Purpose The purpose of this paper is to develop an EU sociotechnical systems (STSs) map to represent a harmonised concept of operations (CONOPS) as a future development platform for technologies used in multi-services emergency responses to chemical, biological, radiological and nuclear (CBRN) incidents. Design/methodology/approach AcciMaps were developed to locate where technologies are currently used, and opportunities for new technologies. The AcciMaps were iteratively co-designed with end users (fire, ambulance, police and military) across three EU countries (the UK, Finland and Greece). Data were collected using document analysis and interviews with senior ranking (Gold or Silver Command level) representatives of the participating end users. Findings Despite differences in terminology and between service sectors, consensus was achieved for the command structures (Gold, Silver and Bronze), and Hot Zone responders (specialist blue light responders and blue light responders (BLR)). A control room was included as the communication spine. BLR activities were limited by their scope of practice and available equipment, for example, breathing apparatus. The harmonised EU AcciMap offers a high-level STSs map of CBRN response. Critical segments have been identified which offer opportunities for technology developments that can add value in terms of response capabilities (e.g. tag and trace). Originality/value A large scale major CBRN incident may need cross-border and cross-professional engagement where efficient interoperability is vital. This research is the first EU consensus of a STS map for CONOPS. It supports future research for technology development, e.g., detection and decontamination equipment design and use, communication, diagnosis and response technologies.
Extreme weather events present significant global threats to health. The National Ambulance Syndromic Surveillance System collects data on 18 syndromes through chief presenting complaint (CPC) codes. We aimed to determine the utility of ambulance data to monitor extreme temperature events for action. Daily total calls were observed between 01/01/2018–30/04/2019. Median daily ’Heat/Cold’ CPC calls during “known extreme temperature” (identified a priori), “extreme temperature”; (within 5th or 95th temperature percentiles for central England) and meteorological alert periods were compared to all other days using Wilcoxon signed-rank test. During the study period, 12,585,084 calls were recorded. In 2018, median daily “Heat/Cold” calls were higher during periods of known extreme temperature: heatwave (16/day, 736 total) and extreme cold weather events (28/day, 339 total) compared to all other days in 2018 (6/day, 1672 total). Median daily “Heat/Cold” calls during extreme temperature periods (16/day) were significantly higher than non-extreme temperature periods (5/day, p < 0.001). Ambulance data can be used to identify adverse impacts during periods of extreme temperature. Ambulance data are a low resource, rapid and flexible option providing real-time data on a range of indicators. We recommend ambulance data are used for the surveillance of presentations to healthcare related to extreme temperature events.
Paramedics have a key role to play in reducing current pressures on NHS services and providing patients with better care within a more sustainable NHS system. Hilary Pillin looks at some of the current transformations in urgent and emergency care delivery and illustrates how these new initiatives highlight a slowly changing culture in the NHS.
A European consensus was developed as a concept of operations (CONOPS) for cross-border, multi-professional chemical, biological, radiological and nuclear (CBRN) responses. AcciMaps were co-designed with professional responders from military, fire, ambulance, and police services in UK, Finland and Greece. Data were collected using document analysis from both open and restricted sources to extract task and operator information, and through interviews with senior staff representatives (Gold or Silver Command level). The data were represented on the Accimaps as a high level Socio-Technical Systems (STS) map of CBRN response using the themes of communication, planning, action, and reflection. Despite differences between service sectors and in terminology, a macro systems level consensus was achieved for the command structures (Gold, Silver and Bronze), and Hot Zone responders (Specialist Blue Light Responders and Blue Light Responders). The detailed tasks and technologies have been analysed using Hierarchical Task Analysis (HTA) to represent both complex response scenarios (macro) and detailed technologies (micro interfaces) for detection, diagnosis and decontamination. The outputs from these two systems mapping tools (Accimaps and HTAs) are being used in two field trials/exercises.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.