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Emergency response planning

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https://www.readbyqxmd.com/read/29781774/a-perfect-storm-challenges-encountered-by-family-caregivers-of-persons-with-alzheimer-s-disease-during-natural-disasters
#1
Allison Gibson, Jessica Walsh, Lisa M Brown
Since Hurricane Katrina there has been a movement across the U.S. to examine best practice for disaster response within the aging population. However, little is known about the experience of natural disasters from the perspective of family caregivers of persons with Alzheimer's disease and related dementia (ADRD). In this exploratory, qualitative study, family caregivers (n=27) were interviewed about their experience with the historic 2015 South Carolina flood. By using thematic analysis, themes were identified to better understand what unique challenges caregivers of person with ADRD experienced...
May 21, 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29781406/analysis-of-emergency-health-care-workforce-and-service-readiness-for-a-mass-casualty-event-in-the-republic-of-ireland
#2
Tener Goodwin Veenema, Fiona Boland, Declan Patton, Tom O'Connor, Zena Moore, Sarah Schneider-Firestone
OBJECTIVE: Ultimately, a country's capacity for a large-scale major emergency response will be directly related to the competence of its health care provider (HCP) workforce and communication between emergency responders and hospitals. The purpose of this study was to assess HCP preparedness and service readiness for a major emergency involving mass casualties (mass casualty event or MCE) in Ireland. METHODS: A cross-sectional study using a 53-item survey was administered to a purposive sample of emergency responders and HCPs in the Republic of Ireland...
May 21, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29776531/an-evaluation-of-a-college-campus-emergency-preparedness-intervention
#3
Christofer Skurka, Brian L Quick, Tobias Reynolds-Tylus, Todd Short, Ann L Bryan
INTRODUCTION: Given the range of emergencies that beset postsecondary institutions, university administrators must take a multimodal approach to prepare campus stakeholders for safety threats. One such strategy is emergency preparedness communication. METHODS: In the present investigation, we tested the efficacy of a professionally produced video that uses the federally endorsed slogan, Run-Hide-Fight(r). Undergraduate students participated in a quasi-experiment with a pretest-posttest-delayed posttest control group design...
June 2018: Journal of Safety Research
https://www.readbyqxmd.com/read/29771200/disaster-preparedness-networks-in-rural-midwest-communities-organizational-roles-collaborations-and-support-for-older-residents
#4
Sato Ashida, Xi Zhu, Erin L Robinson, Audrey Schroer
This study investigated the roles and interconnections among community organizations belonging to local disaster coalitions in Midwest in supporting older residents. Representatives from 44 organizations participated in one-time survey. Most were non-profit (68%) or federal/state/local government agencies (23%). The analyses of 761 relationships showed stronger collaborations in assessment (average strength=2.88 on a 5-point scale), emergency response (2.72), and planning (2.61); and weaker collaborations in co-sponsoring programs (1...
May 17, 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29770528/pain-one-week-after-an-ed-visit-for-acute-low-back-pain-is-associated-with-poor-three-month-outcomes
#5
Benjamin W Friedman, John Conway, Caron Campbell, Polly E Bijur, E John Gallagher
BACKGROUND: Low back pain (LBP) is responsible for more than 2.5 million visits to US emergency departments (EDs) annually. Nearly 30% of patients who present to an ED with acute LBP report functional impairment or pain three months later. These patients are at risk of chronic LBP, a highly debilitating condition. In this study, we assessed whether three variables assessable shortly after symptom onset could independently predict poor three-month outcomes among LBP patients who present to an ED...
May 16, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29770091/canadian-pandemic-influenza-preparedness-health-sector-planning-guidance
#6
B Henry
Pandemic preparedness requires a multifaceted approach with collaboration from all levels of government. The Canadian Pandemic Influenza Preparedness: Planning Guidance for the Health Sector (CPIP) is a guidance document that outlines key health sector preparedness activities designed to ensure Canada is ready to respond to the next influenza pandemic. This article outlines Canada's approach to pandemic influenza preparedness as described in the CPIP Main Body. Canada's pandemic influenza preparedness planning takes place within a network of legislated requirements and emergency frameworks at provincial/territorial, federal and international levels...
January 4, 2018: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29770090/federal-provincial-and-territorial-public-health-response-plan-for-biological-events
#7
R McNeill, J Topping
The Federal/Provincial/Territorial (FPT) Public Health Response Plan for Biological Events was developed for the Public Health Network Council (PHNC). This plan outlines how the national response to public health events caused by biological agents will be conducted and coordinated, with a focus on implementation of responses led by senior-level FPT public health decision-makers. The plan was developed by an expert task group and was approved by PHNC in October, 2017. The plan describes roles, responsibilities and authorities of FPT governments for public health and emergency management, a concept of operations outlining four scalable response levels and a governance structure that aims to facilitate an efficient, timely, evidence-informed and consistent approach across jurisdictions...
January 4, 2018: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29768077/strategy-to-address-private-location-cardiac-arrest-a-public-safety-survey
#8
Jennifer Blackwood, Mickey Eisenberg, Dawn Jorgenson, James Nania, Bryan Howard, Bryan Collins, Peter Connell, Tim Day, Cody Rohrbach, Thomas Rea
OBJECTIVE: Most cardiac arrests occur in the private setting where response is often delayed and outcomes are poor. We surveyed public safety personnel to determine if they would volunteer to respond into private locations and/or be equipped with a personal automated external defibrillator (AED) as part of a vetted responder program that would use smart geospatial technology. METHODS: We conducted an anonymized survey among personnel from fire-based emergency medical services (EMS) and search and rescue organizations from Washington State...
May 16, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29766223/does-wildfire-open-a-policy-window-local-government-and-community-adaptation-after-fire-in-the-united-states
#9
Miranda H Mockrin, Hillary K Fishler, Susan I Stewart
Becoming a fire adapted community that can coexist with wildfire is envisioned as a continuous, iterative process of adaptation, but it is unclear how communities may pursue adaptation. Experience with wildfire and other natural hazards suggests that disasters may open a "window of opportunity" leading to local government policy changes. We examined how destructive wildfire affected progress toward becoming fire adapted in eight locations in the United States. We found that community-level adaptation following destructive fires is most common where destructive wildfire is novel and there is already government capacity and investment in wildfire regulation and land use planning...
May 15, 2018: Environmental Management
https://www.readbyqxmd.com/read/29761601/postnatal-development-of-cholinergic-input-to-the-thalamic-reticular-nucleus-of-the-mouse
#10
Guela Sokhadze, Peter Whitney Campbell, William Guido
The thalamic reticular nucleus (TRN), a shell-like structure comprised of GABAergic neurons, gates signal transmission between thalamus and cortex. While TRN is innervated by axon collaterals of thalamocortical and corticothalamic neurons, other ascending projections modulate activity during different behavioral states such as attention, arousal, and sleep-wake cycles. One of the largest arise from cholinergic neurons of the basal forebrain and brainstem. Despite its integral role, little is known about how or when cholinergic innervation and synapse formation occurs...
May 14, 2018: European Journal of Neuroscience
https://www.readbyqxmd.com/read/29758393/phase-i-trial-of-brentuximab-vedotin-for-steroid-refractory-chronic-graft-versus-host-disease-after-allogeneic-hematopoietic-cell-transplantation
#11
Zachariah DeFilipp, Shuli Li, Maria E Kempner, Jami Brown, Candice Del Rio, Betsy Valles, Chrisa Hunnewell, Meredith Saylor, Julie Vanderklish, Bimalangshu R Dey, Areej El-Jawahri, Steven L McAfee, Thomas R Spitzer, Yi-Bin Chen
We conducted a phase I study of brentuximab vedotin (BV), an antibody-drug conjugate targeting CD30, for the treatment of steroid-refractory chronic graft-versus-host disease (cGVHD). A modified 3+3 study design was used with the primary endpoint to determine the maximum tolerated dose (MTD) of BV in this population. Escalating doses of BV were planned, starting with 0.6 mg/kg q3weeks (dose level 0) and increasing by 0.3 mg/kg per dose level. BV was administered in 21-day cycles for up to 16 cycles of therapy...
May 11, 2018: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/29751316/stable-isotope-insights-into-the-weathering-processes-of-a-phosphogypsum-disposal-area
#12
Evgenia-Maria Papaslioti, Rafael Pérez-López, Annika Parviainen, Francisco Macías, Antonio Delgado-Huertas, Carlos J Garrido, Claudio Marchesi, José M Nieto
Highly acidic phosphogypsum wastes with elevated potential for contaminant leaching are stack-piled near coastal areas worldwide, threatening the adjacent environment. Huge phosphogypsum stacks were disposed directly on the marshes of the Estuary of Huelva (SW Spain) without any impermeable barrier to prevent leaching and thus, contributing to the total contamination of the estuarine environment. According to the previous weathering model, the process water ponded on the surface of the stack, initially used to carry the waste, was thought to be the main washing agent through its infiltration and subsequently the main component of the leachates emerging as the edge outflows...
April 28, 2018: Water Research
https://www.readbyqxmd.com/read/29750617/no-rest-for-the-women-understanding-the-impact-of-on-call-work-for-women-in-the-emergency-services
#13
Sarah M Jay, Jessica L Paterson, Brad Aisbett, Sally A Ferguson
BACKGROUND: The unpredictable, "on-call" component of the emergency services (ES) may be difficult to navigate in the context of domestic and work responsibilities, and especially difficult for women, given they tend to take on a greater household burden than do men. Our aim was to understand women's experiences in the ES, particularly the impact of being on-call and related coping strategies. METHODS: Twenty-four women were recruited from two ES agencies in Australia...
May 11, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29747715/an-in-situ-simulation-based-training-approach-to-active-shooter-response-in-the-emergency-department
#14
Mark S Mannenbach, Carol J Fahje, Kharmene L Sunga, Matthew D Sztajnkrycer
ABSTRACTWith an increased number of active shooter events in the United States, emergency departments are challenged to ensure preparedness for these low frequency but high stakes events. Engagement of all emergency department personnel can be very challenging due to a variety of barriers. This article describes the use of an in situ simulation training model as a component of active shooter education in one emergency department. The educational tool was intentionally developed to be multidisciplinary in planning and involvement, to avoid interference with patient care and to be completed in the true footprint of the work space of the participants...
May 11, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29738606/author-s-response-to-letter-to-the-editor-for-creation-and-implementation-of-an-outpatient-pathway-for-atrial-fibrillation-in-the-emergency-department-setting-results-of-an-expert-panel
#15
Christopher W Baugh
Thank you for your comments regarding our recent publication. Cardioversion as a default strategy over rate control is a key element of our example pathway, which features both electrical and chemical cardioversion. We discuss that some physicians may prefer chemical cardioversion and the importance of considering patient perspectives in the treatment plan in the text of our paper (page 6). This article is protected by copyright. All rights reserved.
May 8, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29734029/evaluation-of-the-rusle-and-disturbed-wepp-erosion-models-for-predicting-soil-loss-in-the-first-year-after-wildfire-in-nw-spain
#16
Cristina Fernández, José A Vega
Severe fire greatly increases soil erosion rates and overland-flow in forest land. Soil erosion prediction models are essential for estimating fire impacts and planning post-fire emergency responses. We evaluated the performance of a) the Revised Universal Soil Loss Equation (RUSLE), modified by inclusion of an alternative equation for the soil erodibility factor, and b) the Disturbed WEPP model, by comparing the soil loss predicted by the models and the soil loss measured in the first year after wildfire in 44 experimental field plots in NW Spain...
May 4, 2018: Environmental Research
https://www.readbyqxmd.com/read/29732457/a-computable-definition-of-sepsis-facilitates-screening-and-performance-improvement-tracking
#17
Lauren J Alessi, Holly R Warmus, Erin K Schaffner, Sajel Kantawala, Joseph Carcillo, Johanna Rosen, Christopher M Horvat
Background: Sepsis kills almost 5,000 children annually, accounting for 16% of pediatric health care spending in the United States. Objectives: We sought to identify sepsis within the Electronic Health Record (EHR) of a quaternary children's hospital to characterize disease incidence, improve recognition and response, and track performance metrics. Methods: Methods are organized in a plan-do-study-act cycle. During the "plan" phase, electronic definitions of sepsis (blood culture and antibiotic within 24 hours) and septic shock (sepsis plus vasoactive medication) were created to establish benchmark data and track progress with statistical process control...
March 2018: Pediatric Quality & Safety
https://www.readbyqxmd.com/read/29726807/fire-in-operating-theatres-dash-ing-to-the-rescue
#18
Liam Wilson, Omer Farooq
Operating theatres are dynamic environments that require multi professional team interactions. Effective team working is essential for efficient delivery of safe patient care. A fire in the operating theatre is a rare but potentially life threatening event for both patients and staff. A rapid and cohesive response from theatre and allied staff including porters, fire safety officer etc is paramount. We delivered a training session that utilised in situ simulation (simulation in workplace). After conducting needs analysis, learning objectives were agreed...
January 1, 2018: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29726292/treating-brain-metastases-in-non-small-cell-lung-cancer-patients-what-have-we-learnt-from-pharmaceutical-recent-clinical-trials
#19
Bin-Chi Liao, Chia-Chi Lin, James Chih-Hsin Yang
Brain metastases (BMs) develop in up to 40% of patients with non-small cell lung cancer (NSCLC). In many recent practice-changing clinical trials, patients with BM were included; however, only few trials reported intracranial efficacies in either post hoc or pre-planned analysis. Clinically meaningful intracranial efficacy data of novel agents have not been completely disclosed. Areas covered: The authors performed a systemic review of recent pharmaceutical clinical trials, mainly pivotal or practice-changing trials...
May 4, 2018: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/29723013/implementing-cognitive-behavioral-therapy-for-psychosis-an-international-survey-of-clinicians-attitudes-and-obstacles
#20
Tania Lecomte, Crystal Samson, Farooq Naeem, Leslie Schachte, John Farhall
OBJECTIVE: This study aimed to better understand the implementation of cognitive behavioral therapy for psychosis (CBTp) by exploring the impact of clinicians' attitudes toward CBTp within the Theory of Planned Behavior framework (i.e., by considering attitudes, behaviors, intention, and social norms) as well as perceived obstacles and response to proposed solutions. METHOD: One hundred forty-two clinicians from 2 sites in Canada and 1 site in Australia answered an online survey involving both Likert scales and open-ended questions...
May 3, 2018: Psychiatric Rehabilitation Journal
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