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Decision Support Framework for Deployment of Emergency Medical Teams After Earthquakes.

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OBJECTIVE The effectiveness of Emergency Medical Teams (EMTs) is strongly related to their time of arrival, and usually only few teams arrive within 24-48 h postdisaster. The decision to deploy… Click to show full abstract

OBJECTIVE The effectiveness of Emergency Medical Teams (EMTs) is strongly related to their time of arrival, and usually only few teams arrive within 24-48 h postdisaster. The decision to deploy and the scale of deployment rely heavily on context and nature of the event and consequently a rapid assessment of needs/gaps is critical to an appropriate and customized response. METHODS In this study, we describe a desk-based study that provides: (1) knowledge about the medical needs that can be anticipated according to the phases of the disaster that is not rich in literature; and (2) a decision support framework for the deployment of EMTs to earthquakes that combines the results of a literature research and a Delphi study involving the opinion of 12 experts in the field. RESULTS The resulting framework is a tool that will help better mapping the configuration to the needs on the ground at the time the team becomes operational in the field and will assist those responsible for deploying and/or accepting EMTs in making informed decisions on deployment after an earthquake. CONCLUSIONS With additional research the framework approach may be adapted to other types of international relief such as to deploy a Search And Rescue (SAR) team.

Keywords: decision; deployment; framework; medical teams; decision support; emergency medical

Journal Title: Disaster medicine and public health preparedness
Year Published: 2020

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