Disaster Management
preparedness System

Triage Game EMDM Academy

Utstein Template (EMDM Academy Network Project)

Project initiator:
The REGEDIM Research Group on Emergency and Disaster Medicine - Vrije Universiteit Brussel - Brussels, Belgium.

EMDM Academy Members participating in the Utstein Template Project:
CRIMEDIM, Novara, Italy
Gertner Institute, Tel Aviv, Israel
CDMS, UCI, Irvine, USA
Karolinska Insitute, Stockholm, Sweden
KMC, Linköping, Sweden
EMDM Alumni
EMDM Master

Further participating organisations:
Bunbury and Besselton Regional Hospital, Australia
EuSEM Disaster Medicine Section
SAMK, Bern, Switzerland
WHO, Geneva, Switzerland

Please scroll down for a full list of members of the Consensus Group

The Utstein Template project is an EMDM "Network Project". The Project is sponsored by REGEDIM Research Group on Emergency and Disaster Medicine and the Laerdal Foundation.

In 2003, the Task Force on Quality Control of Disaster Management (WADEM) published guidelines for evaluation and research on health disaster management and recommended the development of a uniform data reporting tool. Standardized and complete reporting of data related to disaster medical response activities will facilitate the interpretation of results, comparisons between medical response systems and quality improvement in the management of disaster victims.

Early 2011, EMDM Academy co-founder REGEDIM (Vrije Universiteit Brussel) brought together a group of 16 experts in the fields of research, education, ethics and operational aspects of disaster medical management. The Experts coming from 8 countries created an EMDM Academy Consensus Group using a modified Delphi method and Utstein-style technique to achieve their goals.

The EMDM Academy Consensus Group produced an Utstein-style template for uniform data reporting of acute disaster medical response, including 15 data elements with indicators, that can be used for both research and quality improvement.

It is anticipated that the Utstein-style template will enable better and more accurate completion of reports on disaster medical response and contribute to further scientific evidence and knowledge related to disaster medical management in order to optimize medical response system interventions and to improve outcomes of disaster victims.

The Utstein Template results have been published on PLoS Currents / Disasters. Click here to access the PLoS publication.

REGEDIM is currently developing an online version of the Utstein Template.

Further explanation
Without a standardized framework for describing and reporting the features that impact disaster medical response, it is very difficult to compare results of disaster medical response evaluations and even more difficult to identify best practice. This lack of a common language also hinders intra- and interdisciplinary collaborations, appropriate training and the relationship between researcher and field practitioner.

As other branches of medicine, disaster medicine needs a scientific basis. Disaster medical response is only as good as the assumptions on which it is based. Many of these assumptions are incorrect and/or are not based on systematically collected evidence. Consequently empirically data derived from formal research and systematic investigations into disaster medical management are needed in order to collect evidence and to raise disaster medicine to an academic level.

Moreover, databases available for disaster medical response research are underdeveloped, incomplete and inaccurate. A uniform reporting method and template are essential to gather empirical data on disaster medical response management in order to establish robust databases allowing disaster medical response investigators to collect evidence that will impact response outcomes. In order to compile valid data, identification and characterization of the distinctive features and concepts of disaster medical response is mandatory. The identification and use of relevant indicators is a crucial part of determining the impact of interventions in disaster medical response.

The aim of the consensus process is to identify and define the distinctive data elements of the medical response system in disaster situations and to elaborate for these attributes a set of measurable indicators and their method of measurement.

The consensus process will only address the acute medical response phase where healthcare professionals are typically recognized as having the greatest impact on the disaster casualties. The study will only focus on the acute management of physically injured or ill patients, from the scene of the disaster to definitive treatment: the disaster acute medical care response.

Members of the EMDM Academy Consensus Group:

Castrén M., Karolinska Insitute, Stockholm, Sweden
Codreanu T.,Bunbury and Besselton Regional Hospital, Australia(EMDM-A)
Colombo D., CRIMEDIM, Novara, Italy
Debacker M. (Chair), ReGEDiM, Brussels, Belgium (EMDM Academy)
Della Corte F., CRIMEDIM, Novara, Italy (EMDM Academy, EuSEM Dis. Med. Section )
Delooz H., (EuSEM Disaster Medicine Section)
Dhondt E., Brussels, Belgium (EuSEM Dis. Med. Section )
Gutschmidt K., WHO, Geneva, Switzerland
Halpern P., Tel Aviv Medical Center, Israel (EuSEM Dis. Med. Section )
Hubloue I., ReGEDiM, Brussels, Belgium (EMDM Academy)
Ingrassia PL., CRIMEDIM, Novara, Italy (EMDM-A)
Koenig K., CDMS, Irvine, USA (WADEM)
Peleg K., Gertner Institute for Health Policy & Epidemiology (WADEM)
Rockenschaub G., EURO-WHO, Copenhagen, Denmark
Rüter A., KMC, Linköping, Sweden (EuSEM Dis. Med. Section )
Schultz C., CDMS, Irvine, USA
Stratton S., UCLA, Los Angeles, USA (WADEM)

For more information on the Utstein Template, please contact Prof. Dr. Michel Debacker (

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