Event training represents prospective quality management and puts into operation the aforementioned planned relationship of functional areas. Optimally, a representative of each of the personnel functions described under "Relationship of Functional Areas" should be represented at event training sessions held on site. However, especially with public safety, health, and medical care personnel, their regularly scheduled duties can be an obstacle to training participation. Possible alternatives for addressing this problem include videoconferencing and virtual reality applications. However, both of these modes preclude a realistic grasp of time-space relationships (e.g., patient access obstacles) that are facilitated by drills at the venue.
A central goal of event briefings must include instruction in the following venue locations: the command-center, medical care facilities, ambulance and radio-equipped security postings, and emergency ingress and egress routes. All personnel must know their geographic postings and coverage areas, receive instruction in communications equipment use, and practice the appropriate communications pathways to be used for medical care. Instruction in filling out a standardized medical care report form must be included. Practice scenarios should include a mock MCI requiring designation of ambulance staging and contingent triage zones and a request for outside intervention. Contingency plans for critical incident stress debriefing should be made and explained. Difficult access extrication, hyper- and/or hypothermia prevention and treatment, cardiac arrest, event player or performer injury, and dignitary or VIP care must also be rehearsed. Within each of these scenarios, communication (radio and cell phone) and physical routes to optimal care (ambulance evacuation to venue facility care) should be tested. Event briefings and training sessions should translate into efficient medical care. The retrospective aspect of the quality management process should detect this through instruments that document the quality of care (patient care report forms) and gauge the public image of care rendered at the event (patient-targeted surveys) and through management's degree of satisfaction with the results.
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