Multiple-Criteria Decision-Making for Medical Rescue Operations during Mass Casualty Incidents

Abstract

Mass casualty incident (MCI) is an unpredictable situation where a great number of people have been injured after an accident or sudden disease. Survival of the injured in the MCI depends on the efficiency of the directed emergency system (DES). The organization and management of medical assistance is of paramount importance. The shortest possible time to provide medical services to injured persons is crucial. The medical service in the case of the MCI primarily requires decisions on the priority of the order of treatment of the injured, the choice of medical transport and the location of specialized emergency treatment. As part of this paper, the effectiveness of the DES has been analyzed, and criteria used to improve rescue operations have been formulated. A formalized mathematical description of the medical rescue operations in MCIs has been proposed, and the optimization problem as the mixed integer linear programming (MILP) task was formulated. Optimization of an example case of rescue operations in MCIs has been presented. A computer simulator for optimal decision-making in medical rescue operations (CSMRO) has been developed for this purpose. The CSMRO implements various multi-criteria optimization methods to solve the formulated problem of rescue operations optimization. The results of computations made with the developed CSMRO simulator significantly shorten the time of decision-making in mass casualty incident handling.