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Disaster Medicine and Public Health Preparedness

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https://www.readbyqxmd.com/read/29332616/addressing-children-s-needs-in-disasters-a-regional-pediatric-tabletop-exercise
#1
Sarita Chung, Aaron H Gardner, David J Schonfeld, Jessica L Franks, Marvin So, Eric J Dziuban, Georgina Peacock
OBJECTIVE: Preparing and responding to the needs of children during public health emergencies continues to be challenging. The purpose of this study was to assess the usefulness of a tabletop exercise in initiating pediatric preparedness strategies and assessing the impact of the exercise on participants' understanding of and confidence in their roles during pediatric public health emergencies. METHODS: A tabletop exercise was developed to simulate a public health emergency scenario involving smallpox in a child, with subsequent spread to multiple states...
January 15, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29208073/dallas-megashelter-medical-operations-response-to-hurricane-harvey
#2
E Liang Liu, Brandon Morshedi, Brian L Miller, Ronna Miller, S Marshal Isaacs, Raymond L Fowler, Wendy Chung, Ruby Blum, Breanne Ward, John Carlo, Halim Hennes, Frank Webster, Trish Perl, Chris Noah, Rob Monaghan, Andrew H Tran, Fern Benitez, Julie Graves, Caitlin Kibbey, Kelly R Klein, Raymond E Swienton
On August 25, 2017, Hurricane Harvey made landfall near Corpus Christi, Texas. The ensuing unprecedented flooding throughout the Texas coastal region affected millions of individuals.1 The statewide response in Texas included the sheltering of thousands of individuals at considerable distances from their homes. The Dallas area established large-scale general population sheltering as the number of evacuees to the area began to amass. Historically, the Dallas area is one familiar with "mega-sheltering," beginning with the response to Hurricane Katrina in 2005...
December 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29198239/medical-response-to-the-tianjin-explosions-lessons-learned
#3
Jin-Jun Zhang, Tian-Bing Wang, Da Fan, Jun Zhang, Bao-Guo Jiang
BACKGROUND: On August 12, 2015, a hazardous chemical explosion occurred in the Tianjin Port of China. The explosions resulted in 165 deaths, 8 missing people, injuries to thousands of people. We present the responses of emergency medical services and hospitals to the explosions and summarize the lessons that can be learned. METHODS: This study was a retrospective analysis of the responses of emergency medical services and hospitals to the Tianjin explosions. Data on injuries, outcomes, and patient flow were obtained from the government and the hospitals...
December 4, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29151402/difference-in-first-aid-activity-during-mass-casualty-training-based-on-having-taken-an-educational-course
#4
Youichi Yanagawa, Kazuhiko Omori, Kouhei Ishikawa, Ikuto Takeuchi, Kei Jitsuiki, Toshihiko Yoshizawa, Jun Sato, Hideyuki Matsumoto, Masaru Tsuchiya, Hiromichi Osaka
BACKGROUND: The Japanese Association for Disaster Medicine developed a mass casualty life support (MCLS) course to improve cooperation among medical practitioners during a disaster, which is essential for reducing the rates of preventable disaster death. We investigated whether there was difference in first aid activity among members of the ambulance service during mass casualty training based on having taken the MCLS course. METHODS: Mass casualty training was held at the fire department of Numazu City...
November 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29151398/disaster-risk-reduction-in-myanmar-a-need-for-focus-on-community-preparedness-and-improved-evaluation-of-initiatives
#5
Andrew D Smith, Emily Y Y Chan
Myanmar is a country in political and economic transition. Facing a wide-variety of natural hazards and ongoing conflict, the country's under-developed infrastructure has resulted in high disaster risk. Following the devastation of Cyclone Nargis in 2008 and increased global focus on disaster management and risk reduction, Myanmar has begun development of national disaster policies. Myanmar's Action Plan for Disaster Risk Reduction addressed multiple stages of disaster development and has made progress towards national projects, however, has struggled to implement community-based preparedness and response initiatives...
November 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29122057/novel-it-application-for-reverse-triage-selection-a-pilot-study
#6
Gwen Pollaris, Stéphanie Note, Didier Desruelles, Marc Sabbe
OBJECTIVE: The objective of this study was to develop and evaluate an evidence-based information technology (IT) application that guides clinical decision-making during the reverse-triage selection process in mass casualty incidents. METHODS: Based upon 28 validated critical interventions (CI) relevant for determining whether a patient qualifies for early discharge, we developed the Reverse Triage Tool of Leuven (RTTL). The RTTL is compatible with the health electronic record (HER) of UZ Leuven, a tertiary hospital in Belgium...
November 10, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29094662/the-duty-of-mind-ethical-capacity-in-a-time-of-crisis
#7
Caitlin Ryus, Jay Baruch
In a disaster, physicians are forced to make challenging and heartbreaking ethical decisions under conditions of physical and emotional exhaustion. Evidence shows that the conditions of stress that mark disasters can undermine the process of ethical decision-making. This results in biased allocation of scarce resources, fewer utilitarian and altruistic decisions, and a wider variation in decisions. Stress also predisposes clinicians to decision strategy errors, such as premature closure, that lead to poor outcomes...
November 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29070085/the-south-dakota-model-health-care-professions-student-disaster-preparedness-and-deployment-training
#8
Matt P Owens, Cheri Buffington, Michael P Frost, Randall J Waldner
OBJECTIVE: The Association of American Medical Colleges recommended an increase in medical education for public health emergencies, bioterrorism, and weapons of mass destruction in 2003. The University of South Dakota Sanford School of Medicine (USD SSOM) implemented a 1-day training event to provide disaster preparedness training and deployment organization for health professions students called Disaster Training Day (DTD). METHODS: Hospital staff and emergency medical services personnel provided the lecture portion of DTD using Core Disaster Life Support (CDLS; National Disaster Life Support Foundation) as the framework...
October 26, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29056100/international-adoption-of-children-surviving-the-haitian-earthquake
#9
Julie Pascal, Marion Décombas-Marion, Véronique Poirier, Alexandre Lautrette, Emilie Rigal, Julie Sciauvaud, Bruno Pereira, André Labbe, Olivier Lesens
OBJECTIVE: To evaluate resilience and frequency of behavioral symptoms in Haitian children internationally adopted before and after the earthquake of January 12, 2010. METHODS: We conducted a retrospective quantitative study in 40 Haitian children. Families were also asked to participate in a qualitative study (individual interview at 18-24 months after the earthquake) and to complete State-Trait Anxiety Inventory (STAI) and STAI for children (STAI-C) questionnaires...
October 23, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29280422/health-care-coalitions-as-response-organizations-houston-after-hurricane-harvey
#10
Lori Upton, Thomas D Kirsch, Melissa Harvey, Dan Hanfling
Health care coalitions play an increasingly important role in both preparedness for, response to, and recovery from large scale disaster events occurring across the United States. The actions taken by the South East Texas Regional Advisory Council (SETRAC) in response to the landfall of Hurricane Harvey, and the consequential flooding that ensued, serve as an excellent example of how health care coalitions are increasingly needed to play a unifying role in response. This paper highlights a number of the strategic planning, operational planning and response, information sharing, and resource coordination and management activities that were undertaken for the response to Hurricane Harvey...
December 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29280421/theory-and-metrics-of-community-resilience-a-systematic-literature-review-based-on-public-health-guidelines
#11
Lucila M Zamboni
A systematic literature review on quantitative methods to assess community resilience was conducted following Institute of Medicine and Patient-Centered Outcomes Research Institute standards. Community resilience is the ability of a community to bounce back or return to normal after a disaster strikes, yet there is no agreement on what this actually means. All studies reviewed addressed natural disasters, but the methodological approaches can be applied to technological disasters, epidemics, and terrorist attacks...
December 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29041996/preparedness-training-programs-for-working-with-deaf-and-hard-of-hearing-communities-and-older-adults-lessons-learned-from-key-informants-and-literature-assessments
#12
Patricia W Kamau, Susan L Ivey, Stephanie E Griese, Shoukat H Qari
OBJECTIVES: The objectives of this study were to (1) identify available training programs for emergency response personnel and public health professionals on addressing the needs of Deaf and hard of hearing individuals and older adults, (2) identify strategies to improve these training programs, and (3) identify gaps in available training programs and make recommendations for addressing these gaps. METHODS: A literature review was conducted to identify relevant training programs and identify lessons learned...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29041994/hospital-surge-capacity-a-web-based-simulation-tool-for-emergency-planners
#13
Matthew F Toerper, Gabor D Kelen, Lauren M Sauer, Jamil D Bayram, Christina Catlett, Scott Levin
The National Center for the Study of Preparedness and Catastrophic Event Response (PACER) has created a publicly available simulation tool called Surge (accessible at http://www.pacerapps.org) to estimate surge capacity for user-defined hospitals. Based on user input, a Monte Carlo simulation algorithm forecasts available hospital bed capacity over a 7-day period and iteratively assesses the ability to accommodate disaster patients. Currently, the tool can simulate bed capacity for acute mass casualty events (such as explosions) only and does not specifically simulate staff and supply inventory...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29041992/understanding-patterns-of-socioeconomic-and-demographic-factors-along-with-health-services-provider-availability-for-zika-outbreak-in-south-florida
#14
Linda McQuade, Mya Rao, Roger Miller, Winnie Zhou, Rinku Deol, Brian Sato
In this study, we analyzed the patterns of socioeconomic and demographic factors along with health services provider availability for the current Zika outbreak in Miami-Dade County, South Florida. We used Center for Consumer Information & Insurance Oversight (CCIIO) Machine-Readable Public Use Files (MR-PUFs) to examine provider availability in combination with socioeconomic and demographic factors that could potentially lead to healthcare disparities between any underserved population of the Wynwood neighborhood and the broader population of Miami-Dade County...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29039300/disaster-preparedness-of-child-care-teachers-a-cross-sectional-study-in-south-korea
#15
Dongchoon Uhm, Hyang Soon Oh
OBJECTIVE: We aimed to identify the differences in personal disaster preparedness and disaster risk perception among child care and preschool teachers in South Korea by using demographic characteristics and disaster-related questions. METHODS: A cross-sectional self-reporting questionnaire was administered from February to October 2014. RESULTS: Of all the participants, 68.1% had received disaster preparedness education and training on 2 or more occasions per year; 13...
October 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29039291/asset-literacy-following-stroke-implications-for-disaster-resilience
#16
Tracey L O'Sullivan, Christine Fahim, Elizabeth Gagnon
OBJECTIVE: The World Stroke Organization "1 in 6" campaign aims to raise awareness that 1 in 6 persons will experience a stroke during their lifetime. With aging populations and improved survival rates, an increased number of survivors live with functional limitations and require supportive care. This has important implications for implementing an all-of-society approach to disaster risk reduction. In this study, we explore the assets that stroke survivors and caregivers consider useful in supporting their capacity to manage routine activities and independent living and to respond to a disaster...
October 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29032775/noncommunicable-diseases-after-the-great-east-japan-earthquake-systematic-review-2011-2016
#17
Aya Murakami, Hiroyuki Sasaki, Dyshelly Nurkartika Pascapurnama, Shinichi Egawa
OBJECTIVE: Noncommunicable diseases (NCDs), including mental disorders, have become major threats to human health worldwide. People with NCDs are particularly vulnerable to disasters. We systematically reviewed reports describing studies of NCDs at the time of the Great East Japan Earthquake (GEJE) to clarify the circumstances of people with NCDs and to build strong measures to support them. METHODS: Relevant articles published from March 2011 through December 2016 were collected by searching the PubMed database (National Library of Medicine)...
October 16, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28994363/mass-casualty-triage-in-the-case-of-carbon-monoxide-poisoning-lessons-learned
#18
Mathieu Pasquier, Fabrice Dami, Pierre-Nicolas Carron, Bertrand Yersin, Rodrigue Pignel, Olivier Hugli
Carbon monoxide (CO) can cause mass intoxication, but no standard triage algorithm specifically addresses CO poisoning. The roles of some recent diagnostic tools in triage as well as treatment with hyperbaric oxygen are controversial. We describe a mass casualty case of CO poisoning involving 77 patients, with a focus on the triage and treatment options decided on-site. The reasons for choosing these options are reviewed, and the pitfalls that occurred and the lessons learned from this major incident are described...
October 10, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28994362/perceived-workplace-interpersonal-support-among-workers-of-the-fukushima-daiichi-nuclear-power-plants-following-the-2011-accident-the-fukushima-nuclear-energy-workers-support-news-project-study
#19
Sho Takahashi, Jun Shigemura, Yoshitomo Takahashi, Soichiro Nomura, Aihide Yoshino, Takeshi Tanigawa
OBJECTIVE: The 2011 Fukushima Daiichi nuclear accident was the worst nuclear disaster since Chernobyl. The Daiichi workers faced multiple stressors (workplace trauma, victim experiences, and public criticism deriving from their company's post-disaster management). Literatures suggest the importance of workplace interpersonal support (WIS) in enhancing psychological health among disaster workers. We sought to elucidate the role of their demographics, disaster-related experiences, and post-traumatic stress symptoms on perceived WIS...
October 10, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28974284/a-comparison-of-china-s-risk-communication-in-response-to-sars-and-h7n9-using-principles-drawn-from-international-practice
#20
Wuqi Qiu, Cordia Chu, Xiaohui Hou, Shannon Rutherford, Bin Zhu, Zhendong Tong, Ayan Mao
BACKGROUND: China's emergency management of severe acute respiratory syndrome (SARS) was heavily criticized, whereas the H7N9 response was praised by the international community. Aims The aims of this study were to examine and compare the strengths and weaknesses of risk communication conducted in response to SARS and H7N9 and their associated social impacts on affected communities in China. METHOD: A qualitative comparative case study approach was employed in the present study, using a set of 8 risk communication principles selected from international literature to suit the Chinese context for the comparative analysis of emergency responses of SARS and H7N9...
October 4, 2017: Disaster Medicine and Public Health Preparedness
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