scholarly journals Research on the Design of a Training Course for an International Emergency Medical Team

2019 ◽  
Vol 34 (s1) ◽  
pp. s25-s26
Author(s):  
Hai Hu
Keyword(s):  
Knowledge Structure ◽  
Evaluation Methods ◽  
Disaster Medicine ◽  
World Health ◽  
Analytic Hierarchy ◽  
Chi Square ◽  
Training Course ◽  
Emergency Medical ◽  
Lecture Demonstration ◽  
Medical Teams

Introduction:Currently, Technical Advisors of the World Health Organization’s (WHO) Emergency Medical Teams (EMT) Secretariat are conducting standardized verification work for international emergency medical teams in various countries and organizations. However, a uniform and standard training course for an International EMT is lacking.Aim:To design a training course model based on knowledge structure, teaching, and evaluation methods for an International EMT.Methods:The first and second level catalogue defined as chapters and sections for the International EMT training curriculum were drafted based on literature and summaries of fragmentary experience. The teaching syllabus with the method of teaching and evaluation was initially outlined. The expert consultation form was designed and validated. Experts from International EMTs from various countries were consulted and investigated. The Delphi method was used, and the chapters and sections were adjusted and weighed according to experts’ advice through the Analytic Hierarchy Process. The teaching and evaluation methods for each knowledge module were obtained based on suggestions from experts.Results:A total of 25 experts were consulted. By 2 rounds of consultation with a Kendall coordination coefficient W value of 0.210 and chi-square value of 78.61 (p<0.05), consensus about the knowledge structure for the curriculum was achieved, which consisted of 6 chapters: (1) introduction of International EMT, (2) Disaster medicine, (3) Global health, (4) Care in austere condition, (5) Medical technology, (6) Field training, with the weights of 0.1415, 0.1584, 0.1536, 0.1827, 0.1728, and 0.1909, respectively, and 32 sections. Teaching methods for different knowledge modules were determined, which included lecture, demonstration, discussion, drills, and tabletop simulation. The evaluation methods were affirmed via a quiz, written examination, skill test, and teamwork test assessed by intra-group and inter-group evaluation.Discussions:Through scientific investigation of experts from International EMTs, a training course model for International EMT was established.

scholarly journals Research on Design of a Disaster Medicine Course for Clinical Medical Student

2019 ◽  
Vol 34 (s1) ◽  
pp. s164-s164
Author(s):  
Zhi Wan ◽  
Hai Hu
Keyword(s):  
Medical School ◽  
Clinical Medicine ◽  
Medical Knowledge ◽  
Knowledge Structure ◽  
Evaluation Methods ◽  
Disaster Medicine ◽  
Analytic Hierarchy ◽  
Chi Square ◽  
Incident Command ◽  
Lecture Demonstration

Introduction:Currently, there is no uniform and standard disaster medicine course for students in medical school.Aim:To design a disaster medicine course model based on knowledge structure, teaching and evaluation methods according to experts’ advice and interest of undergraduates majoring in clinical medicine.Methods:The first and second level catalog defined as chapters and sections for the disaster medicine curriculum were drafted based on literature and summary of fragmentary experience. The teaching syllabus with methods of teaching and evaluation was initially outlined. The expert consultation form and student questionnaire were designed and validated. Experts in disaster medicine in China were consulted and students in our medical school were investigated. Delphi Methods was used and the chapters and sections were adjusted and weighed according to experts’ advice through the Analytic Hierarchy Process. The teaching and evaluation methods for each knowledge module were obtained based on suggestions from experts and students.Results:A total of 31 experts were consulted. 320 students were inquired. By two rounds of consultation with Kendall coordination coefficient W value 0.207, chi-square value 128.781(p=0.01), consensus about the knowledge structure for the curriculum were achieved, which consisted of 6 chapters (as Introduction to disaster medicine, incident command, medical knowledge and skills in disaster, public health, ethics in disaster, information management, with the weights of 0.1486, 0.1999, 0.4209, 0.0785, 0.0748, 0.0774 respectively)and 25 sections. Teaching methods for different knowledge module were determined, which included lecture, demonstration, case discussion, drill and sand table simulation. And the evaluation methods were affirmed as a quiz, written examination, skill test and teamwork test assessed by intra-group and inter-group evaluation.Discussion:Through scientific investigation of experts in disaster rescue and undergraduates majoring in clinical medicine, a disaster medicine course model for clinical medical students was established.

International Emergency Medical Teams in the Aftermath of the 2015 Nepal Earthquake

2019 ◽  
Vol 34 (03) ◽  
pp. 260-264 ◽  
Author(s):  
Nieves Amat Camacho ◽  
Khem Karki ◽  
Shiva Subedi ◽  
Johan von Schreeb
Keyword(s):  
Web Sites ◽  
Focal Point ◽  
Study Data ◽  
World Health ◽  
Type I ◽  
Nepal Earthquake ◽  
Patient Admissions ◽  
Emergency Medical ◽  
Medical Teams ◽  
2015 Nepal Earthquake

AbstractIntroduction:International Emergency Medical Teams’ (I-EMTs) response to disasters has been characterized by a late arrival, an over-focus on trauma care, and a lack of coordination and accountability mechanisms. Analysis of I-EMT performance in past and upcoming disasters is deemed necessary to improve future response.Objective:This study aimed to describe the characteristics, timing, and activities of I-EMTs deployed to the 2015 Nepal earthquake, and to assess their registration and adherence to the World Health Organization Emergency Medical Teams’ (WHO-EMT; Geneva, Switzerland) minimum standards compared to past disasters.Methods:An online literature search was performed and key web sites related to I-EMT deployments were purposively examined. The methodology used is reported following the STARLITE principles. All articles and documents in English containing information about characteristics, timing, and activities of I-EMTs during Nepal 2015 were included in the study. Data were retrieved from selected sources to compile the results following a systematic approach. The findings were validated by the Nepalese focal point for the coordination of I-EMTs after the earthquake.Results:Overall, 137 I-EMTs deployed from 36 countries. They were classified as Type I (65%), Type II (15%), Type III (1%), and specialized cells (19%). Although national teams remained the first responders, two regional I-EMTs arrived within the first 24 hours post-earthquake. According to daily reporting, the activities performed by I-EMTs included 28,372 out-patient consultations (comprising 6,073 trauma cases); 1,499 in-patient admissions; and 440 major surgeries. The activities reported by I-EMTs during their deployment were significantly lower than the capacities they offered at arrival. Over 80% of I-EMTs registered through WHO or national registration mechanisms, but daily reporting of activities by I-EMTs was low. The adherence of I-EMTs to WHO-EMT standards could not be assessed due to lack of data.Conclusion:The I-EMT response to the Nepal earthquake was quicker than in previous disasters, and registration and follow-up of I-EMTs was better. Still, there is need to improve I-EMT coordination, reporting, and quality assurance while strengthening national EMT capacity.Amat Camacho N, Karki K, Subedi S, von Schreeb J. International Emergency Medical Teams in the aftermath of the 2015 Nepal earthquake. Prehosp Disaster Med. 2019;34(3):260–264.

scholarly journals Providing Emergency Medical Care at the Prehospital Stage to Patients With Acute Myocardial Infarction and Acute Ischemic Stroke in Moscow: the Role of the Aviation Medical Teams of the Emergency Medical Care Center (Territorial Center of Disaster Medicine)

2021 ◽  
Vol 10 (1) ◽  
pp. 161-167
Author(s):  
S. A. Gumenyuk ◽  
A. M. Shchikota ◽  
I. V. Pogonchenkova
Keyword(s):  
Cardiovascular Diseases ◽  
Medical Care ◽  
Care Center ◽  
Disaster Medicine ◽  
Emergency Medical Care ◽  
Duration Of Treatment ◽  
Heart Attacks ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Medical Teams

The increase in the number of patients with complications of cardiovascular diseases and the need for early diagnosis of such complications and the early initiation of treatment already at the prehospital stage leads to an increasing  need for more frequent use of helicopter medical equipment, as well as for equipping aviation medical teams with highly qualified specialists. The  formation of a network of vascular invasive centers in the Moscow region,  modern equipment and its use in air ambulance conditions require constant improvement of skills among medical workers. All this undoubtedly leads to positive results, the mortality rate from heart attacks and strokes decreases, the duration of treatment and the period of rehabilitation of patients are  reduced. It should be noted that even 10 years ago, medical helicopters were used in the elimination of medical consequences in road accidents, fires and emergencies. Today, aviation medical teams are involved in more than 50% of cases with cardiovascular diseases, which undoubtedly speaks of the  prospects for the development of medical aviation in large cities.

International Emergency Medical Teams Training Workshop Special Report

2018 ◽  
Vol 33 (3) ◽  
pp. 335-338 ◽  
Author(s):  
Anthony Albina ◽  
Laura Archer ◽  
Marlène Boivin ◽  
Hilarie Cranmer ◽  
Kirsten Johnson ◽  
...  
Keyword(s):  
Training Programs ◽  
World Health ◽  
Training Workshop ◽  
Special Report ◽  
Publication Type ◽  
Field Hospital ◽  
Emergency Medical ◽  
The World ◽  
The Future ◽  
Medical Teams

AbstractThe World Health Organization’s (WHO; Geneva, Switzerland) Emergency Medical Team (EMT) Initiative created guidelines which define the basic procedures to be followed by personnel and teams, as well as the critical points to discuss before deploying a field hospital. However, to date, there is no formal standardized training program established for EMTs before deployment. Recognizing that the World Association of Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) Congress brings together a diverse group of key stakeholders, a pre-Congress workshop was organized to seek out collective expertise and to identify key EMT training competencies for the future development of training programs and protocols. The future of EMT training should include standardization of curriculum and the recognition or accreditation of selected training programs. The outputs of this pre-WADEM Congress workshop provide an initial contribution to the EMT Training Working Group, as this group works on mapping training, competencies, and curriculum. Common EMT training themes that were identified as fundamental during the pre-Congress workshop include: the ability to adapt one’s professional skills to low-resource settings; context-specific training, including the ability to serve the needs of the affected population in natural disasters; training together as a multi-disciplinary EMT prior to deployment; and the value of simulation in training.AlbinaA, ArcherL, BoivinM, CranmerH, JohnsonK, KrishnarajG, ManeshiA, OddyL, Redwood-CampbellL, RussellR. International Emergency Medical Teams training workshop special report. Prehosp Disaster Med. 2018;33(3):335–338.

scholarly journals Emergency Medical Teams in ASEAN Region - Challenges for Global EMT Classification

2019 ◽  
Vol 34 (s1) ◽  
pp. s24-s25
Author(s):  
Soichiro Kai
Keyword(s):  
Quality Assurance ◽  
Focal Point ◽  
World Health ◽  
Quality Assurance Program ◽  
Self Assessment ◽  
Inhibitory Factors ◽  
Emergency Medical ◽  
The World ◽  
Global Classification ◽  
Medical Teams

Introduction:Quality assurance of Emergency Medical Teams (EMTs) is a world concern. The World Health Organization (WHO) published an international guideline for EMTs in 2013 and started the global EMT classification, a quality assurance program for EMTs, in 2015. There are 16 classified EMTs in the world as of October 2018. The Association of Southeast Asian Nations (ASEAN) region is a disaster-prone area. Therefore, the need for EMTs is relatively high. However, there is no classified EMT in the ASEAN region. Factors that prevent the global classification of EMTs in the ASEAN region are unknown.Aim:The objective of this study was to analyze the inhibitory factors of the global EMT classification in the ASEAN region.Methods:A questionnaire survey was taken to the 10 national groups of ASEAN countries. Each group consisted of EMT-related personnel. They were 39 participants for the third AMS Training of the ARCH Project held in May 2018. 10 national groups were asked to answer whether governmental EMT of their country is able to meet the criteria for the EMT global classification. The criteria were written in the WHO-provided minimum standard self-assessment checklist for the Type 1 fixed EMT.Results:Among 39 categories in the self-assessment checklist, 5 were the most difficult categories to meet the criteria: [Core Standards] Self-sufficiency, Sanitation, and Waste Management; Indemnity and Malpractice; [Technical Standards] Logistics; EMT Capacity.Discussion:There are some limitations to the study. Non-governmental EMTs were not covered. Participants of the training were not at the official EMT focal point for the global EMT classification. Logistical requirements may be inhibitory factors of the global EMT classification in the ASEAN region.

scholarly journals The 14th Asia Pacific Conference on Disaster Medicine in Kobe, Japan: A Brief Overview and a Proposal

2019 ◽  
Vol 34 (s1) ◽  
pp. s98-s99
Author(s):  
Shinichi Nakayama ◽  
Takashi Ukai ◽  
Shuichi Kozawa ◽  
Tetsunori Kawase ◽  
Satoshi Ishihara ◽  
...  
Keyword(s):  
Disaster Management ◽  
Disaster Preparedness ◽  
Medical Information ◽  
Disaster Medicine ◽  
World Health ◽  
Asia Pacific ◽  
Medical Information System ◽  
Main Theme ◽  
Emergency Medical ◽  
Hanshin Earthquake

Introduction:The Asia Pacific Conference on Disaster Medicine (APCDM) started in 1988 in Osaka, Japan, and the 14th conference was held from October 16-182, 2018, in Kobe.Aim:To give a rundown of the 14th APCDM and a proposal for WADEM.Methods:Retrospective analysis of participants, the category of presentations, and deliverables.Results:With “Building Bridges for Disaster Preparedness and Response” as its main theme, the 14th APCDM was held near the epicenter of the 1995 Great Hanshin Earthquake in Kobe. The total number of participants was 524 from 35 countries, not only from Asia and the Pacific but also Europe and the Americas. Its program had 10 lectures by distinguished speakers such as WADEM Board members and WHO (World Health Organization), four symposia, two panel, oral and 99 poster presentations. “Preparedness” and “Education and Training” were the categories with the largest number of presentations. The presidential lecture outlined improvements made in Japan since the Great Hanshin Earthquake (disaster base hospitals, disaster medical assistance teams, emergency medical information system, and disaster medical coordinators) and emphasized the importance of standardizing components for better disaster management. This idea was echoed in symposia and round-table discussions, where experts from WHO, JICA (Japan International Cooperation Agency), and ASEAN (The Association of Southeast Asian Nations) countries discussed other components such as SPEED (Surveillance in Post Extreme Emergency and Disasters) and standardization of Emergency Medical Teams.Discussion:Each country in the disaster-prone Asia-Pacific region has a different disaster management system. However, participants agreed in this conference that we can cope with disasters more efficiently by sharing the standardized components, from both academic and practical points of view. APCDM must provide these deliverables to WADEM, so both conferences can cooperate and contribute to disaster preparedness and prevention in the new era.

Experience of air medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for 2015—2019

2020 ◽  
pp. 60-68
Author(s):  
S. A. Gumenyuk ◽  
S. A. Fedotov ◽  
V. I. Potapov ◽  
A. Yu. Sysoev
Keyword(s):  
Medical Care ◽  
Health Department ◽  
Disaster Medicine ◽  
Emergency Medical Care ◽  
Emergency Situations ◽  
The Past ◽  
Emergency Medical ◽  
Moscow City ◽  
Medical Teams ◽  
The City

Relevance. Due to busy roads of large cities and the resulting slow movement of ambulances with severely affected patients in need of specialized emergency care, new organizational technologies for medical evacuation support as well as modern means of transporting patients to qualified hospitals are required.Intention is to analyze activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care in Moscow in 2015-2019.Methodology. Using the automated information-analytical system “Disaster Medicine of the Moscow City”, activities of aviation medical teams over the last 5 years (2015-2019) were analyzed retrospectively in the Scientific and Practical Center of Emergency Medical Care. Ambulance helicopters are fully equipped to provide comprehensive intensive care for severely affected patients without noticeable deterioration of their condition, and utilization of this equipment was also assessed.Results and Discussion. Main stages of air ambulance formation in Moscow are described. Experience of aviation medical teams over the past 5 years in providing emergency medical care at the pre-hospital stage to those affected in emergency situations and severely ill patients is presented. The description of medical equipment of ambulance helicopters intended for providing emergency medical care to adults and children, including newborns, is given. The number of calls for aviation medical teams over the past five years is provided along with basic reasons and amount of night flights.Most often helicopters were used for transporting patients with severe concomitant and multiple injuries as a result of road accidents. Medical team composition of ambulance helicopters and the number of helipads on the territory of medical organizations of the city and the territories attached to Moscow are given.Conclusion. Based on the analysis of aviation medical teams activities, further ways to improve and develop the aviation medical service of the city of Moscow can be outlined to expand its use.

scholarly journals Interaction of aviation medical teams with ambulance, emergency medical care teams and hospitals in the management of mechanically ventilated patients

2021 ◽  
pp. 27-35
Author(s):  
S. A. Gumenyuk ◽  
G. V. Sheptunov ◽  
V. I. Potapov
Keyword(s):  
Medical Care ◽  
Full Range ◽  
Health Department ◽  
Disaster Medicine ◽  
High Tech ◽  
Emergency Medical Care ◽  
Medical Evacuation ◽  
Medical Response ◽  
Emergency Medical ◽  
Medical Teams

Relevance. Acute respiratory failure (ARF) and acute cardiopulmonary failure (ACPF) are unavoidable, and often – the leading syndromes in any critical condition, especially in case of multiple organ failure syndrome as a regular stage in the course of previously incurable conditions. Even a full range of intensive care measures in this category of patients does not always give the desired result. According to various authors, with the development of acute respiratory distress syndrome, the mortality rate reaches 80 %.Intention is to determine the role of the aviation medical teams of the emergency medical service-disaster medicine in ensuring the timely availability of high-tech methods for patients who need them, regardless of the patient’s location.Methodology. Activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for the medical evacuation of patients and victims in emergency situations with ARF and ACPF were analyzed.Results and Discussion. There were analyzed interactions of aviation medical teams with the emergency medical response units of the territorial center for disaster medicine and with medical organizations during the medical evacuation of patients with ARF and ACPF. An algorithm and a scheme of interaction between air medical teams are proposed to optimize medical evacuation of these patients.Conclusion. An analysis of the activities of air medical teams revealed their advantages in providing care for patients with ARF and ACPF.

scholarly journals CHARACTERISTICS OF THE INTERVENTION OF EMERGENCY MEDICAL TEAMS IN THE SOUTHERN PART OF POLAND IN 12-MONTH OBSERVATION

2020 ◽  
Vol 73 (8) ◽  
pp. 1632-1636
Author(s):  
Magdalena Wierzbik-Strońska ◽  
Klaudiusz Nadolny ◽  
Beniamin Oskar Grabarek ◽  
Dariusz Boroń
Keyword(s):  
Emergency Services ◽  
Medical Emergency ◽  
Chi Square ◽  
Laboratory Findings ◽  
Rescue Service ◽  
Emergency Medical ◽  
General Number ◽  
Icd 10 ◽  
Medical Teams ◽  
Medical Emergency Services

The aim: The aim of this study was to characterize the general characteristics of the completed interventions by the Voivodeship Rescue Service of Katowice in the time period from 1st January 2018 to 31 December 2018. Material and methods: Analysis of the characteristics of the trips was done based on the information contained in the dispatch order cards and medical emergency services cards. In the statistical analysis the Chi-Square (p<0.05) test was utilized. Results: The total number of interventions was 211,548 cases. It is also worth observing, that the general number of interventions out of town amounted to 20,344 interventions, whereas, in town, there were 191,204 interventions. It can be observed that the most common decision made by the Emergency Medical Team was the decision to directly transported and received by the emergency department (126,553 cases; p<0.05). The definite most common reason for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (ICD-10 code : R; p<0.05). Conclusion: The largest number of interventions completed by the Voivodeship Rescue Service in Katowice in 2018 was due to injuries and poisonings, symptoms, diseases features and incorrect results of diagnostic tests, and in third place were cardiovascular diseases.

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