Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care

Autor: Lina Gyllencreutz, Annika Eklund, Annelie Holgersson, Britt-Inger Saveman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
emergency medical care
emergency response
major incidents
mass casualty incident
prehospital care
tunnels
Sociology and Political Science
media_common.quotation_subject
Nursing
Phase (combat)
lcsh:Social Sciences
03 medical and health sciences
0302 clinical medicine
Rettungswesen
rescue services
Emergency medical services
medicine
Quality (business)
030212 general & internal medicine
Unfall
Social sciences
sociology
anthropology
media_common
Service (business)
Sozialwissenschaften
Soziologie
business.industry
Health Policy
Gesundheitsversorgung
Omvårdnad
030208 emergency & critical care medicine
Mass Casualty
accident
medicine.disease
health care
Triage
lcsh:H
Mass-casualty incident
Emergency response
Political Science and International Relations
ddc:300
Gesundheitspolitik
Medical emergency
business
Law
Safety Research
Zdroj: Journal of Human Security, Vol 16, Iss 1, Pp 3-15 (2020)
Journal of Human Security
ISSN: 1835-3800
Popis: Responding to mass casualty incidents in a tunnel environment is problematic not least from a prehospital emergency medical services (EMS) perspective. The aim of this review was to 1) categorize preconditions for emergency response in tunnel environments based on Haddon’s matrix and 2) identify specific EMS knowledge of providing prehospital care. Twenty eight articles, reports and book chapters were selected for further analysis. Firstly, sorting the data from each included article was done according to Haddon’s matrix. The result covers human factors, technical factors, physical environmental factors and socioeconomic environmental factors all related to preconditions for emergency response. To describe the EMS’s knowledge the data was also sorted according to command and safety, communication, assessment, and triage treatment and transport, also known as CSCATT. Few studies, especially of high quality, actually provide detailed information regarding emergency response to tunnel incidents and those that do, often have a main focus on management by the rescue service. While many incidents studied were caused by fires in tunnels, thus requiring rescue service in action, the subsequent EMS response issues that have taken place appear to have been given limited attention. To optimize the survival rates and health of the injured, as well as to provide a safe and effective work environment for the emergency services, there is a need to explore the event phase.
Databáze: OpenAIRE
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