Full-scale simulation exercise—A preparedness for trauma mass casualty incident: Nepal
Keywords:full-scale simulation exercise, mass casualty incident, preparedness, trauma, Nepal
Objective: This simulation exercise was conducted to test the functionality of the hospital incident command system, triage, treatment areas, and external coordination and communication.
Design: This was an observational study. Coordination, logistic, technical design, staging, and evaluation of the exercise were planned for the exercise. The exercise was conducted in six hospitals. Observations were recorded, and a validated checklist was used to score.
Setting: This was a semisurprise exercise in the hospital setup.
Participants: Simulated patients and moulage were used for the exercise.
Intervention: Full-scale simulation exercise.
Main outcome: Gaps in knowledge and skills were identified in the running incident command center, skills of patient transferal from ambulance to triage area, and external coordination.
Result: Out of a total score of 220 in the evaluation sheet, the mean score was 161 ± 3.2 (73.2 percent) and the median score was 161.5.
Conclusion: Hospital incident command system, triaging, and patient transferal are the areas that can be improved in the future.
Dhakal S: Disaster in Nepal. 2015. Available at https://www.researchgate.net/profile/Subodh-Dhakal/publication/303389994_Disasters_in_Nepal/links/57404a5008ae9f741b32c616/Disasters-in-Nepal.pdf. Accessed October 12, 2021.
Dube SK: Earthquake in Nepal: A miserable environmental hazard visited by nature. Acad Voices. 2016; 5: 56-66.
Thakur VC: Active tectonics of Himalayan frontal fault system. Int J Earth Sci (Geol Rundsch). 2013; 102(7): 1791-1810.
Hub and Satellite Network: Ministry of Health and Population, Government of Nepal. Available at https://heoc.mohp.gov.np/map/. Accessed April 17, 2022.
Chiaro G, Kiyota T, Pokhrel RM, et al.: Reconnaissance report on geotechnical and structural damage caused by the 2015 Gorkha earthquake, Nepal. Soils Found. 2015; 55(5): 1030-1043.
Nepal Government: Disaster Risk Reduction and Management Act, 2074. 2016. Available at https://bipad.gov.np/uploads/publication_pdf/DRRM_Act_and_Regulation_english.pdf. Accessed October 12, 2021.
WHO: Simulation exercise management, introduction. Available at https://openwho.org/courses/simex/overview. Accessed October 12, 2021.
Elbaih A, Alnasser S: Teaching approach for START triage in disaster management. Med-Science. 2020; 9(4): 1109-1112.
Pan American Health Organization, WHO: Guidelines for developing emergency simulation and drills. 2011. Available at https://www.paho.org/disasters/dmdocuments/SimulationsGuide.pdf. Accessed October 13, 2021.
Farah R, Stiner E, Zohar Z, et al.: Cardiopulmonary resuscitation surprise drills for assessing, improving and maintaining cardiopulmonary resuscitation skills of hospital personnel. Eur J Emerg Med. 2007; 14(6): 332-336.
Sigh J, Singh S: Assessment of emergency preparedness for mass casualty events in government and private hospitals in Nepal. Indian J Prev Soc Med. 2015; 46(1-2): 7.
Shrestha A, Bajracharya S, Phuyal N, et al.: Way forward from the experiences of disaster preparedness and response at Patan Hospital during 2013-2020: Nepal. J Gen Pract Emerg Med Nepal. 2021; 7(10): 50-54.
Shrestha A, Khouli M, Bajracharya S, et al.: Development and implementation of first hospital-based epidemic outbreak management plan: Lessons learned from Nepal. Prehosp Disaster Med. 2019; 34(s1): s56.
Adhikari S, Rijal S, Acharya PK, et al.: Hospital incident command system, the pillar of COVID-19 outbreak response: An experience from Patan Hospital, Nepal. J Patan Acad Health Sci. 2020; 7(1): 80-84.
Shrestha A: Health information and intelligence management: An experience from COVID-19 at Patan Hospital, Nepal. J Patan Acad Health Sci. 2020; 7(1): 66-68.
Gupta S, Shrestha R, Gupta N, et al.: A hospital based study of 2015 earthquake injured patients attending the medical college hospital in Western region of Nepal. J Gandaki Med Coll Nepal. 2018; 10(2): 11-15.
Kafle P, Khanal B, Yadav DK, et al.: Spinal cord injury, clinical profile and its management at tertiary care center in Nepal. J Nobel Med Coll. 2019; 8(1): 16-21.
Adhikari S, Rijal S: Quality improvement of triage accuracy in the emergency department. J Gen Pract Emerg Med Nepal. 2020; 7(9): 6-9.
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