scholarly journals Collateral damage – Impact of a pandemic on stroke emergency services

Author(s):  
Shashvat M. Desai ◽  
Francis X. Guyette ◽  
Christian Martin-Gill ◽  
Ashutosh P. Jadhav
Author(s):  
Sarah A. Cooley ◽  
Brittany Nelson ◽  
John Doyle ◽  
Alexander Rosenow ◽  
Beau M. Ances

2020 ◽  
Author(s):  
Simone Sandholz ◽  
Dominic Sett

<p>Critical infrastructures, such as energy, water and ICT supply are the backbone of societies. Especially in urban contexts, peoples’ dependency on the increasingly complex and interdependent network of critical infrastructures is daunting. However, a majority of inhabitants is rather unaware of related implications and risks, leaving individuals largely unprepared and highly vulnerable to potential critical infrastructure disruptions or failures. This is particularly true for developed countries with high supply security.</p><p>In addition, current discourses on safe and affordable operations of CI are mostly limited to the engineered part such as roads or electricity lines while hardly dealing with the soft components, namely coping capacities to overcome potential outages. With more frequent and intense occurrence of natural hazards the combination of CI complexity, dependency and unawareness poses a growing threat to urban populations with major implications for local disaster management actors and emergency services.</p><p>Based on comprehensive literature and policy analyses and this contribution will elaborate on challenges and opportunities of reducing natural hazards’ impacts on urban areas by extending assessments of critical infrastructure exposure to “soft” components, focusing on impacts on end users. Data from a major household survey conducted in a German city will be used to present and discuss damage impact types, their interlinkages as well as potential pathways towards risk reduction.</p>


2010 ◽  
Vol 44 (5) ◽  
pp. 25
Author(s):  
WILLIAM G. WILKOFF
Keyword(s):  

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 375-382
Author(s):  
Remco F. P. de Winter ◽  
Mirjam C. Hazewinkel ◽  
Roland van de Sande ◽  
Derek P. de Beurs ◽  
Marieke H. de Groot

Abstract. Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency service assessments was recorded; 14,705 assessments were included. Characteristics of patients with/without suicidal behavior and with/without suicide attempts were compared. Outcomes were adjusted for clustering of features within individual patients. Results: Suicidal behavior was assessed in 32.2% of patients, of whom 9.2% attempted suicide. Suicidal behavior was most commonly associated with depression or adjustment disorder and these patients were referred to the service by a general practitioner or a general hospital, whereas those who attempted suicide were less likely to be referred by a general practitioner. Those who attempted suicide were more likely to be female and have had a referral by a general hospital. Self-poisoning by medication was the most common method of attempting suicide. Limitations: Bias could be due to missed or incomplete assessments. Primary diagnoses were based on clinical observation at the time of the assessment or on the primary diagnosis previously recorded. In addition, suicidal behavior or attempted suicide might have been underestimated. Conclusions: Suicidal behavior is commonplace in assessments by psychiatric emergency services. Suicidal patients with/without a suicide attempt differed with respect to demographic features, primary diagnoses, and referring entities, but not with respect to treatment policy. About 40% of the suicidal patients with/without an attempt were admitted following assessment.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Musa Musa

This research was conducted to determine the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province by paying attention to aspects contained in the Effectiveness of the Jakarta Siaga Emergency Service Program 112. The research method was carried out with a case study method with data collection techniques using interview methods and document review. Interviews were conducted on 10 (ten) key informants, document review focused on documents related to the Jakarta Emergency Alert Service 112 Effectiveness research in Fire Management. The results showed that the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. The Center for Disaster Data & Information BPBD DKI Jakarta Province Its effectiveness is still low, due to the Implementation of Emergency Services Jakarta Standby 112 in Fire Management implemented by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province in terms of the Target Group Understanding of the Program, the Achievement of the Program Objectives aspects, and the Program Follow-up aspects. It is recommended to continue to disseminate this Emergency Service to the public, it is necessary to increase the firm commitment of the Head of 8 SKPD related to fire management so that all units play a role in accordance with the Standard Operating Procedures (SOPs) for Fire Management and the evaluation and follow-up of program services that are held periodically 3 once a month.Keywords: Effectiveness, Emergency Services, Fire Handling


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