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Full-scale simulation exercise-A preparedness for trauma mass casualty incident: Nepal.

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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.… Click to show full abstract

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.

Keywords: full scale; scale simulation; incident; simulation exercise; exercise

Journal Title: American journal of disaster medicine
Year Published: 2022

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