Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model
Wenya Yu,* Yipeng Lv,* Chaoqun Hu,* Xu Liu, Haiping Chen, Chen Xue, Lulu Zhang Department of Military Health Service Management, College of Military Health Service Management, Second Military Medical University, Shanghai, People’s Republic of China *These authors contributed equally to t...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-01-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/research-of-an-emergency-medical-system-for-mass-casualty-incidents-in-peer-reviewed-article-PPA |
| _version_ | 1818678497684488192 |
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| author | Yu W Lv Y Hu C Liu X Chen H Xue C Zhang L |
| author_facet | Yu W Lv Y Hu C Liu X Chen H Xue C Zhang L |
| author_sort | Yu W |
| collection | DOAJ |
| description | Wenya Yu,* Yipeng Lv,* Chaoqun Hu,* Xu Liu, Haiping Chen, Chen Xue, Lulu Zhang Department of Military Health Service Management, College of Military Health Service Management, Second Military Medical University, Shanghai, People’s Republic of China *These authors contributed equally to this work Objectives: Emergency medical system for mass casualty incidents (EMS-MCIs) is a global issue. However, China lacks such studies extremely, which cannot meet the requirement of rapid decision-support system. This study aims to realize modeling EMS-MCIs in Shanghai, to improve mass casualty incident (MCI) rescue efficiency in China, and to provide a possible method of making rapid rescue decisions during MCIs.Methods: This study established a system dynamics (SD) model of EMS-MCIs using the Vensim DSS program. Intervention scenarios were designed as adjusting scales of MCIs, allocation of ambulances, allocation of emergency medical staff, and efficiency of organization and command.Results: Mortality increased with the increasing scale of MCIs, medical rescue capability of hospitals was relatively good, but the efficiency of organization and command was poor, and the prehospital time was too long. Mortality declined significantly when increasing ambulances and improving the efficiency of organization and command; triage and on-site first-aid time were shortened if increasing the availability of emergency medical staff. The effect was the most evident when 2,000 people were involved in MCIs; however, the influence was very small under the scale of 5,000 people.Conclusion: The keys to decrease the mortality of MCIs were shortening the prehospital time and improving the efficiency of organization and command. For small-scale MCIs, improving the utilization rate of health resources was important in decreasing the mortality. For large-scale MCIs, increasing the number of ambulances and emergency medical professionals was the core to decrease prehospital time and mortality. For super-large-scale MCIs, increasing health resources was the premise. Keywords: system dynamics model, emergency medical system, mass casualty incidents |
| first_indexed | 2024-12-17T09:16:13Z |
| format | Article |
| id | doaj.art-aa54b29487e24ffba0d404aa0b5a04da |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-17T09:16:13Z |
| publishDate | 2018-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-aa54b29487e24ffba0d404aa0b5a04da2022-12-21T21:54:59ZengDove Medical PressPatient Preference and Adherence1177-889X2018-01-01Volume 1220722236610Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics modelYu WLv YHu CLiu XChen HXue CZhang LWenya Yu,* Yipeng Lv,* Chaoqun Hu,* Xu Liu, Haiping Chen, Chen Xue, Lulu Zhang Department of Military Health Service Management, College of Military Health Service Management, Second Military Medical University, Shanghai, People’s Republic of China *These authors contributed equally to this work Objectives: Emergency medical system for mass casualty incidents (EMS-MCIs) is a global issue. However, China lacks such studies extremely, which cannot meet the requirement of rapid decision-support system. This study aims to realize modeling EMS-MCIs in Shanghai, to improve mass casualty incident (MCI) rescue efficiency in China, and to provide a possible method of making rapid rescue decisions during MCIs.Methods: This study established a system dynamics (SD) model of EMS-MCIs using the Vensim DSS program. Intervention scenarios were designed as adjusting scales of MCIs, allocation of ambulances, allocation of emergency medical staff, and efficiency of organization and command.Results: Mortality increased with the increasing scale of MCIs, medical rescue capability of hospitals was relatively good, but the efficiency of organization and command was poor, and the prehospital time was too long. Mortality declined significantly when increasing ambulances and improving the efficiency of organization and command; triage and on-site first-aid time were shortened if increasing the availability of emergency medical staff. The effect was the most evident when 2,000 people were involved in MCIs; however, the influence was very small under the scale of 5,000 people.Conclusion: The keys to decrease the mortality of MCIs were shortening the prehospital time and improving the efficiency of organization and command. For small-scale MCIs, improving the utilization rate of health resources was important in decreasing the mortality. For large-scale MCIs, increasing the number of ambulances and emergency medical professionals was the core to decrease prehospital time and mortality. For super-large-scale MCIs, increasing health resources was the premise. Keywords: system dynamics model, emergency medical system, mass casualty incidentshttps://www.dovepress.com/research-of-an-emergency-medical-system-for-mass-casualty-incidents-in-peer-reviewed-article-PPAsystem dynamics modelemergency medical systemmass casualty incidents |
| spellingShingle | Yu W Lv Y Hu C Liu X Chen H Xue C Zhang L Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model Patient Preference and Adherence system dynamics model emergency medical system mass casualty incidents |
| title | Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model |
| title_full | Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model |
| title_fullStr | Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model |
| title_full_unstemmed | Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model |
| title_short | Research of an emergency medical system for mass casualty incidents in Shanghai, China: a system dynamics model |
| title_sort | research of an emergency medical system for mass casualty incidents in shanghai china a system dynamics model |
| topic | system dynamics model emergency medical system mass casualty incidents |
| url | https://www.dovepress.com/research-of-an-emergency-medical-system-for-mass-casualty-incidents-in-peer-reviewed-article-PPA |
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