Research Program Director-Trauma, Summa Health, Department of Research, Sponsored Programs, and Innovation, Akron, Ohio; Summa Health, Department of Surgery, Division of Trauma, Akron, Ohio. ORCID: https://orcid.org/0000-0001-7130-7892.
Summa Health, Department of Medical Education, Virtual Care Simulation Lab, Akron, Ohio; Northeast Ohio Medical University, Rootstown, Ohio.
J Emerg Manag. 2021 Jul-Aug;19(4):367-377. doi: 10.5055/jem.0542.
The number of mass casualty incidents (MCIs) is increasing. While many healthcare systems have not experienced an MCI, the need for preparedness is ever present. The unique challenges of MCI preparedness require the use of simulation, which has been found to be an effective model for training in medical environments.
To determine common discussion points when a multidisciplinary team designed and implemented in situ MCI simulation drills to enhance our emergency preparedness plan.
This was a retrospective qualitative evaluation of the multidisciplinary mass casualty drill design team's weekly meeting minutes documents. These documents provided insight into the evolution of a mass casualty drill design team and the advancement of our emergency response plan.
Continuous discussions surrounding resource restraints helped to inform the emergence of the three themes, which were "Staff," "Space," and "Stuff." These three themes were further broken down into different subthemes, but there was a continued focus on resource scarcity.
Our results indicate the use of an MCI drill design team and in situ simulations assisted in better understanding of how hospital departments struggled with resource scarcity and provided opportunities to strengthen the emergency preparedness response plan. Incorporating a multidisciplinary mass casualty drill design team helped to ensure different perspectives and department needs were acknowledged and addressed through the in situ simulation trainings.
大规模伤亡事件（MCI）的数量正在增加。尽管许多医疗保健系统尚未经历过 MCI，但对准备工作的需求始终存在。MCI 准备工作的独特挑战需要使用模拟，事实证明，模拟是医学环境中培训的有效模式。
确定多学科团队在设计和实施现场 MCI 模拟演练时的常见讨论要点，以增强我们的应急准备计划。
这是对多学科大规模伤亡演习设计团队每周会议记录的回顾性定性评估。这些文件深入了解了大规模伤亡演习设计团队的发展以及我们应急响应计划的进展。
围绕资源限制的持续讨论有助于形成三个主题，即“人员”、“空间”和“物资”。这三个主题进一步细分为不同的子主题，但始终关注资源稀缺性。
我们的结果表明，使用 MCI 演习设计团队和现场模拟有助于更好地了解医院各部门如何应对资源稀缺，并提供机会加强应急准备响应计划。通过现场模拟培训，纳入多学科大规模伤亡演习设计团队有助于确保不同的观点和部门需求得到认可和解决。
