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https://www.readbyqxmd.com/read/29161394/managing-anaesthetic-provision-for-global-disasters
#1
R M Craven
The numbers of people affected by large-scale disasters has increased in recent decades. Disasters produce a huge burden of surgical morbidity at a time when the affected country is least able to respond. For this reason an international disaster response is often required. For many years this disaster response was not coordinated. The response consisted of what was available not what was needed and standards of care varied widely producing a healthcare lottery for the affected population. In recent years the World Health organisation has initiated the Emergency Medical Team programme to coordinate the response to disasters and set minimum standards for responding teams...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29153550/why-a-disaster-is-not-just-normal-business-ramped-up-disaster-response-among-ed-nurses
#2
Karen S Hammad, Paul Arbon, Kristine Gebbie, Alison Hutton
BACKGROUND: The emergency department (ED) is a familiar place for the emergency nurse who spends their working days inside it. A disaster threatens that familiarity and creates changes that make working in the ED during a disaster response different from the everyday experience of working in the ED. METHODS: This research reports on an aspect of the findings from a larger study about the experience of working as a nurse in the ED during a disaster response. Thirteen nurses from 8 different countries were interviewed about their experience...
November 15, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/29151402/difference-in-first-aid-activity-during-mass-casualty-training-based-on-having-taken-an-educational-course
#3
Youichi Yanagawa, Kazuhiko Omori, Kouhei Ishikawa, Ikuto Takeuchi, Kei Jitsuiki, Toshihiko Yoshizawa, Jun Sato, Hideyuki Matsumoto, Masaru Tsuchiya, Hiromichi Osaka
BACKGROUND: The Japanese Association for Disaster Medicine developed a mass casualty life support (MCLS) course to improve cooperation among medical practitioners during a disaster, which is essential for reducing the rates of preventable disaster death. We investigated whether there was difference in first aid activity among members of the ambulance service during mass casualty training based on having taken the MCLS course. METHODS: Mass casualty training was held at the fire department of Numazu City...
November 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29136338/the-perspectives-of-medical-specialists-from-different-disciplines-on-the-management-of-systemic-lupus-erythematosus-an-interview-study
#4
David J Tunnicliffe, Davinder Singh-Grewal, Jonathan C Craig, Shilpanjali Jesudason, Peter Tugwell, Ming-Wei Lin, Sean G O'Neill, Daniel Sumpton, Allison Tong
OBJECTIVES: Systemic lupus erythematosus (SLE) is a complex autoimmune disease that can affect multiple organ systems, with specialists from many disciplines often involved, which may lead to inconsistent care. We aimed to describe the attitudes and perspectives of specialists from different medical disciplines on the management of people with SLE. METHODS: Face-to-face, semi-structured interviews were conducted with rheumatologists (n=16), nephrologists (n=16), and immunologists (n=11) providing care to adults with SLE from 19 centers across Australia in 2015...
November 14, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29136270/60-seconds-to-survival-a-pilot-study-of-a-disaster-triage-video-game-for-prehospital-providers
#5
Mark X Cicero, Travis Whitfill, Kevin Munjal, Manu Madhok, Maria Carmen G Diaz, Daniel J Scherzer, Barbara M Walsh, Angela Bowen, Michael Redlener, Scott A Goldberg, Nadine Symons, James Burkett, Joseph C Santos, David Kessler, Ryan N Barnicle, Geno Paesano, Marc A Auerbach
INTRODUCTION: Disaster triage training for emergency medical service (EMS) providers is not standardized. Simulation training is costly and time-consuming. In contrast, educational video games enable low-cost and more time-efficient standardized training. We hypothesized that players of the video game "60 Seconds to Survival" (60S) would have greater improvements in disaster triage accuracy compared to control subjects who did not play 60S. METHODS: Participants recorded their demographics and highest EMS training level and were randomized to play 60S (intervention) or serve as controls...
April 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29091047/instrumental-sensing-of-trace-volatiles-a-new-promising-tool-for-detecting-the-presence-of-entrapped-or-hidden-people
#6
Paweł Mochalski, Vera Ruzsanyi, Helmut Wiesenhofer, Christopher A Mayhew
There is a growing demand for rapid analytical systems for detecting the presence of humans who are either entrapped as a result of a disaster or in particular hidden, as in the case of smuggling or trafficking. The trafficking and smuggling of people to Europe have reached epidemic proportions in recent years. This does not only put a major strain on European resources, but puts at risk the health and lives of the people being trafficked or smuggled. In this context, the early detection and interception of smuggled/trafficked people is of particular importance in terms of saving migrants from life-threatening situations...
November 1, 2017: Journal of Breath Research
https://www.readbyqxmd.com/read/29074280/premature-brain-aging-in-humans-exposed-to-maternal-nutrient-restriction-during-early-gestation
#7
Katja Franke, Christian Gaser, Susanne R de Rooij, Matthias Schwab, Tessa J Roseboom
BACKGROUND: Prenatal exposure to undernutrition is widespread in both developing and industrialized countries, causing irreversible damage to the developing brain, resulting in altered brain structure and decreased cognitive function during adulthood. The Dutch famine in 1944/45 was a humanitarian disaster, now enabling studies of the effects of prenatal undernutrition during gestation on brain aging in late adulthood. METHODS: We hypothesized that study participants prenatally exposed to maternal nutrient restriction (MNR) would demonstrate altered brain structure resembling premature brain aging in late adulthood, expecting the effect being stronger in men...
October 23, 2017: NeuroImage
https://www.readbyqxmd.com/read/29070085/the-south-dakota-model-health-care-professions-student-disaster-preparedness-and-deployment-training
#8
Matt P Owens, Cheri Buffington, Michael P Frost, Randall J Waldner
OBJECTIVE: The Association of American Medical Colleges recommended an increase in medical education for public health emergencies, bioterrorism, and weapons of mass destruction in 2003. The University of South Dakota Sanford School of Medicine (USD SSOM) implemented a 1-day training event to provide disaster preparedness training and deployment organization for health professions students called Disaster Training Day (DTD). METHODS: Hospital staff and emergency medical services personnel provided the lecture portion of DTD using Core Disaster Life Support (CDLS; National Disaster Life Support Foundation) as the framework...
October 26, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29064115/living-with-disasters-social-capital-for-disaster-governance
#9
Maria de Lourdes Melo Zurita, Brian Cook, Dana C Thomsen, Paul G Munro, Timothy F Smith, John Gallina
This paper explores how social networks and bonds within and across organisations shape disaster operations and strategies. Local government disaster training exercises serve as a window through which to view these relations, and 'social capital' is used as an analytic for making sense of the human relations at the core of disaster management operations. These elements help to expose and substantiate the often intangible relations that compose the culture that exists, and that is shaped by preparations for disasters...
October 24, 2017: Disasters
https://www.readbyqxmd.com/read/29051136/using-google-glass-in-nonsurgical-medical-settings-systematic-review
#10
Bryn Dougherty, Sherif M Badawy
BACKGROUND: Wearable technologies provide users hands-free access to computer functions and are becoming increasingly popular on both the consumer market and in various industries. The medical industry has pioneered research and implementation of head-mounted wearable devices, such as Google Glass. Most of this research has focused on surgical interventions; however, other medical fields have begun to explore the potential of this technology to support both patients and clinicians. OBJECTIVE: Our aim was to systematically evaluate the feasibility, usability, and acceptability of using Google Glass in nonsurgical medical settings and to determine the benefits, limitations, and future directions of its application...
October 19, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29041996/preparedness-training-programs-for-working-with-deaf-and-hard-of-hearing-communities-and-older-adults-lessons-learned-from-key-informants-and-literature-assessments
#11
Patricia W Kamau, Susan L Ivey, Stephanie E Griese, Shoukat H Qari
OBJECTIVES: The objectives of this study were to (1) identify available training programs for emergency response personnel and public health professionals on addressing the needs of Deaf and hard of hearing individuals and older adults, (2) identify strategies to improve these training programs, and (3) identify gaps in available training programs and make recommendations for addressing these gaps. METHODS: A literature review was conducted to identify relevant training programs and identify lessons learned...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29039300/disaster-preparedness-of-child-care-teachers-a-cross-sectional-study-in-south-korea
#12
Dongchoon Uhm, Hyang Soon Oh
OBJECTIVE: We aimed to identify the differences in personal disaster preparedness and disaster risk perception among child care and preschool teachers in South Korea by using demographic characteristics and disaster-related questions. METHODS: A cross-sectional self-reporting questionnaire was administered from February to October 2014. RESULTS: Of all the participants, 68.1% had received disaster preparedness education and training on 2 or more occasions per year; 13...
October 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29019800/academic-medical-support-to-the-ebola-virus-disease-outbreak-in-liberia
#13
Patricia A McQuilkin, Michelle Niescierenko, Ann Marie Beddoe, Jarod Goentzel, Elinor A Graham, Patricia C Henwood, Lise Rehwaldt, Sisay Teklu, Janis Tupesis, Roseda Marshall
During the Ebola Virus Disease (EVD) epidemic in West Africa (2014-2016), many faculty, staff, and trainees from U.S. academic medical centers (i.e., teaching hospitals and their affiliated medical schools; AMCs) wished to contribute to the response to the outbreak, but many barriers prevented their participation. Here, the authors describe a successful long-term academic collaboration in Liberia that facilitated participation in the EVD response. This Perspective outlines the role the authors played in the response (providing equipment and training, supporting the return of medical education), the barriers they faced (logistical and financial), and elements that contributed to their success (partnering and coordinating their response with both U...
October 10, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29017025/global-nursing-in-an-ebola-viral-haemorrhagic-fever-outbreak-before-during-and-after-deployment
#14
Eva von Strauss, Stéphanie Paillard-Borg, Jessica Holmgren, Panu Saaristo
BACKGROUND: Nurses are on the forefront and play a key role in global disaster responses. Nevertheless, they are often not prepared for the challenges they are facing and research is scarce regarding the nursing skills required for first responders during a disaster situation. OBJECTIVES: To investigate how returnee nursing staff experienced deployment before, during and after having worked for the Red Cross at an Ebola Treatment Center in Kenema, West Africa, and to supply knowledge on how to better prepare and support staff for viral haemorrhagic fever outbreaks...
2017: Global Health Action
https://www.readbyqxmd.com/read/28992873/the-rapid-disaster-evaluation-system-rades-a-plan-to-improve-global-disaster-response-by-privatizing-the-assessment-component
#15
Kenneth V Iserson
BACKGROUND: Emergency medicine personnel frequently respond to major disasters. They expect to have an effective and efficient management system to elegantly allocate available resources. Despite claims to the contrary, experience demonstrates this rarely occurs. OBJECTIVES: This article describes privatizing disaster assessment using a single-purposed, accountable, and well-trained organization. The goal is to achieve elegant disaster assessment, rather than repeatedly exhorting existing groups to do it...
September 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28985913/factors-influencing-disaster-nursing-core-competencies-of-emergency-nurses
#16
Hye-Young Park, Ji-Soo Kim
BACKGROUND: Emergency nurses are expected to provide required nursing services by using their professional expertise to reduce the risk posed by disasters. Thus, emergency nurses' disaster nursing core competencies are essential for coping with disasters. The purpose of the study reported here was to identify factors influencing the disaster nursing core competencies of emergency nurses. METHODS: A survey was conducted among 231 emergency nurses working in 12 hospitals in South Korea...
October 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28973032/automatic-crack-detection-method-for-loaded-coal-in-vibration-failure-process
#17
Chengwu Li, Dihao Ai
In the coal mining process, the destabilization of loaded coal mass is a prerequisite for coal and rock dynamic disaster, and surface cracks of the coal and rock mass are important indicators, reflecting the current state of the coal body. The detection of surface cracks in the coal body plays an important role in coal mine safety monitoring. In this paper, a method for detecting the surface cracks of loaded coal by a vibration failure process is proposed based on the characteristics of the surface cracks of coal and support vector machine (SVM)...
2017: PloS One
https://www.readbyqxmd.com/read/28972706/trauma-informed-care-survey-of-psychiatrists-and-primary-care-physicians-in-the-middle-east
#18
Ossama T Osman, Laeth Nasir, Richard F Mollica, Taoufik Zoubeidi, James Lavelle, Noor Amawi
Objective: To explore in Arab communities the prevalence, dynamics, and resources available to address the physical and psychological consequences that may arise from psychiatric disorders. Methods: An online survey of psychiatrists and primary care physicians from 17 Arab countries was conducted between September 2011 and June 2012. The survey serves as a needs assessment in a scientifically valid and culturally sensitive manner. Additionally, it focuses attention on the clinical strengths and weaknesses of Middle Eastern primary health care and mental health centers in identifying and treating trauma-related health and mental health issues...
September 28, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28972531/libraries-and-librarians-key-partners-for-progress-in-health-literacy-research-and-practice
#19
Wanda Whitney, Alla Keselman, Betsy Humphreys
The field of librarianship has a history of involvement in patient education, general literacy and information literacy efforts. This history and prominent placement in communities make libraries and librarians an excellent resource in advancing health literacy practice and research. This chapter provides an overview of health literacy and health information literacy efforts in US libraries over the past two decades. The chapter begins with the description of the role of the US National Library of Medicine in developing resources, programs, and partnerships serving health information needs of the public...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28961657/training-community-health-workers-to-enhance-disaster-resilience
#20
Keith Nicholls, Steven J Picou, Selena C McCord
Community health workers (CHWs) have significant potential to contribute to public health in the United States by promoting disaster preparedness, speeding postdisaster recovery, and building disaster resilience in their communities. To maximize this potential, however, they must undergo rigorous and relevant training. As part of the Gulf Region Health Outreach Program, an appropriate curriculum was developed and delivered in several training sessions conducted from 2013 to 2016. This article provides insights into the primary issues associated with such training and offers a detailed elaboration of the basic and specialized curricula as presented and adapted over the course of the program...
November 2017: Journal of Public Health Management and Practice: JPHMP
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