A small armband which can be attached to the injured can help improve communications during major national disasters. Information can be shared between the various rescue units, using tablets, PCs and large information boards. Information is being lost"First close your eyes, turn your back, pull a plastic bag over your head and hide behind a curtain.
Shared informationDuring a major disaster, where a lot is happening and chaos rules, it is important that the emergency services have a shared awareness of the situation.This is why Norwegian researchers have now established a system which provides a visual overview of events taking place at the scene of the disaster.
How many injured?Together with the other partners in the EU project, the researchers have also participated in looking at the problem from the other end. The aim is to develop technical and organisational solutions with the aim of ensuring better emergency response leadership and crisis management in connection with major accidents and terrorist attacks. Closed systems must be openedJan Håvard Skjetne is in no doubt that it will be a long-term task to implement a shared emergency response apparatus in Norway. Learning from major exercisesEach year, major exercises are organised which give the emergency services the opportunity to train for accident situations such as train collisions, in which the injured may lie scattered across the scene of the accident, or avalanches in steep mountain terrain during which tracker dogs and rescue teams are searching for casualties.SINTEF has interviewed 40 emergency service managers to tap into their views on risk, opportunities, and the weaknesses of exercises.
SINTEF is a broadly based, multidisciplinary research concern with international expertise in technology, medicine and the social sciences.
GREENLAND: Geologists in Greenland are developing methods to determine the place of origin of rubies and sapphires, and hope to boost their exports of these precious stones. In another example, a nurse manager is facilitating a brainstorming session with the staff to create new ideas for covering holiday shifts.


The good news is that leaders have a wonderful opportunity to help create healthy group norms while building consensus and commitment. Leaders can invite input from the group about what kind of behaviors they would like the group to practice. Once the group has provided input, feel free to add some ideas from a leadership perspective. It can be helpful to ask if everyone is willing to commit to these rules and to bring the rules up briefly in the next session by asking if there is anything new to add.
It can be fun to look for creative possibilities, such as inviting a volunteer to make an artistic poster or word document that can be displayed. Can you see how involving the participants in creating this list would be different from a list that is handed down a€?from the topa€™? She is an adjunct faculty member with New England College and publishes the free e-newsletter: Confident Voices for Nurses.
Once the group has provided input, feel free to add some ideas from a leadership perspective.A  I often ask participants to a€?stretcha€™ out of their comfort zone as much as they can. It can be helpful to ask if everyone is willing to commit to these rules and to bring the rules up briefly in the next session by asking if there is anything new to add.A  Once you have a solidly discussed list, you can keep it posted at meetings or during class. Can you see how involving the participants in creating this list would be different from a list that is handed down a€?from the topa€™?A  In most cases, the information may be exactly the same, but the group commitment is potentially much stronger.A  Things like listening respectfully, being honest, and sharing ideas, come up in just about all groups.A A  Ita€™s the process that makes the difference!
Then try to hold a conversation with someone standing some distance behind you and speaking an unfamiliar dialect.


We have now established an initial concept designed to ensure that hospitals work better together.The German Fraunhofer research centre has produced a small armband which can be attached to the injured following an accident. He is a supporter of the new triage system which will soon be tested as part of a major Norwegian exercise to be held outside Stavanger in September. With some groups, I add a caveat about being a€?appropriatea€™ and add that my role as a leader is to ensure and clarify what this looks like should questionable issues arise. It can be a useful resource if things are getting out of hand or when people join or leave the group.A  Typically, revisiting the list can be a brief reminder to the group while providing opportunities for new insights, revisions, and commitments from both veteran and new members.
In this way, all information can be made available both to, and shared between, personnel out in the field, and to those staffing the emergency centres where response coordinators can control operations from their desks.
The armband is part of an electronic system which sorts and prioritises the injured – a so-called triage system similar to that used by Norwegian accident and emergency personnel today. The health services can trace the movements of all its ambulances within its own system, but none of these systems share any information. With the help of a colour coding system on the armbands, emergency response personnel can label groups of patients depending on the seriousness of their injuries.



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