Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care
Responding to mass casualty incidents in a tunnel environment is problematic not least from a prehospital emergency medical services (EMS) perspective. The aim of this review was to 1) categorize preconditions for emergency response in tunnel environments based on Haddon’s matrix and 2) identify spe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Librelloph
2020-02-01
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| Series: | Journal of Human Security |
| Subjects: | |
| Online Access: | http://www.librelloph.com/journalofhumansecurity/article/view/451 |
| _version_ | 1819078211203497984 |
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| author | Annelie Holgersson Annika Eklund Lina Gyllencreutz Britt-Inger Saveman |
| author_facet | Annelie Holgersson Annika Eklund Lina Gyllencreutz Britt-Inger Saveman |
| author_sort | Annelie Holgersson |
| collection | DOAJ |
| description | Responding to mass casualty incidents in a tunnel environment is problematic not least from a prehospital emergency medical services (EMS) perspective. The aim of this review was to 1) categorize preconditions for emergency response in tunnel environments based on Haddon’s matrix and 2) identify specific EMS knowledge of providing prehospital care. Twenty eight articles, reports and book chapters were selected for further analysis. Firstly, sorting the data from each included article was done according to Haddon’s matrix. The result covers human factors, technical factors, physical environmental factors and socioeconomic environmental factors all related to preconditions for emergency response. To describe the EMS’s knowledge the data was also sorted according to command and safety, communication, assessment, and triage treatment and transport, also known as CSCATT. Few studies, especially of high quality, actually provide detailed information regarding emergency response to tunnel incidents and those that do, often have a main focus on management by the rescue service. While many incidents studied were caused by fires in tunnels, thus requiring rescue service in action, the subsequent EMS response issues that have taken place appear to have been given limited attention. To optimize the survival rates and health of the injured, as well as to provide a safe and effective work environment for the emergency services, there is a need to explore the event phase. |
| first_indexed | 2024-12-21T19:09:29Z |
| format | Article |
| id | doaj.art-c2dfb78690c446acbfa74b1dcde55181 |
| institution | Directory Open Access Journal |
| issn | 1835-3800 |
| language | English |
| last_indexed | 2024-12-21T19:09:29Z |
| publishDate | 2020-02-01 |
| publisher | Librelloph |
| record_format | Article |
| series | Journal of Human Security |
| spelling | doaj.art-c2dfb78690c446acbfa74b1dcde551812022-12-21T18:53:15ZengLibrellophJournal of Human Security1835-38002020-02-0116131510.12924/johs2020.16010003168Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital CareAnnelie Holgersson0Annika Eklund1Lina Gyllencreutz2Britt-Inger Saveman3Department of Nursing, Umeå University, Umeå, SwedenDepartment of Nursing, Umeå University, Umeå, Sweden\\ Division of Psychology, Pedagogy and Sociology, Section for nursing, University West, Trollhatten, SwedenDepartment of Nursing, Umeå University, Umeå, SwedenDepartment of Nursing, Umeå University, Umeå, SwedenResponding to mass casualty incidents in a tunnel environment is problematic not least from a prehospital emergency medical services (EMS) perspective. The aim of this review was to 1) categorize preconditions for emergency response in tunnel environments based on Haddon’s matrix and 2) identify specific EMS knowledge of providing prehospital care. Twenty eight articles, reports and book chapters were selected for further analysis. Firstly, sorting the data from each included article was done according to Haddon’s matrix. The result covers human factors, technical factors, physical environmental factors and socioeconomic environmental factors all related to preconditions for emergency response. To describe the EMS’s knowledge the data was also sorted according to command and safety, communication, assessment, and triage treatment and transport, also known as CSCATT. Few studies, especially of high quality, actually provide detailed information regarding emergency response to tunnel incidents and those that do, often have a main focus on management by the rescue service. While many incidents studied were caused by fires in tunnels, thus requiring rescue service in action, the subsequent EMS response issues that have taken place appear to have been given limited attention. To optimize the survival rates and health of the injured, as well as to provide a safe and effective work environment for the emergency services, there is a need to explore the event phase.http://www.librelloph.com/journalofhumansecurity/article/view/451emergency medical careemergency responsemajor incidentsmass casualty incidenttunnelsprehospital care |
| spellingShingle | Annelie Holgersson Annika Eklund Lina Gyllencreutz Britt-Inger Saveman Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care Journal of Human Security emergency medical care emergency response major incidents mass casualty incident tunnels prehospital care |
| title | Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care |
| title_full | Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care |
| title_fullStr | Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care |
| title_full_unstemmed | Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care |
| title_short | Emergency Medical Response in Mass Casualty Tunnel Incidents—with Emphasis on Prehospital Care |
| title_sort | emergency medical response in mass casualty tunnel incidents with emphasis on prehospital care |
| topic | emergency medical care emergency response major incidents mass casualty incident tunnels prehospital care |
| url | http://www.librelloph.com/journalofhumansecurity/article/view/451 |
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