Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 41.842
Filtrar
1.
J Bus Contin Emer Plan ; 13(1): 52-66, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-31462363

RESUMO

This case study focuses on the ability of Metro Vancouver's fire personnel to access their regular workplace and home location immediately following, and in the hours and days after a major earthquake. In the event of such an incident, transportation infrastructure will be disrupted, limiting accessibility in the region. By examining the travel routes required by fire personnel, emergency planning can address any anomalies or identified gaps in service needs. This case study provides information to guide the development of regional policies and coordinated efforts to ensure that available fire personnel resources are deployed in the most beneficial and effective way. Other first-responder and receiver agencies should consider conducting similar evaluations as the findings and recommendations presented here generalise to other disasters where staff resources will be limited. Further research is recommended to determine resource needs in the event of a major disaster. Once a better picture of the total resource needs is known, a gap analysis can be conducted to identify what resources are available and accessible from within Metro Vancouver and what resources would need to come from outside the region.


Assuntos
Planejamento em Desastres , Terremotos , Bombeiros , Transportes , Desastres , Emergências , Socorristas , Humanos
3.
Am Surg ; 85(6): 595-600, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31267899

RESUMO

Interhospital transfer of emergency general surgery (EGS) patients is a common occurrence. Modern individual hospital practices for interhospital transfers have unknown variability. A retrospective review of the Maryland Health Services Cost Review Commission database was undertaken from 2013 to 2015. EGS encounters were divided into three groups: encounters not transferred, encounters transferred from a hospital, and encounters transferred to a hospital. In total, 380,405 EGS encounters were identified, including 12,153 (3.2%) encounters transferred to a hospital, 10,163 (2.7%) encounters transferred from a hospital, and 358,089 (94.1%) encounters not transferred. For individual hospitals, percentage of encounters transferred to a hospital ranged from 0 to 30.05 per cent, encounters transferred from a hospital from 0.02 to 14.62 per cent, and encounters not transferred from 69.25 to 99.95 per cent of total encounters at individual hospitals. Percentage of encounters transferred from individual hospitals was inversely correlated with annual EGS hospital volume (P < 0.001, r = -0.59), whereas percentage of encounters transferred to individual hospitals was directly correlated with annual EGS hospital volume (P < 0.001, r = 0.51). Individual hospital practices for interhospital transfer of EGS patients have substantial variability. This is the first study to describe individual hospital interhospital transfer practices for EGS.


Assuntos
Tratamento de Emergência/métodos , Cirurgia Geral/organização & administração , Avaliação de Resultados (Cuidados de Saúde) , Transferência de Pacientes/organização & administração , Qualidade da Assistência à Saúde , Estudos de Coortes , Bases de Dados Factuais , Emergências , Feminino , Hospitais com Alto Volume de Atendimentos , Humanos , Relações Interinstitucionais , Tempo de Internação , Masculino , Maryland , Estudos Retrospectivos , Contrato de Transferência de Pacientes
4.
Stud Health Technol Inform ; 262: 67-70, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31349267

RESUMO

Emergencies involving children are rare events. Due to the associated lack of routine and special features in pediatric resuscitation, it is prone to errors and the results are unsatisfactory. One way of tackling this problem is to use assistance services. However, due to the process, these services cannot be easily integrated. One possibility is the use of Head Mounted Displays. These are often controlled via voice commands. With medical terms, the voice control implemented as standard can quickly become unusable. A wearable app was therefore developed for this paper and evaluated according to ISO/IEC 30122-2:2017 to determine the extent to which the voice control of a state-of-the-art smartglass works in quiet and noisy conditions for use during a resuscitation. Since the commands were well understood and the app could be reliably controlled, the use of voice control in an assistance service is conceivable.


Assuntos
Ressuscitação , Percepção da Fala , Dispositivos Eletrônicos Vestíveis , Criança , Emergências , Humanos , Ruído , Fala
5.
Medicine (Baltimore) ; 98(30): e16613, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31348310

RESUMO

Dental hygienists in Poland work in various settings, including public health care institutions, private dental practices, dental clinics, kindergartens, and schools. They can often face medical emergencies, whose rate is increasing owing to comorbidities and aging of dental patients' populations. The aim of the study was to assess the prevalence of medical emergencies in dental hygienists' practice in Poland and the hygienists' preparedness and attitudes toward emergencies.A 10-question authors' own questionnaire was filled in by 613 dental hygienist. It referred to their cardiopulmonary resuscitation training, availability of emergency medical equipment in the workplace, the prevalence of medical emergencies including the need for an emergency medical service (EMS) call, and the management of cardiac arrest.Overall, 613 dental hygienists working in Poland participated in the study; 38.99% had taken part in basic life support (BLS) training within the previous 12 months and 35.89% within 2 to 5 years; 15.17% had experienced at least 1 emergency situation requiring an EMS call within the previous 12 months. Vasovagal syncope was the most common medical emergency (15.97%), followed by moderate anaphylactic reaction (13.87%), seizures (8.81%), hyperventilation crisis (7.50%), and hypoglycemia (7.34%).The most common medical emergency in dental hygienists' practice in Poland is syncope followed by mild anaphylactic reaction. Most of the dental hygienist had participated in a BLS course within the previous 5 years; however, 20% of them have never participated since graduation. Dental hygienists should participate in BLS courses every 2 years to keep the cardiopulmonary resuscitation skills and stay up-to-date with current guidelines. An important part of the study participants declare the lack of availability in their workplaces of life-saving equipment, including self-expanding bag resuscitator, oropharyngeal, and supraglottic airway device and oxygen source. Medical emergency equipment as recommended in the international guidelines should be available in every practice.


Assuntos
Higienistas Dentários/estatística & dados numéricos , Emergências/epidemiologia , Adulto , Atitude do Pessoal de Saúde , Serviços Médicos de Emergência/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polônia , Prevalência
6.
N Engl J Med ; 381(4): 392, 2019 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-31340111
7.
N Engl J Med ; 381(4): 392-393, 2019 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-31340112
11.
Lima; Perú. Ministerio de Salud; 20190700. 20 p.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1006655

RESUMO

Fortalecer la organización del sector salud, para una oportuna y adecuada respuesta, ante la inminencia u ocurrencia de un evento adverso, emergencia o desastre, que pone en riesgo la salud de la población y el funcionamiento de los establecimientos.


Assuntos
Alerta em Desastres , Planos de Contingência , Emergências , Instalações de Saúde , Diagnóstico da Situação de Saúde , Assistência Ambulatorial
12.
Kyobu Geka ; 72(8): 609-611, 2019 Aug.
Artigo em Japonês | MEDLINE | ID: mdl-31353354

RESUMO

A 72-year-old diabetic man was diagnosed with acute myocardial infarction of the anterior wall and underwent emergency off-pump coronary artery bypass grafting. He was diagnosed with ventricular septal perforation(VSP) 3 days after the operation. We urgently performed surgical repair of VSP with "extended sandwich patch technique through right ventriculotomy". There was no shunt recurrence. This technique is considered to offer safe, simple and leak-free repair even in an acute phase of VSP.


Assuntos
Ponte de Artéria Coronária , Infarto do Miocárdio , Ruptura do Septo Ventricular , Idoso , Emergências , Humanos , Masculino , Recidiva
13.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46645

RESUMO

Medidas de segurança podem prevenir transmissão de doenças e demais riscos que podem afetar a saúde das pessoas atingidas pelo acidente.


Assuntos
Emergências , Estado de Alerta em Emergências , Doenças Transmitidas pela Água , Doenças Transmitidas por Alimentos , Leptospirose , Tétano , Animais Venenosos , Saúde Mental
14.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46632

RESUMO

Serviço qualificado das Portas de Entrada Hospitalares de Urgência, das enfermarias clínicas de retaguarda, dos leitos de cuidados prolongados e dos Leitos de Unidade de Terapia Intensiva pertencentes à Rede de Atenção às Urgências.


Assuntos
Emergências , Cuidados Críticos , Saúde Pública , Sistema Único de Saúde
15.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46637

RESUMO

É um projeto do Ministério da Saúde desenvolvido por meio do Programa de Apoio ao Desenvolvimento Institucional do SUS - Proadi/SUS, executado em parceria com o Hospital Sírio-Libanês.


Assuntos
Emergências
16.
Artigo em Russo | MEDLINE | ID: mdl-31251871

RESUMO

The article presents the results of external auditing on the section "The organization of emergency and urgent medical care in hospital. Organization of admitting office functioning" in 30 medical organizations of the Russian Federation based on "The proposals (practical guidelines) of Roszdravnadzor for organizing internal quality control and safety of medical activity in medical organization (hospital)". The level of compliance with requirements of the Proposals is determined. The complex and structural problems of organization of rendering of emergency and urgent medical care.


Assuntos
Serviços Médicos de Emergência , Hospitais , Qualidade da Assistência à Saúde , Assistência Ambulatorial , Emergências , Serviços Médicos de Emergência/normas , Humanos , Federação Russa
17.
J Bus Contin Emer Plan ; 12(4): 342-353, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-31200797

RESUMO

Galvanised by the increasing complexity in managing incidents of mass violence and mass casualty, the emergency response agencies in Calgary, Canada identified the need to develop research-based policies, establish common strategies/ tactics and conduct more joint training across all hazards. By identifying the challenges with initial command, coordination and control activities at scene, the Calgary first-responder community designed and implemented an integrated training programme to support interoperability between front-line incident commanders and supervisors. The training programme was created to address the differences in each respective agency's policies, procedures and cultures that can be barriers to integrating into a single incident management structure or unified command. Using features of interoperability like shared situational awareness and joint risk assessment, and applying the concepts into tactics like rescue taskforce, the training is building critical command relationships for the future. This training has further expanded into a programme with joint policy and procedure development, incident debriefings, expanded exercises, and tactic specific training. This paper describes how the members of Calgary's first-responder community are stepping beyond their silos of excellence and unifying their planning, preparedness and response programme.


Assuntos
Planejamento em Desastres , Socorristas , Incidentes com Feridos em Massa , Canadá , Emergências , Humanos
18.
J Emerg Manag ; 17(3): 167-176, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31245827

RESUMO

The following article discusses the identity challenge facing Emergency Management, and draws upon the experience of Public Administration to guide future developments in this area. The article undertakes a four-part analysis by discussing: (1) the legitimacy of Public Administration discipline; (2) the legitimacy of the Emergency Management discipline; (3) the legitimacy of the Public Administration profession; and (4) the legitimacy of the Emergency Management profession. The article concludes with a review of the discussion, and argues that Emergency Management has followed or benefited from the same path taken by Public Administration. However, Emergency Management must focus more on a code of ethics, particularly in reference to hiring practices and enforcement of professional values.


Assuntos
Emergências , Seleção de Pessoal , Administração em Saúde Pública , Humanos
19.
J Emerg Manag ; 17(3): 217-224, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31245833

RESUMO

Disaster mental health (DMH), also referred to as disaster behavioral health, and crisis intervention more broadly, is a significant, yet relatively nonstandardized response system in the United States. Higher education can play a critical role in shifting understanding of DMH, its place within emergency management, and skills building among students. With the increased need for qualified DMH practitioners growing, the academy is uniquely positioned to train students as they become our future responders. Movement toward standardized curriculum and certification programs within schools of social work and emergency management can alleviate lack of knowledge and training as well as better prepare emergency managers and behavioral health professionals to respond to the emotional and mental wellbeing of those impacted by disasters (natural or human-caused).


Assuntos
Medicina de Desastres/educação , Planejamento em Desastres , Desastres , Emergências , Saúde Mental/educação , Currículo , Serviços Médicos de Emergência/organização & administração , Humanos , Instituições Acadêmicas , Estados Unidos
20.
J Emerg Manag ; 17(3): 239-250, 2019 May/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31245835

RESUMO

OBJECTIVE: Assess levels of disaster preparedness in institutions of higher education (IHEs) in the United States. DESIGN: An anonymous, 57-question survey targeted individuals responsible for emergency management at IHEs across the US descriptive statistics and bivariate chi-square analysis were reported. Using the established threshold score of the initial Cities Readiness Initiative from the CDC, an individual respondent's composite score of 70 percent or higher across 23 specific questions within the 57-question survey was labeled as "prepared." RESULTS: Chi-square analysis identified variables associated with lower preparedness levels at IHEs not achieving the minimum 70 percent score. Having a campus law enforcement officer serve the additional role of emergency manager had a negative association with being prepared [χ2 (1) = 10.18, p < 0.001]. Having emergency management as a separate university function from campus law enforcement had a positive relationship with being prepared [χ2 (1) = 18.55, p < 0.001]. Staffing the emergency management function with a professional having less than 3 years of emergency management experience had a negative association with being prepared. CONCLUSIONS: Our results indicate that minimizing the mission of emergency management by simply tasking a campus law enforcement officer with the extra responsibility of emergency management or entertaining less professionally qualified personnel to lead emergency management's complex mission can lead to disastrous results. Not only is preparedness impacted, but also resilience when facing disaster situations. Our nation continues to strive to become more resilient when facing such adverse events, as formally embraced and emphasized in the 2017 National Security Strategy. Research continues to offer best practices and unfortunately continues to highlight gaps. While the higher education community is not one of the 16 federal critical infrastructure sectors, identified gaps such as those presented in our findings as well as those published by the National Academies of Sciences are cause for alarm. Not only are higher education campuses generating invaluable contributions to society in general, bio-innovation, public health, and medicine, to name a few, they are a core stakeholder in resilience research and implementation. Yet, research continues to indicate preparedness and therefore resilience gaps in this sector. The authors propose implications for practice, policy, and research to assist IHEs in achieving a more comprehensive, sustainable level of resilience.


Assuntos
Planejamento em Desastres/organização & administração , Desastres , Emergências , Saúde Pública/educação , Universidades/organização & administração , Humanos , Estados Unidos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA