Read by QxMD icon Read

Hospital disaster

Valeria Caramello, Giulia Marulli, Giuseppe Reimondo, Fausto Fanto', Adriana Boccuzzi
Resource allocation in our overcrowded hospitals would require classification of inpatients according to the severity of illness, the evolving risk and the clinical complexity. Reverse triage (RT) is a method used in disasters to identify inpatients according to their use of hospital resources. The aim of this observational prospective study is to evaluate the use of RT in medical inpatients of an Italian Hospital and to compare the RT score with National Early Warning Score, Sequential Organ Failure Assessment and Charlson Comorbidity Index...
February 18, 2019: Internal and Emergency Medicine
Freda DeKeyser Ganz, Ilana Margalith, Julie Benbenishty, Miriam Hirschfeld, Nurit Wagner, Orly Toren
PURPOSE: The purpose of this study was to determine the willingness of Israeli registered nurses to work under threatening conditions, their perceived level of threat, and perceptions of peer willingness to report to work. DESIGN: This descriptive study was based on a convenience sample of registered nurses working in four hospitals throughout Israel from internal medicine, surgical, emergency, and intensive care units. METHODS: A questionnaire designed by the investigators was administered to registered nurses while on duty...
February 18, 2019: Journal of Nursing Scholarship
Jonathan Braun Bsc, S David Gertz, Ariel Furer, Tarif Bader, Hagay Frenkel, Jacob Chen, Elon Glassberg, Dean Nachman
Unmanned aerial vehicles (UAV), commonly referred to as drones, have been made widely available in recent years leading to an exponential growth in their roles and applications. The rapidly developing field of medical drones is on the verge of revolutionizing pre-hospital medicine enabling advanced healthcare delivery to once-inaccessible patients. The aim of this review is to clarify the basic technical properties of currently available medical drones and review recent advances and their usefulness in military and civilian healthcare missions...
February 13, 2019: Journal of Trauma and Acute Care Surgery
N Akhter, Z Sultana, A Bhattacharjee
Genitourinary fistula is a psychophysiosocial distress that results in prolonged labour. Gradually, it has become a public health issue globally with advancing of its incidence day by day. A handsome number of mothers are also suffering in Bangladesh from genitourinary fistula. This study was done to observe the patterns of presentations of genitourinary fistula and their fetal outcome. One hundred sixteen (116) consecutive patients were enrolled in the study by purposive sampling as a diagnosed case of genitourinary fistula presented in Department of Obstetrics & Gynecology of Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2017 to September 2017...
January 2019: Mymensingh Medical Journal: MMJ
Waleed M Sweileh
BACKGROUND: Worldwide, natural disasters have caused a large number of deaths and considerable morbidity. Nevertheless, limited information is available on how the health-related literature on natural disasters has evolved. The current study aims to assess the growth and pattern of health-related literature on natural disasters. METHOD: A bibliometric method was implemented using Scopus database for the period from 1900 to 2017. Keywords used in the search strategy were obtained from the classifications of natural disasters presented by the Centre for Research on the Epidemiology of Disasters...
February 11, 2019: Health Research Policy and Systems
Abdullah Alruwaili, Shahidul Islam, Kim Usher
ABSTRACTDisasters occur rarely but have significant adverse consequences when they do. Recent statistics suggest that millions of lives and billions of US dollars have been lost in the last decade due to disaster events globally. It is crucial that hospitals are well prepared for disasters to minimize their effects. This integrative review study evaluates the preparedness level of hospitals in the Middle East for disasters using the Preferred Reporting Items for Systematic and Meta-Analyses (PRISMA) guidelines...
February 11, 2019: Disaster Medicine and Public Health Preparedness
Yoshitaka Nishikawa, Masaharu Tsubokura, Yoshimitsu Takahashi, Shuhei Nomura, Akihiko Ozaki, Yuko Kimura, Tomohiro Morita, Toyoaki Sawano, Tomoyoshi Oikawa, Takeo Nakayama
OBJECTIVES: Sustaining emergency care access is of great concern. The aim of this study is to evaluate access to emergency care in a repopulated village following the 2011 Fukushima disaster. DESIGN: This research was a retrospective observational study. The primary outcome measure was total emergency medical services (EMS) time. A Bayesian time series analysis was performed to consider local time series trend and seasonality. SETTING: The residents in Kawauchi Village, Fukushima, Japan were forced to evacuate after the 2011 Fukushima disaster...
February 9, 2019: BMJ Open
G Taskiran, U Baykal
AIM: This descriptive correlational study aimed to identify nurses' perceptions of their own disaster preparedness and core competencies. BACKGROUND: As disasters have increased in number and severity in recent years, it is crucial that nurses should be appropriately prepared. There is still limited research on this issue in Turkey. INTRODUCTION: With changes in disaster policies in the last decade, the need to improve the disaster core competencies of nurses has also increased...
February 7, 2019: International Nursing Review
Mariza Elsi, Iswenti Novera
OBJECTIVE: Triage is basically a categorization process to prioritize various treatments for patients based on the types of disease, severity, prognosis and resource availability. However, the term triage is more appropriate to be used in the context of natural disaster or mass casualties. Within the context of emergency situation in emergency department, the term triage refers to a method used to assess the severity of patients' condition, determine the level of priority, and mobilize the patients to the suitable care unit...
February 4, 2019: EnfermerĂ­a ClĂ­nica
Christopher T Stephens, Jaime Ortiz, Evan G Pivalizza
From personal experience and available resources, such as the American Society of Anesthesiologists Committee on Trauma and Emergency Preparedness templates from the manual for department procedures, the authors describe the primarily flooding impact of Hurricane Harvey in their area of Texas. They review the necessary analysis, development, and implementation of logistics; staffing and relief models; coordination with hospital partners; and dissemination of the planned procedures. The authors emphasize the commitment of anesthesiologists to patient care and rescue efforts outside of the operating room...
March 2019: Anesthesiology Clinics
Andrew S Crutchfield, Kent Alan Harkey
BACKGROUND: There is currently minimal data regarding the demand placed on Emergency Medical Services in the wake of hurricanes and other natural disasters. This retrospective review provides an opportunity to analyze call volumes to EMS and their distribution before, during, and after Hurricane Harvey in one area on the Texas Gulf Coast. OBJECTIVES: Call volumes from Galveston Area Ambulance Authority were reviewed to provide insights for allocation of resources during natural disasters, identifying weaknesses in the current EMS system, and recommending proactive changes for future disasters...
January 8, 2019: American Journal of Emergency Medicine
Qian Chen, Qihua Zhang, Zheng Hu
OBJECTIVE: Hand, foot, and mouth disease (HFMD) is a common infectious disease caused by a group of viruses. The causative viruses have changed over time, and there is a need for a more effective protective vaccine. In this study, we investigated the profiles of human enteroviruses that caused HFMD outbreaks in Nanjing in 2015, with the goal of guiding the future prevention and treatment of HFMD. METHODS: Specimens were collected from 1097 patients admitted to our hospital and diagnosed with HFMD...
February 1, 2019: Disaster Medicine and Public Health Preparedness
Emily Yang Ying Chan, Zhe Huang, Holly Ching Yu Lam, Carol Ka Po Wong, Qiang Zou
Despite the importance of health vulnerability in disaster risk assessment, most of the existing disaster vulnerability indicators only emphasize economic and social vulnerability. Important underlying health risks such as non-communicable disease are not included in vulnerability measures. A three-phase methodology approach was used to construct a disaster risk model that includes a number of key health indicators which might be missing in global disaster risk analysis. This study describes the development of an integrated health vulnerability index and explains how the proposed vulnerability index may be incorporated into an all-hazard based disaster risk index in the Belt and Road Initiative (BRI), also known as the "Silk Road Economic Belt", region...
January 29, 2019: International Journal of Environmental Research and Public Health
Jiayu Li, Lipei Gu, Yujie Guo
AIMS AND OBJECTIVES: To assess the effectiveness of a 12-week educational intervention on foot self-care behavior among diabetic retinopathy patients with visual disability and their primary caregivers in China. BACKGROUND: Diabetes with the coexistence of diabetic retinopathy and foot problems complicating diabetes not only represents a personal disaster, but also becomes a serious burden to public health in China. A foot self-care educational intervention is both cost-effective and feasible even in a health resource-limited setting, which should be developed and evaluated...
January 29, 2019: Journal of Clinical Nursing
Dan J Vick, Asa B Wilson, Michael Fisher, Carrie Roseamelia
OBJECTIVE: This study sought to determine whether differences exist in disaster preparedness between Upstate and Downstate community hospitals in New York. DESIGN: A descriptive and analytical cross-sectional survey study was conducted using a 35-element questionnaire. These questions examined six disaster preparedness components: disaster plan development, onsite surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness...
November 2018: Journal of Emergency Management: JEM
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
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
Carmen A Cueto, John Tekanene, Teraria Bangao, Baranika Toromon, Adam L Kushner, Lydia Lam
Research is lacking around how best to approach trauma care in resource poor settings, particularly in remote areas such as the islands of the South Pacific. Without examples of successful treatment of high-risk cases in these settings, countries are unable to move forward with developing policies and standardized procedures for emergency care.The Republic of Kiribati is a Pacific Island nation composed of 33 islands spanning over 2,000 miles in the central Pacific Ocean. With the only hospital located on Kiritimati Island and inadequate boat transportation, the government recently committed to providing an aircraft for patients to receive appropriate medical care...
January 10, 2019: Disaster Medicine and Public Health Preparedness
Amy L Hogue, Jay R Allison, Charles W Shafer, Mark K Huntington
Emerging infectious diseases are those that are newly discovered, recently have increased in prevalence, or are expected to increase in prevalence in the future. Family physicians play an important role in leading community response to emerging infectious diseases. As with other types of disasters, the general approach to outbreaks has four stages: preparedness, response, recovery, and mitigation. Preparedness includes promotion of community health, maintenance of high vaccination rates, development of protocols for hospitals and family medicine practices, preparation of patients for international travel, and consideration of volunteering in case of disasters...
January 2019: FP Essentials
Amy N B Johnston, Jasmine Wadham, Josea Polong-Brown, Michael Aitken, Jamie Ranse, Alison Hutton, Brent Richards, Julia Crilly
IntroductionMass gatherings such as marathons are increasingly frequent. During mass gatherings, the provision of timely access to health care services is required for the mass-gathering population, as well as for the local community. However, the nature and impact of health care provision during sporting mass gatherings is not well-understood.PurposeThe aim of this study was to describe the structures and processes developed for an emergency health team to operate an in-event, acute health care facility during one of the largest mass-sporting participation events in the southern hemisphere, the Gold Coast Marathon (Queensland, Australia)...
January 7, 2019: Prehospital and Disaster Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"