American journal of disaster medicine最新文献_第4页

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":"18 1","pages":"79-91"},"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":"17 1","pages":"41-48"},"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":"17 1","pages":"13-21"},"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":"17 1","pages":"5-12"},"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":"17 1","pages":"75-89"},"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

Prehospital emergency department care activations during the initial COVID-19 pandemic surge. 在最初的COVID-19大流行期间，院前急诊科护理的激活。

American journal of disaster medicine Pub Date : 2022-12-01 DOI: 10.5055/ajdm.2022.0417

Rebecca Leff, Alex Fleming-Nouri, Arjun K Venkatesh, Vivek Parwani, Craig Rothenberg, Rohit B Sangal, Colin T Flood, Matthew Goldenberg, Charles Wira

{"title":"Prehospital emergency department care activations during the initial COVID-19 pandemic surge.","authors":"Rebecca Leff, Alex Fleming-Nouri, Arjun K Venkatesh, Vivek Parwani, Craig Rothenberg, Rohit B Sangal, Colin T Flood, Matthew Goldenberg, Charles Wira","doi":"10.5055/ajdm.2022.0417","DOIUrl":"https://doi.org/10.5055/ajdm.2022.0417","url":null,"abstract":"Objective: To describe trends in prehospital presentations of critical medical and trauma conditions during the COVID-19 pandemic using prehospital and emergency department (ED) care activations.Methods: Observational analysis of ED care activations in a tertiary, urban ED between March 10, 2020 and September 1, 2020 was compared to the same time periods in 2018 and 2019. ED care activations for critical medical conditions were classified based on clinical indication: undifferentiated medical, trauma, or stroke.Main outcome: The primary outcomes were the number of patients presenting from the prehospital setting with specified ED activation criteria, total ED volume, ambulance arrival volume, and volume of COVID-19 hospital admissions. Locally weighted scatterplot smoothing curves were used to visually display our results.Results: There were 1,461 undifferentiated medical activations, 905 stroke activations, and 1,478 trauma activations recorded, representing absolute decreases of 11.3, 28.1, and 20.3 percent, respectively, relative to the same period in 2019, coinciding with the declaration of a public health emergency in Connecticut. For all three types of presentation, post-peak spikes in activations were observed in early May, approximately two weeks after our health system in Connecticut reached its peak number of COVID-19 hospitalizations-eg, undifferentiated medical activations: increase in 280 percent, n = 140 from 2019, p < 0.0001-and declined thereafter, reaching a nadir in early June 2020.Conclusions: After the announcement of public health measures to mitigate COVID-19, ED care activations declined in a large Northeast academic ED, followed by post-peak surges in activations as COVID- 19 cases decreased.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":"17 1","pages":"23-39"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40661299","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

Chemical, biological, radiological, nuclear, and explosives (CBRNEs) preparedness for sporting event mass gatherings: A systematic review of the literature. 体育赛事群众集会的化学、生物、放射、核和爆炸物(CBRNEs)准备:文献系统综述。

American journal of disaster medicine Pub Date : 2022-12-01 DOI: 10.5055/ajdm.2022.0420

Sonny S Patel, Julian H Neylan, Katerina Bavaro, Peter R Chai, Eric Goralnick, Timothy B Erickson

{"title":"Chemical, biological, radiological, nuclear, and explosives (CBRNEs) preparedness for sporting event mass gatherings: A systematic review of the literature.","authors":"Sonny S Patel, Julian H Neylan, Katerina Bavaro, Peter R Chai, Eric Goralnick, Timothy B Erickson","doi":"10.5055/ajdm.2022.0420","DOIUrl":"https://doi.org/10.5055/ajdm.2022.0420","url":null,"abstract":"Objective: Sporting events often constitute mass gatherings (MGs) featuring large crowds of spectators and participants. Our objective is to understand the current state of emergency preparedness for sporting events by examining past MG sporting events to evaluate mitigation, preparedness, response, and recovery against chemical, biological, radiological, nuclear, and explosive (CBRNE) events.Methods: In accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, a systematic literature review was carried out among 10 literature databases. The quality and risk of bias in each reviewed publication was assessed using the Mixed Methods Appraisal Tool.Results: A total of 5,597 publications were identified. Of these, 81 papers were selected for full text reads and 25 publications were accepted. The included articles documented sporting events worldwide, ranging from incidents occurring from 1972 to 2020. Cross-cutting themes found in best practices and recommendations were strategic communication, surveillance, planning and preparedness, and training and response.Conclusion: More evidence-based guidelines are needed to ensure best practices in response and recovery for CBRNE incidents at sporting events. Public health risks as well as implementation barriers and opportunities to prepare for potential CBRNE threats at sporting event MGs require further investigation.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":"17 1","pages":"57-74"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9360913/pdf/nihms-1828127.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40662700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Evaluation of the implementation of personal protective equipment for French military firefighters in a CBRN context. 评估在CBRN背景下法国军事消防员个人防护装备的实施情况。

American journal of disaster medicine Pub Date : 2022-12-01 DOI: 10.5055/ajdm.2022.0419

Bastien Van Overbeck, Hélène Deshayes, Fabian Thien-Bourgery, Nicolas Pailhes, Sébastien Beaume, Aurélien Renard, Cédric Boutillier du Retail, Nicolas Cazes

{"title":"Evaluation of the implementation of personal protective equipment for French military firefighters in a CBRN context.","authors":"Bastien Van Overbeck, Hélène Deshayes, Fabian Thien-Bourgery, Nicolas Pailhes, Sébastien Beaume, Aurélien Renard, Cédric Boutillier du Retail, Nicolas Cazes","doi":"10.5055/ajdm.2022.0419","DOIUrl":"https://doi.org/10.5055/ajdm.2022.0419","url":null,"abstract":"Introduction: Military firefighters are the first responders in the event of a chemical, biological, radiation, and nuclear (CBRN) event in the Marseille area. They receive initial training to intervene safely in a CBRN context. We wanted to evaluate the use of CBRN personal protective equipment (PPE) at a distance from this training.Method: A prospective observational bicentric descriptive study on 20 operational firefighters operating on rescue and emergency vehicles. Two PPE dressing sessions, separated by 3 months, were evaluated and timed. A reminder of the correct procedure was given by the investigator after the first dressing.Results: On average, 60.5 percent of the steps were correctly performed during the first dressing and 83 percent during the second dressing. Between the two dressings, there was a significant improvement (p < 0.01) in the team verification of the dressing and the chronological order of the dressing as well as the actions to be taken before dressing (remembering to make oneself comfortable, to urinate, to drink). The second dressing is on average 21 seconds faster than the first. Professional training and exercise experience of the firefighters in CBRN improve the success and speed of dressing in the absence of a prior reminder.Conclusion: Shorter and more frequent training and exercises, which simulate real-life situations for firefighters, lead to safer, more competent and faster donning of PPE.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":"17 1","pages":"49-56"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40662699","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 operations during civil unrest: Best practices from lessons learned. 内乱期间的紧急医疗服务行动:吸取教训的最佳做法。

American journal of disaster medicine Pub Date : 2022-09-01 DOI: 10.5055/ajdm.2022.0445

Gregory Jasani, Bryan McNeilly, Kelly Poe, Stephen Liang

引用次数: 0