Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-28T13:56:16.376Z Has data issue: false hasContentIssue false
  • English
  • Français

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: pierluigi.ingrassia@med.uniupo.it)
Get access Rights & Permissions [Opens in a new window]

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.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Ripoll Gallardo, A, Ingrassia, PL, Ragazzoni, L, et al. Professionalization of anesthesiologists and critical care specialists in humanitarian action: a nationwide poll among Italian residents. Prehosp Disaster Med. 2015;30(1):16-21.CrossRefGoogle ScholarPubMed
Stephens, CT, Ortiz, J, Pivalizza, EG. The anesthesiologist’s response to hurricane natural disaster incidents: Hurricane Harvey. Anesthesiol Clin. 2019;37(1):151-160.CrossRefGoogle ScholarPubMed
UEMS. European training requirements ETR in Anaesthesiology 2018. June 17, 2019. https://www.uems.eu/__data/assets/pdf_file/0003/64398/UEMS-2018.17-European-Training-Requirements-in-Anaesthesiology.pdf.Google Scholar
Hayanga, HK, Barnett, DJ, Shallow, NR, et al. Anesthesiologists and disaster medicine: a needs assessment for education and training and reported willingness to respond. Anesth Analg. 2017;124(5):1662-1669.CrossRefGoogle ScholarPubMed
Bajaj, K, Meguerdichian, M, Thoma, B, et al. The PEARLS healthcare debriefing tool. Acad Med. 2018;93(2):336.CrossRefGoogle ScholarPubMed
Maegele, M, Gregor, S, Steinhausen, E, et al. The 2004 tsunami disaster: injury pattern and microbiological aspects. Crit Care. 2006;10(1):P128.CrossRefGoogle Scholar
Schultz, CH, Koenig, KL, Noji, EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med. 2016;334(7):438-444.CrossRefGoogle Scholar
Ingrassia, PL, Colombo, D, Barra, FL, et al. Impact of training in medical disaster management: a pilot study using a new tool for live simulation. Emergencias. 2013;25(459):66.Google Scholar
Carenzo, L, Ragozzino, F, Colombo, D, et al. Virtual Laboratory and Imaging: an online simulation tool to enhance hospital disaster preparedness training experience. Eur J Emerg Med. 2018;25(2):128-133.Google ScholarPubMed
Ozella, L, Gauvin, L, Carenzo, L, et al. Wearable proximity sensors for monitoring a mass casualty incident exercise: feasibility study. J Med Internet Res. 2019;21(4):e12251.CrossRefGoogle ScholarPubMed
Luigi Ingrassia, P, Ragazzoni, L, Carenzo, L, et al. Virtual reality and live simulation: a comparison between two simulation tools for assessing mass casualty triage skills. Eur J Emerg Med. 2015;22(2):121-127.CrossRefGoogle ScholarPubMed
King, RV, North, CS, Larkin, GL, et al. Attributes of effective disaster responders: focus group discussions with key emergency response leaders. Disaster Med Public Health Prep. 2010;4(4):332-338.CrossRefGoogle ScholarPubMed