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https://www.readbyqxmd.com/read/28501449/initial-steps-in-training-the-public-about-bleeding-control-surgeon-participation-and-evaluation
#1
Lenworth M Jacobs, Karyl J Burns, Peter T Pons, Mark L Gestring
BACKGROUND: With increasing active shooter and intentional mass casualty events, as well as everyday injuries resulting in severe bleeding, there have been calls for the public to learn bleeding control techniques. The aims of this project were to offer bleeding control training to surgeons attending the Clinical Congress of the American College of Surgeons (ACS), to determine if the trained surgeons believe that teaching bleeding control to the public should be a priority of the ACS, and to assess the surgeon trainees' perceptions regarding the appropriateness of the course for a public audience...
March 16, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28478999/integration-of-tactical-ems-in-the-national-park-service
#2
REVIEW
William Will R Smith
The National Park Service (NPS) has domestic responsibility for emergency medical services (EMS) in remote and sometimes tactical situations in 417 units covering over 34 million hectares (84 million acres). The crossover between conflicting patient care priorities and complex medical decision making in the tactical, technical, and wilderness/remote environments often has many similarities. Patient care in these diverse locations, when compared with military settings, has slightly different variables but often similar corresponding risks to the patients and providers...
May 4, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28389329/associations-between-active-shooter-incidents-and-gun-ownership-and-storage-among-families-with-young-children-in-the-united-states
#3
Taryn W Morrissey
The presence of firearms and their unsafe storage in the home can increase risk of firearm-related death and injury, but public opinion suggests that firearm ownership is a protective factor against gun violence. This study examined the effects of a recent nearby active shooter incident on gun ownership and storage practices among families with young children. A series of regression models, with data from the nationally representative Early Childhood Longitudinal Study-Birth Cohort merged with the FBI's Active Shooter Incidents data collected in 2003-2006, were used to examine whether household gun ownership and storage practices differed in the months prior to and following an active shooter incident that occurred anywhere in the United States or within the same state...
April 4, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28376827/lead-exposure-at-firing-ranges-a-review
#4
REVIEW
Mark A S Laidlaw, Gabriel Filippelli, Howard Mielke, Brian Gulson, Andrew S Ball
BACKGROUND: Lead (Pb) is a toxic substance with well-known, multiple, long-term, adverse health outcomes. Shooting guns at firing ranges is an occupational necessity for security personnel, police officers, members of the military, and increasingly a recreational activity by the public. In the United States alone, an estimated 16,000-18,000 firing ranges exist. Discharge of Pb dust and gases is a consequence of shooting guns. METHODS: The objectives of this study are to review the literature on blood lead levels (BLLs) and potential adverse health effects associated with the shooting population...
April 4, 2017: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/28345749/the-use-of-social-media-for-campus-safety
#5
Brittany Haupt, Naim Kapucu, Jeffrey Morgan
As public safety communication evolved, each disaster or emergency presented unique challenges for emergency managers and others response to disasters. Yet, a foundational focus is the timely dissemination of accurate information to keep communities informed and able to prepare, mitigate, respond, and recover. For the campus community, the increase in bomb threats, active shooter incidents, and geographic-based natural disasters call for the discovery of reliable and cost-effective solutions for emergency information management...
January 2017: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/28290925/two-decades-of-saving-lives-on-the-battlefield-tactical-combat-casualty-care-turns-20
#6
Frank K Butler
BACKGROUND: Twenty years ago, the original Tactical Combat Casualty Care (TCCC) article was published in this journal. Since TCCC is essentially a set of best-practice prehospital trauma care guidelines customized for use on the battlefield, the presence of a journal with a specific focus on military medicine was a profound benefit to the initial presentation of TCCC to the U.S. Military. METHODS: In the two ensuing decades, which included the longest continuous period of armed conflict in our nation's history, TCCC steadily evolved as the prehospital trauma care evidence base was augmented and as feedback from user medics, corpsmen, and pararescuemen was obtained...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28260545/lessons-learned-from-an-active-shooter-full-scale-functional-exercise-in-a-newly-constructed-emergency-department
#7
Bryan Wexler, Avram Flamm
OBJECTIVE: The primary objective of this exercise was to conduct a full-scale functional exercise utilizing an active-shooter-based scenario to test and evaluate hospital response and coordination with local law enforcement. METHODS: A multidisciplinary group, including community partners, formulated objectives in accordance with the Homeland Security Exercise and Evaluation Program and defined a scenario. A date to conduct the exercise was chosen on the basis of the expected completion of a large section of the new emergency department but prior to its opening for patient care...
March 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/27901311/video-gaming-as-practical-accomplishment-ethnomethodology-conversation-analysis-and-play
#8
Stuart Reeves, Christian Greiffenhagen, Eric Laurier
Accounts of video game play developed from an ethnomethodological and conversation analytic (EMCA) perspective remain relatively scarce. This study collects together an emerging, if scattered, body of research which focuses on the material, practical "work" of video game players. The study offers an example-driven explication of an EMCA perspective on video game play phenomena. The materials are arranged as a "tactical zoom." We start very much "outside" the game, beginning with a wide view of how massive-multiplayer online games are played within dedicated gaming spaces; here, we find multiple players, machines, and many different sorts of activities going on (besides playing the game)...
November 30, 2016: Topics in Cognitive Science
https://www.readbyqxmd.com/read/27787336/use-of-alcohol-and-alcohol-related-morbidity-in-finnish-former-elite-athletes
#9
Titta Katariina Kontro, Seppo Sarna, Jaakko Kaprio, Urho M Kujala
INTRODUCTION: The effect of a history of competitive sports on later use of alcohol and occurrence of alcohol-related diseases is poorly known. We investigated how a history of elite level sports was associated with alcohol consumption in middle-age and with alcohol-related morbidity and mortality. METHODS: The occurrence of alcohol-related diseases and deaths were followed using national registers from 1970 to 2008 among Finnish male former elite athletes (n = 2202) and matched controls (n = 1403) alive in 1970 (mean age = 45...
March 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27734440/medical-provider-ballistic-protection-at-active-shooter-events
#10
Jason P Stopyra, William P Bozeman, David W Callaway, James Winslow, Henderson D McGinnis, Justin Sempsrott, Lisa Evans-Taylor, Roy L Alson
There is some controversy about whether ballistic protective equipment (body armor) is required for medical responders who may be called to respond to active shooter mass casualty incidents. In this article, we describe the ongoing evolution of recommendations to optimize medical care to injured victims at such an incident. We propose that body armor is not mandatory for medical responders participating in a rapid-response capacity, in keeping with the Hartford Consensus and Arlington Rescue Task Force models...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27729097/from-protective-intelligence-to-threat-assessment-strategies-critical-to-preventing-targeted-violence-and-the-active-shooter
#11
Matthew Doherty
Acts of targeted violence - including active shooter incidents - are typically over within 15 minutes, often before the first law enforcement personnel can respond to the scene. More than a third of active shooter incidents in the USA, for example, last less than five minutes. While this stark fact is often used, with unimpeachable validity, as the cornerstone of employee security awareness training and the need for each employee to make a quick decision on whether to run, hide or fight, it also underscores the importance of another critical priority: prevention...
2016: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/27450605/integration-of-tactical-emergency-casualty-care-into-the-national-tactical-emergency-medical-support-competency-domains
#12
Andre Pennardt, Rich Kamin, Craig Llewellyn, Geoff Shapiro, Philip A Carmona, Richard B Schwartz
Tactical emergency medical support (TEMS) is a critical component of the out-of-hospital response to domestic high-threat incidents such as hostage scenarios, warrant service, active shooter or violent incidents, terrorist attacks, and other intentional mass casualty-producing acts. From its grass-roots inception in the form of medical support of select law enforcement special weapons and tactics (SWAT) units in the 1980s, the TEMS subspecialty of prehospital care has rapidly grown and evolved over the past 40 years...
December 0: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27348466/quantifying-gunshot-residues-in-cases-of-suicide-implications-for-evaluation-of-suicides-and-criminal-shootings
#13
Nick Lucas, Michael Cook, James Wallace, K Paul Kirkbride, Hilton Kobus
Gunshot residue (GSR) is a valuable form of forensic trace evidence in the investigation of firearms-related suicide and crime. In order to ensure that such evidence is given appropriate evidential weighting when it comes to case investigations, the dynamics of the deposition and distribution of GSR must be understood. As the activity of the subject after firing is a major factor in the retention of GSR, cases of suicide involving a firearm provide an opportunity to assess GSR distribution where post-shooting activity is not an issue, assuming the subject had not been moved...
September 2016: Forensic Science International
https://www.readbyqxmd.com/read/27274657/neural-markers-of-performance-states-in-an-olympic-athlete-an-eeg-case-study-in-air-pistol-shooting
#14
Selenia di Fronso, Claudio Robazza, Edson Filho, Laura Bortoli, Silvia Comani, Maurizio Bertollo
This study focused on identifying the neural markers underlying optimal and suboptimal performance experiences of an elite air-pistol shooter, based on the tenets of the multi-action plan (MAP) model. According to the MAP model's assumptions, skilled athletes' cortical patterns are expected to differ among optimal/automatic (Type 1), optimal/controlled (Type 2), suboptimal/controlled (Type 3), and suboptimal/automatic (Type 4) performance experiences. We collected performance (target pistol shots), cognitive-affective (perceived control, accuracy, and hedonic tone), and cortical activity data (32-channel EEG) of an elite shooter...
June 2016: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/27265929/the-hartford-consensus-iv-a-call-for-increased-national-resilience
#15
Lenworth M Jacobs
Despite advances in the response to active shooter and intentional mass casualty events, a gap remains in our national preparedness and resilience. Drawing from experiences at myriad mass casualty events, the immediate responder (volunteer responder) represents an underutilized resource, yet one capable of dramatically increasing our all-hazards (injuries from all natural and man-made causes) national resilience. The overarching principle of the Hartford Consensus, outlined in previous reports, is that no one should die from uncontrolled bleeding...
April 2016: Connecticut Medicine
https://www.readbyqxmd.com/read/27257557/proficient-brain-for-optimal-performance-the-map-model-perspective
#16
Maurizio Bertollo, Selenia di Fronso, Edson Filho, Silvia Conforto, Maurizio Schmid, Laura Bortoli, Silvia Comani, Claudio Robazza
Background. The main goal of the present study was to explore theta and alpha event-related desynchronization/synchronization (ERD/ERS) activity during shooting performance. We adopted the idiosyncratic framework of the multi-action plan (MAP) model to investigate different processing modes underpinning four types of performance. In particular, we were interested in examining the neural activity associated with optimal-automated (Type 1) and optimal-controlled (Type 2) performances. Methods. Ten elite shooters (6 male and 4 female) with extensive international experience participated in the study...
2016: PeerJ
https://www.readbyqxmd.com/read/27232429/analyzing-language-in-suicide-notes-and-legacy-tokens
#17
Michael J Egnoto, Darrin J Griffin
BACKGROUND: Identifying precursors that will aid in the discovery of individuals who may harm themselves or others has long been a focus of scholarly research. AIM: This work set out to determine if it is possible to use the legacy tokens of active shooters and notes left from individuals who completed suicide to uncover signals that foreshadow their behavior. METHOD: A total of 25 suicide notes and 21 legacy tokens were compared with a sample of over 20,000 student writings for a preliminary computer-assisted text analysis to determine what differences can be coded with existing computer software to better identify students who may commit self-harm or harm to others...
March 2016: Crisis
https://www.readbyqxmd.com/read/27213668/reducing-impacts-from-ammunitions-a-comparative-life-cycle-assessment-of-four-types-of-9mm-ammunitions
#18
Carlos Ferreira, José Ribeiro, Sara Almada, Traian Rotariu, Fausto Freire
Increase of environmental awareness of the population has pressured research activities in the defence area to cover environment and toxicity issues, where have been considered appropriate manners to reduce the environmental and toxicological impacts of ammunition. One of the adopted approaches to achieve such goal involves the replacement of lead and other heavy metals by alternative materials. However, the consequences of using alternative materials in ammunitions manufacturing are uncertain for the other life-cycle phases and trade-offs can occur...
October 1, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27195928/active-shooters-what-emergency-nurses-need-to-know
#19
Kimberly Palestis
Active shooter incidents have been on the rise in the United States in the last 2 decades, specifically events occurring in public areas traditionally considered safe such as churches, schools, and hospitals. An examination of historical events shows that the emergency department (ED) nurse must be equipped to handle any situation that may arise, including the increasing likelihood of an active shooter situation. Hospital response to these occurrences is changing, and protocols for staff response are being adjusted on a regular basis...
April 2016: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/27179646/the-detection-of-gunshot-residues-in-the-nasal-mucus-of-suspected-shooters
#20
Daniele Merli, Alberto Brandone, Alberto Amadasi, Cristina Cattaneo, Antonella Profumo
The identification and quantification of metallic residues produced by gunshots, called gunshot residues (GSR), provide crucial elements in forensic investigations. The research has been largely focused on their collection onto the hands of suspected shooters, but the method is often burdened by risks of contamination. This research was focused on the possibility of sampling GSR trapped inside the nasal mucus of consenting shooters. Samples of the nasal mucus of "blank" control subjects and shooters were chemically analysed by Instrumental Neutron Activation Analysis (INAA), for residues of antimony (Sb) and barium (Ba), while lead (Pb) was excluded as ubiquitously environmental contaminant and due to high instrumental quantification limit (IQL) of INAA for this element...
July 2016: International Journal of Legal Medicine
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