Anatomy of Mine Rescue Teams’ Casualty Incidents: A Basis for Medical Emergency Preparedness and Injury Prevention

2019 ◽  
Vol 13 (4) ◽  
pp. 695-699
Author(s):  
Leilei Li ◽  
Deyong Guo ◽  
Yi Wang ◽  
Ke Wang ◽  
Runan Lian
Keyword(s):  
Injury Prevention ◽  
Emergency Preparedness ◽  
Disaster Medicine ◽  
Medical Emergency ◽  
Personal Factors ◽  
Rescue Work ◽  
Team Members ◽  
Medical Teams ◽  
Set Up ◽  
Mine Rescue

ABSTRACTObjectiveMine rescue teams bear a high risk of injury. To improve medical emergency preparedness and injury prevention, this work analyzed the causes and severity of mine rescue teams’ casualty incidents, the primary injuries, and the link between the causes and the occurrences of the casualty incidents.MethodsA total of 81 cases from 1953 to 2013 were used to analyze the casualty incidents of mine rescue teams based on the frequency of accidents. A panel with 4 rescue experts was set up to ensure the accuracy of the analysis.ResultsThe 81 casualty incidents occurred in 7 types of rescue work and were due to 6 causes. Organizational and personal factors were the leading cause, followed by rescue skill and equipment factors. Problems with decision-making and command have gradually become the primary inducement of casualty incidents in recent years, with an average death toll reaching up to 6 to 7 people. The main injuries causing death to team members were blast injury, burns, poisoning, suffocation, blunt trauma, and overwork injury. Some of the injured died because of medical emergency response failure.ConclusionThe construction of emergency medical teams and the preparedness of disaster medicine need to be improved to reduce the mortality of the injured team members. Actions according to the causes of casualty incidents should be adopted for injury prevention. (Disaster Med Public Health Preparedness. 2019;13:695–699)

scholarly journals The 25 Years of Experience Since Inauguration of All-Russian Center for Disaster Medicine “Zaschia” (Protection)

2019 ◽  
Vol 34 (s1) ◽  
pp. s99-s99
Author(s):  
Gennady Kipor ◽  
N. Baranova ◽  
N. Pichugina ◽  
S. Goncharov
Keyword(s):  
Russian Federation ◽  
Care Delivery ◽  
Warning System ◽  
Disaster Medicine ◽  
Medical Emergency ◽  
Time Of Arrival ◽  
Field Hospital ◽  
The Russian Federation ◽  
International Event ◽  
Medical Teams

Introduction:Main functions of the Russian Federation in disasters and emergencies are loaded on All-Russian Center for Disaster Medicine of Ministry Health (ARCDM). The principal strategies of the staff are to play leading roles in preparedness, emergency response, evacuation, recovery of health systems, and education.Methods:Our presentation includes selection, classification, analysis, and statistics. There about 80 territorial Disaster Medicine Centers working under the leadership of ARCDM. One experience from the Moscow Territory Disaster Medicine Center will be presented.Results:At the operational and informational department, there are nine special medical emergency teams (three with helicopters). Time of arrival takes between seven and ten minutes, and transport to the hospital takes about five to seven minutes with 33 landing places for helicopters. The operational and control department uses an early warning system. About 1,300 exercises were organized in these centers and hospitals. We will discuss the examples of medical care delivery to the injured in metro Slaviynskie, Basar park Pobedi, Narofominskay, two major fires, and hurricanes. The mobile field hospital worked in more than 12 countries and in many territories in the Russian Federation over 25 years.Discussion:The last year was very difficult due to the Football World Cup, working hard as a collaborating center in emergencies, and working in the framework of a memorandum with China. Preparedness for an international event next May, which includes a field drill with participants from emergency medical teams of Health Ministries of CIS Countries and from State Health of China. We invite others to observe or join this event. Thus, we have some difficulties and problems, but we must increase solidarity and collaboration due to the scale, frequency, and number of losses in emergencies and disasters. Humanity could be able to cope with emergencies if we take into account these issues.

scholarly journals Defining Roles for Pharmacy Personnel in Disaster Response and Emergency Preparedness

2017 ◽  
Vol 11 (4) ◽  
pp. 496-504 ◽  
Author(s):  
Mohammad Alkhalili ◽  
Janice Ma ◽  
Sylvain Grenier
Keyword(s):  
Emergency Response ◽  
Professional Education ◽  
Emergency Preparedness ◽  
Disaster Response ◽  
Disaster Medicine ◽  
Team Members ◽  
Medical Supplies ◽  
Emergency Event ◽  
Emergency Events ◽  
Future Work

AbstractOngoing provision of pharmaceuticals and medical supplies is of key importance during and following a disaster or other emergency event. An effectively coordinated response involving locally available pharmacy personnel—drawing upon the efforts of licensed pharmacists and unlicensed support staff—can help to mitigate harms and alleviate hardship in a community after emergency events. However, pharmacists and their counterparts generally receive limited training in disaster medicine and emergency preparedness as part of their initial qualifications, even in countries with well-developed professional education programs. Pharmacy efforts have also traditionally focused on medical supply activities, more so than on general emergency preparedness. To facilitate future work between pharmacy personnel on an international level, our team undertook an extensive review of the published literature describing pharmacists’ experiences in responding to or preparing for both natural and manmade disasters. In addition to identifying key activities that must be performed, we have developed a classification scheme for pharmacy personnel. We believe that this framework will enable pharmacy personnel working in diverse practice settings to identify and undertake essential actions that are necessary to ensure an effective emergency response and will promote better collaboration between pharmacy team members during actual disaster situations. (Disaster Med Public Health Preparedness. 2017;11:496–504)

Experiences of Critical Medical Care After the Earthquake in China in 1976

1985 ◽  
Vol 1 (S1) ◽  
pp. 426-427
Author(s):  
Shieh Yung
Keyword(s):  
Strong Earthquake ◽  
North China ◽  
Night Shift ◽  
Preliminary Treatment ◽  
Coal Miners ◽  
Disaster Area ◽  
Valuable Element ◽  
Medical Teams ◽  
Set Up ◽  
Mine Rescue

A strong earthquake occurred in the Tangshan-Fengnan area in Hopei Province of North China at 03:42 hours on July 28, 1976. A general headquarter was set up immediately to perform the functions of organization and administration. This was the most essential authority in keeping everything in order in such a disaster area. Mine Rescue Corps and mobile medical teams from many parts of the country were called and rushed to the scene. Critical care was organized into 3 stages: (1) digging and rescue; (2) preliminary treatment and transfer; and (3) treatment after transfer.The Mine Rescue Corps, existing normally in every coal mine, was the most efficient and valuable element in digging out victims and carrying out the most urgent resuscitative management. They dug and rescued, and also patrolled in the pits. They cleared the way for the coal miners. More than 10,000 miners, who were working in the pits during their night shift, were less able to return to the ground safely. As it was very difficult to locate every working group in such a labyrinth pits system, some coal miners had been left in the pits for long periods of time. There were, for instance, five coal miners who were working 850 meters underground and could not find their way out because the pits were badly damaged.

scholarly journals Developing a BIM-Based MUVR Treadmill System for Architectural Design Review and Collaboration

2021 ◽  
Vol 11 (15) ◽  
pp. 6881
Author(s):  
Calvin Chung Wai Keung ◽  
Jung In Kim ◽  
Qiao Min Ong
Keyword(s):  
Architectural Design ◽  
Human Locomotion ◽  
Virtual Space ◽  
Design Stage ◽  
Design Review ◽  
Team Members ◽  
Physical Constraints ◽  
Simulated Environment ◽  
Set Up ◽  
High Level

Virtual reality (VR) is quickly becoming the medium of choice for various architecture, engineering, and construction applications, such as design visualization, construction planning, and safety training. In particular, this technology offers an immersive experience to enhance the way architects review their design with team members. Traditionally, VR has used a desktop PC or workstation setup inside a room, yielding the risk of two users bump into each other while using multiuser VR (MUVR) applications. MUVR offers shared experiences that disrupt the conventional single-user VR setup, where multiple users can communicate and interact in the same virtual space, providing more realistic scenarios for architects in the design stage. However, this shared virtual environment introduces challenges regarding limited human locomotion and interactions, due to physical constraints of normal room spaces. This study thus presented a system framework that integrates MUVR applications into omnidirectional treadmills. The treadmills allow users an immersive walking experience in the simulated environment, without space constraints or hurt potentialities. A prototype was set up and tested in several scenarios by practitioners and students. The validated MUVR treadmill system aims to promote high-level immersion in architectural design review and collaboration.

Emergency Preparedness and Disaster Response: There’s An App for That

2015 ◽  
Vol 30 (5) ◽  
pp. 486-490 ◽  
Author(s):  
Daniel J. Bachmann ◽  
Nathan K. Jamison ◽  
Andrew Martin ◽  
Jose Delgado ◽  
Nicholas E. Kman
Keyword(s):  
Health Care Providers ◽  
Emergency Preparedness ◽  
Disaster Response ◽  
Value Relevance ◽  
Disaster Medicine ◽  
Care Providers ◽  
Smartphone Applications ◽  
High Quality ◽  
Emergency Responders ◽  
Lay Public

AbstractIntroductionSmartphone applications (or apps) are becoming increasingly popular with emergency responders and health care providers, as well as the public as a whole. There are thousands of medical apps available for Smartphones and tablet computers, with more added each day. These include apps to view textbooks, guidelines, medication databases, medical calculators, and radiology images.Hypothesis/ProblemWith an ever expanding catalog of apps that relate to disaster medicine, it is hard for both the lay public and responders to know where to turn for effective Smartphone apps. A systematic review of these apps was conducted.MethodsA search of the Apple iTunes store (Version 12; Apple Inc.; Cupertino, California USA) was performed using the following terms obtained from the PubMed Medical Subject Headings Database: Emergency Preparedness, Emergency Responders, Disaster, Disaster Planning, Disaster Medicine, Bioterrorism, Chemical Terrorism, Hazardous Materials (HazMat), and the Federal Emergency Management Agency (FEMA). After excluding any unrelated apps, a working list of apps was formed and categorized based on topics. Apps were grouped based on applicability to responders, the lay public, or regional preparedness, and were then ranked based on iTunes user reviews, value, relevance to audience, and user interface.ResultsThis search revealed 683 applications and was narrowed to 219 based on relevance to the field. After grouping the apps as described above, and subsequently ranking them, the highest quality apps were determined from each group. The Community Emergency Response Teams and FEMA had the best apps for National Disaster Medical System responders. The Centers for Disease Control and Prevention (CDC) had high-quality apps for emergency responders in a variety of fields. The National Library of Medicine’s Wireless Information System for Emergency Responders (WISER) app was an excellent app for HazMat responders. The American Red Cross had the most useful apps for natural disasters. Numerous valuable apps for public use, including alert apps, educational apps, and a well-made regional app, were also identified.ConclusionSmartphone applications are fast becoming essential to emergency responders and the lay public. Many high-quality apps existing in various price ranges and serving different populations were identified. This field is changing rapidly and it deserves continued analysis as more apps are developed.BachmannDJ, JamisonNK, MartinA, DelgadoJ, KmanNE. Emergency preparedness and disaster response: there’s an app for that. Prehosp Disaster Med. 2015;30(5):1–5.

Doctors’ functional leadership in psychiatric healthcare teams – a reversible leadership logic

2015 ◽  
Vol 21 (3/4) ◽  
pp. 159-180 ◽  
Author(s):  
Johan M. Berlin
Keyword(s):  
Leadership Style ◽  
University Hospital ◽  
Multidisciplinary Teams ◽  
Leadership And Management ◽  
Content Type ◽  
Team Members ◽  
Healthcare Teams ◽  
Medical Teams ◽  
Difficult Situations

Purpose – The purpose of this paper was to study how psychiatric doctors practise leadership in multidisciplinary healthcare teams. The paper seeks to answer the question: How do psychiatric doctors lead multidisciplinary teams during treatment conferences? Design/methodology/approach – Six psychiatric teams were studied at a university hospital. Each team was observed over a period of 18 months, and data were collected during four years (2008-2011). Data were collected through interviews with doctors (n = 19) and observations (n = 30) of doctors’ work in multidisciplinary psychiatric teams. Findings – Doctors in a multidisciplinary team use either self-imposed or involuntary leadership style. Oscillating between these two extremes was a strategy for handling the internal tensions of the team. Research limitations/implications – The study was a case study, performed during treatment conferences at psychiatric wards in a university hospital. This limitation means that there is cause for some caution in generalising the results. Practical implications – The results are useful for understanding leadership in multidisciplinary medical teams. By understanding the reversible logic of leadership, cooperation and knowledge sharing can be gained, which means that a situation of mere peaceful coexistence can be avoided. Understanding the importance of the informal contract makes it possible to switch leadership among team members. A reversible leadership with an informal contract makes the team less vulnerable. The team’s professionals can thus easily handle difficult situations and internal tensions, facilitating leadership and management of multidisciplinary teams. Originality/value – Doctors in multidisciplinary psychiatric teams use reversible leadership logic.

Editorial: Knowing when and how to disengage humanitarian response

Waterlines ◽  
2021 ◽  
Vol 40 (3) ◽  
pp. 142-143
Author(s):  
Richard Carter
Keyword(s):  
United Nations ◽  
Emergency Preparedness ◽  
Governmental Organizations ◽  
Humanitarian Response ◽  
Non Governmental Organizations ◽  
Set Up

The machinery of international humanitarian response, once triggered and functioning in a country, has a life of its own. A multiplicity of United Nations agencies and international non-governmental organizations set up their programmes. The various sector- or subject-focused ‘clusters’, established to strengthen pre-emergency preparedness and operational coordination once an emergency has occurred, are activated. Humanitarian response plans are published, and appeals for funds made.

Learning Outcome Measurement in Nurse Participants After Disaster Training

2016 ◽  
Vol 10 (5) ◽  
pp. 728-733
Author(s):  
Sharon L. Farra ◽  
Sherrill Smith ◽  
Marie A Bashaw
Keyword(s):  
Public Health ◽  
Homeland Security ◽  
Emergency Preparedness ◽  
Disaster Response ◽  
Outcome Measurement ◽  
Disaster Medicine ◽  
Learning Framework ◽  
Before And After ◽  
Disaster Training ◽  
National Disaster

AbstractObjectiveThe National Disaster Health Consortium is an interprofessional disaster training program. Using the Hierarchical Learning Framework of Competency Sets in Disaster Medicine and Public Health, this program educates nurses and other professionals to provide competent care and leadership within the interprofessional team. This study examined outcomes of this training.MethodsTraining consisted of a combination of online and on-site training. Learning outcomes were measured by using the Emergency Preparedness Information Questionnaire (EPIQ) pre/post training and participant performance during live functional exercises with the use of rubrics based on Homeland Security Exercise and Evaluation principles.ResultsA total of 64 participants completed the EPIQ before and after training. The mean EPIQ pre-training score of 154 and mean post-training score of 81 (reverse-scored) was found to be statistically significant by paired t-test (P<0.001). Performance was evaluated in the areas of triage, re-triage, surge response, and sheltering. Greater than 90% of the exercise criteria were either met or partially met. Participants successfully achieved overall objectives in all scenarios.ConclusionsDisaster response requires nurses and other providers to function in interprofessional teams. Educational projects, like the National Disaster Health Consortium program, offer the potential to address the need for a standardized, interprofessional disaster training curriculum to promote positive outcomes. (Disaster Med Public Health Preparedness. 2016;page 1 of 6)

scholarly journals Enablers and challenges of caring in the Intensive Care Unit--Part 2: In relation to nurses

2021 ◽  
Vol 12 (2) ◽  
pp. 18
Author(s):  
Hanan Subhi Al-Shamaly
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Care ◽  
Optimal Level ◽  
Ethnographic Study ◽  
Personal Factors ◽  
Team Members ◽  
Educational Backgrounds ◽  
Wide Range ◽  
Different Sources

The concept of caring is vague and complex, especially in critical environments such as the intensive care unit (ICU), where technological dehumanisation is a challenge for nurses. ICU nursing care includes not only patients but also extends to patients’ families, nurses, other health team members and the unit’s environment. Caring in critical care settings is affected by enabling and impeding factors. To explore these enablers and challenges factors, a focused ethnographic study was conducted in an Australian ICU. The data was collected from 35 registered nurses through various resources: participants' observations, documents reviews, interviews, and additional participants’ notes. Data were analysed inductively and thematically. The study outlines comprehensively and widely a wide range of enablers and challenges affecting caring in the ICU - which originate from different sources such as patients, families, nurses, and the ICU environment. This paper is the second in a two-part series which explores the ICU nurses’ experiences and perspectives of the enablers and challenges of caring in the ICU. Part 1 was concerned with the enablers and challenges to caring that are related to ICU patients, families, and environment. While Part 2 introduces readers to the enablers and challenges factors that are concerned with the nurses in ICU. These factors include nurses’ educational backgrounds and professional experience, employment working factors, leadership styles, relationships, and personal factors. Nurses and other stakeholders such as clinicians, educators, researchers, managers, and policymakers need to recognize these factors and their implications for providing quality care, in order to enhance and maintain the optimal level of caring in the ICU.

scholarly journals Zero Healthcare-Associated COVID-19

2021 ◽  
Vol 1 (S1) ◽  
pp. s73-s73
Author(s):  
Moi Lin Ling ◽  
Molly How ◽  
Kwee Yuen Tan ◽  
Elaine Wee ◽  
Phoon Poh Choo ◽  
...  
Keyword(s):  
Migrant Workers ◽  
Infection Prevention ◽  
Tertiary Care ◽  
Healthcare Delivery ◽  
Personal Hygiene ◽  
Care Hospital ◽  
Service Staff ◽  
Medical Teams ◽  
Set Up ◽  
Healthcare Associated

Background: The ongoing COVID-19 pandemic tests the healthcare system in many ways. The scarcity of resources poses challenges to infection prevention (IP) practices. We describe our experience in managing such scarcity in our care of COVID-19 patients in the hospital as well as community settings. Methods: The hospital pandemic plan traditionally included only plans for healthcare delivery management within the hospital. However, on March 25, 2020, a decision was made by the Ministry of Health to set up swab isolation (SIFs) and community care facilities (CCFs) to meet the growing demand for isolation beds for migrant workers infected by COVID-19. The CCFs were located in convention halls and resort centers and the SIFs were located in facilities previously functioning as hotels. Mobile medical teams were activated to run clinics at the dormitories housing 200,000 migrant workers. The IP team of an acute- and tertiary-care hospital in Singapore was activated to oversee IP measures at facilities managed by medical teams from the hospital, with the goal of zero healthcare-associated COVID-19 cases among staff. Two IP leaders were set up to oversee the IP program at 8 dormitories, 4 SIFs, and 2 CCFs. In total, 12 IP staff and 15 infection prevention liaison officers (IPLOs) were deployed from 2 acute-care hospitals and 3 specialty centers to conduct training in hand hygiene and the use of personal protective equipment, and to conduct daily audits of compliance to practice guidelines. Education on personal hygiene was also given to patients in these facilities in at least 7 languages. In the SIFs and dormitories, IPLOs were recruited to perform daily audits and feedback to the IP team on issues related to IP at the sites. Results: Since our first COVID-19 patient on January 23, 2020, there has been no report of healthcare-associated COVID-19 within the hospital nor among the medical, administrative, and support service staff working in the external operation facilities. Daily audits showed an average of 99.4% compliance to IP guidelines. Conclusions: IPLOs or IP champions play a significant role in ensuring compliance to IP guidelines. This compliance allows the IP professional to focus on the evaluation of the IP program, managing IP consultations, and planning and implementation of the IP program in nontraditional healthcare settings. The key success factors of the program included the ability to contextualize the planning and implementation of IP programs in various settings, strong leadership support, cohesive teamwork, and effective communication at various levels.Funding: NoDisclosures: None

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