Evidence map›Paper›PMID 38117294›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Evaluation of prehospital preparedness for major incidents on a national level, with focus on mass casualty incidents.

Kristina Stølen Ugelvik, Øyvind Thomassen, Geir Sverre Braut, Thomas Geisner, Janecke Engeberg Sjøvold, Joakim Agri, Carl Montan

Open access · hybridAbstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Examining the experiences of prehospital emergency workers in emergency medical intervention during terrorist attacks: a qualitative study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  2. Concrete silo collapse: emergency medical services response to a mass casualty incident.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  3. Article
  4. A national study of in-hospital preparedness for Mass Casualty Incidents and disasters.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Kristina Stølen UgelvikUniversity of Bergen, Bergen, Norway. kristina.stolen.ugelvik@helse-bergen.no.ORCID http://orcid.org/0009-0009-7416-6306
Øyvind ThomassenUniversity of Bergen, Bergen, Norway.
Geir Sverre BrautStavanger University Hospital, Stavanger, Norway.
Thomas GeisnerGastrosurgical Department, Haukeland University Hospital, Bergen, Norway.
Janecke Engeberg SjøvoldRegional Trauma Centre, Haukeland University Hospital, Bergen, Norway.
Joakim AgriDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Carl MontanDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Haukeland University Hospital · NOKarolinska Institutet · SEStavanger University Hospital · NOStiftelsen Norsk Luftambulanse · NO

Funding

Laerdal Foundation for Acute Medicine (2022-0029)
6 · The paper itself

Abstract

purposeTo investigate prehospital preparedness work for Mass Casualty Incidents (MCI) and Major Incidents (MI) in Norway.

methodA national cross-sectional descriptive study of Norway's prehospital MI preparedness through a web-based survey. A representative selection of Rescue and Emergency Services were included, excluding Non-Governmental Organisations and military. The survey consisted of 59 questions focused on organisation, planning, education/training, exercises and evaluation.

resultsTotally, 151/157 (96%) respondents answered the survey. The results showed variance regarding contingency planning for MCI/MI, revisions of the plans, use of national triage guidelines, knowledge requirements, as well as haemostatic and tactical first aid skills training. Participation in interdisciplinary on-going life-threatening violence (PLIVO) exercises was high among Ambulance, Police and Fire/Rescue Emergency Services. Simulations of terrorist attacks or disasters with multiple injured the last five years were reported by 21/151 (14%) on a regional level and 74/151 (48%) on a local level. Evaluation routines after MCI/MI events were reported by half of the respondents (75/151) and 70/149 (47%) described a dedicated function to perform such evaluation.

conclusionThe study indicates considerable variance and gaps among Prehospital Rescue and Emergency Services in Norway regarding MCI/MI preparedness work, calling for national benchmarks, minimum requirements, follow-up routines of the organisations and future reassessments. Implementation of mandatory PLIVO exercises seems to have contributed to interdisciplinary exercises between Fire/Rescue, Police and Ambulance Emergency Service. Repeated standardised surveys can be a useful tool to assess and follow-up the MI preparedness work among Prehospital Rescue and Emergency Services at a national, regional and local level.

Indexed as

Disaster PlanningEmergency Medical ServicesMass Casualty IncidentsCross-Sectional StudiesHumansNorwaySurveys and QuestionnairesTriageDisaster planningMajor IncidentsMass Casualty IncidentsPrehospital preparednessTrauma

Identifiers

PMID38117294
PMCPMC11249512
OpenAlexW4389996402

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.