journal
https://read.qxmd.com/read/38486501/interorganizational-knowledge-transfer-in-mass-gatherings-exploring-the-health-and-safety-stakeholders-perceptions-participating-in-the-athens-marathon
#1
JOURNAL ARTICLE
Angeliki Bistaraki, Nikos Stefanopoulos
INTRODUCTION: Mass gatherings (MGs) usually represent significant challenges for the public health and safety sector of the host cities. Organizing a safe and successful mass event highly depends on the effective collaboration among different public and private organizations. It is necessary to establish successful coordination to ensure that all the key stakeholders understand their respective roles and responsibilities. The inconsistency between the variety of participating agencies because of their different culture can result in delays in decision making...
March 15, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38486463/dhikr-and-qur-an-recitation-therapy-an-idea-to-recover-the-mental-health-of-families-of-the-death-victims-of-mount-marapi-eruption-in-west-sumatra-indonesia
#2
JOURNAL ARTICLE
Rizky Andana Pohan, Marimbun Marimbun, Wan Chalidaziah, Erfan Ramadhani, Ramtia Darma Putri, Palasara Brahmani Laras
BACKGROUND: Volcanic eruption is one of the most common disasters in Indonesia. One of the most fatal volcanic eruptions in Indonesia in 2023 was the eruption of Mount Marapi in West Sumatra. This caused a psychological impact on the survivors and families of the victims who died. PROBLEM: Psychological interventions are usually only provided to survivors. It is very rare to find psychosocial assistance provided to the families of victims who died, even though they also experience acute and prolonged mental health disorders, such as trauma and even depression...
March 15, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38465658/components-of-an-updated-disaster-medicine-curriculum-included-in-emergency-medicine-residency-and-emergency-medical-services-fellowship-in-the-united-states
#3
JOURNAL ARTICLE
Sara P Sandifer, Bryan J Wexler, Avram Flamm
INTRODUCTION: Disaster medicine (DM) is a unique field that has undergone significant development as disaster events become increasingly complicated to respond to. However, DM is not recognized by the American Board of Medical Specialties (ABMS) or Accreditation Committee of Graduate Medical Education (ACGME), and therefore lacks board certification. Furthermore, prior studies have shown that there is unique body of DM knowledge not being addressed in emergency medicine (EM) residency or Emergency Medical Services (EMS) fellowship, resulting in fundamental DM topics not being covered amongst graduate medical education (GME) programs most prepared to produce DM physicians...
March 11, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38454833/the-relationship-between-lactate-and-lactate-clearance-with-in-hospital-mortality-in-unselected-emergency-department-patients
#4
JOURNAL ARTICLE
Ozlem Susur, Murat Yesіlaras, Yesim Eyler
INTRODUCTION: Lactate is a frequently used biomarker in emergency departments (EDs), especially in critically ill patients. The aim of this study is to investigate the relationship between lactate and lactate clearance with in-hospital mortality in unselected ED patients. METHODS: This study was carried out retrospectively in the ED of a tertiary hospital. Patients aged 18 years and older whose blood lactate level was obtained in the ED were included in the study...
March 8, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38454811/disaster-preparedness-and-safety-curriculum-for-early-childhood-education-in-indonesia
#5
JOURNAL ARTICLE
Rizky Andana Pohan, Erfan Ramadhani, Marimbun Marimbun, Wan Chalidaziah, Nengsih Nengsih, Marhaban Marhaban
BACKGROUND: Indonesia is located within the Asia-Pacific Ring of Fire, so natural disasters such as earthquakes, tsunamis, volcanic eruptions, floods, and landslides are common. Preparedness is essential to prevent many casualties due to various disasters. PROBLEM: The Aceh, Indonesia earthquake and tsunami in 2004 was one of the most devastating disasters since the 1990s. Some of the victims were children. This is because there was no pattern of preparedness in dealing with disasters when the incident took place; even the word tsunami was not familiar in Indonesia at that time...
March 8, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38449098/adverse-effects-after-prehospital-administration-of-naloxone-by-bystanders-a-preliminary-study
#6
JOURNAL ARTICLE
Daniel Du Pont, Rebecca Fenderson, Krystal Hunter, Alexander Kuc, Gerard Carroll
OBJECTIVE: Opioid use disorder is a cause of significant morbidity and mortality. In order to reverse opioid overdose as quickly as possible, many institutions and municipalities have encouraged people with no professional medical training to carry and administer naloxone. This study sought to provide preliminary data for research into the rates of adverse effects of naloxone when administered by bystanders compared to Emergency Medical Services (EMS) personnel, since this question has not been studied previously...
March 7, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38445327/emergency-medical-services-protocols-for-assessment-and-treatment-of-patients-with-ventricular-assist-devices
#7
JOURNAL ARTICLE
Emily L Larson, JiWon Woo, Gyeongtae Moon, Kathy Liu, Matthew Vergel, Reed Jenkins, Kelly Jiang, Zachary Darby, Asa Margolis, Ahmet Kilic
BACKGROUND: Patients with ventricular assist devices (VADs) represent a growing population presenting to Emergency Medical Services (EMS), but little is known about their prehospital care. This study aimed to characterize current EMS protocols in the United States for patients with VADs. METHODS: States with state-wide EMS protocols were included. Protocols were obtained from the state EMS website. If not available, the office of the state medical director was contacted...
March 6, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38404235/comparative-analysis-of-meta-and-salt-disaster-triage-in-an-adult-trauma-population-a-retrospective-observational-study
#8
JOURNAL ARTICLE
Gawin Tiyawat, J Marc Liu, Thongpitak Huabbangyang, Cesar Luis Roza-Alonso, Rafael Castro-Delgado
BACKGROUND: Medical professionals can use mass-casualty triage systems to assist them in prioritizing patients from mass-casualty incidents (MCIs). Correct triaging of victims will increase their chances of survival. Determining the triage system that has the best performance has proven to be a difficult question to answer. The Advanced Prehospital Triage Model (Modelo Extrahospitalario de Triaje Avanzado; META) and Sort, Assess, Lifesaving Interventions, Treatment/Transport (SALT) algorithms are the most recent triage techniques to be published...
February 26, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38404230/comparing-doppler-ultrasonography-and-computerized-tomography-angiography-in-emergency-department-evaluation-of-earthquake-related-crush-injuries-a-case-series-analysis
#9
JOURNAL ARTICLE
Remzi Cetinkaya, Mehmet Ozel, Ali Cankut Tatliparmak, Sarper Yılmaz, Rohat Ak
OBJECTIVE: This case series aims to provide a comprehensive description of the utilization of doppler ultrasonography (USG) and computerized tomography angiography (CTA) in evaluating patients with earthquake-induced crush injuries in the emergency department (ED). METHODS: This retrospective case series was conducted on 11 patients who presented with crush injuries following a seismic event. These patients underwent initial assessment using doppler USG, with CTA performed when deemed necessary...
February 26, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38356384/nation-wide-variation-in-presence-of-legislation-or-protocols-for-ems-care-of-operational-canines
#10
JOURNAL ARTICLE
David W Schoenfeld, Caroline E Thomas, Lee Palmer, William Justice, Esther Hwang, Kate D Zimmerman, Jeffrey M Goodloe, Jonathan D Shecter, Stephen H Thomas
BACKGROUND & AIMS: Deployment of law enforcement operational canines (OpK9s) risks injuries to the animals. This study's aim was to assess the current status of states' OpK9 (veterinary Emergency Medical Services [VEMS]) laws and care protocols within the United States. METHODS: Cross-sectional standardized review of state laws/regulations and OpK9 VEMS treatment protocols was undertaken. For each state and for the District of Columbia (DC), the presence of OpK9 legislation and/or care protocols was ascertained...
February 15, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38348792/kahramanmara%C3%A5-pazarc%C3%A4-k-earthquake-2023-characteristics-of-patients-presented-to-the-emergency-department-of-a-tertiary-hospital-far-from-the-region-and-infection-characteristics-in-hospitalized-patients
#11
JOURNAL ARTICLE
Özlem Çakın, Melike Yüce Aktepe, Samet Acar, Süleyman İbze
OBJECTIVE: The aim of this study is to determine the demographic, clinical characteristics, and outcomes of the patients who applied to the emergency department (ED) of Akdeniz University Faculty of Medicine Hospital (Antalya, Türkiye) after the Kahramanmaraş-Pazarcık earthquake dated February 6, 2023, as earthquake victims were included in the study. The results of the study could be a guide in terms of emergency health services and the healthy management of disasters...
February 13, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38328881/aquatic-feasibility-of-limbs-application-of-tourniquets-aflat-during-a-lifeguard-water-rescue-a-simulation-pilot-study
#12
JOURNAL ARTICLE
Roberto Barcala Furelos, Andrew Schmidt, José Manteiga Urbón, Silvia Aranda García, Martín Otero-Agra, Nicolò di Tullio, Joel de Oliveira, Santiago Martínez Isasi, Felipe Fernández-Méndez
INTRODUCTION: Control of massive hemorrhage (MH) is a life-saving intervention. The use of tourniquets has been studied in prehospital and battlefield settings but not in aquatic environments. OBJECTIVE: The aim of this research is to assess the control of MH in an aquatic environment by analyzing the usability of two tourniquet models with different adjustment mechanisms: windlass rod versus ratchet. METHODOLOGY: A pilot simulation study was conducted using a randomized crossover design to assess the control of MH resulting from an upper extremity arterial perforation in an aquatic setting...
February 8, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38284166/redesigning-prehospital-care-fiji-s-response-to-the-covid-19-pandemic
#13
JOURNAL ARTICLE
Anne Creaton, Ilikini Naitini, Lemecki Lenoa
The benefits of emergency care systems in low- and middle-income countries are well-described. Passed in the wake of the coronavirus disease 2019 (COVID-19) pandemic, the World Health Assembly (WHA) Resolution 76.2 emphasizes the importance of communication, transportation and referral mechanisms, and the linkages between communities, primary care, and hospital care. Literature describing prehospital care and ambulance system development is scarce, with little data on the effectiveness and cost effectiveness of different options...
January 29, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38269437/description-of-the-public-safety-medical-response-and-patient-encounters-within-and-during-the-indianapolis-usa-spring-2020-civil-unrest
#14
JOURNAL ARTICLE
Thomas P Arkins, Mark Liao, Daniel O'Donnell, Nancy Glober, Gregory Faris, Elizabeth Weinstein, Michael W Supples, Julia Vaizer, Benton R Hunter, Thomas Lardaro
OBJECTIVE: This study describes the local Emergency Medical Services (EMS) response and patient encounters corresponding to the civil unrest occurring over a four-day period in Spring 2020 in Indianapolis, Indiana (USA). METHODS: This study describes the non-conventional EMS response to civil unrest. The study included patients encountered by EMS in the area of the civil unrest occurring in Indianapolis, Indiana from May 29 through June 1, 2020. The area of civil unrest defined by Indianapolis Metropolitan Police Department covered 15 blocks by 12 blocks (roughly 4...
January 25, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38221901/suit-up-a-systematic-review-of-the-personal-protective-equipment-ppe-recommended-and-utilized-by-various-classes-of-responders-to-nuclear-radiological-disasters-at-nuclear-power-plants
#15
REVIEW
Chaverle K Noel, Erica D Bruce, Benjamin J Ryan
INTRODUCTION: Interest in nuclear power as a cleaner and alternative energy source is increasing in many countries. Despite the relative safety of nuclear power, large-scale disasters such as the Fukushima Daiichi (Japan) and Chernobyl (Ukraine) meltdowns are a reminder that emergency preparedness and safety should be a priority. In an emergency situation, there is a need to balance the tension between a rapid response, preventing harm, protecting communities, and safeguarding workers and responders...
January 15, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38204194/factors-associated-with-the-number-of-injured-and-fatalities-in-motor-vehicle-intentional-mass-casualty-incidents-a-timely-aid-for-scaling-the-emergency-response
#16
JOURNAL ARTICLE
Eva Maria Valiño, Rafael Castro-Delgado, Silvia Sola Muñoz, Barry Lynam, Pedro Castro
INTRODUCTION: Intentional mass-casualty incidents (IMCIs) involving motor vehicles (MVs) as weapons represent a growing trend in Western countries. This method has resulted in the highest casualty rates per incident within the field of IMCIs. Consequently, there is an urgent requirement for a timely and accurate casualty estimation in MV-induced IMCIs to scale and adjust the necessary health care resources. STUDY OBJECTIVE: The objective of this study is to identify the factors associated with the number of casualties during the initial phase of MV-IMCIs...
January 11, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38197147/footprint-of-emergency-medicine-physicians-in-disaster-medicine-publications-a-bibliometric-analysis
#17
JOURNAL ARTICLE
Nurcan Biçakçi, Sercan Biçakçi
INTRODUCTION: Investigating the developments in the ever-growing field of disaster medicine and revealing the scientific trends will make an important contribution to researchers in related fields. This study aims to identify the contributions of emergency medicine physicians (EMPs) and trends in disaster medicine publications. METHODS: The expressions "disaster medicine" or "disaster*" and "medicine*" were searched in the Web of Science (WoS) database. Research and review papers produced by EMPs from 2001 through 2021 were included in the study...
January 10, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38192268/the-utilization-of-emergency-department-and-outpatient-clinics-among-evacuated-victims-after-the-2023-turkey-earthquake
#18
JOURNAL ARTICLE
Buğra İlhan, Oğuz Eroğlu, Hüseyin Çanak, Abdullah Arıkan, Münir Sakallı, Serkan Tursun, Turgut Deniz
BACKGROUND: After the 2023 Turkey earthquake, thousands of people evacuated to different fields. Earthquake victims still need health care in the evacuation location. This study aims to determine the emergency department (ED) and outpatient clinic utilization characteristics of the evacuated earthquake victims outside the earthquake zone and to provide suggestions for planning the health care facilities in the regions where the evacuated earthquake victims will be placed. METHODS: This retrospective, observational study was conducted in a tertiary university hospital from February 7, 2023 through February 20, 2023...
January 9, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38328887/using-high-fidelity-virtual-reality-for-mass-casualty-incident-training-by-first-responders-a-systematic-review-of-the-literature
#19
REVIEW
Sara Heldring, Maria Jirwe, Jonas Wihlborg, Lukas Berg, Veronica Lindström
INTRODUCTION: First responders' training and learning regarding how to handle a mass-casualty incident (MCI) is traditionally based on reading and/or training through computer-based scenarios, or sometimes through live simulations with actors. First responders should practice in realistic environments to narrow the theory-practice gap, and the possibility of repeating the training is important for learning. High-fidelity virtual reality (VR) is a promising tool to use for realistic and repeatable simulation training, but it needs to be further evaluated...
February 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38240322/dr-judith-fisher
#20
JOURNAL ARTICLE
Samuel J Stratton
No abstract text is available yet for this article.
February 2024: Prehospital and Disaster Medicine
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