Power ECE eng [modalità compatibilità]

Power ECEPower ECE

Exercise Creator and Evaluator

Torino,12 Novembre 2008

Davide Colombo, MDDavide Colombo, MDS.C.D.U. Anestesia, Terapia Intensiva e Rianimazione GeneraleA.O.U. Maggiore della Carità - NovaraUniversità “A. Avogadro”del Piemonte Orientale

Real size simulation in disaster medicine

Real size simulation in disaster medicine

� Poor number of paper

� Best system to test plan

� Great stress for partecipants

But…But…

� Cost/efficacy

� Expensive organization

� Difficult to evalue

Tasks for a Successful ExerciseTasks for a Successful Exercise

ReviewPlan

ReviewPlan

DevelopScheduleDevelop

Schedule

DetermineExercise

Scope

DetermineExercise

Scope

AssessCapability

AssessCapability

ConductNeeds

Assessment

ConductNeeds

Assessment

WritePurpose

Statement

WritePurpose

Statement

SendExerciseDirective

SendExerciseDirective

OrganizeEvaluation

Team

OrganizeEvaluation

Team

OrganizeDesignTeam

OrganizeDesignTeam

PrepareObjectivesPrepare

ObjectivesBef

ore

ReviewPlan

ReviewPlan

DevelopScheduleDevelop

Schedule

DetermineExercise

Scope

DetermineExercise

Scope

AssessCapability

AssessCapability

ConductNeeds

Assessment

ConductNeeds

Assessment

WritePurpose

Statement

WritePurpose

Statement

SendExerciseDirective

SendExerciseDirective

OrganizeEvaluation

Team

OrganizeEvaluation

Team

OrganizeDesignTeam

OrganizeDesignTeam

PrepareObjectivesPrepare

ObjectivesBef

ore

ReviewPlan

ReviewPlan

DevelopScheduleDevelop

Schedule

DetermineExercise

Scope

DetermineExercise

Scope

AssessCapability

AssessCapability

ConductNeeds

Assessment

ConductNeeds

Assessment

WritePurpose

Statement

WritePurpose

Statement

SendExerciseDirective

SendExerciseDirective

OrganizeEvaluation

Team

OrganizeEvaluation

Team

OrganizeDesignTeam

OrganizeDesignTeam

PrepareObjectivesPrepare

ObjectivesBef

ore

WriteNarrative

WriteNarrative

WriteMessages

WriteMessages

DevelopEvaluation

Format

DevelopEvaluation

Format

List Major &DetailedEvents

List Major &DetailedEvents

FinalizeExercise

Enhancements

FinalizeExercise

Enhancements

DetermineExpectedActions

DetermineExpectedActions

ConductExerciseConductExercise

ConductPost -Exercise

Meeting

ConductPostexercise

Meeting

ConductFollow -UpActivities

ConductFollowupActivities

WriteAfter -Action

Report

WriteAfter -Action

Report

Dur

ing

Aft

er

WriteNarrative

WriteNarrative

WriteMessages

WriteMessages

DevelopEvaluation

Format

DevelopEvaluation

Format

List Major &DetailedEvents

List Major &DetailedEvents

FinalizeExercise

Enhancements

FinalizeExercise

Enhancements

DetermineExpectedActions

DetermineExpectedActions

ConductExerciseConductExercise

ConductPost -Exercise

Meeting

ConductPostexercise

Meeting

ConductFollow -UpActivities

ConductFollowupActivities

WriteAfter -Action

Report

WriteAfter -Action

Report

Dur

ing

Aft

er

WriteNarrative

WriteNarrative

WriteMessages

WriteMessages

DevelopEvaluation

Format

DevelopEvaluation

Format

List Major &DetailedEvents

List Major &DetailedEvents

FinalizeExercise

Enhancements

FinalizeExercise

Enhancements

DetermineExpectedActions

DetermineExpectedActions

ConductExerciseConductExercise

ConductPost -Exercise

Meeting

ConductPostexercise

Meeting

ConductFollow -UpActivities

ConductFollowupActivities

WriteAfter -Action

Report

WriteAfter -Action

Report

Dur

ing

Aft

er

Key PointsKey Points

�Scenario

�Set up�Set up

�Victims

�Realism

To Evaluate an exerciseTo Evaluate an exerciseIt allow to identify:

� If you reach the goal

� How improving C&C chain

� How improving system and protocol� How improving system and protocol

� Weakness in skill

� Equipment

ObjectiveObjective

To build a software able to:

�Victim database�To help in setting up the simulation�To collect and analyze data

Victims’ databaseVictims’ database

STORYBOARDSTORYBOARDSTORYBOARDSTORYBOARDSTORYBOARDSTORYBOARDSTORYBOARDSTORYBOARD

Running the drillRunning the drill

Vital signVital signVital signVital signVital signVital signVital signVital sign

Running the Drill…Running the Drill…

After Action ReviewAfter Action Review

Maps and

movements

Communication

Digital

photographsReplay controls

Component

tree

Statistics

Replay time

Communication

analysis

Time line

CITE® Explorer System for integration and visualization of information from complex processes using multimedia

STATSSTATS

ResultsResults

EMDM 2006: Gallery car crash, Simulated Hospital in an airport Hangar

� To modify disaster � To modify disaster activation procedure

� To improve communication system

� To modify personnel on call list

ResultsResults

EMDM 2007: Air collision, Ospedale Regionale della Valle d’Aosta involved DEA, ICU and Radiology

� To modify procedure to manage in airport disaster

� To modify access road to � To modify access road to Hospital

� To modify in Hospital victim’s route

� To modify radiology and Laboratory use

� To test computerized triage system

RisultatiRisultatiRed Cross Civil Protection simulation 2007:

Burn in Elderly residence, Pre-Hospital

� To test technical

� Ambulance and truck � Ambulance and truck mobilization

� Difficult to evacuate patients

� Not Clear definition in C&C Chain

RisultatiRisultatiEMDM 2008: Bomb during Rock Concert,

Ospedale Borgomanero involved DEA, ICU and RAdiology

� Real patient manage in the same space of simulatedspace of simulated

� Real test of Hospital plan

� High realism level

� Still analyzing

Further developmentsFurther developments

�Connection with real system to manage mass casualty events

�Interconnection between real size and �Interconnection between real size and computerized simulation

Power ECEPower ECE

Exercise Creator and Evaluator

Torino,12 Novembre 2008

Davide Colombo, MDDavide Colombo, MDS.C.D.U. Anestesia, Terapia Intensiva e Rianimazione GeneraleA.O.U. Maggiore della Carità - NovaraUniversità “A. Avogadro”del Piemonte Orientale