Katz-Dana Hadas, Shiri Rotem, Netzer Eran, Dana Elad, Fayyaz Jabeen, Rosenbloom Ehud
Pediatric Emergency Medicine, Meir Medical Center, Kfar Saba, ISR.
Clalit Health Services, Simultech Center for Medical Simulation, Kfar Saba, ISR.
Cureus. 2025 Aug 26;17(8):e91025. doi: 10.7759/cureus.91025. eCollection 2025 Aug.
Mass casualty events (MCEs) pose significant challenges, especially for hospitals serving remote populations. The increasing threat of modern terrorism underscores the importance of robust emergency preparedness. Simulation-based education (SBE) is an effective training approach to identify and address improvement areas. In October 2023, an urgent need arose to prepare a rural hospital in southern Israel for potential MCEs.
A simulation-based training program was developed for the hospital, focusing on trauma procedures, individual patient care, and team-based MCE drills. The training was implemented in three phases, addressing communication, procedural challenges, and operational/logistical gaps. Each simulation concluded with a debriefing session, followed by an after-action report and an improvement plan.
Eighty healthcare providers participated in the training. The simulations revealed significant gaps in trauma procedural skills, communication, and logistical protocols. As a result, the hospital's preparedness was significantly enhanced, with key improvements in coordination and operational readiness for potential disasters."
Targeted SBE disaster preparedness programs in rural hospitals can improve trauma skills and MCE management while identifying latent safety threats. Continued investment in SBE is recommended to strengthen emergency response capabilities in similar settings.
大规模伤亡事件（MCEs）带来了重大挑战，特别是对于服务偏远地区人群的医院而言。现代恐怖主义威胁的不断增加凸显了强大应急准备工作的重要性。基于模拟的教育（SBE）是一种有效的培训方法，可用于识别和解决改进领域。2023年10月，以色列南部一家农村医院迫切需要为潜在的大规模伤亡事件做好准备。
为该医院制定了一个基于模拟的培训计划，重点关注创伤程序、个体患者护理以及基于团队的大规模伤亡事件演练。培训分三个阶段实施，分别解决沟通、程序挑战以及运营/后勤方面的差距。每次模拟结束后都进行一次汇报会，随后生成一份行动后报告和一份改进计划。
80名医护人员参加了培训。模拟显示在创伤程序技能、沟通和后勤规程方面存在重大差距。结果，该医院的准备工作得到显著加强，在协调和应对潜在灾难的运营准备方面有了关键改进。
农村医院针对性的基于模拟的应急准备计划可以提高创伤技能和大规模伤亡事件管理能力，同时识别潜在的安全威胁。建议持续投资基于模拟的教育，以加强类似环境下的应急响应能力。
