{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T11:23:28Z","timestamp":1693567408319},"reference-count":0,"publisher":"Weston Medical Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Disaster Med"],"abstract":"<jats:p>Objective: A hospital mass casualty simulation exercise testing feasibility of two city buses and a tent as a hybrid system for patient decontamination.Design: Observational study of a single mass casualty simulation exercise involving patient decontaminationSetting: Held on May 26, 2016 at the Montreal General Hospital, a Level 1 Trauma center without a garage.Patients, participants: Twenty-one medical staff including nurses, doctors, and patient attendants, and 30 volunteer-simulated patients.Interventions: The foregrounds of the hospital were cordoned off to create a single-entry point for the simulated patients that were identified as contaminated (C) by staff wearing personal protective equipment. Non-contaminated patients were directed to a separate hospital entrance. C patients were triaged in Bus 1 to determine priority for decontamination. Bus 2 served as a holding area for stable patients awaiting decontamination. Patients were decontaminated in appropriate tent sections (non-ambulatory, ambulatory male or female) and then directed to the emergency department.Results: Direct observation and participant feedback suggested that buses may provide adequate shelter for C patients. However, buses had limited capacity for non-ambulatory patients, who were not easily transported inside. Furthermore, areas of improvement were identified in communication, staffing, equipment, and coordination of operations.Conclusions: The use of city buses as triage and waiting zones prior to decontamination appears feasible for centers without a garage and facing unpredictable weather conditions. Further simulations are required for fine-tuning and testing real-time unfolding of tasks, ideally during an unannounced exercise.<\/jats:p>","DOI":"10.5055\/ajdm.2017.0273","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T22:16:34Z","timestamp":1519942594000},"page":"189-196","source":"Crossref","is-referenced-by-count":5,"title":["A hospital mass casualty exercise using city buses and a tent as a hybrid system for patient decontamination"],"prefix":"10.5055","volume":"12","author":[{"given":"Isabelle","family":"Imamedjian. MDCM, CCFP","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nisreen Hamza M.","family":"Maghraby, MBBS, FRCPC (EM), MM","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Homier, MD, FRCPC","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3008","published-online":{"date-parts":[[2017,7,1]]},"container-title":["American Journal of Disaster Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.wmpllc.org\/ojs\/index.php\/ajdm\/article\/download\/820\/830","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wmpllc.org\/ojs\/index.php\/ajdm\/article\/download\/820\/830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T17:41:46Z","timestamp":1683135706000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wmpllc.org\/ojs\/index.php\/ajdm\/article\/view\/820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,1]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,7,1]]}},"URL":"https:\/\/doi.org\/10.5055\/ajdm.2017.0273","relation":{},"ISSN":["1932-149X","1932-149X"],"issn-type":[{"value":"1932-149X","type":"electronic"},{"value":"1932-149X","type":"print"}],"subject":[],"published":{"date-parts":[[2017,7,1]]}}}