192 results match your criteria Acute Treatment of Disaster Survivors

COVID-19: a review on SARS-CoV-2 origin, epidemiology, virology, clinical manifestations and complications with special emphasis on adverse outcome in Bhopal Gas Tragedy survivor.

Horm Mol Biol Clin Investig 2021 Feb 19;42(1):63-68. Epub 2021 Feb 19.

Department of Ophthalmology, Indira Gandhi ESI Hospital, New Delhi, India.

After the global outbreak of coronaviruses caused diseases such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS), an outbreak due to these viruses occurred in December, 2019 in Wuhan, Hubei Province, China and led to a worldwide spread. Coronavirus 2019 disease (COVID-19) has emerged as a serious global health emergency and spread from a person to another who has the virus. But the scope of an intermediate host is not known. Read More

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February 2021

Characteristics of survivors of civilian public mass shootings: An Eastern Association for the Surgery of Trauma multicenter study.

J Trauma Acute Care Surg 2021 04;90(4):652-658

From the Center for Trauma and Critical Care, Department of Surgery (B.S., L.R., R.A., J.M.E.), Department of Emergency Medicine (E.R.S.), and Emergency Medical Services Program (G.S.), The George Washington University School of Medicine and Health Sciences, Washington, DC; Department of Surgery (J.N.), University of California, Irvine, Orange, California; Department of Surgery (R.M., E.C., S.U.), University of Colorado, Denver, Colorado; Department of Surgery (B.R.H.R.), Harborview Medical Center, University of Washington, Seattle, Washington; Department of Surgery (P.J.C.), University of Nevada, Las Vegas, Las Vegas, Nevada; Department of Surgery (I.S.), Ryder Trauma Center, University of Miami, Miami, Florida; Department of Surgery (B.J.), University of Arizona, Tucson, Arizona; Department of Surgery (J.G.), Hartford Hospital, Hartford, Connecticut; and Department of Surgery (J.B.), Broward Health, Miami, Florida.

Background: Firearm injury remains a public health crisis. Whereas there have been studies evaluating causes of death in victims of civilian public mass shootings (CPMSs), there are no large studies evaluating injuries sustained and treatments rendered in survivors. The purpose of this study was to describe these characteristics to inform ideal preparation for these events. Read More

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Neurocovid-19: A clinical neuroscience-based approach to reduce SARS-CoV-2 related mental health sequelae.

J Psychiatr Res 2020 11 15;130:215-217. Epub 2020 Aug 15.

Autism and OCD Spectrum Program, Psychiatric Research Institute of Montefiore Einstein, Albert Einstein College of Medicine, NY, USA.

Coronavirus Disease 2019 (COVID-19), caused by SARS-CoV-2, is a disaster due to not only its psychosocial impact but it also to its direct effects on the brain. The latest evidence suggests it has neuroinvasive mechanisms, in addition to neurological manifestations, and as seen in past pandemics, long-term sequelae are expected. Specific and well-structured interventions are necessary, and that's why it's important to ensure a continuity between primary care, emergency medicine, and psychiatry. Read More

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November 2020

Rehabilitation Response in Pandemics.

Am J Phys Med Rehabil 2020 08;99(8):663-668

From the Department of Rehabilitation Medicine and Australian Rehabilitation Research Centre, Royal Melbourne Hospital; and Department of Medicine (Royal Melbourne Hospital), The University of Melbourne, Parkville, Victoria, Australia.

The World Health Organization declared a pandemic due to the serious health risk posed by coronavirus disease (COVID-19). The number of infected cases is on the rise globally with escalating human, economic, and societal costs. Survivors of COVID-19 may experience a range of clinical, functional, and psychological impairments, resulting in disabilities. Read More

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Injury characteristics of the Pulse Nightclub shooting: Lessons for mass casualty incident preparation.

J Trauma Acute Care Surg 2020 03;88(3):372-378

From the Department of Surgical Education (C.P.S., M.L.C., K.S., H.E., J.A.I., M.W.L., W.S.H., M.S.L.) Orlando Health-Orlando Regional Medical Center, Orlando, FL; Graduate Medical Education, General Surgery Residency (M.G., W.S.E), Advent Health, Orlando, FL.

Background: On the morning of June 12, 2016, an armed assailant entered the Pulse Nightclub in Orlando, Florida, and initiated an assault that killed 49 people and injured 53. The regional Level I trauma center and two community hospitals responded to this mass casualty incident. A detailed analysis was performed to guide hospitals who strive to prepare for future similar events. Read More

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Prognostic Factors for Nonasphyxia-Related Cardiac Arrest Patients Undergoing Extracorporeal Rewarming - HELP Registry Study.

J Cardiothorac Vasc Anesth 2020 Feb 5;34(2):365-371. Epub 2019 Aug 5.

Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.

Objective: Extracorporeal rewarming is the treatment of choice for patients who had hypothermic cardiac arrest, allowing for best neurologic outcome. The authors' goal was to identify factors associated with survival in nonasphyxia-related hypothermic cardiac arrest patients undergoing extracorporeal rewarming.

Design: All 38 cardiac surgery departments in Poland were encouraged to report consecutive hypothermic cardiac arrest patients treated with extracorporeal life support. Read More

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February 2020

Analgesic use in contemporary burn practice: Applications to burn mass casualty incident planning.

Burns 2020 02 16;46(1):90-96. Epub 2019 Dec 16.

United States Army Institute of Surgical Research, JBSA Fort Sam Houston, TX 78234-6315, United States.

Background: Determining the amount of analgesics required will help burn centers improve their ability to plan for a burn mass casualty incident (BMCI). We sought to quantify the amount of analgesics needed in an inpatient burn population. We hoped that assessing the analgesic use in daily burn care practice will potentially help estimate opioid needs in a burn mass casualty incident (BMCI). Read More

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February 2020

Psychological First Aid: A Model for Disaster Psychosocial Support for the Perinatal Population.

J Perinat Neonatal Nurs 2019 Jul/Sep;33(3):219-228

Louisiana State University Health School of Nursing, New Orleans.

The psychosocial needs of childbearing families drastically change after a disaster. Perinatal nurses providing postdisaster maternal-newborn care at community shelters, field hospitals, or acute care facilities must be prepared as "first responders" to address the immediate psychological distress and social needs of women and families in the first few chaotic days or weeks. The purpose of this article is to demonstrate ways nurses can integrate psychosocial and interpersonal interventions in perinatal disaster care using the framework of Psychological First Aid (PFA) developed by a team of mental health experts, along with The National Child Traumatic Stress Network and the United States (US) National Center for posttraumatic stress disorder (PTSD). Read More

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Traumatic imagery following glucocorticoid administration in earthquake-related post-traumatic stress disorder: A preliminary functional magnetic resonance imaging study.

Aust N Z J Psychiatry 2019 12 31;53(12):1167-1178. Epub 2019 May 31.

Department of Psychological Medicine, University of Otago, Christchurch, Christchurch, New Zealand.

Objective: Post-traumatic stress disorder involves excessive retrieval of traumatic memories. Glucocorticoids impair declarative memory retrieval. This preliminary study examined the effect of acute hydrocortisone administration on brain activation in individuals with earthquake-related post-traumatic stress disorder compared with earthquake-exposed healthy individuals, during retrieval of traumatic memories. Read More

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December 2019

Securing the Emergency Department During Terrorism Incidents: Lessons Learned From the Boston Marathon Bombings.

Disaster Med Public Health Prep 2019 08 12;13(4):791-798. Epub 2019 Mar 12.

Division of Trauma & Acute Care Surgery, Tufts Medical Center, Tufts University School of Medicine. Boston, MA.

Terrorist incidents that target hospitals magnify morbidity and mortality. Before a real or perceived terrorist mass casualty incident threatens a hospital and its providers, it is essential to have protocols in place to minimize damage to the infrastructure, morbidity, and mortality. In the years following the Boston Marathon bombings, much has been written about the heroic efforts of survivors and responders. Read More

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Psychiatric Symptoms and Clinical Diagnosis in High School Students Exposed to the Sewol Ferry Disaster.

J Korean Med Sci 2019 Feb 26;34(5):e38. Epub 2019 Jan 26.

Department of Psychiatry, Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea.

Background: Two hundred and fifty 11th grade students and teachers from Danwon High School drowned, during a school trip, in the Sewol Ferry Disaster. The goal of this study was to investigate the experiences of the psychiatrists who volunteered and provided psychiatric services to the students at Danwon High School.

Methods: From the second day to the 138th day after the disaster, pro bono psychiatrists provided post-disaster interventions to the 10th and 12th-grade Danwon High School students who did not attend the trip. Read More

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February 2019

Emergency Surgery for Acute Type A Aortic Dissection in Octogenarians Without Patient Selection.

Ann Thorac Surg 2019 04 15;107(4):1146-1153. Epub 2018 Nov 15.

Department of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.

Background: Octogenarians are often declined an emergency operation for acute type A aortic dissection on grounds of high mortality rate and short life expectancy. Our policy is to accept all patients at any time and never to refuse an emergency operation, even for octogenarians.

Methods: From April 2004 to September 2017, 319 patients underwent surgical repair for acute type A aortic dissection at our institution. Read More

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Extracorporeal membrane oxygenation support may be a lifesaving modality in patients with burn and severe acute respiratory distress syndrome: Experience of Formosa Water Park dust explosion disaster in Taiwan.

Burns 2018 02 27;44(1):118-123. Epub 2017 Jul 27.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address:

Background: Extracorporeal membrane oxygenation (ECMO) has been reported to improve outcomes in patients with refractory respiratory failure. These successful experiences have stimulated interest in using ECMO as a potential therapy for patients with acute pulmonary failure resulting from burn and inhalation lung injury. Current literature has supported the use of ECMO in critically-ill, pediatric burn patients. Read More

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February 2018

Clinical value of ST-segment change after return of spontaneous cardiac arrest and emergent coronary angiography in patients with out-of-hospital cardiac arrest: Diagnostic and therapeutic importance of vasospastic angina.

Eur Heart J Acute Cardiovasc Care 2018 Aug 21;7(5):405-413. Epub 2017 Jul 21.

3 Cardiovascular Division, Faculty of Medicine, University of Tsukuba, Japan.

Background: We investigated the association between initial ST-segment change after return of spontaneous circulation (ROSC) and the incidence of acute coronary lesions in patients with out-of-hospital cardiac arrest (OHCA), and clinical outcomes of patients with OHCA caused by vasospastic angina pectoris (VSA).

Methods: Among 2779 OHCA patients in our institution, all patients with ROSC underwent emergent coronary angiography (CAG) except for those with an obvious extra-cardiac cause of OHCA. Initial ST-segment changes after ROSC were reviewed, and 30-day survival and neurological outcome (Cerebral Performance Category) were evaluated. Read More

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Outcomes after surgery for acute type A aortic dissection in "non-Marfan syndrome" patients with long life expectancy: A 24-year follow-up.

Arch Cardiovasc Dis 2017 Jan 21;110(1):14-25. Epub 2016 Dec 21.

Service de chirurgie thoracique et cardiovasculaire, CHU Dupuytren, avenue Martin-Luther-King, 87000 Limoges, France.

Background: Long-term survival and risk of reoperation in "non-Marfan syndrome" patients with a long life expectancy who undergo emergency surgery for acute type A aortic dissection (aTAAD) are not well known.

Aim: To analyse survival, risk of reoperation and quality of life in this population.

Methods: From 1990 to 2010, all patients aged≤50 years and not affected by Marfan syndrome, who underwent emergency surgery for aTAAD at two institutions, were included in this analysis. Read More

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January 2017

Severity Assessment and the Immediate and Long-Term Prognosis in Community-Acquired Pneumonia.

Semin Respir Crit Care Med 2016 12 13;37(6):886-896. Epub 2016 Dec 13.

Department of Respiratory Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.

Severity assessment is a crucial step in the initial management of patients with community-acquired pneumonia (CAP). While approximately half of patients are at low risk of death and can be safely treated as outpatients, around 20% are at increased risk. While CURB-65 (confusion, respiratory rate, blood pressure, urea) and pneumonia severity index (PSI) scores are equally useful as an adjunct to clinical judgment to identify patients at low risk, the so-called minor American Thoracic Society/Infectious Diseases Society of America criteria are predictive of patients in need of intensified treatment (i. Read More

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December 2016

Regional Anesthesia for Painful Injuries after Disasters (RAPID): study protocol for a randomized controlled trial.

Trials 2016 11 14;17(1):542. Epub 2016 Nov 14.

Epicentre, Paris, France.

Background: Lower extremity trauma during earthquakes accounts for the largest burden of disaster-related injuries. Insufficient pain management is common in resource-limited disaster settings, and regional anesthesia (RA) may reduce pain in injured patients beyond current standards of care. To date, no controlled trials have been conducted to evaluate the use of RA for pain management in a disaster setting. Read More

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November 2016

[Sleep disturbances and spatial memory deficits in post-traumatic stress disorder: the case of L'Aquila (Central Italy)].

Epidemiol Prev 2016 Mar-Apr;40(2 Suppl 1):45-8

Dipartimento di medicina clinica, sanità pubblica, scienze della vita e dell'ambiente, Università dell'Aquila.

Altered sleep is a common and central symptom of post-traumatic stress disorder (PTSD). In fact, sleep disturbances are included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria for PTSD. However, it has been hypothesized that sleep disturbances are crucially involved in the aetiology of PTSD, rather than being solely a symptom arising secondarily from this disorder. Read More

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December 2017

Efficacy and Bleeding Risk of Antithrombin Supplementation in Patients With Septic Disseminated Intravascular Coagulation: A Third Survey.

Clin Appl Thromb Hemost 2017 Jul 9;23(5):422-428. Epub 2016 May 9.

10 Department of Emergency, Disaster and Critical Care Medicine, University of Kagawa, Takamatsu, Japan.

Introduction: Although recent studies have reported the efficacy of antithrombin (AT) supplementation for sepsis-associated disseminated intravascular coagulation (DIC), the factors that influence AT's effect have not been sufficiently studied. The purpose of this survey was to identify factors that modulate the effects and the adverse effects of AT.

Methods: We performed a multi-institutional survey. Read More

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Resuscitative endovascular balloon occlusion of the aorta for uncontrolled haemorrahgic shock as an adjunct to haemostatic procedures in the acute care setting.

Scand J Trauma Resusc Emerg Med 2016 Feb 9;24:13. Epub 2016 Feb 9.

Emergency and Disaster Medicine, Tokyo Medical University Hospital, 6-7-1 Nishi-shinjuku , Shinjuku, Tokyo, 160-0023, Japan.

Background: Haemorrhagic shock is a major cause of death in the acute care setting. Since 2009, our emergency department has used intra-aortic balloon occlusion (IABO) catheters for resuscitative endovascular balloon occlusion of the aorta (REBOA).

Methods: REBOA procedures were performed by one or two trained acute care physicians in the emergency room (ER) and intensive care unit (ICU). Read More

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February 2016

Development of Pediatric Neurologic Emergency Life Support Course: A Preliminary Report.

Pediatr Emerg Care 2017 Nov;33(11):e114-e117

From the *Division of Pediatric Critical Care Medicine, Aga Khan University Hospital; †Department of Pediatrics, Civil Hospital Karachi; ‡Division of Pediatric Neurology, Department of Pediatrics, Aga Khan University Hospital, Karachi, Pakistan.

Background: Acute neurological emergencies (ANEs) in children are common life-threatening illnesses and are associated with high mortality and severe neurological disability in survivors, if not recognized early and treated appropriately. We describe our experience of teaching a short, novel course "Pediatric Neurologic Emergency Life Support" to pediatricians and trainees in a resource-limited country.

Methods: This course was conducted at 5 academic hospitals from November 2013 to December 2014. Read More

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November 2017

Predictors of Hypertension in Survivors of the Great East Japan Earthquake, 2011: A Cross-sectional Study.

Prehosp Disaster Med 2016 Feb 26;31(1):17-26. Epub 2016 Jan 26.

3Department of Emergency Medicine,Okayama University Hospital,Okayama,Japan.

Introduction: Many survivors of a major disaster die shortly after the event. Hypertension (HT) is one of the most important risk factors for these disaster-related diseases. An urgent need exists to establish methods to detect disaster survivors with HT and start medication immediately, as those with no injuries or symptoms may not be examined and medical teams cannot measure all survivors' blood pressure (BP) because they often do not have sufficient time. Read More

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February 2016

Nontrauma open abdomens: A prospective observational study.

J Trauma Acute Care Surg 2016 Apr;80(4):631-6

From the University of Maryland, R Adams Cowley Shock Trauma Center, Baltimore, Maryland.

Background: Damage-control surgery with open abdomen (OA) is described for trauma, but little exists regarding use in the emergency general surgery. This study aimed to better define the following: demographics, indications for surgery and OA, fascial and surgical site complications, and in-hospital/long-term mortality. We hypothesize that older patients will have increased mortality, patients will have protracted stays, they will require specialized postdischarge care, and the indications for OA will be varied. Read More

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Disaster Management: Mental Health Perspective.

Indian J Psychol Med 2015 Jul-Sep;37(3):261-71

Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore, Karnataka, India.

Disaster mental health is based on the principles of 'preventive medicine' This principle has necessitated a paradigm shift from relief centered post-disaster management to a holistic, multi-dimensional integrated community approach of health promotion, disaster prevention, preparedness and mitigation. This has ignited the paradigm shift from curative to preventive aspects of disaster management. This can be understood on the basis of six 'R's such as Readiness (Preparedness), Response (Immediate action), Relief (Sustained rescue work), Rehabilitation (Long term remedial measures using community resources), Recovery (Returning to normalcy) and Resilience (Fostering). Read More

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December 2015

Long-Term Survival and Quality of Life of Patients Undergoing Emergency Coronary Artery Bypass Grafting for Postinfarction Cardiogenic Shock.

Ann Thorac Surg 2016 Mar 28;101(3):960-6. Epub 2015 Oct 28.

Division of Cardiac Surgery, Catholic University, Rome, Italy.

Background: This study evaluated the long-term outcome of patients undergoing emergency coronary artery bypass grafting (eCABG) for cardiogenic shock after acute myocardial infarction.

Methods: Sixty-seven consecutive patients underwent eCABG for cardiogenic shock at 2 European institutions during an 11-year period. Preoperative, intraoperative, postoperative, and long-term follow-up data of all patients were prospectively collected. Read More

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Neutrophil Gelatinase-Associated Lipocalin in Dogs With Sepsis Undergoing Emergency Laparotomy: A Prospective Case-Control Study.

J Vet Intern Med 2015 Nov-Dec;29(6):1595-602. Epub 2015 Sep 29.

Langford Veterinary Services, University of Bristol, Langford, UK.

Background: Neutrophil gelatinase-associated lipocalin (NGAL) is an early indicator of acute kidney injury (AKI) in dogs and its use has not been evaluated in dogs with sepsis.

Animals: Fifteen dogs with sepsis requiring laparotomy (study dogs) and 10 dogs undergoing surgery for intervertebral disc disease (control dogs).

Objective: To determine whether NGAL increases in dogs with sepsis undergoing emergency laparotomy and whether it is correlated with development of AKI and survival. Read More

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September 2016

Posttraumatic stress disorder symptoms in close relatives of intensive care unit patients: Prevalence data resemble that of earthquake survivors in Chile.

J Crit Care 2015 Oct 26;30(5):1152.e7-11. Epub 2015 Jun 26.

Facultad de Medicina, Departamento de Medicina Intensiva, Pontificia Universidad Católica de Chile, Santiago, Chile.

Introduction: Posttraumatic stress disorder (PTSD) in relatives of intensive care unit (ICU) patients has not been fully described. We studied potential relationships between PTSD and specific patients' conditions and relatives' psychologic characteristics.

Methods: This is a prospective study of family caregivers of ICU patients. Read More

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October 2015

Hurricane Sandy: Shared Trauma and Therapist Self-Disclosure.

Psychiatry 2015 ;78(1):65-74

Hurricane Sandy was one of the most devastating storms to hit the United States in history. The impact of the hurricane included power outages, flooding in the New York City subway system and East River tunnels, disrupted communications, acute shortages of gasoline and food, and a death toll of 113 people. In addition, thousands of residences and businesses in New Jersey and New York were destroyed. Read More

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Lessons from the 2015 earthquake(s) in Nepal: implication for rehabilitation.

Disabil Rehabil 2016 13;38(9):910-3. Epub 2015 Jul 13.

b Department of Physical Therapy Division , Duke University , Durham , NC , USA , and.

Purpose: There has been an increase in the number of natural disasters in recent history, and the rate of disability is increasing among survivors. The most recent major natural disaster was the earthquake(s) that occurred in Nepal on 25 April 2015 and 12 May 2015. In total, more than 8500 people were killed and over 18,500 people were left injured. Read More

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December 2016