Natcha Rummaneethorn, Cara Taubman, Frosso Adamakos
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Is the Run, Hide, Fight Concept Effective in Improving Hospital Response to Shooting Incidents? A Systematic Review.
The recent rise of active shootings calls for adequate preparation. Currently, the "Run, Hide, Fight" concept is widely accepted and adopted by many hospitals nationwide. Unfortunately, the appropriateness of this concept in hospitals is uncertain due to lack of data. To understand the "Run, Hide, Fight" concept application in hospitals, a review of currently available data is needed. A systematic review was done focusing on the "Run, Hide, Fight" concept using multiple databases from the past 12 years. The PRISMA flow diagram was used to systematically select the articles based on specific inclusion and exclusion criteria. The measurements were subjective evaluations and survival probabilities post-concept. One agent-based modeling study suggested a high survival probability in non-medical settings. However, there is a paucity of data supporting its effectiveness and applicability in hospitals. Literature suggests a better suitable concept, the "Secure, Preserve, Fight" concept, as a response protocol to active shootings in hospitals. The effectiveness of the "Run, Hide, Fight" concept in hospitals is questionable. The "Secure, Preserve, Fight" concept was found to be designed more specifically for hospitals and closes the gaps on the flaws in the "Run, Hide, Fight" concept.
期刊介绍:
Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.