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Hospital disaster

Joseph Kimuli Balikuddembe, Paul Sinclair
INTRODUCTION: Uganda remains seismically vulnerable to earthquakes, which constitute one of the most deadly naturally triggered disasters in the world. This is not surprising given the country's location in the East African Rift Valley System. METHOD: This paper draws mainly on the authors' live event experience and some media reports to narratively outline the nature of a sizable earthquake, which measured a magnitude of 5.7 on the Richter scale that struck Uganda and other countries within the Lake Victoria Basin region on 10th September 2016 in the afternoon...
October 30, 2018: PLoS Currents
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
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
Felipe Cruz-Vega, Sandra Elizondo-Argueta, Juan Carlos Sánchez-Echeverría, Jorge Loría-Castellanos
Introduction: The function of hospitals during major emergency or disaster is vital. Their response capacity depends on their geographic location, adequate organization, structural safety and safety of non-structural elements. After September 2017 earthquakes, self-assessment and Safe Hospital Program assessment results were compared in disabled hospitals belonging to the Mexican Institute of Social Security. Objective: To compare the Hospital Safety Index (HIS) with self-assessments carried out by the units...
2018: Gaceta Médica de México
Jennifer Runkle, Erik R Svendsen, Mark Hamann, Richard K Kwok, John Pearce
PURPOSE OF REVIEW: Recent changes in our planetary climate have and will continue to challenge historical knowledge and risk assumptions for weather-related disasters. While the public health community is rapidly working to develop epidemiological approaches and tools to mitigate and adapt to these weather-related disasters, recent high-profile events have exposed gaps in knowledge and response efforts. Limited work has been done to assess the climate readiness of the local public health and healthcare community as it pertains to local response planning and adaptation measures in the event of a weather-related disaster...
November 8, 2018: Current Environmental Health Reports
Philip M Koka, Hendry R Sawe, Khalid R Mbaya, Said S Kilindimo, Juma A Mfinanga, Victor G Mwafongo, Lee A Wallis, Teri A Reynolds
BACKGROUND: Tanzania has witnessed several disasters in the past decade, which resulted in substantial mortality, long-term morbidity, and significant socio-economic losses. Health care facilities and personnel are critical to disaster response. We assessed the current state of disaster preparedness and response capacity among Tanzanian regional hospitals. METHODS: This descriptive cross-sectional survey was conducted in all Tanzanian regional hospitals between May 2012 and December 2012...
November 6, 2018: BMC Health Services Research
Abdullah A Bin Shalhoub, Anas A Khan, Yaser A Alaska
[No Abstract Available].
November 2018: Saudi Medical Journal
Abdullah Nofal, Isamme Alfayyad, Anas Khan, Zohair Al Aseri, Amani Abu-Shaheen
To assess the knowledge, practices, and attitudes regarding disaster and emergency preparedness among Emergency Department (ED) staff. Methods: This cross-sectional study was conducted at Tertiary health care hospital in central Riyadh, Kingdom of Saudi Arabia. A self-administered survey was utilized to collect data from ED physicians and nurses. The questionnaire was divided into 5 sections viz; demographics, knowledge about disaster management and preparedness, attitudes about disaster planning, current role and practices, and familiarity towards emergency...
November 2018: Saudi Medical Journal
Durga Bhandari, Prativa Pandey
INTRODUCTION: Volunteers and humanitarian aid workers working in disaster struck areas of the world are a vulnerable group of travelers. Nepal saw an influx of these humanitarian aid workers following earthquakes in April and May 2015. This study was undertaken to find out the pre-travel preparation and to estimate the risk of disease while the volunteers were deployed in Nepal. METHODS: This was a descriptive cross-sectional study conducted at CIWEC Hospital located in Kathmandu...
March 2018: JNMA; Journal of the Nepal Medical Association
Hasan Abolghasem Gorji, Hamid Jafari, Mohammad Heidari, Bahar Seifi
Background: Disasters affect all social functions. In particular, hospitals must mobilize their resources for response to mass injuries. This process can affected treatment of cancer patients and may resulted in delayed care. Considering the importance of continuity of care for cancer patients, the aim of this systematic review was to identify challenges and preparedness measures for cancer patients during and after disasters. Materials and Methods: This systematic review that was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines between January 2000 to December 2017...
October 26, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
Wei Pan, Ying Guo, Wenji Zhang, Lei Jin, Shujie Liao
Due to difficulties in accurately predicting the emergency timing and the magnitude of a disaster, operations for perishable emergency inventory planning often encounter expiration and shortage problems. In order to ease the expiration problem in emergency medicine preparation inventories, this paper investigates an emergency medicine closed-loop supply chain for returning unused items from an ERC (Emergency Reserve Center) to a hospital. To assure that the return strategy is meaningful, we propose a critical parameter that we term the latest return time, after which the remaining emergency medicine in the ERC cannot be returned to the hospital...
2018: PloS One
Cameron Kaiser, Ramon Leon, Karen Craven
INTRODUCTION: Disasters with substantial impacts to the health care and public health systems can have multiple reverberating effects, including the need to alter the medical standard of care as well as centrally control scarce medical resources. A current crisis care plan can help to establish an ethical and operational framework for stakeholders before such a disaster takes place. However, there are few examples of such a plan that cover large areas and health jurisdictions. This article describes the process of developing such a "Crisis Care Plan...
October 1, 2018: PLoS Currents
Chen Sirota-Cohen, Beverly Rosipko, Daniel Forsberg, Jeffrey L Sunshine
The use of digital imaging has substantially grown in recent decades, in traditional services, new specialties, and departments. The need to share these data among departments and caregivers necessitated central archiving systems that are able to communicate with various viewing applications and electronic medical records. This promoted the development of modern vendor neutral archive (VNA) systems. The need to aggregate and share imaging data from various departments promoted the development of enterprise-imaging (EI) solutions that replace departmental silos of data with central healthcare enterprise databases...
October 18, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
Kohei Takahashi, Naoto Morimura, Ichiro Takeuchi, Takeru Abe, Chiaki Toida, Jun Hattori, Kyoko Hattori, Hideki Honda, Munehito Uchiyama, Kiyoshi Matsuda, Yoshihide Nakagawa, Yasushi Asari
Aim: This study examines the use of the medical risk/resource ratio (RRR) and need for medical resources (NMR) as new indicators of the imbalance in medical demand and supply in disasters. These indicators are used to quantify the medical demand-supply imbalance per disaster base hospital, examine the demand-supply imbalance in the region, and verify the need for medical support. Methods: We calculated the RRR of each disaster base hospital by dividing the revised estimate of the number of patients with the number of empty beds...
October 2018: Acute Medicine & Surgery
Heejung Son, Wang Jun Lee, Hyun Soo Kim, Kkot Sil Lee, Myoungsoon You
ABSTRACTHospital workers are critical for a successful response to an infectious disease outbreak and for preventing disease transmission to the community. Therefore, hospital crisis management should implement efforts to improve hospital workers' preparedness in responding to public health emergencies caused by infectious diseases. Traditionally, preparedness and skill of hospital workers have been emphasized, but awareness of the importance of the emotional mindset of hospital workers in dealing with disease outbreaks has only recently increased; therefore, empirical approaches to examining emotional responses of hospital workers has been limited...
October 18, 2018: Disaster Medicine and Public Health Preparedness
Mark A Turrentine, Manju Monga, Laurie S Swaim
OBJECTIVE: The purpose of this study was to evaluate role conflict between professional and familial responsibilities among obstetric health care providers during a natural disaster between those required to stay in the hospital versus those who were at home during a catastrophic weather event. METHODS: A survey was used of obstetric attending and resident physicians in the Baylor College of Medicine, Department of Obstetrics and Gynecology following Hurricane Harvey on August 26, 2017...
October 17, 2018: Disaster Medicine and Public Health Preparedness
Elizabeth Lee Daugherty Biddison, Ruth Faden, Howard S Gwon, Darren P Mareiniss, Alan C Regenberg, Monica Schoch-Spana, Jack Schwartz, Eric S Toner
The threat of a catastrophic public health emergency causing life-threatening illness or injury on a massive scale has prompted extensive federal, state, and local preparedness efforts. Modeling studies suggest that an influenza pandemic similar to that of 1918 would require ICU and mechanical ventilation capacity that is significantly greater than what is available. Several groups have published recommendations for allocating life-support measures during a public health emergency. Because there are multiple ethically permissible approaches to allocating scarce life-sustaining resources and because the public will bear the consequences of these decisions, knowledge of public perspectives and moral points of reference on these issues is critical...
October 11, 2018: Chest
Jasmine L Jacobs-Wingo, Jeffrey Schlegelmilch, Maegan Berliner, Gloria Airall-Simon, William Lang
PURPOSE: Many nurses are trained inadequately in emergency preparedness (EP), preventing them from effectively executing response roles during disasters, such as chemical, biological, radiological, nuclear, and explosive (CBRNE) events. Nurses also indicate lacking confidence in their abilities to perform EP activities. The purpose of this article is to describe the phased development of, and delivery strategies for, a CBRNE curriculum to enhance EP among nursing professionals. The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) and the National Center for Disaster Preparedness at Columbia University's Earth Institute led the initiative...
September 17, 2018: Journal of Nursing Scholarship
Jose Manuel Rodriguez-Llanes, Lina Hellman, Qi Wu, Barbara van den Oever, Liang Pan, Manuel Albela Miranda, Gao Chen, De-Sheng Zhang, Debarati Guha-Sapir, Johan Von Schreeb
Unlike other disasters, injury rates after earthquakes are still on the rise at a global scale. With an estimated one million people injured by earthquakes in the last decade, the burden of injury is considerable. Importantly, the surgical procedures carried out by healthcare facilities are capable to avert part of this burden. Yet both burdens remain unquantified using understandable metrics. We explored in this analysis a method to calculate them using disability-adjusted life years (DALYs), an internationally accepted measure expressing years of healthy life lost due to a health condition...
2018: BMJ Global Health
John R Hess
BACKGROUND: The Cascadia subduction zone off the US Pacific Northwest coast produces a Force 9 earthquake once every 300 years. Cascadia Rising was a regional disaster drill modeled on such an event. Western Washington State has 5 million people and one Level I trauma center. STUDY DESIGN AND METHODS: The blood response of the trauma center and region were modeled under the conditions laid down in the disaster scenario. The scenario assumed structural damage to the 1931 reinforced concrete building housing the trauma hospital transfusion service with loss of electricity, data services, and water...
October 6, 2018: Transfusion
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