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dc.contributor.authorUgelvik, Kristina Stølen
dc.contributor.authorThomassen, Øyvind
dc.contributor.authorBraut, Geir Sverre
dc.contributor.authorGeisner, Thomas
dc.contributor.authorSjøvold, Janecke Engeberg
dc.contributor.authorAgri, Joakim
dc.contributor.authorMontan, Carl
dc.description.abstractPurpose To investigate prehospital preparedness work for Mass Casualty Incidents (MCI) and Major Incidents (MI) in Norway. Method A national cross-sectional descriptive study of Norway’s prehospital MI preparedness through a web-based survey. A representative selection of Rescue and Emergency Services were included, excluding Non-Governmental Organisations and military. The survey consisted of 59 questions focused on organisation, planning, education/training, exercises and evaluation. Results Totally, 151/157 (96%) respondents answered the survey. The results showed variance regarding contingency planning for MCI/MI, revisions of the plans, use of national triage guidelines, knowledge requirements, as well as haemostatic and tactical first aid skills training. Participation in interdisciplinary on-going life-threatening violence (PLIVO) exercises was high among Ambulance, Police and Fire/Rescue Emergency Services. Simulations of terrorist attacks or disasters with multiple injured the last five years were reported by 21/151 (14%) on a regional level and 74/151 (48%) on a local level. Evaluation routines after MCI/MI events were reported by half of the respondents (75/151) and 70/149 (47%) described a dedicated function to perform such evaluation. Conclusion The study indicates considerable variance and gaps among Prehospital Rescue and Emergency Services in Norway regarding MCI/MI preparedness work, calling for national benchmarks, minimum requirements, follow-up routines of the organisations and future reassessments. Implementation of mandatory PLIVO exercises seems to have contributed to interdisciplinary exercises between Fire/Rescue, Police and Ambulance Emergency Service. Repeated standardised surveys can be a useful tool to assess and follow-up the MI preparedness work among Prehospital Rescue and Emergency Services at a national, regional and local level.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleEvaluation of prehospital preparedness for major incidents on a national level, with focus on mass casualty incidentsen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.source.journalEuropean Journal of Trauma and Emergency Surgeryen_US
dc.identifier.citationEuropean Journal of Trauma and Emergency Surgery. 2023.en_US

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Navngivelse 4.0 Internasjonal
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