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UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack

INTRODUCTION: Emergency departments (ED) are on the front line for treating victims of multi-casualty incidents. The primary objective of this study was to gather and detail the common experiences from those hospital-based health professionals directly involved in the response to the San Bernardino...

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Autores principales: Smith, Dustin, Walters, Elizabeth L., Reibling, Ellen, Brockie, Darren, Lee, Carol, Neeki, Michael, Ochoa, Humberto, Henson, Travis, Fisgus, James, Thomas, Tammi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081877/
https://www.ncbi.nlm.nih.gov/pubmed/32191197
http://dx.doi.org/10.5811/westjem.2019.11.43437
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author Smith, Dustin
Walters, Elizabeth L.
Reibling, Ellen
Brockie, Darren
Lee, Carol
Neeki, Michael
Ochoa, Humberto
Henson, Travis
Fisgus, James
Thomas, Tammi
author_facet Smith, Dustin
Walters, Elizabeth L.
Reibling, Ellen
Brockie, Darren
Lee, Carol
Neeki, Michael
Ochoa, Humberto
Henson, Travis
Fisgus, James
Thomas, Tammi
author_sort Smith, Dustin
collection PubMed
description INTRODUCTION: Emergency departments (ED) are on the front line for treating victims of multi-casualty incidents. The primary objective of this study was to gather and detail the common experiences from those hospital-based health professionals directly involved in the response to the San Bernardino terrorism attack on December 2, 2015. Secondary objectives included gathering information on experiences participants found were best practices. METHODS: We undertook a qualitative study using Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines by performing semi-structured interviews with physicians, nurses, and incident management staff from multiple institutions responding to the San Bernardino terrorist attack. We coded transcripts using qualitative analysis techniques and we delineated and agreed upon a refined list with code definitions using a negotiated group process. Final themes were developed and analyzed. RESULTS: A total of 26 interviews were completed; 1172 excerpts were coded and categorized into 66 initial themes. Six final categories of communication, training, unexpected help, process bypassed, personal impact/emotions, and practical advice resulted. CONCLUSION: Our study provides context regarding the response of healthcare personnel from multiple institutions to a singular terrorist attack in the United States. It elucidates several themes to help other institutions prepare for similar events. Understanding these common experiences provides opportunity to prepare for future incidents and develop questions to study in future events.
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spelling pubmed-70818772020-03-24 UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack Smith, Dustin Walters, Elizabeth L. Reibling, Ellen Brockie, Darren Lee, Carol Neeki, Michael Ochoa, Humberto Henson, Travis Fisgus, James Thomas, Tammi West J Emerg Med Disaster Medicine INTRODUCTION: Emergency departments (ED) are on the front line for treating victims of multi-casualty incidents. The primary objective of this study was to gather and detail the common experiences from those hospital-based health professionals directly involved in the response to the San Bernardino terrorism attack on December 2, 2015. Secondary objectives included gathering information on experiences participants found were best practices. METHODS: We undertook a qualitative study using Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines by performing semi-structured interviews with physicians, nurses, and incident management staff from multiple institutions responding to the San Bernardino terrorist attack. We coded transcripts using qualitative analysis techniques and we delineated and agreed upon a refined list with code definitions using a negotiated group process. Final themes were developed and analyzed. RESULTS: A total of 26 interviews were completed; 1172 excerpts were coded and categorized into 66 initial themes. Six final categories of communication, training, unexpected help, process bypassed, personal impact/emotions, and practical advice resulted. CONCLUSION: Our study provides context regarding the response of healthcare personnel from multiple institutions to a singular terrorist attack in the United States. It elucidates several themes to help other institutions prepare for similar events. Understanding these common experiences provides opportunity to prepare for future incidents and develop questions to study in future events. Department of Emergency Medicine, University of California, Irvine School of Medicine 2020-03 2020-02-24 /pmc/articles/PMC7081877/ /pubmed/32191197 http://dx.doi.org/10.5811/westjem.2019.11.43437 Text en Copyright: © 2020 Smith et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Disaster Medicine
Smith, Dustin
Walters, Elizabeth L.
Reibling, Ellen
Brockie, Darren
Lee, Carol
Neeki, Michael
Ochoa, Humberto
Henson, Travis
Fisgus, James
Thomas, Tammi
UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack
title UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack
title_full UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack
title_fullStr UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack
title_full_unstemmed UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack
title_short UNIFIED: Understanding New Information from Emergency Departments Involved in the San Bernardino Terrorist Attack
title_sort unified: understanding new information from emergency departments involved in the san bernardino terrorist attack
topic Disaster Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081877/
https://www.ncbi.nlm.nih.gov/pubmed/32191197
http://dx.doi.org/10.5811/westjem.2019.11.43437
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