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American Journal of Disaster Medicine

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https://www.readbyqxmd.com/read/28102535/circus-disaster-case-report-response-and-review-of-injuries
#1
Nicholas Asselin, Lawrence Proano, Kenneth Williams, Robert Partridge
Circus acts with human artists performing acrobatic feats are a popular spectator pastime in the United States and in international venues. There is little data in the literature regarding injuries sustained during circus acts. Some injuries are minor, but others can be serious, or even fatal. This article describes a recent circus disaster, a review of the relevant literature, and an analysis of the disaster response.
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28102534/evacuation-performance-evaluation-tool
#2
Sharon Farra, Elaine T Miller, Matthew Gneuhs, Nathan Timm, Gengxin Li, Ashley Simon, Whittney Brady
OBJECTIVE: Hospitals conduct evacuation exercises to improve performance during emergency events. An essential aspect in this process is the creation of reliable and valid evaluation tools. The objective of this article is to describe the development and implications of a disaster evacuation performance tool that measures one portion of the very complex process of evacuation. DESIGN: Through the application of the Delphi technique and DeVellis's framework, disaster and neonatal experts provided input in developing this performance evaluation tool...
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28102533/hospital-incident-command-first-responders-or-receiving-centers
#3
Brian Fletcher, Amanda Knight, Brandy Pockrus, Matthew J Wain, Kathy Lehman-Huskamp
OBJECTIVES: (1) Propose a conceptual model of an alternative hospital incident management system (HIMS) that integrates concepts used by emergency operations centers (EOCs). (2) Compare HIMS to the standard hospital incident command system (HICS) model. DESIGN: A quasi-experimental study was performed. Two identical tabletop incident scenarios were presented, one utilizing HICS and one using HIMS. Participants completed postexercise surveys for each tabletop. Surveys contained both knowledge and satisfaction questions...
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28102532/time-to-epinephrine-in-out-of-hospital-cardiac-arrest-a-retrospective-analysis-of-intraosseous-versus-intravenous-access
#4
Elliot M Ross, Julian Mapp, Chetan Kharod, David A Wampler, Christopher Velasquez, David A Miramontes
INTRODUCTION: The 2015 advanced cardiac life support update continues to advocate administering epinephrine during cardiac arrest. The goal of our study is to determine if prehospital intraosseous (IO) access results in shorter time to epinephrine than prehospital peripheral intravenous (PIV) access. METHODS: The out-of-hospital cardiac arrest (OHCA) database of a large, urban, fire-based emergency medical services system was searched for consecutive cases of OHCA between January 2013 and December 2015...
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28102531/a-systems-dynamics-approach-to-the-efficacy-of-oxime-therapy-for-mild-exposure-to-sarin-gas
#5
Daniel J Droste, Michael L Shelley, Jeffery M Gearhart, David M Kempisty
The use of nerve agents such as sarin is as much a threat today as any other time in our history. The events in Syria in 2013 are proof of this. "The Obama administration asserted Sunday for the first time that the Syrian government used the nerve gas sarin to kill more than 1,400 people (August 21, 2013) in the world's gravest chemical weapons attack in 25 years." With these recent events clear in our mind, we must focus on the horrific nature of these chemical agents to devise a strategy that will enable first responders to counteract these insidious chemicals...
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28102530/surgeon-preparedness-for-mass-casualty-events-adapting-essential-military-surgical-lessons-for-the-home-front
#6
Kyle N Remick, Stacy Shackelford, John S Oh, Jason M Seery, Daniel Grabo, John Chovanes, Kirby R Gross, Shawn C Nessen, Nigel Rm Tai, Rory F Rickard, Eric Elster, C W Schwab
Military surgeons have gained familiarity and experience with mass casualty events (MCEs) as a matter of routine over the course of the last two conflicts in Afghanistan and Iraq. Over the same period of time, civilian surgeons have increasingly faced complex MCEs on the home front. Our objective is to summarize and adapt these combat surgery lessons to enhance civilian surgeon preparedness for complex MCEs on the home front. The authors describe the unique lessons learned from combat surgery over the course of the wars in Afghanistan and Iraq and adapt these lessons to enhance civilian surgical readiness for a MCE on the home front...
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/27649753/social-support-for-terror-related-victims-the-israeli-system
#7
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
https://www.readbyqxmd.com/read/27649752/hajj-stampede-disaster-2015-reflections-from-the-frontlines
#8
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
https://www.readbyqxmd.com/read/27649751/injury-related-fatalities-in-selected-governorates-of-iraq-from-2010-to-2013-prospective-surveillance
#9
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
https://www.readbyqxmd.com/read/27649750/women-s-oral-and-dental-health-aspects-in-humanitarian-missions-and-disasters-jordanian-experience
#10
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
https://www.readbyqxmd.com/read/27649749/a-comparison-of-command-center-activations-versus-disaster-drills-at-three-institutions-from-2013-to-2015
#11
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
https://www.readbyqxmd.com/read/27649748/impact-of-hurricane-sandy-on-community-pharmacies-in-severely-affected-areas-of-new-york-city-a-qualitative-assessment
#12
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
https://www.readbyqxmd.com/read/27649747/survey-of-emergency-department-staff-on-disaster-preparedness-and-training-for-ebola-virus-disease
#13
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
https://www.readbyqxmd.com/read/27352451/author-s-response
#14
LETTER
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
https://www.readbyqxmd.com/read/27149317/modernizing-smallpox-vaccine-stockpiles
#15
LETTER
Erik Heegaard
No abstract text is available yet for this article.
2015: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/27149316/public-health-incident-management-logistical-and-operational-aspects-of-the-2009-initial-outbreak-of-h1n1-influenza-in-mexico
#16
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
https://www.readbyqxmd.com/read/27149315/the-impact-of-hurricane-sandy-on-the-mental-health-of-new-york-area-residents
#17
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
https://www.readbyqxmd.com/read/27149314/a-scrutiny-of-tools-used-for-assessment-of-hospital-disaster-preparedness-in-iran
#18
REVIEW
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
https://www.readbyqxmd.com/read/27149313/laboratory-evaluation-of-airborne-particulate-control-treatments-for-simulated-aircraft-crash-recovery-operations-involving-carbon-fiber-composite-materials
#19
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
https://www.readbyqxmd.com/read/27149312/description-of-blast-injuries-and-predictors-of-admission-to-hospital-in-blast-victims-in-an-urban-civilian-setting
#20
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
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