Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event

Abstract Background Large-scale burn disasters can produce casualties that threaten medical care systems. This study proposes a new approach for developing hospital readiness and preparedness plan for these challenging beyond-surge-capacity events. Methods The Formosa Fun Coast Dust Explosion (FFCDE...

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Autores principales:	Sheuwen Chuang, David D. Woods, Morgan Reynolds, Hsien-Wei Ting, Asher Balkin, Chin-Wang Hsu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Mass casualty incident Formosa Fun Coast Dust Explosion Preparedness plan Emergency medical service Surge capacity Burn disaster Surgery RD1-811 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/1e1853567a3a4005a62025e9b8471877
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spelling	oai:doaj.org-article:1e1853567a3a4005a62025e9b84718772021-12-05T12:24:16ZRethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event10.1186/s13017-021-00403-x1749-7922https://doaj.org/article/1e1853567a3a4005a62025e9b84718772021-11-01T00:00:00Zhttps://doi.org/10.1186/s13017-021-00403-xhttps://doaj.org/toc/1749-7922Abstract Background Large-scale burn disasters can produce casualties that threaten medical care systems. This study proposes a new approach for developing hospital readiness and preparedness plan for these challenging beyond-surge-capacity events. Methods The Formosa Fun Coast Dust Explosion (FFCDE) was studied. Data collection consisted of in-depth interviews with clinicians from four initial receiving hospitals and their relevant hospital records. A detailed timeline of patient flow and emergency department (ED) workload changes of individual hospitals were examined to build the EDs' overload patterns. Data analysis of the multiple hospitals' responses involved chronological process-tracing analysis, synthesis, and comparison analysis in developing an integrated adaptations framework. Results A four-level ED overload pattern was constructed. It provided a synthesis of specifics on patient load changes and the process by which hospitals' surge capacity was overwhelmed over time. Correspondingly, an integrated 19 adaptations framework presenting holistic interrelations between adaptations was developed. Hospitals can utilize the overload patterns and overload metrics to design new scenarios with diverse demands for surge capacity. The framework can serve as an auxiliary tool for directive planning and cross-check to address the insufficiencies of preparedness plans. Conclusions The study examined a wide-range spectrum of emergency care responses to the FFCDE. It indicated that solely depending on policies or guidelines for preparedness plans did not contribute real readiness to MCIs. Hospitals can use the study's findings and proposal to rethink preparedness planning for the future beyond surge capacity events.Sheuwen ChuangDavid D. WoodsMorgan ReynoldsHsien-Wei TingAsher BalkinChin-Wang HsuBMCarticleMass casualty incidentFormosa Fun Coast Dust ExplosionPreparedness planEmergency medical serviceSurge capacityBurn disasterSurgeryRD1-811Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENWorld Journal of Emergency Surgery, Vol 16, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mass casualty incident Formosa Fun Coast Dust Explosion Preparedness plan Emergency medical service Surge capacity Burn disaster Surgery RD1-811 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Mass casualty incident Formosa Fun Coast Dust Explosion Preparedness plan Emergency medical service Surge capacity Burn disaster Surgery RD1-811 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Sheuwen Chuang David D. Woods Morgan Reynolds Hsien-Wei Ting Asher Balkin Chin-Wang Hsu Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event
description	Abstract Background Large-scale burn disasters can produce casualties that threaten medical care systems. This study proposes a new approach for developing hospital readiness and preparedness plan for these challenging beyond-surge-capacity events. Methods The Formosa Fun Coast Dust Explosion (FFCDE) was studied. Data collection consisted of in-depth interviews with clinicians from four initial receiving hospitals and their relevant hospital records. A detailed timeline of patient flow and emergency department (ED) workload changes of individual hospitals were examined to build the EDs' overload patterns. Data analysis of the multiple hospitals' responses involved chronological process-tracing analysis, synthesis, and comparison analysis in developing an integrated adaptations framework. Results A four-level ED overload pattern was constructed. It provided a synthesis of specifics on patient load changes and the process by which hospitals' surge capacity was overwhelmed over time. Correspondingly, an integrated 19 adaptations framework presenting holistic interrelations between adaptations was developed. Hospitals can utilize the overload patterns and overload metrics to design new scenarios with diverse demands for surge capacity. The framework can serve as an auxiliary tool for directive planning and cross-check to address the insufficiencies of preparedness plans. Conclusions The study examined a wide-range spectrum of emergency care responses to the FFCDE. It indicated that solely depending on policies or guidelines for preparedness plans did not contribute real readiness to MCIs. Hospitals can use the study's findings and proposal to rethink preparedness planning for the future beyond surge capacity events.
format	article
author	Sheuwen Chuang David D. Woods Morgan Reynolds Hsien-Wei Ting Asher Balkin Chin-Wang Hsu
author_facet	Sheuwen Chuang David D. Woods Morgan Reynolds Hsien-Wei Ting Asher Balkin Chin-Wang Hsu
author_sort	Sheuwen Chuang
title	Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event
title_short	Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event
title_full	Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event
title_fullStr	Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event
title_full_unstemmed	Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event
title_sort	rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1e1853567a3a4005a62025e9b8471877
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Rethinking preparedness planning in disaster emergency care: lessons from a beyond-surge-capacity event

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