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Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare

INTRODUCTION: Asymmetric warfare and the reaction to its threats have implications in the way far-forward medical assistance is provided in such settings. Investments in far-forward emergency resuscitation and stabilization can contribute to saving lives and increase the resilience of health systems...

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Autores principales: Salio, Flavio, Pirisi, Alessandro, Ciottone, Gregory R., Echeverri, Lina Maria, Peleg, Kobi, Redmond, Anthony D., Weinstein, Eric S., Hubloue, Ives, Della Corte, Francesco, Ragazzoni, Luca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470527/
https://www.ncbi.nlm.nih.gov/pubmed/35875999
http://dx.doi.org/10.1017/S1049023X22001066
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author Salio, Flavio
Pirisi, Alessandro
Ciottone, Gregory R.
Echeverri, Lina Maria
Peleg, Kobi
Redmond, Anthony D.
Weinstein, Eric S.
Hubloue, Ives
Della Corte, Francesco
Ragazzoni, Luca
author_facet Salio, Flavio
Pirisi, Alessandro
Ciottone, Gregory R.
Echeverri, Lina Maria
Peleg, Kobi
Redmond, Anthony D.
Weinstein, Eric S.
Hubloue, Ives
Della Corte, Francesco
Ragazzoni, Luca
author_sort Salio, Flavio
collection PubMed
description INTRODUCTION: Asymmetric warfare and the reaction to its threats have implications in the way far-forward medical assistance is provided in such settings. Investments in far-forward emergency resuscitation and stabilization can contribute to saving lives and increase the resilience of health systems. Thus, it is proposed to extend the use of the Haddon Matrix to determine a set of strategies to better understand and prioritize activities to prepare for and set-up frontline care in the form of Trauma Stabilization Points (TSPs). METHODS: An expert consensus methodology was used to achieve the research aim. A small subject matter experts’ group was convened to create and validate the content of the Haddon Matrix. RESULTS: The result of the expert group consultations presented an overview of TSP Preparedness and Operational Readiness activities within a Haddon Matrix framework. Main strategies to be adopted within the cycle from pre- to post-event had been identified and presented considering the identified opportunities in the context of the possibility of implementation. Of particular importance was the revision of a curriculum that fits the civilian medical system and facilitates its adaptation to the context and available resources. CONCLUSION: The new framework to enhance frontline care preparedness and response using the Haddon Matrix facilitated the identification of a set of strategies to support frontline health care workers in a more efficient manner. Since the existing approach and tools are insufficient for modern warfare, additional research is needed.
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spelling pubmed-94705272022-09-26 Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare Salio, Flavio Pirisi, Alessandro Ciottone, Gregory R. Echeverri, Lina Maria Peleg, Kobi Redmond, Anthony D. Weinstein, Eric S. Hubloue, Ives Della Corte, Francesco Ragazzoni, Luca Prehosp Disaster Med Original Research INTRODUCTION: Asymmetric warfare and the reaction to its threats have implications in the way far-forward medical assistance is provided in such settings. Investments in far-forward emergency resuscitation and stabilization can contribute to saving lives and increase the resilience of health systems. Thus, it is proposed to extend the use of the Haddon Matrix to determine a set of strategies to better understand and prioritize activities to prepare for and set-up frontline care in the form of Trauma Stabilization Points (TSPs). METHODS: An expert consensus methodology was used to achieve the research aim. A small subject matter experts’ group was convened to create and validate the content of the Haddon Matrix. RESULTS: The result of the expert group consultations presented an overview of TSP Preparedness and Operational Readiness activities within a Haddon Matrix framework. Main strategies to be adopted within the cycle from pre- to post-event had been identified and presented considering the identified opportunities in the context of the possibility of implementation. Of particular importance was the revision of a curriculum that fits the civilian medical system and facilitates its adaptation to the context and available resources. CONCLUSION: The new framework to enhance frontline care preparedness and response using the Haddon Matrix facilitated the identification of a set of strategies to support frontline health care workers in a more efficient manner. Since the existing approach and tools are insufficient for modern warfare, additional research is needed. Cambridge University Press 2022-10 2022-07-25 /pmc/articles/PMC9470527/ /pubmed/35875999 http://dx.doi.org/10.1017/S1049023X22001066 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Salio, Flavio
Pirisi, Alessandro
Ciottone, Gregory R.
Echeverri, Lina Maria
Peleg, Kobi
Redmond, Anthony D.
Weinstein, Eric S.
Hubloue, Ives
Della Corte, Francesco
Ragazzoni, Luca
Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare
title Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare
title_full Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare
title_fullStr Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare
title_full_unstemmed Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare
title_short Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare
title_sort applying the haddon matrix to frontline care preparedness and response in asymmetric warfare
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470527/
https://www.ncbi.nlm.nih.gov/pubmed/35875999
http://dx.doi.org/10.1017/S1049023X22001066
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