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The e-mémoires of the Académie Nationale de Chirurgie

The Human Factor in Mass Casualty Incident management : Concept and Implementation of a simulation-based curriculum for Forward Surgical Teams.

Henri de LESQUEN | J.-P. AVARO | P. BALANDRAUD | R. PARIS | A. VACHER | W. RICCARDI | S. LACHEZE | J.-B. MORVAN | L. AVARO

Seance of wednesday 29 june 2022 (SÉANCE COMMUNE AVEC LE SERVICE DE SANTÉ DES ARMÉES À L'ÉCOLE DU VAL-DE-GRÂCE)

DOI number : 10.26299/fz7s-fq75/emem.2022.24.07

Abstract

Objective: To develop a Crew Resource Management (CRM) training course dedicated for the French Forward Surgical Teams (FSTs).
Concept: Since 2021, the tactical training of FSTs contains a simulation-based curriculum on Organizational and Human Factors (OHF) with the support of the Neurosciences and Cognitive Sciences Department of the Armed Forces Biomedical Research Institute. It combines lectures and Situational Training Exercises considering 4 "non-technical" themes (NOTECHS): 1) Leadership, 2) Decision-making, 3) Coordination and 4) Situational awareness.
Deployment : The approach was based on 3 steps: 1) Observation on the actual FSTs predeployment course; 2) Deployment of a CRM dedicated for combat casualty care inspired by existing models (aircrew); 3) Assessment of FSTs training using a standardized scale on audio/video support (T-NOTECHS)
Conclusion: Deployed in high-risk environments, the actual training of FSTs takes into account the development of "non-technical" skills.

Keywords : Simulation, Human Factor, Mass Casualty Incident

Henri de LESQUEN