
Safety 2010 Conference CMS

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Address *	99 Thedsaban14 Rd Amphur Warinchamrap Ubonratchathani
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Objective:  To evaluate the modified Hospital Incident Command System (HICS) used to mange Multiple Casualty during New Year and Songkran Festival.
Background : A New Year and Songkran Festival are the long holidays that encourage many millions of people who travel to/from their hometown. In 2001-2003, there was increase two times patients comparing with an average patients per day.  So that Sapprasithiprasong Hospital, apply HICS to prepared and managed Multiple casualty incidents during this periods.
Study design: Descriptive study
Method: Data were collected from the injury surveillance. The patients were recruited if they were cared in the hospital during this time (2007-2009). The Modified HICS was evaluated by the action plan which make by a subcommittee. 
Results:  HICS act as the leaders of care management such as 
- Planning: Increasing health care personal and capacity of operations.
- Logistics: Full range of medical supplies and equipments were stored and easily accessible.
	- Operations: 
1) Management of Patient Flow and ICU beds. The overcrowding effect to patient outcome then the HICS committee limited  35 trauma patients/unit. There were 241-313 trauma patients. Injury organ were head (48.55-51.03%) ,Extremities (36.33-41.97%). 8-10%(23-50) of patients were major trauma patients (ISS >15) and admitted at ICU.
	2) Operative Procedure were performed in 58-63 % of trauma  patients. Open Reduction and Internal Fixation was the highest procedure.  
	3) Day by Day Conference to collect and manage  problem and share data to public sectors.
Conclusion 
	Implementation of HICS provides command and management of trauma patients during long holidays.

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