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Military-Civilian Integration as a Tool to Bolster Mass Casualty Incident Response Globally

Published online by Cambridge University Press:  31 October 2024

Joseph B Aryankalayil ,
Emad Madha ,
Matthew Arnaouti ,
Tamara Worlton  and
Michelle Joseph
Joseph B Aryankalayil
Affiliation:
Walter Reed National Military Medical Center, Bethesda, MD, USA Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA
Emad Madha
Affiliation:
Walter Reed National Military Medical Center, Bethesda, MD, USA Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA
Matthew Arnaouti
Affiliation:
Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA Royal Free London NHS Trust, London, United Kingdom
Tamara Worlton
Affiliation:
Walter Reed National Military Medical Center, Bethesda, MD, USA Uniformed Services University, Bethesda, MD, USA
Michelle Joseph
Affiliation:
Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA University of Warwick, Warwickshire, United Kingdom
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Abstract

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Objectives

In a model of military-civilian trauma system integration, coordination of mass casualty incident response by military and civilian entities could be more effective through reduced duplication of services and improved resource utilization. The following study seeks to examine and address the challenges faced in establishing integrated trauma systems.

Methods

Through a survey this study comprehensively gathered data on trauma system capabilities and the current degree of military-civilian integration of 73 individual countries. Through a scoring method based on participant responses, countries were classified into three distinct integration types, ranging from minimal (Type I) to robust (Type III). This method allowed analysis of the association of numerous trauma system factors with increased integration status.

Results

A higher integration status is associated with coordinated use of military and civilian resources for aero-medical evacuation (Chi Square p<0.05). With regards to resource utilization, countries with higher integration status exhibited more rapid availability of blood products (Chi Square p<0.05), a critical factor contributing to improved mortality among traumatically injured patients.

Conclusion

By identifying key areas where integration can be strengthened, and by understanding the underlying factors shaping these frameworks, this research seeks to build more collaborative and resource-efficient responses to mass casualty incidents globally.

Type
Abstract
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e218
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.
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