- Mental Health and Psychosocial Problems and Needs of Violence Survivors in the Colombian Pacific Coast: A Qualitative Study in Buenaventura and Quibdó. [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 26; :1-8
- CONCLUSIONS: Afro-Colombian survivors of torture and violence described mental health problems similar to those of other trauma-affected populations. These results suggest that existing interventions that address trauma-related symptoms and current ongoing stressors may be appropriate for improving the mental health of survivors in this population.Santaella-Tenorio J, Bonilla-Escobar FJ, Nieto-Gil L, Fandiño-Losada A, Gutiérrez-Martínez MI, Bass J, Bolton P. Mental health and psychosocial problems and needs of violence survivors in the Colombian Pacific Coast: a qualitative study in Buenaventura and Quibdó.
- Can a Software-Based Metronome Tool Enhance Compression Rate in a Realistic 911 Call Scenario Without Adversely Impacting Compression Depth for Dispatcher-Assisted CPR? [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 23; :1-7
- CONCLUSIONS: An automated software metronome tool is effective in getting layperson-callers to achieve the target compression rate and compression depth in a realistic DA-CPR scenario.Scott G, Barron T, Gardett I, Broadbent M, Downs H, Devey L, Hinterman EJ, Clawson J, Olola C. Can a software-based metronome tool enhance compression rate in a realistic 911 call scenario without adversely impacting compression depth for dispatcher-assisted CPR?
- First Aid Education Should be Expanded to Support the Learner to Develop Both the Skill and the Will to Help. [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 23; :1-2
- RottenbergEM. First aid education should be expanded to support the learner to develop both the skill and the will to help.
RottenbergEM. First aid education should be expanded to support the learner to develop both the skill and the will to help.
- Disaster Exercises to Prepare Hospitals for Mass-Casualty Incidents: Does it Contribute to Preparedness or is it Ritualism? [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 17; :1-7
- CONCLUSIONS: The evaluation reports do not support the ideal-typical disaster exercise process. The authors could not establish that team members participating in MCI exercises in the Netherlands learn from their participation. More time and effort must be spent on the development of a validated evaluation system for these simulations, and more research into the role of the evaluator is needed.Verheul MLMI, Dückers MLA, Visser BB, Beerens RJJ, Bierens JJLM. Disaster exercises to prepare hospitals for mass-casualty incidents: does it contribute to preparedness or is it ritualism? Prehosp Disaster Med.
- Utilization of Mobile Integrated Health Providers During a Flood Disaster in South Carolina (USA). [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 17; :1-4
- As health care systems in the United States have become pressured to provide greater value, they have embraced the adoption of innovative population health solutions. One of these initiatives utilize...
As health care systems in the United States have become pressured to provide greater value, they have embraced the adoption of innovative population health solutions. One of these initiatives utilizes prehospital personnel in the community as an extension of the traditional health care system. These programs have been labeled as Community Paramedicine (CP) and Mobile Integrated Health (MIH). While variation exists amongst these programs, generally efforts are targeted at individuals with high rates of health care utilization. By assisting with chronic disease management and addressing the social determinants of health care, these programs have been effective in decreasing Emergency Medical Services (EMS) utilization, emergency department visits, and hospital admissions for enrolled patients.The actual training, roles, and structure of these programs vary according to state oversight and community needs, and while numerous reports describe the novel role these teams play in population health, their utilization during a disaster response has not been previously described. This report describes a major flooding event in October 2015 in Columbia, South Carolina (USA). While typical disaster mitigation and response efforts were employed, it became clear during the response that the MIH providers were well-equipped to assist with unique patient and public health needs. Given their already well-established connections with various community health providers and social assistance resources, the MIH team was able to reconnect patients with lost medications and durable medical equipment, connect patients with alternative housing options, and arrange access to outpatient resources for management of chronic illness.Mobile integrated health teams are a potentially effective resource in a disaster response, given their connections with a variety of community resources along with a unique combination of training in both disease management and social determinants of health. As roles for these providers are more clearly defined and training curricula become more developed, there appears to be a unique role for these providers in mitigating morbidity and decreasing costs in the post-disaster response. Training in basic disaster response needs should be incorporated into the curricula and community disaster planning should identify how these providers may be able to benefit their local communities.Gainey CE, Brown HA, Gerard WC. Utilization of mobile integrated health providers during a flood disaster in South Carolina (USA). Prehosp Disaster Med.
- Special Report: WADEM Climate Change Position Statement. [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 17; :1-4
- The World Association for Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) is a multi-disciplinary professional association whose mission is the global improvement of prehospital and e...
The World Association for Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) is a multi-disciplinary professional association whose mission is the global improvement of prehospital and emergency health care, public health, and disaster health and preparedness. In April 2017, the biennial general meeting of the World Congress for Disaster and Emergency Medicine (WCDEM) endorsed the WADEM Climate Change Position Statement, which was subsequently published in Prehospital and Disaster Medicine in July 2017. This special report examines literature used and reviews the process of development of this Position Statement as a product of WADEM.Cuthbertson J, Archer F, Robertson A. Special report: WADEM climate change position statement.
- Portable Health Care Facilities in Disaster and Rescue Zones: Characteristics and Future Suggestions. [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 13; :1-7
- CONCLUSIONS: Future directions include the use of innovative materials, advanced working methods, and integrated transportation systems. In addition, a holistic approach should be developed to improve the performance, accessibility, time required to function, sustainability, flexibility, and modularity of portable health care facilities.Bitterman N, Zimmer Y. Portable health care facilities in disaster and rescue zones: characteristics and future suggestions. Prehosp Disaster Med.
- Comparison of Unmanned Aerial Vehicle Technology-Assisted Triage versus Standard Practice in Triaging Casualties by Paramedic Students in a Mass-Casualty Incident Scenario. [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 13; :1-6
- CONCLUSIONS: This study demonstrated the feasibility of using a UAV at an MCI. A non-clinical significant difference was noted in total time to completion between both groups. There was no increase in time on scene by using the UAV while demonstrating the feasibility of remotely triaging GREEN casualties prior to first responder arrival.Jain T, Sibley A, Stryhn H, Hubloue I.Comparison of unmanned aerial vehicle technologyassisted triage versus standard practice in triaging casualties by paramedic students in a mass-casualty incident scenario.
- START versus SALT Triage: Which is Preferred by the 21st Century Health Care Student? [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 13; :1-6
- CONCLUSIONS: While SALT's preference among females and physician assistant students was based on the addition of medical interventions and the provision of palliative care, START's preference was related to expediency. Based on this research, incorporating disaster concepts into US health care students' curricula encourages thoughtful consideration among the future health care leaders about the most effective approach to triage care. It is critical that further research be completed to determine, without reservation, which triage system will not only save the most lives but provide the most humane care to victims.Fink BN, Rega PP, Sexton ME, Wishner C. START versus SALT triage: which is preferred by the 21st century health care student?
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- Patients with Acute Stroke Presenting Like Conversion Disorder. [Journal Article]
- PDPrehosp Disaster Med 2018 Jul 10; :1-3
- Conversion disorder is a form of somatoform disorders which has a high prevalence among women, individuals with lower socioeconomic status, under-educated populations, and in developing countries. Ho...
Conversion disorder is a form of somatoform disorders which has a high prevalence among women, individuals with lower socioeconomic status, under-educated populations, and in developing countries. However, up to one-half of patients who had been initially diagnosed with conversion disorder were eventually shown to have an underlying organic pathology-mostly neurological or non-psychiatric conditions. In this article, two patients are presented who accessed the emergency department (ED) with an initial diagnosis of conversion disorder in the ambulance that turned out to be stroke.Serinken M, Karcioglu O. Patients with acute stroke presenting like conversion disorder. Prehosp Disaster Med.