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Operations & systems

Digital MCI coordination didn't speed evacuation

Digital coordination in mass casualty incidents: a retrospective analysis of prehospital distribution times before and after IVENA-MANV implementation
European Journal of Trauma and Emergency Surgery · Added 20 May 2026

Retrospective evaluation of whether the IVENA-MANV digital coordination system improved prehospital distribution times during mass casualty incidents.

Study type
Cohort
Design
Retrospective observational before-after study
Participants
73 MCIs, 188 documented casualties (Hanover region, Germany)
Main finding
Mean triage-to-evacuation 40.2 ± 19.3 min, total prehospital time 83.9 ± 29.5 min; no significant pre/post-IVENA-MANV differences (p > 0.05); MCI size the only significant predictor
Caveat
Retrospective, single region, small sample and non-randomised groups
Bottom line
Context only

Learning goal

Understand the system factors that shape patient distribution times during mass casualty incidents.

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