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Swedish emergency hospital surgical surge capacity to mass casualty incidents

BACKGROUND: In Sweden the surgical surge capacity for mass casualty incidents (MCI) is managed by county councils within their dedicated budget. It is unclear whether healthcare budget constraints have affected the regional MCI preparedness. This study was designed to investigate the current surgica...

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Autores principales: Blimark, Magnus, Örtenwall, Per, Lönroth, Hans, Mattsson, Peter, Boffard, Kenneth D., Robinson, Yohan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7038541/
https://www.ncbi.nlm.nih.gov/pubmed/32093761
http://dx.doi.org/10.1186/s13049-020-0701-8
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author Blimark, Magnus
Örtenwall, Per
Lönroth, Hans
Mattsson, Peter
Boffard, Kenneth D.
Robinson, Yohan
author_facet Blimark, Magnus
Örtenwall, Per
Lönroth, Hans
Mattsson, Peter
Boffard, Kenneth D.
Robinson, Yohan
author_sort Blimark, Magnus
collection PubMed
description BACKGROUND: In Sweden the surgical surge capacity for mass casualty incidents (MCI) is managed by county councils within their dedicated budget. It is unclear whether healthcare budget constraints have affected the regional MCI preparedness. This study was designed to investigate the current surgical MCI preparedness at Swedish emergency hospitals. METHODS: Surveys were distributed in 2015 to department heads of intensive care units (ICU) and surgery at 54 Swedish emergency hospitals. The survey contained quantitative measures as the number of (1) surgical trauma teams in hospital and available after activating the disaster plan, (2) surgical theatres suitable for multi-trauma care, and (3) surgical ICU beds. The survey was also distributed to the Armed Forces Centre for Defence Medicine. RESULTS: 53 hospitals responded to the survey (98%). Included were 10 university hospitals (19%), 42 county hospitals (79%), and 1 private hospital (2%). Within 8 h the surgical capacity could be increased from 105 to 399 surgical teams, while 433 surgical theatres and 480 ICU beds were made available. The surgical surge capacity differed between university hospitals and county hospitals, and regional differences were identified regarding the availability of surgical theatres and ICU beds. CONCLUSIONS: The MCI preparedness of Swedish emergency care hospitals needs further attention. To improve Swedish surgical MCI preparedness a national strategy for trauma care in disaster management is necessary.
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spelling pubmed-70385412020-03-02 Swedish emergency hospital surgical surge capacity to mass casualty incidents Blimark, Magnus Örtenwall, Per Lönroth, Hans Mattsson, Peter Boffard, Kenneth D. Robinson, Yohan Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: In Sweden the surgical surge capacity for mass casualty incidents (MCI) is managed by county councils within their dedicated budget. It is unclear whether healthcare budget constraints have affected the regional MCI preparedness. This study was designed to investigate the current surgical MCI preparedness at Swedish emergency hospitals. METHODS: Surveys were distributed in 2015 to department heads of intensive care units (ICU) and surgery at 54 Swedish emergency hospitals. The survey contained quantitative measures as the number of (1) surgical trauma teams in hospital and available after activating the disaster plan, (2) surgical theatres suitable for multi-trauma care, and (3) surgical ICU beds. The survey was also distributed to the Armed Forces Centre for Defence Medicine. RESULTS: 53 hospitals responded to the survey (98%). Included were 10 university hospitals (19%), 42 county hospitals (79%), and 1 private hospital (2%). Within 8 h the surgical capacity could be increased from 105 to 399 surgical teams, while 433 surgical theatres and 480 ICU beds were made available. The surgical surge capacity differed between university hospitals and county hospitals, and regional differences were identified regarding the availability of surgical theatres and ICU beds. CONCLUSIONS: The MCI preparedness of Swedish emergency care hospitals needs further attention. To improve Swedish surgical MCI preparedness a national strategy for trauma care in disaster management is necessary. BioMed Central 2020-02-12 /pmc/articles/PMC7038541/ /pubmed/32093761 http://dx.doi.org/10.1186/s13049-020-0701-8 Text en © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Research
Blimark, Magnus
Örtenwall, Per
Lönroth, Hans
Mattsson, Peter
Boffard, Kenneth D.
Robinson, Yohan
Swedish emergency hospital surgical surge capacity to mass casualty incidents
title Swedish emergency hospital surgical surge capacity to mass casualty incidents
title_full Swedish emergency hospital surgical surge capacity to mass casualty incidents
title_fullStr Swedish emergency hospital surgical surge capacity to mass casualty incidents
title_full_unstemmed Swedish emergency hospital surgical surge capacity to mass casualty incidents
title_short Swedish emergency hospital surgical surge capacity to mass casualty incidents
title_sort swedish emergency hospital surgical surge capacity to mass casualty incidents
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7038541/
https://www.ncbi.nlm.nih.gov/pubmed/32093761
http://dx.doi.org/10.1186/s13049-020-0701-8
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