Non-medical aspects of civilian–military collaboration in management of major incidents View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-10

AUTHORS

A. Khorram-Manesh, H. Lönroth, P. Rotter, M. Wilhelmsson, J. Aremyr, A. Berner, A. Nero Andersson, E. Carlström

ABSTRACT

PURPOSE: Disasters and major incidents demand a multidisciplinary management. Recent experiences from terrorist attacks worldwide have resulted in a search for better assessment of the needs, resources, and knowledge in the medical and non-medical management of these incidents and also actualized the need for collaboration between civilian and military healthcare. The aim of this study was to evaluate the impact of the civilian-military collaboration in a Swedish context with the main focus on its non-medical management. METHOD: An exercise, simulating a foreign military attack centrally on Swedish soil, was designed, initiated, and conducted by a team consisting of civilian and military staff. Data were collected prospectively and evaluated by an expert team. RESULTS: Specific practical and technical issues were presented in collaboration between civilian and military staffs. In addition, shortcomings in decision-making, follow-up, communication, and collaboration due to prominent lack of training and exercising the tasks and positions in all managerial levels of the hospital were identified. CONCLUSION: Current social and political unrests and terror attacks worldwide necessitate civilian-military collaboration. Such collaboration, however, needs to be synchronized and adjusted to avoid preventable medical and non-medical consequences. Simulation exercises might be one important source to improve such collaboration. More... »

PAGES

595-603

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00068-017-0778-6

DOI

http://dx.doi.org/10.1007/s00068-017-0778-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084018445

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28255610


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