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Prehospital and Disaster Medicine

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https://www.readbyqxmd.com/read/28095934/the-effect-of-ambulance-staffing-models-in-a-metropolitan-fire-based-ems-system
#1
Eric J Cortez, Ashish R Panchal, James E Davis, David P Keseg
: Introduction The staffing of ambulances with different levels of Emergency Medical Service (EMS) providers is a difficult decision with evidence being mixed on the benefit of each model. Hypothesis/Problem The objective of this study was to describe a pilot program evaluating alternative staffing on two ambulances utilizing the paramedic-basic (PB) model (staffed with one paramedic and one emergency medical technician[EMT]). METHODS: This was a retrospective study conducted from September 17, 2013 through December 31, 2013...
January 18, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28043240/being-both-helpers-and-victims-health-professionals-experiences-of-working-during-a-natural-disaster
#2
Karin Hugelius, Annsofie Adolfsson, Per Örtenwall, Mervyn Gifford
BACKGROUND: In November 2013, the Haiyan typhoon hit parts of the Philippines. The typhoon caused severe damage to the medical facilities and many injuries and deaths. Health professionals have a crucial role in the immediate disaster response system, but knowledge of their experiences of working during and in the immediate aftermath of a natural disaster is limited. Aim The aim of this study was to explore health professionals' experiences of working during and in the immediate aftermath of a natural disaster...
January 3, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28003036/improving-pediatric-education-for-emergency-medical-services-providers-a-qualitative-study
#3
Seth A Brown, Theresa C Hayden, Kimberly A Randell, Lara Rappaport, Michelle D Stevenson, In K Kim
OBJECTIVES: Previous studies have illustrated pediatric knowledge deficits among Emergency Medical Services (EMS) providers. The purpose of this study was to identify perspectives of a diverse group of EMS providers regarding pediatric prehospital care educational deficits and proposed methods of training improvements. METHODS: Purposive sampling was used to recruit EMS providers in diverse settings for study participation. Two separate focus groups of EMS providers (administrative and non-administrative personnel) were held in three locations (urban, suburban, and rural)...
December 22, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27978861/a-prospective-analysis-of-patients-presenting-for-medical-attention-at-a-large-electronic-dance-music-festival
#4
Matt S Friedman, Alex Plocki, Antonios Likourezos, Illya Pushkar, Andrew N Bazos, Christian Fromm, Benjamin W Friedman
Mass-Gathering Medicine studies have identified variables that predict greater patient presentation rates (PPRs) and transport to hospital rates (TTHRs). This is a descriptive report of patients who presented for medical attention at an annual electronic dance music festival (EDMF). At this large, single EDMF in New York City (NYC; New York, USA), the frequency of patient presentation, the range of presentations, and interventions performed were identified. This descriptive report examined consecutive patients who presented to the medical tent of a summertime EDMF held at an outdoor venue with an active, mobile, bounded crowd...
December 16, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27964773/another-dear-esteemed-colleague-journal-email-invitation
#5
Samuel J Stratton
No abstract text is available yet for this article.
December 14, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27964771/exploring-how-lay-rescuers-overcome-barriers-to-provide-cardiopulmonary-resuscitation-a-qualitative-study
#6
Wenche Torunn Mathiesen, Conrad Arnfinn Bjørshol, Sindre Høyland, Geir Sverre Braut, Eldar Søreide
BACKGROUND: Survival rates after out-of-hospital cardiac arrest (OHCA) vary considerably among regions. The chance of survival is increased significantly by lay rescuer cardiopulmonary resuscitation (CPR) before Emergency Medical Services (EMS) arrival. It is well known that for bystanders, reasons for not providing CPR when witnessing an OHCA incident may be fear and the feeling of being exposed to risk. The aim of this study was to gain a better understanding of why barriers to providing CPR are overcome...
December 14, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27964769/paramedic-application-of-a-triage-sieve-a-paper-based-exercise
#7
Glen Cuttance, Kathryn Dansie, Tim Rayner
: Introduction Triage is the systematic prioritization of casualties when there is an imbalance between the needs of these casualties and resource availability. The triage sieve is a recognized process for prioritizing casualties for treatment during mass-casualty incidents (MCIs). While the application of a triage sieve generally is well-accepted, the measurement of its accuracy has been somewhat limited. Obtaining reliable measures for triage sieve accuracy rates is viewed as a necessity for future development in this area...
December 14, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27964768/evaluation-of-hospitals-disaster-preparedness-plans-in-the-holy-city-of-makkah-mecca-a-cross-sectional-observation-study
#8
Ali S Al-Shareef, Loui K Alsulimani, Hattan M Bojan, Taha M Masri, Jennifer O Grimes, Michael S Molloy, Gregory R Ciottone
BACKGROUND: Makkah (Mecca) is a holy city located in the western region of the Kingdom of Saudi Arabia. Each year, millions of pilgrims visit Makkah. These numbers impact both routine health care delivery and disaster response. This study aimed to evaluate hospitals' disaster plans in the city of Makkah. METHODS: Study investigators administered a questionnaire survey to 17 hospitals in the city of Makkah. Data on hospital characteristics and three key domains of disaster plans (general evaluation of disaster planning, structural feasibility of the hospitals, and health care worker knowledge and training) were collated and analyzed...
December 14, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27964767/assessing-hospital-disaster-readiness-over-time-at-the-us-department-of-veterans-affairs
#9
Claudia Der-Martirosian, Tiffany A Radcliff, Alicia R Gable, Deborah Riopelle, Farhad A Hagigi, Pete Brewster, Aram Dobalian
: Introduction There have been numerous initiatives by government and private organizations to help hospitals become better prepared for major disasters and public health emergencies. This study reports on efforts by the US Department of Veterans Affairs (VA), Veterans Health Administration, Office of Emergency Management's (OEM) Comprehensive Emergency Management Program (CEMP) to assess the readiness of VA Medical Centers (VAMCs) across the nation. Hypothesis/Problem This study conducts descriptive analyses of preparedness assessments of VAMCs and examines change in hospital readiness over time...
December 14, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27938469/the-birth-and-growth-of-the-national-ambulance-service-in-ghana
#10
Ahmed Zakariah, Barclay T Stewart, Edmund Boateng, Christiana Achena, Gavin Tansley, Charles Mock
: Introduction This study aimed to document the growth and challenges encountered in the decade since inception of the National Ambulance Service (NAS) in Ghana, West Africa. By doing so, potentially instructive examples for other low- and middle-income countries (LMICs) planning a formal prehospital care system or attempting to identify ways to improve existing emergency services could be identified. METHODS: Data routinely collected by the Ghana NAS from 2004-2014 were described, including: patient demographics, reason for the call, response location, target destination, and ti1mes of service...
December 12, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27938460/health-service-impact-from-mass-gatherings-a-systematic-literature-review
#11
Jamie Ranse, Alison Hutton, Toby Keene, Shane Lenson, Matt Luther, Nerolie Bost, Amy N B Johnston, Julia Crilly, Matt Cannon, Nicole Jones, Courtney Hayes, Brandon Burke
BACKGROUND: During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review...
December 12, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27938450/estimation-of-the-demand-for-hospital-care-after-a-possible-high-magnitude-earthquake-in-the-city-of-lima-peru
#12
Celso Bambarén, Angela Uyen, Miguel Rodriguez
: Introduction A model prepared by National Civil Defense (INDECI; Lima, Peru) estimated that an earthquake with an intensity of 8.0 Mw in front of the central coast of Peru would result in 51,019 deaths and 686,105 injured in districts of Metropolitan Lima and Callao. Using this information as a base, a study was designed to determine the characteristics of the demand for treatment in public hospitals and to estimate gaps in care in the hours immediately after such an event. METHODS: A probabilistic model was designed that included the following variables: demand for hospital care; time of arrival at the hospitals; type of medical treatment; reason for hospital admission; and the need for specialized care like hemodialysis, blood transfusions, and surgical procedures...
December 12, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27938449/ems-systems-in-lower-middle-income-countries-a-literature-review
#13
Suryanto, Virginia Plummer, Malcolm Boyle
: Introduction Prehospital care is one of the many issues that require addressing by lower-middle income countries (LMICs) where approximately 90% of global injuries occur. This may arise from more traffic in LMICs, poor road conditions, lack of public awareness of the importance of road safety, and the lack of ability to provide first aid to the victims. However, prehospital care in LMICs remains underdeveloped. Problem There is insufficient evidence regarding the development of prehospital care among LMICs...
December 12, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27928982/hospitals-soft-target-for-terrorism
#14
Harald De Cauwer, Francis Somville, Marc Sabbe, Luc J Mortelmans
In recent years, the world has been rocked repeatedly by terrorist attacks. Arguably, the most remarkable were: the series of four coordinated suicide plane attacks on September 11, 2001 on buildings in New York, Virginia, and Pennsylvania, USA; and the recent series of two coordinated attacks in Brussels (Belgium), on March 22, 2016, involving two bombings at the departure hall of Brussels International Airport and a bombing at Maalbeek Metro Station located near the European Commission headquarters in the center of Brussels...
December 8, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27928974/mortality-at-music-festivals-academic-and-grey-literature-for-case-finding
#15
Sheila A Turris, Adam Lund
OBJECTIVE: Deaths at music festivals are not infrequently reported in the media; however, the true mortality burden is difficult to determine as the deaths are not yet systematically documented in the academic literature. METHODS: This was a literature search for case examples using academic and gray literature sources, employing both retrospective and prospective searches of media sources from 1999-2014. RESULTS: The gray literature documents a total of 722 deaths, including traumatic (594/722; 82%) and non-traumatic (128/722; 18%) causes...
December 8, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27928973/development-of-a-mass-gathering-triage-tool-an-australian-perspective
#16
Matt Cannon, Rebecca Roitman, Jamie Ranse, Julia Morphet
Many health service organizations deploy first responders and health care professionals to mass gatherings to assess and manage injuries and illnesses. Patient presentation rates (PPRs) to on-site health services at a mass gathering range from 0.48-170 per 10,000 participants. Transport to hospital rates (TTHRs) range from 0.035-15 per 10,000 participants. The aim of this report was to outline the current literature pertaining to mass-gathering triage and to describe the development of a mass-gathering triage tool for use in the Australian context by first responders...
December 8, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27923422/first-responders-and-prehospital-care-for-road-traffic-injuries-in-malawi
#17
Linda Chokotho, Wakisa Mulwafu, Isaac Singini, Yasin Njalale, Limbika Maliwichi-Senganimalunje, Kathryn H Jacobsen
: Introduction Road traffic collisions are a common cause of injuries and injury-related deaths in sub-Saharan Africa (SSA). Basic prehospital care can be the difference between life and death for injured drivers, passengers, and pedestrians. Problem This study examined the challenges associated with current first response practices in Malawi. METHODS: In April 2014, focus groups were conducted in two areas of Malawi: Karonga (in the Northern Region) and Blantyre (in the Southern Region; both are along the M1 highway), and a qualitative synthesis approach was used to identify themes...
December 7, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27832829/new-textbook-announced-and-reviewed-disaster-medicine-comprehensive-principles-and-practices-2nd-edition-kristi-l-koenig-carl-h-schultz-2016-cambridge-university-press
#18
Scott R Lillibridge
No abstract text is available yet for this article.
November 11, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28029093/why-do-emergency-medical-services-ems-professionals-leave-ems
#19
Gary Blau, Susan A Chapman
OBJECTIVE: The objective was to determine why Emergency Medical Technician (EMT)-Basics and Paramedics leave the Emergency Medical Services (EMS) workforce. METHODS: Data were collected through annual surveys of nationally registered EMT-Basics and Paramedics from 1999 to 2008. Survey items dealing with satisfaction with the EMS profession, likelihood of leaving the profession, and likelihood of leaving their EMS job were assessed for both EMT-Basics and Paramedics, along with reasons for leaving the profession...
December 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27928983/the-demographics-and-education-of-emergency-medical-services-ems-professionals-a-national-longitudinal-investigation
#20
Melissa A Bentley, Abigail Shoben, Roger Levine
OBJECTIVES: The objectives of this study were to assess longitudinal and cross-sectional changes in Emergency Medical Technician (EMT)-Basics and Paramedics: (1) demographics, (2) employment characteristics, and (3) initial Emergency Medical Services (EMS) education. METHODS: These data were collected between 1999 and 2008 employing survey techniques aimed at collecting valid data. A random, stratified sample was utilized to allow results to be generalizable to the nationally certified EMS population...
December 2016: Prehospital and Disaster Medicine
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