scholarly journals Engaging Active Bystanders in Mass Casualty Events and Other Life-Threatening Emergencies: A Pilot Training Course Demonstration

2016 ◽  
Vol 10 (2) ◽  
pp. 286-292 ◽  
Author(s):  
Tracey O. Smith ◽  
Susan D. Baker ◽  
Kathryn Roberts ◽  
Skip A. Payne
Keyword(s):  
Critical Role ◽  
First Aid ◽  
Mass Casualty ◽  
Pilot Training ◽  
Loss Of Life ◽  
The Public ◽  
Training Course ◽  
Mass Casualty Events ◽  
Life Threatening ◽  
Serious Injuries

AbstractEmerging research indicates the critical role members of the public can play in saving lives and reducing morbidity at the scene in the immediate aftermath of a disaster. It is anticipated that with training, more members of the public will be ready and able to assist should they be present at mass casualty events or other circumstances in which there are serious injuries or potential loss of life. This article describes a training course developed by multiple federal and nonfederal partners aimed at preparing the public to become “active bystanders” followed by a pilot demonstration project conducted by Medical Reserve Corps Units. The outcomes of the project indicated that the training was comprehensive and appropriate for members of the public with little or no first aid knowledge. National availability of the “Becoming an Active Bystander” training course is currently being planned. (Disaster Med Public Health Preparedness. 2016;10:286–292).

Empowering the Public to Improve Survival in Mass Casualty Events

2016 ◽  
Vol 263 (5) ◽  
pp. 860-861 ◽  
Author(s):  
Lenworth M. Jacobs ◽  
Andrew L. Warshaw ◽  
Karyl J. Burns
Keyword(s):  
Mass Casualty ◽  
The Public ◽  
Mass Casualty Events

scholarly journals Prehospital Tourniquets in Civilians: A Systematic Review

2020 ◽  
pp. 1-9
Author(s):  
Kenneth A. Eilertsen ◽  
Morten Winberg ◽  
Elisabeth Jeppesen ◽  
Gyri Hval ◽  
Torben Wisborg
Keyword(s):  
Blood Transfusion ◽  
Adverse Effects ◽  
Current Knowledge ◽  
Mass Casualty ◽  
Cochrane Library ◽  
Mass Casualty Events ◽  
Life Threatening ◽  
Secondary Outcomes ◽  
Meta Analyses ◽  
Without Tourniquet

Abstract Objectives: Terrorist attacks and civilian mass-casualty events are frequent, and some countries have implemented tourniquet use for uncontrollable extremity bleeding in civilian settings. The aim of this study was to summarize current knowledge on the use of prehospital tourniquets to assess whether their use increases the survival rate in civilian patients with life-threatening hemorrhages from the extremities. Design: Systematic literature review in Medline (Ovid), Embase (Ovid), Cochrane Library, and Epistemonikos was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. The search was performed in January 2019. Setting: All types of studies that examined use of tourniquets in a prehospital setting published after January 1, 2000 were included. Primary/Secondary Outcomes: The primary outcome was mortality with and without tourniquet, while adverse effects of tourniquet use were secondary outcomes. Results: Among 3,460 screened records, 55 studies were identified as relevant. The studies were highly heterogeneous with low quality of evidence. Most studies reported increased survival in the tourniquet group, but few had relevant comparators, and the survival benefit was difficult to estimate. Most studies reported a reduced need for blood transfusion, with few and mainly transient adverse effects from tourniquet use. Conclusion: Despite relatively low evidence, the studies consistently suggested that the use of commercial tourniquets in a civilian setting to control life-threatening extremity hemorrhage seemed to be associated with improved survival, reduced need for blood transfusion, and few and transient adverse effects.

Early Diagnosis and Intervention in Mass Casualty Events

2008 ◽  
Author(s):  
Ilan Kutz ◽  
Rachel Dekel ◽  
Shaul Schreiber ◽  
Victor Resnick ◽  
Ornah T. Dolberg ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Mass Casualty ◽  
Mass Casualty Events

scholarly journals Profile of Organophosphorus Poisoning

KYAMC Journal ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 133-135
Author(s):  
Joya Debnath ◽  
Arpan Kumar Basak ◽  
Md Zubaidur Rahman ◽  
Anujit Saha
Keyword(s):  
Organophosphorus Compound ◽  
Economic Status ◽  
Frequency Pattern ◽  
Major Health Problem ◽  
Major Health ◽  
The Public ◽  
Medical College ◽  
Phosphorus Poisoning ◽  
Life Threatening ◽  
The Government

Background : Self poisoning with organophosphate pesticides is a major health problem in world wide. Organophosphorus compound poisoning is a very common toxicological emergency encountered at Mirzapur in Tangail. It is particularly common among the rural agricultural worker's which comprise a substantial group of the population of this region.Objective: The objective of this study was to find out the incidence, frequency, pattern of poisoning, outcome and aetiological aspect of Organo phosphorus poisoning patient admitted in Kumudini Women's Medical college Hospital.Methods: A total 366 cases of OPC poisoning were analysed during 1 year from January 2015 to December 2015. The emphasis was given on age, sex, socio-economic status, occupation, motive of poisoning, types of compound consumed its quality, place, distance from referral place and the ultimate outcome.Results: Young population of rural background, particularly agricultural workers were the commonest patients (51.91%). The most common motive of poisoning was with a suicidal intent, both in males (27.59%) and females (66.39%). Financial crisis was one of the most common reasons analysed as the motive behind the poisoning (54.20%). Three hundred forty four Patients recovered and 22 were expired. The major cause of death in these cases was respiratory failure followed by multi-organ failure.Conclusion : Strict of the pesticide act and involving a new policy by the government to educate the public and youth in large about the dangerous, life threatening effects of Organophosphorus compound could help amelerioating the harmful effects of such poisoning.KYAMC Journal Vol. 9, No.-3, October 2018, Page 133-135

scholarly journals Structure, Function, and Regulation of the Essential Virulence Factor Capsular Polysaccharide of Vibrio vulnificus

2020 ◽  
Vol 21 (9) ◽  
pp. 3259 ◽  
Author(s):  
Gregg S. Pettis ◽  
Aheli S. Mukerji
Keyword(s):  
Coastal Waters ◽  
Capsular Polysaccharide ◽  
Vibrio Vulnificus ◽  
Critical Role ◽  
Phase Variation ◽  
Innate Immune ◽  
Repeat Sequences ◽  
Life Threatening ◽  
Inflammatory Cytokine Response ◽  
Group 1

Vibrio vulnificus populates coastal waters around the world, where it exists freely or becomes concentrated in filter feeding mollusks. It also causes rapid and life-threatening sepsis and wound infections in humans. Of its many virulence factors, it is the V. vulnificus capsule, composed of capsular polysaccharide (CPS), that plays a critical role in evasion of the host innate immune system by conferring antiphagocytic ability and resistance to complement-mediated killing. CPS may also provoke a portion of the host inflammatory cytokine response to this bacterium. CPS production is biochemically and genetically diverse among strains of V. vulnificus, and the carbohydrate diversity of CPS is likely affected by horizontal gene transfer events that result in new combinations of biosynthetic genes. Phase variation between virulent encapsulated opaque colonial variants and attenuated translucent colonial variants, which have little or no CPS, is a common phenotype among strains of this species. One mechanism for generating acapsular variants likely involves homologous recombination between repeat sequences flanking the wzb phosphatase gene within the Group 1 CPS biosynthetic and transport operon. A considerable number of environmental, genetic, and regulatory factors have now been identified that affect CPS gene expression and CPS production in this pathogen.

scholarly journals Attitudes and willingness toward out-of-hospital cardiopulmonary resuscitation: a questionnaire study among the public trained online in China

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038712
Author(s):  
Yi Jiang ◽  
Bangsheng Wu ◽  
Long Long ◽  
Jiaxing Li ◽  
Xiaoqing Jin
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Disease Transmission ◽  
Public Attitudes ◽  
Online Training ◽  
First Aid ◽  
The Public ◽  
Close Family Member ◽  
Positive Attitudes ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Cpr Training

ObjectivesThe incidence of bystander cardiopulmonary resuscitation (CPR) is low in China. CPR training could improve public attitudes and willingness, but at present, the attitudes of the public after online training are unclear. This study investigated individual attitudes towards CPR, the willingness to perform it in emergencies along with the main obstacles and the overall effects of online training.DesignQuestionnaires were distributed to investigate the public attitudes and willingness towards performing bystander CPR.SettingQuestionnaires were accessible after the online course ‘First Aid’.Participants1888 students who attended ‘First Aid’ from December 2019 to 1 January 2020 and then completed the questionnaire voluntarily.ResultsThe majority understood CPR (96.7%) and displayed a willingness to learn (98.4%) and to disseminate CPR knowledge (82.0%). Characteristics associated with more positive attitudes included women, the 26–35-year olds and those in medical-related occupations (p<0.05). Only 34.8% had CPR training before. Most people would willingly perform CPR on a close family member. Compared with the standard CPR (S-CPR), the public preferred chest compression-only CPR (CO-CPR) (p<0.01). The top three obstacles to performing CO-CPR were lack of confidence (26.7%), fear of harming the victim (23.4%) and causing legal trouble (20.7%), while regarding S-CPR, fear of disease transmission (22.9%) ranked second. Women, those in poor health and in medical-related occupations, were more likely to perform CPR (p<0.05). The confidence to perform CPR was improved remarkably after online training (p<0.05).ConclusionsThe overwhelming majority of respondents showed positive attitudes and willingness towards CPR. In some cases, there is still reluctance, especially towards S-CPR. Obstacles arise mainly due to lack of confidence in administering CPR, while online CPR training can markedly improve it. Therefore, we should focus on disseminating CPR knowledge, targeting those who are less willing to perform CPR and helping overcome their obstacles by online training.

A Model of Monitoring as Sensemaking: Application to Flight Path Management and Pilot Training

2020 ◽  
Vol 64 (1) ◽  
pp. 244-248
Author(s):  
Dorrit Billman ◽  
Randall Mumaw ◽  
Michael Feary
Keyword(s):  
Supervisory Control ◽  
Critical Role ◽  
Situation Model ◽  
Flight Path ◽  
Pilot Training ◽  
Critical Part ◽  
Current State ◽  
Strategic Regulation ◽  
Scan Pattern ◽  
Flight Deck

Monitoring is a critical part of supervisory control and plays a critical role on the flight deck. Monitoring the flight path is critical to aviation safety. Recently, there has been interest in improving training of monitoring. We propose a model of expert monitoring that can serve as the basis for training. We claim that effective monitoring is much more than a scan pattern or where eyes point. In aviation, monitoring is centered around the pilot’s Situation Model, which integrates and represents the pilot’s knowledge from mental models in memory with observations about the current state. Effective monitoring is a cycle of posing a monitoring question, identifying how to gather the evidence needed to answer the question, and assessing implications for action. These processes may be fluent or effortful but depend on strategic regulation. We step through implications of our model for training.

scholarly journals Adapting harm reduction services during COVID-19: lessons from the supervised injecting facilities in Australia

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Amanda Roxburgh ◽  
Marianne Jauncey ◽  
Carolyn Day ◽  
Mark Bartlett ◽  
Shelley Cogger ◽  
...  
Keyword(s):  
Service Provision ◽  
People Who Inject Drugs ◽  
Health Service Provision ◽  
Loss Of Life ◽  
The Public ◽  
Individual Health ◽  
The North ◽  
Client Group ◽  
Supervised Injecting Facilities ◽  
Potential Risks

AbstractThe COVID-19 crisis has had profound impacts on health service provision, particularly those providing client facing services. Supervised injecting facilities and drug consumption rooms across the world have been particularly challenged during the pandemic, as have their client group—people who consume drugs. Several services across Europe and North America closed due to difficulties complying with physical distancing requirements. In contrast, the two supervised injecting facilities in Australia (the Uniting Medically Supervised Injecting Centre—MSIC—in Sydney and the North Richmond Community Health Medically Supervised Injecting Room—MSIR—in Melbourne) remained open (as at the time of writing—December 2020). Both services have implemented a comprehensive range of strategies to continue providing safer injecting spaces as well as communicating crucial health information and facilitating access to ancillary services (such as accommodation) and drug treatment for their clients. This paper documents these strategies and the challenges both services are facing during the pandemic. Remaining open poses potential risks relating to COVID-19 transmission for both staff and clients. However, given the harms associated with closing these services, which include the potential loss of life from injecting in unsafe/unsupervised environments, the public and individual health benefits of remaining open are greater. Both services are deemed ‘essential health services’, and their continued operation has important benefits for people who inject drugs in Sydney and Melbourne.

Implementation of a Dual-Frequency GLONASS and GPS L1 C/A Software Receiver

2010 ◽  
Vol 63 (2) ◽  
pp. 269-287 ◽  
Author(s):  
S. Abbasian Nik ◽  
M. G. Petovello
Keyword(s):  
Global Navigation Satellite System ◽  
Critical Role ◽  
Satellite System ◽  
Navigation Satellite ◽  
Dual Frequency ◽  
Software Receiver ◽  
The Public ◽  
Global Navigation ◽  
Global Navigation Satellite

These days, Global Navigation Satellite System (GNSS) technology plays a critical role in positioning and navigation applications. Use of GNSS is becoming more of a need to the public. Therefore, much effort is needed to make the civilian part of the system more accurate, reliable and available, especially for the safety-of-life purposes. With the recent revitalization of Russian Global Navigation Satellite System (GLONASS), with a constellation of 20 satellites in August 2009 and the promise of 24 satellites by 2010, it is worthwhile concentrating on the GLONASS system as a method of GPS augmentation to achieve more reliable and accurate navigation solutions.

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