Education in international and national courses and programs in disaster medicine and traumatology

• Postgraduate courses

• MRMI (Medical Response to Major Incidents) is a 3 day standardised course covering all professionals involved in the response to major incidents and disasters. Further information can be found at www.mrmi.eu

• 14 MRMI centres, in 11 countries

• We have educated >10 000 participants

• Since 2009 more than 100 courses has been performed

• Graduate courses

• During specialisation in surgery, anesthesia, emergency medicine, paramedics, ambulance nurses a validated system is essential for effective education. MACSIM gets high grades from users in these categories.

• Pregraduate courses

• Medical and nurse students evaluate MACSIM as a powerful tool to repidly improve their knowledge in disaster medicine and traumatology.

• Laymen courses and tailormade courses

• Digital or onsite courses and programs can be set up according to your needs.

• Training for the worst

• Initial training in triage

• Prioritisation between different patients is key in major incidents involving the care of multiple patients at the same time. Realistic training requires a simulation system with great detail of the patients injuries and physiologic status and response.

• Decision making

• In major incidents and disasters many key decisions must be taken with limited availability to information. MACSIM has been shown to be effective in helping participants to take decision. A constant reevaluation of the decisions should be built into the process. Decisions are taken on different levels, operational, tactical and strategic.

• Resource allocation

• In major incidents and disasters resources will be limited and a precise allocation of the resources will be essential for the outcome of the response.

• Patient management

• Users of MACSIM can train according to their respective competence. The MACSIM patients are easy to adapt to different users from laypersons, prehospital professionals (rescue, police, ambulance),emergency medicals, all hospital professionals including surgeons and anesthesiologists

• Surge Capacity Tests

MACSIM has through repeated studies proved as a powerful tool for Surge Capacity testing. Four key aspects are essential, staff, supplies, structure and systems.

• Surge Capacity tests can be performed with different scope and focus

Hospital Surge Capacity

Parts of the hospital

The complete hospital

Several hospitals

• Prehospital

Resource capacity and dispatch.

• Whole chain

Prehospital, hospital and command including collaborating agencies.

• Your organisation

Military, rescue, police, private security or private companies.

By setting standards to what your organization should be able to handle, MACSIM can help you find out where your shortcomings and bottlenecks are.

• Testing doctrines

• MACSIM has been used to compare triage methods and algorithms, MACSIM has been specially adapted to be a comprehensive method for testing contingency and disaster plans.

• Clinical guidelines and methodology can be easily and effectively be evaluated to increase and effectively develop new ideas and doctrines.

• Communication has repeatedly been reported to be a major challenge and difficulty in MIand disasters, MACSIM offers an effective tool to test and develop new communication methods.

• Hospital workflow

• Hospitals often have complex workflows in and between different departments including, ED,X-Ray, OR, ICU and Wards. These workflows can be tested researched upon and improved by repeated simulations using detailed structure according to the user.

• Surge Capacity

• Multiple validations of the MACSIM system for use in Surge Capacity settings has been published in peer reviewed scientific journals. A complete structured methodology should be undertaken including Staff, Supplies, Structure and Systems.

• MACSIM can be used as a tool and method to help quality assure systems and organisations.

• After revision of plans and workflows these can be tested using the MACSIM system.

• A complete build up of the organisation to be evaluated is then performed similarly to the Surge Capacity tests.

• A standardised scenario is chosen, and key performance indicators including communication, command structure and resource availability are evaluated.

• This has proved to be an effective was to help quality assurance.

• This is something that is often lacking in contingency and preparedness planning.