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Evolution of a mass casualty drill design team: A program evaluation.

Mary E Moran1, Derek Ballas2, Nathan Blecker3

  • 1Research Program Director-Trauma, Summa Health, Department of Research, Sponsored Programs, and Innovation, Akron, Ohio; Summa Health, Department of Surgery, Division of Trauma, Akron, Ohio. ORCID: https://orcid.org/0000-0001-7130-7892.

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Mass casualty incident (MCI) preparedness is crucial. Multidisciplinary teams using in situ simulations identified resource limitations ("Staff," "Space," "Stuff"), enhancing emergency response plans and hospital readiness.

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Area of Science:

  • Emergency Medicine
  • Healthcare Simulation
  • Disaster Preparedness

Background:

  • Increasing frequency of mass casualty incidents (MCIs) necessitates robust healthcare preparedness.
  • Simulation is an effective training model for medical environments facing MCI challenges.

Purpose of the Study:

  • To identify common discussion points during the design and implementation of in situ MCI simulation drills.
  • To enhance the existing emergency preparedness plan through simulation-based training.

Main Methods:

  • Retrospective qualitative evaluation of weekly meeting minutes from a multidisciplinary mass casualty drill design team.
  • Analysis of documents to understand the evolution of the drill design team and emergency response plan.

Main Results:

  • Continuous discussions centered on resource constraints, leading to three emergent themes: "Staff," "Space," and "Stuff."
  • Resource scarcity was a persistent focus across all subthemes identified during drill design.

Conclusions:

  • In situ MCI simulations and a dedicated drill design team improved understanding of hospital resource limitations.
  • Multidisciplinary collaboration in drill design ensured diverse departmental needs were addressed, strengthening the emergency preparedness response plan.