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https://www.readbyqxmd.com/read/28228972/emergency-preparedness-and-management-at-the-university-of-l-aquila-central-italy-and-the-role-of-students-associations-in-the-april-6th-2009-earthquake
#1
Michele Magni, Rita Fraboni, Fausto Marincioni
INTRODUCTION: On April 6th 2009 an earthquake of Mw=6.3 hit the historical downtown of L'Aquila and its hinterland causing more than 300 fatalities and severe damage to private and public buildings. At the time, the University of L'Aquila represented a major source of employment and income for the city. The earthquake impacted both the facilities and the administrative, financial and patrimonial activities of the university, bringing into the open the tendency - widespread in Italy - to rely on adaptive tactics rather than on strategic pre-disaster plans...
January 12, 2017: PLoS Currents
https://www.readbyqxmd.com/read/28228361/a-measurement-of-the-effectiveness-and-efficiency-of-pre-disaster-debris-management-plans
#2
Julia Crowley
Disaster debris management operations make up a significant portion of recovery expenses. The following study aims to examine how the presence of a plan makes disaster debris management effective and efficient. Ninety-five counties in the United States who received major disaster declarations between 2012 and 2015 were surveyed to examine the quality of their debris management processes. Forty-nine of these counties had debris management plans while forty-six did not. Statistical tests were conducted to address discrepancies in the effectiveness and efficiency of the debris management processes between the two groups...
February 19, 2017: Waste Management
https://www.readbyqxmd.com/read/28228178/the-state-of-emergency-medical-services-ems-systems-in-africa
#3
Nee-Kofi Mould-Millman, Julia M Dixon, Nana Sefa, Arthur Yancey, Bonaventure G Hollong, Mohamed Hagahmed, Adit A Ginde, Lee A Wallis
: Introduction Little is known about the existence, distribution, and characteristics of Emergency Medical Services (EMS) systems in Africa, or the corresponding epidemiology of prehospital illness and injury. METHODS: A survey was conducted between 2013 and 2014 by distributing a detailed EMS system questionnaire to experts in paper and electronic versions. The questionnaire ascertained EMS systems' jurisdiction, operations, finance, clinical care, resources, and regulatory environment...
February 23, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28224347/emergency-medical-service-systems-in-sri-lanka-problems-of-the-past-challenges-of-the-future
#4
Kelum Wimalaratne, Jeong Il Lee, Kang Hyun Lee, Hee Young Lee, Jung Hun Lee, In Hye Kang
INTRODUCTION: The concept of emergency medical services (EMS) is new to Sri Lanka. This article describes the development, delivery, and future ideas for EMS in Sri Lanka. Sri Lanka also faces frequent natural hazards that justify the establishment of an EMS service. METHODOLOGY: Data and information regarding emergency medical care in Sri Lanka were collected and reviewed from resources including websites and research papers. RESULTS: Currently, there are no qualified emergency medical physicians in Sri Lanka...
December 2017: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28222848/disability-integration-throughout-the-disaster-cycle-of-prepare-respond-and-recover
#5
Mary Casey-Lockyer, Shari Myers
This paper will discuss the integration of individuals with access and functional needs including those with disabilities throughout the disaster cycle of prepare, respond and recover. The current environment of disaster planning response and recovery in regards to individuals with disabilities will be highlighted. Practical steps for emergency managers to better inclusion of all will be outlined and a table to assist clients in indentifying the type of shelter to best fit their needs is included. Best practices for recovery are also discussed...
January 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28222847/relying-on-the-national-mobile-disaster-hospital-as-a-business-continuity-strategy-in-the-aftermath-of-a-tornado-the-louisville-experience
#6
Randy D Kearns, Lew Stringer, James Craig, Regina Godette-Crawford, Paul S Black, David L Andra, James Winslow
On 28th April, 2014, a tornado left much of Louisville, MS and the local hospital, Winston Medical Center, in ruin. In the USA, temporary hospital solutions have been used to augment the mainstream healthcare system since the American Civil War. As memories fade, however, the necessary readiness for a temporary hospital also fades, at times leaving a patchwork of resources either underfunded or abandoned. With the creation of the Hospital Preparedness Program, several temporary hospital solutions were created in various states across the USA...
January 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28222830/impact-of-early-vasopressor-administration-on-neurological-outcomes-after-prolonged-out-of-hospital-cardiac-arrest
#7
Michael W Hubble, Clark Tyson
: Introduction Vasopressors are associated with return of spontaneous circulation (ROSC), but no long-term benefit has been demonstrated in randomized trials. However, these trials did not control for the timing of vasopressor administration which may influence outcomes. Consequently, the objective of this study was to develop a model describing the likelihood of favorable neurological outcome (cerebral performance category [CPC] 1 or 2) as a function of the public safety answering point call receipt (PSAP)-to-pressor-interval (PPI) in prolonged out-of-hospital cardiac arrest...
February 22, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28221958/using-a-six-sigma-fishbone-analysis-approach-to-evaluate-the-effect-of-extreme-weather-events-on-salmonella-positives-in-young-chicken-slaughter-establishments
#8
John W Linville, Douglas Schumann, Christopher Aston, Stephanie Defibaugh-Chavez, Scott Seebohm, Lucy Touhey
A six sigma fishbone analysis approach was used to develop a machine learning model in SAS, Version 9.4, by using stepwise linear regression. The model evaluated the effect of a wide variety of variables, including slaughter establishment operational measures, normal (30-year average) weather, and extreme weather events on the rate of Salmonella -positive carcasses in young chicken slaughter establishments. Food Safety and Inspection Service (FSIS) verification carcass sampling data, as well as corresponding data from the National Oceanographic and Atmospheric Administration and the Federal Emergency Management Agency, from September 2011 through April 2015, were included in the model...
December 2016: Journal of Food Protection
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
#9
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/28219471/a-descriptive-analysis-of-tactical-casualty-care-interventions-performed-by-law-enforcement-personnel-in-the-state-of-wisconsin-2010-2015
#10
Chad M Stiles, Christopher Cook, Matthew D Sztajnkrycer
: Introduction Based upon military experience, law enforcement has developed guidelines for medical care during high-threat conditions. The purpose of the current study was to provide a descriptive analysis of reported outcomes of law enforcement medical interventions. METHODS: This was a descriptive analysis of a convenience sample of cases submitted to the Wisconsin Tactical Medicine Initiative (Wisconsin USA), after the provision of successful patient care, between January 2010 and December 2015...
February 21, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28219452/stop-stroke-a-brief-report-on-door-to-needle-times-and-performance-after-implementing-an-acute-care-coordination-medical-application-and-implications-to-emergency-medical-services
#11
Robert Dickson, Adrian Nedelcut, Melissa McPeek Nedelcut
OBJECTIVE: The objective of this study was to evaluate the effect of the Stop Stroke (Pulsara; Bozeman, Montana USA) medical application on door-to-needle (DTN) time in patients presenting to the emergency department (ED) with an acute ischemic stroke (AIS). METHODS: This was a retrospective cohort study of the Good Shepherd Health System (Longview, Texas USA) stroke quality improvement dashboard for a 25-month period from February 2012 through February 2014. Data analysis includes all data from Center for Medicare and Medicaid Services (CMS; Baltimore, Maryland USA) reportable cases receiving Tissue Plasminogen Activator (TPA) for AIS during the study period...
February 21, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28215192/music-genre-as-a-predictor-of-resource-utilization-at-outdoor-music-concerts
#12
Michael S Westrol, Susmith Koneru, Norah McIntyre, Andrew T Caruso, Faizan H Arshad, Mark A Merlin
OBJECTIVES: The aim of this study was to examine the various modern music genres and their effect on the utilization of medical resources with analysis and adjustment for potential confounders. METHODS: A retrospective review of patient logs from an open-air, contemporary amphitheater over a period of 10 years was performed. Variables recorded by the medical personnel for each concert included the attendance, description of the weather, and a patient log in which nature and outcome were recorded...
February 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28215188/high-school-cardiac-emergency-response-plans-and-sudden-cardiac-death-in-the-young
#13
Michelle J White, Emefah C Loccoh, Monica M Goble, Sunkyung Yu, Folafoluwa O Odetola, Mark W Russell
: Introduction Sudden cardiac death (SCD) is responsible for 5%-10% of all deaths among children 5-19 years-of-age. The incidence of SCD in youth in Michigan (USA) and nationwide is higher in racial/ethnic minorities and in certain geographic areas. School cardiac emergency response plans (CERPs) increase survival after cardiac arrest. However, school cardiac emergency preparedness remains variable. Studying population-level factors associated with school cardiac emergency preparedness and incidence of SCD in the young may improve understanding of disparities in the incidence of SCD...
February 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28215187/experiences-of-ebola-survivors-causes-of-distress-and-sources-of-resilience
#14
Patricia M Schwerdtle, Veronique De Clerck, Virginia Plummer
: Introduction An appreciation of the experience of Ebola survivors is critical for community engagement and an effective outbreak response. Few qualitative, descriptive studies have been conducted to date that concentrate on the voices of Ebola survivors. Problem This study aimed to explore the experiences of Ebola survivors following the West African epidemic of 2014. METHOD: An interpretive, qualitative design was selected using semi-structured interviews as the method of data collection...
February 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28210762/-impact-assessment-of-inadequate-hospital-disaster-management-reflection-based-on-a%C3%A2-risk-model
#15
E Pfenninger, H Güzelel
BACKGROUND: According to legal regulations alarm and emergency plans have to be developed and kept current in hospitals. However, often neither the hospital administration, nor the medical employees and nursing staff pay the necessary attention to these alarm and evacuation plans. In particular, risks and consequences - including financial ones - due to insufficient planning, are not adequately considered. OBJECTIVES: Risks in hospitals are assessed based on a risk analysis...
February 16, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28205214/the-reliability-of-facial-recognition-of-deceased-persons-on-photographs
#16
Zuzana Caplova, Zuzana Obertova, Daniele M Gibelli, Debora Mazzarelli, Tony Fracasso, Peter Vanezis, Chiarella Sforza, Cristina Cattaneo
In humanitarian emergencies, such as the current deceased migrants in the Mediterranean, antemortem documentation needed for identification may be limited. The use of visual identification has been previously reported in cases of mass disasters such as Thai tsunami. This pilot study explores the ability of observers to match unfamiliar faces of living and dead persons and whether facial morphology can be used for identification. A questionnaire was given to 41 students and five professionals in the field of forensic identification with the task to choose whether a facial photograph corresponds to one of the five photographs in a lineup and to identify the most useful features used for recognition...
February 15, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28202154/social-media-processes-in-disasters-implications-of-emergent-technology-use
#17
Dhiraj Murthy, Alexander J Gross
This article seeks to extend social science scholarship on social media technology use during disruptive events. Though social media's role in times of crisis has been previously studied, much of this work tends to focus on first-responders and relief organizations. However, social media use during disasters tends to be decentralized and this organizational structure can promote different types of messages to top-down information systems. Using 142,786 geo-tagged tweets collected before and after Hurricane Sandy's US landfall as a case study, this article seeks to explore shifts in social media behavior during disruptive events and highlights that though Sandy disrupted routine life within Twitter, users responded to the disaster by employing humor, sharing photos, and checking into locations...
March 2017: Social Science Research
https://www.readbyqxmd.com/read/28197401/lack-of-cultural-competency-in-international-aid-responses-the-ebola-outbreak-in-liberia
#18
Hannah Grace Southall, Sarah E DeYoung, Curt Andrew Harris
A cornerstone of effective disaster management is that response should always begin and end at the local level (1). The response to the Ebola virus disease (EVD) outbreak in Liberia, West Africa, was a combination of independent efforts by many nations and organizations. Many of these independent efforts ignored or were not able to work with the local levels of emergency management in Liberia. This oversight occurred because of the Liberian's mistrust of both their government and foreign aid groups, as well as the lack of cultural competency demonstrated by the aid groups...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28192055/a-community-checklist-for-health-sector-resilience-informed-by-hurricane-sandy
#19
Eric S Toner, Meghan McGinty, Monica Schoch-Spana, Dale A Rose, Matthew Watson, Erin Echols, Eric G Carbone
This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-term care facilities, home health providers, behavioral health providers, and correctional health services...
January 2017: Health Security
https://www.readbyqxmd.com/read/28190739/detection-of-antibodies-against-hepatitis-b-virus-surface-antigen-and-hepatitis-c-virus-core-antigen-in-plasma-with-a-waveguide-mode-sensor
#20
Takenori Shimizu, Torahiko Tanaka, Shigeyuki Uno, Hiroki Ashiba, Makoto Fujimaki, Mutsuo Tanaka, Koichi Awazu, Makoto Makishima
In large-scale disasters, such as huge significant earthquakes, on-site examination for blood typing and infectious disease screening will be very helpful to save lives of victims who need surgical treatment and/or blood transfusion. However, physical damage, such as building collapse, electric power failure and traffic blockage, disrupts the capacity of the medical system. Portable diagnostic devices are useful in such cases of emergency. In this study, we evaluated a waveguide-mode sensor for detection of anti-hepatitis virus antibodies...
February 9, 2017: Journal of Bioscience and Bioengineering
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