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Am J Infect Control ; 46(3): 246-252, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29499788


BACKGROUND: The Ebola virus disease outbreak highlighted the lack of consistent guidelines and training for workers outside of hospital settings. Specifically, emergency medical services (EMS) workers, who are frequently the first professionals to evaluate patients, often do not have advanced notice of patient diagnosis, and have limited time in their national curricula devoted to highly infectious disease (HID) identification and containment. All of these can place them at increased risk. To explore the depth of US EMS practitioners' HID training and education, a pilot gap analysis survey was distributed to determine where the aforementioned can be bolstered to increase occupational safety. METHODS: Electronic surveys were distributed to EMS organization members. The survey collected respondent willingness to encounter HID scenarios; current policies and procedures; and levels of knowledge, training, and available resources to address HIDs. RESULTS: A total of 2,165 surveys were initiated and collected. Eighty percent of frontline personnel were aware that their agency had an HID standard operating guideline. Almost 85% of respondents correctly marked routes of exposure for select HIDs. More than half of respondents indicated no maximum shift times in personal protective equipment. DISCUSSION: This research suggests EMS practitioners could benefit from enhanced industry-specific education, training, and planning on HID mitigation and management. CONCLUSION: Strengthening EMS preparedness in response to suspected or confirmed HID cases may not only improve patient outcomes, but also worker and community safety.

Control de Enfermedades Transmisibles/métodos , Control de Enfermedades Transmisibles/normas , Servicios Médicos de Urgencia/métodos , Servicios Médicos de Urgencia/normas , Personal de Salud/educación , Enfermedades Transmisibles/transmisión , Recolección de Datos , Servicio de Urgencia en Hospital , Tratamiento de Urgencia , Guías como Asunto , Humanos , Estados Unidos
Prehosp Disaster Med ; 21(2): s49-55, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16771012


The contribution of smoke inhalation to cyanide-attributed morbidity and mortality arguably surpasses all other sources of acute cyanide poisoning. Research establishes that cyanide exposure is: (1) to be expected in those exposed to smoke in closed-space fires; (2) cyanide poisoning is an important cause of incapacitation and death in smoke-inhalation victims; and (3) that cyanide can act independently of, and perhaps synergistically with, carbon monoxide to cause morbidity and mortality. Effective prehospital management of smoke inhalation-associated cyanide poisoning is inhibited by: (1) a lack of awareness of fire smoke as an important cause of cyanide toxicity; (2) the absence of a rapidly returnable diagnostic test to facilitate its recognition; and (3) in the United States, the current unavailability of a cyanide antidote that can be used empirically with confidence outside of hospitals. Addressing the challenges of the prehospital management of smoke inhalation-associated cyanide poisoning entails: (1) enhancing the awareness of the problem among prehospital responders; (2) improving the ability to recognize cyanide poisoning on the basis of signs and symptoms; and (3) expanding the treatment options that are useful in the prehospital setting.

Cianuros/envenenamiento , Lesión por Inhalación de Humo , Enfermedad Aguda , Servicios Médicos de Urgencia , Estados Unidos
Emerg Med Serv ; 31(10): 126-8, 2002 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12683285


With upcoming elections and the 2004 presidential election, the movement of dignitaries and candidates around the United States can and should be expected by EMS managers. With proper planning and liaison work pre-event, the arrival of dignitary protectees in your community should be an exciting time.

Servicios Médicos de Urgencia/organización & administración , Personajes , Medidas de Seguridad/organización & administración , Humanos , Política , Estados Unidos