keyword
https://read.qxmd.com/read/38041028/using-infrared-cameras-in-drones-to-detect-bleeding-events
#21
JOURNAL ARTICLE
Christoph West, Bernhard Kaus, Sean O' Sullivan, Henning Schneider, Oskar Seifert
BACKGROUND: Hemorrhage is one of the main causes of death in trauma. Critical bleeding in patients needs to be detected as soon as possible to save the patient. Drones are gaining increasing importance in emergency services and can support rescue forces in accident scenarios such as a mass casualty incident. METHODS: In this study, a simulated pelvic hemorrhage was detected using a drone from 7 m above the ground over a time span of 30 s. RESULTS: The results allow a good detection of the pelvic hemorrhage...
December 1, 2023: BMC Emergency Medicine
https://read.qxmd.com/read/38020853/disaster-planning-for-a-surgical-surge-when-mass-trauma-threatens-to-overwhelm-your-operating-rooms
#22
EDITORIAL
Katherine M Kelley, Nicole Toscano, Mark L Gestring, Jeannette Capella, Christopher Newton, Marko Bukur, David V Shatz, Robert D Winfield, Adam Fox, Mary E Fallat, Deborah A Kuhls, Galina Glinik, Jay Doucet, Jonathan Gates, Kyle N Remick
Mass casualty events particularly those requiring multiple simultaneous operating rooms are of increasing concern. Existing literature predominantly focuses on mass casualty care in the emergency department. Hospital disaster plans should include a component focused on preparing for multiple simultaneous operations. When developing this plan, representatives from all segments of the perioperative team should be included. The plan needs to address activation, communication, physical space, staffing, equipment, blood and medications, disposition offloading, special populations, and rehearsal...
2023: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/37997445/use-of-simulation-in-full-scale-exercises-for-response-to-disasters-and-mass-casualty-incidents-a-scoping-review
#23
REVIEW
Jen Heng Pek, Li Juan Joy Quah, Martina Valente, Luca Ragazzoni, Francesco Della Corte
Disasters or mass-casualty incidents are uncommon events. The use of simulation is an ideal training modality in full-scale exercises as it immerses the participants in a replication of the actual environment where they can respond to simulated casualties in accordance with existing protocols.The objective of this scoping review is to answer the research question: "How effective is simulation, as assessed in full-scale exercises, for response to disasters and mass-casualty incidents world-wide?" Studies on full-scale exercises, as defined in World Health Organization (WHO) simulation exercise toolbox, that were published in peer-reviewed journals using the English language from 2001 through 2021 were included...
December 2023: Prehospital and Disaster Medicine
https://read.qxmd.com/read/37997379/development-and-validation-of-a-new-tool-to-improve-the-accuracy-of-the-hospital-mass-casualty-incident-response-plan-activation-the-pemaaf-score
#24
JOURNAL ARTICLE
Claudia Ruffini, Monica Trentin, Alberto Corona, Marta Caviglia, Giuseppe Maria Sechi, Maurizio Migliari, Riccardo Stucchi, Luca Ragazzoni, Roberto Fumagalli
INTRODUCTION: Effective response to a mass-casualty incident (MCI) entails the activation of hospital MCI plans. Unfortunately, there are no tools available in the literature to support hospital responders in predicting the proper level of MCI plan activation. This manuscript describes the scientific-based approach used to develop, test, and validate the PEMAAF score (Proximity, Event, Multitude, Overcrowding, Temporary Ward Reduction Capacity, Time Shift Slot [Prossimità, Evento, Moltitudine, Affollamento, Accorpamento, Fascia Oraria], a tool able to predict the required level of hospital MCI plan activation and to facilitate a coordinated activation of a multi-hospital network...
December 2023: Prehospital and Disaster Medicine
https://read.qxmd.com/read/37995353/innovative-approaches-to-covid-19-medical-countermeasure-development
#25
JOURNAL ARTICLE
Gavin H Harris, Amesh A Adalja
BACKGROUND: The COVID-19 pandemic, while unfortunately notable for immense strain and death throughout the world, has also shown great promise in the development of medical countermeasures. As the global scientific community shifted almost entirely towards vaccines, diagnostics and therapeutics, new trial designs most significantly adaptive platform trials, began to be used with greater speed and broader reach. These designs allowed for deploying and investigating new therapeutics, repurposing currently existing therapeutics and flexibly removing or adding additional medications as data appeared in real-time...
November 23, 2023: Journal of Antimicrobial Chemotherapy
https://read.qxmd.com/read/37991888/-we-are-unique-organizational-stressors-peer-support-and-attitudes-toward-mental-health-treatment-among-airport-firefighters
#26
JOURNAL ARTICLE
Bridget Barry, Rosemary Ricciardelli, Heidi Cramm
INTRODUCTION: Airport firefighters are responsible for providing emergency responses to aviation incidents on a runway or in the vicinity of an airport, including airplane crashes, mass casualty events, emergency landings and many other concerns on airport grounds. While data exist on the occupational stressors of firefighters and public safety personnel in general, there is a gap in knowledge regarding the experiences of airport firefighters, particularly in relation to their organizational stressors, peer supports and attitudes toward mental health treatment...
November 2023: Health Promotion and Chronic Disease Prevention in Canada
https://read.qxmd.com/read/37991433/post-event-support-as-a-critical-element-of-crisis-preparedness-reflections-from-the-mass-casualty-commission
#27
JOURNAL ARTICLE
Nichole Elizabeth
Including post-event support planning as part of crisis preparedness is necessary to meet the emotional and psychological needs of those most affected. This necessarily requires engagement with health and community organization leaders best positioned to provide immediate, short- and long-term post-event supports as part of the response planning for a crisis. Drawing on the findings of the Mass Casualty Commission, the public inquiry tasked with investigating Canada's worst mass shooting, the critical role of post-event supports is explored as a critical element of crisis preparedness...
November 22, 2023: Healthcare Management Forum
https://read.qxmd.com/read/37948002/a-disaster-medicine-course-for-canadian-medical-students-first-implementation-of-a-large-scale-mass-casualty-simulation
#28
JOURNAL ARTICLE
Kyle W Eastwood, Adam Harris, John B P Armstrong
Mass-casualty incidents have a significant global impact. Despite calls for improved disaster-preparedness training, most medical curriculums do not include formal disaster-medicine education. In 2021, the Medical Council of Canada introduced new disaster-medicine learning objectives. This article presents a mass-casualty-incident course for 3rd-year Canadian medical students. The course includes lectures, and a large-scale simulation of an explosion scene, field triage zone, and simulated emergency department (ED)...
November 10, 2023: CJEM
https://read.qxmd.com/read/37893787/hospital-resource-planning-for-mass-casualty-incidents-limitations-for-coping-with-multiple-injured-patients
#29
JOURNAL ARTICLE
Daniel Staribacher, Marion Sabine Rauner, Helmut Niessner
Using a discrete-event simulation (DES) model, the current disaster plan regarding the allocation of multiple injured patients from a mass casualty incident was evaluated for an acute specialty hospital in Vienna, Austria. With the current resources available, the results showed that the number of severely injured patients currently assigned might have to wait longer than the medically justifiable limit for lifesaving surgery. Furthermore, policy scenarios of increasing staff and/or equipment did not lead to a sufficient improvement of this outcome measure...
October 11, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37870239/optimizing-mass-casualty-triage-using-discrete-event-simulation-to-minimize-time-to-resuscitation
#30
JOURNAL ARTICLE
Noah M Igra, Daniela Schmulevich, Zhi Geng, Jessica Guzman, Paul D Biddinger, Jonathan D Gates, Philip C Spinella, Mark Yazer, Jeremy W Cannon
BACKGROUND: Urban areas in the US are increasingly focused on mass casualty incident (MCI) response. We simulated pre-hospital triage scenarios and hypothesized that using hospital-based blood product inventories for on-scene triage decisions would minimize time to treatment. STUDY DESIGN: Discrete event simulations modeled MCI casualty injuries and patient flow after a simulated blast event in Boston, MA. Casualties were divided into moderate (ISS 9-15) and severe (ISS>15) based on injury patterns...
October 23, 2023: Journal of the American College of Surgeons
https://read.qxmd.com/read/37855945/-special-emergency-situations-and-hazard-control-in-german-hospitals-a-survey-on-the-current-state
#31
JOURNAL ARTICLE
M von der Forst, E Popp, M A Weigand, C Neuhaus
BACKGROUND AND RESEARCH QUESTION: In case of events such as a cyber attack or a mass casualty incident, ad hoc measures have to be taken in hospitals. As part of the critical infrastructure, hospitals are required by law to prepare, update and exercise alarm and emergency plans for various special situations. The processes and instruments involved for emergency response are defined in the hospital alert and emergency planning. The present study aims to explain with which resources and for which special situations hospitals are prepared...
October 19, 2023: Anaesthesiologie
https://read.qxmd.com/read/37823925/validation-of-secondary-triage-algorithms-for-mass-casualty-incidents-a%C3%A2-simulation-based-study-english-version
#32
JOURNAL ARTICLE
Axel R Heller, Tobias Neidel, Patrick J Klotz, André Solarek, Barbara Kowalzik, Kathleen Juncken, Christan Kleber
BACKGROUND: In the event of a mass casualty incident (MCI), the situation-related shortage of medical resources does not end when the patients are transported from the scene of the incident. Consequently, an initial triage is required in the receiving hospitals. In the first step, the aim of this study was to create a reference patient vignette set with defined triage categories. This allowed a computer-aided evaluation of the diagnostic quality of triage algorithms for MCI situations in the second step...
December 2023: Anaesthesiologie
https://read.qxmd.com/read/37731265/preparing-your-emergency-department-for-disaster-optimizing-surge-capacity-during-mass-casualty-events
#33
JOURNAL ARTICLE
John Byron Publow Armstrong
Mass casualty events can cause patient surges within healthcare facilities. These surges can be limited to hours or continue for days or weeks. As emergency departments are the front doors to the healthcare system, it is critical that they are prepared to accept patient surges. Focusing plans on optimizing space, staff, and supplies is critical to a successful response. Boarded or non-emergent patients must be diverted, discharged, and decanted from the emergency department to expand resuscitation space. If inadequate, non-clinical space may be required for patient care...
September 20, 2023: Healthcare Management Forum
https://read.qxmd.com/read/37721013/-the-wild-west-nurse-experiences-of-responding-to-the-2017-las-vegas-mass-shooting
#34
JOURNAL ARTICLE
Kristen R Choi, MarySue V Heilemann, Stephanie Anne Romero, Kelly Peng, Joyce Wu, Dorita Sondereker, Christopher Fisher, Melissa Brymer
OBJECTIVE: The purpose of this study was to explore the experiences of nurses who responded to a public mass shooting in 2017. METHODS: This qualitative study was conducted with a sample of nurses who responded to a mass shooting, recruited purposively from a hospital in Las Vegas, Nevada. Intensive interviews were conducted with a total of 7 nurses, audio-recorded and transcribed for thematic analysis. RESULTS: Six themes were developed from interview data: (1) "The worst night of my life": Overrun and overwhelmed; (2) Unexpected altruism and benevolence of patients and staff; (3) "The Wild West": Giving victim care by improvising beyond rules; (4) Experiencing a range of reactions in the immediate aftermath and in the long term; (5) Shifts in nursing practice and evolving team dynamics; and (6) Defining realistic approaches to support staff mental health and mass casualty preparation...
September 18, 2023: Disaster Medicine and Public Health Preparedness
https://read.qxmd.com/read/37709506/war-and-disaster-are-forcing-a-major-rethink-around-mass-casualty-management
#35
EDITORIAL
Simon Horne, P Hunt, B Hall, S Jefferys, J Vassallo, I Gurney
Mass casualty events (MASCAL) do not follow the same rules as typical major incidents. In the West at least, the latter often occur in stable, networked trauma systems, whereas MASCAL are characterised by overwhelming numbers of patients, compounded by protracted scene and transport times, decompensated response systems and significant disruption to infrastructure, command and control.This paper describes the 8Ds approach being taken by the UK Defence Medical Services and the North Atlantic Treaty Organization Emergency Medicine Panel framework to approach MASCAL...
September 14, 2023: BMJ military health
https://read.qxmd.com/read/37704963/disaster-day-a-simulation-based-competition-for-educating-emergency-medicine-residents-and-medical-students-on-disaster-medicine
#36
JOURNAL ARTICLE
Shayne Gue, Stephanie Cohen, Maria Tassone, Ayanna Walker, Andy Little, Martin Morales-Cruz, Casey McGillicuddy, David Lebowitz, Robert Pell, Ariel Vera, Steven Nazario, Darielys Mejias, Andrew Bobbett, Drake Dixon, Anines Quinones, Latha Ganti
BACKGROUND: Disaster medicine is a growing field within the specialty of emergency medicine, but educational training typically focuses on hospital drills or other educational strategies, such as didactics, simulation, or tabletop exercises. With the success of gamification in other medical education applications, we sought to investigate if a novel gamified curricular innovation would lead to improved test performance and confidence in the ability to manage a real mass casualty incident (MCI)...
September 13, 2023: International Journal of Emergency Medicine
https://read.qxmd.com/read/37698265/assessing-the-pharmacy-workforce-s-preparedness-for-a-workplace-violence-event
#37
JOURNAL ARTICLE
Kristin Griebe, Christine Jiang, Nancy C MacDonald
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: The purpose of this article is to describe the planning, implementation, and findings of a person with a weapon exercise for an inpatient pharmacy department...
September 12, 2023: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/37690323/the-anatomy-of-stadium-disasters-causes-consequences-and-safeguarding-the-future-from-a-medical-perspective
#38
REVIEW
D Tin, R Hata, G R Ciottone
INTRODUCTION: Stadiums are an important part of the entertainment and sporting cultures of communities around the world, but the combination of outdated infrastructure with poor safety planning, large numbers of people gathering within a confined space, and the high frequency of such events have led to a number of significant disasters in the past. This is a descriptive analysis of stadium disasters occurring between 1901 and 2021 which may provide useful insight for event safety personnel and disaster medicine specialists to better prevent and mitigate the effects of potential future stadium disasters...
September 8, 2023: Public Health
https://read.qxmd.com/read/37655589/major-incident-hospital-simulations-in-hospital-based-health-care-a-scoping-review
#39
REVIEW
Sacha Wynter, Rosie Nash, Nicola Gadd
Major incidents are occurring in increasing frequency, and place significant stress on existing health-care systems. Simulation is often used to evaluate and improve the capacity of health systems to respond to these incidents, although this is difficult to evaluate. A scoping review was performed, searching 2 databases (PubMed, CINAHL) following PRISMA guidelines. The eligibility criteria included studies addressing whole hospital simulation, published in English after 2000, and interventional or observational research...
September 1, 2023: Disaster Medicine and Public Health Preparedness
https://read.qxmd.com/read/37653520/crush-syndrome-a-review-for-prehospital-providers-and-emergency-clinicians
#40
REVIEW
Daisuke Usuda, Shintaro Shimozawa, Hiroki Takami, Yoshinobu Kako, Taigo Sakamoto, Junya Shimazaki, Junichi Inoue, Shinichi Nakayama, Yuichi Koido, Jiro Oba
INTRODUCTION: Disasters and accidents have occurred with increasing frequency in recent years. Primary disasters have the potential to result in mass casualty events involving crush syndrome (CS) and other serious injuries. Prehospital providers and emergency clinicians stand on the front lines of these patients' evaluation and treatment. However, the bulk of our current knowledge, derived from historical data, has remained unchanged for over ten years. In addition, no evidence-based treatment has been established to date...
August 31, 2023: Journal of Translational Medicine
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