Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/8326
Title: Development of a Mobile Laboratory for Sudden Onset Disasters.
Authors: Marr, Ian
Francis, Joshua R
Stephens, Dianne P
Marshall, Kristy
Read, David J
Baird, Rob W
Coatsworth, Nicholas
Citation: Disaster medicine and public health preparedness 2020-04-21: 1-11
Abstract: Clinical diagnostics in sudden onset disasters have historically been limited. We set out to design, implement, and evaluate a mobile diagnostic laboratory accompanying a type 2 emergency medical team (EMT) field hospital. Available diagnostic platforms were reviewed and selected against in field need. Platforms included HemoCue301/WBC DIFF, i-STAT, BIOFIRE FILMARRAY multiplex rt-PCR, Olympus BX53 microscopy, ABO/Rh grouping, and specific rapid diagnostic tests. This equipment was trialed in Katherine, Australia, and Dili, Timor-Leste. During the initial deployment, an evaluation of FilmArray tests was successful using blood culture identification, gastrointestinal, and respiratory panels. HemoCue301 (n = 20) hemoglobin values were compared on Sysmex XN 550 (r = 0.94). HemoCue WBC DIFF had some variation, dependent on the cell, when compared with Sysmex XN 550 (r = 0.88-0.16). i-STAT showed nonsignificant differences against Vitros 250. Further evaluation of FilmArray in Dili, Timor-Leste, diagnosed 117 pathogens on 168 FilmArray pouches, including 25 separate organisms on blood culture and 4 separate cerebrospinal fluid pathogens. This mobile laboratory represents a major advance in sudden onset disaster. Setup of the service was quick (< 24 hr) and transport to site rapid. Future deployment in fragmented health systems after sudden onset disasters with EMT2 will now allow broader diagnostic capability.
Click to open Pubmed Article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed//32312350
Journal title: Disaster medicine and public health preparedness
Publication Date: 2020-04-21
Type: Journal Article
URI: https://hdl.handle.net/10137/8326
DOI: 10.1017/dmp.2019.128
Orcid: https://orcid.org/0000-0003-3588-5278
Appears in Collections:(a) NT Health Research Collection

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