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Communications AND Disaster drill

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https://www.readbyqxmd.com/read/27659041/disaster-nursing-experiences-of-chinese-nurses-responding-to-the-sichuan-ya-an-earthquake
#1
Y H Li, S J Li, S H Chen, X P Xie, Y Q Song, Z H Jin, X Y Zheng
AIM: The aim of this study was to investigate the disaster experiences of nurses called to assist survivors one month after the 2013 Ya'an earthquake. BACKGROUND: China has experienced an increasing number of earthquake disasters in the past four decades. Although a health and disaster management system was initiated after the 2008 Wenchuan earthquake, nurses' roles and experiences in a disaster have been overlooked. METHODS: The researchers used qualitative descriptive design that included 16 participants...
September 23, 2016: International Nursing Review
https://www.readbyqxmd.com/read/27021568/challenges-during-a-chlorine-gas-emergency-response
#2
Bryan E Christensen, Mary Anne Duncan, Sallyann C King, Candis Hunter, Perri Ruckart, Maureen F Orr
OBJECTIVE: A chlorine gas release occurred at a poultry processing plant as a result of an accidental mixing of sodium hypochlorite and an acidic antimicrobial treatment. We evaluated the public health and emergency medical services response and developed and disseminated public health recommendations to limit the impact of future incidents. METHODS: We conducted key informant interviews with the state health department; local fire, emergency medical services, and police departments; county emergency management; and representatives from area hospitals to understand the response mechanisms employed for this incident...
August 2016: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/26981326/assessing-households-preparedness-for-earthquakes-an-exploratory-study-in-the-development-of-a-valid-and-reliable-persian-version-tool
#3
Ali Ardalan, Sanaz Sohrabizadeh
INTRODUCTION: Iran is placed among countries suffering from the highest number of earthquake casualties. Household preparedness, as one component of risk reduction efforts, is often supported in quake-prone areas. In Iran, lack of a valid and reliable household preparedness tool was reported by previous disaster studies. This study is aimed to fill this gap by developing a valid and reliable tool for assessing household preparedness in the event of an earthquake. METHODS:  This survey was conducted through three phases including literature review and focus group discussions with the participation of eight key informants, validity measurements and reliability measurements...
2016: PLoS Currents
https://www.readbyqxmd.com/read/26823922/the-san-bernardino-california-terror-attack-two-emergency-departments-response
#4
Carol Lee, Elizabeth Walters, Rodney Borger, Kathleen Clem, Gregory Fenati, Michael Kiemeney, Sakona Seng, Ho-Wang Yuen, Michael Neeki, Dustin Smith
On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC) or Arrowhead Regional Medical Center (ARMC). These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack...
January 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26550674/poor-planning-communication-lead-to-missteps-in-care-of-ebola-patient
#5
(no author information available yet)
A panel of experts examining the diagnosis and care of Thomas Eric Duncan, a patient diagnosed with Ebola Virus Disease (EVD) in the United States in 2014, and the cases of two nurses who contracted EVD while caring for Duncan, has unveiled its findings along with recommendations to prevent many of the missteps that occurred during the crisis. While the independent panel was convened at the direction of Texas Health Resources, the parent company of Texas Health Presbyterian Hospital in Dallas, observers and the panel itself note that the findings should help hospitals, EDs, and communities across the country prepare for the next infectious disease event...
November 2015: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/26356215/lessons-from-the-boston-marathon-bombing-an-orthopaedic-perspective-on-preparing-for-high-volume-trauma-in-an-urban-academic-center
#6
REVIEW
Daniel Tobert, Arvind von Keudell, Edward K Rodriguez
The 2013 Boston Marathon bombing resulted in a mass casualty event that tested the limits of Boston-area trauma centers. The explosions, 12 seconds apart, led to the rapid influx of 124 patients with primarily lower extremity injuries in 5 different adult level 1 trauma centers. This study aimed to examine the existing hospital systems in place for disaster scenarios at the time of the event and identify areas for improvement. Preparation before the Boston Marathon bombing included coordinating the delivery of patients to area facilities and creating a framework for response at an institutional level...
October 2015: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/26311514/evacuation-of-intensive-care-units-during-disaster-learning-from-the-hurricane-sandy-experience
#7
Mary A King, Molly V Dorfman, Sharon Einav, Alex S Niven, Niranjan Kissoon, Colin K Grissom
OBJECTIVE: Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. METHODS: We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations...
February 2016: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/25571779/do-you-see-what-i-see-insights-from-using-google-glass-for-disaster-telemedicine-triage
#8
Mark X Cicero, Barbara Walsh, Yauheni Solad, Travis Whitfill, Geno Paesano, Kristin Kim, Carl R Baum, David C Cone
INTRODUCTION: Disasters are high-stakes, low-frequency events. Telemedicine may offer a useful adjunct for paramedics performing disaster triage. The objective of this study was to determine the feasibility of telemedicine in disaster triage, and to determine whether telemedicine has an effect on the accuracy of triage or the time needed to perform triage. METHODS: This is a feasibility study in which an intervention team of two paramedics used the mobile device Google Glass (Google Inc; Mountain View, California USA) to communicate with an off-site physician disaster expert...
February 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/25144509/evacuation-of-the-icu-care-of-the-critically-ill-and-injured-during-pandemics-and-disasters-chest-consensus-statement
#9
REVIEW
Mary A King, Alexander S Niven, William Beninati, Ray Fang, Sharon Einav, Lewis Rubinson, Niranjan Kissoon, Asha V Devereaux, Michael D Christian, Colin K Grissom
BACKGROUND: Despite the high risk for patient harm during unanticipated ICU evacuations, critical care providers receive little to no training on how to perform safe and effective ICU evacuations. We reviewed the pertinent published literature and offer suggestions for the critical care provider regarding ICU evacuation. The suggestions in this article are important for all who are involved in pandemics or disasters with multiple critically ill or injured patients, including front-line clinicians, hospital administrators, and public health or government officials...
October 2014: Chest
https://www.readbyqxmd.com/read/24997562/the-boston-marathon-bombings-mass-casualty-incident-one-emergency-department-s-information-systems-challenges-and-opportunities
#10
Adam Landman, Jonathan M Teich, Peter Pruitt, Samantha E Moore, Jennifer Theriault, Elizabeth Dorisca, Sheila Harris, Heidi Crim, Nicole Lurie, Eric Goralnick
Emergency department (ED) information systems are designed to support efficient and safe emergency care. These same systems often play a critical role in disasters to facilitate real-time situation awareness, information management, and communication. In this article, we describe one ED's experiences with ED information systems during the April 2013 Boston Marathon bombings. During postevent debriefings, staff shared that our ED information systems and workflow did not optimally support this incident; we found challenges with our unidentified patient naming convention, real-time situational awareness of patient location, and documentation of assessments, orders, and procedures...
July 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24945190/validation-of-a-framework-for-measuring-hospital-disaster-resilience-using-factor-analysis
#11
Shuang Zhong, Michele Clark, Xiang-Yu Hou, Yuli Zang, Gerard FitzGerald
Hospital disaster resilience can be defined as "the ability of hospitals to resist, absorb, and respond to the shock of disasters while maintaining and surging essential health services, and then to recover to its original state or adapt to a new one." This article aims to provide a framework which can be used to comprehensively measure hospital disaster resilience. An evaluation framework for assessing hospital resilience was initially proposed through a systematic literature review and Modified-Delphi consultation...
June 2014: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/24715642/telemedicine-for-disaster-management-can-it-transform-chaos-into-an-organized-structured-care-from-the-distance
#12
REVIEW
Rifat Latifi, Elizabeth H Tilley
BACKGROUND: Telemedicine and advanced technologies that ensure telepresence have become common practice and are an effective way of providing healthcare services. MATERIALS AND METHODS: The authors conducted a traditional narrative review of English literature through search engines (Medline, Pub Med, Embase, and Science Direct) using mesh terms "telemedicine," "telepresence," "earthquake," "disaster," "natural disaster," and "man-made disaster" published between January 1, 1980 and September 30, 2013...
2014: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/24715641/preparedness-in-america-s-prime-danger-zone-and-at-the-boston-marathon-bombing-site
#13
Leonard A Cole, Sandra R Scott, Michael Feravolo, Sangeeta Lamba
INTRODUCTION: The area between Newark and Elizabeth, NJ, contains major transportation hubs, chemical plants, and a dense population. This makes it "the most dangerous two miles in America," according to counterterrorism officials at the Federal Bureau of Investigation. This study compares medical response capabilities for terror and disaster in Newark, New Jersey's largest city, with those in Boston in view of that city's favorable response to the Marathon bombings in April 2013. Boston's numerous world-class medical facilities offer advantages unavailable in Newark and most other metropolitan locations...
2014: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/24658774/the-2010-deepwater-horizon-oil-spill-the-trauma-signature-of-an-ecological-disaster
#14
James M Shultz, Lauren Walsh, Dana Rose Garfin, Fiona E Wilson, Yuval Neria
The 2010 Deepwater Horizon “British Petroleum (BP)” oil spill was a mega-disaster characterized as the petroleum industry’s largest-volume marine oil spill in history. Following a “wellhead blowout” that destroyed the drilling platform, 4.9 million barrels of petroleum flowed into the Gulf of Mexico over 87 days and the spill expanded to cover 68,000 square miles of sea surface. However, despite the expansive scope of the event, systematic surveys of affected coastal populations found only modest effects on mental health and substance abuse...
January 2015: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/24330801/waterworks-a-full-scale-chemical-exposure-exercise-interrogating-pediatric-critical-care-surge-capacity-in-an-inner-city-tertiary-care-medical-center
#15
Vikas S Shah, Lauren C Pierce, Patricia Roblin, Sarah Walker, Marte N Sergio, Bonnie Arquilla
INTRODUCTION: Pediatric Intensive Care Unit (PICU) resources are overwhelmed in disaster as the need to accommodate influx of critically-ill children is increased. A full-scale chlorine overexposure exercise was conducted by the New York Institute for All Hazard Preparedness (NYIAHP) to assess the appropriateness of response of Kings County Hospital Center's (KCHC's) PICU surge plan to an influx of critically-ill children. The primary endpoint that was assessed was the ability of the institution to follow the PICU surge plan, while secondary endpoints include the ability to provide appropriate medical management...
February 2014: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/24301402/learning-from-japan-strengthening-us-emergency-care-and-disaster-response
#16
Parveen Parmar, Maya Arii, Stephanie Kayden
As Hurricane Katrina demonstrated in 2005, US health response systems for disasters-typically designed to handle only short-term mass-casualty events-are inadequately prepared for disasters that result in large-scale population displacements. Similarly, after the 2011 Great East Japan Earthquake, Japan found that many of its disaster shelters failed to meet international standards for long-term provision of basic needs and health care for the vulnerable populations that sought refuge in the shelters. Hospital disaster plans had not been tested and turned out to be inadequate, and emergency communication equipment did not function...
December 2013: Health Affairs
https://www.readbyqxmd.com/read/24005225/cdc-s-emergency-management-program-activities-worldwide-2003-2012
#17
REVIEW
(no author information available yet)
In 2003, recognizing the increasing frequency and complexity of disease outbreaks and disasters and a greater risk for terrorism, CDC established the Emergency Operations Center (EOC), bringing together CDC staff members who respond to public health emergencies to enhance communication and coordination. To complement the physical EOC environment, CDC implemented the Incident Management System (IMS), a staffing structure and set of standard operational protocols and services to support and monitor CDC program-led responses to complex public health emergencies...
September 6, 2013: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/23908895/medical-response-to-the-great-east-japan-earthquake-in-ishinomaki-city
#18
Tadashi Ishii
PROBLEM: The Ishinomaki Red Cross Hospital is the only designated disaster hospital in the Ishinomaki Medical Zone, Japan that was undamaged from the Great East Japan Earthquake in March 2011. The tsunami completely destroyed a large part of the Ishinomaki Medical Zone. CONTEXT: The Ishinomaki Red Cross Hospital was designed with the capability to respond to disasters. An instruction manual for responding to disasters had been developed and was exercised through drills...
October 2011: Western Pacific Surveillance and Response Journal: WPSAR
https://www.readbyqxmd.com/read/23890409/secure-scalable-disaster-electronic-medical-record-and-tracking-system
#19
Gerard Demers, Christopher Kahn, Per Johansson, Colleen Buono, Octav Chipara, William Griswold, Theodore Chan
INTRODUCTION: Electronic medical records (EMRs) are considered superior in documentation of care for medical practice. Current disaster medical response involves paper tracking systems and radio communication for mass-casualty incidents (MCIs). These systems are prone to errors, may be compromised by local conditions, and are labor intensive. Communication infrastructure may be impacted, overwhelmed by call volume, or destroyed by the disaster, making self-contained and secure EMR response a critical capability...
October 2013: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/23852414/the-advanced-health-and-disaster-aid-network-a-light-weight-wireless-medical-system-for-triage
#20
Tia Gao, T Massey, L Selavo, D Crawford, Bor-Rong Chen, K Lorincz, V Shnayder, L Hauenstein, F Dabiri, J Jeng, A Chanmugam, D White, M Sarrafzadeh, M Welsh
Advances in semiconductor technology have resulted in the creation of miniature medical embedded systems that can wirelessly monitor the vital signs of patients. These lightweight medical systems can aid providers in large disasters who become overwhelmed with the large number of patients, limited resources, and insufficient information. In a mass casualty incident, small embedded medical systems facilitate patient care, resource allocation, and real-time communication in the advanced health and disaster aid network (AID-N)...
September 2007: IEEE Transactions on Biomedical Circuits and Systems
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