285 results match your criteria EMS and Terrorism


How to Stop the Bleed: First Care Provider Model for Developing Public Trauma Response Beyond Basic Hemorrhage Control.

West J Emerg Med 2020 Feb 25;21(2):365-373. Epub 2020 Feb 25.

Washington University in St. Louis, Department of Surgery, St. Louis, Missouri.

Introduction: Since 2013, the First Care Provider (FCP) model has successfully educated the non-medical population on how to recognize life-threatening injuries and perform interventions recommended by the Committee for Tactical Emergency Casualty Care (C-TECC) and the Hartford Consensus in the disaster setting. Recent programs, such as the federal "Stop The Bleed" campaign, have placed the emphasis of public training on hemorrhage control. However, recent attacks demonstrate that access to wounded, recognition of injury, and rapid evacuation are equally as important as hemorrhage control in minimizing mortality. Read More

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http://dx.doi.org/10.5811/westjem.2019.11.44887DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081854PMC
February 2020

Pediatric Readiness in Emergency Medical Services Systems.

Pediatrics 2020 01 19;145(1). Epub 2019 Dec 19.

Division of Pediatric Surgery, University of Louisville and Norton Children's Hospital, Louisville, Kentucky.

Ill and injured children have unique needs that can be magnified when the child's ailment is serious or life-threatening. This is especially true in the out-of-hospital environment. Providing high-quality out-of-hospital care to children requires an emergency medical services (EMS) system infrastructure designed to support the care of pediatric patients. Read More

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http://dx.doi.org/10.1542/peds.2019-3308DOI Listing
January 2020

Assessing the pre-hospital care preparedness to face mass casualty incident in Saudi Arabia in 2017-2018.

Saudi Med J 2019 Oct;40(10):1032-1039

Disaster Management, Saudi Red Crescent Authority, Riyadh, Kingdom of Saudi Arabia. E-mail.

Objectives: To assess the mass casualty incident (MCI) preparedness of pre-hospital care providers in Saudi Arabia and to identify and highlight their strengths and weaknesses when responding to MCIs.  Methods: This cross-sectional descriptive quantitative analysis was conducted between January 2017 and 2018 and included all Saudi Red Crescent Authority (SRCA) general administration branches in 13 regions in Saudi Arabia. The modified version of the emergency medical specialists (EMS) incident response and readiness assessment (EIRRA) tool was used in this study. Read More

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http://dx.doi.org/10.15537/smj.2019.10.24292DOI Listing
October 2019

Triage Performance of School Personnel Using the SALT System.

Prehosp Disaster Med 2019 Aug;34(4):401-406

2.Summa Health System,Akron,OhioUSA.

Introduction: The aim of this study was to determine if school personnel can understand and apply the Sort, Assess, Life-saving interventions, Treat/Transport (SALT) triage methods after a brief training. The investigators predicted that subjects can learn to triage with accuracy similar to that of medically trained personnel, and that subjects can pass an objective-structured clinical exam (OSCE) evaluating hemorrhage control.

Methods: School personnel were eligible to participate in this prospective observational study. Read More

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http://dx.doi.org/10.1017/S1049023X1900462XDOI Listing
August 2019
9 Reads

Triage in Complex, Coordinated Terrorist Attacks.

Prehosp Disaster Med 2019 Aug;34(4):442-448

Monash University Community Emergency Health and Paramedics,Melbourne, Victoria,Australia.

Introduction: Terror attacks have increased in frequency, and tactics utilized have evolved. This creates significant challenges for first responders providing life-saving medical care in their immediate aftermath. The use of coordinated and multi-site attack modalities exacerbates these challenges. Read More

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http://dx.doi.org/10.1017/S1049023X1900459XDOI Listing
August 2019
2 Reads

The Emergency Medical System (EMS) response to Iraqi pilgrims' bus crash in Iran: a case report.

BMC Emerg Med 2019 07 16;19(1):38. Epub 2019 Jul 16.

Safety Promotion and Injury Prevention Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: In Iran, Road Traffic Injuries (RTIs) with mass casualties occur repeatedly. Since Road Traffic Accidents (RTAs) occur far from health facilities, EMSs play an important role in reducing the disability and mortality resulting from RTIs. Thus, the study aimed to report Iraqi pilgrims' bus which rolled over in the Malayer town. Read More

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http://dx.doi.org/10.1186/s12873-019-0253-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636055PMC

The Joint Counterterrorism Awareness Workshop Series (JCTAWS): Integrating disciplines for enhanced capabilities during a complex coordinated attack.

J Emerg Manag 2019 May/Jun;17(3):210-212

Professor and Chair, Department of Emergency Medicine, Chief Clinical Officer, Western Region Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, South Carolina.

Evolving threats, such as Complex Coordinated Terrorist Attacks (CCTAs) and other High-Threat Active Violence Incidents, require a comprehensive "Whole of Community" approach to enhance readiness within the emergency management mission. Engaging all community stakeholders, inclusive of the private sector, public safety organizations, and the health and healthcare communities, is essential for risk reduction by preventing and limiting consequences from such critical incidents. The Joint Counterterrorism Awareness Workshop Series (JCTAWS) is a unique interdisciplinary table-top exercise sponsored by the Department of Homeland Security/Federal Emergency Management Agency, Federal Bureau of Investigation, and National Counterterrorism Center, and is designed to test plans and capabilities surrounding a CCTA. Read More

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http://dx.doi.org/10.5055/jem.2019.0419DOI Listing
June 2019
10 Reads

Feasibility of Telesimulation and Google Glass for Mass Casualty Triage Education and Training.

West J Emerg Med 2019 May 26;20(3):512-519. Epub 2019 Apr 26.

University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California.

Introduction: Our goal was to evaluate the feasibility and effectiveness of using telesimulation to deliver an emergency medical services (EMS) course on mass casualty incident (MCI) training to healthcare providers overseas.

Methods: We conducted a feasibility study to establish the process for successful delivery of educational content to learners overseas via telesimulation over a five-month period. Participants were registrants in an EMS course on MCI triage broadcast from University of California, Irvine Medical Simulation Center. Read More

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http://escholarship.org/uc/item/5qh2b4d7
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http://dx.doi.org/10.5811/westjem.2019.3.40805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526878PMC
May 2019
3 Reads

Post-9/11 Peripheral Neuropathy Symptoms among World Trade Center-Exposed Firefighters and Emergency Medical Service Workers.

Int J Environ Res Public Health 2019 05 16;16(10). Epub 2019 May 16.

Fire Department of the City of New York, Bureau of Health Services, 9 Metrotech Center, Brooklyn, NY 11201, USA.

Peripheral neuropathy can result from numerous conditions including metabolic disorders, inflammatory disease, or exposure to environmental or biological toxins. We analyzed questionnaire data from 9239 Fire Department of the City of New York (FDNY) World Trade Center (WTC)-exposed firefighters and emergency medical service workers (EMS) to evaluate the association between work at the WTC site and subsequent peripheral neuropathy symptoms using the validated Diabetic Neuropathy Symptom (DNS) score. We grouped the population into an "Indicated" group with conditions known to be associated with paresthesia ( = 2059) and a "Non-Indicated" group without conditions known to be associated ( = 7180). Read More

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http://dx.doi.org/10.3390/ijerph16101727DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572143PMC
May 2019
6 Reads

Impact of Stressful Events on Motivations, Self-Efficacy, and Development of Post-Traumatic Symptoms among Youth Volunteers in Emergency Medical Services.

Int J Environ Res Public Health 2019 05 8;16(9). Epub 2019 May 8.

The Department of Emergency Management & Disaster Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 6997801, Israel.

During the last decades, Israeli emergency medical services (EMS) personnel has been exposed to different potentially traumatic events, including mass terror attacks. The aims of the present study were to identify how potentially traumatic events affect young volunteers in their motivation to volunteer and their perceived self-efficacy while being at risk of developing post-traumatic symptoms. The final sample included 236 Magen David Adom (MDA, the "Israeli Red Cross") youth volunteers. Read More

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http://dx.doi.org/10.3390/ijerph16091613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6540098PMC
May 2019
2 Reads

Paramedic and Emergency Medical Technician Reflections on the Ongoing Impact of the 9/11 Terrorist Attacks.

Prehosp Disaster Med 2019 Feb;34(1):56-61

3Harvard Humanitarian Initiative,Harvard University and Harvard T.C. Chan School of Public Health,Cambridge,MassachusettsUSA.

IntroductionIn the years following the September 11, 2001 terrorist attacks in New York City (New York USA), otherwise known as 9/11, first responders began experiencing a range of health and psychosocial impacts. Publications documenting these largely focus on firefighters. This research explores paramedic and emergency medical technician (EMT) reflections on the long-term impact of responding to the 9/11 terrorist attacks. Read More

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https://www.cambridge.org/core/product/identifier/S1049023X1
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http://dx.doi.org/10.1017/S1049023X18001255DOI Listing
February 2019
24 Reads

Victory I Consensus Document: Proposal for the Implementation of the Hartford Doctrine in the Spanish Context.

J Spec Oper Med Winter 2018;18(4):27-29

Several international recommendations advise adapting military healthcare response models to intentional mass casualty incidents (IMCIs) in civil environments. The IMCI experience and associated published research from the United States, where these situations are frequent and properly analyzed more often, are, unfortunately, not directly applicable to the Spanish model of emergency medical services (EMS), where each autonomous region has its own competencies and protocols. However, there is a series of common elements that served as a reference for the development of an effective, evidence- based, IMCI consensus response plan called Victoria I. Read More

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June 2019
5 Reads

Persistent self-reported ear and hearing problems among World Trade Center-exposed firefighters and emergency medical service workers, 2001-2017-A longitudinal cohort analysis.

Am J Ind Med 2019 01 6;62(1):43-49. Epub 2018 Dec 6.

Fire Department of the City of New York, Bureau of Health Services, Brooklyn, New York.

Background: The goal of this study was to estimate the impact of exposure to the World Trade Center (WTC) site on annual and persistent rates of otalgia and hearing impairment among Fire Department of the City of New York (FDNY) Firefighters and Emergency Medical Service Workers (EMS).

Methods: Responders completed routine physical health questionnaires at monitoring visits. We used logistic and marginal logistic regression models to explore the association between otalgia and hearing impairment and WTC arrival time. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/ajim.22925
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http://dx.doi.org/10.1002/ajim.22925DOI Listing
January 2019
26 Reads

Assessment of the disaster medical response system through an investigation of a 43-vehicle mass collision on Jung-ang expressway.

Accid Anal Prev 2019 Feb 20;123:60-68. Epub 2018 Nov 20.

Wonju College of Medicine, Yonsei University, Department of Emergency Medicine, Republic of Korea. Electronic address:

Purpose: It was considered the challenges of the actual response and the potential for improvement, including the activities of the disaster response system, national emergency medical center, and the regional base hospital for the treatment of multiple traffic accident victims. The purpose of this study was to analyze the accident management system through real investigating the multiple collision over 10 vehicles with mass casualty events as a disaster situation.

Methods: This study was retrospective study to analyze the disaster event with multiple collision traffic accident on the expressway in Korea. Read More

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http://dx.doi.org/10.1016/j.aap.2018.11.004DOI Listing
February 2019
15 Reads

Risk factors for post-9/11 chronic rhinosinusitis in Fire Department of the City of New York workers.

Occup Environ Med 2018 12 18;75(12):884-889. Epub 2018 Oct 18.

Pulmonary, Critical Care and Sleep Medicine Division, Departments of Medicine and Environmental Medicine, New York University School of Medicine, New York City, New York, USA.

Objectives: Chronic rhinosinusitis (CRS) has high socioeconomic burden but underexplored risk factors. The collapse of the World Trade Center (WTC) towers on 11 September 2001 (9/11) caused dust and smoke exposure, leading to paranasal sinus inflammation and CRS. We aim to determine which job tasks are risk factors for CRS in WTC-exposed Fire Department of the City of New York (FDNY) firefighters and emergency medical services (EMS) workers. Read More

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http://dx.doi.org/10.1136/oemed-2018-105297DOI Listing
December 2018
5 Reads

Wisdom of the Crowd in Saving Lives: The Life Guardians App.

Prehosp Disaster Med 2018 Oct 17;33(5):550-552. Epub 2018 Sep 17.

3Department of Emergency Medicine,Shaare Zedek Medical Center,Jerusalem.

Multi-casualty incidents (MCIs) continue to occur throughout the world, whether they be mass shootings or natural disasters. Prehospital emergency services have done a professional job at stabilizing and transporting the victims to local hospitals. When there are multiple casualties, there may not be enough professional responders to care for the injured. Read More

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http://dx.doi.org/10.1017/S1049023X18000754DOI Listing
October 2018
27 Reads

Comparing the Accuracy of Mass Casualty Triage Systems in a Pediatric Population.

Prehosp Emerg Care 2019 May-Jun;23(3):304-308. Epub 2018 Oct 17.

Introduction: It was previously difficult to compare the accuracy of different mass casualty triage systems to one another. This pilot study is one of the first attempts to operationalize an expert panel's criterion standard definitions of triage categories in a pediatric population in order to compare accuracy between different systems.

Objective: To compare the accuracy of 4 different mass casualty triage systems (SALT, JumpSTART, Triage Sieve, and CareFlight) when used for children. Read More

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http://dx.doi.org/10.1080/10903127.2018.1520946DOI Listing
August 2019
4 Reads

Botulism Outbreak in a Regional Community Hospital: Lessons Learned in Transfer and Transport Considerations.

Prehosp Emerg Care 2019 Jan-Feb;23(1):49-57. Epub 2018 Sep 10.

Botulism is a potentially lethal disease caused by a toxin released by Clostridium botulinum. Outbreaks of botulism from food sources can lead to a Mass Casualty Incident (MCI) involving sometimes hundreds of individuals. We report on a recent outbreak of botulism treated at a regional community hospital with a focus on emergency medical services (EMS) response and transport considerations. Read More

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http://dx.doi.org/10.1080/10903127.2018.1476636DOI Listing
July 2019
2 Reads

Intuitive versus Algorithmic Triage.

Prehosp Disaster Med 2018 Aug;33(4):355-361

3Department of Emergency Medicine,University of Massachusetts Medical School,Worcester,MassachusettsUSA.

IntroductionThe most commonly used methods for triage in mass-casualty incidents (MCIs) rely upon providers to take exact counts of vital signs or other patient parameters. The acuity and volume of patients which can be present during an MCI makes this a time-consuming and potentially costly process.HypothesisThis study evaluates and compares the speed of the commonly used Simple Triage and Rapid Treatment (START) triage method with that of an "intuitive triage" method which relies instead upon the abilities of an experienced first responder to determine the triage category of each victim based upon their overall first-impression assessment. Read More

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https://www.cambridge.org/core/product/identifier/S1049023X1
Publisher Site
http://dx.doi.org/10.1017/S1049023X18000626DOI Listing
August 2018
50 Reads

GPS Devices in a Simulated Mass Casualty Event.

Prehosp Emerg Care 2019 Mar-Apr;23(2):290-295. Epub 2018 Aug 17.

Objective: The aim of this study was to assess the staff perception of a global positioning system (GPS) as a patient tracking tool at an emergency department (ED) receiving patients from a simulated mass casualty event.

Methods: During a regional airport disaster drill a plane crash with 46 pediatric patients was simulated. Personnel from airport fire, municipal fire, law enforcement, emergency medical services, and emergency medicine departments were present. Read More

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http://dx.doi.org/10.1080/10903127.2018.1489018DOI Listing
July 2019
3 Reads

Comparison of Unmanned Aerial Vehicle Technology-Assisted Triage versus Standard Practice in Triaging Casualties by Paramedic Students in a Mass-Casualty Incident Scenario.

Prehosp Disaster Med 2018 Aug 13;33(4):375-380. Epub 2018 Jul 13.

3Department of Emergency Medicine,Universitair Ziekenhuis Brussel,Research Group in Emergency and Disaster Medicine,Vrije Universiteit Brussel,Jette,Belgium.

IntroductionThe proliferation of unmanned aerial vehicle (UAV) technology has the potential to change the way medical incident commanders (ICs) respond to mass-casualty incidents (MCIs) in triaging victims. The aim of this study was to compare UAV technology to standard practice (SP) in triaging casualties at an MCI.

Methods: A randomized comparison study was conducted with 40 paramedic students from the Holland College Paramedicine Program (Charlottetown, Prince Edward Island, Canada). Read More

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http://dx.doi.org/10.1017/S1049023X18000559DOI Listing
August 2018
12 Reads

Primary mass casualty incident triage: evidence for the benefit of yearly brief re-training from a simulation study.

Scand J Trauma Resusc Emerg Med 2018 Apr 27;26(1):35. Epub 2018 Apr 27.

Department of Anesthesiology, University of Erlangen Medical Center, Krankenhausstraße 12, 91054, Erlangen, Germany.

Background: Triage is a mainstay of early mass casualty incident (MCI) management. Standardized triage protocols aim at providing valid and reproducible results and, thus, improve triage quality. To date, there is little data supporting the extent and content of training and re-training on using such triage protocols within the Emergency Medical Services (EMS). Read More

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http://dx.doi.org/10.1186/s13049-018-0501-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923025PMC
April 2018
19 Reads

[Nationwide implementation of a hospital resource register for daily trauma care, mass casualties and disasters : Position paper of the German Trauma Society and the Federation of German Medical Directors of Emergency Medical Services].

Unfallchirurg 2018 Apr;121(4):339-346

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinik der Paracelsus Medizinischen Privatuniversität Nürnberg, Nürnberg, Deutschland.

The introduction of requirements for a minimum intake capacity of trauma patients by the German Trauma Society (DGU) into the so-called white book of treatment of seriously injured patients, is helpful for a sufficient preparation for threats and for dealing with mass casualties for trauma centers as well as for the emergency medical services (EMS). In the hospital information database provided by the Federation of German Medical Directors of Emergency Medical Services, more than 1300 hospitals are currently listed. This information supports the allocation of trauma patients from the field to the appropriate trauma center. Read More

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http://dx.doi.org/10.1007/s00113-018-0472-0DOI Listing
April 2018
3 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
17 Reads

The Use of Field Triage in Disaster and Mass Casualty Incidents: A Survey of Current Practices by EMS Personnel.

Prehosp Emerg Care 2018 Jul-Aug;22(4):520-526. Epub 2018 Feb 9.

Background: Mass casualty incident (MCI) triage and the use of triage tags to assign treatment priorities are not fully implemented despite emergency medical services (EMS) personnel training during drills and exercises.

Objectives: To compare current field triage practices during both training and actual MCIs and identify any potential barriers to use.

Methods: During training sessions from November 2015 through March 2016, an anonymous survey was distributed to personnel in 3 distinct types of paid full-time EMS systems: Boston EMS (2-tiered, municipal third-service); Portland Fire Department (fire department-based ALS); and Stokes County EMS (county-based ALS) combined with Forsyth County EMS (county-based ALS). Read More

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http://dx.doi.org/10.1080/10903127.2017.1419323DOI Listing
April 2019
8 Reads

Ghost Attack: The East Providence Carbon Monoxide Mass Casualty Incident.

R I Med J (2013) 2018 Feb 2;101(1):26-27. Epub 2018 Feb 2.

Clinical Associate Professor of Medicine, Warren Alpert Medical School of Brown University.

A routine call for a common medical emergency was expeditiously identified by the responding emergency medical service as a multiple victim carbon monoxide exposure. The event circumstances, exemplary fire department emergency medical services response, and ensuing hos- pital emergency department response are described. [Full article available at http://rimed. Read More

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February 2018
6 Reads

Comparison of Unmanned Aerial Vehicle Technology Versus Standard Practice in Identification of Hazards at a Mass Casualty Incident Scenario by Primary Care Paramedic Students.

Disaster Med Public Health Prep 2018 10 31;12(5):631-634. Epub 2018 Jan 31.

3Department of Emergency Medicine,Universitair Ziekenhuis Brussel,Research Group in Emergency and Disaster Medicine,Vrije Universiteit Brussel,Brussel,Belgium.

IntroductionThe proliferation of unmanned aerial vehicles (UAV) has the potential to change the situational awareness of incident commanders allowing greater scene safety. The aim of this study was to compare UAV technology to standard practice (SP) in hazard identification during a simulated multi-vehicle motor collision (MVC) in terms of time to identification, accuracy and the order of hazard identification.

Methods: A prospective observational cohort study was conducted with 21 students randomized into UAV or SP group, based on a MVC with 7 hazards. Read More

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http://dx.doi.org/10.1017/dmp.2017.129DOI Listing
October 2018
9 Reads

Impact of a Mass Gathering Alcohol Sobering Facility on Emergency Resources.

Prehosp Emerg Care 2018 May-Jun;22(3):326-331. Epub 2018 Jan 3.

Objective: Alcohol consumption has been implicated as an important factor driving the demand for medical care at mass gatherings. Patients exhibiting signs of possible alcohol intoxication are frequently diverted from traditional medical support facilities located within mass gathering events due to their disruptive behavior or need for prolonged observation. This conventional strategy can place additional stress on Emergency Medical Services (EMS) and Emergency Department (ED) resources. Read More

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http://dx.doi.org/10.1080/10903127.2017.1380093DOI Listing
April 2019
9 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
14 Reads

A Chief's Worst Day: Director of Hamilton County EMS reviews school bus rollover MCI.

Authors:
Ken Wilkerson

JEMS 2017 02;42(2):16-7

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February 2017
7 Reads

Police Transports: MCI plans should consider alternatives to EMS transport.

Authors:
Stephen R Wirth

JEMS 2017 03;42(3):17

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March 2017
5 Reads

Medical Response to the Tianjin Explosions: Lessons Learned.

Disaster Med Public Health Prep 2018 06 4;12(3):411-414. Epub 2017 Dec 4.

Peking University People's Hospital, Beijing, China.

Background: On August 12, 2015, a hazardous chemical explosion occurred in the Tianjin Port of China. The explosions resulted in 165 deaths, 8 missing people, injuries to thousands of people. We present the responses of emergency medical services and hospitals to the explosions and summarize the lessons that can be learned. Read More

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https://www.cambridge.org/core/product/identifier/S193578931
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http://dx.doi.org/10.1017/dmp.2017.64DOI Listing
June 2018
9 Reads

Developing a Mass Casualty Surge Capacity Protocol for Emergency Medical Services to Use for Patient Distribution.

South Med J 2017 12;110(12):792-795

From Emory University Office of Critical Event Preparedness and Response, the Department of Emergency Medicine, Emory University School of Medicine, and Grady Health System, Atlanta, Georgia.

Objectives: Metropolitan areas must be prepared to manage large numbers of casualties related to a major incident. Most US cities do not have adequate trauma center capacity to manage large-scale mass casualty incidents (MCIs). Creating surge capacity requires the distribution of casualties to hospitals that are not designated as trauma centers. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000000740DOI Listing
December 2017
17 Reads

EMS Coverage of a Female-Only Event with 10,000 Attendees: Preparation and Implementation in One Week.

Prehosp Disaster Med 2017 Dec;32(6):694-698

King Abdullah Bin Abdulaziz University Hospital;Princes Nourah bint AbdulRahman University,Riyadh,Saudi Arabia.

This report describes the medical coverage provided for 10KSA, a charity event held in Saudi Arabia for breast cancer awareness. More than 10,000 women attended the event. A total of 41 attendees sought medical care; four patients (9. Read More

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http://dx.doi.org/10.1017/S1049023X17006963DOI Listing
December 2017
5 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
50 Reads

Prehospital Response Time Delays for Emergency Patients in Events of Concurrent Mass Casualty Incidents.

Disaster Med Public Health Prep 2018 Feb 19;12(1):94-100. Epub 2017 Sep 19.

4Department of Emergency Medicine,Hallym University College of Medicine and Dongtan Sacred Heart Hospital,Hwaseong,Gyeonggi,Korea.

Objective: We investigated the extent of delays in the response time of emergency medical services (EMS) as an impact of mass casualty incidences (MCIs) in the same area.

Methods: We defined an MCI case as an event that resulted in 6 or more patients being transported by EMS, and prehospital response time as the time from the call to arrival at the scene. We matched patients before and after MCIs by dividing them into categories of 3 hours before, 0-1 hour after, 1-2 hours after, and 2-3 hours after the MCIs. Read More

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http://dx.doi.org/10.1017/dmp.2017.42DOI Listing
February 2018
45 Reads

[Mass casualty incident - special features of "threatening situations"].

Anasthesiol Intensivmed Notfallmed Schmerzther 2017 Sep 8;52(9):618-629. Epub 2017 Sep 8.

Terrorist attacks or amok runs may cause "threatening situations" for emergency medical services (EMS), fire fighters and physicians. Cooperation with the police is of paramount importance. In order to minimize the risk to rescue personnel and affected persons, emergency medical care has to follow tactical principles. Read More

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http://dx.doi.org/10.1055/s-0042-120229DOI Listing
September 2017
6 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
70 Reads

Diagnostic precision of triage algorithms for mass casualty incidents. English version.

Anaesthesist 2019 02 10;68(Suppl 1):15-24. Epub 2017 Aug 10.

University Center of Orthopedics and Trauma Surgery, TU-Dresden, Dresden, Germany.

Background: Regarding survival and quality of life recent mass casualty incidents again emphasize the importance of early identification of the correct degree of injury/illness to enable prioritization of treatment amongst patients and their transportation to an appropriate hospital. The present study investigated existing triage algorithms in terms of sensitivity (SE) and specificity (SP) as well as its process duration in a relevant emergency patient cohort.

Methods: In this study 500 consecutive air rescue missions were evaluated by means of standardized patient records. Read More

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http://dx.doi.org/10.1007/s00101-017-0352-yDOI Listing
February 2019
29 Reads

Local emergency medical response after a terrorist attack in Norway: a qualitative study.

BMJ Qual Saf 2017 Oct 4;26(10):806-816. Epub 2017 Jul 4.

Department of Family Medicine, Faculty of Medicine, Institute of Health and Society, University of Oslo, Oslo, Norway.

Introduction: On 22 July 2011, Norway suffered a devastating terrorist attack targeting a political youth camp on a remote island. Within a few hours, 35 injured terrorist victims were admitted to the local Ringerike community hospital. All victims survived. Read More

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http://dx.doi.org/10.1136/bmjqs-2017-006517DOI Listing
October 2017
46 Reads

Post-9/11 sarcoidosis in WTC-exposed firefighters and emergency medical service workers.

Respir Med 2017 Nov 7;132:232-237. Epub 2017 Jun 7.

Fire Department of the City of New York, Bureau of Health Services, 9 Metrotech Center, Brooklyn, NY, USA.

Introduction: The World Trade Center (WTC) disaster released a huge quantity and variety of toxicants into the environment. To-date, studies from each of the three major cohorts of WTC-exposed workers have suggested "greater than expected" numbers of post-9/11 cases in some workers. We undertook this study to estimate the incidence of post-9/11 sarcoidosis in ∼13,000 male firefighters and EMS workers enrolled in The Fire Department of the City of New York (FDNY) WTC Health Program; to compare FDNY incidence to rates from unexposed, demographically similar men in the Rochester Epidemiology Project (REP); and, to examine rates by level of WTC exposure. Read More

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http://dx.doi.org/10.1016/j.rmed.2017.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720928PMC
November 2017
30 Reads

Basic Disaster Life Support (BDLS) Training Improves First Responder Confidence to Face Mass-Casualty Incidents in Thailand.

Prehosp Disaster Med 2017 Oct 13;32(5):492-500. Epub 2017 Jun 13.

4Phramngkutklao Hospital and College of Medicine,Bangkok,Thailand.

Background: Medical response to mass-casualty incidents (MCIs) requires specialized training and preparation. Basic Disaster Life Support (BDLS) is a course designed to prepare health care workers for a MCI. The purpose of this study was to evaluate the confidence of health care professionals in Thailand to face a MCI after participating in a BDLS course. Read More

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http://dx.doi.org/10.1017/S1049023X17006550DOI Listing
October 2017
23 Reads

Policies for managing emergency medical services in mass casualty incidents.

Injury 2017 Sep 27;48(9):1878-1883. Epub 2017 May 27.

Department of Disaster Management & Injury Prevention, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; The National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Health Policy and Epidemiology, Tel-Hashomer, Israel.

Introduction: Diverse decision-making is needed in managing mass casualty incidents (MCIs), by emergency medical services (EMS). The aim of the study was to review consensus among international experts concerning policies of EMS management during MCIs.

Methods: Applicability of 21 EMS policies was tested through a 2-cycle modified e-Delphi process, in which 38 multi-disciplinary experts from 10 countries participated. Read More

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http://dx.doi.org/10.1016/j.injury.2017.05.034DOI Listing
September 2017
14 Reads

Are Dutch Hospitals Prepared for Chemical, Biological, or Radionuclear Incidents? A Survey Study.

Prehosp Disaster Med 2017 Oct 8;32(5):483-491. Epub 2017 May 8.

2Center for Research and Education in Emergency Care (CREEC),University Leuven,Belgium.

Introduction Being one of Europe's most densely populated countries, and having multiple nuclear installations, a heavy petrochemical industry, and terrorist targets, the Netherlands is at-risk for chemical, biological, or radionuclear (CBRN) incidents. Recent world and continental events show that this threat is real and that authorities may be underprepared. Hypothesis The hypothesis of this study is that Dutch hospitals are underprepared to deal with these incidents. Read More

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http://dx.doi.org/10.1017/S1049023X17006513DOI Listing
October 2017
11 Reads

Graduate Medical Education in Tactical Medicine and the Impact of ACGME Accreditation of EMS Fellowships.

J Spec Oper Med Spring 2017;17(1):101-104

Physician interest in tactical medicine as an area of professional practice has grown significantly over the past decade. The prevalence of physician involvement in terms of medical oversight and operational support of civilian tactical medicine has experienced tremendous growth during this timeframe. Factors contributing to this trend are multifactorial and include enhanced law enforcement agency understanding of the role of the tactical physician, support for the engagement of qualified medical oversight, increasing numbers of physicians formally trained in tactical medicine, and the ongoing escalation of intentional mass-casualty incidents worldwide. Read More

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June 2017
6 Reads

Preparing for Active Shooters and Hostile Events.

EMS World 2017 Mar;46(3):35-42

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March 2017
9 Reads