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American Journal of Disaster Medicine

Eytan Ellenberg, Jacob Sasporte, Zvia Bar-On, Rolland Sfez, Osnat Cohen, Mark Taragin, Ishay Ostfeld
Since its foundation, the State of Israel has been affected by terror violence toward its civilian population. For more than 45 years, the Israeli legislation has built a legal insurance allowing citizens casualties of such violence to benefit from specific coverage and support. The objective of this article is to describe the history, legal framework, and organization of social support for terror victims in Israel.
2016: American Journal of Disaster Medicine
Anas A Khan, Eric K Noji
The Hajj is an annual religious mass gathering that takes place in Makkah, Saudi Arabia. The complexity of its system is multidimensional, with religious, political, cultural, security, economic, communication, operational, and logistic unique challenges. This year, yet another stampede tragedy that caused around a 1,000 deaths and severe injuries, capturing worldwide media attention and exacerbating existing political tensions across the Gulf coasts was faced. Planning is important but the planning process is more important, requiring systematic analysis based on accurate collected and targeting root cause factors...
2016: American Journal of Disaster Medicine
Oleg O Bilukha, Abdul-Salam Saleh Sultan, Ahmed Hassan, Syed Jaffar Hussain, Eva Leidman
OBJECTIVE: After several years of relative stability in Iraq, the emergence of the Islamic State militant group has spurred a resurgence of violence. This study explores the impact of the conflict on the overall injury profile to estimate the proportion of injury fatalities related to conflict and better understand how violence has affected nonconflict-related injuries. DESIGN: Routine prospective injury surveillance operated by the Iraqi Ministry of Health. SETTING: Surveillance data were collected from coroner offices in eight pilot governorates: Al-Anbar, Baghdad, Basrah, Erbil, Kerbala, Maysan, Ninevah, and Al-Sulaimaniya...
2016: American Journal of Disaster Medicine
Leena Smadi, Aiman Al Sumadi
OBJECTIVE: The study aimed to review oral and dental health aspects in female patients presented to Jordanian Royal Medical Services (RMS) international humanitarian missions over a 3-year period. DESIGN AND METHOD: Analysis of humanitarian missions of RMS data and records over a 3-year period (2011-2013) in regard to women's oral and dental health issues was done. The data were analyzed in regard to the number of women seen, the presenting conditions, and the prevalence of oral and dental diseases and procedures in these cases...
January 2016: American Journal of Disaster Medicine
Laura G Ebbeling, Eric Goralnick, Matthew J Bivens, Meg Femino, Claire G Berube, Bryan Sears, Leon D Sanchez
OBJECTIVE: Disaster exercises often simulate rare, worst-case scenario events that range from mass casualty incidents to severe weather events. In actuality, situations such as information system downtimes and physical plant failures may affect hospital continuity of operations far more significantly. The objective of this study is to evaluate disaster drills at two academic and one community hospital to compare the frequency of planned drills versus real-world events that led to emergency management command center activation...
2016: American Journal of Disaster Medicine
Vibhuti Arya, Eric Medina, Allison Scaccia, Cathleen Mathew, David Starr
Hurricane Sandy was one of the most severe natural disasters to hit the Mid-Atlantic States in recent history. Community pharmacies were among the businesses affected, with flooding and power outages significantly reducing services offered by many pharmacies. The objectives of our study were to assess the impact of Hurricane Sandy on community pharmacies, both independently owned and chain, in the severely affected areas of New York City (NYC), including Coney Island, Staten Island, and the Rockaways, using qualitative methods, and propose strategies to mitigate the impact of future storms and disasters...
January 2016: American Journal of Disaster Medicine
Jennica Siddle, Sue Tolleson-Rinehart, Jane Brice
INTRODUCTION: In the domestic response to the outbreak of Ebola virus disease from 2013 to 2015, many US hospitals developed and implemented specialized training programs to care for patients with Ebola. This research reports on the effects of targeted training on Emergency Department (ED) staff's Ebola-related perceptions and attitudes. METHODS: One hundred fifty-nine members of the UNC Health Care System ED staff participated in a voluntary cross-sectional, anonymous Web survey administered using a one-time "post then pre" design...
2016: American Journal of Disaster Medicine
Martin B Oleksiewicz, Nina R Steenhard, John-Erik S Hansen
No abstract text is available yet for this article.
2015: American Journal of Disaster Medicine
Erik Heegaard
No abstract text is available yet for this article.
2015: American Journal of Disaster Medicine
Miguel A Cruz, Nicole M Hawk, Christopher Poulet, Jose Rovira, Edward N Rouse
Hosting an international outbreak response team can pose a challenge to jurisdictions not familiar with incident management frameworks. Basic principles of team forming, organizing, and executing mission critical activities require simple and flexible communication that can be easily understood by the host country's public health leadership and international support agencies. Familiarity with incident command system principles before a public health emergency could save time and effort during the initial phases of the response and aid in operationalizing and sustaining complex field activities throughout the response...
2015: American Journal of Disaster Medicine
Rebecca M Schwartz, Cristina Sison, Samantha M Kerath, Lisa Murphy, Trista Breil, Daniel Sikavi, Emanuela Taioli
OBJECTIVE: To evaluate the long-term psychological impact of Hurricane Sandy on New York residents. DESIGN: Prospective, cross-sectional study. SETTING: Community-based study. PARTICIPANTS: From October 2013 to February 2015, 669 adults in Long Island, Queens, and Staten Island completed a survey on their behavioral and psychological health, demographics, and hurricane impact (ie, exposure). MAIN OUTCOME MEASURES: Depression, anxiety, and post-traumatic stress disorder (PTSD)...
2015: American Journal of Disaster Medicine
Esmail Heidaranlu, Abbas Ebadi, Ali Ardalan, Hamidreza Khankeh
INTRODUCTION: In emergencies and disasters, hospitals are among the first and most vital organizations involved. To determine preparedness of a hospital to deal with crisis, health system requires tools compatible with the type of crisis. The present study aimed to evaluate the accuracy of tools used for assessment of hospitals preparedness for major emergencies and disasters in Iran. METHOD: In this review study, all studies conducted on hospital preparedness to deal with disasters in Iran in the interim 2000-2015 were examined...
2015: American Journal of Disaster Medicine
Matthew Ferreri, Jeremy Slagley, Daniel Felker
OBJECTIVE: This study compared four treatment protocols to reduce airborne composite fiber particulates during simulated aircraft crash recovery operations. DESIGN: Four different treatments were applied to determine effectiveness in reducing airborne composite fiber particulates as compared to a "no treatment" protocol. Both "gold standard" gravimetric methods and real-time instruments were used to describe mass per volume concentration, particle size distribution, and surface area...
2015: American Journal of Disaster Medicine
Mazen J El Sayed, Hady Zgheib, Rana Bachir, Hussein Abou Ghaddara
INTRODUCTION: Blast injuries characteristics and outcomes are not well described in urban civilian settings. OBJECTIVES: To describe blast injuries characteristics and to identify predictors of hospital admission after sustaining a blast injury. METHODS: Retrospective chart review study of blast victims who presented to the Emergency Department (ED) of a tertiary care center in Beirut, Lebanon, over 8 years. The authors conducted a descriptive analysis, followed by a multivariate analysis to identify predictors...
2015: American Journal of Disaster Medicine
Rune Rimstad, Anders Holtan
To aid development of contingency plans, a cross-sectional survey of inpatient needs in the event of a total hospital evacuation within a few hours was undertaken. The hospital is a part of a tertiary care facility with a mixed surgical and medical population and a relatively large load of emergency medicine. A doctor or nurse on each ward registered patients' physical mobility, special needs complicating transportation (intensive care, labor, isolation, etc), and the lowest acceptable level of care after evacuation...
2015: American Journal of Disaster Medicine
Shahrokh Roohi, Margaret Grinnell, Michelle Sandoval, Nicole J Cohen, Kimberly Crocker, Christopher Allen, Cindy Dougherty, Julian Jolly, Nicki Pesik
The Centers for Disease Control and Prevention (CDC) Quarantine Stations distribute select lifesaving drug products that are not commercially available or are in limited supply in the United States for emergency treatment of certain health conditions. Following a retrospective analysis of shipment records, the authors estimated an average of 6.66 hours saved per shipment when drug products were distributed from quarantine stations compared to a hypothetical centralized site from CDC headquarters in Atlanta, GA...
2015: American Journal of Disaster Medicine
Rita V Burke, Kathy Lehman-Huskamp, Rachel E Whitney, Gitanjli Arora, Daniel B Park, Pamela Mar, Mark X Cicero
OBJECTIVE: Disaster preparedness training has a small but growing part in medical education. Various strategies have been used to simulate disaster scenarios to safely provide such training. However, a modality to compare their effectiveness is lacking. The authors propose the use of checklists, which have been a standard in aviation safety for decades. DESIGN: Residents at four different academic pediatric residency programs volunteered to participate in tabletop simulation of a timed, pediatric disaster scenario...
2015: American Journal of Disaster Medicine
Visanee V Musigdilok, Natalie E Demeter, Rita V Burke, Eric Shook, Jayakrishnan Ajayakumar, Bridget M Berg, Michelle D Hawkins, John Ferree, Brenton W MacAloney, Sarita Chung, Jeffrey L Pellegrino, Dominick Tolli, Grant Hansen, Jeffrey S Upperman
OBJECTIVE: Disasters have devastated communities, impacted the economy, and resulted in a significant increase in injuries. As the use of mobile technology increasingly becomes a common aspect of everyday life, it is important to understand how it can be used as a resource. The authors examined the use of American Red Cross mobile apps and aimed to characterize user trends to better understand how mobile apps can help bolster individual and community preparedness, resilience, and response efforts...
2015: American Journal of Disaster Medicine
James H Diaz
OBJECTIVE: To alert clinicians to the climatic conditions that can precipitate outbreaks of the rodent-borne infectious diseases most often associated with flooding disasters, leptospirosis (LS), and the Hantavirus-caused diseases, hemorrhagic fever with renal syndrome (HFRS) and Hantavirus pulmonary syndrome (HPS); to describe the epidemiology and presenting clinical manifestations and outcomes of these rodent-borne infectious diseases; and to recommend both prophylactic therapies and effective control and prevention strategies for rodent-borne infectious diseases...
2015: American Journal of Disaster Medicine
G Scott Dotson, Naomi L Hudson, Andrew Maier
Emergency Management and Operations (EMO) personnel are in need of resources and tools to assist in understanding the health risks associated with dermal exposures during chemical incidents. This article reviews available resources and presents a conceptual framework for a decision support system (DSS) that assists in characterizing and managing risk during chemical emergencies involving dermal exposures. The framework merges principles of three decision-making techniques: 1) scenario planning, 2) risk analysis, and 3) multicriteria decision analysis (MCDA)...
2015: American Journal of Disaster Medicine
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