IT-Supported Management of Mass Casualty Incidents: The e-Triage Project

Abstract

Emergencies arise out of disasters and are characterized by limited resources in terms of medical personnel and infrastructure, underlining the importance of mobilizing regional, supra-regional and/or international help to the affected regions. Effective deployment of this help is crucial, but only possible if a common operational picture among authorities, coordination centers, and staff working in the field is developed as quickly as possible. Since mass casualty incidents (MCIs) normally overwhelm the regularly available rescue resources (rescue personnel, transport vehicles, hospital capacity, etc.), a particularly effective crisis management has to be applied. In general, for co-ordination centers it is a challenge to get an immediate and accurate situation overview (i.e. number of victims, injury categories and their location). Indeed, triage and registration performed at different places by different teams maintaining different lists are indubitably an error-prone approach. Furthermore, it can happen that all later attempts to track the way of single patient, their attendants and transport vehicles are not very successful, although this could be of key interest in scenarios with nuclear, biological or chemical hazards. Within the e-Triage project, which is sponsored by the German Federal Ministry of Education and Research, an integrated concept for electronic registration of affected persons is under development.