About ETS
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.
The training material for decontamination has been developed to meet the need to practice the work and planning required for the care of chemically contaminated patients. ETS decontamination material can be used for competence development for health care personnel. The decontamination set is doctrine free and can be used within any organization and decontamination protocols.
You can use the material for training or testing. It can for example be used for testing the decontamination organization, testing the surge capacity regarding lack of material or personnel. All victims in the decontamination set can be evaluated with patient outcome which give a result that can be used in evaluation.
The material consists of different victim banks who have been contaminated in various degrees with a chemical substance. The victim banks are:
Included in the material is also signs to use on whiteboard to display a decontamination unit, treatment and activity stickers, magnetic symbols illustrating different resources and different templates for helping setting up and evaluate exercises. A manual is included as a pdf-file.
The decontamination at hospital set is available in three sizes: large, medium and small set. In large set is all chemically patients included (patient C1-C200), medium includes 150 patients (C1-C50, 101-C200) and small set included 100 patients (C1-C50, C101-C125, C151-C175).
Example some of the material below.
The international ETS Senior instructor course is held by the ETS Competence center at KMC - Centre for Teaching & Research in Disaster Medicine and Traumatology in Linköping Sweden.
Linköping is located 200 km south of Stockholm and 450 km north of Copenhagen. More information about the town Linköping can be viewed on visit Linköping website.
Linköping City Airport have daily flights from Amsterdam. Please visit KLM for further information.
Stockholm Arlanda Airport is located north of Stockholm and 250 km from Linköping. You can travel by train from Stockholm to Linköping. The journey from Stockholm city take 1,5 hour with high speed train and about 2 hours with regular. Travel by train from Arlanda Airport (north of Stockholm) to Linköping take about 2,5 hours. You can also travel by train from Copenhagen airport to Linköping. The journey take about 3,5-4 hours with high speed train. Visit SJ for booking and further information.
For suggestion of accomodation in different price ranges please check Visit Linköping website.
Is a visa required when travelling to Sweden? Please check with the Swedish embassy in your country.
Emergo Train System is owned by Region Östergötland and administrated by the ETS Competence center located at KMC - Centre for Teaching & Research in Disaster Medicine and Traumatology in Linköping Sweden. The international ETS Senior instructor courses are held by ETS Competence center in Linköping.
Background: |
One important part in disaster medicine is training of the ability to make accurate decisions. An Emergo Train System Senior Instructor is the responsible for setting up the course aim and learning objectives and ensuring they are adequately achieved. An ETS Senior Instructor has successfully completed the Senior instructor course at the international ETS Competence Centre in Sweden or one of the certified national ETS Educator faculties in Finland, Australia, UK, Italy, Greece, The Netherlands, Japan, Korea, United Arab Emirates or New Zealand. There are over 2 700 (June 2023) certified ETS Senior instructors from over 45 nationalities. |
Aim: | After the course, the student should be able to plan, perform, evaluate and train participants in simulation exercises using the Emergo Train System®. |
Learning objectives: |
By the end of the course students will be able to:
|
Teaching: |
The main teaching methods in this course are lectures, practical exercises, and group work. All participants will have the opportunity to prepare and conduct training sessions with evaluation and criticism from an experienced faculty. |
Pre-reading: |
ETS manual. Will be e-mailed to the participants as a pdf-file before the course starts.
|
Examination: |
Individual performance in group-exercises evaluated by experienced faculty. Approval of course results in a certificate as ETS Senior instructor.
|
Target group: |
People who are responsible for educating and training health care personnel in the fields of disaster- emergency medicine and surge capacity.
|
Number of participants: | 16 |
Length of course: | 3 days |
Course management: |
Course director/teacher Jenny Pettersson, ETS Educational Manager Teacher Louise Ahlmström Teacher Linda Bolin Course coordinator/teacher Johan Hornwall, ETS Operational Manager Teacher Karin Moscicki |
Course fee: |
EUR 915 In the course fee is included 3 days of training and lunch. The prices is exclusive of Swedish VAT (25%) which will be added on the invoice. Please note that this VAT is deductible in the native country! We reserve the right to cancel a course depending on the development of the Covid19 pandemic and travel restrictions to and from Sweden and the EU. We can provide information on hotel accommodation in different price ranges in Linköping. For further information visit this page with travel and accomodation information >>> |
Cancellation policy |
Cancellation up to 30 days before the start of the course: refund of the entire course fee. |
Course dates 2024: |
August 27-29 2024 |
Application: |
Apply to the course by downloading application form (in Word) here >>> Send the application form to You will receive a confirmation by email that we have received your registration. A final confirmation that the course will be held is sent to you by email at latest the deadline for the course application. |
Course place: |
KMC - Centre for Teaching & Research in Disaster Medicine and Traumatology Telephone +46-10-103 3569 E-mail: Webbsite: www.regionostergotland.se/kmc |
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.
Flauto A., Marcis L, Pallavicini P., Calzolari F., Nanetti T., Scopelliti A., Fabbri M., Cremonini S., Imbriaco G. (2024). Mass Casualty Incident Preparedness for Airport Emergencies: Report from an Aeroplane crash simulation at Guglielmo Marconi Airport, Bologna (Italy)
https://www.cambridge.org/core/journals/disaster-medicine-and-public-health-preparedness/article/mass-casualty-incident-preparedness-for-airport-emergencies-report-from-an-aeroplane-crash-simulation-at-guglielmo-marconi-airport-bologna-italy/C7BB7572564750754898D8E51ED7AFC9/share/221b2996722d3dce21b0bb7c3edb82bcb397bf1869c5067064a0b4cbe470fa28
Waring, S., Skryabina E., Goodwin D., Lino D., Amlôt R. (2021).What components of emergency preparedness exercises improve healthcare practitioners' emergency response learning? International Journal of Disaster Risk Reduction.
https://doi.org/10.1016/j.ijdrr.2021.102357
Middlemiss, V. (2020).An evaluation of non-technical skills development through Emergency Preparedness , Resilience and Response exercises for health sector personnel. University of Bath.
https://researchportal.bath.ac.uk/en/studentTheses/an-evaluation-of-non-technical-skills-development-through-emergen
Kim, J., & Lee, O. (2020). Effects of a simulation-based education program for nursing students responding to mass casualty incidents: A pre-post intervention study. Nurse Education Today, 85, 104297. https://doi.org/10.1016/j.nedt.2019.104297
Crombie, A., Faulkner, P., Watson, I., & Savy, B. (2020). Smooth move: The use of the Emergo Train® system in transitioning to a new hospital. International Journal of Healthcare Management, 13(3), 186–188.
https://doi.org/10.1080/20479700.2017.1389480
Berggren, P., & Hernandez, E. B. (2020). Validation of new ETS material. Patient bank for Bomb blast victims (ETS-2020-02). Region Östergötland.
Joensuu, R., & Poikolainen, M. (2019). Mass casualty incident preparedness with Emergo Train System tabletop exercise in New Children’s Hospital Emergency Department [HUS].
https://www.theseus.fi/bitstream/handle/10024/262943/Joensuu_Raisa%20Poikolainen_Mia.pdf?sequence=2&isAllowed=y
Berggren, L. (2019). Emergo Train System ® En modul anpassad för Räddningstjänsten (LIU-IDA/KOGVET-A--19/017--SE). Linköpings universitet.
Berggren, P., Hornwall, J., Kristedal, E., & Pettersson, J. (2019). ETS kongress 2018 (KMC/ETS-2019-002). Region Östergötland.
Cronan, K., & Winn, L. (2019). Development of an Evacuation Exercise for Residential Aged Care Facilities Using the Emergo Train System (ETS). WADEM Congress on Disaster and Emergency Medicine 2019, 34(s1), s1–s1.
https://doi.org/10.1017/s1049023x19000220
Berggren, P., Lidberg, H., Ranåker, L., & Hornwall, J. (2019). Utvärdering av modul räddningstjänst för Emergo Train System (KMC/ETS-2019-001). Region Östergötland.
Rybing, J. (2018). Studying Simulations with Distributed Cognition [Linköping University Electronic Press]. https://doi.org/10.3384/diss.diva-145307
Berggren, P., Herrera Velasquez, M., Pettersson, J., Henning, O., Lidberg, H., & Johansson, B. J. E. (2018). Reflection in Teams for Training of Prehospital Command and Control Teams. In K. Boersma & B. Tomaszewski (Eds.), ISCRAM 2018.
NSW Health Emergency Management Unit Office of the State HSFAC. (2018). Exercise Alecto 4. Evaluation report (Issue March).
Crombie, A., Faulkner, P., Watson, I., Savy, B. (2017). Smooth move: The use of the Emergo Train System in transitioning to a new hospital. [International Journal of Healthcare Management]. https://doi.org/10.1080/20479700.2017.1389480
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. Linköping University Medical Faculty, Dissertation No. 1563. Linköping, Sweden: Linköping University Electronic Press.
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., Lidberg H., Jonson C-O. (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
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. Download here >>>
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
[/panel_box] [panel_box]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
Carbonell, D., & Mark, P. R. (2006). The Emergo Train System—will it work in Australia? The Australian Journal of Emergency Management, 21(1), 60–61.
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
The ETS Educator Program is a continuation of the Senior Instructor course. Approval of the program results in certification as an ETS Educator; with the agreement of the ETS Competence center, certified ETS Educators can start an ETS Faculty and run Senior Instructor courses.
The ETS Educator Program is given on request by the ETS Competence Centre.
The Educator Program has been successfully conducted in Italy, the Netherlands, United Kingdom, Finland, Greece, Australia, New Zealand, Japan, Korea and the United Arab Emirates. There are now (June 2023) more than 130 ETS Educators in 14 ETS faculties.
For further information please contact the ETS Competence centre.
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.