American journal of disaster medicine最新文献_第2页

Terrorist attacks against healthcare facilities involving hostages 涉及人质的针对医疗设施的恐怖袭击

American journal of disaster medicine Pub Date : 2024-04-01 DOI: 10.5055/ajdm.0478

Reed Macy, Gregory N. Jasani, Reem B. Alfalasi, Garrett A. Cavaliere, Benjamin Lawner

{"title":"Terrorist attacks against healthcare facilities involving hostages","authors":"Reed Macy, Gregory N. Jasani, Reem B. Alfalasi, Garrett A. Cavaliere, Benjamin Lawner","doi":"10.5055/ajdm.0478","DOIUrl":"https://doi.org/10.5055/ajdm.0478","url":null,"abstract":"Introduction: The incidence of terrorist attacks against healthcare facilities has been increasing over recent years. In addition to direct attacks on physical structures, many attacks have involved taking hostages. Hospital and healthcare facilities remain historically underprepared for terrorist attacks, representing vulnerable locations. Yet, studies examining the frequency and reach of hostage-taking incidents within healthcare facilities are limited. \u0000Methods: A search of the Global Terrorism Database was performed. A total of 191,465 terrorist attacks were identified. The database search was narrowed down to healthcare-related terrorist attacks (2,322) and then manually analyzed to only include those incidents which involved hospitals and hostage-taking (64). \u0000Results: Sixty-four attacks against hospitals involving hostage-taking were identified. A total of 91 victims were injured in these attacks, and 47 were killed. The attacks affected a total of 23 countries worldwide, conducted largely by unidentified terrorist organizations, with approximately half involving firearms. Discussion: This study shows that terrorist attacks against healthcare facilities that involve hostage-taking have increased in frequency over the past 10 years and have global reach. Systems may still be underprepared for this potentially increasing phenomenon and require preparedness plans with education and simulated practice in place. Healthcare facilities should consider mitigation strategies such as preparedness drills and additional education.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771224","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}

引用次数: 0

Challenges in handling a civilian mass pediatric disaster during flood relief in a partially inundated armed forces medical facility. 在部分被淹没的武装部队医疗设施进行洪水救援期间处理平民大规模儿科灾难的挑战。

American journal of disaster medicine Pub Date : 2023-12-01 DOI: 10.5055/ajdm.0459

Saroj Kumar Patnaik, N S Lamba, Aradhana Aneja, Ashish Kumar Gupta

{"title":"Challenges in handling a civilian mass pediatric disaster during flood relief in a partially inundated armed forces medical facility.","authors":"Saroj Kumar Patnaik, N S Lamba, Aradhana Aneja, Ashish Kumar Gupta","doi":"10.5055/ajdm.0459","DOIUrl":"10.5055/ajdm.0459","url":null,"abstract":"Background: Armed forces hospitals are often called upon to provide medical aid to civilians during natural calamities. Though children are often the most vulnerable segment of population in these events, research that addresses their unique needs and the role of armed forces hospitals remains sparse.Objectives: We examined pediatric morbidity and mortality at a flooded armed forces hospital. Factors that affected outcomes were identified.Methods: 158 patients were evacuated en masse from a children's hospital in northern India that was submerged by flood to an adjacent partially inundated armed forces hospital specializing in military medicine and adult trauma. The children were provided case-based clinical care as per existing disaster management protocol. Geoclimatic vulnerability factors, morbidity/mortality, and medical and logistical challenges for future intervention were investigated.Results: One pediatrician who provided initial triage was joined by two others after 48 hours. A limited load of adult patients permitted more resources for the children, majority (49 percent) of whom were neonates. Intensive care was necessitated for 32 (20.2 percent) cases, with half managed in adult ICU. Overall in-hospital mortality was 5.7 percent. Experienced staff, cross-specialty multitasking, and innovative and noncensorious leadership were identified as assets amidst resources compromised by flooding. Clear delineation of primary caregiver role of pediatrician at outset, pediatric emergency care training, pediatric triage, resource allocation for thermoregulation, oxygen therapy and ventilation, earmarking centers for transfer of cases, and safe transportation to the centers were identified as areas meriting further attention.Conclusion: Armed forces hospitals in vulnerable geoclimatic zones must address pediatric concerns in disaster management plans.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650145","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}

引用次数: 0

After action review of the COVID-19 surveillance system in Quang Ninh Province, Vietnam, in 2020. 2020年在越南广宁省对COVID-19监测系统进行行动审查后。

American journal of disaster medicine Pub Date : 2023-12-01 DOI: 10.5055/ajdm.0460

Ha-Linh Quach, Khanh Cong Nguyen, Thai Quang Pham, Ngoc-Anh Hoang, Hien Hong Thi Do, Dung Thi Nguyen, Chu Van Ninh, Emma Field, Anh Duc Dang, Duong Nhu Tran, Ha Cam Thi Pham, Anh Tu Tran, Hien Tran Nguyen, Nghia Duy Ngu, Florian Vogt

{"title":"After action review of the COVID-19 surveillance system in Quang Ninh Province, Vietnam, in 2020.","authors":"Ha-Linh Quach, Khanh Cong Nguyen, Thai Quang Pham, Ngoc-Anh Hoang, Hien Hong Thi Do, Dung Thi Nguyen, Chu Van Ninh, Emma Field, Anh Duc Dang, Duong Nhu Tran, Ha Cam Thi Pham, Anh Tu Tran, Hien Tran Nguyen, Nghia Duy Ngu, Florian Vogt","doi":"10.5055/ajdm.0460","DOIUrl":"10.5055/ajdm.0460","url":null,"abstract":"Surveillance is the backbone of any response to an infectious disease outbreak, and comprehensive evaluation of surveillance systems is crucial. However, structured evaluations of surveillance systems during the COVID-19 pandemic are scarce. We conducted an after action review (AAR) of the performance of the COVID-19 surveillance system in Quang Ninh Province, Vietnam, during 2020 using the COVID-19-specific AAR methodology developed by the World Health Organization in combination with guidance from the US Centers for Disease Control and Prevention (CDC). We conducted a stakeholder survey, document reviews, and key informant interviews with staff from Quang Ninh CDC's COVID-19 surveillance system. The COVID-19 surveillance system was based on the pre-existing surveillance system in the province. The system's strengths were early preparation for emergency response, strong governance and central coordination, and multidisciplinary collaboration. Stakeholders agreed that the system proved useful and adaptive to the fast-evolving COVID-19 situation but was weakened by overly complex systems, redundant administrative processes, unclear communication channels, and lack of resources. Overall, the surveillance systems in Quang Ninh province proved effective in containing COVID-19 and adaptive in a fast-changing epidemiological context. Several recommendations were made based on identified areas of concern that are of relevance for COVID-19 surveillance systems in Vietnam and similar settings.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650143","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}

引用次数: 0

Victim profiles and revealed issues of type 1 Emergency Medical Team in the first minutes of a mega earthquake in Turkey. 在土耳其大地震发生后的最初几分钟，受害者简介和揭露的1型紧急医疗队的问题。

American journal of disaster medicine Pub Date : 2023-12-01 DOI: 10.5055/ajdm.0455

Takamitsu Sakamoto, Hiroyuki Suzuki, Takashi Machida, Hirokazu Nishimura, Yukihiro Noguchi, Teruyoshi Amagai

{"title":"Victim profiles and revealed issues of type 1 Emergency Medical Team in the first minutes of a mega earthquake in Turkey.","authors":"Takamitsu Sakamoto, Hiroyuki Suzuki, Takashi Machida, Hirokazu Nishimura, Yukihiro Noguchi, Teruyoshi Amagai","doi":"10.5055/ajdm.0455","DOIUrl":"10.5055/ajdm.0455","url":null,"abstract":"Background: On February 6, 2023, a series of mega-earthquakes (MEs) struck the southern parts of Turkey and northern Syria. In the first 16 days after the Turkey MEs (TMEs), the Tokushukai Medical Assistant Team (TMAT) backed by its infrastructure visited Turkey to support a local hospital. With the goal of helping local communities and working with local supporters and authorities, Turkey is on a mission to positively impact people's lives.Methods: Data collected covered the TMAT support period in February 2023. All patients admitted to a hospital were registered through the Minimum Data Set (MDS) of the Emergency Medical Team (EMT) Coordination Cell (EMTCC).Results: A total of 561 patients were hospitalized during the 16-day mission. A review of the MDS data showed a de-crease in the number of inpatients. The number of diseases directly related to the disaster was confirmed to be due to a gradual decrease in TME aftershock. However, the number of patients with nondisaster-related disease remained stable.Conclusion: The experience of EMT in the initial relief of MEs that struck Turkey and Syria on February 6, 2023 showed that a mobile type 1 EMT in the early stage while rebuilding the infrastructure is essential. From the analysis of patient profiles, it is clear that knowledge and experience of skin diseases is needed in the first minutes of MEs. In addi-tion, it has become clear that to ensure the quality of MDS for further analysis and to improve the efficiency and effec-tiveness of EMS, it is essential to have recorders in the EMS. These MDS recorders, called descriptors, must be isolated from the treating medical staff to eliminate subjectivity and ensure data accuracy.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650149","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}

引用次数: 0

Emergency medical services preparedness in mass casualty incidents: A systematic review. 大规模伤亡事件中的紧急医疗服务准备:系统回顾。

American journal of disaster medicine Pub Date : 2023-12-01 DOI: 10.5055/ajdm.0461

Vahid Saadatmand, Milad Ahmadi Marzaleh, Hamid Reza Abbasi, Mahmoud Reza Peyravi, Nasrin Shokrpour

{"title":"Emergency medical services preparedness in mass casualty incidents: A systematic review.","authors":"Vahid Saadatmand, Milad Ahmadi Marzaleh, Hamid Reza Abbasi, Mahmoud Reza Peyravi, Nasrin Shokrpour","doi":"10.5055/ajdm.0461","DOIUrl":"10.5055/ajdm.0461","url":null,"abstract":"Objective: The role of emergency medical services (EMS) preparedness in mass casualty incidents (MCIs) is crucial. MCIs are increasing worldwide, and EMS must enhance preparedness for them. For this purpose, the main components of EMS preparedness should be identified. This study aimed to describe the components of EMS preparedness in response to MCIs.Design and setting: This systematic review was conducted based on the Preferred Reporting Item for Systematic Reviews and Meta-analyses guideline. The articles published from January 1970 to February 2022 were searched to discover the main components of EMS preparedness in MCIs. The electronic databases including PubMed, Cochrane Library, Scopus, Science Direct, and ProQuest were searched using predetermined keywords. Ten articles were selected and included in this review.Results: After reviewing the articles, we identified the components of EMS preparedness in MCIs. Accordingly, 16 main components were extracted and classified into four categories, ie, individual improvement, group improvement, resources, and operations.Conclusion: MCIs are so complicated that they require adequate prehospital preparedness. This study described the components of EMS preparedness in MCIs. The authorities in EMS will benefit from this framework in planning and responding to MCIs.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650147","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}

引用次数: 0

Volume 17, Number 4 第17卷第4期

American journal of disaster medicine Pub Date : 2023-07-25 DOI: 10.5055/ajdm.2022.0450

American Journal of Disaster Medicine

引用次数: 0

Changes in EMS utilization in the state of Maryland during the first 6 months of the COVID-19 pandemic. COVID-19大流行前6个月马里兰州EMS使用率的变化

American journal of disaster medicine Pub Date : 2022-12-01 DOI: 10.5055/ajdm.2022.0418

Gregory Jasani, Teferra Alemayehu, Timothy Chizmar, Lucy Wilson

{"title":"Changes in EMS utilization in the state of Maryland during the first 6 months of the COVID-19 pandemic.","authors":"Gregory Jasani, Teferra Alemayehu, Timothy Chizmar, Lucy Wilson","doi":"10.5055/ajdm.2022.0418","DOIUrl":"https://doi.org/10.5055/ajdm.2022.0418","url":null,"abstract":"Introduction and objectives: Emergency medical services (EMS) is an invaluable healthcare resource, providing life-saving care in the prehospital setting. During the COVID-19 pandemic, there have been concerns that healthcare resources, including EMS, would be overwhelmed by the potential surge in critically ill patients. This study seeks to determine the impact of the COVID-19 pandemic on EMS utilization in the state of Maryland.Methods: A retrospective review of data from the Maryland Emergency Medical Services Data System was performed. EMS call volumes were compared from March 1 to August 31 in the years 2018, 2019, and 2020. In addition, adult cases from the three time periods that contained an EMS impression of stroke, cardiac arrest, asthma, traumatic injury, ST elevation myocardial infarction (STEMI), sepsis, and overdose were also analyzed.Results: There was a significant decrease in overall EMS call volumes in the state of Maryland in the first 6 months of 2020 compared to the prior 2 years. While the total number of calls decreased, a higher proportion of patients in 2020 had EMS impressions of cardiac arrest, STEMI, stroke, and traumatic injury compared to the previous 2 years. Additionally, there was an increase in termination of resuscitation for out of hospital cardiac arrest.Conclusion: In the state of Maryland, overall call volumes decreased, but the proportion of EMS patients with time-sensitive illnesses increased during the COVID-19 pandemic.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40662696","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}

引用次数: 2

Evaluation of cold weather decontamination methods. 寒冷天气去污方法的评价。

American journal of disaster medicine Pub Date : 2022-12-01 DOI: 10.5055/ajdm.2022.0416

Jana Kesavan, Daniel McGrady, Melissa L Sweat

{"title":"Evaluation of cold weather decontamination methods.","authors":"Jana Kesavan, Daniel McGrady, Melissa L Sweat","doi":"10.5055/ajdm.2022.0416","DOIUrl":"https://doi.org/10.5055/ajdm.2022.0416","url":null,"abstract":"Most chemical or biological decontamination protocols have been driven by the need for fast and efficient methods that are relatively safe and easy to implement. As such, the focus has primarily been toward \"general\" environments-those in which water is readily available, and the ambient conditions are amenable to such techniques. Some of these include water showers and/or sprays with chemical decontaminants, eg, soapy water or diluted bleach. However, there exist some scenarios in which water-based decontamination methods are not desirable. These include such operational environments as arid regions (water scarcity), specialized operations (decontamination method must be low volume/weight), and cold weather (freezing risk). This study focuses on the cold weather challenge: identification of common methods for readily available decontamination and evaluation of their respective efficacies. Methods evaluated include wiping (with wet and dry wipes), blotting with moistened wipes, vacuuming, and the application and removal of adhesive tape. Results demonstrate that vacuuming and blotting (without overlapping targeted regions) are generally less effective than other wiping, blotting, and adhesive tape-based measures at removing bacteria from surfaces.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40661298","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}

引用次数: 0

Utility of child physical characteristics and verbal descriptors to aid in family reunification during disasters. 利用儿童的身体特征和语言描述来帮助灾难中的家庭团聚。

American journal of disaster medicine Pub Date : 2022-12-01 DOI: 10.5055/ajdm.2022.0415

Terri Rebmann, Rachel L Charney, Rachel L Mazzara

{"title":"Utility of child physical characteristics and verbal descriptors to aid in family reunification during disasters.","authors":"Terri Rebmann, Rachel L Charney, Rachel L Mazzara","doi":"10.5055/ajdm.2022.0415","DOIUrl":"https://doi.org/10.5055/ajdm.2022.0415","url":null,"abstract":"Objective: To identify physical and verbal descriptors that have the highest concordance between parents/guardians and a research team member to improve reunification during a disaster when a child arrives at the emergency department separated from their family.Methods: Parent and child pairs were recruited between February 2020 and March 2020. Each parent and research team member simultaneously recorded the child's physical characteristics and clothing items. Verbal children were asked personally identifying questions. An inter-rater reliability Cohen's κ determined percent agreement between each researcher and parent/child pair.Results: In total, 98 parent/child pairs participated. Child's gender, eye color measured as brown versus not brown eyes, and race had the highest concordance (κ = 0.92, 0.85, and 0.84, respectively; p < .001 for all). Skin color and all hair descriptors had low concordance. All or almost all verbal children correctly identified that they have a pet and a favorite stuffed animal or blanket (100 and 98.6 percent, respectively).Discussion: Only apparent age, gender, race, and general eye color (brown versus nonbrown) had strong concordance between each researcher and parent/child pair. Other descriptors such as hair color, texture, length, and detailed eye color were discordant. Additionally, several pieces of personal information, such as a pet, could expedite reunification of verbal children.Conclusion: Not all physical characteristics are likely to be useful in accurately identifying a child, and some personal information may aid in reunification. Using the most concordant information should allow for more accurate and rapid reunification of children and their caregivers during disasters.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40661297","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}

引用次数: 0

Hospital disaster risk management improving strategies: A systematic review study. 医院灾害风险管理改进策略:系统回顾研究。

American journal of disaster medicine Pub Date : 2022-12-01 DOI: 10.5055/ajdm.2022.0421

Somayeh Azarmi, Simintaj Sharififar, Amir Hosein Pishgooie, Hamid Reza Khankeh, Seyyed Ziya Hejrypour

{"title":"Hospital disaster risk management improving strategies: A systematic review study.","authors":"Somayeh Azarmi, Simintaj Sharififar, Amir Hosein Pishgooie, Hamid Reza Khankeh, Seyyed Ziya Hejrypour","doi":"10.5055/ajdm.2022.0421","DOIUrl":"https://doi.org/10.5055/ajdm.2022.0421","url":null,"abstract":"Objective: Hospitals are the basic infrastructure for disaster response. While they themselves are exposed to disasters, they also play an important role during the disaster response period. Therefore, they are expected to be able to maintain their performance during and immediately after disasters. The aim of this study is to discover strategies to improve the hospital disaster risk management.Design: This study is a systematic qualitative study with thematic analysis. Data sources including Persian and international databases were searched using the \"Hospital, Disaster, Risk management, Risk reduction, Improvement, and Strategy\" keywords and their combinations of them. The search time period ranged from January 2010 to January 2020. Data were extracted by two independent arbitrators for qualitative thematic analysis.Results: In total, 889 articles and documents were retrieved. Of which, 166 articles were deleted due to duplication, 436 articles did not meet the objectives of the research, and 263 articles did not meet the eligibility criteria and were deleted. Finally, 24 articles were included in the study. After thematic analysis, 33 subthemes were obtained and classified into five themes of organizational-managerial strategies, preventive and risk reduction strategies, preparedness strategies, response strategies, and recovery strategies. Not all articles discuss all categories.Conclusion: Applying strategies to improve the hospital disaster risk management resulting from this study can be useful in improving the preparedness of hospitals in the face of disasters.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40662701","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}

引用次数: 2