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Decision Support Framework for Deployment of Emergency Medical Teams After Earthquakes

Published online by Cambridge University Press:  09 July 2020

Andrea Bartolucci ,
Kevin Mackway-Jones  and
Anthony D. Redmond
Andrea Bartolucci*
Affiliation:
Humanitarian and Conflict Response Institute (HCRI), University of Manchester, Manchester, United Kingdom
Kevin Mackway-Jones
Affiliation:
The Manchester Metropolitan University, Manchester, United Kingdom
Anthony D. Redmond
Affiliation:
Humanitarian and Conflict Response Institute (HCRI), University of Manchester, Manchester, United Kingdom
*
Correspondence and reprint requests to Andrea Bartolucci, Humanitarian and Conflict Response Institute (HCRI), Ellen Wilkinson Building, The University of Manchester, M13 9PL, Manchester, UK (e-mail: [email protected]).
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Abstract

Objective:

The effectiveness of Emergency Medical Teams (EMTs) is strongly related to their time of arrival, and usually only few teams arrive within 24-48 h postdisaster. The decision to deploy and the scale of deployment rely heavily on context and nature of the event and consequently a rapid assessment of needs/gaps is critical to an appropriate and customized response.

Methods:

In this study, we describe a desk-based study that provides: (1) knowledge about the medical needs that can be anticipated according to the phases of the disaster that is not rich in literature; and (2) a decision support framework for the deployment of EMTs to earthquakes that combines the results of a literature research and a Delphi study involving the opinion of 12 experts in the field.

Results:

The resulting framework is a tool that will help better mapping the configuration to the needs on the ground at the time the team becomes operational in the field and will assist those responsible for deploying and/or accepting EMTs in making informed decisions on deployment after an earthquake.

Conclusions:

With additional research the framework approach may be adapted to other types of international relief such as to deploy a Search And Rescue (SAR) team.

Keywords

decision support frameworkDelphi studyemergency medical team (EMT)humanitarian deploymentsearch and rescue (SAR)
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 6 , December 2021 , pp. 727 - 734
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

de Ville de Goyet, C. Health lessons learned from the recent earthquakes and tsunami in Asia. Prehosp Disaster Med. 2007;22(1):15–21. doi: 10.1017/S1049023X00004283CrossRefGoogle ScholarPubMed
Henderson, AK, Lillibridge, SR, Salinas, C, et al. Disaster medical assistance teams: providing health care to a community struck by Hurricane Iniki. Ann Emerg Med. 1994;23(4):726–730. doi: 10.1016/S0196-0644(94)70306-XCrossRefGoogle ScholarPubMed
Government of Nepal. Nepal Earthquake 2015: Post Disaster Needs Assessment. Katmandu, Nepal: Government of Nepal National Planning Commission; 2015:1–134.Google Scholar
IFRC and WHO. The Regulation and Management of International Emergency Medical Teams. Geneva: IFRC; 2017.Google Scholar
UNISDR. 2009 UNISDR terminology on disaster risk reduction. Int Strategy Disaster Reduct. 2009:1–30. doi: 978-600-6937-11-3Google Scholar
De Ville De Goyet, C, Marti, RZ, Osorio, C. Natural disaster mitigation and relief. In: Disease Control Priorities in Developing Countries. 2nd ed. Washington, DC: The International Bank for Reconstruction and Development/The World Bank; 2006. Chapter 61.Google ScholarPubMed
Cook, ADB, Shrestha, M, Bo Htet, Z. International Response to 2015 Nepal Earthquake Lessons and Observations. Singapore: S. Rajaratnam School of International Studies; 2016.Google Scholar
Redmond, AD, Mardel, S, Taithe, B, et al. A qualitative and quantitative study of the surgical and rehabilitation response to the earthquake in Haiti, January 2010. Prehosp Disaster Med. 2011;26(6):449–456. doi: 10.1017/S1049023X12000088CrossRefGoogle Scholar
Gerdin, M, Wladis, A, Von Schreeb, J. Foreign field hospitals after the 2010 Haiti earthquake: how good were we? Emerg Med J. 2013;30(1):1–6. doi: 10.1136/emermed-2011-200717CrossRefGoogle Scholar
Von Schreeb, J, Riddez, L, Samnegård, H, et al. Foreign field hospitals in the recent sudden-onset disasters in Iran, Haiti, Indonesia, and Pakistan. Prehosp Disaster Med. 2008;23(2):144–151. doi: 10.1017/S1049023X00005768CrossRefGoogle ScholarPubMed
Burnweit, C, Stylianos, S. Disaster response in a pediatric field hospital: lessons learned in Haiti. J Pediatr Surg. 2011;46(6):1131–1139. doi: 10.1016/j.jpedsurg.2011.03.042CrossRefGoogle Scholar
Bartolucci, A, Walter, D, Redmond, T. Comparative review on the cost-effectiveness analysis of relief teams’ deployment to sudden-onset disasters. Prehosp Disaster Med. 2019;34:415–421. doi: 10.1017/s1049023x19004540CrossRefGoogle ScholarPubMed
WHO. Classification and Minimum Standards for Foreign Medical Teams in Sudden Onset. Geneva: WHO; 2013:103.Google Scholar
Peleg, K. Notes from Nepal: is there a better way to provide search and rescue? Disaster Med Public Health Prep. 2015;9(6):650–652. doi: 10.1017/dmp.2015.107CrossRefGoogle Scholar
Brolin, K, Hawajri, O, von Schreeb, J. Foreign medical teams in the Philippines after typhoon Haiyan 2013 - who were they, when did they arrive and what did they do? PLoS Curr. 2015;7. doi: 10.1371/currents.dis.0cadd59590724486bffe9a0340b3e718Google Scholar
Okita, Y, Katsube, T. Coordination of International Urban Search and Rescue (USAR) teams in the 2015 Nepal Earthquake: “Disaster Literacy” for International USAR. J Jpn Assoc Earthq Eng. 2016;16(7):7_24–7_36. doi: 10.5610/jaee.16.7_24Google Scholar
Canadian Red Cross. The Future of Field Hospitals in Disaster Response. Ottawa, Canada: Canadian Red Cross; 2014.Google Scholar
WHO-PAHO. WHO/PAHO Guidelines for the Use of Foreign Field Hospitals in the Aftermath of Sudde-Impact Disasters. Geneva: WHO: 2003.Google Scholar
Prado, AS, Reyes, S. Plastic surgeons’ performance during the February 27 earthquake in Chile. Plast Reconstr Surg. 2010;125(6):1835–1837. doi: 10.1097/PRS.0b013e3181de865aCrossRefGoogle ScholarPubMed
Nixon, S, Cleaver, S, Stevens, M, et al. Role of Canadian physical therapists in global health initiatives: SWOT analysis. Physiother Canada. 2010;62(3). doi: 10.3138/ptc.59.4.272Google Scholar
Interagency Standing Committee (IASC). IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Geneva: IASC; 2007:1–103. doi: 10.1037/e518422011-002Google Scholar
Kako, M, Ranse, J, Yamamoto, A, et al. What was the role of nurses during the 2011 great east earthquake of Japan? An integrative review of the japanese literature. Prehosp Disaster Med. 2014;29(3):275–279. doi: 10.1017/S1049023X14000405CrossRefGoogle ScholarPubMed
Brown, LM, Haun, JN, Peterson, L. A proposed disaster literacy model. Disaster Med Public Health Prep. 2014;8(03):267–275. doi: 10.1017/dmp.2014.43CrossRefGoogle ScholarPubMed
Tober, M. PubMed, ScienceDirect, Scopus or Google Scholar - Which is the best search engine for an effective literature research in laser medicine? Med Laser Appl. 2011;26(3):139–144. doi: 10.1016/j.mla.2011.05.006CrossRefGoogle Scholar
Mikki, S. Google Scholar compared to Web of Science. A literature review. Nord J Inf Lit High Educ. 2009;1(1):41–51. doi: 10.15845/noril.v1i1.10Google Scholar
Custer, RL, Scarcella, JA, Stewart, BR. The Modified Delphi Technique - a rotational modification. J Vocat Tech Educ. 1999;15(2):50–58.Google Scholar
WHO. Foreign Medical Team Working Group. Classification and Minimum Standards for Foreign Medical Teams in Sudden Onset. Geneva: WHO; 2013:103.Google Scholar
Paliwoda, SJ. Predicting the future using Delphi. Manag Decis. 1983;21(1):31–38.CrossRefGoogle Scholar
Okoli, C, Pawlowski, SD. The Delphi Method as a research tool: an example, design considerations and applications. Inf Manag. 2004;42(1):15–29. doi: 10.1016/j.im.2003.11.002CrossRefGoogle Scholar
Fernald, JP, Clawson, EA. The mobile army surgical hospital humanitarian assistance mission in Pakistan: the primary care experience. Mil Med. 2007;172(5):471–477.CrossRefGoogle ScholarPubMed
Macintyre, AG, Barbera, JA, Smith, ER. Surviving collapsed structure entrapment after earthquakes: a “time-to-rescue” analysis. Prehosp Disaster Med. 2006;21(1):4–17.CrossRefGoogle ScholarPubMed