Critical Concepts in Disaster Medicine for Saudi Arabian Emergency Residency Programs: A Delphi Study

2019 ◽  
Vol 34 (s1) ◽  
pp. s113-s113
Author(s):  
Bader Alossaimi ◽  
Michael Molloy ◽  
Alexander Hart ◽  
Amalia Voskanyan ◽  
Ritu Sarin ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Saudi Arabia ◽  
Delphi Study ◽  
Healthcare Providers ◽  
Saudi Arabian ◽  
Disaster Medicine ◽  
Expert Consensus ◽  
System Response ◽  
Delphi Approach ◽  
Residency Curriculum

Introduction:Saudi Arabia, the largest country in the Middle East, has suffered numerous terrorist attacks and is the location of Hajj, one of the world’s largest annual mass gatherings. Healthcare providers’ pre-incident knowledge and understanding of basic disaster medicine (DM) concepts are crucial for a unified and effective health-system response. Introducing healthcare providers to best practices is a stated vision of the Saudi Commission for Health Specialties. Standardizing DM curriculum taught to physicians during their residency training will assist this goal.Aim:To produce expert consensus on the most critical DM topics for the residency curriculum in emergency medicine (EM) in the Kingdom of Saudi Arabia.Methods:Utilizing a Delphi approach, a panel of Saudi Arabian experts in DM and EM residency directors were surveyed regarding potential DM topics for EM residency curricula. The first round comprised of open-ended questions seeking lists of suggested DM curriculum topics. In subsequent rounds, each participant received a questionnaire asking them to review the items contributed in the first round, summarized by the investigation team. The participants rated each item on a five-point Likert Scale to establish preliminary priorities and added their comments. In further rounds, participants reviewed and prioritized subjects until they reached a consensus of >=80%.Results:The study is ongoing and full data will be available in the new year.Discussion:This expert consensus from major stakeholders can be used to improve the foundation of the DM curriculum. The Delphi Method gives an evidence-based approach to identification and prioritization of subjects, which should be integrated within the Saudi Arabian Emergency Medicine Residency Curriculum. It also can be used as a cornerstone for implementation in other medical education programs across the Kingdom in the future.

Ascertaining top evidence in emergency medicine: A modified Delphi study

CJEM ◽  
2018 ◽  
Vol 21 (2) ◽  
pp. 291-295 ◽  
Author(s):  
Stephanie J. Bazak ◽  
Jonathan Sherbino ◽  
Suneel Upadhye ◽  
Teresa Chan
Keyword(s):  
Emergency Medicine ◽  
Delphi Study ◽  
Expert Consensus ◽  
Junior Resident ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Quality Of Patient Care ◽  
Transition Into Practice ◽  
Junior Residents

AbstractObjectivesThe application of evidence-informed practice in emergency medicine (EM) is critical to improve the quality of patient care. EM is a specialty with a broad knowledge base making it daunting for a junior resident to know where to begin the acquisition of evidence-based knowledge. Our study’s objective was to formulate a list of “top papers” in the field of EM using a Delphi approach to achieve an expert consensus.MethodsParticipants were recruited from all 14 specialty EM programs across Canada by a nomination process by the program directors. The modified Delphi survey consisted of three study rounds, each round sent out via email. The study tool was piloted first with McMaster University’s specialty EM residents. During the first round, participants individually listed top papers relevant to EM. During the two subsequent rounds, participants ranked the papers listed in the first round, with a chance to adjust ranking based on group responses.ResultsA total of eight EM specialty programs responded with 30 responses across the three rounds. There were 119 studies suggested in the first round, and, by the third round, a consensus of>70% agreement was reached to generate the final list of 29 studies.ConclusionsWe produced, via an expert consensus, a list of top studies relevant for Canadian EM physicians in training. It can be used as an educational resource for junior residents as they transition into practice.

scholarly journals (P2-90) Modified Delphi Study to Determine Optimal Data Elements for Inclusion in an Emergency Management Database System

2011 ◽  
Vol 26 (S1) ◽  
pp. s165-s166
Author(s):  
A. Jabar ◽  
A. Rüter ◽  
L.A. Wallis
Keyword(s):  
South Africa ◽  
Emergency Medicine ◽  
Emergency Management ◽  
Delphi Study ◽  
Trauma Surgery ◽  
Database System ◽  
Disaster Medicine ◽  
Institutional Capacity ◽  
Western Cape ◽  
Management Database

TopicInformation and communication technology (ICT).ObjectivesICT are introduced into organizations with the goals of managing resources, increasing efficiency and work productivity and reducing workload. In the context of developing countries, these goals are accentuated given the existing conditions. The aim of this study was to identify hospital institutional capacity indicators to provide recommendations to an emergency management database system operating in the Western Cape province of South Africa as http://hospitalbedbureau.co.za/.MethodologyA two round modified Expert Delphi study was conducted by email. A panel of 16 experts drawn from the fields of emergency medicine, critical care, trauma surgery and disaster medicine were consulted. Participants were initially asked to propose hospital institutional capacity indicators that warranted inclusion in the emergency management database system currently operating in Cape Town, South Africa. In the second round these proposals were collated and scored using a 7 point Likert scale. Areas that did not reach consensus in the Delphi study will be presented as synopsis statements for discussion at the Emergency Medicine Symposium hosted by the department of Accident and Emergency Western Cape.ResultsRound 1 comprised 237 statements. Consensus was defined a priori to be > 80%. A total of 52 of 237 statements had reached consensus upon completion of the Delphi study. This represented 21.9% of the total number of statements. Of these 20 reached consensus at > 90% and 32 reached consensus at > 80%.ConclusionThe use of a Delphi study achieved consensus in aspects of hospital institutional capacity that can be translated into practical recommendations for implementation by the local emergency management database system. Additionally, areas of non-consensus have been identified where further work is required.

scholarly journals Identifying the Potential of RFID in Disaster Healthcare: An International Delphi Study

Electronics ◽  
2021 ◽  
Vol 10 (21) ◽  
pp. 2621
Author(s):  
Samaneh Madanian ◽  
Dave Parry
Keyword(s):  
Disaster Management ◽  
Delphi Study ◽  
Disaster Medicine ◽  
Barriers To Adoption ◽  
Privacy And Security ◽  
Delphi Approach ◽  
Mainstream Healthcare ◽  
Health Related ◽  
Response And Recovery ◽  
Rfid Applications

Mainstream healthcare has been facing numerous challenges, and it is expected to see that these challenges become more severe and frequent when healthcare is dealing with disasters. This points to the necessity of utilising technologies to support healthcare and disaster managers in making quality decisions during chaotic and rapidly changing conditions in disaster situations. Therefore, in this research, the objective is to identify the role of RFID technology in healthcare-related activities before, during, and after disasters in terms of application areas and phases of the disaster management cycle (DMC). A Delphi approach was used in this research. Two rounds of questionnaires were administered to a panel of experts to evaluate the actual and potential use of RFID applications for healthcare within DMC. The Delphi participants were the field experts in the areas of disaster management, disaster medicine, and information systems. Based on the Delphi results, RFID applications were seen to be most useful in the response and recovery phases of disasters. RFID was seen as being most helpful for health-related supply management and casualty information. There were concerns that privacy and security may be barriers to adoption and use. Other applications identified by this study include identifying and tracking medical resources (including clinicians and first responders) and their accurate coordination in the response missions, determining idle resources, and maximising their utilisation during response activities. In this research, 35 potential scenarios of RFID applications for healthcare purposes within DMC and Disaster e-Health (DEH) were evaluated with the Delphi participants. RFID technologies could play an important role in DMC and DEH to provide more reliable and timely information to support healthcare during disasters. Based on the research results, managing the supply chain emerged as a major RFID application for supporting disaster healthcare.

scholarly journals A European Research Agenda for Geriatric Emergency Medicine: a modified Delphi study

2020 ◽  
Author(s):  
Simon P. Mooijaart ◽  
Christian H. Nickel ◽  
Simon P. Conroy ◽  
Jacinta A. Lucke ◽  
Lisa S. van Tol ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Delphi Study ◽  
Research Agenda ◽  
Online Survey ◽  
Future Research ◽  
European Research ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Research Questions ◽  
Geriatric Emergency Medicine

Abstract Purpose Geriatric Emergency Medicine (GEM) focuses on delivering optimal care to (sub)acutely ill older people. This involves a multidisciplinary approach throughout the whole healthcare chain. However, the underpinning evidence base is weak and it is unclear which research questions have the highest priority. The aim of this study was to provide an inventory and prioritisation of research questions among GEM professionals throughout Europe. Methods A two-stage modified Delphi approach was used. In stage 1, an online survey was administered to various professionals working in GEM both in the Emergency Department (ED) and other healthcare settings throughout Europe to make an inventory of potential research questions. In the processing phase, research questions were screened, categorised, and validated by an expert panel. Subsequently, in stage 2, remaining research questions were ranked based on relevance using a second online survey administered to the same target population, to identify the top 10 prioritised research questions. Results In response to the first survey, 145 respondents submitted 233 potential research questions. A total of 61 research questions were included in the second stage, which was completed by 176 respondents. The question with the highest priority was: Is implementation of elements of CGA (comprehensive geriatric assessment), such as screening for frailty and geriatric interventions, effective in improving outcomes for older patients in the ED? Conclusion This study presents a top 10 of high-priority research questions for a European Research Agenda for Geriatric Emergency Medicine. The list of research questions may serve as guidance for researchers, policymakers and funding bodies in prioritising future research projects.

Roads of Arabia: New finds of Aqaba amphorae in the Red Sea from a newly discovered wreck site at Jeddah/Eliza shoals

2020 ◽  
Author(s):  
Rupert Brandmeier
Keyword(s):  
Saudi Arabia ◽  
Red Sea ◽  
Saudi Arabian ◽  
Maritime Archaeology ◽  
Western Coast ◽  
Research Activities ◽  
Red Sea Coast ◽  
Insight Into ◽  
Sea Coast

This paper concerns a probable shipwreck cargo of Aqaba amphorae, which was discovered during the second season of the survey project along the Saudi Arabian coast, initiated by nautical archaeologists of Philipps-University Marburg and conducted in cooperation with members of the Saudi Commission for Tourism and Heritage in autumn 2013. Seafaring and sea trade was, according to the few ancient sources and modern research activities, a hazardous endeavor in antiquity. Transport containers like the Aqaba Amphorae played a major role in sea trade, a significant number of which have been detected on various sites along the Red Sea coast and its hinterland. The chronological classification as well as the application is far from complete, and recent archaeometrical investigations help to clarify the logistical aspects of manufacturing and distribution of Aqaba amphorae. Finding a number of remains of Aqaba amphorae at a supposed shipwreck site close to Jeddah delivers new insight into the maritime routes and activities along the western coast of Saudi Arabia. The documentary material currently available is the baseline for further research in the field of maritime archaeology as it pertains to trade in the Red Sea.

Fact file 1: Critical care and emergency medicine

2017 ◽  
Author(s):  
Daisy Fancourt
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Sports Medicine ◽  
Orthopaedic Surgery ◽  
Extreme Environment ◽  
Disaster Medicine ◽  
Medical Attention ◽  
Life Threatening ◽  
Medical Disciplines ◽  
The Brain

Emergency medicine involves the care of patients who require immediate medical attention. The specialty encompasses a broad range of medical disciplines, including anaesthesia, cardiology (a field related to the heart), neurology (a field related to the brain), plastic surgery, orthopaedic surgery (surgery relating to the bones or muscles), and cardiothoracic surgery (surgery relating to the heart, chest, or lungs). There are also a number of subspecialties including extreme environment medicine, disaster medicine and sports medicine. Related to emergency medicine is the specialty of critical care medicine, which is concerned with the care of patients with life-threatening conditions often treated in intensive care settings....

scholarly journals A consensus approach toward the standardization of spinal stiffness measurement using a loaded rolling wheel device: results of a Delphi study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Maliheh Hadizadeh ◽  
Greg Kawchuk ◽  
Simon French
Keyword(s):  
Delphi Study ◽  
Best Practice ◽  
Standard Protocol ◽  
Research Experience ◽  
Multicenter Studies ◽  
Stiffness Measurement ◽  
Delphi Approach ◽  
Spinal Stiffness ◽  
Human Participants ◽  
Rolling Wheel

Abstract Background Spinal stiffness assessment has the potential to become an important clinical measure. Various spinal stiffness-testing devices are available to help researchers objectively evaluate the spine and patient complaints. One of these is VerteTrack, a device capable of measuring posteroanterior displacement values over an entire spinal region. This study aimed to develop a best-practice protocol for evaluating spinal stiffness in human participants using VerteTrack. Methods Twenty-five individuals with research experience in measuring spinal stiffness, or who were trained in spinal stiffness measurement using the VerteTrack device, were invited to participate in this 3-Round Delphi study. Answers to open-ended questions in Round 1 were thematically analyzed and translated into statements about VerteTrack operation for spinal stiffness measurements. Participants then rated their level of agreement with these statements using a 5-point Likert scale in Rounds 2 and 3. A descriptive statistical analysis was performed. Consensus was achieved when at least 70% of the participants either strongly agreed, agreed, (or strongly disagreed, disagreed) to include a statement in the final protocol. Results Twenty participants completed Round 1 (80%). All these participants completed Rounds 2 and 3. In total, the pre-defined consensus threshold was reached for 67.2% (123/183) of statements after three rounds of surveys. From this, a best-practice protocol was created. Conclusions Using a Delphi approach, a consensus-based protocol for measuring spinal stiffness using the VerteTrack was developed. This standard protocol will help to improve the accuracy, efficiency, and safety of spinal stiffness measurements, facilitate the training of new operators, increase consistency of these measurements in multicenter studies, and provide the synergy and potential for data comparison between spine studies internationally. Although specific to VerteTrack, the resulting standard protocol could be modified for use with other devices designed to collect spinal stiffness measures.

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