198 results match your criteria Acute Treatment of Disaster Survivors

Continuum of care for disasters and catastrophes.

Int Rev Psychiatry 2021 Dec;33(8):728-739

Emergency Health Services, University of Maryland, Baltimore County, Baltimore, MD, USA.

Disasters and their more extensive and more serious variant, catastrophes, are different than most human experiences. They are inherently quite complex. Extensive and diverse resources are required to assist disaster survivors as well as disaster response personnel, and hospital medical staffs. Read More

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December 2021

Psychological first aid (PFA) and disasters.

Int Rev Psychiatry 2021 Dec 16;33(8):718-727. Epub 2022 Feb 16.

Loyola University Maryland, Baltimore, MD, USA.

A disaster is commonly thought of as an occurrence that results in property damage and physical injuries that exceed the response capabilities of local resources. History teaches that disasters also result in a surge in demand for psychological support amongst survivors and disaster responders. This surge quickly exceeds local response capacities and has the potential to exceed even the mental health resources that may be imported from neighbouring jurisdictions and disaster relief agencies. Read More

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December 2021

Post-Intensive Care Syndrome and Its New Challenges in Coronavirus Disease 2019 (COVID-19) Pandemic: A Review of Recent Advances and Perspectives.

J Clin Med 2021 Aug 28;10(17). Epub 2021 Aug 28.

Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine, 1-98, Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan.

Intensive care unit survivors experience prolonged physical impairments, cognitive impairments, and mental health problems, commonly referred to as post-intensive care syndrome (PICS). Previous studies reported the prevalence, assessment, and prevention of PICS, including the ABCDEF bundle approach. Although the management of PICS has been advanced, the outbreak of coronavirus disease 2019 (COVID-19) posed an additional challenge to PICS. Read More

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Recent advances in medical countermeasure development against acute radiation exposure based on the US FDA animal rule.

J Radiol Prot 2021 Nov 10;41(4). Epub 2021 Nov 10.

Department of Radiation Oncology, University of Maryland, School of Medicine, Baltimore, MD, 21201, United States of America.

Recent advances in medical countermeasures (MCMs) has been dependent on the Food and Drug Administration (FDA) animal rule (AR) and the final guidance document provided for industry on product development. The criteria outlined therein establish the path for approval under the AR. The guidance document, along with the funding and requirements from the federal agencies provided the basic considerations for animal model development in assessing radiation effects and efficacy against the potential lethal effects of acute radiation injury and the delayed effects of acute exposure. Read More

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November 2021

Predictors of long-term mortality in acute ST-elevation myocardial infarction patients undergoing emergent coronary artery bypass graft surgery.

Turk Kardiyol Dern Ars 2021 04;49(3):191-197

Department of Cardiology, University of Health Sciences Turkey İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.

Objective: Coronary artery bypass graft (CABG) surgery as a primary treatment for acute ST-elevation myocardial infarction (STEMI) is still debated. This study aimed to evaluate the predictors of long-term mortality in STEMI patients undergoing emergent CABG. To the best of our knowledge, this is the first study to evaluate the long-term mortality predictors in patients with STEMI revascularized by primary CABG. Read More

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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

Assessment and determinants of global outcomes among 445 mass-casualty burn survivors: A 2-year retrospective cohort study in Taiwan.

Burns 2020 09 2;46(6):1444-1457. Epub 2020 Jun 2.

Department of Health, New Taipei City Government, 192-1 Ying-Shi Rd., New Taipei City 22006, Taiwan; Institute of Microbiology and Immunology, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 112, Taiwan; Department of Biological Science and Technology, National Chiao-Tung University, 1001 University Rd., Hsinchu 300, Taiwan; Cancer Progression Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 112, Taiwan. Electronic address:

Purpose: To study outcomes among survivors of the mass-casualty powder explosion on 27 June 2015, at Formosa Fun Coast Waterpark, New Taipei City, Taiwan.

Methods: Using retrospective data on Taiwanese survivors, we analyzed prehospital management, burns assessment and prognosis, functional recovery, and medical costs, followed-up through 30 June 2017. We related outcomes to burn extent, categorized according to the percentages of total body surface area with second/third-degree burns (%TBSA) or autologous split-thickness skin grafts (%STSG), and an investigational scale: f{SASG} = (%TBSA + %STSG)/2, stratified by %STSG. Read More

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September 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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