Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/19324
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dc.contributor.authorDuncan, Edwarden_UK
dc.contributor.authorColver, Keithen_UK
dc.contributor.authorDougall, Nadineen_UK
dc.contributor.authorSwingler, Kevinen_UK
dc.contributor.authorStephenson, Johnen_UK
dc.contributor.authorAbhyankar, Purvaen_UK
dc.date.accessioned2017-12-21T03:17:53Z-
dc.date.available2017-12-21T03:17:53Z-
dc.date.issued2014-02en_UK
dc.identifier.other5en_UK
dc.identifier.urihttp://hdl.handle.net/1893/19324-
dc.description.abstractBackground: Major short-notice or sudden impact incidents, which result in a large number of casualties, are rare events. However health services must be prepared to respond to such events appropriately. In the United Kingdom (UK), a mass casualties incident is when the normal response of several National Health Service organizations to a major incident, has to be supported with extraordinary measures. Having the right type and quantity of clinical equipment is essential, but planning for such emergencies is challenging. To date, the equipment stored for such events has been selected on the basis of local clinical judgment and has evolved without an explicit evidence-base. This has resulted in considerable variations in the types and quantities of clinical equipment being stored in different locations. This study aimed to develop an expert consensus opinion of the essential items and minimum quantities of clinical equipment that is required to treat 100 people at the scene of a big bang mass casualties event. Methods: A three round modified Delphi study was conducted with 32 experts using a specifically developed web-based platform. Individuals were invited to participate if they had personal clinical experience of providing a pre-hospital emergency medical response to a mass casualties incident, or had responsibility in health emergency planning for mass casualties incidents and were in a position of authority within the sphere of emergency health planning. Each item's importance was measured on a 5-point Likert scale. The quantity of items required was measured numerically. Data were analyzed using nonparametric statistics. Results: Experts achieved consensus on a total of 134 items (54%) on completion of the study. Experts did not reach consensus on 114 (46%) items. Median quantities and interquartile ranges of the items, and their recommended quantities were identified and are presented. Conclusions: This study is the first to produce an expert consensus on the items and quantities of clinical equipment that are required to treat 100 people at the scene of a big bang mass casualties event. The findings can be used, both in the UK and internationally, to support decision makers in the planning of equipment for such incidents.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationDuncan E, Colver K, Dougall N, Swingler K, Stephenson J & Abhyankar P (2014) Consensus on items and quantities of clinical equipment required to deal with a mass casualties big bang incident: a national Delphi study. BMC Emergency Medicine, 14, Art. No.: 5. https://doi.org/10.1186/1471-227X-14-5en_UK
dc.rights© 2014 Duncan et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/en_UK
dc.subjectMass casualtiesen_UK
dc.subjectMajor incidenten_UK
dc.subjectAmbulanceen_UK
dc.subjectDelphi methoden_UK
dc.subjectInterneten_UK
dc.subjectParamedicen_UK
dc.subjectBig bangen_UK
dc.subjectClinical equipmenten_UK
dc.titleConsensus on items and quantities of clinical equipment required to deal with a mass casualties big bang incident: a national Delphi studyen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/1471-227X-14-5en_UK
dc.citation.jtitleBMC Emergency Medicineen_UK
dc.citation.issn1471-227Xen_UK
dc.citation.volume14en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderDepartment of Healthen_UK
dc.author.emailedward.duncan@stir.ac.uken_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationScottish Ambulance Serviceen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationComputing Scienceen_UK
dc.contributor.affiliationNational Ambulance Resilience Trusten_UK
dc.contributor.affiliationNMAHPen_UK
dc.identifier.isiWOS:000210473500004en_UK
dc.identifier.scopusid2-s2.0-84896859140en_UK
dc.identifier.wtid646169en_UK
dc.contributor.orcid0000-0002-3400-905Xen_UK
dc.contributor.orcid0000-0003-3462-6960en_UK
dc.contributor.orcid0000-0002-4517-9433en_UK
dc.contributor.orcid0000-0002-0779-6588en_UK
dcterms.dateAccepted2014-02-28en_UK
dc.date.filedepositdate2014-02-28en_UK
dc.relation.funderprojectAmbulance Disaster Response Equipment Studyen_UK
dc.relation.funderrefPO37998en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorDuncan, Edward|0000-0002-3400-905Xen_UK
local.rioxx.authorColver, Keith|en_UK
local.rioxx.authorDougall, Nadine|0000-0003-3462-6960en_UK
local.rioxx.authorSwingler, Kevin|0000-0002-4517-9433en_UK
local.rioxx.authorStephenson, John|en_UK
local.rioxx.authorAbhyankar, Purva|0000-0002-0779-6588en_UK
local.rioxx.projectPO37998|Department of Health|en_UK
local.rioxx.freetoreaddate2014-02-28en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/2.0/|2014-02-28|en_UK
local.rioxx.filename1471-227X-14-5_published prov.pdfen_UK
local.rioxx.filecount1en_UK
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