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Incident command

S Y Qi, D M Wang, H B Yu, C Ding, F L Tian, L S Ru, J Li, B Zhang, Y L Han
Objective: To analyze long-term mortality and patients characteristics of cardiac resynchronization therapy (CRT) for patients with chronic heart failure. Methods: In-patients with chronic heart failure who received CRT in the three medical centers(Bethune International Peace Hospital, General Hospital of Shenyang Military Command of Chinese People's Liberation Army, and 251 Hospital of People's Liberation Army)from March 2001 to June 2013 were included.Mortality and related causes, echocardiographic parameters were analyzed...
November 24, 2016: Zhonghua Xin Xue Guan Bing za Zhi
Winchana Srivilaithon, Sombat Muengtaweepongsa
Targeted temperature management (TTM) is indicated for comatose survivors of cardiac arrest to improve outcomes. However, the benefit of TTM was verified by rigid controlled clinical trials. This study aimed at evaluating its effects in real-world practices. A prospective observational study was done at the emergency department of tertiary care, Thammasat Hospital, from March 2012 until October 2015. We included all who did not obey verbal commands after being resuscitated from cardiac arrest regardless of initial cardiac rhythm...
November 11, 2016: Therapeutic Hypothermia and Temperature Management
Elamin I E Abdelgadir, Mohamed M Hassanein, Alaaeldin M K Bashier, Sulaf Abdelaziz, Salwa Baki, Asma Chadli, Sara Askaoui, El Ansari Nawal, Ines S Slim, El Mghari Ghizlane, Khadija Hafidh, Fatheya Alawadi
BACKGROUND: 1.7 billion Muslims worldwide obey divine commands of fasting for a month. This may increase the probability of the acute complications of diabetes during the fasting period. DESIGN AND METHODS: We primarily aimed to compare the incidences and duration of Diabetic ketoacidosis (DKA) admissions during Ramadan compared to the month before (Shaaban) and the month after (Shawal) as well as the average pre-Ramadan six months' admissions. Our secondary objective was to assess the different incidence of DKA between Ramadan and the other months regarding precipitating factors, fasting practices in people admitted with DKA and gender differences...
2016: Journal of Diabetes and Metabolic Disorders
Hiroyuki Toyoda, Tatsuhiko Kubo, Koji Mori
OBJECTIVES: To study the occupational safety and health systems used for emergency response workers in the USA, we performed interviews with related federal agencies and conducted research on related studies. METHODS: We visited the Federal Emergency Management Agency (FEMA) and National Institute for Occupational Safety and Health (NIOSH) in the USA and performed interviews with their managers on the agencies' roles in the national emergency response system. We also obtained information prepared for our visit from the USA's Occupational Safety and Health Administration (OSHA)...
October 12, 2016: Sangyō Eiseigaku Zasshi, Journal of Occupational Health
Jennifer L Weidhaas, Andrea M Dietrich, Nathan J DeYonker, R Ryan Dupont, William T Foreman, Daniel Gallagher, Jennifer E G Gallagher, Andrew J Whelton, William A Alexander
Chemical spills and accidents contaminate the environment and disrupt societies and economies around the globe. In the United States there were approximately 172,000 chemical spills that affected US waterbodies from 2004 to 2014. More than 8000 of these spills involved non-petroleum-related chemicals. Traditional emergency responses or incident command structures (ICSs) that respond to chemical spills require coordinated efforts by predominantly government personnel from multiple disciplines, including disaster management, public health, and environmental protection...
September 2016: Journal of Environmental Quality
Alan H Weintraub, Donald J Gerber, Robert G Kowalski
OBJECTIVE: To describe incidence, clinical characteristics, complications, and outcomes in post-traumatic hydrocephalus (PTH) following traumatic brain injury (TBI) for patients treated in an inpatient rehabilitation program. DESIGN: Cohort study with retrospective comparative analysis SETTING: Inpatient rehabilitation hospital PARTICIPANTS: All patients admitted for TBI from 2009 to 2013 diagnosed with PTH, defined as ventriculomegaly, delayed clinical recovery discordant with injury severity, hydrocephalus symptoms, or positive lumbar puncture results...
September 23, 2016: Archives of Physical Medicine and Rehabilitation
Laura G Ebbeling, Eric Goralnick, Matthew J Bivens, Meg Femino, Claire G Berube, Bryan Sears, Leon D Sanchez
OBJECTIVE: Disaster exercises often simulate rare, worst-case scenario events that range from mass casualty incidents to severe weather events. In actuality, situations such as information system downtimes and physical plant failures may affect hospital continuity of operations far more significantly. The objective of this study is to evaluate disaster drills at two academic and one community hospital to compare the frequency of planned drills versus real-world events that led to emergency management command center activation...
2016: American Journal of Disaster Medicine
J J Mark Haverkort, Jos H Bouman, Jelte D D Wind, Luke P H Leenen
OBJECTIVE: To describe the development of the Patient Barcode Registration System (PBRS) over time and confirm the usability and feasibility of the system's latest version during a large trauma drill. METHODS: The development of a PBRS started around 1993 aiming to provide an effective tool for patient registration, tracking, and tracing during major incidents. The PBRS uses wristbands with barcodes to follow and register patients in the care process. During a large trauma drill, 120 patients and 40 relatives were registered and traced in the system...
September 13, 2016: Disaster Medicine and Public Health Preparedness
Steven A Kahn, Tina L Palmieri, Soman Sen, Jason Woods, Oliver L Gunter
Firefighting is wrought with risk, as 80-100 firefighters (FFs) died on the job each year in the United States. Many of the fatalities have been analyzed by the National Institute for Occupational Safety and Health (NIOSH) to determine contributing factors. The purpose of this study is to determine variables that put FFs at risk for potentially preventable workplace mortality such as use of personal protective equipment (PPE), seat belts, and appropriate training/fitness/clearance for duty. The NIOSH FF Fatality Database reports from 2009 to 2014 were analyzed...
August 26, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Furqan B Irfan, Sameer A Pathan, Zain A Bhutta, Mohamed E Abbasy, Amr Elmoheen, Abdallah M Elsaeidy, Tooba Tariq, Charles D Hugelmeyer, Habib Dardouri, Noor Bibi Khial Bad Shah, Colene Y Daniel, Ashwin D Silva, Kaleelullah S Farook, Yogdutt Sharma, Stephen H Thomas
The State of Qatar experienced a sandstorm on the night of April 1, 2015, lasting approximately 12 hours, with winds of more than 100 km/h and average particulate matter of approximately 10 μm in diameter. The emergency department (ED) of the main tertiary hospital in Qatar managed 62% of the total emergency calls and those of higher triage order. The peak load of patients during the event manifested approximately 6 hours after the onset. The Major Emergency Command Centre of the hospital ensured the department was maximally organized in terms of disaster management, and established protocols were brought into action...
August 19, 2016: Disaster Medicine and Public Health Preparedness
Jeong Il Lee, Kang Hyun Lee, Oh Hyun Kim, Yong Sung Cha, Sung Oh Hwang, Hyun Kim, Kyung Chul Cha
OBJECTIVE: Devastating disasters around the world directly contribute to significant increases in human mortality and economic costs. The objective of this study was to examine the current state of the Korea Disaster Relief Team that participated in an international training module. METHODS: The whole training period was videotaped in order to observe and evaluate the respondents. The survey was carried out after completion of the 3-day training, and the scores were reported by use of a 5-point Likert scale...
July 27, 2016: Disaster Medicine and Public Health Preparedness
Aura Ganz, James M Schafer, Zhuorui Yang, Jun Yi, Graydon Lord, Gregory Ciottone
We investigate the utility of DIORAMA-II system which provides enhanced situational awareness within a disaster scene by using real-time visual analytics tools and a collaboration platform between the incident commander and the emergency responders. Our trials were conducted in different geographical areas (feature-rich and featureless regions) and in different lighting conditions (daytime and nighttime). DIORAMA-II obtained considerable time gain in efficiency compared to conventional paper based systems. DIORAMA-II time gain was reflected in reduction of both average triage time per patient (up to 34...
2016: International Journal of Telemedicine and Applications
Jennifer L Embree, Yvonne Yueh-Feng Lu
AIM: Clinical nurse specialist (CNS) students at an urban Midwestern university participated in a study to describe their satisfaction with civic engagement (CE) learning activities. METHODS: A descriptive and cross-sectional study design housed a faculty-developed CE learning module with four learning activities: (a) gaining interprofessional collaborative practice leadership experience in a mock incident command experience; (b) identifying, researching, and writing a legislative letter about an area of public and/or health policy concern; and (c) developing a professional online network LinkedIn account with experienced CNSs; (d) identifying potential mechanisms for achieving board membership on a civic or professional nursing organization...
July 15, 2016: Nursing Forum
Dongqi Gao, Huisuo Yang, Bing Deng, Gang Yin, Wenjing Song, Haiyang Zhang, Yapin Li
Influenza, caused by the influenza virus, is a contagious acute viral respiratory disease with a high incidence rate and wide and rapid spread. Influenza-related morbidity, mortality, and hospitalization rates remain high and are increasing continuously in high-risk groups, with a significant impact on human health and the economy. In order to evaluate the immunogenicity of three seasonal trivalent influenza vaccines in Chinese military, we conducted this field trial. We assessed the safety and immunogenicity of three seasonal trivalent influenza vaccines(TIVs)manufactured by GlaxoSmithKline(GSK), Beijing Sinovac Biotech (Sinovac), and Shenzhen Sanofi Pasteur (Pasteur) in healthy Chinese servicemen...
June 27, 2016: Human Vaccines & Immunotherapeutics
Christopher T Lee, Neil M Vora, Waheed Bajwa, Lorraine Boyd, Scott Harper, Daniel Kass, Aileen Langston, Emily McGibbon, Mario Merlino, Jennifer L Rakeman, Marisa Raphael, Sally Slavinski, Anthony Tran, Ricky Wong, Jay K Varma
Zika virus has rapidly spread through the World Health Organization's Region of the Americas since being identified in Brazil in early 2015. Transmitted primarily through the bite of infected Aedes species mosquitoes, Zika virus infection during pregnancy can cause spontaneous abortion and birth defects, including microcephaly (1,2). New York City (NYC) is home to a large number of persons who travel frequently to areas with active Zika virus transmission, including immigrants from these areas. In November 2015, the NYC Department of Health and Mental Hygiene (DOHMH) began developing and implementing plans for managing Zika virus and on February 1, 2016, activated its Incident Command System...
June 24, 2016: MMWR. Morbidity and Mortality Weekly Report
Alan Finnegan, William Lauder, Hugh McKenna
BACKGROUND: Between 2001 and 2014, British military nurses served in Afghanistan caring for both service personnel and local nationals of all ages. However, there have been few research studies assessing the psychological impact of delivering nursing care in a war zone hospital. PURPOSE: The purpose of the study was to explore the challenges and psychological stressors facing military nurses in undertaking their operational role. METHODS: A constructivist grounded theory was used...
September 2016: Nursing Outlook
Karolina Gullsby, Kåre Bondeson
BACKGROUND: Mycoplasma pneumoniae is a common cause of respiratory infections which can cause life-threatening pneumonia and serious extrapulmonary manifestations. Since the year 2000, the emergence of macrolide-resistant M. pneumoniae strains has increased with varying incidences across countries. In China more than 90% of the strains are resistant. M. pneumoniae diagnostics is mostly done with molecular methods, and in Sweden antibiotic resistance surveillance is not routinely performed...
2016: Infection Ecology & Epidemiology
Tamer A Hadi, Keren Fleshler
Social media monitoring for public health emergency response and recovery is an essential response capability for any health department. The value of social media for emergency response lies not only in the capacity to rapidly communicate official and critical incident information, but as a rich source of incoming data that can be gathered to inform leadership decision-making. Social media monitoring is a function that can be formally integrated into the Incident Command System of any response agency. The approach to planning and required resources, such as staffing, logistics, and technology, is flexible and adaptable based on the needs of the agency and size and scope of the emergency...
May 27, 2016: Disaster Medicine and Public Health Preparedness
Richard V King, Gregory Luke Larkin, Raymond L Fowler, Dana L Downs, Carol S North
OBJECTIVE: To identify key attributes of effective disaster/mass casualty first responders and leaders, thereby informing the ongoing development of a capable disaster health workforce. METHODS: We surveyed emergency response practitioners attending a conference session, the EMS State of the Science: A Gathering of Eagles. We used open-ended questions to ask participants to describe key characteristics of successful disaster/mass casualty first responders and leaders...
May 18, 2016: Disaster Medicine and Public Health Preparedness
R M Bell, H E Bøtker, R D Carr, S M Davidson, J M Downey, D P Dutka, G Heusch, B Ibanez, R Macallister, C Stoppe, M Ovize, A Redington, J M Walker, D M Yellon
In the 30 years since the original description of ischaemic preconditioning, understanding of the pathophysiology of ischaemia/reperfusion injury and concepts of cardioprotection have been revolutionised. In the same period of time, management of patients with coronary artery disease has also been transformed: coronary artery and valve surgery are now deemed routine with generally excellent outcomes, and the management of acute coronary syndromes has seen decade on decade reductions in cardiovascular mortality...
July 2016: Basic Research in Cardiology
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