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Hospital disaster

Eli Jaffe, Ziv Dadon, Evan Avraham Alpert
Multi-casualty incidents (MCIs) continue to occur throughout the world, whether they be mass shootings or natural disasters. Prehospital emergency services have done a professional job at stabilizing and transporting the victims to local hospitals. When there are multiple casualties, there may not be enough professional responders to care for the injured. Bystanders and organized volunteer first responders have often helped in extricating the victims, stopping the bleeding, and aiding in the evacuation of the victims...
September 17, 2018: Prehospital and Disaster Medicine
Crystal Jing Jing Yeo, Gustavo C Román, David Kusnerik, Trevor Burt, Dottie Mersinger, Shaylor Thomas, Timothy Boone, Suzanne Z Powell
Background: Natural disasters take a heavy toll not only on their victims, but also on physicians who suffer vicarious trauma and burnout. New trainees in Houston, from entering PGY1 residents to entering fellows, underwent even more upheaval and stress during Hurricane Harvey. Many responded to calls for volunteer help. Objective: To investigate the impact of Hurricane Harvey on new trainees at our institution, and correlate volunteerism with measures of burnout and resilience. Methodology: Thirty three new trainees out of 90 (43% of population) from all specialties in our institution voluntarily responded to an online survey on the impact of Hurricane Harvey on their lives, whether or not they volunteered and in what form, and answered questions drawing from the abbreviated Maslach burnout survey and Resiliency Quiz...
2018: Frontiers in Public Health
Abbasali Ebrahimian, Hossein Ghasemian-Nik, Raheb Ghorbani, Ali Fakhr-Movahedi
Context: The capacity completeness are one of the serious problems in the bed's managements of the critical care units in a crisis and disaster situation. Reverse triage can help to hospital surge capacity in this situations. Aims: The aim of this study was to develop a reverse triage system based on Modified Sequential Organ Failure Assessment (MSOFA) for increasing critical care surge capacity. Settings and Design: This study was a prospective design that performed on the medical patients in critical care unit...
August 2018: Indian Journal of Critical Care Medicine
Chip-Jin Ng, Shih-Hao You, I-Lin Wu, Yi-Ming Weng, Chung-Hsien Chaou, Cheng-Yu Chien, Chen-June Seak
Background: The triage system used during an actual mass burn casualty (MBC) incident is a major focus of concern. This study introduces a MBC triage system that was used by a burn center during an actual MBC incident following a powder explosion in New Taipei City, Taiwan. Methods: This study retrospectively analyzed data from patients who were sent to the study hospital during a MBC incident. The patient list was retrieved from a national online management system...
2018: World Journal of Emergency Surgery: WJES
Evan Avraham Alpert, Giora Weiser, Deganit Kobliner, Eran Mashiach, Tarif Bader, Eran Tal-Or, Ofer Merin
BACKGROUND: Medical response to world disasters has too often been poorly coordinated and nonprofessional. To improve this, several agencies, led by the World Health Organization (WHO), have developed guidelines to provide accreditation for Foreign Medical Teams (FMTs). There are three levels, with the highest known as FMT Type-3 providing outpatient as well as inpatient surgical emergency care in addition to inpatient referral care. In November 2016, the WHO certified the Israel Defense Forces Field Hospital as the first FMT Type-3...
September 1, 2018: Journal of Emergency Medicine
Jiyoung Noh, Eui Geum Oh, So Sun Kim, Yeon Soo Jang, Hyun Soo Chung, Ogcheol Lee
Despite high awareness of the need, opportunities for nurses to gain disaster experience or training are limited. In Korea, most disaster training is done in an undergraduate curriculum where there is very limited practice, and the educational topics are mostly focused on the field aspect of disaster events. The purpose of this study was to determine the need for such training for hospital nurses and to determine appropriate and relevant components of the training contents. A qualitative survey approach using the modified Delphi method was used to collect and analyze the data...
October 2018: Nursing Administration Quarterly
Minsu Cho, Ki Moon Seong, Chang Youn Park, Geun Ryang Bae, Sohyeon Kim, Young Woo Jin
This paper provides information about the medical preparedness and response system for radiation emergencies in Republic of Korea. The National Radiation Emergency Medical Center (NREMC) oversees medical affairs in the Korean radiological disaster prevention system since its establishment in 2002. It has dedicated itself to set up a nationwide radiation emergency medicine network with 24 designated radiation emergency hospitals. NREMC, as one division under the Korea Institute of Radiological And Medical Sciences (KIRAMS), provides efficient medical care to patients suspected with radiation exposure by collaborating with professional medical staffs in Korea Cancer Center Hospital (KCCH)...
August 31, 2018: Radiation Protection Dosimetry
Almeimoune Abdoulhamidou, Mangane Moustapha, Diop Madane Thierno, Beye Seydina Alioune, Démbele Seydou Aladji, Diarra Kassim, Diango Djibo Mahamane
Introduction: Recent suicide bombings have revealed a new type of massive influx of injured people, unique of its kind, which must be managed in Hospitals. Methods: We here describe the experience in the management of medical assistance to the victims of terrorist attacks in Mali in the University Hospital Gabriel Toure in Bamako and in the Hospital N.Fomba in Segou. Results: Sixty-four victims of three attacks were included in our study, among them 22 (34...
2018: Pan African Medical Journal
Jeanne Bertolli, Joseph Holbrook, Nina D Dutton, Bryant Jones, Nicole F Dowling, Georgina Peacock
OBJECTIVE: The study's purpose was to investigate readiness for an increase in the congenital Zika infection (CZI) by describing the distribution of pediatric subspecialists needed for the care of children with CZI. METHODS: We applied county-level subspecialist counts to US maps, overlaying the geocoded locations of children's hospitals to assess the correlation of hospital and subspecialist locations. We calculated travel distance from census tract centroids to the nearest in-state children's hospital by state (with/without > 100 reported adult Zika virus cases) and by regions corresponding to the likely local Zika virus transmission area and to the full range of the mosquito vector...
August 24, 2018: Disaster Medicine and Public Health Preparedness
Michael S Clemens, Mamie C Stull, Jason M Rall, Ian J Stewart, Jonathan A Sosnov, Kevin K Chung, James D Ross
Introduction: Options for the treatment of hyperkalemia in the pre-hospital setting are limited, particularly in the context of natural disaster or during combat operations. Contemporary interventions require extensive resources and technical expertise. Here we examined the potential for a simple, field deployable bridge-dialysis as a countermeasure for acute hyperkalemia induced by prolonged ischemia-reperfusion. Methods: Twenty female swine were randomized into two experimental groups undergoing a 2-hour bilateral hindlimb ischemia-reperfusion injury...
August 20, 2018: Military Medicine
Phung K Pham, Solomon M Behar, Bridget M Berg, Jeffrey S Upperman, Alan L Nager
IntroductionTerrorism and natural catastrophes have made disaster preparedness a critical issue. Despite the documented vulnerabilities of children during and following disasters, gaps remain in health care systems regarding pediatric disaster preparedness. This research study examined changes in knowledge acquisition of pediatric disaster preparedness among medical and non-medical personnel at a children's hospital who completed an online training course of five modules: planning, triage, age-specific care, disaster management, and hospital emergency code response...
August 2018: Prehospital and Disaster Medicine
Isabel T Gross, Ryan F Coughlin, David C Cone, Sandy Bogucki, Marc Auerbach, Mark X Cicero
OBJECTIVE: The aim of this study was to assess the staff perception of a global positioning system (GPS) as a patient tracking tool at an emergency department (ED) receiving patients from a simulated mass casualty event. METHODS: During a regional airport disaster drill a plane crash with 46 pediatric patients was simulated. Personnel from airport fire, municipal fire, law enforcement, emergency medical services, and emergency medicine departments were present. Twenty of the 46 patient actors required transport for medical evaluation, and we affixed GPS devices to 12 of these actors...
August 17, 2018: Prehospital Emergency Care
Ya-Lin Chen, Ming-Hsiu Lu, Ling-Tzu Weng, Chin Lin, Ping-Wei Huang, Chih-Hsin Wang, Hsueh-Hsing Pan
Although the survival rate of burn patients in the Formosa Fun Coast Explosion disaster increased significantly, for patients facing long-term rehabilitation, there remained great stress. Therefore, the aim of this study was to explore the predictors of resilience among burn patients in this major disaster. We conducted a cross-sectional, descriptive study in a medical center in northern Taiwan, with a total of 30 burn patients enrolled. Patients' demographics were collected, and the Resilience Scale and Perceived Stress Scale were administered...
August 10, 2018: Clinical Nursing Research
Hanadi Hamadi, Emma Apatu, Osayande Osagiede, Aaron Spaulding
OBJECTIVE: This study explores the impact of economic hazard areas on hospital-based emergency departments to determine whether economically hazardous environments, characterized by the change of population, income per capita, and unemployment rate, experience a higher number of emergency room visits than areas of lower rated economic hazard risk in the United States. METHOD: A cross-sectional design was used of a nationally constructed data set of hospital-based emergency departments of over 6,000 hospitals in the United States...
August 8, 2018: Disaster Medicine and Public Health Preparedness
Xuxu Chen, Tianfu Yang, Jian Li
On April 20, 2013, a 7.0-magnitude earthquake hit Lushan County, Ya'an City, Sichuan Province in southwest China. West China Hospital of Sichuan University, the largest and best hospital in Sichuan Province, is located in the city of Chengdu-about 100 km from the epicenter-and provided medical treatment to a total of 400 seismic patients. In this article, we retrospectively investigated 199 patients with musculoskeletal injuries who were treated in the Department of Orthopedics. Based on the seismic intensity distribution map, injury-occurring locations were divided into 5 grade-related areas: IX, VIII, VII, VI, and ≤V grade-area...
June 2018: Disaster Medicine and Public Health Preparedness
Yuki Shimada, Shuhei Nomura, Akihiko Ozaki, Asaka Higuchi, Arinobu Hori, Yuki Sonoda, Kana Yamamoto, Izumi Yoshida, Masaharu Tsubokura
OBJECTIVE: The decision to evacuate or shelter-in-place is fundamental to emergency response, especially for a vulnerable population. While an elevated risk of mortality due to a hasty, unplanned evacuation has been well documented, there is little research on and knowledge about the health consequences of sheltering-in-place in disaster contexts. We compared hospital mortality in patients who sheltered-in-place (non-evacuees) after the incident with the baseline preincident mortality and articulated postincident circumstances of the hospital while sheltering-in-place...
July 28, 2018: BMJ Open
Isamu Murata, Ryota Kawanishi, Syo Inoue, Moeko Iwata, Jun Kobayashi, Yutaka Inoue, Ikuo Kanamoto
PURPOSE: Crush syndrome (CS), a serious medical condition characterised by damage to the muscle cells due to pressure, is associated with high mortality, even when patients receive fluid therapy during transit to the hospital or admission to the hospital. There is no standard triage approach for earthquake victims with crush injuries due to the scarcity of epidemiologic and quantitative data. We examined whether mortality can be predicted based on the severity of skin damage so that assess the severity and prognosis in crush syndrome by assessment of skin damage in hairless rats because we have previously observed that CS results in oedema and redness of the skin in rats...
July 27, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Gabrielle Simcock, Sue Kildea, Sue Kruske, David P Laplante, Guillaume Elgbeili, Suzanne King
BACKGROUND: Research shows that continuity of midwifery carer in pregnancy improves maternal and neonatal outcomes. This study examines whether midwifery group practice (MGP) care during pregnancy affects infant neurodevelopment at 6-months of age compared to women receiving standard hospital maternity care (SC) in the context of a natural disaster. METHODS: This prospective cohort study included 115 women who were affected by a sudden-onset flood during pregnancy...
July 27, 2018: BMC Pregnancy and Childbirth
Nicole A Errett, Alexa Tanner, Xuesi Shen, Stephanie E Chang
OBJECTIVE: This study aimed to identify maritime transportation disruption impacts on available health care supplies and workers necessary to deliver hospital-based acute health care in geographically isolated communities post-disaster. METHODS: Semi-structured interviews were conducted with 25 key informants knowledgeable about the hospital-based acute health care supply chain and workforce emergency management plans and procedures in 2 coastal communities in British Columbia...
July 26, 2018: Disaster Medicine and Public Health Preparedness
Nicola Liguori, Nicola Tarque, Celso Bambaren, Sandra Santa-Cruz, Juan Palomino, Michelangelo Laterza
OBJECTIVE: The objective of the study was to research the basic seismic response capability (BSRC) of hospitals in Lima Metropolitana. A large number of wounded could be registered in case of an earthquake; therefore, operational hospitals are necessary to cure the injured. The study focused on the operational performance of the hospitals, autonomies of essential resources such as power, water, medical gases, and medicine, in addition to the availability of emergency communication system and ambulances...
July 19, 2018: Disaster Medicine and Public Health Preparedness
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