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Prehospital and Disaster Medicine
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Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare

Authors: Flavio Salio; Alessandro Pirisi; Gregory R. Ciottone; Lina Maria Echeverri; Kobi Peleg; Anthony D. Redmond; Eric S. Weinstein; +3 Authors

Applying the Haddon Matrix to Frontline Care Preparedness and Response in Asymmetric Warfare

Abstract

AbstractIntroduction:Asymmetric warfare and the reaction to its threats have implications in the way far-forward medical assistance is provided in such settings. Investments in far-forward emergency resuscitation and stabilization can contribute to saving lives and increase the resilience of health systems. Thus, it is proposed to extend the use of the Haddon Matrix to determine a set of strategies to better understand and prioritize activities to prepare for and set-up frontline care in the form of Trauma Stabilization Points (TSPs).Methods:An expert consensus methodology was used to achieve the research aim. A small subject matter experts’ group was convened to create and validate the content of the Haddon Matrix.Results:The result of the expert group consultations presented an overview of TSP Preparedness and Operational Readiness activities within a Haddon Matrix framework. Main strategies to be adopted within the cycle from pre- to post-event had been identified and presented considering the identified opportunities in the context of the possibility of implementation. Of particular importance was the revision of a curriculum that fits the civilian medical system and facilitates its adaptation to the context and available resources.Conclusion:The new framework to enhance frontline care preparedness and response using the Haddon Matrix facilitated the identification of a set of strategies to support frontline health care workers in a more efficient manner. Since the existing approach and tools are insufficient for modern warfare, additional research is needed.

Countries
Belgium, United Kingdom, United Kingdom
Keywords

Warfare, Consensus, emergency and trauma care, Haddon Matrix, asymmetric warfare, Humanitarian and Conflict Response Institute, Humans, Curriculum, Trauma Stabilization Points, ResearchInstitutes_Networks_Beacons/humanitarian_conflict_response_institute; name=Humanitarian and Conflict Response Institute, Original Research

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
Green
hybrid