Dissertations / Theses on the topic 'Mass Casualty Incidents'
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Glasgow, Simon Marksby. "Modelling red blood cell provision in mass casualty events." Thesis, Queen Mary, University of London, 2016. http://qmro.qmul.ac.uk/xmlui/handle/123456789/13079.
Full textCrews, Carly M. "Disaster Response| Efficacy of Simple Triage and Rapid Treatment in Mass Casualty Incidents." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10975285.
Full textThe purpose of this research was to evaluate the efficacy of Simple Triage and Rapid Treatment (START) triage during actual mass casualty incidents (MCI) and full-scale MCI exercises. Developed in 1984, Simple Triage and Rapid Treatment triage was created to assist in the process of triaging large quantities of injured patients from natural or manmade disasters and has since been the nationally accepted triage model in the United States. Historically, limited studies have shown patients are in fact, over-triaged 53% of the time. The research goal was to obtain substantial data to determine whether first responders’ use of the current triage model effectively sustains life. A mixed methods research analysis of quantitative and qualitative data collected from one historical MCI incident and three MCI exercises was evaluated to develop recommendations for protocol change and future curriculum development. Data analysis from actual incidents and exercises confirm that “just-in-time” training does increase the accuracy of the START triage model used from 42% to 73%.
Rodriguez, Martinez Jose David [Verfasser]. "A Wearable Platform for Patient Monitoring during Mass Casualty Incidents / Jose David Rodriguez Martinez." Karlsruhe : KIT Scientific Publishing, 2018. http://www.ksp.kit.edu.
Full textRodríguez, Martínez José David [Verfasser], and W. [Akademischer Betreuer] Stork. "A Wearable Platform for Patient Monitoring during Mass Casualty Incidents / José David Rodríguez Martínez. Betreuer: W. Stork." Karlsruhe : KIT-Bibliothek, 2014. http://d-nb.info/1072464519/34.
Full textHill, Cheryl. "EMS response to mass casualty incidents the critical importance of automatic statewide mutual aid and MCI training /." Thesis, Monterey, Calif. : Naval Postgraduate School, 2008. http://edocs.nps.edu/npspubs/scholarly/theses/2008/Sept/08Sep%5FHill.pdf.
Full textThesis Advisor(s): Morag, Nadav. "September 2008." Description based on title screen as viewed on November 5, 2008. Includes bibliographical references (p. 89-94). Also available in print.
Zuerlein, Scott A. "Predicting the medical management requirements of large scale mass casualty events using computer simulation." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0002836.
Full textAlbertsson, Pontus. "Occupant casualties in bus and coach traffic : injury and crash mechanisms." Doctoral thesis, Umeå : Deptartment of Surgical and Perioperative Sciences, Division of surgery, Umeå university, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-482.
Full textBrauckmiller, Todd Devin. "Logistical Resource Capability During a Mass Casualty Event in Washington State." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6526.
Full textBerg, Karin, and Kristina Hedengran. "Enhetschefers och distriktssköterskors upplevelser av beredskap inför en stor olycka eller katastrof - en intervjustudie i primärvården." Thesis, Mid Sweden University, Department of Health Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-10104.
Full textFör att kunna erbjuda god och lättillgänglig hälso- och sjukvård vid stora olyckor och katastrofer krävs en katastrofberedskap grundad på planläggning, utbildning och övning. Sjukvårdens särskilda beredskap måste kunna hantera såväl den "lilla vardagsolyckan" som den stora olyckan eller katastrofen. Syftet med denna studie var att undersöka hur enhetschefer och distriktssköterskor vid primärvården i två kommuner i Jämtlands län upplevde sig förberedda inför en katastrof eller en stor olycka där utryckning krävdes utanför vårdinrättningar till olycksplats. Syftet var även att undersöka hur katastrofberedskap prioriteras av enhetschefer. En intervjustudie har genomförts med tre enhetschefer och fem distriktssköterskor. Intervjuerna har analyserats med kvalitativ innehållsanalys. Utifrån analysen skapades två kategorier: ”känsla av säkerhet” och ”organisation” samt fyra underkategorier ”beredskap”, ”prioritet”, ”förmåga” och ”kunskap”. Huvudfyndet var att samtliga intervjudeltagare önskade ha övningar för att känna sig mer förberedd vid en stor olycka. I dagsläget övades det inte alls på katastrofberedskap.
In order to provide good and accessible healthcare in case of emergencies and disasters, an emergency plan based on planning, training and practice is required. Special care must be prepared to deal with both the ”small everyday accident” but also the major accident and disaster. The purpose of this study was to examine how unit managers and districtnurses in primary care in two municipalities in Jämtland county experience themselves prepared in case of a disaster or a major accident which requires emergency care facilities outside the unit. The aim was also to examine how emergency preparedness is a priority for the unit managers. An interview study has been carried out with three unitmanagers and five districtnurses. The interviews were analyzed with qualitative content analysis. Based on the analysis two categories were created: 'feeling of security "and" organization "and four sub-categories of" security "," priority "," ability "and" knowledge ". Major findings was that all the interview participants wished to have exercises to feel more prepared for a major accident. For the time being, no practice in disaster preparedness is carried out.
Chou, Chang-Chi, and 周昌圻. "Emergency Medical Service Response Actions in Mass Casualty Incidents." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/zd59fg.
Full text國立臺灣大學
土木工程學研究所
105
Emergency Medical Service (EMS) responses are directly related to the survival rate of casualties in Mass Casualty Incidents (MCI). This study aims to assist EMS response actions in MCIs. In general, EMS response actions position the time of casualty arrival at a hospital (TAH) as the top priority. However, restricted by the finite number of ambulances, medical personnel, and other medical resources, the TAH should not be the only performance indicator in MCIs. The performance of hospitals and ambulances should also be taken into consideration. Therefore, the termination time of hospital treatment is a crucial performance indicator to EMS responses in MCIs. This study aims to establish a casualty assignment system with considering the operational condition of hospitals and traffic circumstance features to diminish the casualty rate in MCIs. In this work, a nonlinear model, composed of a cell transmission model and the impedance function representing the potential congestions in hospitals, is proposed. A Lagrangian heuristics is also developed to divide the original problem into two sub-problems: a linear one and the other nonlinear one. The nonlinear sub-problem is solved by gradient projection, optimizing EMS response actions. Numerical experiments and a series of analyses were conducted to verify the computational efficiency of the proposed model.
Lin, Jia-Ying, and 林佳螢. "Strategies of Transporting Patients to Hospitals in Mass-Casualty Incidents." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/dn7qy7.
Full text國立交通大學
運輸與物流管理學系
107
After a mass-casualty incident, nearby hospitals are overwhelmed by the surge of victims. Many victims may thus die due to failing to efficiently and effectively utilize limited medical resources. Presents a logistical challenge to rapidly process a large number of casualties to definitive medical care. Hence, this research uses queueing network and simulation techniques to suggest efficient and effective victim-to-hospital assignment strategies to save most lives. We model this problem as a queueing network to show the characteristic that patients wait for medical care at casualties collection points and hospital. Besides, queueing network also highlight the traits that the capacity of each hospital differs from time due to patients’ arrival rate and medical service rate. We use the result of simulation to compare different strategies. The measurement of immediate patients is survival probability. In contrast of immediate patients, delayed patients are relatively stable and surely survive. Hence, we consider recover rate as delayed patients’ measurement. According to the simulation results of different policies, we can give useful recommendation to the commander during mass-casualty incidents. Last but not the least, we use the Kaohsiung Earthquake data in 2016 as numerical experience. A building in Tainan collapsed and many people died from the earthquake. We compare the historical result of patients assignment with the proposed strategies by simulation.
SU, HONG-REN, and 蘇宏仁. "The Development of Emergency Medical Information System for Mass Casualty Incidents." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/vaw27d.
Full text國立高雄海洋科技大學
電訊工程研究所
106
When a disaster causes a Mass Casualty Incident (MCI) without a set of Emergency Medical Information System (EMIS), it would result in the uneven distribution of medical resources and delay of treatment for the patients due to congestion in local and nearby regional hospitals caused by the inability to treat the overload of patients. A set of effective EMIS should be integrated with the local firefighting and medical units to unify all information. When the disasters occur, such a system can immediately activates for the patient triage, the distribution of patients to proper hospitals, the integration of related disaster information, enhancing the efficiency of disaster relief and favorable medical resource allocation. In this thesis, an EMIS applicable to MCIs is proposed by the mobile application and the web technology. The proposed system provides three major functions: Patient triage module, this system uses smartphone and Near Field Communication (NFC) wristbands to record and save the patient information to establish digital information, allowing disaster relief personnel to rapid classify at the first line disaster scene. The wristbands' data storage mechanism can avoid the influence of various environmental factors. Immediate disaster information platform, the platform integrate all of the disaster information for the incident commander to make assessments. The web-based disaster information platform provides a user interface and allows the commander to access this platform from various different devices. The commander can receives the information and appoint ambulance with transportation tasks through this platform. Ambulance dispatch, the system provides an interface by the smartphone to receive transportation tasks and patient information from the commander, revealed for navigational aid, update patient information, report duty status, etc.
Ching-HanWu and 吳青翰. "A Heuristic-based Ambulance Dispatching Model for Mass Casualty Incidents to Minimize Overall Death." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/72282419264589212096.
Full text國立成功大學
交通管理學系碩博士班
98
The determinants of the ambulance dispatching for mass casualty incidents (MCIs) in consideration of routine daily emergencies are so complex that it is difficult to make the optimal decision efficiently solely depending on dispatchers' experience and human judgment. The objective of the study is to propose an ambulance dispatching model for MCIs to minimize the overall death including both a MCI and routine daily emergencies. We used the death rate, a function of time, to estimate the death toll of the MCI and daily emergencies, and developed an ambulance dispatching model based on the general pickup and delivery problem and the maximal survival location problem. The model is an NP-hard problem, and thus we proposed a backtracking adaptive threshold accepting based heuristic with the assistance of a mathematical programming solver. When tested with 32 instances and compared results with the most widely-used triage method, START, the proposed heuristic can efficiently obtain the solutions that decreased the overall death toll.
Liao, Pei-Jung, and 廖珮均. "A Stochastic Model for Ambulance Assignment of Multi-Disaster Area in Mass Casualty Incidents." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/11523088281005988344.
Full text中原大學
土木工程研究所
104
Response to mass casualty incidents (MCI) caused by natural or man-made disasters is one of the greatest challenges to medical emergency response systems (MERS). During the emergency response to mass casualty incidents decisions relating to the extrication, transporting and treatment of casualties are made in a real-time, sequential manner. In this thesis, a novel stochastic dynamic programming (SDP) model of this problem is proposed. The stochastic nature of casualty health and treatment time are considered to determine ambulance dispatches assignment. The model is of a multi-objective nature, utilizing a lexicographic view to combine objectives in a manner which capitalizes on their ordering of priority. That is, injuries of higher level of severity have higher priority. Each objective is to minimize the total response time of casualties at the specific level of severity, including waiting times at emergency sites, transportation times, waiting times at hospitals, and treatment times. The uncertainty follows “Markov chain” properties in which the correlations of the variations in the consecutive periods are high and the severity status of casualties in next period is stochastically determined by the present one. These decision results can lead the course of the response operation, thus avoid the myopic decision making which could result from the use of a sequential, heuristic decision making process. Because of the size of the state and action spaces for realistic problems. A simulation-based approximate dynamic programming algorithm is developed to solve the proposed SDP model. The model is evaluated over several potential problems, with results confirming its effective nature.
"Prehospital Patient Triage in Mass Casualty Incidents: An engineering management analysis and prototype strategy recommendation." THE GEORGE WASHINGTON UNIVERSITY, 2009. http://pqdtopen.proquest.com/#viewpdf?dispub=3352839.
Full textYi, Jun. "User Interface Design And Forensic Analysis For DIORAMA, Decision Support System For Mass Casualty Incidents." 2015. https://scholarworks.umass.edu/masters_theses_2/308.
Full textTsai, Chia-Chou, and 蔡佳洲. "A Disaster Management Perspective of Emergency Medical Service System Operation during Mass Casualty Incidents in Taiwan." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/83011915112060870530.
Full text國立雲林科技大學
工程科技研究所
103
Taiwan’s Emergency Medical Care Law (EMCL) was promulgated and implemented in 1995, covering both pre-hospital and post-hospital emergency care, needing close cooperation with fire, health and medical agencies. Close cooperation could not be executed then because pre-hospital and post-hospital emergency care belonged to different administrations, the former being National Fire Agency under the Ministry of the Interior and the latter being Ministry of Health and Welfare. In 2005, six regional Emergency Operating Centers (EOC) were set up to address the above issue, playing the role of integration, coordination and notification between the above three agencies and executing the eight mandates entrusted by the EMCL Article 9 in the Emergency Medical Service System (EMSS). On August 8, 2009, Typhoon Morakot wreaked havoc to southern Taiwan which left numerous civilians stranded in the mountain areas of Chiahsien and Bora district. During a rescue attempt on August 11, Cishan Hospital was paralyzed because of failure to diverge mass casualties. This research discovered that EOC could not effectively secure real-time regional emergency medical information and resource status, which was the reason why EOC inefficiently diverged mass casualties. Besides understanding and providing recommendations for improvement on why EOC could not effectively secure real-time regional emergency medical information and resource status, this research also addressed the problems EOC encountered when executing the mandates and during cross-agency integration, coordination and notification. This research was divided into two parts. The first part was “A research on the three-year performance of the regional EOCs in Taiwan”, which was a comprehensive evaluation adopted to analyze the performance evaluation of six regional EOCs over a three-year basis and propose an appropriate coordinated operation and notification model framework between regional EOCs and local health, fire, and medical agencies. The second part was “Operation of EOCs during MCIs: a disaster management perspective”. A survey questionnaire was designed and created with problem items using the different disaster management phases. Results from the survey then used statistical methods to analyze the issues EOCs encountered during MCIs. Brief illustrations of these two parts were as followed: The first part assessed the performance of six regional EOCs from 2005 to 2007 and the current coordinated operation and notification mode between EOCs and local health, fire, and medical agencies by comprehensive evaluation and exploration. The research discovered that establishing a framework for closer coordinated operation and notification modes for the EOCs with above three agencies was a key factor to provide real-time information delivery and query services; hence a common disaster information and medical resource exchange platform should be established in the future. In addition, EOCs must be given a regulatory power and responsibility to execute their services, which would allow them to play an active role rather than a passive role during MCIs. In the second part, the questionnaire was prepared according to the legislative mandates of the EOCs entrusted by Taiwan’s EMCL. Each question in the questionnaire was categorized according to different disaster management phases to understand the problems EOCs encountered during integration between local health, fire, and medical agencies in MCIs. First was the self-assessment survey conducted by EOC personnel, and secondly were the assessments by external experts. The results from the survey were analyzed with statistics methods (independent two-sample t-test). Findings showed that EOCs lacked authority to intervene or coordinate with above three agencies. Emphasis should be placed on the recovery phase to improve future prevention and response mechanisms. Completion of the EMCL amendment is also needed to allow EOCs to act as the official execution agency and use feedback from the recovery phase to improve future operation during MCIs.
Chang, Chiao-Wei, and 張喬偉. "A Study of Mass Casualty Incident Command System." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/37853340752676060173.
Full text東南科技大學
營建與空間設計系營建科技與防災碩士班
103
In this paper, the development of the Mass Casualty Incident Command System, is originated from increasingly complex and often kind of evolved into a complicated type of disaster in the Mass casualty incident. So we will use the method of Failure Mode and Effect Analysis Risk Management to discuss the possible failure modes at the scene when managing a large number of injured patients according to the current operating mode at first. And investigate the individual processing required in the immediate improvement of the chain of command system at the scene. And then by using a hand Action Machine carrier to conceive in favor of dealing with the accident mobile application (APP, mobile application), supplemented by the establishment of a system for processing the command for the scene work, so that all mobilize to the scene to rescue the time of the disaster units can be synchronized Construction Accident cloud database, make the necessary accident information can instantly be shared. And promote the service command center can play a proper function of "Disaster Response Center". The operator can also achieve rapid horizontal linkages, and vertical command feature, that minimize the damage of human life and property in each disasters, and improve social well-being of people effectively.
WANG, YU-CHUN, and 王昱鈞. "Applying Google Sites on Integrating Information of the Mass Casualty Incident." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/99whmq.
Full text醒吾科技大學
資訊科技應用系
105
Every year, Taiwan has a variety of different types of serious disaster accidents, often resulting in a large number of human casualties, such as: the colored powder explosion of Formosa Fun Coast Water Park, the Kaohsiung gas explosion ... And so on, so a large number of injuries in recent years is one of the public health issues of concern. A large number of injuries are not everywhere, but every time the accident has an urgent and urgent specificity of the special treatment, the need to escape the first-line disaster relief personnel usually used in the pattern, the accident accompanied by a large number of injuries, Every rescue personnel, coping with the pros and cons will directly affect the severity of casualties and prognosis of patients. A large number of injuries and injuries in the rescue, need to rely on the coordination between the units and the division of the initial staff how to quickly grasp the resources after the accident, the integration of the relevant units, and patients as soon as possible to the doctor, so that damage to a minimum , And after the analysis of data integration analysis, has become the most important topic of discussion. This study will analyze the coping patterns and information flow patterns of a large number of current online injuries and explore how to achieve maximum effect through the least human resources and hope to achieve good results in the subsequent major accidents.
Szu-YinChen and 陳思穎. "Coping and Adaptation to Mass Casualty Incident of Health Care Professionals in Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/jb589y.
Full textLiao, Shu Feng, and 廖書鋒. "The Study on the Optimized Method for Pre-Hospital Transportation Process in a Mass Burn Casualty Incident." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/syneep.
Full text中央警察大學
消防科學研究所
104
In mid-2015, due to a catalogue of human errors approximately 500 young people were injured during a unique mass casualty incident which became known as the “Formosa Fun Coast Explosion” incident. Unlike previous mass casualty incidents in Taiwan, the majority of victims in this case suffered only burn injuries. Despite low overall mortality due to quick dispatch and high manpower utilization by emergency services, some reports still blame inadequate strategies and insufficient medical resource distribution on the part of the local government. Therefore, the main purpose of this study is to suggest an optimal method for pre-hospital transportation following a mass burn casualty incident in order to resolve these issues. Objective: To analyze on-site triage strategies, systematic ambulance loading strategies and hospital selection strategies focusing on a mass burn injury incident, which should generate a point of reference for first responders in order to quickly and accurately deal with such an incident and improve the treatment of victims. Methodology: The analysis involved validation of different scenarios by comparison of various strategies of application. The specification of the basic scenario was based on partial original data from the local fire department that dealt with the “Formosa Fun Coast Explosion” incident. Data relating to 127 victims and 26 hospitals were selected for the scenario. The validation combined the original incident strategy with 10 scenarios. These 10 scenarios applied 3 triage methods, 3 ambulance loading strategies and 3 hospital selection strategies, arranged through applying information gained from literature reviews and empirical knowledge. The model for validation is based on the simplified queue model: victims arrive at the collection point and wait for ambulances to arrive; once an ambulance is fully loaded, other victims have to wait until the next ambulance reaches the incident scene. The departure time of ambulances was calculated through the regression equation from the partial original data, and the time taken to reach each hospital from the collection point was also calculated from the original data. Results: The loading groups of ambulances are most affected by the triage results. If fewer victims are triaged into the immediate group and the delayed group, then there will be fewer loading total groups for the ambulances. With regard to ambulance loading strategy, the ‘subgroup sorting’ (SGS) order generated the fewest loading groups with any of the triage methods, but this just surpassed ‘first in and first out’ (FIFO) strategy by a few points. The average time from the incident scene to hospital varied little with regard to whether the ‘closest hospital first’ strategy or ‘closest with a burns unit’ was used. Conclusions: From our validation, we found the American Burn Association (ABA) triage strategy combined with the SGS ambulance order loading strategy and ‘the closest hospital first’ strategy would ideally generate the fewest ambulance trips with the fastest transport of all victims to destination hospitals. However, for more practical and easier operation, we suggest the proposed “50/25” triage strategy combining FIFO and SGS ambulance loading strategies would be more useful. Furthermore, because the hospitals are closely distributed in our country, the hospital selection strategy we suggest is sending victims to the closest hospital with a burns unit, in order to allow burn victims to receive specialist diagnosis and treatment.
Tsai, Chih-Wen, and 蔡治文. "Voluntary Service of Emergency Medical Technicians in a Mass Casualty Incident : A Case Study of New Taipei City." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/22p87g.
Full text東南科技大學
營建與空間設計系營建科技與防災碩士班
104
"Fire limited manpower, financial resources of the infinite." In recent years, due to Taiwan's booming economy, the metropolitan area is becoming saturated land use, urban high-rise buildings crowded together in rows, densely populated, resulting in increased number of various types of disasters, disaster type, size and time the complexity of the types of disasters in the past is very different, the severity of the disaster and the loss of life and property increases. Also Taiwan due to geographical relations position with the Pacific tectonic plates earthquake zone and the Western Pacific typhoon zone, earthquake, storm, flood and landslides and other natural disasters frequent and major traffic accidents. In recent years to recruit civil justice elimination ambulance personnel, it has become a global trend, because when a major disaster occurs, current manpower is insufficient to fire , if you can integrate non-governmental forces, included in the rescue and relief system, it will greatly enhance whole fire rescue and relief capacity. Under limited circumstances firefighting manpower, financial resources of the group is when a major disaster occurs, you can give immediate help to disaster relief. Encourage local residents to participate in assisting in disaster rescue work, disaster relief aid to its injection concept, the use of people in the most direct knowledge of local conditions, and their lives, in the community of life concept for the local ambulance service contribution relief time energy, the Government may be doubly effective. Key words: a lot of injuries, ambulance volunteers, countermeasure
CHIANG, CHIA-HAO, and 江家豪. "A Research on the Handling Procedures of Mass Casualty Incident in Underground Station-A Case Study of Jiangzicui MRT." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/63yjmk.
Full text東南科技大學
營建與空間設計系營建科技與防災碩士班
107
Nowadays,urban development getting better. There are more and more places carry a high risk of Mass Casualty Incident (MCI) in a population intensive urban area and it is getting harder to deal with. Especially for underground structure, one of these structure is the MRT station. In Taipei MRT traffic network, most of the stations are built underground. Once a MCI happen, it will be much different from the normal one. There will be more adjustment for changing and this will actual brings challenge to paramedics. This study takes ZHENG JIE random killing spree which happens in the Jiangzicui station for example. Base on expert consult, try to improve the method of dealing underground station MCI. Make medics to understand the difference between the normal MCI. Help the medics who face the underground station MCI stay clam and unflappable. Protect the life and property of the citizens.
YU, TING-YI, and 游婷伊. "The Analysis Research of Ambulance Dispatch and Control in Mass-Casualty Incident–Puyuma Express Train Derailed Event in Yilan County as an Example." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/4hu6k7.
Full text黃嘉文. "A Study on the Triage Ability to Accept Large Numbers of Patients in a Mass Casualty Incident for Emergency Medical Technicians in Fire Department." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/ue4n37.
Full text中央警察大學
消防科學研究所
99
While a large number of patients occur in a mass casualty incident, medical rescue triage is one of the most important works in disaster response in EMS. At the first time the emergency medical technicians of fire department who rush to rescue must be effective implementation of medical rescue triage at the injury site. Judged by the severity of injuries for fast decision-making, to give patients proper medical care and proper allocation of medical resources could increase survival rate of patients and better prognosis; therefore, the fire department emergency medical technicians whose triage ability in a mass casualty incident has also become an important issue. This study aims to explore through literature review, sorting out important factors of the triage ability which are EMT’s personal characteristics, EMT’s ambulance capacity and decision-making process; furthermore, with the field survey, by applying the statistical methods of SPSS statistical software to extract the main effect factors, we make some relevant recommendations for the fire department.
Chang, Yi-Hong, and 張易鴻. "A Research on Smoke Control Mode and Mass Casualty Incident Medical Care and Evacuation Strategies at Road Long Tunnel – Take the Hsuehshan Tunnel in Taiwan." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/ev8y5x.
Full text國立雲林科技大學
環境與安全衛生工程系
104
Long road tunnel is a special enclosed space. According to disaster-related cases and analysis of practical experience, the common properties of risk in long tunnel fires are high temperature, extreme difficulty of evacuation, and rescue urgency, all of various factors caused interference in subsequent rescue operation. While fire happen, accident could lead to serious injury or death. A Hsuehshan tunnel fire on May 07, 2012 resulted in a major disaster which choked two deaths and 34 injuries. There are smoke into refuge tunnel and transportation tunnel which escaped by staff. This should be the most serious disaster since the opening in the tunnel. Therefore, setting the perfect escape evacuation facilities, fire safety equipment, ventilation systems and the establishment of the injuries in mass casualty and emergency medical service mechanism are the primary element for the security. The study adopted smoke control modes of actual operation to analysis the hazard of high fire situation while fire occurred on beginning, middle and final stage in Pinglin emergency control center of Shiue Shan tunnel. At the present stage, while fire occurred in Hsuehshan tunnel, an existing smoke control strategy has been mainly conducted, which divided into “evacuation mode” and “exhaust smoke mode”, and “a single hole way” and “two holes–single way”, etc. The actual modes of operation are divided into 28 kinds of evacuation mode, 12 kinds of exhaust smoke modes. This study adopted a single hole way with the original 3 kinds of evacuation mode as a smoke control optimum design study direction. There is12.942 km length totally in Hsuehshan tunnel, this study adopted 5,000.0 m as a full-scale simulation, which is installed jet fan with the actual distance. The middle of two shafts with relay station fires in the tunnel is assumed to be the most dangerous situation (worse case) as the main FDS simulation scenarios. Through tests, the study find out that in the absence of closing the upstream and downstream fan of fire source, back smoke layering of the model 2 is shorter than that of the model 1. This has a much greater help for evacuation at upstream of fire sources. When the wind speed in the tunnel maintain 2.0–4.0 m sec-1, the distance of back smoke layering is less than 50.0 m. Therefore, in order to avoid the occurrence of smoke layer disturbance, and regarding to the life safety of upstream people, fan off within 250.0 m upstream at fire source may be shortened to within 50.0 m upstream at fire source. However, based on the highest priority of people evacuation, it is recommended that model 3 with the start maximum wind speed could put an end to the phenomenon of back smoke laying at upstream of fire source to ensure the life safety. When the tunnel opened both exhaust ventilation system and water-based fire extinguishing system, it produced the most significant protective effect for staff under the body and internal of tunnel. Secondly, it should be suggested that the government authorities should propose disposal of the injuries in mass casualty incident of the Eight Immortals park accident, strengthen command relief system at disaster site. The ultimate goals in are to normalize handling drills, integrate self-defense fire marshal and rescue personnel system to minimize casualty disasters and the damage.
Li, Ying-Tzu, and 李英慈. "Knowledge and Preparedness of Hospital Nurses on Mass Casualty Incident and the Policy Implications -- Comparison between Taipei Municipal Wan Fang Hospital in Taiwan and Southern Tohoku General Hospital in Japan." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/48uzdn.
Full text臺北醫學大學
全球衛生暨發展碩士學位學程
106
Emergency medical systems for mass casualty incidents (EMS-MCIs) is a global issue; however, there is a severe lack of international research, which leads to different countries not being able to meet the requirements of rapid decision-support systems. When a mass casualty incident (MCI) occurs, hospitals must shift from providing routine healthcare to providing high-quality care to a sudden influx of a significant number of victims. This is accomplished by activating an established Hospital Incident Command System (HICS), which all staff members should be familiar with through prior training. This study aims to gain an understanding of MCI knowledge, attitude and preparedness of hospital nurses in Taiwan and Japan, which would assist in formulating MCI policy. The researcher hopes to improve MCI rescue efficiency in both countries and to provide them with a possible method of continuing education and some suggestions of policy planning.
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Full textVODEHNALOVÁ, Ivana. "Specifické činnosti zdravotnického operačního střediska zdravotnické záchranné služby při řešení mimořádné události." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-386596.
Full textZRŮSTOVÁ, Simona. "Role zdravotnické záchranné služby při mimořádné události s hromadným postižením zdraví." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-376332.
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