400 results match your criteria American journal of disaster medicine[Journal]


Dentists: Critical aspects of their own and their community's disaster preparedness plan.

Am J Disaster Med 2018 Fall;13(4):289-296

Morton Amsterdam Dean, Department of Preventative and Restorative Services, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

The weather-related disasters in 2017 in Texas, Florida, Puerto Rico, the 2017-2018 wildfire seasons in California and Hurricanes Florence and Michael in 2018 have challenged all healthcare professionals, to have plans in place to protect their facility, patients, and staff from all possible hazards. These were "slowly developing" events, with enormous media coverage, and yet the results were still horrific. The need to have both a good evacuation plan and a good shelter-in-place plan has previously been dramatically demonstrated. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0308DOI Listing
March 2019
2 Reads

What and how are EM residents being taught to respond to the next disaster?

Am J Disaster Med 2018 Fall;13(4):279-287

Attending Physician, Department of Emergency Medicine, Madigan Army Medical Center; Adjunct Assistant Professor, Military and Emergency Medicine, Uniformed Services University of the Health Sciences; Clinical Assistant Professor, Department of Emergency Medicine, University of Washington Tacoma, Washington.

Objective: Disasters, both natural and man-made, have become commonplace and emergency physicians serve on the front line. Residency may be the only time that emergency physicians are exposed to a disaster, through training, until one happens in their department; therefore, it is critical to provide residents with appropriate and timely disaster education. The goal of this study was to assess the current status of disaster education in emergency medicine (EM) residencies in the United States. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0307DOI Listing
March 2019
3 Reads

Associations of biological stress markers in hurricane survivors: Heartrate variability, Interleukin-2 and Interleukin-6 in depression and PTSD.

Am J Disaster Med 2018 Fall;13(4):267-278

Fellow in Addictions Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts.

Objective: Inflammatory and immunologic cytokines and vagal activity have important roles in health and mental health, and may influence each other. The authors assessed relationships of representative biomarkers linked to disaster exposure-heart rate variability (HRV) with Interleukin-2 (IL-2, cell-medicated immunity) and Interleukin-6 (IL-6, pro-inflammatory and pro-immunologic), stratified by psychiatric diagnosis.

Design: Participants were assessed for psychiatric diagnosis, IL-2, IL-6, HRV, and HR reactivity to trauma reminders. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0306DOI Listing
March 2019
11 Reads

Disaster medicine and response: Optimizing life-saving potential.

Am J Disaster Med 2018 Fall;13(4):253-264

Nephrology Section, Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium.

Background: Natural and technological mass disasters strike densely populated areas on a regular basis, causing ever growing numbers of deaths and injured, economical losses, social problems, and damage to the environment.

Objective Of The Review: This review aims to provide a comprehensive idea about the spectrum of main problems, essentially presenting a number of basic principles to save as many lives as possible after natural and man-made mega disasters.

Discussion: Medical problems following disasters may be acute, acute-on-chronic, or chronic; they appear from the disaster period up till long thereafter. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0305DOI Listing
March 2019
3 Reads

Have you "CORED" lately? A comprehensive operating room evacuation drill.

Am J Disaster Med 2018 Fall;13(4):239-252

Division of Acute Care Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Introduction: Crises in the operating room (OR) are uncommon events that require an expeditious response from all providers to minimize morbidity and mortality to both patients and staff. Evacuation during a surgical procedure presents a unique challenge. There is a paucity of data on the ideal response, ideal times, and training needs for hospital staff. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0304DOI Listing

Health protection planning for extreme weather events and natural disasters.

Am J Disaster Med 2018 Fall;13(4):227-236

Associate Professor, Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.

Objective: There is a need to develop cost-effective methods to support public health policy makers plan ahead and make robust decisions on protective measures to safeguard against severe impacts of extreme weather events and natural disasters in the future, given competing demands on the social and healthcare resources, large uncertainty associated with extreme events and their impacts, and the opportunity costs associated with making ineffective decisions.

Design: The authors combine a physics-based method known as nonextensive statistical mechanics for modeling the probability distribution of systems or processes exhibiting extreme behavior, with a decision-analytical method known as partitioned multiobjective risk method to determine the optimal decision option when planning for potential extreme events.

Results: The method is illustrated using a simple hypothetical example. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0303DOI Listing
March 2019
1 Read

Planning considerations for persons with access and functional needs in a disaster-Part 3: Medical CMIST and recommendations.

Am J Disaster Med 2018 Summer;13(3):207-220

Professor of Emergency Medicine, Division of Pediatric Emergency Medicine, Department of Emergency Medicine, University of Alabama, Birmingham, Alabama.

Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when dealing with these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made in order to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for not only this unique group but also all of the members of the community in a disaster. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0301DOI Listing
January 2019
4 Reads

Planning considerations for persons with access and functional needs in a disaster-Part 2: Evacuation and sheltering.

Am J Disaster Med 2018 Summer;13(3):195-206

Professor of Emergency Medicine, Division of Pediatric Emergency Medicine, Department of Emergency Medicine, University of Alabama, Birmingham, Alabama.

Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when dealing with these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed, and what recommendations can be made in order to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for not only this unique group but also all of the members of the community in a disaster. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0300DOI Listing
January 2019
1 Read

The interagency strategic plan for research and development of blood products and related technologies for trauma care and emergency preparedness 2015-2020.

Am J Disaster Med 2018 Summer;13(3):181-194

Director, Division of Blood Diseases and Resources, National Institute of Health (NHLBI), Bethesda, Maryland.

Intensive blood use is expected to occur at levels, which will overwhelm blood supplies as they exist with current capabilities and technologies, both in civilian mass casualty events and military battlefield trauma. New technologies are needed for trauma care, and specifically to provide safer, more effective, and more logistically supportable blood products to treat patients with, or at risk of developing, acquired bleeding disorders resulting from trauma, acute radiation exposure, or other causes. Three of the primary agencies with major research and development programs related to blood products, the Biomedical Advanced Research and Development Authority (BARDA), the Department of Defense (DoD), and the National Heart, Lung, and Blood Institute are uniquely positioned to partner in addressing these issues, which have significant implications for each respective agency, as well as for the US population. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0299DOI Listing
January 2019
5 Reads

The medical response to burn disasters in Europe: A scoping review.

Am J Disaster Med 2018 Summer;13(3):169-179

Leader of Disaster Medicine Research (GIMC), Departamento de Ciências Biomédicas e Medicina (DCBM), Universidade do Algarve, Campus de Gambelas, Faro, Portugal.

Introduction: A burn disaster is defined by a mass casualty involving a large number of severely burned victims. Several countries have been confronted with these mass casualties and have developed national burn practice guidelines. This study presents a comprehensive review of the literature related to the benefits and conditions required for the introduction of a burn plan and identify successful strategies in Europe to apply in Portugal. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0298DOI Listing
January 2019
2 Reads

Push-to-talk apps for disaster communications: Hurricane season brings technology adaptation.

Am J Disaster Med 2018 Summer;13(3):161-167

Faculty, Department of Emergency Medicine; Associate Director, Office of Critical Event Preparedness and Response (CEPAR), Johns Hopkins University, Baltimore, Maryland.

Effective communication during disasters is essential for emergency management, responders, and impacted populations. Recent hurricanes have drawn attention to the potential utility of push-to-talk (PTT) applications with some such as Zello, garnering over 6 million downloads during the week prior to Hurricane Irma. PTT technology integrates a two-way radio system to transmit and receive messages via point-to-point communication lines. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0297DOI Listing
January 2019
1 Read

National survey of institutional pediatric disaster preparedness.

Am J Disaster Med 2018 Summer;13(3):153-160

Associate Professor, Department of Pediatrics, Section of Emergency Medicine, The University of Chicago, Comer Children's Hospital, Chicago, Illinois.

Objective: Describe institutional disaster preparations focusing upon the strategies to address pediatric patients in disaster preparedness.

Design: Descriptive study using survey methodology.

Setting: Hospitals that provide emergency care to pediatric patients throughout the United States. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0296DOI Listing
January 2019
3 Reads

One-month recovery experience of a disaster relief team functioning as an outpatient clinic following Super Typhoon Haiyan: Changes in distribution of trauma patients and required medical components.

Am J Disaster Med 2018 Summer;13(3):147-152

Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Republic of Korea.

As the distribution of trauma and non-trauma patients changes with time following a large-scale disaster, the required medical resources change commensurately. An understanding of these changes is necessary to provide effective medical support. Super Typhoon Yolanda, one of the strongest recorded tropical cyclones, struck the central area of the Republic of the Philippines on November 8, 2013. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0295DOI Listing
January 2019
2 Reads

No one left behind: Postevent experiences of differently abled individuals in Denmark.

Am J Disaster Med Spring 2018;13(2):129-141

Department of Psychology, Danish National Centre for Psychotraumatology, University of Southern Denmark, Odense, Denmark.

Purpose: This descriptive study explored barriers and difficulties faced by individuals with a physical disability (IPD) in Denmark in situations of disaster and in everyday problems.

Methods: Semistructured interviews were conducted with 12 IPD who had experienced a possible traumatic event. Due to a lack of participants who experienced a traumatic event, the authors expanded their recruitment strategy to include IPD, who had experienced other critical situations (eg, accidents and personal crises). Read More

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http://dx.doi.org/10.5055/ajdm.2018.0293DOI Listing
December 2018
2 Reads

A scoping review of evaluation methods for health emergency preparedness exercises.

Am J Disaster Med Spring 2018;13(2):107-127

Leader, Behavioural Science Team, Emergency Response Department Science & Technology, Public Health England (PHE), Porton Down, UK.

Objective: To review and analyze evaluation methods currently utilized in health emergency preparedness exercises (HEPE).

Design: This study, part of a larger scoping review that systematically collected and reviewed published evidence related to the benefits of HEPE, provides a further analysis of the evaluation methods utilized in such exercises. We separately analyzed discussion-based and operation-based exercises according to their purpose. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0292DOI Listing
December 2018
3 Reads

Humerus intraosseous administration of epinephrine in normovolemic and hypovolemic porcine model.

Am J Disaster Med Spring 2018;13(2):97-106

US Air Force Reserve Retired; Professor, Northeastern University; Director of Research, United States Army Graduate Program in Anesthesia Nursing, JBSA-Fort Sam Houston, Texas; Geneva Foundation, Tacoma, Washington.

Objective: Compare the maximum concentration (Cmax), time to maximum concentration (Tmax), mean concentration, rate of return of spontaneous circulation (ROSC), time to ROSC, and odds of ROSC when epinephrine is administered by humerus intraosseous (HIO) compared to intravenous (IV) routes in both a hypovolemic and normovolemic cardiac arrest model.

Design: Prospective, between subjects, randomized experimental study.

Setting: TriService Facility. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0291DOI Listing
December 2018
8 Reads

Parents' awareness of disaster plans in children's early learning settings.

Am J Disaster Med Spring 2018;13(2):85-95

Division of Academic General Pediatrics and Primary Care, Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Mary Ann & J. Milburn Smith Child Health Research, Outreach and Advocacy Center, Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Preventative Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Objective: Children in early learning settings are vulnerable to site-specific emergencies because of physical and developmental limitations. We examined parents' knowledge of disaster plans in their child's early learning settings.

Methods: In May 2015, we conducted a nationally representative online household survey, including parents of children ages 0-5 years in child care settings. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0290DOI Listing
December 2018
23 Reads

Planning considerations for persons with access and functional needs in a disaster-Part 1: Overview and legal.

Am J Disaster Med 2018 Spring;13(2):69-83

Professor of Emergency Medicine, University of Alabama, Birmingham, Alabama.

Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0289DOI Listing
December 2018
3 Reads

The Canadian Paediatric Triage and Acuity Scale algorithm for interfacility transport.

Am J Disaster Med 2018 ;13(1):57-63

Division of Pediatric Intensive Care, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Objective: Determining pediatric severity of illness in referring centers may be useful for establishing appropriate patient disposition and interfacility transport. For this retrospective review, the authors evaluated the Canadian Paediatric Triage and Acuity Scale (PaedCTAS) tool in regards to individual patient disposition and outcomes.

Methods: A disposition score using the PaedCTAS algorithm was retrospectively calculated from referring center data at the time our transport team was consulted. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0282DOI Listing
August 2018
4 Reads

Responding to a medical crisis: Lessons from the Halifax disaster 100 years ago.

Am J Disaster Med 2018 ;13(1):45-56

Associate Anesthesiologist-in-Chief, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Childrenߣs Hospital, Boston, Massachusetts; Professor of Anaesthesia, Department of Anaesthesia, Harvard Medical School, Boston, Massachusetts.

One hundred years ago, a massive explosion occurred in the harbor of Halifax, Nova Scotia, destroying the city and killing more than 2,000 and injuring more than 9,000. It was the worst manmade explosion the world had ever seen, not exceeded until the atomic bomb blast over Hiroshima in 1945. An urgent appeal for assistance came from the survivors, and many volunteers responded. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0287DOI Listing
August 2018
4 Reads

Tourniquet use in the prehospital setting: Are they being used appropriately?

Am J Disaster Med 2018 ;13(1):37-43

Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, Connecticut; MidHudson Regional Hospital, Westchester Medical Center, Poughkeepsie, New York.

Objective: The objective of this study was to evaluate tourniquet use in the Hartford prehospital setting during a 34-month period after the Hartford Consensus was published, which encouraged increasing tourniquet use in light of military research.

Design: This was a retrospective review of patients with bleeding from a serious extremity injury to determine appropriateness of tourniquet use or omission.

Setting: Level II trauma center between April 2014 and January 2017. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0286DOI Listing
August 2018
10 Reads

Post-traumatic stress symptoms following sniper attacks: Effects of television viewing and identification with victims.

Am J Disaster Med 2018 ;13(1):29-36

Professor, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Objective: A series of sniper attacks in the Washington, DC, area left 10 people dead and three wounded. The authors examined the relationship of sniper-related television (TV) viewing, identification with victims, and peritraumatic dissociation to post-traumatic stress symptoms.

Methods: Participants were 1,238 DC residents (ages 18-90, M = 41. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0285DOI Listing
August 2018
5 Reads

Validation of a novel irritant gas syndrome triage algorithm.

Am J Disaster Med 2018 ;13(1):13-26

College of Nursing, University of South Carolina, Columbia, South Carolina.

Objective: Our objective was to validate a novel irritant gas syndrome agent (IGSA) triage algorithm for use in an emergency department (ED). We assessed efficiency, accuracy, and precision of our IGSA triage algorithm based on signs/symptoms of actual patients.

Design: After characterizing the signs/symptoms of an actual IGSA exposure event, we developed and validated the IGSA triage algorithm using a simulated computer exercise to compare the IGSA triage algorithm to the preferred hospital triage algorithm, the Emergency Severity Index (ESI). Read More

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http://dx.doi.org/10.5055/ajdm.2018.0284DOI Listing
August 2018
25 Reads

Performance of a novel, manually operated intraosseous device in adult human cadavers.

Am J Disaster Med 2018 ;13(1):5-12

School of International Biodesign, All India Institute of Medical Sciences, New Delhi, India.

Aim: Intraosseous (IO) access in adults is preferred using semi-automatic devices as it is difficult to penetrate the thick cortical layer of long bones using manual needles. The authors have developed an IO device which generates both rotational and axial thrust using a manual driver. This drilling mechanism addresses certain pain-points of current IO devices. Read More

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http://dx.doi.org/10.5055/ajdm.2018.0283DOI Listing
August 2018
5 Reads

Emergency operations program is an excellent platform to deal with in-hospital operation disaster.

Am J Disaster Med 2017 ;12(4):267-273

Lancaster General Health/Penn Medicine, Lancaster, Pennsylvania.

Described herein is the utilization of the hospital's Emergency Operations Plan and incident command structure to mitigate damage caused by the sudden loss of the heating, ventilation, and air conditioning system within the entire operating room suite. The ability to ameliorate a devastating situation that occurred during working hours at a busy Level II trauma center can be ascribed to the dedication of the leadership and clinical teams working seamlessly together. Their concerted efforts were augmented by adherence to an established protocol that had been thoroughly substantiated and practiced during numerous training simulations. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0280DOI Listing
April 2018
7 Reads

Acceptability and perceived utility of drone technology among emergency medical service responders and incident commanders for mass casualty incident management.

Am J Disaster Med 2017 ;12(4):261-265

Assistant Professor, Department of Emergency Medicine, University of Massachusetts Medical Center, North Worcester, Massachusetts.

Objective: This study seeks to understand the acceptability and perceived utility of unmanned aerial vehicle (UAV) technology to Mass Casualty Incidents (MCI) scene management.

Design: Qualitative questionnaires regarding the ease of operation, perceived usefulness, and training time to operate UAVs were administered to Emergency Medical Technicians (n = 15).

Setting: A Single Urban New England Academic Tertiary Care Medical Center. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0279DOI Listing
April 2018
6 Reads

Terrorism reports: The tip of the iceberg.

Am J Disaster Med 2017 ;12(4):257-260

Chief Medical Officer, Bureau of Medical Affairs, National Insurance Institute of Israel, Jerusalem, Israel.

Importance: Medical impact of terror is a public health issue as the threat is growing all over the world.

Objective: Our objective was to compare the number of injured and incidents in the three different databases and reports [Global Terrorism Database (GTD), Israeli Security Agency (ISA) and National Insurance Institute (NII)] in Israel.

Design: Retrospective study. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0278DOI Listing
April 2018
11 Reads

Deployment of field hospitals to disaster regions: Insights from ten medical relief operations spanning three decades.

Am J Disaster Med 2017 ;12(4):243-256

Israel Defense Forces Medical Corps Field Hospital, Trauma unit, Shaare Zedek Medical Center, Jerusalem, Israel (affiliated with the Hebrew University).

Objective: The Israeli Defense Force (IDF) Medical Corps developed a model of airborne field hospital. This model was structured to deal with disaster settings, requiring self-sufficiency, innovation and flexible operative mode in the setup of large margins of uncertainty regarding the disaster environment. The current study is aimed to critically analyze the experience, gathered in ten such missions worldwide. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0277DOI Listing
April 2018
7 Reads

Analysis of the antidote requirements and outcomes of different radionuclide decorporation strategies for a scenario of a "dirty bomb" attack.

Am J Disaster Med 2017 ;12(4):227-241

Bundeswehr Institute of Radiobiology, Munich, Germany.

Objective: In radiological emergencies, there is a risk of radionuclide incorporation. The radiological doses absorbed can be reduced by decorporation treatment. Antidote requirements depend on the scenario and treatment strategy ("urgent approach": immediate treatment of all patients with possible incorporation; "precautionary approach": treatment only after confirmation of incorporation). Read More

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http://dx.doi.org/10.5055/ajdm.2017.0276DOI Listing
April 2018
8 Reads

Factors associated with preparedness of the US healthcare system to respond to a pediatric surge during an infectious disease pandemic: Is our nation prepared?

Am J Disaster Med 2017 ;12(4):203-226

Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA; Keck School of Medicine, University of Southern California, Los Angeles, California.

Objective: Recent incidents have demonstrated that the US health system is unprepared for infectious pandemics resulting in a pediatric surge. Development of efficient plans and a structured and coordinated regional response to pediatric pandemic surge remains an opportunity. To address this gap, we conducted a literature review to assess current efforts, propose a response plan structure, and recommend policy actions. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0275DOI Listing
April 2018
7 Reads

A hospital mass casualty exercise using city buses and a tent as a hybrid system for patient decontamination.

Am J Disaster Med 2017 ;12(3):189-196

Assistant Professor, Department of Medicine, McGill University, Quebec, Canada; Emergency Physician, McGill University Health Center, Quebec, Canada.

Objective: A hospital mass casualty simulation exercise testing feasibility of two city buses and a tent as a hybrid system for patient decontamination.

Design: Observational study of a single mass casualty simulation exercise involving patient decontamination SETTING: Held on May 26, 2016 at the Montreal General Hospital, a Level 1 Trauma center without a garage.

Patients, Participants: Twenty-one medical staff including nurses, doctors, and patient attendants, and 30 volunteer-simulated patients. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0273DOI Listing
April 2018
8 Reads

The pulmonary consequences of sandstorms in Saudi Arabia: A comprehensive review and update.

Am J Disaster Med 2017 ;12(3):179-188

Assistant Professor, College of Nursing, King Saud University, Riyadh, Saudi Arabia.

Sandstorms represent a major natural hazard in the Arabian Peninsula. Their pulmonary consequences can be life-threatening, especially to those with a history of allergies, asthma, and chronic obstructive pulmonary diseases. Novel presentations of respiratory diseases caused by sandstorms can now be traced to specific chemical and organic components of sandstorms. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0272DOI Listing
April 2018
7 Reads

Verification of the airway securing capacity of a life jacket in a flood disaster.

Am J Disaster Med 2017 ;12(3):173-178

University of Miyazaki, Faculty of Engineering, Miyazaki, Japan.

Objective: To verify the life jacket's airway-securing capacity to keep the nose and mouth out of the water in a flood disaster.

Design: Physical experiment.

Setting: University of Miyazaki. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0271DOI Listing
April 2018
9 Reads

Invoking the "expectant" triage category: Can we make the paradigm shift?

Am J Disaster Med 2017 ;12(3):167-172

Department of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University, Montreal, Quebec.

Medical triage is the process of determining the priority of patients' treatments based on the severity of their condition. Triage provides the healthcare provider the ability to identify the most urgent cases first, with the goal of maximizing each individual patient's outcome. When resources are challenged, such as in a disaster, the healthcare provider's goal becomes to maximize overall population survival. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0270DOI Listing
April 2018
8 Reads

Planning for a medical surge incident: Is rehabilitation the missing link?

Am J Disaster Med 2017 ;12(3):157-165

Graduate Student, Jacksonville State University, Jacksonville, Alabama.

This mixed methods study explored surge planning for patients who will need rehabilitative care after a mass casualty incident. Planning for a patient surge incident typically considers only prehospital and hospital care. However, in many cases, disaster patients need rehabilitation for which planning is often overlooked. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0269DOI Listing
April 2018
8 Reads

Presence of undertriage and overtriage in simple triage and rapid treatment.

Am J Disaster Med 2017 ;12(3):147-154

Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey.

Objective: We evaluated the use of the Simple Triage and Rapid Treatment (START) method by Emergency Medical Services (EMS) and hypothesized that EMS can categorize patients using the START algorithm accurately.

Design: Retrospective Chart Review.

Setting: Inner-city Tertiary-Care Institutional Emergency Department (ED). Read More

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http://dx.doi.org/10.5055/ajdm.2017.0268DOI Listing
April 2018
7 Reads

A study of the blood flow restriction pressure of a tourniquet system to facilitate development of a system that can prevent musculoskeletal complications.

Am J Disaster Med 2017 ;12(3):139-145

Department of Mechanical Engineering, School of Engineering, Tokyo Denki University, Tokyo, Japan.

Background: After an emergency or disaster, subsequent trauma can cause severe bleeding and this can often prove fatal, so promptly stopping that bleeding is crucial to preventing avoidable trauma deaths. A tourniquet is often used to restrict blood flow to an extremity. In operation and hospital, the tourniquet systems currently in use are pneumatically actuated by an air compressor, so they must have a steady power supply. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0267DOI Listing
April 2018
15 Reads

Are you ready? Crisis leadership in a hyper-VUCA environment.

Am J Disaster Med 2017 ;12(2):107-134

Co-Director, National Preparedness Leadership Initiative, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Director, Program of Health Care Negotiation and Conflict Resolution, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

The current hyper-volatile, -uncertain, -complex, and -ambiguous (VUCA) threat environment demands a more cohesive support structure for crisis leaders who may be faced with crises of increasing magnitude and frequency and, in some instances, multiple crisis events simultaneously. The project team investigates the perceptions of crisis leaders regarding establishing a crisis leader advisor position for crisis leaders to benefit from their experience while prosecuting crisis response activities. The team linked hyper-VUCA crises, crisis response frameworks, meta-leadership, crisis leader attributes, and advisor attributes. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0265DOI Listing
April 2018
11 Reads

Emergency preparedness training preferences and perceived barriers to training among various healthcare providers and public health practitioners in Massachusetts.

Am J Disaster Med 2017 ;12(2):85-106

Harrington Healthcare, Southbridge, Massachusetts.

Introduction: Emergency preparedness training is vital to a wide range of healthcare and public health disciplines. Although agencies may try to tailor their training efforts based on perceived need, the topics and methods of instruction may be misguided, resulting in wasted effort and poor participation in training events.

Objective: The objective of this study was to understand in a rigorous way, the training preferences and barriers to training among practitioners in Massachusetts. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0264DOI Listing
April 2018
7 Reads

60 seconds to survival: A pilot study of a disaster triage video game for prehospital providers.

Am J Disaster Med 2017 ;12(2):75-83

Departments of Pediatrics and Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.

Introduction: Disaster triage training for emergency medical service (EMS) providers is not standardized. Simulation training is costly and time-consuming. In contrast, educational video games enable low-cost and more time-efficient standardized training. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0263DOI Listing
April 2018
22 Reads

Earthquake loss estimates help and challenge medical disaster responders.

Authors:
Max Wyss

Am J Disaster Med 2017 ;12(2):71-73

Professor, International Centre for Earth Simulation Foundation, QLARM, Cologny, Geneva, Switzerland.

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http://dx.doi.org/10.5055/ajdm.2017.0262DOI Listing
April 2018
8 Reads

Using a novel technology for disaster staff notification.

Am J Disaster Med 2017 ;12(1):63-65

Interim Medical Director, Emergency Services, Harborview Medical Center, Seattle, Washington; Assistant Professor, Division of Emergency Medicine, University of Washington School of Medicine, Seattle, Washington.

Notification of backup staff and determining their ability to augment frontline staff is a major component of any disaster plan. However, the communication and organization of this effort has many challenges. These include communication system overload, the disaster setting, disrupted transportation, and staffing impacts on normal operations. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0260DOI Listing
November 2017
82 Reads

Women's status in disasters: A gap between experts' desk and affected fields of Iran.

Am J Disaster Med 2017 ;12(1):59-62

Assistant Professor, Department of Health in Disasters and Emergencies, School of Health, Safety and Environ-ment, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Although international agreements have achieved significant milestones in the improvement of women's status, experiences from the fields show a discrepancy between words and actions. The aim of this brief communication was to identify the gap between experts' perceptions and the findings of a large qualitative field survey on women's status in the recent natural disasters of Iran. A total of 10 experts were asked to fill a checklist, which consisted of the concepts extracted from field data. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0259DOI Listing
November 2017
10 Reads

Family emergency plan and preparedness among medical practitioners in Zaria, Nigeria.

Am J Disaster Med 2017 ;12(1):51-58

Department of Nursing Services, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

Background: There has been an increase in the incidence of disasters in many parts of the world. Similarly, Nigeria has witnessed a recent increase of man-made disaster events such as plane crash, fire incidents, flood, and building collapse, including bomb blast orchestrated by terrorists that often create emergency situations. Therefore, the aim of the study was to evaluate family emergency plan and preparedness among medical practitioners in Zaria. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0258DOI Listing
November 2017
75 Reads

Risk perception and perceived self-efficacy of deaf and hard-of-hearing seniors and young adults in emergencies.

Am J Disaster Med 2017 ;12(1):43-60

Health Research for Action, School of Public Health, University of California, Berkeley, Berkeley, California.

Objectives: The authors explored the factors influencing risk perception and perceived self-efficacy before and during an emergency for deaf and hard-of-hearing (Deaf/HH) seniors and young adults.

Methods: The authors collected demographic survey data and conducted four focus groups with 38 Deaf/HH residents of the San Francisco Bay Area; two groups were with young adults (ages 18-35), including one group of college students and one group of young professionals, and two were with older adults (ages 50-90).

Results: Significant differences were found between Deaf/HH young adults and seniors in both the sources of self-efficacy and risk perception and their attitudes toward preparedness. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0257DOI Listing
November 2017
9 Reads

Liberia national disaster preparedness coordination exercise: Implementing lessons learned from the West African disaster preparedness initiative.

Am J Disaster Med 2017 ;12(1):35-41

Center for Global Health Engagement, Uniformed Services University, Bethesda, Maryland.

Objective: In light of the recent Ebola outbreak, there is a critical need for effective disaster management systems in Liberia and other West African nations. To this end, the West Africa Disaster Preparedness Initiative held a disaster management exercise in conjunction with the Liberian national government on November 24-25, 2015.

Design: During this tabletop exercise (TTX), interactions within and between the 15 counties and the Liberian national government were conducted and observed to refine and validate the county and national standard operating procedures (SOPs). Read More

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http://dx.doi.org/10.5055/ajdm.2017.0256DOI Listing
November 2017
14 Reads

Comparison of START and SALT triage methodologies to reference standard definitions and to a field mass casualty simulation.

Am J Disaster Med 2017 ;12(1):27-33

Director of Academic Clinical Research, Attending Emergency Physician, Orlando Regional Medical Center, Orlando, Florida; Professor, University of Central Florida College of Medicine, Orlando, Florida; Associate Professor, Florida State University College of Medicine, Orlando, Florida.

Objectives: We compared Sort, Assess, Lifesaving Intervention, Treatment/Transport (SALT) and Simple Triage and Rapid Treatment (START) triage methodologies to a published reference standard, and evaluated the accuracy of the START method applied by emergency medical services (EMS) personnel in a field simulation.

Design: Simulated mass casualty incident (MCI). Paramedics trained in START triage assigned each victim to green (minimal), yellow (delayed), red (immediate), or black (dead) categories. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0255DOI Listing
November 2017
46 Reads

Healthcare students interprofessional critical event/disaster response course.

Am J Disaster Med 2017 ;12(1):11-26

Professor, Department of Emergency Medicine, Loma Linda University, Loma Linda, California; Vice Dean, School of Medicine, Loma Linda University, Loma Linda, California.

Objective: Numerous disasters confirm the need for critical event training in healthcare professions. However, no single discipline works in isolation and interprofessional learning is recognized as a necessary component. An interprofessional faculty group designed a learning curriculum crossing professional schools. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0254DOI Listing
November 2017
69 Reads

Evaluation of the association between disaster training and confidence in disaster response among graduate medical trainees: A cross-sectional study.

Am J Disaster Med 2017 ;12(1):5-9

Department of Emergency Medicine, Division of Disaster, State University of New York Downstate Medical Center, Brooklyn, New York.

Objective: Disasters by definition overwhelm the resources of a hospital and may require a response from a range of practitioners. Disaster training is part of emergency medicine (EM) resident curricula, but less emphasized in other training programs. This study aimed to compare disaster educational training and confidence levels among resident trainees from multiple specialties. Read More

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http://dx.doi.org/10.5055/ajdm.2017.0253DOI Listing
November 2017
11 Reads

Onset and duration of intravenous and intraosseous rocuronium in hypovolemic swine.

Am J Disaster Med 2016 ;11(4):279-282

Department of Anesthesia and Operative Services, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington.

Objective: Compare the onset and duration of rocuronium administered via the intravenous (IV), and intraosseous (IO) routes in a hypovolemic swine model.

Design: Prospective, between subjects, experimental study.

Setting: Vivarium. Read More

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http://dx.doi.org/10.5055/ajdm.2016.0250DOI Listing
July 2017
9 Reads