Emergency management and internal audit of emergency preparedness of pre-hospital emergency care
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Emergency management and internal audit of emergency preparedness of pre‑hospital emergency care Irena Tušer1 · Svajonė Bekešienė2 · Josef Navrátil1 Accepted: 11 September 2020 © Springer Nature B.V. 2020
Abstract One of the negative components of international travel is the higher likelihood of emergencies that affect a large number of people (mass negative impact on health), for example the transmission of infectious diseases, as e.g. SARS CoV-2 pandemic. The frequency and sources of mass-casualty incidents are currently changing dynamically, especially with the onset of terrorist attacks and large-scale natural disasters. Health services and emergency medical service (EMS) take part in addressing these emergencies. For this reason, this paper deals with the EMS emergency preparedness in the Czech Republic for an emergency events with a large number of affected people. EMS in the Czech Republic are not provided by the state but by individual regions. EMS in the Czech Republic do not have central management, nor do they use uniform data documentation. The investigation of the current situation has shown that the attitudes of EMS in individual regions of the Czech Republic to the tasks of emergency preparedness for mass casualty incidents are not identical. The current method of evaluating improvements in the quality of EMS emergency preparedness lacks consistency and is not comprehensively supervised. To tackle this, the paper presents an internal audit methodology for assessing the level of emergency preparedness of the emergency medical services. The authors therefore defined the decisive criteria and indicators assessing the quality level of EMS emergency preparedness at major disaster with multiple victim incident. When developing the methodological procedure of the preparedness evaluation, an algorithm was chosen, based on the gradual verification of the evaluation criteria and indicators by an expert group. Some findings and recommendations based on a research carried out in EMS in individual regions of the Czech Republic are presented. Keywords Emergency management · Emergency preparedness · Evaluating · Multiple victim incident · Major disaster · Emergency medical services
1 Introduction International tourism is an integral part of the development of contemporary society, which also contributes to the growth of the national economy. Transport, accommodation, catering and other services that support the mass travel of people are key factors for its development and functioning. * Irena Tušer [email protected] Extended author information available on the last page of the article
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A negative aspect of international travel is the higher probability of emergencies. In countries that attract the most tourists, the number and stay of foreign nationals is increased at a certain time. These foreigners bring with them respect for a different culture, religion, respect for different legal norms, and a different state of health. Their different behaviour and visit in a
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