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https://www.readbyqxmd.com/read/28806490/challenges-and-resources-for-nurses-participating-in-a-hurricane-sandy-hospital-evacuation
#1
Nancy VanDevanter, Victoria H Raveis, Christine T Kovner, Meriel McCollum, Ronald Keller
PURPOSE: Weather-related disasters have increased dramatically in recent years. In 2012, severe flooding as a result of Hurricane Sandy necessitated the mid-storm patient evacuation of New York University Langone Medical Center. The purpose of this study was to explore, from the nurses' perspective, what the challenges and resources were to carrying out their responsibilities, and what the implications are for nursing education and preparation for disaster. DESIGN: This mixed-methods study included qualitative interviews with a purposive sample of nurses and an online survey of nurses who participated in the evacuation...
August 14, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28795676/-design-and-application-of-medical-electric-leg-raising-machine
#2
Jintang Liang, Jinyuan Chen, Zixian Zhao, Jinfeng Lin, Juanhong Li, Jingliang Zhong
Passive leg raising is widely used in clinic, but it lacks of specialized mechanical raise equipment. It requires medical staff to raise leg by hand or requires a multi-functional bed to raise leg, which takes time and effort. Therefore we have developed a new medical electric leg-raising machine. The equipment has the following characteristics: simple structure, stable performance, easy operation, fast and effective, safe and comfortable. The height range of the lifter is 50-120 cm, the range of the angle of raising leg is 10degree angle-80degree angle, the maximum supporting weight is 40 kg...
August 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/28789804/all-cause-hospital-admissions-among-older-adults-after-a-natural-disaster
#3
Sue Anne Bell, Mahshid Abir, HwaJung Choi, Colin Cooke, Theodore Iwashyna
STUDY OBJECTIVE: We characterize hospital admissions among older adults for any cause in the 30 days after a significant natural disaster in the United States. The main outcome was all-cause hospital admissions in the 30 days after natural disaster. Separate analyses were conducted to examine all-cause hospital admissions excluding the 72 hours after the disaster, ICU admissions, all-cause inhospital mortality, and admissions by state. METHODS: A self-controlled case series analysis using the 2011 Medicare Provider and Analysis Review was conducted to examine exposure to natural disaster by elderly adults located in zip codes affected by tornadoes during the 2011 southeastern superstorm...
August 5, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28780916/assessing-and-improving-hospital-mass-casualty-preparedness-a-no-notice-exercise
#4
Daniel A Waxman, Edward W Chan, Francesca Pillemer, Timothy Wj Smith, Mahshid Abir, Christopher Nelson
In recent years, mass-casualty incidents (MCIs) have become more frequent and deadly, while emergency department (ED) crowding has grown steadily worse and widespread. The ability of hospitals to implement an effective mass-casualty surge plan, immediately and expertly, has therefore never been more important. Yet, mass-casualty exercises tend to be highly choreographed, pre-scheduled events that provide limited insight into hospitals' true capacity to respond to a no-notice event under real-world conditions...
August 7, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28771649/implementing-a-disaster-preparedness-curriculum-for-medical-students
#5
Edward H Jasper, Gregory K Wanner, Dale Berg, Katherine Berg
OBJECTIVES: Training in disaster medicine and preparedness is minimal or absent in the curricula of many medical schools in the United States. Despite a 2003 joint recommendation by the Association of American Medical Colleges and the Centers for Disease Control and Prevention, few medical schools require disaster training for medical students. The challenges of including disaster training in an already rigorous medical school curriculum are significant. We evaluated medical students' experiences with mandatory disaster training during a 2-year period in a medical university setting...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771648/survey-of-hospital-employees-personal-preparedness-and-willingness-to-work-following-a-disaster
#6
Jane H Brice, David Gregg, Dalton Sawyer, Julianne M Cyr
OBJECTIVES: Little is known about the personal readiness of hospital staff for disasters. As many as 30% of hospital staff say that they plan not to report for work during a large-scale disaster. We sought to understand the personal disaster preparedness for hospital staff. METHODS: Surveys were distributed to the staff of a large academic tertiary-care hospital by either a paper-based version distributed through the departmental safety coordinators or a Web-based version distributed through employee e-mail services, depending on employee familiarity with and access to computer services...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28764818/emergency-response-of-iranian-hospitals-against-disasters-a-practical-framework-for-improvement
#7
Ali Janati, Homayoun Sadeghi-Bazargani, Edris Hasanpoor, Mobin Sokhanvar, Elaheh HaghGoshyie, Abdollah Salehi
OBJECTIVE: Hospital emergency management is a continuous process that requires monolithic integration of planning and response attempts with local and national schemes. The aim of the current study is to evaluate emergency response by hospitals against potential disasters in Tabriz, north-west Iran. METHODS: A cross-sectional study was conducted in the city of Tabriz, in Iran, in 2016. The study population included all hospitals in Tabriz. A total of 18 hospitals were assessed...
August 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28763388/health-impact-assessments-and-extreme-weather-challenges-for-environmental-health
#8
Kristina Kintziger, Jason Ortegren, Chris DuClos, Melissa Jordan, Talia Smith, Rebecca Foglietti, Robert Merritt, Louviminda Donado
BACKGROUND: The Florida Department of Health, Environmental Public Health Tracking Program, in collaboration with the Escambia County Health Department and the University of West Florida, used the Health Impact Assessment Framework to examine adverse health outcomes that may be related to an extreme flood event in Pensacola, Florida (Escambia County) during April 29 to May 3, 2014. In this 2014 flood event, portions of Pensacola received more than 15.5 in of rain in a single day. Infrastructure impacts from this extreme event included destroyed bridges and roads and the failure of many sewage lift stations...
September 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28748776/knowledge-attitudes-and-practices-among-members-of-households-actively-monitored-or-quarantined-to-prevent-transmission-of-ebola-virus-disease-margibi-county-liberia-february-march-2015
#9
Jason A Wilken, Paran Pordell, Brant Goode, Rachel Jarteh, Zayzay Miller, Benjamin G Saygar, Leroy Maximore, Watta M Borbor, Moses Carmue, Gregory W Walker, Adolphus Yeiah
BACKGROUND: In early 2015, a patient from a cluster of cases of Ebola Virus Disease (EVD) in Monrovia, Liberia traveled to a rural village in Margibi County, potentially exposing numerous persons. The patient died in the village and post-mortem testing confirmed Ebola Virus infection. Problem The Margibi County Health Team (CHT; Kakata, Margibi, Liberia) needed to prevent further transmission of EVD within and outside of the affected villages, and they needed to better understand the factors that support or impede compliance with measures to stop the spread of EVD...
July 27, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28748771/acute-care-referral-systems-in-liberia-transfer-and-referral-capabilities-in-a-low-income-country
#10
Jimin Kim, Maria Barreix, Christine Babcock, Corey B Bills
Introduction Following two decades of armed conflict in Liberia, over 95% of health care facilities were partially or completely destroyed. Although the Liberian health system has undergone significant rehabilitation, one particular weakness is the lack of organized systems for referral and prehospital care. Acute care referral systems are a critical component of effective health care delivery and have led to improved quality of care and patient outcomes. Problem This study aimed to characterize the referral and transfer systems in the largest county of Liberia...
July 27, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28748770/management-of-diabetic-surgical-patients-in-a-deployed-field-hospital-a-model-for-acute-non-communicable-disease-care-in-disaster
#11
Kathleen M McDermott, Ruth M Hardstaff, Sophie Alpen, David J Read, Nicholas R Coatsworth
Sudden onset disasters (SODs) have affected over 1.5 billion of the world's population in the past decade. During the same time, developing nations have faced a sustained increase in the burden of non-communicable disease (NCD) with extra pressure placed on health systems. The combined increase in SODs and the NCD epidemic facing the world's most disaster-prone nations will present new challenges to emergency medical teams (EMTs) during disaster response. This report details the experience as an EMT during the Typhoon Haiyan disaster of 2013, with particular reference to the challenges of diabetic management in a surgical field hospital...
July 27, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28724472/appraisal-of-the-preparedness-of-midwives-and-nurses-in-bahrain-to-conduct-early-screening-for-zika-virus-infection-in-pregnant-women
#12
Asokan G V, Mariam Mohammed Baqer Nama, Feryal Juma Salman, Zainab Habib Ali AlGhareeb, Ali Moosa Almoosawi, Ridha Abdulla Al Hammam, Muyssar Sabri Awadhalla
OBJECTIVE: To appraise the awareness and knowledge levels of midwives and nurses concerning early screening for Zika virus (ZIKV) infection among pregnant women attending health care facilities in Bahrain. METHODS: This was a cross-sectional, purposely chosen study of Bahraini and expatriate midwives, nurses, and supervisors employed in gynecology/obstetrics and labor wards of Salmanya hospital, a maternity hospital, 4 private hospitals, and health centers in Bahrain...
July 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28713518/examining-non-structural-retrofitting-status-of-teaching-hospitals-in-kerman-against-disasters
#13
Mahmood Nekooi Moghadam, Seyed Mobin Moradi, Mohammadreza Amiresmaili
BACKGROUND AND OBJECTIVE: Continuous services provision of a hospital before and after a disaster is one of the most prominent issues that all people, especially the authorities must take into huge consideration. Concerning the experiences of previous earthquakes, the role and importance of nonstructural components becomes increasingly clear in the uninterrupted services of hospitals. In this study, non-structural retrofitting status of Kerman teaching hospitals was evaluated against natural disasters...
May 2017: Electronic Physician
https://www.readbyqxmd.com/read/28703070/when-disaster-strikes-how-the-emergency-services-provide-a-rapid-response
#14
Erin Dean
As the major trauma centre for north west London, St Mary's Hospital cared for casualties from the two terrorist attacks in the capital - in Westminster and Borough Market - as well as victims of the fire at Grenfell Tower (pictured).
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28692729/availability-of-definitive-hospital-care-for-children
#15
Urbano L Fran├ža, Michael L McManus
Importance: Timely and efficient access to hospital care is essential for the health and well-being of children. As insurance networks, accountable care organizations, and alternative payment methods evolve, these new systems of care must continue to serve the needs of children. Objective: To test the hypothesis that the availability of definitive pediatric hospital care is significantly more limited than adult care and is decreasing disproportionately. Design: This study used case mix data during fiscal years 2004 through 2014 to measure transfer frequency and identify the site of care completion for all patients seen in acute care hospitals throughout Massachusetts...
July 10, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28680866/the-effect-of-start-triage-education-on-knowledge-and-practice-of-emergency-medical-technicians-in-disasters
#16
Mahboub Pouraghaei, Jaafar Sadegh Tabrizi, Payman Moharamzadeh, Rozbeh Rajaei Ghafori, Farzad Rahmani, Baharak Najafi Mirfakhraei
Introduction: Pre-hospital triage is one of the most fundamental concepts in emergency management. Limited human resource changes triage to an inevitable solution in the management of disasters. The aim of this study was to evaluate the role of education of simple triage and rapid treatment (START) in the knowledge and practice of Emergency Medical Service (EMS) employees of Eastern Azerbaijan. Methods: This is a pre-and post-intervention study conducted on two hundred and five (205) of employees of EMS sector, in the disaster and emergency management center of Eastern Azerbaijan Province, 2015...
June 2017: Journal of Caring Sciences
https://www.readbyqxmd.com/read/28671060/retrospective-analysis-of-mosh-pit-related-injuries
#17
Andrew M Milsten, Joseph Tennyson, Stacy Weisberg
OBJECTIVES: Moshing is a violent form of dancing found world-wide at rock concerts, festivals, and electronic dance music events. It involves crowd surfing, shoving, and moving in a circular rotation. Moshing is a source of increased morbidity and mortality. The goal of this study was to report epidemiologic information on patient presentation rate (PPR), transport to hospital rate (TTHR), and injury patterns from patients who participated in mosh-pits. Materials and Methods Subjects were patrons from mosh-pits seeking medical care at a single venue...
July 3, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28659831/stress-and-burnout-in-health-care-workers-after-the-2009-l-aquila-earthquake-a-cross-sectional-observational-study
#18
Antonella Mattei, Fabiana Fiasca, Mariachiara Mazzei, Stefano Necozione, Valeria Bianchini
Burnout is a work-related mental health impairment, which is now recognized as a real problem in the context of the helping professions due to its adverse health outcomes on efficiency. To our knowledge, the literature on the postdisaster scenario in Italy is limited by a focus on mental health professionals rather than other health-care workers. Our cross-sectional study aims to evaluate the prevalence of burnout and psychopathological distress in different categories of health-care workers, i.e., physicians, nurses, and health-care assistants, working in different departments of L'Aquila St...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28659222/changes-to-the-korean-disaster-medical-assistance-system-after-numerous-multi-casualty-incidents-in-2014-and-2015
#19
Myeong-Il Cha, Minhong Choa, Seunghwan Kim, Jinseong Cho, Dai Hai Choi, Minsu Cho, Won Kim, Chu Hyun Kim, Daehyun Kang, Yun Jung Heo, Jung Eon Kim, Han Deok Yoon, Soon Joo Wang
OBJECTIVE: A number of multiple-casualty incidents during 2014 and 2015 brought changes to Korea's disaster medical assistance system. We report these changes here. METHODS: Reports about these incidents, revisions to laws, and the government's revised medical disaster response guidelines were reviewed. RESULTS: The number of DMAT (Disaster Medical Assistance Team) staff members was reduced to 4 from 8, and the mobilization method changed...
June 29, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28657589/surgical-outreach-for-children-by-international-humanitarian-organizations-a-review
#20
REVIEW
J Matthew Kynes, Laura Zeigler, Kelly McQueen
Low- and middle-income countries carry a disproportionate share of the global burden of pediatric surgical disease and have limited local healthcare infrastructure and human resources to address this burden. Humanitarian efforts that have improved or provided access to necessary basic or emergency surgery for children in these settings have included humanitarian assistance and disaster relief, short-term surgical missions, and long-term projects such as building pediatric specialty hospitals and provider networks...
June 28, 2017: Children
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