Clinical Education & Medical Simulation
2020, vol. 3, nr 1, January-June, p. 15–22
doi: 10.17219/cems/131658
Publication type: original article
Language: English
License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)
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Implementation of the Medical Response to Major Incidents Course in Madeira, Portugal
1 Department of Anesthesiology, Nélio Mendonça’s Hospital - SESARAM, Funchal, Madeira Island, Portugal
2 Emergency Department, Nélio Mendonça’s Hospital - SESARAM, Funchal, Madeira Island, Portugal
3 Primary Care Centre - SESARAM, Machico, Madeira Island, Portugal
4 Operating Theatre, Nélio Mendonça’s Hospital - SESARAM, Funchal, Madeira Island, Portugal
5 Department of Surgery, Nélio Mendonça’s Hospital - SESARAM, Funchal, Madeira Island, Portugal
Abstract
Background. The Medical Response to Major Incidents (MRMI) course was created in response to the need to train people from multi-agencies on major incidents management. In Madeira, a group of physicians and nurses from SESARAM attended this course and “Madeira International Disaster Training Center” (MIDTC) was created with the objective of providing training in the areas of emergency, trauma and catastrophe. Since its implementation, the MRMI course has been offered in Portugal twice a year in Madeira, Mainland Portugal and Azores.
Objectives. To describe the method of implementation and functioning of the MRMI course and, additionally, to study the degree of satisfaction of the trainees.
Material and Methods. A quantitative study was performed during our last courses, using a satisfaction scale with the simulated clinical experience composed of 17 items with a Likert-type scale, punctuated from one (lowest level of satisfaction) to ten (highest level of satisfaction), in terms of practical, cognitive and realism dimensions. Data analysis was performed using the SPSS Statistic software, v. 25. A p-value of < 0.05 was used as the significance threshold.
Results. Twenty-one Portuguese MRMI courses were attended by 1,556 trainees from different professional areas (physicians, nurses, emergency and security technicians, social workers, command and control professionals). One hundred sixty-three surveys submitted by the trainees were available for analysis. A total of 60.7% of the respondents were men aged 30–49 years (71.8%). The overall satisfaction average score was 9.06. The practical dimension attained the highest score (9.12), followed by realism (9.05) and finally the cognitive aspect (8.90). Non-medical trainees’ scores were slightly lower when compared to the scores provided by the medical trainees.
Conclusion. Demand for the MRMI course in Portugal has been high, with the number of students increasing since its first implementation. This makes the MRMI course a practical doctrine to implement in Portugal by the national authorities.
Key words
simulation, major incident, disaster medicine, medical response, mass casualty
References (9)
- Quintal R. Aluviões da Madeira: séculos XIX e XX. Territorium: Revista Portuguesa de riscos, prevenção e segurança. N° 6; 1999.
- Lennquist S. Medical Response to major incidents and disasters. A pratical guide for all medical staff. Springer. ISBN 978-3-642-21894-1; 2012.
- Lennquist MK, Khorram-Manesh A, Örtenwall P, Lennquist S. Development of a new simulation model for evaluation and comparison of different triage methods. Prehosp Disast Med. 2009;24(2):144–145.
- Lennquist MK, Khorram-Manesh A, Örtenwall P, Lennquist S. Experiences from a new simulation model designed both for training and evaluation of methodology in major incident response. Eur J Trauma Emerg Surg. 2010;Suppl 1:s111.
- Lennquist MK. Development and evaluation of a new simulation model for education, research and quality assurance in disaster medicine. Academic thesis, University of Gothenburg; 2015. ISBN(e-pub) 978-91-628-9337-8.
- Lennquist MK, Khorram-Manesh A, Örtenwall P, Lennquist S. Comparative study of physiological and anatomical triage in major incidents using a new simulation model. Am J Disaster Med. 2011;6(5):289–298.
- Baptista RC, Martins JC, Pereira MF, Mazzo A. Satisfação dos estudantes com as experiências clínicas simuladas: validação da escala de avaliação. Revista Latina Americana de Enfermagem. 2014;22(5):709–715.
- Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;27(2):53–55.
- Mass rescue operations in MRMI course. Lifeline magazine, IRMF. http://www.irmfmro.org; 01-03. Accessed on December 1, 2017.