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The Surge Capacity for People in Emergencies (SCOPE) study in Australasian hospitals.
Med J Aust. 2007 Apr 16; 186(8):394-8.MJ

Abstract

OBJECTIVES

To measure physical assets in Australasian hospitals required for the management of mass casualties as a result of terrorism or natural disasters.

DESIGN AND SETTING

A cross-sectional survey of Australian and New Zealand hospitals.

PARTICIPANTS

All emergency department directors of Australasian College for Emergency Medicine (ACEM)-accredited hospitals, as well as private and non-ACEM accredited emergency departments staffed by ACEM Fellows in metropolitan Sydney.

MAIN OUTCOME MEASURES

Numbers of operating theatres, intensive care unit (ICU) beds and x-ray machines; state of preparedness using benchmarks defined by the Centers for Disease Control and Prevention in the United States.

RESULTS

We found that 61%-82% of critically injured patients would not have immediate access to operative care, 34%-70% would have delayed access to an ICU bed, and 42% of the less critically injured would have delayed access to x-ray facilities.

CONCLUSIONS

Our study demonstrates that physical assets in Australasian public hospitals do not meet US hospital preparedness benchmarks for mass casualty incidents. We recommend national agreement on disaster preparedness benchmarks and periodic publication of hospital performance indicators to enhance disaster preparedness.

Authors+Show Affiliations

Trauma Service, Royal North Shore Hospital, Sydney, NSW.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17437392

Citation

Traub, Matthias, et al. "The Surge Capacity for People in Emergencies (SCOPE) Study in Australasian Hospitals." The Medical Journal of Australia, vol. 186, no. 8, 2007, pp. 394-8.
Traub M, Bradt DA, Joseph AP. The Surge Capacity for People in Emergencies (SCOPE) study in Australasian hospitals. Med J Aust. 2007;186(8):394-8.
Traub, M., Bradt, D. A., & Joseph, A. P. (2007). The Surge Capacity for People in Emergencies (SCOPE) study in Australasian hospitals. The Medical Journal of Australia, 186(8), 394-8.
Traub M, Bradt DA, Joseph AP. The Surge Capacity for People in Emergencies (SCOPE) Study in Australasian Hospitals. Med J Aust. 2007 Apr 16;186(8):394-8. PubMed PMID: 17437392.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Surge Capacity for People in Emergencies (SCOPE) study in Australasian hospitals. AU - Traub,Matthias, AU - Bradt,David A, AU - Joseph,Anthony P, PY - 2006/08/02/received PY - 2007/01/22/accepted PY - 2007/4/18/pubmed PY - 2007/6/1/medline PY - 2007/4/18/entrez SP - 394 EP - 8 JF - The Medical journal of Australia JO - Med J Aust VL - 186 IS - 8 N2 - OBJECTIVES: To measure physical assets in Australasian hospitals required for the management of mass casualties as a result of terrorism or natural disasters. DESIGN AND SETTING: A cross-sectional survey of Australian and New Zealand hospitals. PARTICIPANTS: All emergency department directors of Australasian College for Emergency Medicine (ACEM)-accredited hospitals, as well as private and non-ACEM accredited emergency departments staffed by ACEM Fellows in metropolitan Sydney. MAIN OUTCOME MEASURES: Numbers of operating theatres, intensive care unit (ICU) beds and x-ray machines; state of preparedness using benchmarks defined by the Centers for Disease Control and Prevention in the United States. RESULTS: We found that 61%-82% of critically injured patients would not have immediate access to operative care, 34%-70% would have delayed access to an ICU bed, and 42% of the less critically injured would have delayed access to x-ray facilities. CONCLUSIONS: Our study demonstrates that physical assets in Australasian public hospitals do not meet US hospital preparedness benchmarks for mass casualty incidents. We recommend national agreement on disaster preparedness benchmarks and periodic publication of hospital performance indicators to enhance disaster preparedness. SN - 0025-729X UR - https://www.unboundmedicine.com/medline/citation/17437392/The_Surge_Capacity_for_People_in_Emergencies__SCOPE__study_in_Australasian_hospitals_ L2 - https://www.mja.com.au/public/issues/186_08_160407/tra10812_fm.html DB - PRIME DP - Unbound Medicine ER -