Determining surgical surge capacity with a hybrid simulation exercise
BackgroundTo help test and improve surgical surge capacity, mass casualty incident (MCI) exercises generate valuable information. Both large scale table-top exercises (TTX) and full-scale exercises (FSX) have limitations if you want to test an organisation’s capability and structure. A hybrid exerci...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-10-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1157653/full |
| _version_ | 1827793406510759936 |
|---|---|
| author | Magnus Blimark Magnus Blimark Yohan Robinson Yohan Robinson Catharina Jacobson Hans Lönroth Hans Lönroth Kenneth D. Boffard Kenneth D. Boffard Kenneth D. Boffard Kristina Lennquist Montán Kristina Lennquist Montán Ilja Laesser Per Örtenwall Per Örtenwall Per Örtenwall |
| author_facet | Magnus Blimark Magnus Blimark Yohan Robinson Yohan Robinson Catharina Jacobson Hans Lönroth Hans Lönroth Kenneth D. Boffard Kenneth D. Boffard Kenneth D. Boffard Kristina Lennquist Montán Kristina Lennquist Montán Ilja Laesser Per Örtenwall Per Örtenwall Per Örtenwall |
| author_sort | Magnus Blimark |
| collection | DOAJ |
| description | BackgroundTo help test and improve surgical surge capacity, mass casualty incident (MCI) exercises generate valuable information. Both large scale table-top exercises (TTX) and full-scale exercises (FSX) have limitations if you want to test an organisation’s capability and structure. A hybrid exercise incorporating the advantages of TTX and FSX is a possible way forward, but is no standardised exercise method, yet. This study aims at evaluating the exercise results to determine the feasibility of a hybrid TTX/FSX exercise for an organization’s capability and structure.MethodsA hybrid MCI simulation using moulaged figurants and simulation cards was designed, where the emergency department of a level 1 trauma centre receives 103 casualties over 4 h. After registration and triage, all casualties are expected to be resuscitated in real time and are transferred for further treatment inside the hospital (radiology, operating theatres, intensive care unit (ICU)/postop and wards). When reaching operation theatre, ICU or ward, figurants are replaced by simulation cards. Observers ensured that those procedures performed were adequate and adhered to realistic times. Use of resources (materials, drugs etc.) were registered. Primary endpoint was average time spent in the emergency department, from time of arrival, to transfer out. Secondary endpoints were related to patient flow and avoidable fatalities.ResultsThe hospital managed to deal with the flow of patients without collapse of existing systems. Operating theatres as well as ICU and ward beds were available at the end of the exercise. Several details in the hospital response were observed that had not been noticed during previous TTX.ConclusionFSX have a valuable role in training, equipping, exercising, and evaluating MCI management. Hybrid simulations combining both FSX and TTX may optimise resource utilisation and allow more frequent exercises with similar organisational benefit. |
| first_indexed | 2024-03-11T18:18:07Z |
| format | Article |
| id | doaj.art-520725a9174e442d9a357a515b56be62 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-11T18:18:07Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-520725a9174e442d9a357a515b56be622023-10-16T04:32:17ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-10-011110.3389/fpubh.2023.11576531157653Determining surgical surge capacity with a hybrid simulation exerciseMagnus Blimark0Magnus Blimark1Yohan Robinson2Yohan Robinson3Catharina Jacobson4Hans Lönroth5Hans Lönroth6Kenneth D. Boffard7Kenneth D. Boffard8Kenneth D. Boffard9Kristina Lennquist Montán10Kristina Lennquist Montán11Ilja Laesser12Per Örtenwall13Per Örtenwall14Per Örtenwall15Centre for Disaster Medicine, University of Gothenburg, Gothenburg, SwedenCentre for Defence Medicine, Swedish Armed Forces, Gothenburg, SwedenCentre for Disaster Medicine, University of Gothenburg, Gothenburg, SwedenCentre for Defence Medicine, Swedish Armed Forces, Gothenburg, SwedenSahlgrenska University Hospital, Gothenburg, SwedenCentre for Disaster Medicine, University of Gothenburg, Gothenburg, SwedenSahlgrenska University Hospital, Gothenburg, SwedenCentre for Disaster Medicine, University of Gothenburg, Gothenburg, SwedenSahlgrenska University Hospital, Gothenburg, SwedenMilpark Hospital, University of the Witwatersrand, Johannesburg, South AfricaCentre for Disaster Medicine, University of Gothenburg, Gothenburg, SwedenDepartment of Global Public Health, Karolinska Institute, Solna, SwedenSahlgrenska University Hospital, Gothenburg, SwedenCentre for Disaster Medicine, University of Gothenburg, Gothenburg, SwedenCentre for Defence Medicine, Swedish Armed Forces, Gothenburg, SwedenSahlgrenska University Hospital, Gothenburg, SwedenBackgroundTo help test and improve surgical surge capacity, mass casualty incident (MCI) exercises generate valuable information. Both large scale table-top exercises (TTX) and full-scale exercises (FSX) have limitations if you want to test an organisation’s capability and structure. A hybrid exercise incorporating the advantages of TTX and FSX is a possible way forward, but is no standardised exercise method, yet. This study aims at evaluating the exercise results to determine the feasibility of a hybrid TTX/FSX exercise for an organization’s capability and structure.MethodsA hybrid MCI simulation using moulaged figurants and simulation cards was designed, where the emergency department of a level 1 trauma centre receives 103 casualties over 4 h. After registration and triage, all casualties are expected to be resuscitated in real time and are transferred for further treatment inside the hospital (radiology, operating theatres, intensive care unit (ICU)/postop and wards). When reaching operation theatre, ICU or ward, figurants are replaced by simulation cards. Observers ensured that those procedures performed were adequate and adhered to realistic times. Use of resources (materials, drugs etc.) were registered. Primary endpoint was average time spent in the emergency department, from time of arrival, to transfer out. Secondary endpoints were related to patient flow and avoidable fatalities.ResultsThe hospital managed to deal with the flow of patients without collapse of existing systems. Operating theatres as well as ICU and ward beds were available at the end of the exercise. Several details in the hospital response were observed that had not been noticed during previous TTX.ConclusionFSX have a valuable role in training, equipping, exercising, and evaluating MCI management. Hybrid simulations combining both FSX and TTX may optimise resource utilisation and allow more frequent exercises with similar organisational benefit.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1157653/fullsurge capacityhospital disaster preparednesscivil defencesimulation trainingmass casualty incident |
| spellingShingle | Magnus Blimark Magnus Blimark Yohan Robinson Yohan Robinson Catharina Jacobson Hans Lönroth Hans Lönroth Kenneth D. Boffard Kenneth D. Boffard Kenneth D. Boffard Kristina Lennquist Montán Kristina Lennquist Montán Ilja Laesser Per Örtenwall Per Örtenwall Per Örtenwall Determining surgical surge capacity with a hybrid simulation exercise Frontiers in Public Health surge capacity hospital disaster preparedness civil defence simulation training mass casualty incident |
| title | Determining surgical surge capacity with a hybrid simulation exercise |
| title_full | Determining surgical surge capacity with a hybrid simulation exercise |
| title_fullStr | Determining surgical surge capacity with a hybrid simulation exercise |
| title_full_unstemmed | Determining surgical surge capacity with a hybrid simulation exercise |
| title_short | Determining surgical surge capacity with a hybrid simulation exercise |
| title_sort | determining surgical surge capacity with a hybrid simulation exercise |
| topic | surge capacity hospital disaster preparedness civil defence simulation training mass casualty incident |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1157653/full |
| work_keys_str_mv | AT magnusblimark determiningsurgicalsurgecapacitywithahybridsimulationexercise AT magnusblimark determiningsurgicalsurgecapacitywithahybridsimulationexercise AT yohanrobinson determiningsurgicalsurgecapacitywithahybridsimulationexercise AT yohanrobinson determiningsurgicalsurgecapacitywithahybridsimulationexercise AT catharinajacobson determiningsurgicalsurgecapacitywithahybridsimulationexercise AT hanslonroth determiningsurgicalsurgecapacitywithahybridsimulationexercise AT hanslonroth determiningsurgicalsurgecapacitywithahybridsimulationexercise AT kennethdboffard determiningsurgicalsurgecapacitywithahybridsimulationexercise AT kennethdboffard determiningsurgicalsurgecapacitywithahybridsimulationexercise AT kennethdboffard determiningsurgicalsurgecapacitywithahybridsimulationexercise AT kristinalennquistmontan determiningsurgicalsurgecapacitywithahybridsimulationexercise AT kristinalennquistmontan determiningsurgicalsurgecapacitywithahybridsimulationexercise AT iljalaesser determiningsurgicalsurgecapacitywithahybridsimulationexercise AT perortenwall determiningsurgicalsurgecapacitywithahybridsimulationexercise AT perortenwall determiningsurgicalsurgecapacitywithahybridsimulationexercise AT perortenwall determiningsurgicalsurgecapacitywithahybridsimulationexercise |