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An Island-Wide Disaster Drill to Train the Next Generation of Anesthesiologists: The SIAARTI Academy Experience

Published online by Cambridge University Press:  02 March 2020

Luca Carenzo Open the ORCID record for Luca Carenzo [Opens in a new window] ,
Simone Bazurro ,
Davide Colombo ,
Flavia Petrini  and
Pier Luigi Ingrassia Open the ORCID record for Pier Luigi Ingrassia [Opens in a new window]
Luca Carenzo
Affiliation:
Department of Anesthesia and Intensive Care Medicine, Humanitas Clinical and Research Center – IRCCS, Milan, Italy Research Center in Emergency and Disaster Medicine (CRIMEDIM), Università del Piemonte Orientale, Novara, Italy
Simone Bazurro
Affiliation:
Dipartimento di scienze chirurgiche e diagnostiche integrate, Università degli Studi di Genova, Genova, Italy
Davide Colombo
Affiliation:
Research Center in Emergency and Disaster Medicine (CRIMEDIM), Università del Piemonte Orientale, Novara, Italy Department of Anesthesia and Intensive Care Medicine, SS. Trinità Hospital – ASL NO, Borgomanero, Italy
Flavia Petrini
Affiliation:
Department of Perioperative Medicine, Pain, Intensive Care and Rapid Response Systems, Chieti University Hospital, Chieti Pescara, Italy
Pier Luigi Ingrassia*
Affiliation:
Research Center in Emergency and Disaster Medicine (CRIMEDIM), Università del Piemonte Orientale, Novara, Italy SIMNOVA Interdepartmental Center for Innovative Learning and Simulation in Medicine and Allied Health Professions, Università del Piemonte Orientale, Novara, Italy
*
Correspondence and reprint requests to Pier Luigi Ingrassia, SIMNOVA Interdepartmental Center for Innovative Learning and Simulation in Medicine and Allied Health Professions Università del Piemonte Orientale, Via Lanino 1, 28100Novara, Italy (e-mail: [email protected])
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Abstract

Objective:

Anesthesiologists play a pivotal role in mass-casualty incidents management. Disaster medicine is part of the anesthesiologist’s core skills; however, dedicated training is still scarce and, often, it does not follow a standardized program.

Methods:

We designed and delivered a crash course in disaster medicine for Italian anesthesiology residents participating in the nationwide program, Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) Academy Critical Emergency Medicine 2019. Residents totaling 145, from 39 programs, participated in a 75-minute workstation on the principles of disaster management. Following this, each participant was involved in a full-scale mass-casualty drill. A plenary debriefing followed to present simulation data, maximize feedback, and highlight all situations needing improvement.

Results:

Overall, participant performance was good: Triage accuracy was 85% prehospital and 84% in-hospital. Evacuation flow respected triage priority. During the debriefing, residents were very open to share and reflect on their experiences. A narrative qualitative analysis of the debriefing highlights that many participants felt overwhelmed by events during the exercise. Participants in coordination positions shared how they appreciated the need to switch from a clinical mindset to a managerial role.

Conclusion:

This was an invaluable experience for anesthesiology trainees, providing them with the skill set to understand the fundamental principles of a mass-casualty response.

Keywords

disaster drilldisaster medicine educationmass-casualty incident drillresidents education
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 2 , April 2021 , pp. 151 - 154
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

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