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Prehospital and Disaster Medicine

Avraham Yitzhak, Ofer Merin, Jonathan Halevy, Bader Tarif
The 7.8 MW (moment magnitude scale) earthquake that hit Nepal on April 25, 2015 caused significant casualties and serious damage to infrastructure.The Israeli Emergency Medical Team (IEMT; later verified as EMT-3) was deployed 80 hours after the earthquake. A Forward Disaster Scout Team (FDST) that was dispatched to the disaster area a few hours after the disaster relayed pre-deployment information.The EMT staff was comprised of 42 physicians. A total of 1,668 patients were treated. The number of non-trauma cases increased as the days went by...
November 15, 2018: Prehospital and Disaster Medicine
Sunkaru Touray, Baboucarr Sanyang, Gregory Zandrow, Isatou Touray
BACKGROUND: The Gambia is going through a rapid epidemiologic transition with a dual disease burden of infections and non-communicable diseases occurring at the same time. Acute, time-sensitive, medical emergencies such as trauma, obstetric emergencies, respiratory failure, and stroke are leading causes of morbidity and mortality among adults in the country.ProblemData on medical emergency care and outcomes are lacking in The Gambia. Data on self-reported medical emergencies among adults in a selection of Gambian communities are presented in this report...
November 15, 2018: Prehospital and Disaster Medicine
Mehmet Ali Ceyhan, Gültekin Günhan Demir, Gamze Babur Güler
BACKGROUND: Political parties in Turkey execute political public meetings (PPMs) during their election campaign for members of the parliament (MoP). A great number of people attend these meetings. No guidelines exist regarding preparation and organization of health care services provided during these meetings. Furthermore, there is no study evaluating health care problems encountered in previous PPMs. OBJECTIVE: Political parties arranged PPMs in 2015 during the election campaign for general election of MoP...
November 15, 2018: Prehospital and Disaster Medicine
Nicolaus W Glomb, Adeola A Kosoko, Cara B Doughty, Marideth C Rus, Manish I Shah, Megan Cox, Cafen Galapi, Presley S Parkes, Shelley Kumar, Bushe Laba
BACKGROUND: In June 2012, the Botswana Ministry of Health and Wellness (MOHW; Gaborone, Botswana) initiated a national Emergency Medical Services (EMS) system in response to significant morbidity and mortality associated with prehospital emergencies. The MOHW requested external expertise to train its developing workforce. Simulation-based training was planned to equip these health care providers with clinical knowledge, procedural skills, and communication techniques. OBJECTIVE: The objective of this study was to assess the educational needs of the pioneer Botswana MOHW EMS providers based on retrospective EMS logbook review and EMS provider feedback to guide development of a novel educational curriculum...
November 13, 2018: Prehospital and Disaster Medicine
Ebru Inal, Nuri Dogan
IntroductionThe Health Belief Model (HBM) can be used as a guide in enhancing the peoples' awareness, improving the motivation, and providing tools that address beliefs and attitudes toward general disaster preparedness (GDP). METHODS: The aim of this study was to improve and re-test all psychometric properties of the published General Disaster Preparedness Belief (GDPB) scale based on HBM carried out in the general population. This scale development study measured by 58 items was prepared under the same structure of the developed GDPB scale that measured 31 items before...
November 12, 2018: Prehospital and Disaster Medicine
Jason M Hardwick, Sean D Murnan, Daphne P Morrison-Ponce, John J Devlin
IntroductionEmergency physicians are using bolus-dose vasopressors to temporize hypotensive patients until more definitive blood pressure support can be established. Despite a paucity of clinical outcome data, emergency department applications are expanding into the prehospital setting. This series presents two cases of field expedient vasopressor use by emergency medicine providers for preflight stabilization during aeromedical evacuation to a hospital ship as part of the United States Navy disaster response in Puerto Rico...
November 9, 2018: Prehospital and Disaster Medicine
Kumboyono Kumboyono, Jeki Refialdinata, Titin A Wihastuti, Septi D Rachmawati, Aditya N Aziz
IntroductionAcute Coronary Syndrome (ACS) is a life-threatening condition. Immediate and proper treatment will decrease mortality rate. Patient awareness on ACS is still lacking and as the consequence, ACS patients do not seek immediate help.ProblemThe patients' efforts to get rid of ACS symptoms. METHODS: The study was a descriptive, qualitative study in which a semi-structured, in-depth interview became the instrument. The respondents were 34 participants (including 17 ACS patients and 17 family caregivers)...
November 5, 2018: Prehospital and Disaster Medicine
Frederique A Jacquerioz Bausch, Olivia Heller, Loséni Bengaly, Béatrice Matthey-Khouity, Pascal Bonnabry, Yakaria Touré, Garrison J Kervillain, Elhadj Ibrahima Bah, François Chappuis, Olivier Hagon
BACKGROUND: During the 2014-2015 Ebola outbreak in West Africa, the lack of infection prevention and control (IPC) measures in health care facilities amplified human-to-human transmission and contributed to the magnitude of this humanitarian disaster.Case ReportIn the summer of 2014, the Geneva University Hospitals (HUG; Geneva, Switzerland) conducted an IPC assessment and developed a project based on the local needs and their expertise with the support of the Swiss Agency for Development and Cooperation and the Humanitarian Aid Unit (SDC/HA; Bern, Switzerland)...
November 5, 2018: Prehospital and Disaster Medicine
Grigory Ostrovskiy, Amos J Shemesh
A large number of civilian agencies have published guides and recommendations on how to assemble personal and family emergency kits. However, the kits resulting from following these guidelines are impractical, particularly in the event evacuation becomes necessary. This report describes an alternative approach to assembling an emergency kit.Ostrovskiy G, Shemesh AJ. Contents of a bug-out bag.
November 5, 2018: Prehospital and Disaster Medicine
Xinxin Hao, Xiaoxue Li, Jingchen Zheng
OBJECTIVE: This study aims at establishing the self-leadership development model (SLM) of China Emergency Medical Team (CEMT) members as a supplement to current selection standards of CEMT members. METHODS: Raw dataset was obtained through two ways: in-depth interviews and documentary materials (memoirs and articles). The in-depth interviews were conducted with a purposive sample of 12 CEMT members, all of whom have participated in multiple disaster relief activities and have been CEMT members for more than two years...
October 31, 2018: Prehospital and Disaster Medicine
Roohollah Farhadloo, Jalil Goodarzi Far, Mohammad Reza Azadeh, Saeed Shams, Mohammad Parvaresh-Masoud
BACKGROUND: The contamination of the environment, ambulance equipment, and staff hands consequently are major factors which create nosocomial infections in emergency patients. The contamination of equipment and devices plays an important role in nosocomial infections. OBJECTIVES: The aim of this study was to determine the effectiveness of a disinfectant on the rate of microbial contamination of ambulances in Qom Emergency Medical Services (EMS), Qom, Iran. METHODS: This is a quasi-experimental study with a before-after design in order to determine microbial contaminations at the rear and front cabin of ambulances, as well as medical equipment being utilized in Qom EMS...
October 31, 2018: Prehospital and Disaster Medicine
Nidaa A Bajow, Wajdan I AlAssaf, Ameera A Cluntun
IntroductionUnacceptable practices of health care providers during disasters have been observed because they work outside the scope of their daily practices and have inadequate training. A greater need for the involvement of health professionals in disaster management has been noted in Saudi Arabia. This study evaluates the efficacy of a training course in prehospital major incident management for health care providers in Saudi Arabia. METHODS: An interactive course for general principles in prehospital major incident management was developed with domains and core competencies...
September 28, 2018: Prehospital and Disaster Medicine
Haley E Bast, J Lee Jenkins
Through a longitudinal field experience and interviews with rural and urban clinic workers in Honduras, the following data were collated regarding the challenges to prehospital Emergency Medical Services (EMS) in this country. In Honduras, both private and public organizations provide prehospital emergency care for citizens and face both financial and resource constraints. These constraints manifest in operational concerns such as challenges of integration of EMS systems with each other, differences in medical direction oversight, and barriers to public access...
September 24, 2018: Prehospital and Disaster Medicine
Sujarwo, Noorhamdani, Mukhamad Fathoni
IntroductionLocated in the Sunda Megathrust zone, Mentawai Island is known as the epicenter of an active earthquake that has the potential to cause a tsunami. Students would be one of the most vulnerable groups during the disaster.ProblemThe low-level of School-Based Disaster Preparedness/Sekolah Siaga Bencana (SSB) of students' preparedness in disaster risk reduction (DRR) can lead to increased vulnerability of students in facing disaster threats, especially a tsunami. METHODS: The study employed observational, correlative analytics with a cross-sectional approach...
September 21, 2018: Prehospital and Disaster Medicine
Eric J Linskens, Abby E Neu, Emily J Walz, Kaitlyn M St Charles, Marie R Culhane, Amos Ssematimba, Timothy J Goldsmith, David A Halvorson, Carol J Cardona
IntroductionForeign animal disease (FAD) outbreaks can have devastating impacts, but they occur infrequently in any specific sector anywhere in the United States (US). Training to proactively discuss implementation of control and prevention strategies are beneficial in that they provide stakeholders with the practical information and educational experience they will need to respond effectively to an FAD. Such proactive approaches are the mission of the Secure Food System (SFS; University of Minnesota; St. Paul, Minnesota USA)...
September 13, 2018: Prehospital and Disaster Medicine
Fatih Aydin, Ozge Turgay Yildirim, Evrin Dagtekin, Ayse Huseyinoglu Aydin, Ercan Aksit
Lightning strike is an infrequent natural phenomenon with serious medical complications, like multiple organ damage, and it is associated with increased risk of mortality. Cardiovascular complications are among the most hazardous complications of lightning strike. Lightning strike can cause various serious consequences ranging from electrocardiographic changes to death. We reported a 21-year-old patient with no cardiovascular risk factors struck by lightning and presented by inferior ST elevated myocardial infarction (MI)...
August 29, 2018: Prehospital and Disaster Medicine
Annet Ngabirano Alenyo, Wayne P Smith, Michael McCaul, Daniel J Van Hoving
IntroductionMajor-incident triage ensures effective emergency care and utilization of resources. Prehospital emergency care providers are often the first medical professionals to arrive at any major incident and should be competent in primary triage. However, various factors (including level of training) influence their triage performance.Hypothesis/ProblemThe aim of this study was to determine the difference in major-incident triage performance between different training levels of prehospital emergency care providers in South Africa utilizing the Triage Sieve algorithm...
August 29, 2018: Prehospital and Disaster Medicine
Samuel J Stratton
No abstract text is available yet for this article.
October 2018: Prehospital and Disaster Medicine
Jefferson Tweed, Taylor George, Cynthia Greenwell, Lori Vinson
IntroductionRoutine advanced airway usage by Emergency Medical Services (EMS) has had conflicting reports of being the secure airway of choice in pediatric patients.Hypothesis/ProblemThe primary objective was to describe a pediatric cohort requiring airway management upon their arrival directly from the scene to two pediatric emergency departments (PEDs). A secondary objective included assessing for associations in EMS airway management and patient outcomes. METHODS: Retrospective data from the health record were reviewed, including EMS reports, for all arrivals less than 18 years old to two PEDs who required airway support between May 2015 and July 2016...
October 2018: Prehospital and Disaster Medicine
Valerie Homier, Raphael Hamad, Josée Larocque, Pierre Chassé, Elene Khalil, Jeffrey M Franc
IntroductionA crucial component of a hospital's disaster plan is an efficient staff recall communication method. Many hospitals use a "calling tree" protocol to contact staff members and recall them to work. Alternative staff recall methods have been proposed and explored. METHODS: An unannounced, multidisciplinary, randomized emergency department (ED) staff recall drill was conducted at night - when there is the greatest need for back-up personnel and staff is most difficult to reach...
October 2018: Prehospital and Disaster Medicine
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