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Disaster Preparedness

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https://www.readbyqxmd.com/read/28222847/relying-on-the-national-mobile-disaster-hospital-as-a-business-continuity-strategy-in-the-aftermath-of-a-tornado-the-louisville-experience
#1
Randy D Kearns, Lew Stringer, James Craig, Regina Godette-Crawford, Paul S Black, David L Andra, James Winslow
On 28th April, 2014, a tornado left much of Louisville, MS and the local hospital, Winston Medical Center, in ruin. In the USA, temporary hospital solutions have been used to augment the mainstream healthcare system since the American Civil War. As memories fade, however, the necessary readiness for a temporary hospital also fades, at times leaving a patchwork of resources either underfunded or abandoned. With the creation of the Hospital Preparedness Program, several temporary hospital solutions were created in various states across the USA...
January 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28222816/successful-hospital-evacuation-after-the-kumamoto-earthquakes-japan-2016
#2
Takashi Nagata, Shinkichi Himeno, Akihiro Himeno, Manabu Hasegawa, Alan Kawarai Lefor, Makoto Hashizume, Yoshihiko Maehara, Masami Ishii
Two major earthquakes struck Kumamoto Prefecture in Japan in April 2016. Disaster response was immediately provided, including disaster medical services. Many hospitals were damaged and patients needed immediate evacuation to alternative facilities. The hospital bed capacity of Kumamoto Prefecture was overwhelmed, and transportation of more than 100 patients was needed. Hospital evacuation was carried out smoothly with the coordinated efforts of multiple agencies. The overall operation was deemed a success because patients were transported in a timely manner without any significant adverse events...
February 22, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28219461/evaluating-the-impact-of-pharmacies-on-pandemic-influenza-vaccine-administration
#3
Joy Schwerzmann, Samuel B Graitcer, Barbara Jester, David Krahl, Daniel Jernigan, Carolyn B Bridges, Joseph Miller
OBJECTIVES: The objective of this study was to quantify the potential retail pharmacy vaccine administration capacity and its possible impact on pandemic influenza vaccine uptake. METHODS: We developed a discrete event simulation model by use of ExtendSim software (Imagine That Inc, San Jose, CA) to forecast the potential effect of retail pharmacy vaccine administration on total weekly vaccine administration and the time needed to reach 80% vaccination coverage with a single dose of vaccine per person...
February 21, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28215188/high-school-cardiac-emergency-response-plans-and-sudden-cardiac-death-in-the-young
#4
Michelle J White, Emefah C Loccoh, Monica M Goble, Sunkyung Yu, Folafoluwa O Odetola, Mark W Russell
: Introduction Sudden cardiac death (SCD) is responsible for 5%-10% of all deaths among children 5-19 years-of-age. The incidence of SCD in youth in Michigan (USA) and nationwide is higher in racial/ethnic minorities and in certain geographic areas. School cardiac emergency response plans (CERPs) increase survival after cardiac arrest. However, school cardiac emergency preparedness remains variable. Studying population-level factors associated with school cardiac emergency preparedness and incidence of SCD in the young may improve understanding of disparities in the incidence of SCD...
February 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28192055/a-community-checklist-for-health-sector-resilience-informed-by-hurricane-sandy
#5
Eric S Toner, Meghan McGinty, Monica Schoch-Spana, Dale A Rose, Matthew Watson, Erin Echols, Eric G Carbone
This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-term care facilities, home health providers, behavioral health providers, and correctional health services...
January 2017: Health Security
https://www.readbyqxmd.com/read/28179044/translating-battlefield-practices-to-disaster-health
#6
Kandra Strauss-Riggs, Kevin Yeskey, Aubrey Miller, Stacey Arnesen, Craig Goolsby
We review aspects of the recently released National Academies of Sciences, Engineering, and Medicine report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury most relevant to disaster health, particularly the concepts of focused empiricism and building a learning health system. The article references battlefield success utilizing these concepts and the emerging Disaster Research Response Program. We call upon disaster health researchers to apply the report's recommendations to their work...
February 9, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28178398/delphi-survey-of-clinical-nursing-and-midwifery-research-priorities-in-the-eastern-mediterranean-region
#7
Carolyn Sun, Jennifer Dohrn, Arwa Oweis, Huda Abu-Saad Huijer, Fathieh Abu-Moghli, Hania Dawani, Cheherezade Ghazi, Elaine Larson
PURPOSE: As the shortage of nurses and midwives is expected to worsen in the Eastern Mediterranean region concomitantly with a growing focus on achievement of universal health coverage, nurses and midwives are expected to fill major gaps in health care. Hence, the need for a solid evidence base for nursing practice and a clear direction for clinical nursing research are paramount. Therefore, a Delphi survey was conducted to determine clinical (research focused on patient outcomes) nursing and midwifery priorities for research within this region...
February 8, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28166176/applying-instructional-design-strategies-and-behavior-theory-to-household-disaster-preparedness-training
#8
Tracy N Thomas, Robyn K Sobelson, Corinne J Wigington, Alyson L Davis, Victoria H Harp, Michelle Leander-Griffith, Joan P Cioffi
CONTEXT: Interventions and media campaigns promoting household disaster preparedness have produced mixed results in affecting behaviors. In large part, this is due to the limited application of instructional design strategies and behavior theory, such as the Transtheoretical Model (TTM). This study describes the development and evaluation of Ready CDC, an intervention designed to increase household disaster preparedness among the Centers for Disease Control and Prevention (CDC) workforce...
February 3, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28162118/public-perception-of-extreme-cold-weather-related-health-risk-in-a-cold-area-of-northeast-china
#9
Jie Ban, Li Lan, Chao Yang, Jian Wang, Chen Chen, Ganlin Huang, Tiantian Li
OBJECTIVE: A need exists for public health strategies regarding extreme weather disasters, which in recent years have become more frequent. This study aimed to understand the public's perception of extreme cold and its related health risks, which may provide detailed information for public health preparedness during an extreme cold weather event. METHODS: To evaluate public perceptions of cold-related health risk and to identify vulnerable groups, we collected responses from 891 participants in a face-to-face survey in Harbin, China...
February 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28162117/setting-foundations-for-developing-disaster-response-metrics
#10
Mahshid Abir, Sue Anne Bell, Neha Puppala, Osama Awad, Melinda Moore
There are few reported efforts to define universal disaster response performance measures. Careful examination of responses to past disasters can inform the development of such measures. As a first step toward this goal, we conducted a literature review to identify key factors in responses to 3 recent events with significant loss of human life and economic impact: the 2003 Bam, Iran, earthquake; the 2004 Indian Ocean tsunami; and the 2010 Haiti earthquake. Using the PubMed (National Library of Medicine, Bethesda, MD) database, we identified 710 articles and retained 124 after applying inclusion and exclusion criteria...
February 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28153680/facilitating-emergency-hospital-evacuation-through-uniform-discharge-criteria
#11
Sandra Keret, Meital Nahari, Ofer Merin, Limor Aharonson-Daniel, Sara Goldberg, Bruria Adini
BACKGROUND: Though hospitals' operational continuity is crucial, full institutional evacuation may at times be unavoidable. The study's objective was to establish criteria for discharge of patients during complete emergency evacuation and compare scope of patients suitable for discharge pre/post implementation of criteria. BASIC PROCEDURES: Standards for patient discharge during an evacuation were developed based on literature and disaster managers. The standards were reviewed in a two-round Delphi process...
December 31, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28153060/how-to-choose-using-the-delphi-method-to-develop-consensus-triggers-and-indicators-for-disaster-response
#12
Rebecca Lis, Vicki Sakata, Onora Lien
OBJECTIVE: To identify key decisions along the continuum of care (conventional, contingency, and crisis) and the critical triggers and data elements used to inform those decisions concerning public health and health care response during an emergency. METHODS: A classic Delphi method, a consensus-building survey technique, was used with clinicians around Washington State to identify regional triggers and indicators. Additionally, using a modified Delphi method, we combined a workshop and single-round survey with panelists from public health (state and local) and health care coalitions to identify consensus state-level triggers and indicators...
February 3, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28148338/psychological-correlates-of-civilian-preparedness-for-conflicts
#13
Moran Bodas, Maya Siman-Tov, Shulamith Kreitler, Kobi Peleg
OBJECTIVES: Preparedness for emergencies and disasters is imperative for public resilience. Previous studies have revealed low levels of civilian preparedness for conflicts. Classic behavioral models prove inapt in describing preparedness patterns in victimized populations chronically exposed to this threat. In an effort to expand this perspective, we hypothesized that other psychological constructs are correlated with preparedness. METHODS: A cross-sectional, Internet-based study was performed in Israel in early 2016...
February 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28148311/special-considerations-for-mass-violence-events-in-senior-living-facilities-a-case-report-on-the-pinelake-health-and-rehab-center-shooting
#14
Cody Martin, David Powell
The 2009 Pinelake Health and Rehab Center shooting in Carthage, North Carolina, presents a unique case study for examining the specific considerations for mass violence events in senior living facilities. A variety of factors, including reduced sensory perception, reduced mobility, and cognitive decline, may increase the vulnerability of the populations of senior living facilities during mass violence events. Management of response aspects such as evacuation, relocation, and reunification also require special consideration in the context of mass violence at senior living facilities...
February 2, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28144892/10%C3%A2-years-of-preparedness-by-the-radiation-injury-treatment-network
#15
REVIEW
Cullen Case
The Radiation Injury Treatment Network (RITN) began in 2006 with the ambitious vision to provide a resource to help with the surge of casualties following a mass casualty incident with marrow toxic injuries. Through the efforts of the National Marrow Donor Program and American Society for Blood and Marrow Transplantation with the support of the Office of Naval Research, the initial 13 hospitals and cancer centers have grown to 76, training over 13,500 hospital staff and conducted, funded, and supported 580 disaster exercises testing preparedness...
January 31, 2017: Current Hematologic Malignancy Reports
https://www.readbyqxmd.com/read/28137323/challenging-assumptions-what-do-we-need-to-address-in-our-disaster-risk-reduction-efforts
#16
Tudor A Codreanu, Hanh Ngo, Andrew Robertson, Antonio Celenza
: Introduction Specific knowledge and skills are required, especially in the first 72 hours post-disaster, to bridge the time gap until essential services are restored and Emergency Medical Services (EMS) can focus on individuals' needs. This study explores disaster knowledge and preparedness in the first 72 hours as a function of the individual's engagement in discussions about disasters, and several other factors (both at personal and community/country level), as well as the entities/organizations perceived by the individual as being responsible for disaster risk reduction (DRR) education...
January 31, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28135337/the-promise-and-limitations-of-using-analogies-to-improve-decision-relevant-understanding-of-climate-change
#17
Kaitlin T Raimi, Paul C Stern, Alexander Maki
To make informed choices about how to address climate change, members of the public must develop ways to consider established facts of climate science and the uncertainties about its future trajectories, in addition to the risks attendant to various responses, including non-response, to climate change. One method suggested for educating the public about these issues is the use of simple mental models, or analogies comparing climate change to familiar domains such as medical decision making, disaster preparedness, or courtroom trials...
2017: PloS One
https://www.readbyqxmd.com/read/28134070/earthquake-related-orthopedic-injuries-in-adult-population-a-systematic-review
#18
Michelangelo Bortolin, Ilaria Morelli, Amalia Voskanyan, Nina R Joyce, Gregory R Ciottone
: Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in "Mega-Mass-Casualty" earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is imperative to build an effective disaster preparedness and response system. METHODS: The systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)...
January 30, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28134064/utilization-of-functional-exercises-to-build-regional-emergency-preparedness-among-rural-health-organizations-in-the-us
#19
Jannah M Obaid, Ginger Bailey, Heidi Wheeler, Laura Meyers, Sharon J Medcalf, Keith F Hansen, Kristine K Sanger, John J Lowe
Rural communities face barriers to disaster preparedness and considerable risk of disasters. Emergency preparedness among rural communities has improved with funding from federal programs and implementation of a National Incident Management System. The objective of this project was to design and implement disaster exercises to test decision making by rural response partners to improve regional planning, collaboration, and readiness. Six functional exercises were developed and conducted among three rural Nebraska (USA) regions by the Center for Preparedness Education (CPE) at the University of Nebraska Medical Center (Omaha, Nebraska USA)...
January 30, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28134062/salient-public-beliefs-underlying-disaster-preparedness-behaviors-a-theory-based-qualitative-study
#20
Mehdi Najafi, Ali Ardalan, Ali Akbarisari, Ahmad Ali Noorbala, Helen Elmi
: Introduction Given the increasing importance of disaster preparedness in Tehran, the capital of Iran, interventions encouraging disaster preparedness behavior (DPB) are needed. This study was conducted to show how an elicitation method can be used to identify salient consequences, referents, and circumstances about DPB and provide recommendations for interventions and quantitative research. METHOD: A theory-based qualitative study using a semi-structured elicitation questionnaire was conducted with 132 heads of households from 22 districts in Tehran, Iran...
January 30, 2017: Prehospital and Disaster Medicine
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