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Related Experiment Videos

How and why do you declare a major incident?

Colin John Smart¹, Ian Maconochie

¹TSG Associates Ltd, Leeds, West Yorkshire, England. colin@smartmci.com

Prehospital and Disaster Medicine

|May 22, 2008

Summary

Specialists

Area of Science:

Emergency Medicine
Disaster Management
Public Health Policy

Background:

Declaring a major incident (MI) is critical but challenging.
Delays in MI declaration can have severe consequences.
Understanding specialist decision-making factors is crucial for effective emergency response.

Purpose of the Study:

To identify factors influencing UK specialists' decisions to declare a major incident (MI) based on visual scene assessment.
To explore how professional background impacts MI declaration decisions.
To analyze the influence of prior experience and training on MI declaration.

Main Methods:

178 UK professionals from various backgrounds participated.
Participants visually assessed three distinct incident scenarios (road traffic, coach rollover, rail crash).

Related Experiment Videos

Responses regarding MI declaration were recorded and analyzed.

Main Results:

MI declaration rates varied by scenario: 57% for road traffic, 46% for coach rollover, and 87% for rail crash.
Professionals with prior MI experience declared MIs more frequently (54-96%).
Emergency service professionals with 10+ years of service were more likely to declare MIs in complex scenarios.

Conclusions:

The subjective interpretation of "major" poses a significant challenge in current MI declaration systems.
Individual factors heavily influence specialists' decisions.
Future systems should incorporate more objective analysis to standardize MI declarations.