[EngO8-1] Newly introduced educational program on coping with ICU surge during the Mass Casualty Incident
Background: Frequency of big natural disaster trends upward. Besides that, risk of terrorism has become growing concern. Medical facility has the obligation to conduct the affairs of the disaster countermeasures. Especially more and more attention has been drawn to strategies for ICU response to mass casualty incidents (MCI). It is required to promote the response plan to realize “Do the greatest good for the greatest number of potential survivors”. However, the preparedness is delayed although the Tokyo Olympic Games is coming up in two years. This is a big threat for homeland security in our country. To resolve this issue, we established a new educational program.
Materials and Methods: Educational program includes interactive didactic lecture and small group discussion in one hour. Instructor gives a lecture on the importance of coping with ICU surge at the beginning of the program. Then, each small group is provided for some topics of discussion. At the end, summary based on the discussion is released and consider by all participants. Educational effectiveness is analyzed through the surveillance questionnaires and simple examination paper before and after the program. The questionnaires are: A. knowledge acquisition about coping with ICU surge, B. promotion of understanding by small group discussion, C. raising awareness of ICU management during the MCI and D. importance of learning disaster countermeasures in ICU.
Results: All participants (16 MDs, 5 RNs, 1 CE, and 1 PT) answered the questionnaires. According to the surveillance, the numbers of participants who scored more than four points out of five were as follows; A was 18 (78.3%), B was 19 (82.6%), C was 19 (82.6%), and D was 18 (78.3%), respectively. The number of average correct answers on simple examination paper increased from 1.26 to 2.22 out of 4.00 (p < 0.05).
Discussions: Participants can obtain relevant knowledges and skills by short time education program. We have to recognize that ICU surge can happen to any medical facilities at any time, then it is needed to make preparation keeping that in mind. At this time there is little awareness of disaster countermeasures among critical care providers, although Japan has a mass gathering coming up in 2020 and comes to face the threat of terrorisms. Not only efficient educational program but also stimulating motivation for learning is demanded.
Conclusion: Educational program on coping with ICU surge for critical care providers is effective and useful.
Materials and Methods: Educational program includes interactive didactic lecture and small group discussion in one hour. Instructor gives a lecture on the importance of coping with ICU surge at the beginning of the program. Then, each small group is provided for some topics of discussion. At the end, summary based on the discussion is released and consider by all participants. Educational effectiveness is analyzed through the surveillance questionnaires and simple examination paper before and after the program. The questionnaires are: A. knowledge acquisition about coping with ICU surge, B. promotion of understanding by small group discussion, C. raising awareness of ICU management during the MCI and D. importance of learning disaster countermeasures in ICU.
Results: All participants (16 MDs, 5 RNs, 1 CE, and 1 PT) answered the questionnaires. According to the surveillance, the numbers of participants who scored more than four points out of five were as follows; A was 18 (78.3%), B was 19 (82.6%), C was 19 (82.6%), and D was 18 (78.3%), respectively. The number of average correct answers on simple examination paper increased from 1.26 to 2.22 out of 4.00 (p < 0.05).
Discussions: Participants can obtain relevant knowledges and skills by short time education program. We have to recognize that ICU surge can happen to any medical facilities at any time, then it is needed to make preparation keeping that in mind. At this time there is little awareness of disaster countermeasures among critical care providers, although Japan has a mass gathering coming up in 2020 and comes to face the threat of terrorisms. Not only efficient educational program but also stimulating motivation for learning is demanded.
Conclusion: Educational program on coping with ICU surge for critical care providers is effective and useful.