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Limited medical perspective at a strategic level in relation to mass casualty incidents in Swedish tunnels
Umeå University, Faculty of Social Sciences, Police Education Unit at Umeå University. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences.ORCID iD: 0000-0003-3716-6445
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences.ORCID iD: 0000-0002-1848-060x
2019 (English)In: International Journal of Emergency Management, ISSN 1471-4825, E-ISSN 1741-5071, Vol. 15, no 4, p. 360-374Article in journal (Refereed) Published
Abstract [en]

Mass casualty incidents (MCI) in tunnels can result in devastating consequences. Despite this, there is a knowledge gap in the perspectives and experiences of strategic stakeholders in relation to the emergency medical response to MCI in tunnels. This study aims to explore and describe this issue. The study includes 11 interview participants from the emergency services organisations and governmental and municipal organisations in Sweden. The results indicate that the medical perspective is inadequately represented at a strategic level due, among other, to limited input from emergency medical representatives during planning stages and a lack of social networks. The results implicate a need to create and improve networks among the stakeholders from the involved organisations. Emergency medical personnel should not only be acknowledged for their expertise but should also be included to a greater extent in the planning stages and exercises. Medical and rescue personnel need time to jointly discuss how they, in the best way, can save lives in tunnel MCIs.

Place, publisher, year, edition, pages
InderScience Publishers, 2019. Vol. 15, no 4, p. 360-374
Keywords [en]
tunnel safety, mass casualty incident, emergency medical services, rescue services, police services, collaboration, emergency services, emergency management, qualitative studies, interviews
National Category
Information Systems, Social aspects
Identifiers
URN: urn:nbn:se:umu:diva-166991DOI: 10.1504/IJEM.2019.104205ISI: 000504218800004Scopus ID: =2-s2.0-85077203671OAI: oai:DiVA.org:umu-166991DiVA, id: diva2:1383761
Available from: 2020-01-08 Created: 2020-01-08 Last updated: 2020-02-14Bibliographically approved

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Doohan Stjerna, IsabelleSaveman, Britt-IngerGyllencreutz, Lina

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Doohan Stjerna, IsabelleSaveman, Britt-IngerGyllencreutz, Lina
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Police Education Unit at Umeå UniversityDepartment of Surgical and Perioperative Sciences
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CiteExportLink to record
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