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https://www.readbyqxmd.com/read/28196830/the-benefits-of-data-linkage-for-firefighter-injury-surveillance
#1
Shannon A Widman, Michael T LeVasseur, Loni P Tabb, Jennifer A Taylor
BACKGROUND: While survey data are available for national estimates of fire events and firefighter fatalities, data on firefighter injury at the national and local levels remain incomplete and unreliable. Data linkage provides a vehicle to maximise case detection and deepen injury description for the US fire service. METHODS: By linking departmental Human Resources records, despatch data, workers' compensation and first reports of injury, researchers were able to describe reported non-fatal injuries to 3063 uniformed members of the Philadelphia Fire Department (PFD), for the period of 2005 through 2013...
February 14, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28163233/the-impact-of-first-responder-turnout-and-curb-to-care-intervals-on-survival-from-out-of-hospital-cardiac-arrest
#2
Nicolaas P DeRuyter, Sofia Husain, Lihua Yin, Michele Olsufka, Andrew M McCoy, Charles Maynard, Leonard A Cobb, Thomas D Rea, Michael R Sayre
PURPOSE: Patients with out-of-hospital cardiac arrest (OHCA) are more likely to survive when emergency medical services (EMS) arrive quickly. The purpose of this study was to describe the time response in OHCA with special attention to EMS intervals before wheels roll (Turnout) and after wheels stop (Curb-to-Care) to understand how these intervals contribute to total time response and how they relate to clinical outcome. METHODS: We retrospectively evaluated responses to adult non-traumatic OHCA on EMS arrival from 2009 to 2014 in an urban, fire department based system...
February 2, 2017: Resuscitation
https://www.readbyqxmd.com/read/28160809/implementing-risk-management-to-reduce-injuries-in-the-u-s-fire-service
#3
Keshia M Pollack, Gerald S Poplin, Stephanie Griffin, Wayne Peate, Virginia Nash, Ed Nied, John Gulotta, Jefferey L Burgess
INTRODUCTION: Risk management, a proactive process to identify and mitigate potential injury risks and implement control strategies, was used to reduce the risk of occupational injury in a fire department. The objective of this research was to study the implementation of the risk management process for future replication. A second objective was to document changes in fire personnel's knowledge, attitudes, and behaviors related to the selected control strategies that were implemented as part of the risk management process...
February 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28159465/a-comparison-of-sentinel-lymph-node-biopsy-to-lymphadenectomy-for-endometrial-cancer-staging-fires-trial-a-multicentre-prospective-cohort-study
#4
Emma C Rossi, Lynn D Kowalski, Jennifer Scalici, Leigh Cantrell, Kevin Schuler, Rabbie K Hanna, Michael Method, Melissa Ade, Anastasia Ivanova, John F Boggess
BACKGROUND: Sentinel-lymph-node mapping has been advocated as an alternative staging technique for endometrial cancer. The aim of this study was to measure the sensitivity and negative predictive value of sentinel-lymph-node mapping compared with the gold standard of complete lymphadenectomy in detecting metastatic disease for endometrial cancer. METHODS: In the FIRES multicentre, prospective, cohort study patients with clinical stage 1 endometrial cancer of all histologies and grades undergoing robotic staging were eligible for study inclusion...
January 31, 2017: Lancet Oncology
https://www.readbyqxmd.com/read/28153591/the-present-and-future-challenges-facing-urology-departments-at-academic-health-centers
#5
REVIEW
Benjamin McCormick, Raj S Pruthi
Academic health centers have represented the pinnacle of healthcare, and continue to serve as examples around the world by providing innovative clinical care, cutting-edge research, and premier education. However, with recent changes in healthcare - particularly finances - the tripartite mission of the academic urology department is under fire. The next five to ten years are sure to bring immense change to AHCs in the United States as they adjust to new market and environmental conditions impacting the three distinct, but interrelated, elements of their mission...
January 30, 2017: Urology
https://www.readbyqxmd.com/read/28122657/challenges-and-opportunities-to-engaging-emergency-medical-service-providers-in-substance-use-research-a-qualitative-study
#6
Allysha C Maragh-Bass, Julie C Fields, Junette McWilliams, Amy R Knowlton
: Introduction Research suggests Emergency Medical Services (EMS) over-use in urban cities is partly due to substance users with limited access to medical/social services. Recent efforts to deliver brief, motivational messages to encourage these individuals to enter treatment have not considered EMS providers. Problem Little research has been done with EMS providers who serve substance-using patients. The EMS providers were interviewed about participating in a pilot program where they would be trained to screen their patients for substance abuse and encourage them to enter drug treatment...
January 26, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28121225/prospective-prehospital-evaluation-of-the-cincinnati-stroke-triage-assessment-tool
#7
Jason T McMullan, Brian Katz, Joseph Broderick, Pamela Schmit, Heidi Sucharew, Opeolu Adeoye
BACKGROUND AND PURPOSE: A simple, easily adoptable scale with good performance characteristics is needed for EMS providers to appropriately triage suspected stroke patients to comprehensive stroke centers (CSC). Many existing tools are complex, require substantial training, or have not been prospectively validated in the prehospital setting. We describe the feasibility and effectiveness of prehospital implementation of our previously retrospectively derived and validated Cincinnati Stroke Triage Assessment Tool (C-STAT) to identify subjects with severe stroke (NIHSS ≥15) among all prehospital patients with clinical suspicion of stroke/TIA...
January 25, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28063282/hypothetical-scenario-exercises-to-improve-planning-and-readiness-for-drinking-water-quality-management-during-extreme-weather-events
#8
Daniel Deere, Frederic D L Leusch, Andrew Humpage, David Cunliffe, Stuart J Khan
Two hypothetical scenario exercises were designed and conducted to reflect the increasingly extreme weather-related challenges faced by water utilities as the global climate changes. The first event was based on an extreme flood scenario. The second scenario involved a combination of weather events, including a wild forest fire ('bushfire') followed by runoff due to significant rainfall. For each scenario, a panel of diverse personnel from water utilities and relevant agencies (e.g. health departments) formed a hypothetical water utility and associated regulatory body to manage water quality following the simulated extreme weather event...
December 19, 2016: Water Research
https://www.readbyqxmd.com/read/28056893/demographic-profile-and-pattern-of-fatal-injuries-in-nairobi-kenya-january-june-2014
#9
Gladwell Koku Gathecha, Wilfred Mwai Githinji, Alfred Karagu Maina
BACKGROUND: Violence and Injuries are a significant global public health concern characterized by marked regional variation in incidence. Approximately five million people die from injuries each year, accounting 9% of all deaths worldwide. In Kenya, injuries are increasingly becoming a cause of hospital admissions and mortality where they account for 10% of all the deaths. The objective of this study was to determine the magnitude, demographic profile and pattern of fatal injuries in Nairobi...
January 6, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28045779/predictors-of-participation-in-a-fire-department-community-canvassing-program
#10
Beata Debinski, Eileen McDonald, Shannon Frattaroli, Wendy Shields, Elise Omaki, Andrea C Gielen
An urban fire department has been distributing free smoke alarms for more than 30 years. A community-academic partnership was developed to conduct a community intervention trial as part of the fire department's home visiting program. The trial comprised 170 canvassing events held across 12 census tracts; half of the census tracts were assigned to the treatment condition and received prepromotion of the home visit events. The objectives of this analysis were to identify environmental and programmatic predictors of 1) whether someone would be at home at the time of a visit, and 2) if at home, whether the resident would participate...
December 30, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28035614/health-safety-and-environmental-unit-performance-assessment-model-under-uncertainty-case-study-steel-industry
#11
Azin Shamaii, Manouchehr Omidvari, Farhad Hosseinzadeh Lotfi
Performance assessment is a critical objective of management systems. As a result of the non-deterministic and qualitative nature of performance indicators, assessments are likely to be influenced by evaluators' personal judgments. Furthermore, in developing countries, performance assessments by the Health, Safety and Environment (HSE) department are based solely on the number of accidents. A questionnaire is used to conduct the study in one of the largest steel production companies in Iran. With respect to health, safety, and environment, the results revealed that control of disease, fire hazards, and air pollution are of paramount importance, with coefficients of 0...
January 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28009592/assessment-of-acute-trauma-exposure-response-for-fire-ems-personnel
#12
Melissa C Hoffmann
PURPOSE: The purpose of this study was to develop an instrument that measures response to acute trauma exposure for firefighter and emergency medical service (EMS) personnel. The Acute Trauma Exposure Response Scale (ATERS) was intended to assess firefighter and EMS personnel response to acute trauma exposure from analytical, emotional, and physical perspectives. METHODS: Data were analyzed on 97 firefighter and EMS personnel employed by a fire department in a mid-sized city in a western state...
2016: Journal of Applied Measurement
https://www.readbyqxmd.com/read/28007971/paediatric-emergency-department-based-carbon-monoxide-detector-intervention-a-randomised-trial
#13
Lara B McKenzie, Kristin J Roberts, Roxanne M Kaercher, Christy L Collins, R Dawn Comstock, Soledad Fernandez, Mahmoud Abdel-Rasoul, Marcel J Casavant, Leslie Mihalov
BACKGROUND: Although non-fire-related carbon monoxide (CO) poisoning is almost entirely preventable, over 400 people die and 20 000 people are injured each year in the USA from unintentional CO poisoning. Thus, there is a critical need for evidence-based interventions for preventing CO poisoning and increasing the proper use and installation of CO detectors. METHODS: A randomised, controlled trial (Project CODE, a Carbon Monoxide Detector Education intervention) with 2-week and 6-month follow-up home observations was conducted in 299 parents of children aged ≤18 years recruited in the emergency department of a level 1 paediatric trauma centre...
December 22, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27990416/coordinating-care-for-falls-via-emergency-responders-a-feasibility-study-of-a-brief-at-scene-intervention
#14
REVIEW
Elizabeth A Phelan, Julia Herbert, Carol Fahrenbruch, Benjamin A Stubbs, Hendrika Meischke
Falls account for a substantial portion of 9-1-1 calls, but few studies have examined the potential for an emergency medical system role in fall prevention. We tested the feasibility and effectiveness of an emergency medical technician (EMT)-delivered, at-scene intervention to link elders calling 9-1-1 for a fall with a multifactorial fall prevention program in their community. The intervention was conducted in a single fire department in King County, Washington and consisted of a brief public health message about the preventability of falls and written fall prevention program information left at scene...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27939058/a-cleaner-burning-biomass-fuelled-cookstove-intervention-to-prevent-pneumonia-in-children-under-5-years-old-in-rural-malawi-the-cooking-and-pneumonia-study-a-cluster-randomised-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Kevin Mortimer, Chifundo B Ndamala, Andrew W Naunje, Jullita Malava, Cynthia Katundu, William Weston, Deborah Havens, Daniel Pope, Nigel G Bruce, Moffat Nyirenda, Duolao Wang, Amelia Crampin, Jonathan Grigg, John Balmes, Stephen B Gordon
BACKGROUND: WHO estimates exposure to air pollution from cooking with solid fuels is associated with over 4 million premature deaths worldwide every year including half a million children under the age of 5 years from pneumonia. We hypothesised that replacing open fires with cleaner burning biomass-fuelled cookstoves would reduce pneumonia incidence in young children. METHODS: We did a community-level open cluster randomised controlled trial to compare the effects of a cleaner burning biomass-fuelled cookstove intervention to continuation of open fire cooking on pneumonia in children living in two rural districts, Chikhwawa and Karonga, of Malawi...
14, 2017: Lancet
https://www.readbyqxmd.com/read/27923422/first-responders-and-prehospital-care-for-road-traffic-injuries-in-malawi
#16
Linda Chokotho, Wakisa Mulwafu, Isaac Singini, Yasin Njalale, Limbika Maliwichi-Senganimalunje, Kathryn H Jacobsen
: Introduction Road traffic collisions are a common cause of injuries and injury-related deaths in sub-Saharan Africa (SSA). Basic prehospital care can be the difference between life and death for injured drivers, passengers, and pedestrians. Problem This study examined the challenges associated with current first response practices in Malawi. METHODS: In April 2014, focus groups were conducted in two areas of Malawi: Karonga (in the Northern Region) and Blantyre (in the Southern Region; both are along the M1 highway), and a qualitative synthesis approach was used to identify themes...
February 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27916763/demographic-and-occupational-determinants-of-the-work-ability-of-firemen
#17
Marjan Firoozeh, Mahnaz Saremi, Amir Kavousi, Azam Maleki
OBJECTIVES: Firefighters tackle various stressors that affect their health and job performance; therefore, assessment of their work ability is necessary. This study aimed to investigate the demographic and occupational determinants of the work ability of firemen. METHODS: In this cross-sectional study, 375 firemen working in Tehran Fire Department were randomly selected. Demographic, occupational, and work ability index (WAI) questionnaires were applied as research tools...
December 2, 2016: Journal of Occupational Health
https://www.readbyqxmd.com/read/27913657/cost-benefit-analysis-of-telehealth-in-pre-hospital-care
#18
James R Langabeer, Tiffany Champagne-Langabeer, Diaa Alqusairi, Junghyun Kim, Adria Jackson, David Persse, Michael Gonzalez
OBJECTIVE: There has been very little use of telehealth in pre-hospital emergency medical services (EMS), yet the potential exists for this technology to transform the current delivery model. In this study, we explore the costs and benefits of one large telehealth EMS initiative. METHODS: Using a case-control study design and both micro- and gross-costing data from the Houston Fire Department EMS electronic patient care record system, we conducted a cost-benefit analysis (CBA) comparing costs with potential savings associated with patients treated through a telehealth-enabled intervention...
December 2, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27904264/a-case-of-subarachnoid-hemorrhage-that-a-fire-department-first-reported-as-an-inhalation-burn-injury
#19
Ikuto Takeuchi, Kei Jitsuiki, Hiromichi Ohsaka, Youichi Yanagawa
No abstract text is available yet for this article.
October 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27893573/suicide-and-fire-a-20-year-study-of-self-immolation-death-in-sousse-tunisia
#20
Maher Jedidi, Mohamed Cherif El Khal, Souheil Mlayeh, Tasnim Masmoudi, Mohamed Mahjoub, Mohamed Yassine Brahem, Mohamed Ben Dhiab, Majed Zemni, Mohamed Kamel Souguir
Self-immolation is a self-destructive conduct described since antiquity. Its frequency is variable from one country to another and it is a real public health problem in parts of the world. In Tunisia, after the 2011 revolution the problem of self-immolation protest has been highly publicized giving the impression of an increase in this phenomenon. This is a retrospective analysis of all fatal self-immolation cases, collected over a 20-year period (1996-2015) at the Forensic Medicine Department of the Farhat Hached University Hospital, Sousse, Tunisia...
November 15, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
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