说明直接参与应对 2015 年 12 月 2 日圣贝纳迪诺恐怖袭击的医院卫生专业人员的常见经验。次要目标包括收集有关参与者认为是最佳实践的经验信息。
我们使用统一的定性研究报告标准（COREQ）指南进行了一项定性研究，对来自多个机构的医生、护士和事件管理人员进行了半结构化访谈，这些机构对圣贝纳迪诺恐怖袭击做出了反应。我们使用定性分析技术对转录本进行编码，并使用协商一致的小组过程划定并商定了一份带有代码定义的精炼清单。最后开发和分析了主题。
共完成 26 次访谈；对 1172 个摘录进行了编码和分类，分为 66 个初始主题。最终得出了 6 个类别，分别是沟通、培训、意外帮助、绕过流程、个人影响/情绪和实用建议。
我们的研究提供了有关来自多个机构的医疗保健人员对美国单一恐怖袭击事件的反应情况。它阐明了几个主题，以帮助其他机构为类似事件做好准备。了解这些常见经验为未来事件的准备和开发问题提供了机会，以在未来的事件中进行研究。
