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(American Journal of Disaster Medicine[TA])
370 results
  • Verification of the airway securing capacity of a life jacket in a flood disaster. [Journal Article]
  • AJAm J Disaster Med 2017 Summer; 12(3):173-178
  • Imai K, Ochiai H, Murakami K
  • CONCLUSIONS: The biggest drawback is that the parameters of this study are not based on real-world experience. Therefore, if an evacuee with a life jacket is submerged in a flood disaster, we cannot easily decide whether the buoyancy is appropriate because in some situations, buoyancy adversely affected airway security. If we could decide buoyancy based on specific disaster conditions, the airway-securing capacity of a life jacket would improve.
  • A study of the blood flow restriction pressure of a tourniquet system to facilitate development of a system that can prevent musculoskeletal complications. [Journal Article]
  • AJAm J Disaster Med 2017 Summer; 12(3):139-145
  • Maeda H, Iwase H, … Mitsui K
  • CONCLUSIONS: A relationship between blood flow restriction pressure and tissue oxygen saturation was noted. rSO2measurement can be used to assess the restriction of blood flow during surgery. On the basis of the decrease in rSO2, blood flow was effectively restricted at a pressure of 30 kPa or more. When, however, blood flow was restricted at a pressure of 40 kPa, weight loss and decreased movement were noted and CK levels increased after the behavioral experiment. Thus, complications had presumably developed due to damage to muscle tissue. These findings indicate that blood flow was effectively restricted in this experiment and they also indicate the existence of an optimal blood flow restriction pressure that does not cause musculoskeletal complications. The pressure in question was around 30 kPa. The tourniquet system that was developed here is actuated with an EHD pump that is still in the trial stages. That said, its pressure can readily be controlled and this pump could be used in a tourniquet system since it is quiet, vibration-free, and small. The pressure of this pump can be finely adjusted to prevent musculoskeletal complications.
  • 60 seconds to survival: A pilot study of a disaster triage video game for prehospital providers. [Journal Article]
  • AJAm J Disaster Med 2017 Spring; 12(2):75-83
  • Cicero MX, Whitfill T, … Auerbach MA
  • CONCLUSIONS: The intervention demonstrated a significant improvement in accuracy from baseline to time 2 while the control did not. However, there was no significant difference in the improvement between the intervention and control groups. These results may be due to small sample size. Future directions include assessment of the game's effect on triage accuracy with a larger, multisite site cohort and iterative development to improve 60S.
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