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A multiple casualty incident clinical tracking form for civilian hospitals
Spiros G Frangos1, Marko Bukur1, Cherisse Berry1
1Department of Surgery, NYU School of Medicine, New York City Health and Hospitals/Bellevue, New York City, New York.
Background:
While mass-casualty incidents (MCIs) may have competing absolute definitions, a universally accepted criterion is one that strains locally available resources. In the fall of 2017, a MCI occurred in New York and Bellevue Hospi-tal received multiple injured patients within minutes; lessons learned included the need for a formalized, efficient patient and injury tracking system. Our objective was to create an organized MCI clinical tracking form for civilian trauma centers.
Methods:
After the MCI, the notes of the surgeon responsible for directing patient triage were analyzed. A suc-cinct, organized template was created that allows MCI directors to track demographics, injuries, interventions, and other important information for hmultiple patients in a real-time fashion. This tool was piloted during a subsequent MCI.
Results:
In late 2018, the hospital received six patients following another MCI. They arrived within a 4-minute window, with 5 patients being critically injured. Two emergent surgeries and angioembolizations were performed. The tool was used by the MCI director to prioritize and expedite care. All physicians agreed that the tool assisted in organizing diagnostic and therapeutic triage.
Conclusions:
During MCIs, a streamlined patient tracking template assists with information recall and communica-tion between providers and may allow for expedited care.
Insights
A new patient tracking tool for mass-casualty incidents (MCIs) helps organize critical information, improving real-time patient management and communication among healthcare providers during emergencies.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Healthcare Informatics
Background:
- Mass-casualty incidents (MCIs) strain local resources, necessitating efficient patient management systems.
- Lessons from a 2017 MCI highlighted the need for a formalized patient and injury tracking system.
- Civilian trauma centers require organized tools for managing mass casualty events.
Purpose of the Study:
- To develop an organized clinical tracking form for mass-casualty incidents (MCIs) in civilian trauma centers.
- To create a real-time system for tracking patient demographics, injuries, and interventions during MCIs.
Main Methods:
- Analysis of surgeon's notes from a previous MCI to inform template design.
- Development of a succinct, organized template for MCI directors.
- Piloting the tracking tool during a subsequent mass-casualty incident.
Main Results:
- The tool was utilized during a 2018 MCI involving six patients, five critically injured.
- The system aided in prioritizing and expediting care, including emergent surgeries.
- Physicians confirmed the tool's effectiveness in organizing diagnostic and therapeutic triage.
Conclusions:
- Streamlined patient tracking templates enhance information recall and communication during MCIs.
- Effective tracking systems can potentially expedite patient care in mass-casualty events.
- Standardized tools are crucial for managing high-patient-volume emergencies in trauma centers.
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