Disaster and Emergency Medicine Journal最新文献

{"title":"Impact of Virtual Interprofessional COVID-19 disaster simulation Tabletop Exercise (VICTEr) workshop on Disaster Preparedness among interprofessional trainees in a tertiary care teaching hospital in India","authors":"V. Krishnan S, Teddy Andrews J, C. Mohammed, Sanjan Asanaru Kunju, W. Wilson, J. M. Balakrishnan, Sharath Kumar Rao","doi":"10.21203/rs.3.rs-1625229/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1625229/v1","url":null,"abstract":"Introduction: Disaster planning is of significant importance for the healthcare professional and the healthcare setting. Hospital-based disaster protocols form the cornerstone of disaster response. There is a paucity of data on disaster preparedness training using the Virtual Tabletop exercise (VTTX) module for interprofessional education from in-hospital and prehospital settings. With the COVID-19 pandemic, we have seen a paradigm shift of education strategies to the virtual realm. Here we attempt to study the impact of an online tabletop exercise workshop on the knowledge and confidence of disaster preparedness among Interprofessional trainees. Methods Interprofessional trainees from medical, dental, nursing, respiratory therapy, and paramedic domains who consented were included in this study. Institutional ethics committee approval was received and the study was registered with the clinical trials registry India (CTRI), before initiation. The VTTX module has been adapted from the WHO COVID-19 training resources. Three international experts from the disaster medicine domain validated the module, questionnaire, and feedback. Wilcoxon signed-rank test was used to compare the parameters (Knowledge and confidence level) pre and post-workshop. Results A total of 76 candidates with a mean age was 21.67 ± 2.5 (Range:19–36) were part of the workshop. Comparison of the median scores and interquartile range of confidence level and knowledge respectively before [38 (29.25–45.75), 9 (7–11)] and after [51.50 (45–60), 11 (10–12)] the workshop showed vital significance (P-value < 0.001). All participants gave positive feedback on the workshop meeting the objectives. The majority agreed that the workshop improved their self-preparedness (90%) and felt that the online platform was appropriate (97.5%). Conclusion This study sheds light on the positive impact of the online VTTX workshop on disaster preparedness training among Interprofessional trainees. Disaster preparedness training using available online platforms may be effectively executed with a VTTX workshop even during the COVID-19 pandemic. The VICTEr workshop serves as a primer for developing online modules for effective pandemic preparedness training in interprofessional education. Registration - The study was approved by the Institutional Ethics Committee (Registration No. ECR/146/Inst/KA/2013/RR-19) (DHRRegistration No. EC/NEW/INST/2019/374) IEC:492–2021 , 14/07/2021 . Clinical Trials Registry-India registration number is CTRI/2021/08/035710 , 17/08/2021","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46926767","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":"Prevalence of sleep disturbances among emergency response team paramedics working in shift systems","authors":"Agnieszka Gonczaryk, Natalia Sady, M. Motyl, A. Strzelecka, Izabela Chojnowska-Ćwiąkała, M. Florek-Luszczki, J. Chmielewski","doi":"10.5603/demj.a2023.0009","DOIUrl":"https://doi.org/10.5603/demj.a2023.0009","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47222441","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":"Determination of factors related to emergency re-referral in patients with heart failure a hospital in Tehran — Iran: a cross-sectional study","authors":"Fateme Yazdi, Ali Reza Ghahri Sarabi, Fateme Monjazebi, Arash Ziapour, Francesco Chirico, Malihe Nasiri","doi":"10.5603/demj.a2023.0010","DOIUrl":"https://doi.org/10.5603/demj.a2023.0010","url":null,"abstract":"INTRODUCTION: The re-referral of heart failure patients to the hospital is a significant health problem today and is one of the most costly and preventable events for these patients. The present study aimed to investigate the factors affecting the re-referral of patients with heart failure to the emergency department of Shahid Beheshti University of Medical Sciences in Tehran in 2021. Identifying these factors can lead to the recognition of patients at high risk for re-hospitalization and the design of preventive and effective interventions. MATERIAL AND METHODS: This descriptive-correlational research was performed cross-sectionally. Ninety patients with heart failure who were re-referred to the emergency department of Masih Daneshvari Hospital entered the study. Sampling was done for 6 months from December 2020 to May 2021. Data collection tools included a researcher-made questionnaire and a European self-care questionnaire for heart failure patients, and the New York Heart Association Classification (NYHA) standard for classifying heart failure class. After completing the questionnaires, the collected data were analyzed by SPSS23 software. RESULTS: the results showed that age (the mean age of the participants in the study was 69.9 years), duration of disease (77.8% was six months to four years), body mass index (the mean body mass index was 27.2) (demographic characteristics) dyspnea (78.9%), organs edema (47.8%), shortness of breath (pathological factors), high blood pressure (54.4%), diabetes (25%), chronic obstructive pulmonary disease (11.1%), and ischemic heart disease (3.3%), (background diseases), high creatinine (the mean 1.98), (laboratory findings), not using beta-blockers (18.4%) and not taking angiotensin receptor blockers (18.8%) (pharmacological agents), NYHA criteria (89% were in NYHA class 3 and 4) and self-care levels of heart failure patients (the mean self-care score was 37.4) have a statistically significant association to re-referrals to emergency (p-value < 0.05). CONCLUSIONS: Identify patients with a high risk of hospital re-referral and decrease additional costs imposed on care centers by recognizing the factors influencing the re-referral of patients with heart failure and design preventive and effective interventions. So, it is possible to increase the patient’s self-care level while reducing the number of re-referrals.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134964717","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":"C-reactive protein in COVID-19 patients","authors":"Yevhenii Symonets, Oleksandra Tuboltseva, Mahdi Al-Jeabory, Svitlana Doan","doi":"10.5603/demj.a2023.0012","DOIUrl":"https://doi.org/10.5603/demj.a2023.0012","url":null,"abstract":"ADDRESS FOR CORRESPONDENCE: Mahdi Al-Jeabory, Department of Trauma and Orthopedic Surgery, Ruda Slaska City Hospital, 2 Wincentego Lipa St, 41–703 Ruda Slaska, Poland e-mail: mmahdi@interia.pl, phone: +48696498240 Received: 28.01.2023 Accepted: 3.02.2023 Early publication date: 14.03.2023 This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. C-REACTIVE PROTEIN IN COVID-19 PATIENTS","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49203916","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":"Biomarkers levels indicate COVID-19 severity and fatality","authors":"S. Nasheda, Alla Navolokina, I. Hrytsan","doi":"10.5603/demj.a2023.0007","DOIUrl":"https://doi.org/10.5603/demj.a2023.0007","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48386604","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":"Disaster preparedness assessment in emergency department: a cross-sectional study","authors":"I. Khairina, Nelwati Nelwati, Esthika Ariany Maisa, D. Rahman","doi":"10.5603/demj.a2023.0005","DOIUrl":"https://doi.org/10.5603/demj.a2023.0005","url":null,"abstract":"INTRODUCTION : The increasing incidence of natural and non-natural disasters has become a new challenge for nurses in the emergency department (ED). The efficiency of health services provided to the community is needed to optimize disaster preparedness management by nurses in ED. This study aimed to assess the level of disaster preparedness assessment among emergency nurses in Padang of Indonesia. MATERIAL AND METHODS: A cross-sectional study design was conducted in three emergency departments: a teaching hospital, a public hospital, and a referral hospital in Padang of Indonesia. Fifty nurses in ED were selected using a purposive sampling technique. A self-administered questionnaire was used to measure the sociodemographic of nurses. Meanwhile, the Emergency Preparedness Information Questionnaire (EPIQ) was used to measure emergency nurses' disaster preparedness assessment. Data were analyzed using independent T-test and One-way ANOVA.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48146980","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":"Factors affecting burnout in Iranian health care workers during COVID-19: a systematic review","authors":"Fatemeh Aliakbari, Laila Ebrahimi Sheikh Shabani, Samaneh Dehghan-Abnavi, A. Sahebi, H. Sheikhbardsiri","doi":"10.5603/demj.a2023.0003","DOIUrl":"https://doi.org/10.5603/demj.a2023.0003","url":null,"abstract":"INTRODUCTION: Working through the COVID-19 pandemic has exposed Health Care Workers to physical and psychological risks that can result in a broad range of mental health problems, including burnout. The aim of the present study was to investigate factors affecting burnout in Iranian Health Care Workers during the COVID-19 pandemic. Identifying the principal factors affecting burnout will assist efforts to prepare for, and, prevent harm, to staff participating in future healthcare emergencies","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47028035","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":"Pulmonary involvement in Lassa fever: a scoping review","authors":"O S Ilesanmi, A. Afolabi, B. Adeniyi, B. Amodu, Chukwudi S. Ubah","doi":"10.5603/demj.a2023.0002","DOIUrl":"https://doi.org/10.5603/demj.a2023.0002","url":null,"abstract":"INTRODUCTION: Lassa fever (LF) affects all body systems, however, inadequate knowledge exists on the involvement of the pulmonary system in LF infections. This scoping review, therefore, aimed to describe the pulmonary involvement of LF. MATERIAL AND METHODS: We conducted an extensive search of the literature on two databases, namely PubMed and Google Scholar. Overall, 5,217 articles were retrieved from a database search, out of which 107 duplicates were removed. Overall, 12 articles were included: four review articles, three case reports, three experimental inoculation studies, one retrospective study, and a prospective case-control study. RESULTS: Symptoms experienced included fever, pharyngitis, retrosternal pain, respiratory distress, and proteinuria. Complications included unique pulmonary arteritis, pulmonary embolization, mucosal bleeding, pleural or pericardial effusion, pulmonary edema, and interstitial pneumonitis. Consequences of the effect of Lassa virus infection were impairment of the immune system alongside continual replication of Lassa virus infection in affected tissues and death of affected individuals. LF has varied but serious effects on the pulmonary system. CONCLUSIONS: These symptoms, particularly in areas where LF is known to be endemic, should prompt clinicians to request LF polymerase chain reaction for confirmatory diagnosis. These features should promote the provision of respiratory support for patients in need of such.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49402556","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":"Investigation of the relationship between HALP score and mortality in patients with acute ischemic stroke","authors":"E. Kurt, Ş. E. Eke Kurt","doi":"10.5603/demj.a2022.0036","DOIUrl":"https://doi.org/10.5603/demj.a2022.0036","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47201179","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":"Community-based information for disaster risk identification","authors":"Ali A. Hamzah, Haris Sofyana, Henny Cahyaningsih, A. Hufad, V. R. Hasanah, Dini Handayani, G. P. Mulyo","doi":"10.5603/demj.a2022.0032","DOIUrl":"https://doi.org/10.5603/demj.a2022.0032","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42795678","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}