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Mobilisation of emergency services for chemical incidents in Sweden: a multi-agency focus group study
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Department of Anesthesia and Intensive Care Medicine, Karolinska University Hospital, Huddinge, Sweden.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0003-3716-6445
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0003-1346-7200
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2021 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, E-ISSN 1757-7241, Vol. 29, no 1, article id 99Article in journal (Refereed) Published
Abstract [en]

Background: In chemical incidents, infrequent but potentially disastrous, the World Health Organization calls for inter-organizational coordination of actors involved. Multi-organizational studies of chemical response capacities are scarce. We aimed to describe chemical incident experiences and perceptions of Swedish fire and rescue services, emergency medical services, police services, and emergency dispatch services personnel.

Methods: Eight emergency service organizations in two distinct and dissimilar regions in Sweden participated in one organization-specific focus group interview each. The total number of respondents was 25 (7 females and 18 males). A qualitative inductive content analysis was performed.

Results: Three types of information processing were derived as emerging during acute-phase chemical incident mobilization: Unspecified (a caller communicating with an emergency medical dispatcher), specified (each emergency service obtaining organization-specific expert information), and aligned (continually updated information from the scene condensed and disseminated back to all parties at the scene). Improvable shortcomings were identified, e.g. randomness (unspecified information processing), inter-organizational reticence (specified information processing), and downprioritizing central information transmission while saving lives (aligned information processing).

Conclusions: The flow of information may be improved by automation, public education, revised dispatcher education, and use of technical resources in the field. Future studies should independently assess these mechanism’s degree of impact on mobilisation of emergency services in chemical incidents.

Place, publisher, year, edition, pages
BioMed Central, 2021. Vol. 29, no 1, article id 99
Keywords [en]
Accident and emergency medicine, Chemical incidents, Communication, Decision framework, Disasters, Emergency planning, Emergency response and management, Public health
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-186467DOI: 10.1186/s13049-021-00910-5ISI: 000675401000001PubMedID: 34289881Scopus ID: 2-s2.0-85110987407OAI: oai:DiVA.org:umu-186467DiVA, id: diva2:1582715
Funder
Swedish National Board of Health and Welfare, 10.1-25244/2018Available from: 2021-08-03 Created: 2021-08-03 Last updated: 2024-07-02Bibliographically approved

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Westman, AntonSaveman, Britt-IngerBjörnstig, UlfGyllencreutz, Lina

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Westman, AntonSaveman, Britt-IngerBjörnstig, UlfHylander, JohanGyllencreutz, Lina
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