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Updated: Jun 3, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
A framework for physician activity during disasters and surge events.
Jane L Griffiths1, Aurora Estipona, James A Waterson
1University of Western Sydney, Sydney, Australia.
American Journal of Disaster Medicine
|April 7, 2011
Summary
Physician roles during disaster activations were clarified, introducing reverse triage to manage patient surges effectively. This restructuring improved emergency care flow and leadership in a Middle East trauma center.
Area of Science:
- Disaster Medicine
- Emergency Medicine
- Healthcare Management
Background:
- Physician roles during disaster activations require clear definition for effective response.
- A major Middle East trauma center faces frequent disaster activations and consistently exceeds bed capacity.
Purpose of the Study:
- To delineate physician roles during disaster activations for both responders and general physicians.
- To address challenges in role identification, conflict, and training among physicians during emergencies.
Main Methods:
- Review of physician activities during past disaster activations.
- Implementation of training for non-acute teams in reverse triaging.
- Training for responder teams in coordinated emergency care, overseen by a Disaster Control Centre.
Main Results:
- Established clear medical leadership during disaster situations.
- Introduced a reverse triage process, guided by an ethical framework, to manage patient surges.
- Improved patient flow through the emergency room (ER) and operating rooms (OR).
Conclusions:
- Reverse triage is feasible in the Middle East, even with limited primary healthcare infrastructure.
- Restructured responder teams offer potential applications for prehospital care deployment.
- Further development of audit tools is necessary to measure improvements in disaster response.
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