Hamad Medical Corporation (HMC) ambulance service major incident response guide

摘要

Background: Qatar Hamad Medical Corporation Ambulance Service (HMCAS) major incident response guide is intended to address techniques in field operations that must be utilized in the event of a major incident. This guide standardizes operations during major incidents, regardless of what caused the incident, number of patients, severity of the injuries or the complexity of the incident. Methods: This plan was tested and implemented across the ambulance service and Hamad International Airport (HIA) in collaboration with other agencies such as police, civil defense and HIA safety department through a full-day training program. Different training methods such as workshops, lectures and simulated exercises was conducted using different scenarios. Results: This system was implemented for five real major incidents during 2014–2015 in Qatar. The average time for all units to be on scene was 20 minutes. The total units needed by this system were 33 units, approximately according to the predetermined attendance sheet (PDA). These units include all on-scene structure of command according to the HMCAS major incident response guide. The average time to transport the victims from the scene to the hospitals was 10 minutes or less. Three communication channels were established during the whole process. Conclusion: The designed system is suitable for up to 100 patients in pre-hospital emergency care in case of a major incident. The system would need to be tested and evaluated regularly to ensure compliancy and understanding from all staff in HMCAS to ensure that they are ready at all times in the event of a major incident.