{"title":"CPR Skill Achievement in Police First Responders: A Cross-Sectional Study Using QCPR and Kirkpatrick's Model.","authors":"Wei-Hsiang Huang","doi":"10.1017/dmp.2025.10164","DOIUrl":"https://doi.org/10.1017/dmp.2025.10164","url":null,"abstract":"<p><strong>Objectives: </strong>This study applied the Kirkpatrick Training Evaluation Model to examine how training motivation, skill mastery, and environmental support predict cardiopulmonary resuscitation (CPR) performance among police officers serving as first responders.</p><p><strong>Methods: </strong>A cross-sectional design was employed, involving 233 participants in a pilot phase and 138 in the main study, all recruited from 3 police precincts in New Taipei City, Taiwan. A structured questionnaire was validated using exploratory and confirmatory factor analyses. CPR performance was assessed using QCPR manikins, capturing compression depth, rate, and recoil. Hierarchical regression analyses identified predictors of CPR skill performance.</p><p><strong>Results: </strong>Training motivation significantly predicted compression depth (β = 0.62, <i>P</i> < 0.001; R<sup>2</sup> = 0.188), while real-life resuscitation experience predicted compression rate (β = 0.17, <i>P</i> = 0.039; R<sup>2</sup> = 0.054). Chest recoil performance was significantly associated with training motivation (β = 0.31, <i>P</i> = 0.007) and the age group 30-39 (β = 0.22, <i>P</i> = 0.028), within a model explaining 11.4% of the variance (R² = 0.114). The 3 training-related constructs demonstrated varied and domain-specific impacts on CPR skills.</p><p><strong>Conclusions: </strong>Beyond technical instruction, contextual and motivational factors significantly influence CPR performance among police officers. Training programs should incorporate multi-level strategies-including supportive environments and motivational components-to improve readiness and response effectiveness in prehospital emergency care.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e222"},"PeriodicalIF":1.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Emergency Transport Times Affected by Road Closures Under Normal Conditions and During an Earthquake Disaster.","authors":"Ayana Imatani, Kazuki Ohashi, Katsuhiko Ogasawara","doi":"10.1017/dmp.2025.10144","DOIUrl":"https://doi.org/10.1017/dmp.2025.10144","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine emergency transport times considering closed roads to propose more efficient transport routes to improve the life-saving rate for seriously injured people in Sapporo during an earthquake disaster. Sapporo is the capital of Hokkaido and has a population of approximately 1.97 million as of 2020.</p><p><strong>Methods: </strong>Transport routes were created using publicly available data and a geographic information system (GIS), and the emergency transport times in Sapporo were subsequently calculated. Closed roads were defined as roads in \"areas with high liquefaction potential\" and \"areas with a total house destruction rate ≥20%.\"</p><p><strong>Results: </strong>Closed roads were concentrated in the northeastern part of the city, as were extended emergency transport times, with delays of up to 101 min. Other areas did not experience significant delays.</p><p><strong>Conclusions: </strong>The emergency transport time was prolonged in areas with closed roads. Triage posts and semi-closed roads were also suggested to affect emergency transport times. To minimize emergency transport times, it is necessary to consider having nurses and doctors ride in ambulances to triage patients, and to coordinate with disaster base hospitals outside of the city to transport seriously injured people.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e214"},"PeriodicalIF":1.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel D Nguyen, Cristin E McArdle, Katharine E Saunders, David Carranza, Lilanthi Balasuriya, Izraelle I McKinnon, Amy Fothergill, Jack Pfeiffer, Nicholas V Titelbaum, T Christy Hallett, Maureen F Orr, Stacey Konkle
{"title":"Morbidities Associated with Drinking Water Contamination After a 2021 Petroleum Leak - Oahu, Hawaii, March 2023.","authors":"Daniel D Nguyen, Cristin E McArdle, Katharine E Saunders, David Carranza, Lilanthi Balasuriya, Izraelle I McKinnon, Amy Fothergill, Jack Pfeiffer, Nicholas V Titelbaum, T Christy Hallett, Maureen F Orr, Stacey Konkle","doi":"10.1017/dmp.2025.10154","DOIUrl":"10.1017/dmp.2025.10154","url":null,"abstract":"<p><strong>Objective: </strong>On November 20, 2021, petroleum fuel contaminated the Red Hill well, which provides water to about 93 000 persons on Oahu, Hawaii. Initial investigations recommended further evaluations of long-term health effects of petroleum exposure in drinking water. We reviewed electronic health records of those potentially exposed to contaminated water to understand prevalence of conditions and symptoms.</p><p><strong>Methods: </strong>A sample of persons potentially exposed during November 20, 2021-March 18, 2022 who sought care within the military health system through February 24, 2023 was identified. Abstracted records were categorized as worsening preexisting or persistent new for conditions and symptoms.</p><p><strong>Results: </strong>Of 653 medical charts reviewed, 357 (55%) had worsening preexisting or persistent new conditions or symptoms. Most-documented conditions included worsening preexisting migraine (8%; 50/653) and chronic pain (4%; 26/653), and persistent new migraine (2%; 14/653) and adjustment disorder (2%; 13/653). Most-documented symptoms included worsening preexisting headache (8%; 49/653) and anxiety (6%; 42/653), and persistent new rash (7%; 46/653) and headache (5%; 34/653).</p><p><strong>Conclusions: </strong>Approximately half of the abstracted medical records demonstrated worsening preexisting or persistent new conditions or symptoms and might benefit from sustained access to physical, mental, and specialized health care support systems. Continued monitoring for long-term health outcomes is recommended.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e219"},"PeriodicalIF":1.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Addressing Disparities in Psychological First Aid Awareness, Training, and Practice Among First Responders in Nigeria - ERRATUM.","authors":"Oluwaseun Adebayo Adewunmi, Takeo Fujiwara, Nobutoshi Nawa, Yu Par Khin, Mojisola Celina Adewunmi, Eyitayo Adedamola Lawal","doi":"10.1017/dmp.2025.10165","DOIUrl":"https://doi.org/10.1017/dmp.2025.10165","url":null,"abstract":"","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e213"},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruska Rimhanen-Finne, Outi Lepistö, Annika Pihlajasaari, Janne Lundén
{"title":"Nationwide Preparedness Exercise Revealed Variation in Readiness for Outbreak Investigation in Environmental Health Units in Finland, 2020.","authors":"Ruska Rimhanen-Finne, Outi Lepistö, Annika Pihlajasaari, Janne Lundén","doi":"10.1017/dmp.2025.10084","DOIUrl":"https://doi.org/10.1017/dmp.2025.10084","url":null,"abstract":"<p><strong>Objectives: </strong>The aim was to characterize reported food- and waterborne outbreaks in Finland, 2010-2020, and to test local investigation teams' preparedness to investigate outbreaks.</p><p><strong>Methods: </strong>The outbreaks reported to the Finnish registry for food and waterborne outbreaks were characterized by the number of outbreaks and people fallen ill, and the causative agent. Local investigation teams' measures and their timeliness in a simulated time-constrained case study were scored and analyzed descriptively.</p><p><strong>Results: </strong>In 537 outbreaks, 12 399 fell ill and 19 (0.15%) died. The causative agent remained unknown in 218 outbreaks. The local investigation teams' median preparedness score was 15/29 (range 9-23) and the score differed markedly within regions. Differences in the speed of communication and the number of channels used were observed between the teams.</p><p><strong>Conclusions: </strong>Differences between environmental health units' scores indicated inconsistency in outbreak investigations between areas in Finland. The variability in preparedness scores was high in both the highest and lowest outbreak incidence regions. Because outbreaks occur rarely in most EHU areas, preparedness exercises are necessary to maintain investigation skills. Measures to enhance sampling would be needed because the causative agent was unknown in over 1/3 of the outbreaks. Many local investigation teams lack experience in public communication and training on communicating about outbreaks is needed.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e215"},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrated Management Systems for Humanitarian Aid Work.","authors":"Khalid Eddahiri, Alexis Descatha","doi":"10.1017/dmp.2025.10160","DOIUrl":"https://doi.org/10.1017/dmp.2025.10160","url":null,"abstract":"<p><p>Humanitarian aid work is an incredibly rewarding experience, but its workers are exposed to specific risks. During the last decades, the Humanitarian Aid Workers are increasingly at risk without being necessarily prepared for work in insecure environments. Moreover, in many instances, despite having been briefed, they had not followed preventive measures for their health and safety.From an employer's perspective, International Organizations have a direct duty of care obligations for their workers in matters of safety, security, and well-being. Thus, the employers are required to implement a preventive approach mainly focused on a better risk communication and an integrated occupational health and safety management system.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e216"},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prognostic Collapse in Gaza's Besieged Health System.","authors":"Muhammad Hamza Shah, Salim Usman, Hannah Lappin","doi":"10.1017/dmp.2025.10161","DOIUrl":"https://doi.org/10.1017/dmp.2025.10161","url":null,"abstract":"","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e217"},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
William Samuels, Tara N Heagele, Jung Moon Hyun, So-Hyun Park, Jin Young Seo
{"title":"Introducing the K-HEPI: A Breakthrough in Evaluating Household Disaster Preparedness Among Korean-Speaking Communities.","authors":"William Samuels, Tara N Heagele, Jung Moon Hyun, So-Hyun Park, Jin Young Seo","doi":"10.1017/dmp.2025.10150","DOIUrl":"https://doi.org/10.1017/dmp.2025.10150","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of this study were to field and pilot test the Korean version of the Household Emergency Preparedness Instrument (K-HEPI) and perform psychometric testing of the instrument's reliability and validity.</p><p><strong>Methods: </strong>The English to Korean translation followed a symmetrical translation approach utilizing a decentered process (i.e., both the source and target languages were considered equally important) focusing on the instruments remaining loyal to the content. After translation, the K-HEPI was field tested with 30 bilingual participants who all reported that the instructions were easy to understand and the items aligned closely with the original English version. The K-HEPI was then pilot tested with 399 Korean-speaking participants in a controlled, before-after study utilizing a disaster preparedness educational intervention.</p><p><strong>Results: </strong>Confirmatory factor analyses supported the K-HEPI retaining the factor structure of the original English version. The K-HEPI was also found to be psychometrically comparable to the original instrument.</p><p><strong>Conclusions: </strong>The K-HEPI can validly and reliably assess the disaster preparedness of Korean-speaking populations, enabling clinicians, researchers, emergency management professionals, and policymakers to gather accurate data on disaster preparedness levels in Korean communities, identify gaps in preparedness, develop targeted interventions, and evaluate the effectiveness of disaster preparedness interventions over time.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e212"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Experiences of Nurses Who Participated in Disaster Relief Efforts After the February 6, 2023 Earthquakes in Türkiye: A Qualitative Study.","authors":"Sibel Gülen, Nilgün Göktepe","doi":"10.1017/dmp.2025.10151","DOIUrl":"10.1017/dmp.2025.10151","url":null,"abstract":"<p><strong>Objectives: </strong>Comprising the largest group of health care professionals, nurses play a great role and assume many responsibilities during disaster periods, when the public needs health care services the most. The aim of this study was to reveal the experiences of nurses assigned to the disaster area during relief efforts after the February 6, 2023 earthquakes in Türkiye.</p><p><strong>Methods: </strong>This qualitative and descriptive study used the maximum variation sampling method, one of the purposive sampling methods, and was completed with 20 nurses. Data were analyzed using inductive content analysis.</p><p><strong>Results: </strong>Four main themes emerged from the experiences of the nurses who provided health care services in the disaster area: experiences related to pre-mission processes, experiences during the mission, post-mission experiences, and recommendations for disaster preparedness.</p><p><strong>Conclusions: </strong>Nurses' experiences and suggestions revealed in this study may inform future disaster preparedness and disaster management plans, and this study's results point to the need for the development of professional nursing skills in disaster management.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e210"},"PeriodicalIF":1.8,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gorkem Alper Solakoglu, Martina Valente, Cagatay Nuhoglu, Kurtulus Aciksari
{"title":"Assessing Frailty and Earthquake Preparedness Among Geriatric Patients in an Emergency Care Setting: A Cross-Sectional Study in 2 Tertiary Hospitals in Istanbul.","authors":"Gorkem Alper Solakoglu, Martina Valente, Cagatay Nuhoglu, Kurtulus Aciksari","doi":"10.1017/dmp.2025.10158","DOIUrl":"10.1017/dmp.2025.10158","url":null,"abstract":"<p><strong>Objectives: </strong>The overall objective of this study is to shed light on the disaster preparedness status of geriatric patients visiting tertiary hospitals in Istanbul while assessing the relationship between frailty scores, self-efficacy, and independence among geriatric patients.</p><p><strong>Methods: </strong>This prospective cross-sectional study was conducted in the Emergency Medicine Departments of 2 tertiary centers in Istanbul. In the survey, health and frailty status, demographics, and earthquake preparedness and planning were assessed. The Clinical Frailty Scale (CFS), Tilburg Frailty Indicator (TFI), and PRISMA-7 score were administered. Contingency tables were constructed to examine the associations between frailty categories and categorical outcomes related to disaster preparedness, self-efficacy, and independence.</p><p><strong>Results: </strong>A small portion (5.4%) of patients had received earthquake preparedness training. Regarding emergency preparedness, 32.4% had easy access to a list of emergency contacts, and 32.1% knew the location of the emergency kit. A relationship was found between the presence of an earthquake preparedness kit and the CFS and TFI (<i>P</i><0.005). All the self-efficacy and independence parameters needed during disasters were found to be significantly higher among frailer patients (<i>P</i><0.005).</p><p><strong>Conclusions: </strong>Inadequate disaster preparedness, characterized by low self-efficacy and high external dependence, are influenced by frailty. Enhancing disaster preparedness requires identifying and supporting frail individuals.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e211"},"PeriodicalIF":1.8,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}