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https://www.readbyqxmd.com/read/28526053/pre-hospital-triage-performance-after-standardized-trauma-courses
#1
Maria Lampi, Johan Junker, Peter Berggren, Carl-Oscar Jonson, Tore Vikström
BACKGROUND: The pre-hospital triage process aims at identifying and prioritizing patients in the need of prompt intervention and/or evacuation. The objective of the present study was to evaluate triage decision skills in a Mass Casualty Incident drill. The study compares two groups of participants in Advanced Trauma Life Support and Pre-Hospital Trauma Life Support courses. METHODS: A questionnaire was used to deal with three components of triage of victims in a Mass Casualty Incident: decision-making; prioritization of 15 hypothetical casualties involved in a bus crash; and prioritization for evacuation...
May 19, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28520563/multiple-deaths-caused-by-a-fire-in-a-factory-identification-and-investigative-issues
#2
V Pinchi, V Bartolini, E Bertol, M Focardi, F Mari, U Ricci, S Vanin, G A Norelli
The article presents a case of multiple casualties following a textile factory fire. The incident required a full DVI team similar to large mass-disaster because of the specific operational aspects and identification difficulties. The autopsy results were consistent with death by fire and the toxicological investigations revealed carbon monoxide poisoning in four cases (HbCO% ranging between 88,05 and 95,77), two deaths by cyanide intoxication (with concentrations between 5,17 and 8,85 mcg/ml), and in one case there was a synergistic effect of the two substances (carbon monoxide and cyanide)...
December 1, 2016: Journal of Forensic Odonto-stomatology
https://www.readbyqxmd.com/read/28463588/the-lactate-dehydrogenase-inhibitor-gossypol-inhibits-radiation-induced-pulmonary-fibrosis
#3
Jennifer L Judge, Shannon H Lacy, Wei-Yao Ku, Kristina M Owens, Eric Hernady, Thomas H Thatcher, Jacqueline P Williams, Richard P Phipps, Patricia J Sime, R Matthew Kottmann
Exposure of the lung to ionizing radiation that occurs in radiotherapy, as well as after accidental or intentional mass casualty incident can result in pulmonary fibrosis, which has few treatment options. Pulmonary fibrosis is characterized by an accumulation of extracellular matrix proteins that create scar tissue. Although the mechanisms leading to radiation-induced pulmonary fibrosis remain poorly understood, one frequent observation is the activation of the profibrotic cytokine transforming growth factor-beta (TGF-β)...
May 2, 2017: Radiation Research
https://www.readbyqxmd.com/read/28386683/-quality-indicators-for-rescue-operations-in-terrorist-attacks-or-other-threats-a%C3%A2-pilot-study-after-the-w%C3%A3-rzburg-terrorist-attack-of-july-2016
#4
T Wurmb, P Justice, S Dietz, R Schua, T Jarausch, U Kinstle, J Greiner, G Möldner, J Müller, M Kraus, S Simon, U Wagenhäuser, N Roewer, M Helm
BACKGROUND: Terrorist attacks have become reality in Germany. The aim of this work was, after the Würzburg terrorist attack, to define quality indicators and application characteristics for rescue missions in life-threatening situations. The results can be used to record data from future missions using this template in order to make them comparable with each other. METHODS: After approval of the local ethic committee, the first step was to designate a group of experts in order to define the template in a consensus process...
April 6, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28363626/validating-signs-and-symptoms-from-an-actual-mass-casualty-incident-to-characterize-an-irritant-gas-syndrome-agent-igsa-exposure-a-first-step-in-the-development-of-a-novel-igsa-triage-algorithm
#5
Joan M Culley, Jane Richter, Sara Donevant, Abbas Tavakoli, Jean Craig, Salvatore DiNardi
INTRODUCTION: Chemical exposures can pose a significant threat to life. Rapid assessment by first responders/emergency nurses is required to reduce death and disability. Currently, no informatics tools for irritant gas syndrome agents (IGSA) exposures exist to process victims efficiently, continuously monitor for latent signs/symptoms, or make triage recommendations. This study describes the first step in developing ED informatics tools for chemical incidents: validation of signs/symptoms that characterize an IGSA syndrome...
March 28, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28285488/graduate-medical-education-in-tactical-medicine-and-the-impact-of-acgme-accreditation-of-ems-fellowships
#6
Nelson Tang, Matthew J Levy, Asa M Margolis, Nathan Woltman
Physician interest in tactical medicine as an area of professional practice has grown significantly over the past decade. The prevalence of physician involvement in terms of medical oversight and operational support of civilian tactical medicine has experienced tremendous growth during this timeframe. Factors contributing to this trend are multifactorial and include enhanced law enforcement agency understanding of the role of the tactical physician, support for the engagement of qualified medical oversight, increasing numbers of physicians formally trained in tactical medicine, and the ongoing escalation of intentional mass-casualty incidents worldwide...
2017: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/28270259/assessment-of-the-knowledge-of-blast-injuries-management-among-physicians-working-in-tripoli-hospitals-libya
#7
Abdulhakim M Oun, Elmokhtar M Hadida, Charles Stewart
Introduction No study on hospital staff preparedness for managing blast injuries has been conducted in Libya. The internal conflict in Libya since 2011 and the difficulties faced by the hospitals has highlighted the need for such studies. Hypothesis Physicians working in Tripoli (capital city Libya) hospitals are inadequately prepared for the management of blast injuries. METHODS: A survey was conducted in all 13 hospitals in Tripoli between June 2014 and May 2015 by using interviews based on a questionnaire consisting of 29 questions covering physicians' education related to blast injury, hospital management of mass casualties, and aspects of hospital preparedness for such incidents...
March 8, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28268865/diorama-enhances-efficiency-of-a-mass-casualty-incident-system-and-experimentation
#8
Aura Ganz, James M Schafer, Zhuorui Yang, Jun Yi, Gregory Ciottone
In this paper we show DIORAMA efficiency in a simulated Mass Casualty Incident drill. As shown by our results DIORAMA system has achieved orderly transport of patients from site of injury to collection point, all red before the yellow were transported (no order was obeyed in the paper drills). We also show that DIORAMA system was used by responders with very short training time and by responders that are not familiar with each other. The qualitative results show that DIORAMA system was found to be user friendly and useful in tracking patients and responders in real time...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28268824/spatial-temporal-forensic-analysis-of-mass-casualty-incidents-using-video-sequences
#9
Hao Dong, Juechen Yin, James Schafer, Aura Ganz
In this paper we introduce DIORAMA based forensic analysis of mass casualty incidents (MCI) using video sequences. The video sequences captured on site are automatically annotated by metadata, which includes the capture time and the camera location and viewing direction. Using a visual interface the MCI investigators can easily understand the availability of video clips in specific areas of interest, and efficiently review them. The video-based forensic analysis system will enable the MCI investigators to better understand the rescue operations and subsequently improve training procedures...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28265471/public-medical-preparedness-at-the-swiss-wrestling-and-alpine-games-2013-descriptive-analysis-of-1-533-patients-treated-at-the-largest-3-day-sporting-event-in-switzerland
#10
Simone Hostettler-Blunier, Nora Müller, Tobias Haltmeier, Andreas Hosner, Heinz Bähler, Frank Neff, Daniel Baumberger, Aristomenis Exadaktylos, Beat Schnüriger
Introduction. Medical preparedness at mass gatherings is challenging, as little is known about the optimal planning. Most studies and case reports are based on mass casualty incidents, so the results cannot be extrapolated to mass gatherings. Aim of this study was to evaluate the preclinical medical structure and the frequency of specific injuries and medical emergencies during the event. Methods. Retrospective analysis of a prospectively collected database. Three on-site medical assistance points were set up, completed by mobile teams, and coordinated by an on-site operational management team...
2017: Emergency Medicine International
https://www.readbyqxmd.com/read/28260558/medical-response-to-a-vinyl-chloride-release-from-a-train-derailment-new-jersey-2012
#11
Alice M Shumate, Jamille Taylor, Elizabeth McFarland, Christina Tan, Mary Anne Duncan
OBJECTIVE: The objective of this investigation was to examine the health impact of and medical response to a mass casualty chemical incident caused by a vinyl chloride release. METHODS: Key staff at area hospitals were interviewed about communication during the response, the number of patients treated and care required, and lessons learned. Clinical information related to the incident and medical history were abstracted from hospital charts. RESULTS: Hospital interviews identified a desire for more thorough and timely incident-specific information and an under-utilization of regionally available resources...
March 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28251227/evaluation-of-disaster-preparedness-for-mass-casualty-incidents-in-private-hospitals-in-central-saudi-arabia
#12
Abdullah A Bin Shalhoub, Anas A Khan, Yaser A Alaska
To identify and describe the hospital disaster preparedness (HDP) in major private hospitals in Riyadh, Saudi Arabia. Methods: This is an observational cross-sectional survey study performed in Riyadh city, Saudi Arabia between December 2015 and April 2016. Thirteen major private hospitals in Riyadh with more than 100 beds capacity were included in this investigation. Results: The 13 hospitals had HDP plan and reported to have an HDP committee. In 12 (92.3%) hospitals, the HDP covered both internal and external disasters and HDP was available in every department of the hospital...
March 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28250912/identification-and-preliminary-validation-of-radiation-response-protein-s-in-human-blood-for-a-high-throughput-molecular-biodosimetry-technology-for-the-future
#13
Saibadaiahun Nongrum, S Thangminlal Vaiphei, Joshua Keppen, Mandahakani Ksoo, Ettrika Kashyap, Rajesh N Sharan
The absence of a rapid and high-throughput technology for radiation biodosimetry has been a great obstacle in our full preparedness to cope with large-scale radiological incidents. The existing cytogenetic technologies have limitations, primarily due to their time-consuming methodologies, which include a tissue culture step, and the time required for scoring. This has seriously undermined its application in a mass casualty scenario under radiological emergencies for timely triage and medical interventions. Recent advances in genomics and proteomics in the postgenomic era have opened up new platforms and avenues to discover molecular biomarkers for biodosimetry in the future...
2017: Genome Integrity
https://www.readbyqxmd.com/read/28227063/diorama-enhances-efficiency-of-a-mass-casualty-incident-system-and-experimentation
#14
Aura Ganz, James M Schafer, Zhuorui Yang, Jun Yi, Gregory Ciottone, Aura Ganz, James M Schafer, Zhuorui Yang, Jun Yi, Gregory Ciottone, Zhuorui Yang, Aura Ganz, Jun Yi, Gregory Ciottone, James M Schafer
In this paper we show DIORAMA efficiency in a simulated Mass Casualty Incident drill. As shown by our results DIORAMA system has achieved orderly transport of patients from site of injury to collection point, all red before the yellow were transported (no order was obeyed in the paper drills). We also show that DIORAMA system was used by responders with very short training time and by responders that are not familiar with each other. The qualitative results show that DIORAMA system was found to be user friendly and useful in tracking patients and responders in real time...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227020/spatial-temporal-forensic-analysis-of-mass-casualty-incidents-using-video-sequences
#15
Hao Dong, Juechen Yin, James Schafer, Aura Ganz, Hao Dong, Juechen Yin, James Schafer, Aura Ganz, Juechen Yin, Hao Dong, James Schafer, Aura Ganz
In this paper we introduce DIORAMA based forensic analysis of mass casualty incidents (MCI) using video sequences. The video sequences captured on site are automatically annotated by metadata, which includes the capture time and the camera location and viewing direction. Using a visual interface the MCI investigators can easily understand the availability of video clips in specific areas of interest, and efficiently review them. The video-based forensic analysis system will enable the MCI investigators to better understand the rescue operations and subsequently improve training procedures...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28220344/personal-factors-affecting-ethical-performance-in-healthcare-workers-during-disasters-and-mass-casualty-incidents-in-iran-a-qualitative-study
#16
Mehrzad Kiani, Mohsen Fadavi, Hamidreza Khankeh, Fariba Borhani
In emergencies and disasters, ethics are affected by both personal and organizational factors. Given the lack of organizational ethical guidelines in the disaster management system in Iran, the present study was conducted to explain the personal factors affecting ethics and ethical behaviors among disaster healthcare workers. The present qualitative inquiry was conducted using conventional content analysis to analyze the data collected from 21 in-depth unstructured interviews with healthcare workers with an experience of attending one or more fields of disaster...
February 20, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28152053/evaluation-of-absorbent-materials-for-use-as-ad-hoc-dry-decontaminants-during-mass-casualty-incidents-as-part-of-the-uk-s-initial-operational-response-ior
#17
Nick Kassouf, Sara Syed, Joanne Larner, Richard Amlôt, Robert P Chilcott
The UK's Initial Operational Response (IOR) is a revised process for the medical management of mass casualties potentially contaminated with hazardous materials. A critical element of the IOR is the introduction of immediate, on-scene disrobing and decontamination of casualties to limit the adverse health effects of exposure. Ad hoc cleansing of the skin with dry absorbent materials has previously been identified as a potential means of facilitating emergency decontamination. The purpose of this study was to evaluate the in vitro oil and water absorbency of a range of materials commonly found in the domestic and clinical environments and to determine the effectiveness of a small, but representative selection of such materials in skin decontamination, using an established ex vivo model...
2017: PloS One
https://www.readbyqxmd.com/read/28150265/-ethical-debates-related-to-the-allocation-of-medical-resources-during-the-response-to-the-mass-casualty-incident-at-formosa-fun-coast-water-park
#18
Jing-Shia Tang, Chia-Jung Chen, Mei-Chih Huang
Disasters are unpredictable and often result in mass casualties. Limited medical resources often affect the response to mass casualty incidents, undermining the ability of responders to adequately protect all of the casualties. Thus, the injuries of casualties are classified in hopes of fully utilizing medical resources efficiently in order to save the maximum possible number of people. However, as opinions on casualty prioritization are subjective, disagreements and disputes often arise regarding allocating medical resources...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28146034/interprofessional-mass-casualty-incident-simulation-design-protocol-to-prepare-prelicensure-nursing-students-to-respond-to-a-disaster
#19
Kelley Strout, Deborah A Saber, Lisa Swanson Caruso, Charlene Ingwell-Spolan, Aiden Koplovsky, Erica M Caron, Jennifer Federico, Colin Hulst, Isabella Etro
Nurses need to be prepared to respond to mass casualty incidents. Simulation is an ideal teaching intervention that can be used to prepare nursing students to effectively triage patients and allocate limited resources. This article describes a detailed interprofessional mass casualty simulation of a bus crash with 32 victims. Nursing students trained with emergency responders with students acting as charge nurses throughout the simulation. The details of the simulation are provided for faculty to replicate.
February 1, 2017: Nurse Educator
https://www.readbyqxmd.com/read/28144892/10%C3%A2-years-of-preparedness-by-the-radiation-injury-treatment-network
#20
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...
February 2017: Current Hematologic Malignancy Reports
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