Major incident preparedness: a curriculum and workplace necessity

Abstract

Major incidents are defined as: An event or situation with a range of serious consequences, which require special arrangements to be implemented by one, or more emergency responder agency. The ability for a healthcare system to respond effectively relies upon multiple component parts working effectively. Simulating, understanding and learning from major incidents is not widespread throughout the wider healthcare setting. However, anyone can be involved without warning. Staff working in any healthcare setting should have the knowledge and skills to respond to major incidents. It is time to include major incident response and emergency planning into the undergraduate medical curriculum. Further, it should be mandatory in all routine staff and student training. These events occur infrequently, but if managed poorly can be disastrous. This new significance placed on emergency preparedness will equip staff to face these challenges and deliver improved outcomes.

Adaptations to practice and resilience in a paediatric major trauma centre during a mass casualty incident

“…21,23e25 Disseminating the learning from such rehearsals across as wide a staff base as possible and developing a major incident preparedness curriculum for hospital staff remains a challenge. 26,27 Yearly tabletop exercise may not be sufficient, particularly without an effective system to disseminate learning. Investment in training staff to adapt work practices through in situ simulations has demonstrated an improvement in organisational resilience in other healthcare contexts.…”

Профилактика Развития Посттравматического Стрессового Расстройства У Пострадавших В Результате Чрезвычайных Ситуаций

“…В отношении специалистов, имеющих высокий риск воздействия психотравмирующих факторов (специалисты экстремального профиля, сотрудники служб оперативного реагирования: пожарные, спасатели, врачи скорой помощи, военнослужащие и др. ), могут быть реализованы меры психологической профилактики, включающие проведение обучающих психообразовательных тренингов, направленных на предварительную подготовку к потенциально травматическому опыту (pre-incident preparedness): информирование об особенностях и закономерностях реагирования на события и условия профессиональной деятельности и ситуаций, выходящих за пределы нормального; формирование навыков саморегуляции, в том числе с использованием метода биологической обратной связи, контроля и управления вниманием [1,28]. В рамках pre-incident preparedness интенсивно применяются принципы стресс-прививочной терапии (Stress-Inoculation Training, SIT), которая была разработана в начале 1970-х гг.…”