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Journal Article

Citation

Khorram-Manesh A, Phattharapornjaroen P, Mortelmans LJ, Goniewicz K, Verheul M, Sörensen JL, Pereira I, Ricklin ME, Faccincani R, Dark PM, Carlström E, Ahmadi Marzaleh M, Peyravi MR, Al Sultan M, Santamaria E, Comandante JD, Burkle F. Disaster Med. Public Health Prep. 2021; ePub(ePub): ePub.

Copyright

(Copyright © 2021, Society for Disaster Medicine and Public Health, Publisher Cambridge University Press)

DOI

10.1017/dmp.2020.391

PMID

unavailable

Abstract

OBJECTIVE: To analyze the evacuation preparedness of hospitals within the European Union (EU).

METHOD: This study consisted of 2 steps. In the first step, a systematic review of the subject matter, according to the PRISMA flow diagram, was performed. Using Scopus (Elsevier, Amsterdam, Netherlands), PubMed (National Library of Medicine, Bethesda, MD), and Gothenburg University´s search engine, 11 questions were extracted from the review and were sent to representatives from 15 European Union (EU)- and non-EU countries.

RESULTS: The findings indicate that there is neither a full preparedness nor a standard guideline for evacuation within the EU or other non-EU countries in this study. A major shortcoming revealed by this study is the lack of awareness of the untoward consequences of medical decision-making during an evacuation. Some countries did not respond to the questions due to the lack of relevant guidelines, instructions, or time.

CONCLUSION: Hospitals are exposed to internal and external incidents and require an adequate evacuation plan. Despite many publications, reports, and conclusions on successful and unsuccessful evacuation, there is still no common guide for evacuation, and many hospitals lack the proper preparedness. There is a need for a multinational collaboration, specifically within the EU, to establish such an evacuation planning or guideline to be used mutually within the union and the international community.


Language: en

Keywords

triage; disaster planning guidelines; emergency services; hospital evacuation; surge capacity

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