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American Journal of Disaster Medicine

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https://read.qxmd.com/read/30629275/planning-considerations-for-persons-with-access-and-functional-needs-in-a-disaster-part-3-medical-cmist-and-recommendations
#1
Sharon E Mace, Constance J Doyle, Kim Askew, Stuart Bradin, Mark Baker, Madeline M Joseph, Annalise Sorrentino
Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when dealing with these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made in order to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for not only this unique group but also all of the members of the community in a disaster...
July 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30629274/planning-considerations-for-persons-with-access-and-functional-needs-in-a-disaster-part-2-evacuation-and-sheltering
#2
Sharon E Mace, Constance J Doyle, Kim Askew, Stuart Bradin, Mark Baker, Madeline M Joseph, Annalise Sorrentino
Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when dealing with these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed, and what recommendations can be made in order to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for not only this unique group but also all of the members of the community in a disaster...
July 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30629273/the-interagency-strategic-plan-for-research-and-development-of-blood-products-and-related-technologies-for-trauma-care-and-emergency-preparedness-2015-2020
#3
Anthony E Pusateri, Mary J Homer, Todd E Rasmussen, Kevin R Kupferer, W Keith Hoots
Intensive blood use is expected to occur at levels, which will overwhelm blood supplies as they exist with current capabilities and technologies, both in civilian mass casualty events and military battlefield trauma. New technologies are needed for trauma care, and specifically to provide safer, more effective, and more logistically supportable blood products to treat patients with, or at risk of developing, acquired bleeding disorders resulting from trauma, acute radiation exposure, or other causes. Three of the primary agencies with major research and development programs related to blood products, the Biomedical Advanced Research and Development Authority (BARDA), the Department of Defense (DoD), and the National Heart, Lung, and Blood Institute are uniquely positioned to partner in addressing these issues, which have significant implications for each respective agency, as well as for the US population...
July 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30629272/the-medical-response-to-burn-disasters-in-europe-a-scoping-review
#4
Luís Miguel Relvas, Ana Pinto de Oliveira
INTRODUCTION: A burn disaster is defined by a mass casualty involving a large number of severely burned victims. Several countries have been confronted with these mass casualties and have developed national burn practice guidelines. This study presents a comprehensive review of the literature related to the benefits and conditions required for the introduction of a burn plan and identify successful strategies in Europe to apply in Portugal. METHODS: This study uses a scoping review approach, following the "five stages framework" suggested by Arksey and O'Malley (2005)...
July 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30629271/push-to-talk-apps-for-disaster-communications-hurricane-season-brings-technology-adaptation
#5
Alexander H Chang, Rabia Bega, Edbert B Hsu
Effective communication during disasters is essential for emergency management, responders, and impacted populations. Recent hurricanes have drawn attention to the potential utility of push-to-talk (PTT) applications with some such as Zello, garnering over 6 million downloads during the week prior to Hurricane Irma. PTT technology integrates a two-way radio system to transmit and receive messages via point-to-point communication lines. With rapid implementation of newer technology and applications often driven by anecdotal reports and the media, the actual performance impact of such technology in the face of disasters is challenging to assess...
July 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30629270/national-survey-of-institutional-pediatric-disaster-preparedness
#6
Timothy M Ketterhagen, Deanna L Dahl-Grove, Michele R McKee
OBJECTIVE: Describe institutional disaster preparations focusing upon the strategies to address pediatric patients in disaster preparedness. DESIGN: Descriptive study using survey methodology. SETTING: Hospitals that provide emergency care to pediatric patients throughout the United States. PARTICIPANTS: Survey responses were solicited from hospital personnel that are familiar with the disaster preparedness plan at their institution...
July 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30629269/one-month-recovery-experience-of-a-disaster-relief-team-functioning-as-an-outpatient-clinic-following-super-typhoon-haiyan-changes-in-distribution-of-trauma-patients-and-required-medical-components
#7
Seongyup Kim, Jin Sil Moon, Yong Won Kim
As the distribution of trauma and non-trauma patients changes with time following a large-scale disaster, the required medical resources change commensurately. An understanding of these changes is necessary to provide effective medical support. Super Typhoon Yolanda, one of the strongest recorded tropical cyclones, struck the central area of the Republic of the Philippines on November 8, 2013. The current authors worked together on one of the disaster relief medical teams from the Republic of Korea. The authors investigated differences in medical components provided to trauma and non-trauma patients and analyzed changes in the distribution of trauma patients over time in the Tacloban area affected by Super Typhoon Yolanda...
July 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30234917/a-scoping-review-of-evaluation-methods-for-health-emergency-preparedness-exercises
#8
Elena Skryabina, Paul Riley, Gabriel Reedy, Richard Amlôt
OBJECTIVE: To review and analyze evaluation methods currently utilized in health emergency preparedness exercises (HEPE). DESIGN: This study, part of a larger scoping review that systematically collected and reviewed published evidence related to the benefits of HEPE, provides a further analysis of the evaluation methods utilized in such exercises. We separately analyzed discussion-based and operation-based exercises according to their purpose. This addresses a methodological limitation related to the poorly understood relationship between the purpose and context in which a specific evaluation method is selected to be used...
April 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30234915/parents-awareness-of-disaster-plans-in-children-s-early-learning-settings
#9
Andrew Hashikawa, Megan Chang, Alan Sielaff, Stuart Bradin, Dianne C Singer, Amilcar Matos-Moreno, Sarah J Clark, Anna Daly Kauffman, Matthew M Davis
OBJECTIVE: Children in early learning settings are vulnerable to site-specific emergencies because of physical and developmental limitations. We examined parents' knowledge of disaster plans in their child's early learning settings. METHODS: In May 2015, we conducted a nationally representative online household survey, including parents of children ages 0-5 years in child care settings. Parents were asked about their center's disaster plans and key components: evacuation, special needs children, and disaster supplies...
April 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/30234914/planning-considerations-for-persons-with-access-and-functional-needs-in-a-disaster-part-1-overview-and-legal
#10
Sharon E Mace, Constance J Doyle, Kim Askew, Stuart Bradin, Mark Baker, Madeline M Joseph, Annalise Sorrentino
Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster...
April 2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/29799613/the-canadian-paediatric-triage-and-acuity-scale-algorithm-for-interfacility-transport
#11
Tanya Holt, Michael Prodanuk, Gregory Hansen
OBJECTIVE: Determining pediatric severity of illness in referring centers may be useful for establishing appropriate patient disposition and interfacility transport. For this retrospective review, the authors evaluated the Canadian Paediatric Triage and Acuity Scale (PaedCTAS) tool in regards to individual patient disposition and outcomes. METHODS: A disposition score using the PaedCTAS algorithm was retrospectively calculated from referring center data at the time our transport team was consulted...
2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/29799612/responding-to-a-medical-crisis-lessons-from-the-halifax-disaster-100-years-ago
#12
Emily E Zona, Alina J Morris, Susan M Briggs, Mark A Rockoff
One hundred years ago, a massive explosion occurred in the harbor of Halifax, Nova Scotia, destroying the city and killing more than 2,000 and injuring more than 9,000. It was the worst manmade explosion the world had ever seen, not exceeded until the atomic bomb blast over Hiroshima in 1945. An urgent appeal for assistance came from the survivors, and many volunteers responded. This report describes the prompt and remarkable medical relief effort of the citizens of Massachusetts to help their Canadian neighbors...
2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/29799611/tourniquet-use-in-the-prehospital-setting-are-they-being-used-appropriately
#13
Kevin M Duignan, Laura C Lamb, Monica M DiFiori, John Quinlavin, James M Feeney
OBJECTIVE: The objective of this study was to evaluate tourniquet use in the Hartford prehospital setting during a 34-month period after the Hartford Consensus was published, which encouraged increasing tourniquet use in light of military research. DESIGN: This was a retrospective review of patients with bleeding from a serious extremity injury to determine appropriateness of tourniquet use or omission. SETTING: Level II trauma center between April 2014 and January 2017...
2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/29799610/post-traumatic-stress-symptoms-following-sniper-attacks-effects-of-television-viewing-and-identification-with-victims
#14
Holly B Herberman Mash, Carol S Fullerton, Robert J Ursano
OBJECTIVE: A series of sniper attacks in the Washington, DC, area left 10 people dead and three wounded. The authors examined the relationship of sniper-related television (TV) viewing, identification with victims, and peritraumatic dissociation to post-traumatic stress symptoms. METHODS: Participants were 1,238 DC residents (ages 18-90, M = 41.7; 51 percent female; 68 percent White) who completed an online survey including items assessing identification, amount of TV, peritraumatic dissociation, and post-traumatic stress symptoms...
2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/29799609/validation-of-a-novel-irritant-gas-syndrome-triage-algorithm
#15
Joan M Culley, Sara Donevant, Jean Craig, Jane Richter, Abbas S Tavakoli, Erik Svendsen, Salvatore DiNardi
OBJECTIVE: Our objective was to validate a novel irritant gas syndrome agent (IGSA) triage algorithm for use in an emergency department (ED). We assessed efficiency, accuracy, and precision of our IGSA triage algorithm based on signs/symptoms of actual patients. DESIGN: After characterizing the signs/symptoms of an actual IGSA exposure event, we developed and validated the IGSA triage algorithm using a simulated computer exercise to compare the IGSA triage algorithm to the preferred hospital triage algorithm, the Emergency Severity Index (ESI)...
2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/29799608/performance-of-a-novel-manually-operated-intraosseous-device-in-adult-human-cadavers
#16
Sandeep Singh, Balram Bhargava, Praveen Aggarwal, Renu Dhingra, Arun Kumar, Rakesh Lodha, Ramesh Agarwal, Jayant S Karve
AIM: Intraosseous (IO) access in adults is preferred using semi-automatic devices as it is difficult to penetrate the thick cortical layer of long bones using manual needles. The authors have developed an IO device which generates both rotational and axial thrust using a manual driver. This drilling mechanism addresses certain pain-points of current IO devices. The objective of this study was to evaluate the performance of this device in human cadavers. METHODS: The authors tested the ability of this device for IO access at proximal and distal tibia in 10 adult cadavers...
2018: American Journal of Disaster Medicine
https://read.qxmd.com/read/29468629/emergency-operations-program-is-an-excellent-platform-to-deal-with-in-hospital-operation-disaster
#17
Frederick B Rogers, William McCune, Shreya Jammula, Brian W Gross, Eric H Bradburn, Deborah K Riley, Jeffrey Manning
Described herein is the utilization of the hospital's Emergency Operations Plan and incident command structure to mitigate damage caused by the sudden loss of the heating, ventilation, and air conditioning system within the entire operating room suite. The ability to ameliorate a devastating situation that occurred during working hours at a busy Level II trauma center can be ascribed to the dedication of the leadership and clinical teams working seamlessly together. Their concerted efforts were augmented by adherence to an established protocol that had been thoroughly substantiated and practiced during numerous training simulations...
2017: American Journal of Disaster Medicine
https://read.qxmd.com/read/29468628/acceptability-and-perceived-utility-of-drone-technology-among-emergency-medical-service-responders-and-incident-commanders-for-mass-casualty-incident-management
#18
Alexander Hart, Peter R Chai, Matthew K Griswold, Jeffrey T Lai, Edward W Boyer, John Broach
OBJECTIVE: This study seeks to understand the acceptability and perceived utility of unmanned aerial vehicle (UAV) technology to Mass Casualty Incidents (MCI) scene management. DESIGN: Qualitative questionnaires regarding the ease of operation, perceived usefulness, and training time to operate UAVs were administered to Emergency Medical Technicians (n = 15). SETTING: A Single Urban New England Academic Tertiary Care Medical Center. PARTICIPANTS: Front-line emergency medical service (EMS) providers and senior EMS personnel in Incident Commander roles...
2017: American Journal of Disaster Medicine
https://read.qxmd.com/read/29468627/terrorism-reports-the-tip-of-the-iceberg
#19
Eytan Ellenberg, Mark Taragin, Zvia Bar-On, Osnat Cohen, Ishay Ostfeld
IMPORTANCE: Medical impact of terror is a public health issue as the threat is growing all over the world. OBJECTIVE: Our objective was to compare the number of injured and incidents in the three different databases and reports [Global Terrorism Database (GTD), Israeli Security Agency (ISA) and National Insurance Institute (NII)] in Israel. DESIGN: Retrospective study. SETTING: Analyses of three different databases (GTD, ISA and NII) and basic comparison...
2017: American Journal of Disaster Medicine
https://read.qxmd.com/read/29468626/deployment-of-field-hospitals-to-disaster-regions-insights-from-ten-medical-relief-operations-spanning-three-decades
#20
Michael Naor, Samuel N Heyman, Tarif Bader, Ofer Merin
OBJECTIVE: The Israeli Defense Force (IDF) Medical Corps developed a model of airborne field hospital. This model was structured to deal with disaster settings, requiring self-sufficiency, innovation and flexible operative mode in the setup of large margins of uncertainty regarding the disaster environment. The current study is aimed to critically analyze the experience, gathered in ten such missions worldwide. METHODS: Interviews with physicians who actively participated in the missions from 1988 until 2015 as chief medical officers combined with literature review of principal medical and auxiliary publications in order to assess and integrate information about the assembly of these missions...
2017: American Journal of Disaster Medicine
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