@article{ref1,
title="Non-medical aspects of civilian-military collaboration in management of major incidents",
journal="European journal of trauma and emergency surgery",
year="2017",
author="Khorram-Manesh, A. and Lönroth, H. and Rotter, P. and Wilhelmsson, M. and Aremyr, J. and Berner, A. and Andersson, A. Nero and Carlström, E.",
volume="43",
number="5",
pages="595-603",
abstract="PURPOSE: Disasters and major incidents demand a multidisciplinary management. Recent experiences from terrorist attacks worldwide have resulted in a search for better assessment of the needs, resources, and knowledge in the medical and non-medical management of these incidents and also actualized the need for collaboration between civilian and military healthcare. The aim of this study was to evaluate the impact of the civilian-military collaboration in a Swedish context with the main focus on its non-medical management. <br><br>METHOD: An exercise, simulating a foreign military attack centrally on Swedish soil, was designed, initiated, and conducted by a team consisting of civilian and military staff. Data were collected prospectively and evaluated by an expert team. <br><br>RESULTS: Specific practical and technical issues were presented in collaboration between civilian and military staffs. In addition, shortcomings in decision-making, follow-up, communication, and collaboration due to prominent lack of training and exercising the tasks and positions in all managerial levels of the hospital were identified. <br><br>CONCLUSION: Current social and political unrests and terror attacks worldwide necessitate civilian-military collaboration. Such collaboration, however, needs to be synchronized and adjusted to avoid preventable medical and non-medical consequences. Simulation exercises might be one important source to improve such collaboration.<p /> <p>Language: en</p>",
language="en",
issn="1863-9933",
doi="10.1007/s00068-017-0778-6",
url="http://dx.doi.org/10.1007/s00068-017-0778-6"
}