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Research


Emergo Train System - a tool for scientific studies     

Models and simulations can support experimental research on disaster medcial respons management, human factors and decision making. Structured data collection from simulation exercises can provide quantative and qualitative results that allows comparison. The publications below relate to use of Emergo Train System.  


ETS includes process indicators and outcome indicators. After an exercise the results of process indicators for management can be related to the end result of patient outcome. 


Berggren, P., Pettersson, J., Jonson, C.-O., Prytz, E. G., Carlsson, H., & Nilsson, H. (2017). The importance of using the designated duty officers when assessing a medical response organization. European Journal of Public Health, 27(Supplement 3), 435.

Herrera Velasquez, M. (2017). The Use of Shared Priorities in Prehospital Medical Management (No. LIU-IDA/KOGVET-G--17/011--SE). Linköping: Linköping University.

Jonson, C.-O., Pettersson, J., Rybing, J., Nilsson, H., & Prytz, E. G. (2017). Short simulation exercises to improve emergency department nurses’ self-efficacy for initial disaster management: Controlled before and after study. Nurse Education Today, 55, 20–25. http://doi.org/10.1016/j.nedt.2017.04.020

Lampi, M. (2017). Triage. Management of the Trauma Patient. Rybing, J., Larsson, J., Jonson, C.-O., & Prytz, E. (2016). Preliminary Validation Results of DigEmergo for Surge Capacity Management. Proceedings of the International ISCRAM Conference 2016, (May).

Rybing, J., Nilsson, H., Jonson, C.-O., & Bång, M. (2016). Studying distributed cognition of simulation-based team training with DiCoT. Ergonomics, 59(3), 423–434. http://doi.org/10.1080/00140139.2015.1074290

Rybing, J., Prytz, E., Hornwall, J., Nilsson, H., Jonson, C.-O., & Bång, M. (2016). Designing a Digital Medical Management Training Simulator Using Distributed Cognition Theory. Simulation & Gaming, 48(1), 131–152. http://doi.org/10.1177/1046878116676511

Socialstyrelsen. (2016). Hälso- och sjukvårdens förmåga att hantera en allvarlig händelse med många skadade. Erfarenheter och lärdomar av Övning TYKO (No. S2016/01460/FS). Stockholm.

Nilsson, A., Åslund, K., Lampi, M., Nilsson, H., & Jonson, C.-O. (2015). Improved and sustained triage skills in firemen after a short training intervention. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 23(81), 1–6. http://doi.org/10.1186/s13049-015-0162-7

Nilsson, H. (2014). PS- Prehospital Sjukvårdsledning Ett nationellt koncept. Lampi, M., Vikström, T., & Jonson, C.-O. (2013). Triage performance of Swedish physicians using the ATLS algorithm in a simulated mass casualty incident: a prospective cross-sectional survey. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 21(90), 1–6. http://doi.org/10.1186/1757-7241-21-90

Lampi, M., Vikström, T., & Jonson, C.-O. (2013). Triage performance of Swedish physicians using the ATLS algorithm in a simulated mass casualty incident: a prospective cross-sectional survey. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 21(90), 1–6. http://doi.org/10.1186/1757-7241-21-90

Lampi, M., Vikström, T., & Jonson, C.-O. (2013). Triage performance of Swedish physicians using the ATLS algorithm in a simulated mass casualty incident: a prospective cross-sectional survey. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 21(90), 1–6. http://doi.org/10.1186/1757-7241-21-90

Nilsson, H., Jonson, C.-O., Vikström, T., Bengtsson, E., Thorfinn, J., Huss, F., … Sjöberg, F. (2013). Simulation-assisted burn disaster planning. Burns, 39(6), 1122–1130. http://doi.org/10.1016/j.burns.2013.01.018

Nilsson, H. (2012). Demand for Rapid and Accurate Regional Medical Response at Major Incidents (No. Linköping University Medical Dissertations No. 1350). Linköping: Linköping Univeristy. Retrieved from http://liu.diva-portal.org/smash/record.jsf?pid=diva2:579248

Rådestad, M., Nilsson, H., Castrén, M., Svensson, L., Rüter, A., & Gryth, D. (2012). Combining performance and outcome indicators can be used in a standardized way: a pilot study of two multidisciplinary, full-scale major aircraft exercises. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20(1), 1–8. http://doi.org/10.1186/1757-7241-20-58

Gryth, D., Rådestad, M., Nilsson, H., Nerf, O., Svensson, L., Castrén, M., & Rüter, A. (2010). Evaluation of Medical Command and Control Using Performance Indicators in a Full-Scale, Major Aircraft Accident Exercise. Prehospital and Disaster Medicine, 25(2), 118–123. http://doi.org/10.1017/S1049023X00007834

Nilsson, H., Vikström, T., & Rüter, A. (2010). Quality control in disaster medicine training - Initial regional medical command and control as an example. American Journal of Disaster Medicine, Vol. 5, No. 1, January/February 2010

Rüter, A., & Vikström, T. (2009). Improved Staff Procedure Skills Lead to Improved Management Skills: An Observational Study in an Educational Setting. Prehospital and Disaster Medicine, 24(5), 376–379. http://doi.org/10.1017/S1049023X00007172

Wakasugi, M., Nilsson, H., Hornwall, J., Vikström, T., & Rüter, A. (2009). Can performance indicators be used for pedagogic purposes in disaster medicine training? Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 17(15), 1–5. http://doi.org/10.1186/1757-7241-Received

Nilsson, H. & Rüter, A. (2008). Management of resources at major incidents and disasters in relation to patient outcome: a pilot study of an educational model. European Journal of Emergency Medicine 2008;15:162-165

Rüter, A., Örtenwall, P., & Vikström, T. (2007). Staff procedure skills in management groups during exercises in disaster medicine. Prehospital and Disaster Medicine, 22(4), 318–21. http://doi.org/10.1017/S1049023X00004933

Rüter, A. (2006). Disaster medicine- performance indicators, information support and documentation. A study of an evaluation tool (No. Linköping University Medical Dissertations No. 972). Linköping University. Retrieved from papers3://publication/uuid/D974C29A-4464-40B5-9A69-27D11999AD8F

Rüter, A., Nilsson, H., & Vilkström, T. (2006). Performance indicators as quality control for testing and evaluating hospital management groups: A pilot study. Prehospital Disaster Medicine, 21(6), 423–426. http://doi.org/10.1017/S1049023X00004131


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Emergo Train System (ETS) is an academic / educational simulation system used in several countries around the world for training and testing the preparedness and management of emergencies, major incidents and disasters.

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