Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-04-30T20:26:42.540Z Has data issue: false hasContentIssue false

Characteristics of Medical Teams in Disaster

Published online by Cambridge University Press:  30 January 2017

David Oldenburger*
Affiliation:
Global Health Office, McMaster University, Hamilton, Ontario, Canada
Andrea Baumann
Affiliation:
Global Health Office, McMaster University, Hamilton, Ontario, Canada
Laura Banfield
Affiliation:
Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
*
Correspondence: David Oldenburger, MSc Global Health Office McMaster University 1380 Main Street West, MDCL 3500 Hamilton, Ontario, Canada, L8S 4K1 E-mail: oldenbd@mcmaster.ca

Abstract

Disasters present unique challenges for teams providing medical assistance to those populations impacted by the event. This scoping review focused on the characteristics of medical teams in disaster and how these characteristics are developed. The scoping review methods of Arksey and O’Malley were followed. An inductive thematic analysis of selected articles was used to identify recurrent themes. A total of 6,521 articles were reviewed from eight databases, yielding 33 articles. Four recurrent theme groups were identified: (1) adaptability, flexibility, and improvisation; (2) creativity and innovation; (3) experience and training; and (4) leadership and command structure. The study highlighted key characteristics identified by responders for effective team functioning and interdependence between the characteristics. It also identified the paucity of literature on the subject. Results from the study can help to guide future research and training development for medical teams in disaster.

OldenburgerD, BaumannA, BanfieldL. Characteristics of Medical Teams in Disaster. Prehosp Disaster Med. 2017;32(2):195–200.

Type
Comprehensive Reviews
Copyright
© World Association for Disaster and Emergency Medicine 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Conflicts of interest: none

References

1. Tekeli-Yesil, S. Public health and natural disasters: disaster preparedness and response in health systems. J Public Health (Oxf). 2006;14(5):317-324.Google Scholar
2. Schulz, CH, Koenig, KL, Nojj, EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med. 1996;334(7):438-444.Google Scholar
3. Armstrong, R, Hall, BJ, Doyle, J, Waters, E. “Scoping the scope” of a Cochrane review. J Public Health (Oxf). 2011;33(1):147-150.Google Scholar
4. Arksey, H, O’Malley, L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32.Google Scholar
5. Daudt, HM, van Mossel, C, Scott, SJ. Enhancing the scoping study methodology: a large, inter-professional team’s experience with Arksey and O’Malley’s framework. BMC Med Res Methodol. 2013;13(1):1.Google Scholar
6. Martin-Misener, R, Valaitis, R, Wong, ST, et al. A scoping literature review of collaboration between primary care and public health. Prim Health Care Res Dev. 2012;13(4):327-346.Google Scholar
7. Braune, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101.Google Scholar
8. Subbarao, I, Lyznicki, JM, Hsu, EB, et al. A consensus-based educational framework and competency set for the discipline of disaster medicine and public health preparedness. Disaster Med Public Health Prep. 2008;2(1):57-68.Google Scholar
9. Williams, J, Nocera, M, Casteel, C. The effectiveness of disaster training for health care workers: a systematic review. Ann Emerg Med. 2008;52(3):211-222.Google Scholar
10. Lau, D. Disaster relief: helping the survivors of the Haiti earthquake. Emerg Nurse. 2010;17(10):18-21.Google Scholar
11. Robertson, AG, Dwyer, DE, Leclercq, MG. Operation South East Asia tsunami assist: an Australian team in the Maldives. Australas Med J. 2005;182(7):340-342.Google Scholar
12. Merriam-Webster Online Dictionary. Adaptable. http://www.merriam-webster.com/dictionary/adaptable. Published 2015. Accessed May 30, 2015.Google Scholar
13. Laverick, S, Kazmi, S, Ahktar, S, et al. Asian earthquake: report from the first volunteer British hospital team in Pakistan. Emerg Med J. 2007;24(8):543-546.Google Scholar
14. Benner, P, Stephan, J, Renard, A, et al. Role of the French rescue teams in Diquini Hospital: Port-au-Prince, January 2010. Prehosp Disaster Med. 2012;27(6):615-619.Google Scholar
15. Hamilton, DR, Gayagan, T, Smart, K. Houston’s medical disaster response to Hurricane Katrina: part 2. Transitioning from emergency evacuee care to community health care. Ann Emerg Med. 2009;53(4):515-527.Google Scholar
16. D’Amore, AR, Hardin, CK. Air Force expeditionary medical support unit at the Houston floods: use of a military model in civilian disaster response. Mil Med. 2005;170(2):103-108.Google Scholar
17. Webb, GR, Beverly, M, McMichael, M, Noon, J, Patterson, T. Preliminary Paper #289: role improvising under conditions of uncertainty: a classification of types. University of Delaware Disaster Research Center; Newark, Delaware USA. http://udspace.udel.edu/bitstream/handle/ 19716/666/PP2?sequence=1. Published 1999. Accessed May 23, 2015.Google Scholar
18. Cohen, SS, Mulvaney, K. Field observations: disaster medical assistance team response for Hurricane Charley, Punta Gorda, Florida, August 2004. Disaster Manag Response. 2005;3(1):22-27.Google Scholar
19. Willems, A, Waxman, B, Bacon, AK, Smith, J, Peller, J, Kitto, S. Inter-professional non-technical skills for surgeons in disaster response: a qualitative study of the Australian perspective. J Interprof Care. 2013;27(2):177-183.Google Scholar
20. Klappa, S, Audette, J, Do, S. The roles, barriers, and experiences of rehabilitation therapists in disaster relief: post-earthquake Haiti 2010. Disabil Rehabil. 2014;36(4):330-338.Google Scholar
21. Iserson, KV, Moskop, JC. Triage in medicine, part I: concept, history, and types. Ann Emerg Med. 2007;49(3):275-281.Google Scholar
22. Ketchie, K, Breuilly, E. Our experience in earthquake-ravaged Haiti: two nurses deployed with a disaster medical assistance team. In Clutter P, Rush C, (eds). J Emerg Nurs. 2010;36(5):492-496.Google Scholar
23. Kendra, JM, Watchendorf, T. Preliminary paper #324: creativity in emergency response after the world trade center attack. University of Delaware Disaster Research Center; Newark, Delaware USA. http://dspace.udel.edu/bitstream/handle/19716/733/PP324.pdf?sequence=1. Published 2012. Accessed May 23, 2015.Google Scholar
24. Djalali, A, Khankeh, H, Öhlén, G, Castrén, M, Kurland, L. Facilitators and obstacles in prehospital medical response to earthquakes: a qualitative study. Scand J Trauma Resusc Emerg Med. 2011;19(1):30.Google Scholar
25. Slepski, LA. Emergency preparedness and professional competency among health care provides during hurricanes Katrina and Rita: pilot study results. Disaster Manag Response. 2007;5(4):99-110.Google Scholar
26. Jackson, A, Little, M. On the ground in Nias in response to an earthquake-an emergency team’s experience. Emerg Med Australas. 2006;18(2):199-202.Google Scholar
27. King, RV, North, CS, Larkin, GL, et al. Attributes of effective disaster responders: focus group discussions with key emergency response leaders. Disaster Med Public Health Prep. 2010;4(4):332-338.Google Scholar
28. Catlett, CL, Kirsch, TD, Scheulen, JJ, Cole, G, Kelen, GD. Maximizing utility of a deployable medical team from an academic medical center to a disaster. World Med Health Policy. 2011;3(4):1-11.Google Scholar
29. Connelly, M. IMERT deployment to Baton Rouge, Louisiana in response to hurricane Katrina, September 2005. Disaster Manag Response. 2006;4(1):4-11.Google Scholar
30. Markenson, D, DiMaggio, C, Redlener, I. Preparing health professions students for terrorism, disaster, and public health emergencies: core competencies. Acad Med. 2005;80(6):517-526.Google Scholar
31. Djalali, A, Ingassia, PL, Della Corte, F, et al. Identifying deficiencies in national and foreign medical team responses through expert opinion surveys: implications for education and training. Prehosp Disaster Med. 2014;29(4):364-368.Google Scholar
32. Aitken, P, Leggat, PA, Robertson, AG, Harley, H, Speare, R, Leclercq, MG. Leadership and use of standards by Australian disaster medical assistance teams: results of a national survey of team members. Prehosp Disaster Med. 2012;27(2):142-147.Google Scholar
33. Harrald, JR. Agility and discipline: critical success factors for disaster response. Ann Am Acad Pol Soc Sci. 2006;604(1):256-272.Google Scholar
34. Atack, L, Parker, K, Rocchi, M, Maher, J, Dryden, T. The impact of an online inter-professional course in disaster management competency and attitude towards inter-professional learning. J Interprof Care. 2009;23(6):586-598.Google Scholar
35. Wilkerson, W, Avstreih, D, Gruppen, L, Beier, KP, Woolliscroft, J. Using immersive simulation for training first responders for mass casualty incidents. Acad Emerg Med. 2008;15(11):1152-1159.Google Scholar