- Human Stampedes: An Updated Review of Current Literature. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 27; :1-7
- Human stampedes are a major cause of mortality in mass gatherings, but they have received limited scientific attention. While the number of publications has increased, there is no recent review of ne...
Human stampedes are a major cause of mortality in mass gatherings, but they have received limited scientific attention. While the number of publications has increased, there is no recent review of new study results. This study compiles and reviews available literature on stampedes, their prevention, preparedness, and response.A search for peer-reviewed and grey literature in PubMed (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA), Google Scholar (Google Inc.; Mountain View, California USA), Web of Science (Thomson Reuters; New York, New York USA), the World Health Organization Library Database (WHOLIS; World Health Organization; Geneva, Switzerland), and ReliefWeb (UN Office for the Coordination of Humanitarian Affairs; Geneva, Switzerland) was conducted, and papers were selected according to pre-defined eligibility criteria. Included items were read and results were compiled and summarized. A total of 64 publications were included, of which, 34 were published between 2013-2016. The most studied events were Germany's Love Parade stampede in 2010 (Duisburg, Germany; n = 6) and the United Kingdom (UK) Hillsborough Stadium stampede in 1989 (Sheffield, England; n = 4). Conflicting definitions of human stampedes were found. The common belief that they result from an irrational and panicking crowd has progressively been replaced by studies suggesting that successive systemic failures are main underlying causes. There is a lack of systematic reporting, making news reports often the only source available. Prevention measures are mainly related to crowd management and venue design, but their effectiveness has not been studied. Drills are recommended in the preparedness phase to improve coordination and communication. Delay in decisions, poor triage, or loss of medical records are common problems in the response, which may worsen the outcome.Stampedes are complex phenomenon that remain incompletely understood, hampering formulation of evidence-based strategies for their prevention and management. Documentation comes mostly from high-profile events and findings are difficult to extrapolate to other settings. More research from different disciplines is warranted to address these gaps in order to prevent and mitigate future events. A start would be to decide on a common definition of stampedes.Moitinho de Almeida M, von Schreeb J. Human stampedes: an updated review of current literature. Prehosp Disaster Med.
- Emergency with Resiliency Equals Efficiency - Challenges of an EMT-3 in Nepal. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 15; :1-5
- The 7.8 MW (moment magnitude scale) earthquake that hit Nepal on April 25, 2015 caused significant casualties and serious damage to infrastructure.The Israeli Emergency Medical Team (IEMT; later veri...
The 7.8 MW (moment magnitude scale) earthquake that hit Nepal on April 25, 2015 caused significant casualties and serious damage to infrastructure.The Israeli Emergency Medical Team (IEMT; later verified as EMT-3) was deployed 80 hours after the earthquake. A Forward Disaster Scout Team (FDST) that was dispatched to the disaster area a few hours after the disaster relayed pre-deployment information.The EMT staff was comprised of 42 physicians. A total of 1,668 patients were treated. The number of non-trauma cases increased as the days went by. The hospitalization rate was 31%. Wound debridement procedures were the most common operations performed.Yitzhak A, Merin O, Halevy J, Tarif B. Emergency with resiliency equals efficiencychallenges of an EMT-3 in Nepal.
- Incidence and Outcomes after Out-of-Hospital Medical Emergencies in Gambia: A Case for the Integration of Prehospital Care and Emergency Medical Services in Primary Health Care. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 15; :1-8
- CONCLUSIONS: There is a high incidence of acute medical emergencies among adults in The Gambia which are associated with adverse outcomes due to a combination of poor health literacy, high out-of-pocket expenditures on medications, and poor access to timely prehospital emergency care. There is an urgent need to develop prehospital acute care and Emergency Medical Services (EMS) in the primary health sector as part of a strategy to reduce mortality and morbidity in the country.Touray S, Sanyang B, Zandrow G, Touray I. Incidence and outcomes after out-of-hospital medical emergencies in Gambia: a case for the integration of prehospital care and Emergency Medical Services in primary health care.
- Evaluation of Health Care Services Provided in Political Public Meetings in Turkey: A Forgotten Detail in Politics. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 15; :1-7
- CONCLUSIONS: The majority of medical conditions encountered in PPMs are easily treatable in health care tents settled in the meeting area. The number of attendees, heat index, and weekend days are factors associated with the number of patients.Ceyhan MA, Demir GG, Güler GB. Evaluation of health care services provided in political public meetings in Turkey: a forgotten detail in politics.
- Needs Assessment for Simulation Training for Prehospital Providers in Botswana. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 13; :1-6
- CONCLUSIONS: Trauma, respiratory distress, gastrointestinal complaints, and puerperal/perinatal emergencies were common conditions for all age groups. Other age-specific conditions were also identified as educational needs based on epidemiologic data and provider feedback. This needs assessment may be useful when designing locally relevant EMS curricula in other low-income and middle-income countries.Glomb NW, Kosoko AA, Doughty CB, Rus MC, Shah MI, Cox M, Galapi C, Parkes PS, Kumar S, Laba B. Needs assessment for simulation training for prehospital providers in Botswana.
- Improvement of General Disaster Preparedness Belief Scale Based on Health Belief Model. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 12; :1-10
- CONCLUSIONS: These results suggest that the scale with 45 items shows improvement in the scale with 31 items. This study indicates that the GDPB scale with 45 items based on HBM has acceptable validity and reliability. This tool can be used in disaster preparedness surveys.Inal E, Dogan N. Improvement of General Disaster Preparedness Belief scale based on Health Belief Model.
- Field Expedient Vasopressors During Aeromedical Evacuation: A Case Series from the Puerto Rico Disaster Response. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 09; :1-5
- CONCLUSIONS: Field expedient vasopressors were safely and effectively employed in an austere field environment during a disaster response. This case series contributes to the growing body of literature of safe bolus-dose vasopressor use by emergency physicians to temporize hypotensive patients in resource-constrained situations.Hardwick JM, Murnan SD, Morrison-Ponce DP, Devlin JJ. Field expedient vasopressors during aeromedical evacuation: a case series from the Puerto Rico disaster response.
- Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 05; :1-7
- CONCLUSIONS: The results showed that in the prehospital setting when experiencing ACS symptoms, the patients try to overcome the symptoms independently. However, as the symptoms get worse, they utilize health facilities in different ways. At the time of obtaining health services, patients are satisfied with health professionals who show caring attitudes, explain the results of the examination, and provide health education on health care efforts. Thus, to prevent mortality and morbidity, it is important for a health professional to educate the public about ACS, including topics about ACS healthy lifestyles and potential threats if it is too late to get treatment. Furthermore, it is also important for the government to implement prehospital emergency services nation-wide.Kumboyono K, Refialdinata J, Wihastuti TA, Rachmawati SD, Aziz AN. Health-seeking behavior of patients with Acute Coronary Syndrome and their family caregivers.
- Building Local Capacity in Hand-Rub Solution Production during the 2014-2016 Ebola Outbreak Disaster: The Case of Liberia and Guinea. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 05; :1-8
- CONCLUSIONS: The project demonstrated that it was feasible to build local capacity in ABHRS production during an emergency and in limited-resource settings when materials and training are provided. Future programs in similar contexts should identify and address the factors of sustainability during the implementation phase and provide regular, long-term technical support.Jacquerioz Bausch FA, Heller O, Bengaly L,Matthey-Khouity B, Bonnabry P, Touré Y, Kervillain GJ, Bah EI, Chappuis F, Hagon O. Building local capacity in hand-rub solution production during the 2014-2016 Ebola outbreak disaster: the case of Liberia and Guinea.
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- Contents of a Bug-Out Bag. [Journal Article]
- PDPrehosp Disaster Med 2018 Nov 05; :1-3
- A large number of civilian agencies have published guides and recommendations on how to assemble personal and family emergency kits. However, the kits resulting from following these guidelines are im...
A large number of civilian agencies have published guides and recommendations on how to assemble personal and family emergency kits. However, the kits resulting from following these guidelines are impractical, particularly in the event evacuation becomes necessary. This report describes an alternative approach to assembling an emergency kit.Ostrovskiy G, Shemesh AJ. Contents of a bug-out bag.