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  • “Simulation is our passion”

    “Simulation is our passion”

  • ”The world needs training in Disaster Medicine”

    ”The world needs training in Disaster Medicine”

  • “Are you and your organization well prepared for a disaster?”

    “Are you and your organization well prepared for a disaster?”

  • “Don’t forget to train your personell for a high influx of traumas”

    “Don’t forget to train your personell for a high influx of traumas”

  • “Train decision-making for major incidents”

    “Train decision-making for major incidents”

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ETS exercise on H.E.L.P. course

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About ETS training material

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New penetrating trauma victim bank!

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Memorandum of Understanding with ICRC!

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Register on the ETS website

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ETS Senior instructor course

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Latest news

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New Psychosocial support set version 4!

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. 


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 

Berggren, P., & Hernandez, E. B. (2020). Validation of new ETS material. Patient bank for Bomb blast victims (ETS-2020-02). Region Östergötland.

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.

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).

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. (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

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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ETS Educator program

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, Australia, New Zealand, Japan, United Kingdom, United Arab Emirates and Korea. There are now (June 2018) more than 100 ETS Educators in 12 ETS faculties.



For further information please contact the ETS Competence centre.


 

ETS Training Material

 

The Emergo Train System® (ETS) consists of magnetic symbols that are placed on whiteboards to illustrate for example a disaster scene or assembly point of a hospital. The core of ETS is a victim bank with injured patients divided into categories depending on the type of the injuries. The ETS Instructor in an exercise can choose suitable patients for a particular scenario. Maps, different frames and models, and pictures are also included in the material to help construct the simulation.


The ETS training material version 4 (released in September 2018) is available in pre-designed sets: Pre-hospital set and Hospital set. The sets are available in sizes large, medium and small. To the Pre-hospital and Hospital sets you connect victim banks/in-hospital patient banks according to your needs. The victim banks and in-hospital patient banks are also available in different sizes.

In version 4, all victim/patient banks have undergone a complete medical review and update. More parameters have been added to the victim banks which means that patients can be designed to fit different triage systems. A revision has also been made in the patient outcome which starts at 30 min after injury instead of 1 hour.

The ETS management cards have a new design that now also shows time on X-ray and Post-op. To the in-hospital patients, a template is included with answers of what the patient needs regarding interventions and level of care. The patient banks are available in different sizes to suit the user's needs. For example the trauma victim bank is available in large (200 patients), medium (100 patients) and small (50 patients).

ETS version 4 is currently available in English but is translated into more languages.

The ETS training packages are described below.  

If you like to know more about the ETS training material, content of the sets and prices, please contact the ETS Competence centre  

If you are a certified ETS Senior instructor, you can get access to information about the sets on this website (when you are logged in). 

 



To purchase and use the ETS training material it is required to be an ETS Senior instructor. Read more about the ETS Senior instructor course here   


 


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ETS Senior Instructor course

Please scroll down on this page to view international and national course dates for the ETS Senior instructor courses!

front june2013The ability to make accurate decisions is an important part of disaster and emergency medicine. Training for this requires educated instructors who can practice and evaluate the performance of different categories of staff involved in the medical management of disasters and major incidents.


These instructors should also be familiar with simulation exercises based on real scenarios, with realistic resources, real capacity of different medical facilities and training sessions performed in real time. One way to achieve this is to use the Emergo Train system® (ETS), a simulation system that can be designed to fit any scenario in any setting; ETS has been used for training and simulation in disaster medicine in several countries during the last decades.


A Senior Emergo Train Instructor is the head instructor in an Emergo Train Simulation exercise. He/she is responsible for setting up the course objectives and ensuring they are adequately achieved. Approval of the course results in certification as an ETS Senior instructor.


There are now (January 2020) over 2 300 certified ETS Senior instructors. The international Senior instructor courses are held by the ETS Competence Centre at KMC - Centre for Teaching & Research in Disaster Medicine and Traumatology in Sweden. National courses are held by ETS Educator faculties in Sweden, United Kingdom, Finland, The Netherlands, Italy, Greece, Australia, New Zealand, Japan, Korea and United Arab Emirates.


The Senior instructor course can also be conducted on request in other countries. For further information, please contact the ETS Competence centre.


International ETS Senior instructor courses (course language English)

Dates Faculty Location Information
March 10-12 2020          ETS Competence center     Linköping, Sweden     Please visit KMC website for further information >>>
October 13-15 2020 ETS Competence center Linköping, Sweden Please visit KMC website for further information >>>

 The international course is held at KMC - Centre for Teaching & Research in Disaster Medicine and Traumatology in Linköping, Sweden.

 


National ETS Senior Instructor Courses    

Dates Faculty Location Further information
January 21-23 2020 ETS Competence center Stockholm, Sweden This email address is being protected from spambots. You need JavaScript enabled to view it.
March 20-22 2020 ETS Japan Toyama, Japan This email address is being protected from spambots. You need JavaScript enabled to view it.
More information >>>
March 31-April 2 2020 ETS AU/Queensland Brisbane, Australia This email address is being protected from spambots. You need JavaScript enabled to view it.
April 1-3 2020 ETS AU/Western Australia Perth, Australia This email address is being protected from spambots. You need JavaScript enabled to view it.
May 13-14 2020 ETS Korea Seoul, Korea The course is held at Yonsei University, Severance Hospital. Contact: This email address is being protected from spambots. You need JavaScript enabled to view it.
June 23-25 2020 ETS UK Leicester, UK This email address is being protected from spambots. You need JavaScript enabled to view it.
August 11-13 2020 ETS UK Leeds, UK This email address is being protected from spambots. You need JavaScript enabled to view it.
October 6-8 2020 ETS UK Bristol, UK This email address is being protected from spambots. You need JavaScript enabled to view it.
October 13-15 2020 ETS AU/Queensland Brisbane, Australia This email address is being protected from spambots. You need JavaScript enabled to view it.
November 17-19 2020 ETS Competence center Linköping, Sweden Course held in Swedish.
More information on KMC website >>>
February 23-25 2021 ETS UK London, UK This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 


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About us

Emergo Train System is used for:

  • Education and training in emergency- and disaster medicine
  • Education and training in command and control
  • Testing preparedness and management of emergencies, major incidents and disasters
  • Testing organizations. An example of a burn injury simulation can be viewed here
  • Table top and surge capacity exercises
  • Training and evaluation of individual roles and functions through out the response system
  • Evaluation of patient outcome
  • Data collection and research


Why use the Emergo Train System?

  • ETS is doctrine free; it works in any organization or system
  • ETS is used by health care organizations, rescue services, police forces, crisis support organizations, military organizations etc.
  • ETS is a strong tool to help you simulate the process of emergency response
  • ETS is easy to use; magnetic symbols on whiteboards visualize the complexity of resource utilization in any type of scenario 
  • ETS has a strong similarity to reality: participants interact with eachother
  • ETS consists of > 1000 trauma patients and in-hospital patients: all can be evaluated according to an outcome
  • ETS has a recognized high quality standard
  • ETS has been developed within a non-profit organizational framework, owned by the Region Östergötland, supported by National Board of Health and Welfare, Sweden
  • ETS is administrated by the KMC - Centre for Teaching & Research in Disaster Medicine and Traumatology, a national education and research centre with over 20 years experience in simulation exercises and simulation techniques


Emergo Train System® training material is translated and customised into several languages. Specific appearance of the symbols with regard to colour, text, shape of the symbols can be customized on request.


New training material is being developed continuously based on input from ETS instructors and faculties. For example, new training sets for intra-hospital patients in surge capacity exercises, decontamination at hospital and training in psychosocial support have recently been developed. All developments are based on scientific and evidence-based knowledge and practitioners' best practice.

The ETS Competence Center is responsible for the quality control of the Emergo Train System. The validation of the ETS takes place in close collaboration with Linköping University together with our international partner network. Read more about the ETS Competence center   


Emergo Train System® is owned by Region Östergötland, Sweden, administered and developed by KMC - Centre for Teaching & Research in Disaster Medicine and Traumatology and the University of Linköping, Sweden.


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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.

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