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https://www.readbyqxmd.com/read/29661267/comparison-of-electronic-versus-manual-mass-casualty-incident-triage
#1
Claudie Bolduc, Nisreen Maghraby, Patrick Fok, The Minh Luong, Valerie Homier
IntroductionMass-casualty incidents (MCIs) easily overwhelm a health care facility's human and material resources through the extraordinary influx of casualties. Efficient and accurate triage of incoming casualties is a critical step in the hospital disaster response.Hypothesis/ProblemTraditionally, triage during MCIs has been manually performed using paper cards. This study investigated the use of electronic Simple Triage and Rapid Treatment (START) triage as compared to the manual method. METHODS: This observational, crossover study was performed during a live MCI simulation at an urban, Canadian, Level 1 trauma center on May 26, 2016...
April 17, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29650879/-a-study-on-designs-and-achievements-of-trainings-for-enhancing-the-self-help-ability-of-home-cared-persons-in-preparing-for-disasters-review-of-disaster-drills-with-cared-persons-and-their-families
#2
Kayo Shirai, Mieko Ito, Kiyomi Hata
After the Great East Japan Earthquake, we re-recognized the importance of self-help efforts of home-cared persons and their families and the necessity of advanced measures. In 2013, we designed a disaster drill to enhance the self-help ability of home-cared persons and their families in a stepwise fashion. In 2016, for the purpose of reviewing the achievements of the designed drill and its contents, the disaster drill was conducted on 21 users of our home-visit nursing station, followed by a questionnaire survey regarding the training contents, date/time, documents used, change in awareness, disaster-preventive actions, etc...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650878/-balance-in-disaster-preparedness-between-public-self-and-mutual-help-for-home-cared-individuals
#3
Kiyomi Hata, Masao Hata
At present, when it is predicted that large-scale disasters may occur, repletion and reinforcement of disaster preparedness are required. For disaster preparedness, a balance between public, self-, and mutual help is important. However, designated hospitals and their support systems were placed importance in medical care during disasters, and preparedness in regard to home care has not been discussed sufficiently. The purpose of this study is to clarify preparations that home-visit nursing stations may implement, states of support for self-help of cared persons and their families and mutual help such as of communities, in home-visit nursing stations in the areas where large-scale damages by Tokyo Inland Earthquake and Nankai Trough Earthquake are assumed...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29629933/using-tabletop-exercises-as-an-innovative-and-practical-teaching-strategy-in-response-to-external-disaster-scenarios
#4
Cathleen A Evans, Rose Schwartz
Transferring previous learning to novel and unfamiliar health care situations is a challenge that nurses face daily. As a nursing classroom experience, tabletop exercises provide nursing students with open-ended decision-making opportunities to manage realistic practice problems. This article describes an innovative tabletop exercise with a disaster healthcare context and patient scenarios that senior nursing students used to demonstrate foundational nursing education knowledge, skills, and abilities. Students demonstrated a transfer of knowledge from early medical-surgical coursework to a complex, novel situation using the nursing process and evidence-based clinical judgment...
April 6, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29613935/the-use-of-emergency-physicians-to-deliver-anesthesia-for-orthopaedic-surgery-in-austere-environments-the-expansion-of-the-emergency-physician-s-general-anesthesia-syllabus-to-orthopaedic-surgery
#5
Ogedad Pierre, John F Lovejoy, Robert Stanton, Richard Skupski, Harold Previl, Jerry Bernard, Lia Losonczy, Mark Walsh
BACKGROUND: Five billion people, primarily in low-income and middle-income countries, cannot access safe, affordable surgical and anesthesia care, particularly for orthopaedic trauma. The rate-limiting step for many orthopaedic surgical procedures performed in the developing world is the absence of safe anesthesia. Even surgical mission teams providing surgical care are limited by the availability of anesthesiologists. Emergency physicians, who are already knowledgeable in airway management and procedural sedation, may be able to help to fulfill the need for anesthetists in disaster relief and surgical missions...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29602586/analysis-of-the-effects-of-high-fidelity-simulation-on-nursing-students-perceptions-of-their-preparedness-for-disasters
#6
Vesile Unver, Tulay Basak, Sevinc Tastan, Gulsah Kok, Gulten Guvenc, Ayla Demirtas, Hatice Ayhan, Gulsah Köse, Emine Iyigun, Nuran Tosune
INTRODUCTION: As disasters may occur any time, health care staff and institutions should be prepared to manage these events. The aim of study is to analyze the effects of high-fidelity simulation on the perceptions of senior nursing students regarding their preparedness for disasters. METHODS: This study used a pretest-posttest design and was conducted as a quasi-experimental investigation. RESULTS: Slightly less than the half of the students (42...
March 27, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29596258/the-great-london-smog-of-1952
#7
Barbara J Polivka
: The Great London Smog of December 1952 lasted five days and killed up to 12,000 people. The smog developed primarily because of extensive burning of high-sulfur coal. The health effects were both immediate and long lasting, with a recent study revealing an increased likelihood of childhood asthma development in those exposed to the Great Smog while in utero or during their first year of life. Subsequent pollution legislation-including the U.S. Clean Air Act and its amendments-have demonstrably reduced air pollution and positively impacted health outcomes...
April 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29595567/integrating-climate-change-into-nursing-curricula
#8
Ruth McDermott-Levy, Kathryn P Jackman-Murphy, Jeanne M Leffers, Lisa Jordan
Climate change is a significant threat to human health across the life cycle. Nurses play an important role in mitigation, adaptation, and resilience to climate change. The use of health care resources, air quality and extreme heat, mental health, and natural disasters are major content areas across undergraduate nursing curricula that influence or are influenced by climate change. Teaching strategies and resources are offered to prepare nursing students to address climate change and human health.
March 28, 2018: Nurse Educator
https://www.readbyqxmd.com/read/29584681/evaluating-community-partnerships-addressing-community-resilience-in-los-angeles-california
#9
Malcolm V Williams, Anita Chandra, Asya Spears, Danielle Varda, Kenneth B Wells, Alonzo L Plough, David P Eisenman
Community resilience has grown in importance in national disaster response and recovery efforts. However, measurement of community resilience, particularly the content and quality of relationships aimed at improving resilience, is lacking. To address this gap, we used a social network survey to measure the number, type, and quality of relationships among organizations participating in 16 coalitions brought together to address community resilience in the Los Angeles Community Disaster Resilience project. These coalitions were randomized to one of two approaches (community resilience or preparedness)...
March 27, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29565241/preparing-for-the-surge-a-half-day-emergency-preparedness-training-course-for-the-second-front
#10
Lancer A Scott, Layne A Madden, Amy E Wahlquist, Daniel W Fisher
Purpose Clinical disaster medicine requires providers working collaboratively to care for multiple patients, yet many clinicians lack competency-based training. A 5-hour emergency preparedness training (EPT) curriculum was created using didactics, small group discussion, and scenario-based learning. The goal was to evaluate the effect of a short course on improving clinical-provider knowledge, confidence and skill. METHODS: Participants were enrolled in a medical university between 2011 and 2014...
February 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29550157/standardised-simulation-based-emergency-and-intensive-care-nursing-curriculum-to-improve-nursing-students-performance-during-simulated-resuscitation-a-quasi-experimental-study
#11
Jie Chen, Jian Yang, Fen Hu, Si-Hong Yu, Bing-Xiang Yang, Qian Liu, Xiao-Ping Zhu
BACKGROUND: Simulation-based curriculum has been demonstrated as crucial to nursing education in the development of students' critical thinking and complex clinical skills during a resuscitation simulation. Few studies have comprehensively examined the effectiveness of a standardised simulation-based emergency and intensive care nursing curriculum on the performance of students in a resuscitation simulation. OBJECTIVE: To evaluate the impact of a standardised simulation-based emergency and intensive care nursing curriculum on nursing students' response time in a resuscitation simulation...
March 14, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29542099/amateur-radio-communications-in-a-disaster-preparedness-simulation-when-all-else-fails-amateur-radio
#12
Randy McCamey, Jennifer Yeager
During natural disasters, communications can be disrupted, which negatively impacts response time of first responders thus diminishing the level of care provided to disaster victims. In the fall of 2014, as part of a larger community-based participatory research study, the Tarleton Area Amateur Radio Club (TAARC) joined the Department of Nursing, Tarleton State University, and provided amateur radio communications during a disaster preparedness simulation. The simulation was conducted to determine the ability of the university to provide rapid response and render quality, acute healthcare to its neighbors during a natural disaster...
January 2018: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/29525977/personal-transformation-process-of-mental-health-relief-workers-in-sichuan-earthquake
#13
Zhengjia Ren, Meng Gao, Mark Yang, Wei Qu
After Sichuan earthquake, a few dedicated teams of psychological volunteers have been committed to helping the survivors of the disaster for a long period. Their personal transformation experiences were absent in the literatures. The purpose of this qualitative research was to adopt a qualitative research to examine individuals' lived experiences of personal transformation after long-term disaster mental health services. The study interviewed 10 psychological counselors, 3 psychiatric nurses, 4 psychiatrist, and 6 social workers...
March 10, 2018: Journal of Religion and Health
https://www.readbyqxmd.com/read/29524836/disaster-education-and-preparedness-in-the-acute-care-setting-a-cross-sectional-survey-of-operating-theatre-nurse-s-disaster-knowledge-and-education
#14
Olivia Sonneborn, Charne Miller, Leon Head, Rachel Cross
BACKGROUND: Operating theatre services can be heavily relied upon during mass casualty disaster events, which require nurses to have adequate training and education of hospital disaster management plans to respond appropriately. The evidence-base of disaster preparedness in the acute setting is limited, particularly with regard to operating theatre nurses. OBJECTIVES: Explore operating theatre nurse's disaster knowledge of their role in a mass casualty event, and identify the preferred mode of disaster education and training to improve disaster preparedness...
June 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29510775/evaluation-and-gap-analysis-of-pediatric-disaster-preparedness-resources
#15
Tessa J Koeffler, Natalie E Demeter, Lynn Kysh, Jeffrey Reeb, Alix Stayton, Robert Spears, Rita V Burke
The goal of this research was to identify, summarize, and evaluate pediatric disaster preparedness resources in the United States and to identify areas that need improvement or further development. Using standard literature, gray literature and website reviews, relevant resources were identified and the 50 most relevant resources were studied in depth. Each resource was given a grade of A, B, or C based on content, format, quality, and thoroughness. These resources were divided into 3 categories: (1) hospital resources, (2) school resources, and (3) training/education resources...
March 7, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29502886/nurses-experiences-of-care-for-patients-with-middle-east-respiratory-syndrome-coronavirus-in-south-korea
#16
Yujeong Kim
BACKGROUND: This study aimed to identify nurses' experiences of care for patients with Middle East respiratory syndrome-coronavirus (MERS-CoV). Their experiences can be useful to establish a safer healthcare system in preparation for infectious disease outbreaks. METHODS: Data were collected through in-depth individual interviews and analyzed using Colaizzi's phenomenological method. Participants were 12 nurses. RESULTS: Nurses' experiences of care for patients with MERS-CoV were categorized as follows: "Going into a dangerous field," "Strong pressure because of MERS-CoV," "The strength that make me endure," "Growth as a nurse," and "Remaining task...
March 1, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29463340/evaluation-of-a-novel-disaster-nursing-education-method
#17
Kristin Levoy, Summer D DeBastiani, Brian E McCabe
OBJECTIVE: A common method of disaster training is needed to improve disaster nursing education and facilitate better communication among interprofessional disaster responders. To inform the development of disaster nursing curricula, a novel disaster nursing education method consistent with Homeland Security Exercise and Evaluation Program (HSEEP) and the International Council of Nurses (ICN) framework was developed to improve disaster nursing competencies in a baccalaureate nursing program...
February 21, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29455699/existing-approaches-to-chemical-biological-radiological-and-nuclear-cbrn-education-and-training-for-health-professionals-findings-from-an-integrative-literature-review
#18
Mayumi Kako, Karen Hammad, Satoko Mitani, Paul Arbon
OBJECTIVES: This review was conducted to explore the literature to determine the availability, content, and evaluation of existing chemical, biological, radiological, and nuclear (CBRN) education programs for health professionals. METHODS: An integrative review of the international literature describing disaster education for CBRN (2004-2016) was conducted. The following relevant databases were searched: Proquest, Pubmed, Science Direct, Scopus, Journals @ OVID, Google Scholar, Medline, and Ichuschi ver...
February 19, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29436290/psychological-risk-factors-for-posttraumatic-stress-disorder-in-workers-after-toxic-chemical-spill-in-gumi-south-korea
#19
Ji Young Song, Kyoung-Sook Jeong, Kyeong-Sook Choi, Min-Gi Kim, Yeon-Soon Ahn
The extent and severity of the psychological effects following chemical release disasters have not been widely reported. The aim of this study was to examine the prevalence of hydrogen fluoride (HF)-related posttraumatic stress disorder (PTSD) and to identify associated psychological risk factors. On September 2012, an estimated 8 to 12 tons of HF gas, which dissolves in air moisture to form droplets of corrosive hydrofluoric acid, escaped from an industrial complex in Gumi, South Korea. Ten months later, structured questionnaires that included items from the Impacts of Event Scale (revised Korean version) as well as questions about demographic and psychological risk factors related to PTSD were distributed to workers in the affected area...
February 1, 2018: Workplace Health & Safety
https://www.readbyqxmd.com/read/29423875/emergency-medicine-in-the-kingdom-of-bahrain
#20
Feras Abuzeyad, Leena Alqasem, Mudhaffar I Al Farras, Shaikha S Al Jawder, Ghada Al Qasim, Salah Alghanem
It has been more than a decade since emergency medicine became recognized as a specialty in the Kingdom of Bahrain. In the last fifteen years emergency medicine has widely established itself and developed rapidly in the Kingdom. The three main emergency departments are: Salmanyia Medical Complex (SMC), Royal Medical Services of Bahrain Defence Force (RMS-BDF) and King Hamad University Hospital (KHUH) are now fully equipped and operated by a majority of board certified emergency physicians.Standardized protocols, and the Central National Ambulance will be established in the near future, and the ambulances will offer both basic and advanced life support by trained nurses and paramedics...
February 8, 2018: International Journal of Emergency Medicine
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