Mass casualty events occur on a regular although unpredictable basis within the contexts of both Mèdecins Sans Frontières (MSF) and the International Committee of the Red Cross (ICRC) activities. The frequency of both natural disasters and other mass casualty incidents is increasing with urbanisation and industrialisation, compounded by climate change and conflict. Both organisations have recognised that the historical training focus on full-scale mass casualty simulations has not always been followed through to the resolution of action points and dissemination of learning. Staff training for mass casualty management has been variable. This led MSF and ICRC to develop a multimodal approach to assist development of mass casualty plans and preparedness. Capitalising on our presence in these contexts we are incorporating our experience of quality improvement and change management to complement simulation to ‘stress and test’ systems. We examine the challenges and share our efforts to improve training of staff in field projects across both MSF and ICRC and discussing future innovations.

在无国界医生组织 (MSF) 和红十字国际委员会 (ICRC) 的活动中，大规模伤亡事件经常发生，但无法预测。随着城市化和工业化，加上气候变化和冲突，自然灾害和其他大规模伤亡事件的发生频率正在增加。两个组织都认识到，历史上以全面大规模伤​​亡模拟为重点的培训并没有一直贯彻到行动点的解决和学习的传播。针对大规模伤亡管理的人员培训变化多端。这促使无国界医生和红十字国际委员会开发了一种多模式方法来协助制定大规模伤亡计划和准备工作。利用我们在这些背景下的存在，我们正在整合我们在质量改进和变更管理方面的经验，以补充模拟到“压力和测试”系统。我们审视挑战并分享我们在改善无国界医生组织和红十字国际委员会实地项目员工培训方面所做的努力，并讨论未来的创新。