Abstract:The use of drones for triage in mass-casualty incidents has recently emerged as a promising technology. However, there is no triage system specifically adapted to a remote usage. Our study aimed to develop a remote triage procedure using drones. The research was performed in three stages: literature review, the development of a remote triage algorithm using drones and evaluation of the algorithm by experts. Qualitative synthesis and the calculation of content validity ratios were done to achieve the Aerial Rem… Show more
“…This may easily detect mobile casualties [ 55 ] but more advanced techniques may also be able to detect more subtle signs of life in immobile victims [ 63 ]. Remote triage algorithms to complement standard triage techniques have been developed and the overall concept has been welcomed by experienced clinicians [ 64 ]. New methods of triage are a rapidly evolving area of major incident management and the incorporation of remote techniques utilising UAVs are likely to be an important addition to triage capability.…”
Unmanned aerial vehicles (UAVs) are used in many industrial and commercial roles and have an increasing number of medical applications. This article reviews the characteristics of UAVs and their current applications in pre-hospital emergency medicine. The key roles are transport of equipment and medications and potentially passengers to or from a scene and the use of cameras to observe or communicate with remote scenes. The potential hazards of UAVs both deliberate or accidental are also discussed.
“…This may easily detect mobile casualties [ 55 ] but more advanced techniques may also be able to detect more subtle signs of life in immobile victims [ 63 ]. Remote triage algorithms to complement standard triage techniques have been developed and the overall concept has been welcomed by experienced clinicians [ 64 ]. New methods of triage are a rapidly evolving area of major incident management and the incorporation of remote techniques utilising UAVs are likely to be an important addition to triage capability.…”
Unmanned aerial vehicles (UAVs) are used in many industrial and commercial roles and have an increasing number of medical applications. This article reviews the characteristics of UAVs and their current applications in pre-hospital emergency medicine. The key roles are transport of equipment and medications and potentially passengers to or from a scene and the use of cameras to observe or communicate with remote scenes. The potential hazards of UAVs both deliberate or accidental are also discussed.
“…27 Incidents involving the release of CBRN substances add complexity to the accessibility because of the need for area securement, decontamination from toxic materials, and the use of adequate personal protective equipment (PPE). 28 The use of drones in MCIs 29 has recently emerged as a promising technology for both remote triage 30 and first aid equipment delivery. 31…”
Section: Development Of the Casualty Nest And Access To Victimsmentioning
Background:
Mass-casualty incidents (MCIs) and disasters are characterized by a high heterogeneity of effects and may pose important logistic challenges that could hamper the emergency rescue operations.
The main objective of this study was to establish the most frequent logistic challenges (red flags) observed in a series of Italian disasters with a problem-based approach and to verify if the 80-20 rule of the Pareto principle is respected.
Methods:
A series of 138 major events from 1944 through 2020 with a Disaster Severity Score (DSS) ≥ four and five or more victims were analyzed for the presence of twelve pre-determined red flags.
A Pareto graph was built considering the most frequently observed red flags, and eventual correlations between the number of red flags and the components of the DSS were investigated.
Results:
Eight out of twelve red flags covered 80% of the events, therefore not respecting the 80-20 rule; the number of red flags showed a low positive correlation with most of the components of the DSS score. The Pareto analysis showed that potential hazards, casualty nest area > 2.5km2, number of victims over 50, evacuation noria over 20km, number of nests > five, need for extrication, complex access to victims, and complex nest development were the most frequently observed red flags.
Conclusions:
Logistic problems observed in MCIs and disaster scenarios do not follow the 80-20 Pareto rule; this demands for careful and early evaluation of different logistic red flags to appropriately tailor the rescue response.
“…71 Álvarez-Garcia et al developed an aerial remote triage system. 74 Drones with loudspeakers can also address crowds, such as directing them to safety or to perform behaviors directed by emergency personnel staff. 75 One such application may be for direction of mass decontamination in chemical, biological, radiological and nuclear (CBRN) disasters.…”
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.