Sophie Elizabeth Jap Hardy

St George's Hospital

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Sabina Fattah

Stiftelsen Norsk Luftambulanse

Marius Rehn

Oslo University Hospital

Trine Staff

OsloMet – Oslo Metropolitan University

Lasse Raatiniemi

Oulu University Hospital

Torben Wisborg

Hammerfest Hospital

Christopher Aylwin

Queen Mary University of London

Seema Yalamanchili

University College London

Cooperative Institutions

Oslo University Hospital

Stiftelsen Norsk Luftambulanse

UiT The Arctic University of Norway

Royal London Hospital

Hammerfest Hospital

Barts Health NHS Trust

University Hospital of North Norway

St Mary's Hospital

Imperial College Healthcare NHS Trust

Imperial College London

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Debriefing Session: The Process of Self-Evaluation

Hot topics in acute care surgery and trauma (2019)

Seema Yalamanchili Sophie Elizabeth Jap Hardy Christopher Aylwin

Debriefing

10.1007/978-3-319-92345-1_17

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Citations (1)

Major incident in Kent: a case report

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine (2015)

Sophie Elizabeth Jap Hardy

A major incident was declared after a road traffic accident involving 150 cars and 200 people in Kent, England. The emergency services oversaw coordination of the scene, recovery and triage of casualties and transfer of patients to hospital. The crash was one of the worst seen on British roads and it has been hailed as a miracle that there were no deaths and very few serious injuries.This case report is a retrospective analysis of the regional health system's response to the crash. The structure is based on the content of a report submitted using an online open access template for major incident reporting (Scand J Trauma Resusc Emerg Med 22: 5, 2014; http://www.majorincidentreporting.org ). A more comprehensive analysis of the incident has also been the theme of a Masters thesis (Hardy S. Reporting Major Incidents in England: Putting Theory into Practice. England: Queen Mary's University of London; 2014).

Triage

Miracle

Queen (butterfly)

Theme (computing)

Incident report

10.1186/s13049-015-0152-9

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Citations (4)

Systematic reporting to improve the emergency medical response to major incidents: a pilot study

BMC Emergency Medicine (2018)

Sophie Elizabeth Jap Hardy Sabina Fattah Torben Wisborg Lasse Raatiniemi Trine Staff

Major incidents affect us globally, and are occurring with increasing frequency. There is still no evidence-based standard regarding the best medical emergency response to major incidents. Currently, reports on major incidents are non-standardised and variable in quality. This pilot study examines the first systematic reports from a consensus-based, freely accessible database, aiming to identify how descriptive analysis of reports submitted to this database can be used to improve the major incident response. Majorincidentreporting.net is a website collecting reports on major incidents using a standardised template. Data from these reports were analysed to compare the emergency response to each incident. Data from eight reports showed that effective triage by experienced individuals and the use of volunteers for transport were notable successes of the major incident response. Inadequate resources, lack of a common triage system, confusion over command and control and failure of communication were reported failures. The following trends were identified: Fires had the slowest times for several aspects of the response and the only three countries to have a single dialling number for all three emergency services had faster response times. Helicopter Emergency Medical services (HEMS) were used for transport and treatment in rural locations and for triage and treatment in urban locations. In two incidents, a major incident was declared before the arrival of the first Emergency Medical Services (EMS) personnel. This study shows that we can obtain relevant data from major incidents by using systematic reporting. Though the sample size from this pilot study is not large enough to draw any specific conclusions it illustrates the potential for future analyses. Identified lessons could be used to improve the emergency medical response to major incidents.

Triage

Mass-casualty incident

Incident report

Emergency Response

10.1186/s12873-018-0153-x

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Citations (16)

Correction to: Systematic reporting to improve the emergency medical response to major incidents: a pilot study

BMC Emergency Medicine (2018)

Sophie Elizabeth Jap Hardy Sabina Fattah Torben Wisborg Lasse Raatiniemi Trine Staff

The original article [1] contains an error whereby all authors' names were mistakenly interchanged. The original article has now been corrected to present the authors' names correctly.

Disaster Response

10.1186/s12873-018-0157-6

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Citations (1)

In response to ‘Top 10 lessons from the Glasgow major incidents’

Emergency Medicine Journal (2016)

Sophie Elizabeth Jap Hardy Sabina Fattah Marius Rehn

The article by Lowe et al 1, illustrates how valuable lessons can be learnt from an individual hospital's experience of two major incidents. A major incident is, thankfully a rare occurrence, so when one does take place, every opportunity should be taken to learn from it. …

Major trauma

10.1136/emermed-2016-206004

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"Home from hospital".

PubMed (1971)

Sophie Elizabeth Jap Hardy

Source

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Trials and tribulations: how we established a major incident database

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine (2017)

Sophie Elizabeth Jap Hardy Sabina Fattah

We describe the process of setting up a database of major incident reports and its potential future application.A template for reporting on major incidents was developed using a consensus-based process involving a team of experts in the field. A website was set up as a platform from which to launch the template and as a database of submitted reports. This paper describes the processes involved in setting up a major incident reporting database. It describes how specific difficulties have been overcome and anticipates challenges for the future.We have successfully set up a major incident database, the main purpose of which is to have a repository of standardised major incident reports that can be analysed and compared in order to learn from them.

Incident report

10.1186/s13049-017-0351-7

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Citations (10)