CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre

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CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
CRIMEDIM
Research Center
in Emergency
and Disaster Medicine
World Health Organization
Collaborating Centre

                            www.crimedim.uniupo.it
CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
At a Glance
    CRIMEDIM is a university-wide
    academic center that conducts
    research, education and training
    in the field of disaster medicine
    and humanitarian health. The
    center is committed to promote
    innovative research projects
    and to foster learning and
    training programs using state of
    the art technologies to enhance
    the resilience of health systems
    in emergency, disaster and
    humanitarian crisis.

    Vision
    CRIMEDIM vision is to
    make health systems able to
    effectively protect people’s
    health from disasters and
    humanitarian crises, saving
    lives, minimizing deaths,
    injuries, disabilities and human
    suffering with competent and
    professional workforce.

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CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
RESEARCH CENTER IN EMERGENCY
                             AND DISASTER MEDICINE

                   CRIMEDIM

Mission
CRIMEDIM works to enhance
the resilience of health system
in emergency, disaster and
humanitarian crisis through
increasing knowledge, skills
and attitudes of health workers
based on scientific evidence
and field experience at local,
national and international level.

Objectives
- promote and coordinate
  research projects in disaster
  education, disaster medicine
  and humanitarian health;
- foster disaster education
  and training using emerging
  simulation technologies;
- provide highly specialized
  researchers and professionals
  in disaster and humanitarian
  setting;
- cooperate with different
  institutions, universities,
  public and private agencies,
  governmental and non-
  governmental organizations
  to enhance the resilience of
  health systems.

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CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
Main Areas
                                                 of Education
DISASTER MEDICINE
EDUCATION AND TRAINING
FOR DISASTER MANAGERS, LEADERS
AND POLICY MAKERS
• European Master in Disaster Medicine (EMDM)                disaster medicine
• International Doctoral Program in Global Health,                  education
  Humanitarian Aid and Disaster Medicine               and training for health
• Fellowship in Disaster Management
                                                                professionals
                                                                        • Humanitarian Medic
                                                                             • Disaster Medic
                                                             • Hospital Disaster Preparedness
                                                          • Pre-deployment Training for Ebola
                                                                         Emergency Response

DISASTER MEDICINE
EDUCATION AND TRAINING
FOR MEDICAL AND NURSING
STUDENTS
• TdmT - Training disaster medicine Trainers
• DisasterSISM                                                Ad hoc curriculum
• Disaster Medicine module in the standard                  and simulation based
  medical curriculum at the Università del                 training development
  Piemonte Orientale
                                                       • Basic and Advanced Modular Courses
                                                                      for Health Professionals
                                                 • Instructor Course and Faculty Development
                                                                    • Scenario-Based Training

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CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
MAIN AREAS                                RESEARCH CENTER IN EMERGENCY
                                          AND DISASTER MEDICINE

OF RESEARCH                     CRIMEDIM

                                   1
     Professionalization
      of health workers
          in disaster and
 humanitarian assistance

             2
                            operational
                            research in disaster
                            and humanitarian
                            settings

                                   3
              simulation
           and emerging
         technologies in
      disaster education

             4              Hospital Disaster
                            Resilience

                                                                         5
CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
Main Educational Programs

EMDM - European Master
in Disaster Medicine
The EMDM, Master of Science in                The EMDM is an inter-university and
Disaster Medicine, is a level-two master      international course, which counts on
program jointly organized by CRIMEDIM,        a faculty of qualified professionals in
the Research Center in Emergency and          disaster medicine and humanitarian
Disaster Medicine of the Università del       health affiliated with worldwide
Piemonte Orientale (UPO) and ReGEDiM,         renowned institutions and universities.
the Research Group on Emergency and
Disaster Medicine of the Vrije Universiteit   So far, the EMDM program has inspired
Brussel (VUB). The course is aimed            and trained more than 500 professionals
at all health professionals involved in       all over the world.
the medical disaster management and
                                              Visit the website
humanitarian health response at local,
                                              www.dismedmaster.com
national and international level.

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CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
RESEARCH CENTER IN EMERGENCY
                                                                          AND DISASTER MEDICINE

                                                                CRIMEDIM

                                         THE INTERNATIONAL
                                         DOCTORAL PROGRAM
                                         IN GLOBAL HEALTH,
                                         HUMANITARIAN AID
                                         AND DISASTER MEDICINE

The International Doctoral Program                                       RESEARCH CENTER IN EMERGENCY
                                                                         AND DISASTER MEDICINE

in Global Health, Humanitarian Aid
                                                               CRIMEDIM
and Disaster Medicine is a joint PhD
designed and offered by the Università   with a full-time residential course and
del Piemonte Orientale (UPO), Italy,     then they will work on their research
through CRIMEDIM and the Vrije           projects under the supervision of an
Universiteit Brussel (VUB), Belgium,     international faculty of professionals.
through the ReGEDiM.                     Admission to this Doctoral Program is
                                         highly competitive.
The three-year long PhD Program will     Applicants must hold a Master’s degree
prepare students to conduct high           in a health-related field and possess
quality research in the fields of              a very good academic record,
global health, humanitarian                      previous research experience, and
aid and disaster medicine.                        a keen interest in global health,
Students will strengthen                          humanitarian aid and/or disaster
their research skills starting                    medicine research.

                                                                                                     7
CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
Main Educational Programs
Humanitarian Medic - Humanitarian
Health Response Training Program
Humanitarian Medic is an innovative           Anesthesia,
training program, designed and                Critical Care, Emergency Medicine and
coordinated by CRIMEDIM in                    Pediatrics, from any university all over
collaboration with Médecins Sans              the world.
Frontières (Doctor Without Borders,
Italian section). The program is restricted   The aim of the training program is to
to medical doctors in their final years       provide residents with the necessary
of training or residency program in           knowledge, skills and attitudes to
                                              proficiently participate to international
                                              disaster responses and humanitarian
                                              health programs and to contribute to
                                              the development of professional skills
                                              when working in emergency settings
                                              with limited resources.

                                              Moreover, this experience demonstrates
                                              how academia can successfully partner
                                              with humanitarian aid organizations
                                              to promote the professionalization of
                                              future humanitarian health workers.

DisasterSISM
DisasterSISM is a national
innovative multilevel
educational program
developed by CRIMEDIM
in collaboration with the
Italian Medical Students’
Secretariat (SISM).

It is designed for medical
students and aims to
provide young future
physicians with the basic
and advanced knowledge
of Disaster Medicine.

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CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
RESEARCH CENTER IN EMERGENCY
                                                                              AND DISASTER MEDICINE

                                                                     CRIMEDIM

TdmT - Training Disaster
Medicine Trainers
Training Disaster Medicine Trainers
(TdmT) is the first international program     World Health Organization (WHO),
that teaches medical students basic           Medecins Sans Frontières (MSF),
knowledge about disaster medicine.            the Alumni of the European Master
The initiative is managed by CRIMEDIM         in Disaster Medicine (EMDM), and
together with the International               experienced CRIMEDIM professionals.
Federation of Medical Students’
Associations (IFMSA) with the aim to
empower medical students to take action
on disaster medicine in their communities
by equipping them with knowledge and
skills on disaster and humanitarian health.

The medical students are selected from
an international pool of students and they
have the chance to learn from experts of
international organizations such as the

Virtual Reality Simulation
Training for Ebola Deployment
The Ebola outbreak in West Africa             medical community was very sensitive
was one of the worst natural disaster         to the development of effective pre-
of the last decades. The international        deployment training programs to ensure
                                              the adequate safety of humanitarian
                                              workers. CRIMEDIM and Save the
                                              Children International (SCI) collaborated
                                              to develop and implement a specific
                                              training using virtual reality (VR) and
                                              hybrid simulation to improve the safety
                                              of humanitarian workers against the
                                              possible infection with Ebola virus,
                                              and an evaluation tool to assess the
                                              improvement of humanitarian workers’
                                              technical and non-technical skills.

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MAIN RESEARCH PROJECTS
                                                                            Funded by the European Union

TEAMS - Training for Emergency Medical Teams
and European Medical Corps
Concerns regarding the standard of medical    basic capacities and logistic means to
care provided in disasters and the lack of    operate self-sufficiently. Additional concerns
preparedness of health workers has been       have been highlighted regarding the lack of
raised. Health practitioners have been        cultural awareness and coordination with
observed to work outside their scope of       local authorities as well as international
practice and license, and teams have lacked   agencies.

TEAMS is a EU funded project aimed            simulation-based exercises focused on
at developing a standardized, validated       operational team training, adaptable to
and cost-effective training package,          different types of EMTs, and sustainable
focused on operational team training for      for low-income countries and resource-
Emergency Medical Teams (EMTs).               poor settings.

The consortium is led by CRIMEDIM             Along with all the EMT organizations,
and composed of HCRI (UK), Karolinska         universities, professional bodies and
Institutes (Sweden), Tel Aviv University      training agencies involved in EMT
(Israel), Istanbul Medeniyet University       training are expecting to benefit from
(Turkey), Humedica (Germany) and              the outcomes of this project.
Novareckon (Italy).
                                              www.teams-project.eu
The final result will be an open online
training package consisting of innovative
blended learning teaching materials and

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RESEARCH CENTER IN EMERGENCY
                                                                                       AND DISASTER MEDICINE

                                                                              CRIMEDIM

NO-FEAR - Network Of practitioners For Emergency
medicAl systems and cRitical care
NO-FEAR is a five-year project that responds to
the Horizon 2020 Secure Societies 2017 call
topic: Pan-European networks of practitioners and             NO-FEAR
other participants in the field of security, Category
A (practitioners in the same discipline) - Medical
Emergency Teams.

The aim of the project is to create                     in particular the practitioners who were
an active Pan-European network of                       directly involved in the recent dramatic
practitioners, decision and policy                      events in Paris, Nice, Berlin, Madrid,
makers, suppliers and academia in                       Barcelona and areas outside Europe, the
the security field, sharing knowledge,                  consortium will develop a structured
experience and necessities, thus                        and comprehensive approach to better
overcoming the current state of                         prepare and respond to new security
overwhelming fragmentation.                             challenges and threats.

Driven by a core group of 18 project                    The consortium is led by CRIMEDIM
partners, the network will work to reach                and composed of 18 partners from
a common understanding of needs and                     10 Member States and 2 Associated
priorities, as well as innovation potential             Countries. It groups partners
that could better fulfill said problem                  representing the different sectors
areas, fill operational gaps and pinpoint               involved in emergency response:
areas for potential future research.                    i.e. universities, research centres,
Based on the experience of its partners,                governmental bodies, ONGs and SMEs.

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MAIN RESEARCH PROJECTS
                                                                            Funded by the European Union

THREATS - Terrorist attacks on Hospitals:
Risk and Emergency Assessment, Tools & Systems
The three-year EU funded project               possible weaknesses, risks and threats
THREATS is aimed at increasing the             and subsequently enhance their
resilience of EU hospitals as critical         preparedness against terrorist attacks
infrastructure by improving their              targeting hospitals and healthcare
protection capability and security             infrastructures.
awareness against terrorist attacks.
                                               www.threatsproject.eu
The consortium was led by Hanover
Associate Ldt (UK), and included the
Institut National des Sciences Appliquées
(France), and San Raffaele Hospital (Italy).

Since July 2014, CRIMEDIM cooperated
with the consortium partners to deliver
a series of models and toolkits to
help EU medical facilities to recognize

TIER - Integrated strategy for CBRN Threat Identification
and Emergency Response
TIER is a EU funded project with               Studies of the Università del Piemonte
the primary objective to develop a             Orientale, led a consortium composed
comprehensive and integrated strategy,         of public universities, research institutes,
based on threat identification and risk        private companies and hospitals.
assessment, for hospital emergency
response in case of use of chemical,           With the support of international
biological, radiological, nuclear materials    experts, the Consortium delivered
and explosives by terrorists.                  a risk assessment and calculator
                                               model, designed two training courses
CRIMEDIM, in collaboration with the            subsequently developed in France
Department of Economics and Business           and Italy and an assessment tool, with
                                               regard to hospital preparedness and
                                               response performance in case of CBRN
                                               emergencies.

                                               www.tierproject.eu

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Projects in the Field
First national prehospital emergency
medical system for Sierra Leone
Medici con l’Africa CUAMM and                  where CUAMM operates since 2012,
CRIMEDIM are involved in a major               thousands ambulance service paramedics
project funded by the World Bank to start      will be trained in all the country.
a national transport system for obstetric
and surgical emergencies.                      At the end of the 2-year work plan,
The challenge in Sierra Leone (which was       CUAMM, CRIMEDIM and the Veneto
hit hard by Ebola between 2014 and             Region will release a fully staffed,
2015) is to respond to the emergencies         equipped and functional prehospital
and create a stable and lasting emergency      emergency medical system providing
medical system. Starting from the positive     citizens of Sierra Leone with prompt,
experience of the rural district of Pujehun,   safe and effective access to healthcare in
                                               times of urgent needs and enabling the
                                               Country to leverage existing healthcare
                                               infrastructure and local expertise to
                                               maximum advantage.

                                               www.mediciconlafrica.org

                                                                                       13
Simulation Technologies
Simulation is extensively used for educational   from their experience and also to retrain
purposes. Through participatory simulation,      and practice to correct mistakes, perfect
students take an active role within an           steps and fine-tune skills. Teamwork training
immersive environment, that can replace          conducted in the simulated environment
and amplify real experiences with guided         offers an additive benefit to the traditional
ones. Students’ involvement in the “virtually    didactic instruction, enhance performance,
real” activities allow them to learn directly    and possibly also help reduce errors.

High Fidelity Simulation
High fidelity allows mastering practical         simulated disaster and humanitarian
skills in a simulated environment                settings. This kind of simulation fosters
reproducing real situations, including           active participation instead of passive
resource-constrained environments.               learning in a standardized and consistent
Through the use of high fidelity                 environment, while also steepening the
simulation, students develop the ability         learning curve.
to proficiently delivering healthcare in

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RESEARCH CENTER IN EMERGENCY
                                                                               AND DISASTER MEDICINE

                                                                      CRIMEDIM

Virtual Simulation
Virtual simulation represents a valid          regions, emergency service facilities and
innovative method for education and            hospitals. Virtual simulation gives the
training in disaster medicine. For its         possibility to engage students online by
courses CRIMEDIM uses a series of              distance to enhance the ability to work
tools and solutions that recreate realistic    in teams to coordinate the response to
training scenarios where students              natural and man-made disasters.
are trained, individually or in team, to
manage different emergency situations
in a setting where good practice can be
identified and shared but where mistakes
have no operational consequences.
Among the available solutions, virtual
reality simulation is largely used, thanks
to the flexibility and realism it offers. It
has been also used for practicing the
logistic aspects of contingency planning
across the entire emergency services
chain reproducing different scenarios
with realistic configurations of countries,

Live Simulation
Live simulation represents the                 plan and procedures and eventually
milestone of disaster and humanitarian         implement them. Functional and full-scale
education and training. They are unique        simulations are operation-based exercises
opportunities to evaluate policies,            that allow to exercise both procedures
guidelines, and the command and                and facilities’ functionality. This
control chain; to increase the training of     include all levels of participating health
personnel in emergency and crisis roles;       organizations, including the mobilization
to improve interagency coordination            of personnel and resources, activation of
and communications; and to test                operation centers and actual movement
                                               of equipment.

                                               CRIMEDIM field activities include actors,
                                               appropriately trained for the exercise
                                               to perform as smart victims, simulating
                                               clinical conditions and tracing medical
                                               actions.

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WHO COLLABORATING CENTRE

CRIMEDIM has been designated                Collaborating Centre also participates in
World Health Organization (WHO)             the strengthening of country resources,
Collaborating Centre for Training and       in terms of information, services,
Research in Emergency and Disaster          research and training, in support of
Medicine in August 2016.                    national health development.

By definition, a WHO Collaborating          In this framework, CRIMEDIM works to
Centre is an institution designated by      provide strategic support to the WHO
the Director-General of WHO to form         in what specifically concerns training
part of an international collaborative      and research in emergency and disaster
network set up by WHO in support of         medicine.
its program at the country, regional, and
global levels.

In line with the WHO policy and strategy             World Health Organization
of technical cooperation, a WHO                      Collaborating Centre

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UN Training
                                                                           Funded by the European Union

CRIMEDIM is supporting European                  United Nations
Commission - Humanitarian Aid & Civil
                                                 Disaster Assessment
Protection (DG ECHO) in the design, planning
and organization of training courses for
                                                 and Coordination (UNDAC)
personnel active in the international disaster   Induction Course
response field, in the framework of the Union
                                                 CRIMEDIM hosted the UNDAC
Civil Protection Mechanism.
                                                 Induction Course from Sunday 20th
                                                 November to Friday 2nd December
Emergency Medical                                2016, organized by OCHA’s Field
Team Coordination Cell                           Coordination Support Section (FCSS)
(EMTCC) Training Course                          with the support of DG ECHO in
                                                 conjunction with Novarseti Viaggi, the
In 2016 and 2017 CRIMEDIM hosted two             Italian Civil Protection Department and
editions of the WHO EMT Coordination             the Belgian Federal Public Service of
Cell Training, organized by the EMT              Health.
Secretariat with the support of DG ECHO
and partner organizations, Novarseti             More than 30 participants from 20
Viaggi, the Italian Civil Protection             different countries, selected among
Department and the Belgian Federal               humanitarian and disaster managers
Public Service of Health. During a week-         from international organizations and
long intensive training, the participants        national emergency management
were trained and challenged to assess,           institutions, were inducted in the
establish, operate, and deactivate an            UNDAC system to establish and
Emergency Medical Team Coordination              facilitate humanitarian coordination
Cell during a simulated disaster.                following sudden onset disasters.

                                                                                                  17
National and International
Collaborations
Universities
Free University of Brussels, Belgium             Makerere University, Uganda
University of Alberta, Canada                    University of Manchester, UK
University of California Irvine, USA             Hacettepe University, Turkey
Harvard Umanitarian Initiative, USA              University of Cluj, Romania
University of Geneva, Switzerland                Università Cattolica del Sacro Cuore, Italy
Karolinska Institute, Sweden                     Tel Aviv University, Israel
Linköping University, Sweden                     Istanbul Medeniyet University, Turkey
Jazan University, Saudi Arabia

United Nations Organizations
World Health Organization (WHO) – official WHO Collaborating Centre
United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA)
United Nations Office for Disaster Risk Reduction (UNISDR)
United Nations Development Programme (UNDP)

Worldwide Experiences
• Iraq, Analysis of the Trauma   • Sierra Leone, Assessment to     of rehabilitation after the
  Care Plan implemented by         create and implement the        earthquake with MSF (2015)
  WHO to guarantee access          National Emergency Medical
  to care to the population of     System (EMS), prehospital     • Afghanistan, Maternal health
  Mosul (2017)                     emergency care, ambulance       program with MSF (2015)
                                   service and disaster
• Gaza, Activity of                response for Sierra Leone     • Sierra Leone, Virtual Reality
  humanitarian health              (2016)                          training program for Ebola
  assistance with MSF (2017)                                       response in collaboration
                                 • Yemen, Activity of              with Save the Children
• Italy, Central Italy             humanitarian health             International (2014)
  earthquakes Emergency Aid        assistance with MSF during
  Response with the Italian        the conflict (2015 - 2016)    • Uganda, Research project
  Civil Protection (2016)                                          of postoperative pain
                                 • Nepal, Activity of Capacity     management after major
                                   Building within the project     surgery in a low-resource

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RESEARCH CENTER IN EMERGENCY
                                                                                       AND DISASTER MEDICINE

                                                                            CRIMEDIM

Governmental and
Non-Governmental Organizations
Italian Civil Protection Department
Italian Ministry of Foreign Affairs and International Cooperation
Médecins Sans Frontières (MSF)
European Society for Emergency Medicine (EUSEM)
European Civil Protection and Humanitarian Aid Operations (DG ECHO)
Disaster Medicine Service - Piedmont Region
Save the Children International (SCI)
Belgian First Aid and Support (B-FAST)
International Federation of Medical Students’ Associations (IFMSA)
Segretariato Italiano Studenti in Medicina (SISM)
Mobile Emergency Service for Resuscitation and Extrication (SMURD)
Ares Marche
Humedica e.V.
Doctors with Africa CUAMM
Red Cross Novara

  environment in collaboration   • Abu Dhabi, SEHA                • Italy, Aquila Earthquake
  with the Makerere University     (Disaster Management and         Emergency Aid Response
  (2014)                           Emergency preparedness           with the Italian Civil
                                   System - building capacity       Protection (2009)
• Philippines, Typhoon Haiyan      and assuring integration,
  Emergency Aid Response           2011-12)                       • Italy, United Nation Medical
  with the Italian Civil                                            Emergency Response Team
  Protection (2014)              • Haiti, Activity of Capacity      (UNMERT Mass Casualty
                                   Building within the project      Course, 2008) Algarve
• Burkina Faso, Combining          of rehabilitation after the      Health Authority,
  Dedicated Online Training        earthquake (2010)
  and Apprenticeships                                             • Sri Lanka, United Nation
  in the Field to Assist in      • Albania, World Health            Development Program in
  Professionalization of           Organization, Country Office     Galle District (Emergency
  Humanitarian Aid Workers         (Medical Management of           and disaster management,
  (2011 - 2013)                    Climate Change-related           2008)
                                   Health Emergencies, 2009)

                                                                                                              19
UNIT COORDINATORS
                                 Our strategy is based on            to preparedness, planning,
                                 scientific evidence and on          mitigation and prevention.
                                 field experience at regional,
                                 national and international          Our activities are based
                                 level.                              on the use of simulation
                                                                     to teach medical students
                                 Our action aims to establish        as well as health providers
                                 a common scientific                 how to develop new
                                 program in education                education tools and
                                 including scientifically            networking with national
                                 based and validated                 and international centers
                                 models, often based on              sharing the same strategies.
Francesco Della Corte            exercises using innovative
                                 technologies with specific          The words we prefer are
Director
                                 attributes to different             innovation, perspective
Since the foundation in          figures sharable worldwide;         and lateral thinking,
2007, CRIMEDIM’S main            to foster collaboration             enthusiasm, collaboration,
goals have focused on the        among disaster medicine             networking, solidarity.
improvement of the health        centers of education
                                                                     If you share the same
care system response in          and training, institutions
                                                                     perspective and vision, we
emergency, disaster and          and scientific societies
                                                                     will be eager to collaborate.
crisis through increasing        to implement effective
knowledge, skills and            evidence-based research; to
attitudes of health care         enlarge our area of interest
providers.                       from emergency response

     Professionalization of health workers in             Simulation and emerging
     disaster and humanitarian assistance:                technologies:
     Luca Ragazzoni                                       Pier Luigi Ingrassia

     Operational research in disaster                     Hospital disaster resilience:
     and humanitarian settings:                           Davide Colombo
     Alba Ripoll Gallardo
                                                          Disaster Medicine Education
     Project Management:                                  and Training:
     Monica Linty                                         Marta Caviglia

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Alumni Perspectives
Maria Grazia Fiori - Italy             (Humanitarian Medic)

“Humanitarian Medic is an
innovative training course, peculiar
in its structure and organization
because it provides all the basic
knowledge to face and deal with
particular situations in the area of
disaster medicine. This knowledge
is transferred also by exposing
students to professional, technical
and emotional challenges during
simulation exercises and real life
scenarios, presented during the
Master course.”

Annet Alenyo                                       Marco Antonio
Ngabirano - Uganda           (EMDM)                Becerril Ruiz - Mexico             (TdmT)

“As a national health advisor in disaster          “I was at the hospital at the very time
medicine, I had the huge responsibility of         the earthquake struck. The hospital got
                           advising on the         damaged and we had to evacuate. Many
                           management              buildings were destroyed, people are
                           of disasters            trapped and we have patients coming in.
                           and I quickly           I’m impressed but happy we had a quick
                           realized that my        and efficient response. However, we’re
                           fundamental             running out of material and staff are doing
                           medical training        extra shifts... We’re getting tired. The civil
                           had not                 population is helping with the search of
                           prepared me             trapped people and many have brought
                           to face disaster        us food and supplies. The TdmT course
                           situations.                                  at CRIMEDIM did a
EMDM was simply eye opener for me                                       lot! I helped in the
and gave me a family of disaster medicine                               evacuation during the
specialists willing to support me.”                                     earthquake and the
                                                                        immediate logistics of
                                                                        setting up the hospital
                                                                        areas in the parking lot.”

                                                                                               21
Latest publications
• Intraoperative Low Dose Ketamine does        • Education and Training of Emergency         • An Italian version of the Ottawa Crisis
  not reduce the cost of postoperative           Medical Teams: Recommendations for a          Resource Management Global Rating
  pain management after surgery: a               Global Operational Learning Framework.        Scale: a reliable and valid tool for
  randomised controlled trial in a lower         Amat Camacho N, Hughes A, Burkle              assessment of simulation performance.
  income country. Ragazzoni L., Alenyo           FM Jr, Ingrassia PL, Ragazzoni L,             Franc JM, Verde M, Gallardo AR,
  Annet, Caviglia M., Bodas M., Franc            Redmond A, Norton I, von Schreeb J.           Carenzo L, Ingrassia PL. Intern Emerg
  J., Hannington S., Ripoll Gallardo A.,         PLoS Curr. 2016 Oct 21;8                      Med. 2016 Jun 16.
  Della Corte F., Kwizera A. African
  Health Science, in press.                    • Yemen’s Unprecedented Humanitarian          • Hospital preparedness and response in
                                                 Crisis: Implications for International        CBRN emergencies: TIER assessment
• Medium and long-term health effects of         Humanitarian Law, the Geneva Conven-          tool. Olivieri C, Ingrassia PL, Della
  earthquakes in high-income countries:          tion, and the Future of Global Health         Corte F, Carenzo L, Sapori JM, Gabilly
  a systematic review and meta-                  Security. Ripoll Gallardo A, Burkle FM,       L, Segond F, Grieger F, Arnod-Prin P,
  analysis. Ripoll Gallardo A, Pacelli B.,       Ragazzoni L, Della Corte F. Disaster          Larrucea X, Violi C, Lopez C, Djalali A.
  Alesina M., Serrone D., Iacutone G,            Med Public Health Prep. 2016                  Eur J Emerg Med. 2016 Apr 7
  Faggiano F., Della Corte F., Allara E.         Oct;10(5):701-703
  International Journal of epidemiology,                                                     • Postgraduate Education in Disaster
  in press.                                    • Tools and Checklists Used for the             Health and Medicine. Algaali KY, Djalali
                                                 Evaluation of Hospital Disaster               A, Della Corte F, Ismail MA, Ingrassia
• Ahmadreza Djalali: questions everyone          Preparedness: A Systematic Review.            PL. Front Public Health. 2015 Aug
  must ask. Della Corte F, Burkle FM             Nekoie-Moghadam M, Kurland L,                 10;3:185.
  Jr, Gallardo AR, Ragazzoni L. Lancet.          Moosazadeh M, Ingrassia PL, Della
  2017 May 27;389(10084):2101.                   Corte F, Djalali A. Disaster Med Public     • Yemen, an unprecedented humanitarian
                                                 Health Prep. 2016 Oct;10(5):781-              crisis. Ripoll Gallardo A., Ragazzoni L,
• Self-Perception of Medical Students’           788.                                          F. Della Corte BMJ 2015; 351:h4366
  Knowledge and Interest in Disaster
  Medicine: Nine Years After the               • Virtual Laboratory and Imaging: an          • TIER competency-based training course
  Approval of the Curriculum in German           online simulation tool to enhance             for the first receivers of CBRN casualties:
  Universities. Wunderlich R, Ragazzoni          hospital disaster preparedness training       a European perspective. Djalali A, Della
  L, Ingrassia PL, Corte FD, Grundgeiger         experience. Carenzo L, Ragozzino F,           Corte F, Segond F, Metzger MH,
  J, Bickelmayer JW, Domres B.                   Colombo D, Barra FL, Della Corte F,           Gabilly L, Grieger F, Larrucea X, Violi
  Prehosp Disaster Med. 2017                     Ingrassia PL. Eur J Emerg Med. 2016           C, Lopez C, Arnod-Prin P, Ingrassia PL.
  Aug;32(4):374-381                              Sep 3.                                        Eur J Emerg Med. 2016 Feb 26.

• Medium- and long-term health effects         • Comparison of the SACCO triage              • Lo studio degli effetti sulla salute a
  of the L’Aquila earthquake (Central Italy,     method versus START triage using a            medio e lungo termine del terremoto
  2009) and of other earthquakes in high-        virtual reality scenario in advance care      dell’Aquila e di altri terremoti in Paesi ad
  income Countries: a systematic review.         paramedic students. Jain T, Ragazzoni         alto reddito: una revisione sistematica.
  Ripoll Gallardo A, Alesina M, Pacelli          L, Stratton S, Della Corte F. CJEM.         • Hospital Disaster Preparedness in
  B, Serrone D, Iacutone G, Faggiano F,          2016 Jul;18(4):288-92.                        Italy: a preliminary study utilizing the
  Della Corte F, Allara E. Epidemiol Prev.                                                     World Health Organization Hospital
  2016 Mar-Apr;40(2 Suppl 1):14-21.            • Evaluation of a new community-based
                                                 curriculum in disaster medicine for           Emergency Response Evaluation Toolkit.
• Assessment of disaster preparedness            undergraduates. Bajow N, Djalali A,           Pier Luigi Ingrassia, Marco Mangini,
  among emergency departments in                 Ingrassia PL, Ragazzoni L, Ageely H,          Massimo Azzaretto, Ilenia Ciaramitaro,
  Italian hospitals: a cautious warning for      Bani I, Corte FD. BMC Med Educ.               Laura Costa, Francesco Della
  disaster risk reduction and management         2016 Aug 26;16(1):225.                        Corte, Ahmadreza Djalali. Minerva
  capacity. Paganini M, Borrelli F, Cattani                                                    anestesiologica, 2016 [in press].
  J, Ragazzoni L, Djalali A, Carenzo L,        • Assessment of disaster preparedness
                                                 among emergency departments in              • Preparedness of European hospitals
  Della Corte F, Burkle FM, Ingrassia PL.                                                      to counter the terrorist attacks.
  Scand J Trauma Resusc Emerg Med.               Italian hospitals: a cautious warning for
                                                 disaster risk reduction and management        Ahmadreza Djalali, Marta Caviglia,
  2016 Aug 15;24(1):101.                                                                       Carl Dakin, Chris Arculeo, Mick
                                                 capacity. Paganini M, Borrelli F, Cattani
• The Solidarity and Health Neutrality of        J, Ragazzoni L, Djalali A, Carenzo L,         Massey, Carol Morey, Roberto
  Physicians in War & Peace. Burkle FM           Della Corte F, Burkle FM, Ingrassia PL.       Faccincani, Michele Carlucci, Sauro
  Jr, Erickson T, von Schreeb J, Kayden          Scand J Trauma Resusc Emerg Med.              Vicini, Alain Guinet, Francesco Della
  S, Redmond A, Chan EY, Della Corte             2016 Aug 15;24(1):101.                        Corte, Pier Luigi Ingrassia, in behalf of
  F, Cranmer H, Otomo Y, Johnson K,                                                            THREATS project Studies in conflicts
  Roy N. PLoS Curr. 2016 Jan 20;9.                                                             and terrorism. [in press].

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• Virtual disaster simulation: Lesson           Gursky E. Disaster Med Public Health             and simulation tools. Ingrassia PL,
  learned from an international                 Prep. 2015 Jun;9(3):245-55.                      Ragazzoni L, Tengattini M, Carenzo L,
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  disaster education in Iran. PLoS Curr.     • Multiple withdrawals from single-use              2014 Oct;29(5):508-15.
  2015 [in press].                             vials: a study on sterility. Ripoll Gallardo
                                               A, Meneghetti G, Ragazzoni L,                  • Does Hospital Disaster Preparedness
• Proposal for a community-based               Kroumova V, Ferrante D, Ingrassia PL,            Predict Response Performance During a
  disaster management curriculum for           Ruzza P, Dell’Era A, Boniolo E, Koraqe           Full-scale Exercise? A Pilot Study. Djalali
  medical school undergraduates in             G, Faggiano F, Della Corte F. Int J              A, Carenzo L, Ragazzoni L, Azzaretto
  Saudi Arabia. N. Bajow, A. Djalali, PL.      Pharm. 2015 May 15;485(1-2):160-                 M, Petrino R, Della Corte F, Ingrassia
  Ingrassia, H. Agely, F. Della Corte. Am      3.                                               PL. Prehosp Disaster Med. 2014
  J Dis Med. 2015 [in press].                                                                   Oct;29(5):441-7.
                                             • Art of disaster preparedness in European
• Core Competencies in Disaster                union: a survey on the health systems.         • Identifying deficiencies in national and
  Management and Humanitarian                  Djalali A, Della Corte F, Foletti M,             foreign medical team responses through
  Assistance: A Systematic Review.             Ragazzoni L, Ripoll Gallardo A,                  expert opinion surveys: implications
  Ripoll Gallardo A, Djalali A, Foletti M,     Lupescu O, Arculeo C, von Arnim                  for education and training. Djalali A,
  Ragazzoni L, Della Corte F, Lupescu          G, Friedl T, Ashkenazi M, Fischer P,             Ingrassia PL, Corte FD, Foletti M,
  O, Arculeo C, von Arnim G, Friedl T,         Hreckovski B, Khorram-Manesh A,                  Gallardo AR, Ragazzoni L, Kaptan K,
  Ashkenazi M, Fisher P, Hreckovski            Komadina R, Lechner K, Patru C,                  Lupescu O, Arculeo C, von Arnim G,
  B, Khorram-Manesh A, Komadina R,             Burkle FM Jr, Ingrassia PL. PLoS Curr.           Friedl T, Ashkenazi M, Heselmann
  Lechner K, Stal M, Patru C, Burkle           2014 Dec 17;6.                                   D, Hreckovski B, Khorrram-Manesh
  FM, Ingrassia PL. Disaster Med Public                                                         A, Komadina R, Lechner K, Patru
  Health Prep. 2015 May 5:1-10.              • Combining Dedicated Online Training              C, Burkle FM, Fisher P; Scientific
                                               and Apprenticeships in the Field to Assist       Committee of DITAC Project. Prehosp
• Impact of the 2011 Revolution on             in Professionalization of Humanitarian           Disaster Med. 2014 Aug;29(4):364-8.
  Hospital Disaster Preparedness in            Aid Workers: a 2-year Pilot Project for
  Yemen. Aladhrai SA, Djalali A, Della         Anesthesia and Intensive Care Residents        • The European Masters Degree in
  Corte F, Alsabri M, El-Bakri NK,             Working in Resource Constrained and              Disaster Medicine (EMDM): A Decade
  Ingrassia PL. Disaster Med Public            Low-income Countries. Foletti M,                 of Exposure. Della Corte F, Hubloue
  Health Prep. 2015 Apr 16:1-7.                Ingrassia PL, Ragazzoni L, Djalali A,            I, Ripoll Gallardo A, Ragazzoni L,
                                               Ripoll Gallardo A, Burkle FM Jr, Della           Ingrassia PL, Debacker M. Front
• Identifying Deficiencies in National         Corte F. PLoS Curr. 2014 Jul 21;6.               Public Health. 2014 May 21;2:49.
  and Foreign Medical Team Responses
  Through Expert Opinion Surveys:            • Professionalization of anesthesi-              • Nonstructural Safety of Hospitals for
  Implications for Education and Training.     ologists and critical care specialists in        Disasters: A Comparison Between
  Djalali A, Ingrassia PL, Corte FD,           humanitarian action: a nationwide poll           Two Capital Cities. Djalali A, Ardalan
  Foletti M, Gallardo AR, Ragazzoni            among italian residents. Ripoll Gallardo         A, Ohlen G, Ingrassia PL, Corte FD,
  L, Kaptan K, Lupescu O, Arculeo C,           A, Ingrassia PL, Ragazzoni L, Djalali            Castren M, Kurland L. Disaster Med
  von Arnim G, Friedl T, Ashkenazi             A, Carenzo L, Burkle FM, Della Corte             Public Health Prep. 2014 Apr 7:1-6.
  M, Heselmann D, Hreckovski B,                F. Prehosp Disaster Med. 2015
  Khorram-Manesh A, Komadina R,                Feb;30(1):16-21.                               • Education and training initiatives for
  Lechner K, Patru C, Burkle FM, Fisher                                                         crisis management in the European
  P. Prehosp Disaster Med. 2015              • Disaster medicine through Google                 Union: a web-based analysis of available
  Apr;30(2):224.                               Glass. Carenzo L, Barra FL, Ingrassia            programs. Ingrassia PL, Foletti M,
                                               PL, Colombo D, Costa A, Della                    Djalali A, Scarone P, Ragazzoni L,
• Virtual Reality Simulation Training          Corte F. Eur J Emerg Med. 2015                   Corte FD, Kaptan K, Lupescu O,
  for Ebola Deployment. Ragazzoni L,           Jun;22(3):222-5.                                 Arculeo C, von Arnim G, Friedl
  Ingrassia PL, Echeverri L, Maccapani                                                          T, Ashkenazi M, Heselmann D,
  F, Berryman L, Burkle FM, Della Corte      • A Simple Graphical Method for                    Hreckovski B, Khorram-Manesh A,
  F. Disaster Med Public Health Prep.          Quantification of Disaster Management            Komadina R, Lechner K, Patru C,
  2015 Mar 18:1-4.                             Surge Capacity Using Computer                    Burkle FM, Fisher P. Prehosp Disaster
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• Education in Disaster Management             Franc JM, Ingrassia PL, Verde M,
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  European Course. Khorram-Manesh              Disaster Med. 2015 Feb;30(1):9-15.               medicine: awareness and formative
  A, Ashkenazi M, Djalali A, Ingrassia                                                          needs. Ragazzoni L, Ingrassia PL,
  PL, Friedl T, von Armin G, Lupesco O,      • Nationwide program of education for              Gugliotta G, Tengattini M, Franc JM,
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                                               curriculum centered on blended learning

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