American journal of disaster medicine最新文献_第7页

Phases of psychological response in COVID-19: A preliminary heuristic. 新冠肺炎患者心理反应阶段的初步探索

American journal of disaster medicine Pub Date : 2021-12-01 DOI: 10.5055/ajdm.2021.0381

George S Everly, Albert W Wu, James B Potash

引用次数: 7

Early casualty estimates and medical help management after the M7.3 Kermanshah earthquake of November 12, 2017 in Iran. 2017年11月12日伊朗克尔曼沙7.3级地震后的早期伤亡估计和医疗救助管理。

American journal of disaster medicine Pub Date : 2021-12-01 DOI: 10.5055/ajdm.2021.0386

Amir Mansour Farahbod, Max Wyss

引用次数: 3

A Western Massachusetts hospital system's response to the COVID-19 pandemic. 马萨诸塞州西部医院系统对COVID-19大流行的反应。

American journal of disaster medicine Pub Date : 2021-12-01 DOI: 10.5055/ajdm.2021.0382

Nikita Ramanathan, Reginald Alouidor, Kristina Kramer, Tyler Putnam

引用次数: 0

Decontamination effectiveness and the necessity of innovation in a large-scale disaster simulation. 大规模灾害模拟中去污效能及创新的必要性。

American journal of disaster medicine Pub Date : 2021-12-01 DOI: 10.5055/ajdm.2021.0388

Esli Osmanlliu, Ilana Bank, Elene Khalil, Peter Nugus, Margaret Ruddy, Meredith Young

{"title":"Decontamination effectiveness and the necessity of innovation in a large-scale disaster simulation.","authors":"Esli Osmanlliu, Ilana Bank, Elene Khalil, Peter Nugus, Margaret Ruddy, Meredith Young","doi":"10.5055/ajdm.2021.0388","DOIUrl":"https://doi.org/10.5055/ajdm.2021.0388","url":null,"abstract":"Background: Chemical, biological, radiologic, nuclear, and explosive (CBRNE) events threaten the health and integrity of human populations across the globe. Effective decontamination is a central component of CBRNE disaster response.Objective: This paper provides an objective determination of wet decontamination effectiveness through the use of a liquid-based contaminant proxy and describes the mobilization and adaptation of easily available materials for the needs of decontamination in pediatric victims.Methods: In this in-situ disaster simulation conducted at a pediatric hospital, decontamination effectiveness was determined through a liquid-based contaminant proxy, and standard burn charts to systematically estimate affected total body surface area (TBSA) in 39 adult simulated patients. Two independent raters evaluated TBSA covered by the contaminant before and after decontamination.Results: On average, simulated patients had 59 percent (95 percent CI [53, 65]) of their TBSA covered by the simulated contaminant prior to decontamination. Following a wet decontamination protocol, the average reduction in TBSA contamination was 81 percent (95 percent CI [74, 88]). There was high inter-rater reliability for TBSA assessment (intraclass correlation coefficient = 0.83, 95 percent CI [0.68, 0.92]. A modified infant bath was tested during the simulated decontamination of infant mannequins and thereafter integrated to the local protocol.Conclusion: Wet decontamination can remove more than 80 percent of the initial contaminant found on adult simulated patients. The use of a liquid-based visual tool as a contaminant proxy enables the inexpensive evaluation of decontamination performance in a simulated setting. This paper also describes an innovative, low-cost adaptation of a local decontamination protocol to better meet pediatric needs.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38964526","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

A Connecticut healthcare system's response to the COVID-19 pandemic. 康涅狄格州医疗保健系统对COVID-19大流行的反应。

American journal of disaster medicine Pub Date : 2021-06-01 DOI: 10.5055/ajdm.2021.0401

Jane Keating, Lenworth Jacobs, Daniel Ricaurte, Rocco Orlando, Ajay Kumar, Jonathan Gates

{"title":"A Connecticut healthcare system's response to the COVID-19 pandemic.","authors":"Jane Keating, Lenworth Jacobs, Daniel Ricaurte, Rocco Orlando, Ajay Kumar, Jonathan Gates","doi":"10.5055/ajdm.2021.0401","DOIUrl":"https://doi.org/10.5055/ajdm.2021.0401","url":null,"abstract":"Connecticut was impacted severely and early on by the COVID-19 pandemic due to the state's proximity to New York City. Hartford Healthcare (HHC), one of the largest healthcare systems in New England, became integral in the state's response with a robust emergency management system already in place. In this manuscript, we review HHC's prepandemic emergency operations as well as the response of the system-wide Office of Emergency Management to the initial news of the virus and throughout the evolving pandemic. Additionally, we discuss the unique acquisition of vital critical care resources and personal protective equipment, as well as the hospital personnel distribution in response to the shifting demands of the virus. The public testing and vaccination efforts, with early consideration for at risk populations, are described as well as ethical considerations of scarce resources. To date, the vaccination effort resulted in over 70 percent of the adult population being vaccinated and with 10 percent of the population having been infected, herd immunity is eminent. Finally, the preparation for reestablishing elective procedures while experiencing a second wave of the pandemic is discussed. These descriptions may be useful for other healthcare systems in both preparation and response for future catastrophic emergencies of all types.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39812841","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

Surge capacity and capability of intensive care units across a large healthcare system: An operational blueprint for regional integration. 大型医疗保健系统中重症监护病房的激增能力和能力:区域一体化的操作蓝图。

American journal of disaster medicine Pub Date : 2021-06-01 DOI: 10.5055/ajdm.2021.0400

Abhijit Duggal, Erica Orsini, Eduardo Mireles-Cabodevila, Sudhir Krishnan, Prabalini Rajendram, Riley Carpenter, Hassan Khouli, Umur Hatipoglu, Raed Dweik

{"title":"Surge capacity and capability of intensive care units across a large healthcare system: An operational blueprint for regional integration.","authors":"Abhijit Duggal, Erica Orsini, Eduardo Mireles-Cabodevila, Sudhir Krishnan, Prabalini Rajendram, Riley Carpenter, Hassan Khouli, Umur Hatipoglu, Raed Dweik","doi":"10.5055/ajdm.2021.0400","DOIUrl":"https://doi.org/10.5055/ajdm.2021.0400","url":null,"abstract":"Objective: Many hospitals were unprepared for the surge of patients associated with the spread of coronavirus disease 2019 (COVID-19) pandemic. We describe the processes to develop and implement a surge plan framework for resource allocation, staffing, and standardized management in response to the COVID-19 pandemic across a large integrated regional healthcare system.Setting: A large academic medical center in the Cleveland metropolitan area, with a network of 10 regional hospitals throughout Northeastern Ohio with a daily capacity of more than 500 intensive care unit (ICU) beds.Results: At the beginning of the pandemic, an equitable delivery of healthcare services across the healthcare system was developed. This distribution of resources was implemented with the potential needs and resources of the individual ICUs in mind, and epidemiologic predictions of virus transmissibility. We describe the processes to develop and implement a surge plan framework for resource allocation, staffing, and standardized management in response to the COVID-19 pandemic across a large integrated regional healthcare system. We also describe an additional level of surge capacity, which is available to well-integrated institutions called \"extension of capacity.\" This refers to the ability to immediately have access to the beds and resources within a hospital system with minimal administrative burden.Conclusions: Large integrated hospital systems may have an advantage over individual hospitals because they can shift supplies among regional partners, which may lead to faster mobilization of resources, rather than depending on local and national governments. The pandemic response of our healthcare system highlights these benefits.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724047","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: 3

A strategy for disaster preparedness in obstetrics. 产科备灾战略。

American journal of disaster medicine Pub Date : 2021-06-01 DOI: 10.5055/ajdm.2021.0403

Kay Daniels, Manju Monga, Saloni Gupta, Gillian Abir, M Chanisse, Christopher Newton

{"title":"A strategy for disaster preparedness in obstetrics.","authors":"Kay Daniels, Manju Monga, Saloni Gupta, Gillian Abir, M Chanisse, Christopher Newton","doi":"10.5055/ajdm.2021.0403","DOIUrl":"https://doi.org/10.5055/ajdm.2021.0403","url":null,"abstract":"Background: Many hospital units, including obstetric (OB) units, were unprepared when the novel coronavirus began sweeping through communities. National and international bodies, including the World Health Organization, Centers for Disease Control Prevention, and the American College of Obstetricians and Gynecologists, directed enormous efforts to present the latest evidence-based practices to healthcare institutions and communities. The first hospitals that were affected in China and the United States (US) did heroic work in assisting their colleagues with best practices they had acquired. Despite these resources, many US hospitals struggled with how to best incorporate and implement this new information into disaster plans, and many protocol changes had to be established de novo. In general, disaster planning for OB units lagged behind other disaster planning performed by specialties such as emergency medicine, trauma, and pediatrics.Participants: Fortunately, two pre-existing collaborative disaster groups, the OB Disaster Planning Workgroup and the Western Regional Alliance for Pediatric Emergency Management, were able to rapidly deploy during the pandemic due to their pre-established networks and shared goals.Main outcome: These groups were able to share best practices, identify and address knowledge gaps, and disseminate information on a broad scale. The case will be made that the OB community needs to establish more such regional and national disaster committees that meet year-round. This will ensure that in times of urgency, these groups can increase the cadence of their meetings, and thus rapidly disperse time-sensitive policies and procedures for OB units nationwide.Conclusion: Given the unique patient population, it is imperative that OB units establish regional coalitions to facilitate a coordinated response to local and national disasters.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724046","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

Hospital disaster preparedness in Iranian province: A cross-sectional study using a standard tool. 伊朗省医院备灾:使用标准工具的横断面研究。

American journal of disaster medicine Pub Date : 2021-06-01 DOI: 10.5055/ajdm.2021.0406

Mehdi Beyramijam, Hamidreza Khankeh, Mohammad Ali Shahabi-Rabori, Mohsen Aminizadeh, Hojjat Sheikhbardsiri

{"title":"Hospital disaster preparedness in Iranian province: A cross-sectional study using a standard tool.","authors":"Mehdi Beyramijam, Hamidreza Khankeh, Mohammad Ali Shahabi-Rabori, Mohsen Aminizadeh, Hojjat Sheikhbardsiri","doi":"10.5055/ajdm.2021.0406","DOIUrl":"https://doi.org/10.5055/ajdm.2021.0406","url":null,"abstract":"OBJECTIVE Hospitals are the first place to refer the victims of emergencies and disasters. Hamadan province, as one of the provinces in western Iran, like other parts of this country is exposed to various emergencies and disasters. This study was conducted to evaluate the level of hospital disaster preparedness in the Hamadan province of Iran using a standard tool. METHODS This study was conducted in Hamadan province's hospitals in Iran. The Persian version of the World Health Organization Hospital Emergency Response Checklist was used as an evaluation tool. It consists of nine key components: command and control, triage, human resources, communications, surge capacity, logistics/supply management, safety and security, continuity of essential services, and post-disaster recovery. Data entry and analysis were performed using IBM® SPSS® software (version 18). RESULTS Fifteen hospitals participated in this study (response rate 83 percent). Most hospitals (53.33 percent) were in moderate preparedness level, 26.66 percent are in good, and 13.33 percent are at a poor level. There was no significant relationship between \"the hospital type\" and \"the hospital size\" (number of beds) and preparedness score (p > 0.05). CONCLUSIONS This study showed that most of the hospitals in the Hamadan province regarding the components of \"logistics\" and \"essential services\" are at a poor disaster preparedness level. Accordingly, the hospital authorities and managers must adopt a comprehensive strategy for strengthening the hospital disaster preparedness measures, especially in these components.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39812845","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: 3

Quarantine and isolation facility: A State Health Department's response to the COVID-19 pandemic. 检疫和隔离设施:州卫生部门对COVID-19大流行的反应。

American journal of disaster medicine Pub Date : 2021-06-01 DOI: 10.5055/ajdm.2021.0402

Appathurai Balamurugan, William Greenfield, Michael Knox, Greg Brown

{"title":"Quarantine and isolation facility: A State Health Department's response to the COVID-19 pandemic.","authors":"Appathurai Balamurugan, William Greenfield, Michael Knox, Greg Brown","doi":"10.5055/ajdm.2021.0402","DOIUrl":"https://doi.org/10.5055/ajdm.2021.0402","url":null,"abstract":"Background: State Health Departments are at the helm of addressing the myriad needs during the COVID-19 pandemic, including those of vulnerable populations who do not have a place to self-isolate or quarantine to prevent the spread. An estimated 5,000 Arkansas residents face homelessness and are at increased risk of contracting and spreading COVID-19. Additionally, those living in multigenerational families face similar challenges.Objective: We share our experiences and lessons learned in planning, executing, and maintaining a quarantine and isolation facility for vulnerable population during the COVID-19 pandemic.Setting and patients: A 29-bed quarantine and isolation facility was instituted and maintained by the Arkansas Department of Health to meet the quarantine and isolation needs of vulnerable populations. Outcomes and conclusions: As the COVID-19 pandemic persists, need for a facility to meet quarantine and isolation requirements of vulnerable population is not just a critical mitigation strategy but is an ethical imperative.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724045","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

State of public health emergency response leadership training: A multitiered organizational perspective. 公共卫生应急响应领导力培训:多层次组织视角。

American journal of disaster medicine Pub Date : 2021-06-01 DOI: 10.5055/ajdm.2021.0399

Anthony Salerno, Yang Li, Xiaohong M Davis, Gail Stennies, Daniel J Barnett, Mary K Fisher, Laura Biesiadecki, Debra Dekker, NhuNgoc Pham, Juliana L Pearson, Michelle N Podgornik, David W Hunter, Sara Vagi, Edbert B Hsu

{"title":"State of public health emergency response leadership training: A multitiered organizational perspective.","authors":"Anthony Salerno, Yang Li, Xiaohong M Davis, Gail Stennies, Daniel J Barnett, Mary K Fisher, Laura Biesiadecki, Debra Dekker, NhuNgoc Pham, Juliana L Pearson, Michelle N Podgornik, David W Hunter, Sara Vagi, Edbert B Hsu","doi":"10.5055/ajdm.2021.0399","DOIUrl":"https://doi.org/10.5055/ajdm.2021.0399","url":null,"abstract":"Objective: To capture organizational level information on the current state of public health emergency response leadership training.Design: A web-based questionnaire.Participants: This multitiered assessment of health departments included two distinct respondent groups: (1) Public Health Emergency Preparedness (PHEP) Cooperative Agreement recipients (n = 34) and (2) local health departments (LHDs) (n = 169) representative of different agency sizes and populations served.Results: Overall, PHEP and LHD respondents expressed a clear preference for participatory learning with practical drills/exercises and participatory workshops as the preferred training delivery modes. Compared with technical and role-specific training, leadership training was less available. For both PHEP and LHD respondents, staff availability for training is most notably limited due to lack of time. For PHEP respondents, a common factor limiting agency ability to offer training is lack of mentors/instructors, whereas for LHD respondents, it is limited funding.Conclusions: Efforts should focus on increasing accessibility and the continued development of rigorous and effective training based on practical experience in all aspects of multitiered public health emergency response leadership.","PeriodicalId":40040,"journal":{"name":"American journal of disaster medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724044","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: 1