Publications
The SIMTEC team collected extensive data throughout all of our exercises. Data included video and audio of participants during the exercises, one-on-one interviews, focus groups and meetings with our Expert Working Groups and Subject Matter Experts. The following present the findings from our exercises:
Monteith, R., & Pearce, L. (2015) Self-Care Decontamination within a Chemical Exposure Mass Casualty Incident” Prehospital and Disaster Medicine, 30(3), 1-9.
Abstract
Growing awareness and concern for the increasing frequency of incidents involving hazardous materials (HazMat) across a broad spectrum of contaminants from chemical, biological, radiological, and nuclear (CBRN) sources indicates a clear need to refine the capability to respond successfully to mass-casualty contamination incidents. Best results for decontamination from a chemical agent will be achieved if done within minutes following exposure, and delays in decontamination will increase the length of time a casualty is in contact with the contaminate. The findings presented in this report indicate that casualties involved in a HazMat/CBRN mass-casualty incident (MCI) in a typical community would not receive sufficient on-scene care because of operational delays that are integral to a standard HazMat/CBRN first response. This delay in response will mean that casualty care will shift away from the incident scene into already over-tasked health care facilities as casualties seek aid on their own. The self-care decontamination protocols recommended here present a viable option to ensure decontamination is completed in the field, at the incident scene, and that casualties are cared for more quickly and less traumatically than they would be otherwise. Introducing self-care decontamination procedures as a standard first response within the response community will improve the level of care significantly and provide essential, self-care decontamination to casualties. The process involves three distinct stages which should not be delayed; these are summarized by the acronym MADE: Move/Assist, Disrobe/Decontaminate, Evaluate/Evacuate.
Abstract
The researchers compared the effectiveness of two decision models for modeling decision making in Emergency Operations Centers (EOCs): Klein’s Recognition Primed Decision (RPD) model and Gladwin’s Ethnographic Decision Tree Model (EDTM). The focus was on decisions that affect the psychological and social well-being of responders and community members. Communities of EOC personnel participated in a simulated emergency event, followed by an interview and/or focus group. Analysis of the decision-making processes during the simulation revealed that most operational decisions were made intuitively, with expertise, and best modeled by RPD. When the decisions involved issues for which EOC personnel had less experience (e.g., psychosocial issues), the decision-making approach shifted from a fast intuitive style to a more deliberative style. In some cases, EOC staff requested additional information before making a decision. With no formalized feedback loops, decisions were delayed or not made at all, leaving community residents and EOC personnel without psychosocial services for unnecessary lengths of time. The researchers found the RPD model to be most useful in its potential for identifying areas where future training (i.e., simulated exercises) and education (i.e., knowledge transfer) could be offered to EOC personnel to improve the provision of psychosocial services.