Humanitarian Medical Management Using the Emergo Train System

Introduction: Healthcare needs from mass casualty events in humanitarian crises require trained personnel to manage complex patient care in challenging environments. Healthcare for humanitarian responses in conflict-affected contexts is characterized by staffing and material constraints, public health risks, mental health challenges, damaged infrastructure, the necessity for coordination between Ministries of Health, NGOs, and other international organizations, and risk to the safety and security of healthcare providers. There is a higher probability of conflict related mass casualty events. To improve preparedness, an adapted training resource was developed using the Emergo Train System (ETS) in collaboration with the International Committee of the Red Cross and Region Östergötland. ETS, an adaptable simulation platform, enables teams to practice managing critical patient flow scenarios, enhancing capability and capacity for patient care in mass casualty incidents in conflict settings. Methods: The module was iteratively designed based on ETS’s validated processes and customized for humanitarian settings. It underwent testing with health care personnel working in conflict settings, incorporating feedback from simulation instructors. Testing involved realistic contextualized scenarios that were easy to use, relevant, and supported capacity building. Results: The Humanitarian set was used in Ukraine, Nigeria, Yemen, and Somalia, where feedback was positive. The module was reported as highly relevant, easy to navigate, and valuable for capacity building. It improved the ability to perform triage of patients and enhanced healthcare workers’ communication and collaboration. Feedback indicated that the simulation supported skill acquisition in decision-making, contributing to a better-prepared healthcare workforce in conflict-affected settings. The set was further improved with roadblocks, military vehicles, religious buildings, and tented structures. Conclusion: The ETS-based module has proven effective in enhancing the readiness and competency of healthcare providers in humanitarian settings. This collaborative effort showcases the potential of ETS for capacity building, supporting the ICRC’s goals of delivering healthcare in crises.