International Journal of Disaster Medicine最新文献

{"title":"The European Master Program in Disaster Medicine","authors":"M. Debacker, H. Delooz, F. D. Corte","doi":"10.1080/15031430310004230","DOIUrl":"https://doi.org/10.1080/15031430310004230","url":null,"abstract":"Objectives To present and evaluate the European Master in Disaster Medicine (EMDM) as a unique education and training model for all those involved in the medical preparedness and response in disaster situations at local, national and international levels. Methods The EMDM is composed of a self-directed study based on problem-based e-learning, a live-in course with interactive exercises and debates, a thesis related to a topic of disaster medicine or disaster management, and a final on-line examination provided on the Internet. Results The European Certificate in Disaster Medicine started in 2000 and was upgraded to a level two European Master in 2002. To date, 76 students from 27 nationalities have participated in the EMDM. A summative evaluation shows that the great number and variety of practical exercises and interactive debates during the residential course, the problem-oriented simulation exercises, and the discussion forum on the EMDM website are highly valued by the students. Conclusion The problem...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116973409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care of civilians during military operations","authors":"T. Hodgetts, P. Mahoney, A. Mozumder, J. Mclennan","doi":"10.1080/15031430600694210","DOIUrl":"https://doi.org/10.1080/15031430600694210","url":null,"abstract":"","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117293676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advanced Versus Basic Life Support in the Pre‐Hospital Setting – The Controversy between the ‘Scoop and Run’ and the ‘Stay and Play’ Approach to the Care of the Injured Patient","authors":"M. Liberman, C. Branas, D. Mulder, A. Lavoie, J. Sampalis","doi":"10.1080/15031430410025515","DOIUrl":"https://doi.org/10.1080/15031430410025515","url":null,"abstract":"Pre‐hospital care for trauma patients is provided by emergency medical personnel using either basic life support (BLS) or advanced life support (ALS) techniques. BLS for the seriously injured trauma patient most notably involves ‘scoop and run’ in which medical interventions are performed while en route to an appropriate hospital. These interventions are non‐invasive and include wound dressing, immobilization, fracture splinting, oxygen administration and non‐invasive cardiopulmonary resuscitation. ALS encompasses all of the previously mentioned BLS techniques in addition to minimally invasive procedures such as endotracheal intubation, intravenous access for fluid replacement and administration of medications. System protocols often dictate that ALS providers ‘stay and play’ at the scene of a serious trauma in order to carry out these more advanced procedures. The rationale for the use of on‐site ALS in trauma is that these interventions will reduce the rate of physiological and haemodynamic deterioratio...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115414215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A process approach to emergency planning for major incidents in the health sector","authors":"L. Moseley","doi":"10.1080/15031430510034677","DOIUrl":"https://doi.org/10.1080/15031430510034677","url":null,"abstract":"Les Moseley is the founder and Director of the Coventry Centre for Disaster Management and with colleagues at Coventry University has recently developed undergraduate and post‐graduate degrees and a range of certificates and diplomas to support professional development in emergency management. This paper examines the type and format of emergency plans used to respond to major incidents within the health sector. It expounds the virtue of adopting a process approach to emergency planning to ensure that thorough and rigorous planning is carried out. The paper gives a brief overview of emergency plan types before introducing and expanding on the proposed process. The author does not try to impose a particular type of plan or distinguish between the various health‐related functions/organizations or localities but stresses the need for consistency regardless of what type of emergency plan is required.","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114732732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to the 2004 issue of International Journal of Disaster Medicine","authors":"S. Lennquist","doi":"10.1080/15031430410026749","DOIUrl":"https://doi.org/10.1080/15031430410026749","url":null,"abstract":"","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124934154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing mental health needs after a major disaster: experience from the Pakistan earthquake, 2005","authors":"K. Siddiqi, N. Siddiqi, K. Saeed, A. House","doi":"10.1080/15031430801948472","DOIUrl":"https://doi.org/10.1080/15031430801948472","url":null,"abstract":"Objectives: Three months after the 2005 earthquake in Pakistan, we carried out a mental health needs assessment on behalf of the World Health Organization (WHO) in one district. Here, we share our experience, to illustrate the challenges of undertaking such an assessment, under extreme circumstances and in resource‐poor settings. Materials and methods: We analysed service utilization data and conducted surveys of psychological problems in two tent villages using the GHQ‐12. In addition, we carried out a thematic analysis on data from a series of semi‐structured interviews with local people and field notes during key meetings and visits. Results: We found that, before the earthquake, mental health service provision in the district was extremely limited or non‐existent. We found evidence of considerable post‐disaster psychological distress and high service utilization. Notable themes from the interviews included lack of mental health service provision before the earthquake, and a reduction in social stigma ...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126458223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The status of the hospital disaster plan in the Netherlands","authors":"Jacquo van Remmen","doi":"10.1080/15031430600703813","DOIUrl":"https://doi.org/10.1080/15031430600703813","url":null,"abstract":"Background: The aim of this study was to determine whether the general hospitals in the Netherlands are fully prepared for a disaster. This study was carried out in 2002 and serves as a comparison to a similar study carried out in 1997. Methods: A similar questionnaire to that used in the study in 1997 was sent to 110 boards of directors of all general hospitals. The status of the hospital disaster plan (HDP) ranged from no plan to a plan tested and upgraded, with a score ranging from 1 to 5. Results: The response rate was 95%. In 2002, 74% of the general hospitals were not fully prepared, compared with 41% in 1997. There is a shift of hospital preparedness towards the group of largest general hospitals with educational and specific tasks. Conclusions: This study should give the general hospitals in the Netherlands a positive impulse for improving and strengthening the status of the HDP by continuous education, training and certification.","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133690193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transfer of the publication of International Journal of Disaster Medicine from Informa to the European Society for Trauma and Emergency Surgery","authors":"S. Lennquist","doi":"10.1080/15031430802185066","DOIUrl":"https://doi.org/10.1080/15031430802185066","url":null,"abstract":"Dear readers, contributors and subscribers to IJDM,We are living in a world of rapid development, and that is valid also for the field of scientific publication. This journal has now been in the ma...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"38 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133733362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulating the response of a rural acute health-care delivery system to a bioterrorist attack","authors":"G. Miller, Stephen Randolph, D. Gower","doi":"10.1080/15031430410024363","DOIUrl":"https://doi.org/10.1080/15031430410024363","url":null,"abstract":"Objectives: This paper demonstrates the applicability of discrete event simulation to planning the response of a rural acute health‐care delivery system to a bioterrorist attack. Simulation results are used to develop observations and recommendations for planning for bioterrorism events in rural settings. Method: The analysis employed two discrete event simulation models, one representing the spread of disease following an attack with a contagious agent (pneumonic plague) and the other representing the care that victims would receive from the acute health‐care delivery system and the resultant stress the attack would put on the health‐care infrastructure. Results: In the scenario simulated in this study, early detection of the attack and subsequent aggressive response by the public health system were projected to reduce the total number of victims in this rural setting from 82 to 27 and to reduce deaths from 43 to 7 when compared with a less timely and less effective response. Early detection also created...","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132145431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evacuation of tsunami victims to Sweden: experiences of the use of a corporate jet aircraft","authors":"J. Åstrand, J. Nilsson, P. Ederoth, J. Linde, H. Burgerhout","doi":"10.1080/15031430701282030","DOIUrl":"https://doi.org/10.1080/15031430701282030","url":null,"abstract":"Objectives: A tsunami hit Thailand and affected 25 000 Swedish holidaymakers on December 25, 2004. The transportation home of injured Swedish citizens had to be improvised. One of the several assets used was a corporate jet put at the disposal of the Swedish foreign ministry. The aim of this study was to evaluate the improvised use of this corporate jet aircraft to support evacuation of injured citizens hit by disaster in a foreign country. Materials and methods: A Falcon 900 EX jet with capacity to carry 14 seated or 6 stretcher cases was used. Refueling and change of crew took place in Dubai. Five physicians were recruited for an assessment team with the task of locating patients and evaluating them before transport. The assessment team stayed in Thailand to locate patients for the next trip while the jet made the round trip to Sweden (32 hours). The team reported regularly to Swedish healthcare ministry officials in an improvised coordination center in Phuket. Results: Fifteen Swedish tsunami victims were transported from Thailand by the corporate jet in three round trips. Twelve additional patients were evaluated and allocated to other medical evacuation flights. In total 1500 injured Swedish citizens were transported to Sweden, most of whom were able to use regular flights as seated passengers. Conclusion: When the operation started on December 31, many injured Swedish citizens were still in Thailand because of delays in the response from the Swedish authorities and were being treated in hospitals at different locations. Due to lack of deployment of a sufficient number of assessment teams, a substantial amount of time was needed to locate patients and to evaluate whether or not they could be transported without risk. Our experience is that ground assessment teams cooperating with local resources are necessary and, if insufficient, can limit transport capacity more than air-carrying capacity. A coordination center must handle a considerable amount of information and ID numbers are necessary to avoid duplicates; we made good use of group text messages (SMS) from cell phones to facilitate this aspect.","PeriodicalId":257480,"journal":{"name":"International Journal of Disaster Medicine","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133454575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}