Mass Casualty Management System (DIORAMA-II)

描述（由申请人提供）： 拟议的DIORAMA-II系统支持对灾害现场进行实时评估，包括受害者的位置和受伤的严重程度以及救援人员和资源的位置。此应用程序建立在成功完成的R21探索性赠款的基础上。该系统的主要可衡量成果是：显著减少了灾民从灾难现场的疏散时间（与纸质分流系统相比，疏散时间平均减少了50%），所有分流灾民的疏散完成率为100%，并且在第一响应者分流时，所有分流灾民的地理识别/验证率为100%。前两项成果与降低受害者死亡率直接相关，第三项成果是目前灾害应对学科尚未满足的需求。次要结局为：使救援人员能够首先治疗最严重受伤的受害者，通过将资源分配给最需要的区域来改善医疗救援行动的响应和管理，提供救援行动的无缝文件，使事件和救援行动的法医后分析成为可能，为EMT培训目的提供有价值的数据，使医院能够为患者的到来做好准备，从而提高医院的利用率。 该提案是马萨诸塞州大学阿默斯特分校与一个国际领导团队的联合合作，该团队在系统、软件和硬件方面具有公认的专业知识，波士顿EMS将提供主题专业知识并参与我们提议的试验，顾问包括贝斯以色列女执事医疗中心灾难医学部主任和哈佛医学院的一名教员，马萨诸塞州公共卫生部应急准备和响应计划的医学主任和马萨诸塞州EMS医学主任，以及包括领导一个400人部门的波士顿EMS负责人在内的咨询委员会，国际EMS负责人协会主席，《紧急医疗服务杂志》的主编，也是爱思唯尔所有公共安全出版物的编辑主任，前联邦应急管理局国家首都地区协调办公室主任。 我们相信，在这支国际和国内公认的领导团队、创新技术和R21期间取得的令人鼓舞的初步成果的帮助下，我们有很大的机会成功实现这些目标。这个专业人员小组还将倡导DIORAMA-II系统成为灾害管理的标准工具。

DESCRIPTION (provided by applicant): The proposed DIORAMA-II system supports real-time assessment of a disaster site in terms of the victims' location and severity of injuries as well as the location of rescue personnel and resources. This application builds on a successfully completed R21 exploratory grant. The primary measurable outcomes of this system are: significant reduction in evacuation time of victims from the disaster site (average of 50% reduction in evacuation time compared to paper triage systems), 100% evacuation completeness of all triaged victims, and 100% geographical identification/verification of all triaged victims upon first responder triage. The first two outcomes correlate directly to reduced victims' mortality and the third is currently an unmet need in the disaster response discipline. The secondary outcomes are: enable the rescue personnel to treat the most critically injured victims first, improved response and management of medical rescue operations by assigning resources to the zones in most need, provision of seamless documentation of the rescue operations, enable post forensic analysis of the incident and rescue operations, provides data valuable to EMT training purposes, enable the hospitals to prepare for the arrival of patients, thus improving hospitals' utilization. This proposal is a joint collaboration between the University of Massachusetts, Amherst with an internationally team of leaders with recognized expertise in systems, software and hardware, Boston EMS which will provide the subject matter expertise and participate in our proposed trials, consultants such as the Director of the Division of Disaster Medicine at Beth Israel Deaconess Medical Center and a faculty member of Harvard Medical School, Medical Director of the Emergency Preparedness and Response Program at the Massachusetts Department of Public Health and the Massachusetts State EMS Medical Director, and advisory board which includes chief of Boston EMS that leads a 400-person department, president of the International Association of EMS Chiefs , the editor-in-chief of the Journal of Emergency Medical Services and also editorial director for all Elsevier Public Safety publications, former FEMA's Director of the Office of National Capital Region Coordination. We are confident that with the help of this internationally and nationally recognized team of leaders, innovative technology and very encouraging preliminary results obtained during the R21, we have very high chances of successfully completing these aims. This team of professionals will also advocate for the DIORAMA-II system to become a standard tool for disaster management.