Non-medical aspects of civilian–military collaboration in management of major incidents
| Autor: | P. Rotter, A. Berner, Eric Carlström, Amir Khorram-Manesh, Hans Lönroth, Margareta Wilhelmsson, J. Aremyr, A. Nero Andersson |
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| Rok vydání: | 2017 |
| Předmět: |
Poison control
Disaster Planning ComputerApplications_COMPUTERSINOTHERSYSTEMS Context (language use) Critical Care and Intensive Care Medicine Computer security computer.software_genre Civilian–military Trauma Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach Health care Humans Mass Casualty Incidents Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Intersectoral Collaboration Exercise Sweden business.industry Human factors and ergonomics 030208 emergency & critical care medicine Public relations Collaboration Patient Simulation Military Personnel Terrorism Emergency Medicine Original Article Surgery business computer Simulation |
| Zdroj: | European Journal of Trauma and Emergency Surgery |
| ISSN: | 1863-9941 1863-9933 |
| Popis: | Purpose Disasters and major incidents demand a multidisciplinary management. Recent experiences from terrorist attacks worldwide have resulted in a search for better assessment of the needs, resources, and knowledge in the medical and non-medical management of these incidents and also actualized the need for collaboration between civilian and military healthcare. The aim of this study was to evaluate the impact of the civilian–military collaboration in a Swedish context with the main focus on its non-medical management. Method An exercise, simulating a foreign military attack centrally on Swedish soil, was designed, initiated, and conducted by a team consisting of civilian and military staff. Data were collected prospectively and evaluated by an expert team. Results Specific practical and technical issues were presented in collaboration between civilian and military staffs. In addition, shortcomings in decision-making, follow-up, communication, and collaboration due to prominent lack of training and exercising the tasks and positions in all managerial levels of the hospital were identified. Conclusion Current social and political unrests and terror attacks worldwide necessitate civilian–military collaboration. Such collaboration, however, needs to be synchronized and adjusted to avoid preventable medical and non-medical consequences. Simulation exercises might be one important source to improve such collaboration. |
| Databáze: | OpenAIRE |
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