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American Journal of Disaster Medicine

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https://www.readbyqxmd.com/read/29270962/a-hospital-mass-casualty-exercise-using-city-buses-and-a-tent-as-a-hybrid-system-for-patient-decontamination
#1
Isabelle Imamedjian, Nisreen Hamza M Maghraby, Valérie Homier
OBJECTIVE: A hospital mass casualty simulation exercise testing feasibility of two city buses and a tent as a hybrid system for patient decontamination. DESIGN: Observational study of a single mass casualty simulation exercise involving patient decontamination SETTING: Held on May 26, 2016 at the Montreal General Hospital, a Level 1 Trauma center without a garage. PATIENTS, PARTICIPANTS: Twenty-one medical staff including nurses, doctors, and patient attendants, and 30 volunteer-simulated patients...
July 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29270961/the-pulmonary-consequences-of-sandstorms-in-saudi-arabia-a-comprehensive-review-and-update
#2
Osama A Samarkandi, Anas A Khan, Waleed Alazmy, Abdullah M Alobaid, Adel S Bashatah
Sandstorms represent a major natural hazard in the Arabian Peninsula. Their pulmonary consequences can be life-threatening, especially to those with a history of allergies, asthma, and chronic obstructive pulmonary diseases. Novel presentations of respiratory diseases caused by sandstorms can now be traced to specific chemical and organic components of sandstorms. We present an update of the pathophysiology of pulmonary conditions based on the results of clinical and epidemiologic research as well as from greater knowledge of the complex chemical composition of sandstorms...
July 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29270960/verification-of-the-airway-securing-capacity-of-a-life-jacket-in-a-flood-disaster
#3
Koichi Imai, Hidenobu Ochiai, Keisuke Murakami
OBJECTIVE: To verify the life jacket's airway-securing capacity to keep the nose and mouth out of the water in a flood disaster. DESIGN: Physical experiment. SETTING: University of Miyazaki. MATERIALS AND METHODS: We experimented with an open channel in which we created a wave and running water. In the channel, we observed a dummy attached to a balloon as a buoyant body. We used 170-, 220-, and 320-ml balloons. Experiment 1, we reproduced a tsunami...
July 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29270959/invoking-the-expectant-triage-category-can-we-make-the-paradigm-shift
#4
Audrey Dadoun, Elene Khalil, Ilana Bank
Medical triage is the process of determining the priority of patients' treatments based on the severity of their condition. Triage provides the healthcare provider the ability to identify the most urgent cases first, with the goal of maximizing each individual patient's outcome. When resources are challenged, such as in a disaster, the healthcare provider's goal becomes to maximize overall population survival. In this context, the triage process must identify patients who require resources urgently, as well as those who have the best chance of survival...
July 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29270958/planning-for-a-medical-surge-incident-is-rehabilitation-the-missing-link
#5
Kay Vonderschmidt
This mixed methods study explored surge planning for patients who will need rehabilitative care after a mass casualty incident. Planning for a patient surge incident typically considers only prehospital and hospital care. However, in many cases, disaster patients need rehabilitation for which planning is often overlooked. The purpose of this study was to explore this hidden dimension of patient rehabilitation for surge planning and preparedness and ask: 1. To what extent can an analysis of standard patient acuity assessment tools [Simple Triage and Rapid Treatment and Injury Severity Score] be used to project future demand for admission to rehabilitative care? 2...
July 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29270957/presence-of-undertriage-and-overtriage-in-simple-triage-and-rapid-treatment
#6
J J Hoff, Gerard Carroll, Rick Hong
OBJECTIVE: We evaluated the use of the Simple Triage and Rapid Treatment (START) method by Emergency Medical Services (EMS) and hypothesized that EMS can categorize patients using the START algorithm accurately. DESIGN: Retrospective Chart Review. SETTING: Inner-city Tertiary-Care Institutional Emergency Department (ED). PARTICIPANTS: Patients ≥ 18 years transported by EMS with a START color of Red, Yellow, or Green during the state triage tag exercise, October 9-15, 2011...
July 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29270956/a-study-of-the-blood-flow-restriction-pressure-of-a-tourniquet-system-to-facilitate-development-of-a-system-that-can-prevent-musculoskeletal-complications
#7
Hiroyuki Maeda, Hideaki Iwase, Akio Kanda, Itaru Morohashi, Kazuo Kaneko, Mutsuhiro Maeda, Yuki Kakinuma, Yusuke Takei, Shota Amemiya, Kazuyuki Mitsui
BACKGROUND: After an emergency or disaster, subsequent trauma can cause severe bleeding and this can often prove fatal, so promptly stopping that bleeding is crucial to preventing avoidable trauma deaths. A tourniquet is often used to restrict blood flow to an extremity. In operation and hospital, the tourniquet systems currently in use are pneumatically actuated by an air compressor, so they must have a steady power supply. These devices have several drawbacks: they vibrate and are noisy since they are pneumatically actuated and they are far from portable since they are large and heavy...
July 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29136272/are-you-ready-crisis-leadership-in-a-hyper-vuca-environment
#8
Khaldoon H Alkhaldi, Meredith L Austin, Boris A Cura, Darrell Dantzler, Leslie Holland, David L Maples, Jamie C Quarrelles, Robert K Weinkle, Leonard J Marcus
The current hyper-volatile, -uncertain, -complex, and -ambiguous (VUCA) threat environment demands a more cohesive support structure for crisis leaders who may be faced with crises of increasing magnitude and frequency and, in some instances, multiple crisis events simultaneously. The project team investigates the perceptions of crisis leaders regarding establishing a crisis leader advisor position for crisis leaders to benefit from their experience while prosecuting crisis response activities. The team linked hyper-VUCA crises, crisis response frameworks, meta-leadership, crisis leader attributes, and advisor attributes...
April 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29136271/emergency-preparedness-training-preferences-and-perceived-barriers-to-training-among-various-healthcare-providers-and-public-health-practitioners-in-massachusetts
#9
John Broach, Mary-Elise Smith
INTRODUCTION: Emergency preparedness training is vital to a wide range of healthcare and public health disciplines. Although agencies may try to tailor their training efforts based on perceived need, the topics and methods of instruction may be misguided, resulting in wasted effort and poor participation in training events. OBJECTIVE: The objective of this study was to understand in a rigorous way, the training preferences and barriers to training among practitioners in Massachusetts...
April 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29136270/60-seconds-to-survival-a-pilot-study-of-a-disaster-triage-video-game-for-prehospital-providers
#10
Mark X Cicero, Travis Whitfill, Kevin Munjal, Manu Madhok, Maria Carmen G Diaz, Daniel J Scherzer, Barbara M Walsh, Angela Bowen, Michael Redlener, Scott A Goldberg, Nadine Symons, James Burkett, Joseph C Santos, David Kessler, Ryan N Barnicle, Geno Paesano, Marc A Auerbach
INTRODUCTION: Disaster triage training for emergency medical service (EMS) providers is not standardized. Simulation training is costly and time-consuming. In contrast, educational video games enable low-cost and more time-efficient standardized training. We hypothesized that players of the video game "60 Seconds to Survival" (60S) would have greater improvements in disaster triage accuracy compared to control subjects who did not play 60S. METHODS: Participants recorded their demographics and highest EMS training level and were randomized to play 60S (intervention) or serve as controls...
April 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29136269/earthquake-loss-estimates-help-and-challenge-medical-disaster-responders
#11
Max Wyss
No abstract text is available yet for this article.
April 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822217/using-a-novel-technology-for-disaster-staff-notification
#12
Stephen C Morris, Janice K Pelley, Steven H Mitchell
Notification of backup staff and determining their ability to augment frontline staff is a major component of any disaster plan. However, the communication and organization of this effort has many challenges. These include communication system overload, the disaster setting, disrupted transportation, and staffing impacts on normal operations. An optimal disaster notification system must have the ability to be modified to include all hazards and the unique environment in which the plan is being made. This article highlights a unique disaster staff notification system using a novel technology, an outside administrator, and a multilayer system of redundant communication...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822216/women-s-status-in-disasters-a-gap-between-experts-desk-and-affected-fields-of-iran
#13
Sanaz Sohrabizadeh
Although international agreements have achieved significant milestones in the improvement of women's status, experiences from the fields show a discrepancy between words and actions. The aim of this brief communication was to identify the gap between experts' perceptions and the findings of a large qualitative field survey on women's status in the recent natural disasters of Iran. A total of 10 experts were asked to fill a checklist, which consisted of the concepts extracted from field data. The range of agreement between experts' perceptions and field data was between 40 and 100 percent...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822215/family-emergency-plan-and-preparedness-among-medical-practitioners-in-zaria-nigeria
#14
Jerry Godfrey Makama, Istifanus Anekoson Joshua, Elizabeth Jerry Makama
BACKGROUND: There has been an increase in the incidence of disasters in many parts of the world. Similarly, Nigeria has witnessed a recent increase of man-made disaster events such as plane crash, fire incidents, flood, and building collapse, including bomb blast orchestrated by terrorists that often create emergency situations. Therefore, the aim of the study was to evaluate family emergency plan and preparedness among medical practitioners in Zaria. METHODS: This was a cross-sectional descriptive study (May-July, 2013) of medical practitioners in Zaria, Nigeria...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822214/risk-perception-and-perceived-self-efficacy-of-deaf-and-hard-of-hearing-seniors-and-young-adults-in-emergencies
#15
Alina Engelman, Susan L Ivey, Winston Tseng, Linda Neuhauser
OBJECTIVES: The authors explored the factors influencing risk perception and perceived self-efficacy before and during an emergency for deaf and hard-of-hearing (Deaf/HH) seniors and young adults. METHODS: The authors collected demographic survey data and conducted four focus groups with 38 Deaf/HH residents of the San Francisco Bay Area; two groups were with young adults (ages 18-35), including one group of college students and one group of young professionals, and two were with older adults (ages 50-90)...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822213/liberia-national-disaster-preparedness-coordination-exercise-implementing-lessons-learned-from-the-west-african-disaster-preparedness-initiative
#16
Melinda J Morton Hamer, Paul L Reed, Jane D Greulich, Charles W Beadling
OBJECTIVE: In light of the recent Ebola outbreak, there is a critical need for effective disaster management systems in Liberia and other West African nations. To this end, the West Africa Disaster Preparedness Initiative held a disaster management exercise in conjunction with the Liberian national government on November 24-25, 2015. DESIGN: During this tabletop exercise (TTX), interactions within and between the 15 counties and the Liberian national government were conducted and observed to refine and validate the county and national standard operating procedures (SOPs)...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822212/comparison-of-start-and-salt-triage-methodologies-to-reference-standard-definitions-and-to-a-field-mass-casualty-simulation
#17
COMPARATIVE STUDY
Salvatore Silvestri, Adam Field, Neal Mangalat, Tory Weatherford, Christopher Hunter, Zoe McGowan, Zachary Stamile, Trevor Mattox, Tanner Barfield, Aarian Afshari, George Ralls, Linda Papa
OBJECTIVES: We compared Sort, Assess, Lifesaving Intervention, Treatment/Transport (SALT) and Simple Triage and Rapid Treatment (START) triage methodologies to a published reference standard, and evaluated the accuracy of the START method applied by emergency medical services (EMS) personnel in a field simulation. DESIGN: Simulated mass casualty incident (MCI). Paramedics trained in START triage assigned each victim to green (minimal), yellow (delayed), red (immediate), or black (dead) categories...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822211/healthcare-students-interprofessional-critical-event-disaster-response-course
#18
Tae Eung Kim, Tamara Shankel, Ellen T Reibling, Jacqueline Paik, Dolores Wright, Michelle Buckman, Kathi Wild, Ehren Ngo, Alireza Hayatshahi, Lee H Nguyen, T Kent Denmark, Tamara L Thomas
OBJECTIVE: Numerous disasters confirm the need for critical event training in healthcare professions. However, no single discipline works in isolation and interprofessional learning is recognized as a necessary component. An interprofessional faculty group designed a learning curriculum crossing professional schools. DESIGN: Faculty members from four healthcare schools within the university (nursing, pharmacy, allied health, and medicine) developed an interdisciplinary course merging both published cross-cutting competencies for critical event response and interprofessional education competencies...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28822210/evaluation-of-the-association-between-disaster-training-and-confidence-in-disaster-response-among-graduate-medical-trainees-a-cross-sectional-study
#19
Andrew Grock, Adam R Aluisio, Elizabeth Abram, Patricia Roblin, Bonnie Arquilla
OBJECTIVE: Disasters by definition overwhelm the resources of a hospital and may require a response from a range of practitioners. Disaster training is part of emergency medicine (EM) resident curricula, but less emphasized in other training programs. This study aimed to compare disaster educational training and confidence levels among resident trainees from multiple specialties. DESIGN: A structured questionnaire assessed graduate medical training in disaster education and self-perceived confidence in disaster situations...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28140443/onset-and-duration-of-intravenous-and-intraosseous-rocuronium-in-hypovolemic-swine
#20
Miguel Nemeth, George N Williams, Debbie Prichard, Angie McConnico, Don Johnson, Michael Loughren
OBJECTIVE: Compare the onset and duration of rocuronium administered via the intravenous (IV), and intraosseous (IO) routes in a hypovolemic swine model. DESIGN: Prospective, between subjects, experimental study. SETTING: Vivarium. SUBJECTS: Yorkshire-cross swine (N = 8). INTERVENTION: Electromyography (EMG) amplitudes were recorded at baseline and for every 15 seconds after administering 1.2 mg/kg of rocuronium via IV or IO routes to hypovolemic swine...
2016: American Journal of Disaster Medicine
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