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https://www.readbyqxmd.com/read/29468628/acceptability-and-perceived-utility-of-drone-technology-among-emergency-medical-service-responders-and-incident-commanders-for-mass-casualty-incident-management
#1
Alexander Hart, Peter R Chai, Matthew K Griswold, Jeffrey T Lai, Edward W Boyer, John Broach
OBJECTIVE: This study seeks to understand the acceptability and perceived utility of unmanned aerial vehicle (UAV) technology to Mass Casualty Incidents (MCI) scene management. DESIGN: Qualitative questionnaires regarding the ease of operation, perceived usefulness, and training time to operate UAVs were administered to Emergency Medical Technicians (n = 15). SETTING: A Single Urban New England Academic Tertiary Care Medical Center. PARTICIPANTS: Front-line emergency medical service (EMS) providers and senior EMS personnel in Incident Commander roles...
October 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29462083/tourniquet-usage-in-pre-hospital-care-and-resuscitation-of-pediatric-trauma-patients-pediatric-trauma-society-position-statement
#2
Aaron Cunningham, Marc Auerbach, Mark Cicero, Mubeen Jafri
BACKGROUND: Recent mass casualty events in the United States have highlighted the need for public preparedness to prevent death from uncontrolled hemorrhage. The Pediatric Trauma Society (PTS) reviewed the literature regarding pediatric tourniquet usage with the aim to provide recommendations about the utility of this adjunct for hemorrhage control in children. METHODS: Search terms "pediatric" and "tourniquet" were used to query the US National Library of Medicine National Institutes of Health for pertinent literature...
February 17, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29443862/red-tides-mass-casualty-and-whole-blood-at-sea-red-tides
#3
Benjamin T Miller, Andrew H Lin, Susan C Clark, Andrew P Cap, Joseph J Dubose
BACKGROUND: The U.S. Navy's casualty-receiving ships provide remote damage control resuscitation (RDCR) platforms to treat injured combatants deployed afloat and ashore. We report a significant mass casualty incident aboard the USS Bataan, and the most warm fresh whole blood (WFWB) transfused at sea for traumatic hemorrhagic shock since the Vietnam War. METHODS: Casualty-receiving ships have robust medical capabilities, including a frozen blood bank with packed red blood cells (pRBC) and fresh frozen plasma (FFP)...
February 13, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29440876/research-of-an-emergency-medical-system-for-mass-casualty-incidents-in-shanghai-china-a-system-dynamics-model
#4
Wenya Yu, Yipeng Lv, Chaoqun Hu, Xu Liu, Haiping Chen, Chen Xue, Lulu Zhang
Objectives: Emergency medical system for mass casualty incidents (EMS-MCIs) is a global issue. However, China lacks such studies extremely, which cannot meet the requirement of rapid decision-support system. This study aims to realize modeling EMS-MCIs in Shanghai, to improve mass casualty incident (MCI) rescue efficiency in China, and to provide a possible method of making rapid rescue decisions during MCIs. Methods: This study established a system dynamics (SD) model of EMS-MCIs using the Vensim DSS program...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29439371/automated-triage-parameters-estimation-from-ecg
#5
Monika Simjanoska, Bojana Koteska, Ana Madevska Bogdanova, Nevena Ackovska, Vladimir Trajkovik, Magdalena Kostoska
Low-cost biosensors combined with low-cost portable devices can be very useful in time critical situations of mass casualties, when fast triage procedure must be attained. A methodology that uses ECG to derive the vital parameters (heart rate and respiratory rate) needed for the triage procedure is presented and it is aimed to leverage affordable low-cost equipment that can be easily utilized by urgent medical units or even volunteers in events of considerable number of injured civilians. The methodology relies on selected well-known and published algorithms for heart rate and respiratory rate derivation from a given ECG signal...
January 30, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29431096/introduction-of-pediatric-physiological-and-anatomical-triage-score-in-mass-casualty-incident
#6
Chiaki Toida, Takashi Muguruma, Takeru Abe, Mafumi Shinohara, Masayasu Gakumazawa, Naoki Yogo, Aya Shirasawa, Naoto Morimura
BACKGROUND: Triage has an important role in providing suitable care to the largest number of casualties in a disaster setting, but there are no secondary triage methods suitable for children. This study developed a new secondary triage method named the Pediatric Physiological and Anatomical Triage Score (PPATS) and compared its accuracy with current triage methods. METHODS: A retrospective chart review of pediatric patients under 16 years old transferred to an emergency center from 2014 to 2016 was performed...
February 12, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29426258/validation-of-the-self-assessment-teamwork-tool-satt-in-a-cohort-of-nursing-and-medical-students
#7
Lucinda Roper, Boaz Shulruf, Christine Jorm, Jane Currie, Christopher J Gordon
INTRODUCTION: Poor teamwork has been implicated in medical error and teamwork training has been shown to improve patient care. Simulation is an effective educational method for teamwork training. Post-simulation reflection aims to promote learning and we have previously developed a self-assessment teamwork tool (SATT) for health students to measure teamwork performance. This study aimed to evaluate the psychometric properties of a revised self-assessment teamwork tool. METHODS: The tool was tested in 257 medical and nursing students after their participation in one of several mass casualty simulations...
February 9, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29425472/the-use-of-field-triage-in-disaster-and-mass-casualty-incidents-a-survey-of-current-practices-by-ems-personnel
#8
Kevin Ryan, Douglas George, James Liu, Patricia Mitchell, Kerrie Nelson, Ricky Kue
BACKGROUND: Mass casualty incident (MCI) triage and the use of triage tags to assign treatment priorities are not fully implemented despite emergency medical services (EMS) personnel training during drills and exercises. OBJECTIVES: To compare current field triage practices during both training and actual MCIs and identify any potential barriers to use. METHODS: During training sessions from November 2015 through March 2016, an anonymous survey was distributed to personnel in 3 distinct types of paid full-time EMS systems: Boston EMS (2-tiered, municipal third-service); Portland Fire Department (fire department-based ALS); and Stokes County EMS (county-based ALS) combined with Forsyth County EMS (county-based ALS)...
February 9, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29406810/response-to-the-comments-on-cellular-therapies-for-treatment-of-radiation-injury-after-a-mass-casualty-incident-radiat-res-2017-188-242-45-by-drouet-et-al-letters-to-the-editor-radiat-res-2017-188-463
#9
R Tamarat, M Benderitter, J R Jourdain, B W Maidment, F Macchiarini, C I Rios, A L DiCarlo
No abstract text is available yet for this article.
February 6, 2018: Radiation Research
https://www.readbyqxmd.com/read/29398976/usability-and-reliability-of-smart-glasses-for-secondary-triage-during-mass-casualty-incidents
#10
John Broach, Alexander Hart, Matthew Griswold, Jeffrey Lai, Edward W Boyer, Aaron B Skolnik, Peter R Chai
Wearable smart glasses like Google Glass provide real-time video and image transmission to remote viewers. The use of Google Glass and other Augmented Reality (AR) platforms in mass casualty incidents (MCIs) can provide incident commanders and physicians at receiving hospitals real-time data regarding injuries sustained by victims at the scene. This real-time data is critical to allocation of hospital resources prior to receiving victims of a MCI. Remote physician participation in real-time MCI care prior to victims' hospital arrival may improve triage, and direct emergency and critical care services to those most in need...
January 3, 2018: Proceedings of the ... Annual Hawaii International Conference on System Sciences. Annual Hawaii International Conference on System Sciences
https://www.readbyqxmd.com/read/29396388/the-significance-of-witness-sensors-for-mass-casualty-incidents-and-epidemic-outbreaks
#11
Chih-Long Pan, Chih-Hao Lin, Yan-Ren Lin, Hsin-Yu Wen, Jet-Chau Wen
Due to the increasing number of natural and man-made disasters, mass casualty incidents occur more often than ever before. As a result, health care providers need to adapt in order to cope with the overwhelming patient surge. To ensure quality and safety in health care, accurate information in pandemic disease control, death reduction, and health quality promotion should be highlighted. However, obtaining precise information in real time is an enormous challenge to all researchers of the field. In this paper, innovative strategies are presented to develop a sound information network using the concept of "witness sensors...
February 2, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29395224/bomb-blast-imaging-bringing-order-to-chaos
#12
REVIEW
E A Dick, M Ballard, H A Walker, E Kashef, N Batrick, S Hettiaratchy, C G Moran
Blast injuries are complex, severe, and outside of our everyday clinical practice, but every radiologist needs to understand them. By their nature, bomb blasts are unpredictable and affect multiple victims, yet require an immediate, coordinated, and whole-hearted response from all members of the clinical team, including all radiology staff. This article will help you gain the requisite expertise in blast imaging including recognising primary, secondary, and tertiary blast injuries. It will also help you understand the fundamental role that imaging plays during mass casualty attacks and how to avoid radiology becoming a bottleneck to the forward flow of severely injured patients as they are triaged and treated...
January 29, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29393307/ghost-attack-the-east-providence-carbon-monoxide-mass-casualty-incident
#13
Catherine Cummings, James Monti, Leo Kobayashi, John Potvin, Kenneth Williams, Francis Sullivan
A routine call for a common medical emergency was expeditiously identified by the responding emergency medical service as a multiple victim carbon monoxide exposure. The event circumstances, exemplary fire department emergency medical services response, and ensuing hos- pital emergency department response are described. [Full article available at http://rimed.org/rimedicaljournal-2018-02.asp].
February 2, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29389698/goal-directed-fluid-resuscitation-protocol-based-on-arterial-waveform-analysis-of-major-burn-patients-in-a-mass-burn-casualty
#14
Hao-Yu Chiao, Chang-Yi Chou, Yuan-Sheng Tzeng, Chih-Hsin Wang, Shyi-Gen Chen, Niann-Tzyy Dai
BACKGROUND: Adequate fluid titration during the initial resuscitation period of major burn patients is crucial. This study aimed to evaluate the feasibility and efficacy of a goal-directed fluid resuscitation protocol that used hourly urine output plus the arterial waveform analysis FloTrac (Edwards LifeSciences, Irvine, Calif) system for major burns to avoid fluid overload. METHODS: We conducted a retrospective cohort study of 43 major burn patients at the Tri-Service General Hospital after the Formosa Fun Coast Dust Explosion on June 27, 2015...
January 31, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29382398/comparison-of-unmanned-aerial-vehicle-technology-versus-standard-practice-in-identification-of-hazards-at-a-mass-casualty-incident-scenario-by-primary-care-paramedic-students
#15
Trevor Jain, Aaron Sibley, Henrik Stryhn, Ives Hubloue
Introduction The proliferation of unmanned aerial vehicles (UAV) has the potential to change the situational awareness of incident commanders allowing greater scene safety. The aim of this study was to compare UAV technology to standard practice (SP) in hazard identification during a simulated multi-vehicle motor collision (MVC) in terms of time to identification, accuracy and the order of hazard identification. METHODS: A prospective observational cohort study was conducted with 21 students randomized into UAV or SP group, based on a MVC with 7 hazards...
January 31, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29370875/substance-use-patterns-and-in-hospital-care-of-adolescents-and-young-adults-attending-music-concerts
#16
Stephanie M Ruest, Alexander M Stephan, Peter T Masiakos, Paul D Biddinger, Carlos A Camargo, Sigmund Kharasch
BACKGROUND: Few studies describe medical complaints and substance use patterns related to attending music concerts. As such, the objective of this study is to describe patient demographics, substance use and intoxication patterns, and medical interventions provided to adolescents and young adults assessed in an emergency department (ED) for complaints directly related to concert attendance. METHODS: A retrospective chart review of patients 13-30 years old who were transported to the ED directly from music concerts between January 2011 and December 2015 was conducted...
January 9, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29370053/a-review-of-the-landscape-challenges-and-gaps-in-trauma-response-to-civilian-high-threat-mass-casualty-incidents
#17
David W Callaway
The ultimate goal of the emergency response and trauma system is to reduce potentially preventable death from trauma. Tremendous advances in trauma care emerged from the past fifteen years of United States' combat engagements around the globe. Unfortunately, combat and insurgency tactics have also metastasized to the civilian world, resulting in increasingly complex and dynamic acts of intentional mass violence. These high threat Active Violent Incidents (AVIs) pose significant preparedness, response and clinical care challenges to the civilian healthcare systems...
January 24, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29302193/management-of-trauma-pain-in-the-emergency-setting-low-dose-methoxyflurane-or-nitrous-oxide-a-systematic-review-and-indirect-treatment-comparison
#18
REVIEW
Keith M Porter, Mohd Kashif Siddiqui, Ikksheta Sharma, Sara Dickerson, Alice Eberhardt
Background: Low-dose methoxyflurane and nitrous oxide (N2O; 50:50 with oxygen) are both self-administered, self-titrated, rapid-acting, nonnarcotic, and noninvasive inhalational agents with similar onset times of pain relief. The aim of this review was to compare the clinical efficacy, safety, and tolerability of these analgesics in emergency care. Materials and methods: A systematic literature search and review according to Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were performed using Embase, Medline, the Cochrane Library, several clinical trial registers, and emergency-medicine conference material...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29291462/analysis-of-performance-and-stress-caused-by-a-simulation-of-a-mass-casualty-incident
#19
Antonio Nieto Fernández-Pacheco, Rafael Castro Delgado, Pedro Arcos González, José Luis Navarro Fernández, José Joaquín Cerón Madrigal, Laura Juguera Rodriguez, Nuria Perez Alonso, David Armero-Barranco, María Lidon López Iborra, Escribano Tortosa Damian, Manuel Pardo Rios
OBJECTIVE: To determine the stress that is potentially produced in professional health workers due to a mass casualty incident (MCI) simulated exercise, and its relation to prior academic training and the role played in the simulation. METHODS: Observational study of stress in a MCI. For this work, two MCI drills comprised of 40 victims each were conducted. Two randomized groups of 36 students each were created: Master's Students Group (MSG) and Undergraduate Student Group (USG)...
December 15, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29280904/rapid-patient-discharge-contribution-to-bed-surge-capacity-during-a-mass-casualty-incident-findings-from-an-exercise-with-new-york-city-hospitals
#20
Jasmine L Jacobs-Wingo, Heather A Cook, William H Lang
BACKGROUND: Mass casualty incidents may increase patient volume suddenly and dramatically, requiring hospitals to expeditiously manage bed inventories to release acute care beds for disaster victims. Electronic patient tracking systems combined with unit walk-throughs can identify patients for rapid discharge. The New York City (NYC) Department of Health and Mental Hygiene's 2013 Rapid Patient Discharge Assessment (RPDA) aimed to determine the maximum number of beds NYC hospitals could make available through rapid patient discharge and to characterize discharge barriers...
January 2018: Quality Management in Health Care
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