scholarly journals Putting the Theoretical to Practical Use

2019 ◽  
Vol 34 (s1) ◽  
pp. s161-s161
Author(s):  
Eli Jaffe
Keyword(s):  
Medical Students ◽  
Self Efficacy ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Life And Death ◽  
Emergency Responders ◽  
Mature Students ◽  
Daunting Task ◽  
The Mean ◽  
First Time

Introduction:Managing an MCI (Mass Casualty Incident) can be a daunting task for emergency responders. Effective management can be a matter of life and death but can be directly impacted by the feelings of the incident commander.Aim:Students were trained to be incident commanders, then following the course were given a survey. In the days following the training, an MCI occurred involving a train full of passengers. The students were then given another survey to assess their readiness following the practical use of their studies.Methods:Students were given a survey to determine their mean level of confidence in managing MCIs prior to training, and following the training. Following the training, there was an increase in confidence. After the training, there was an MCI in which their theoretical knowledge was put to the test.Results:The pre-training self-efficacy mean scores of younger students (M=3.5, SD+0.23) increased after the training (M=3.8, SD+0.28) and rose even more following the presentation of the Turin train accident (M=4, SD+0.26). While a similar increase in self-efficacy was found among the more mature students post-training compared to the level prior to the training (M=3.7, SD+0.44 versus M=3.4, SD+0.56), the mean self-efficacy score of the mature students decreased following the presentation of the Turin train accident to the pre-training level (M=3.4, SD+0.51).Discussion:Mean scores of self-efficacy and confidence in managing MCIs were found to be higher among medical students that were previously trained in coping with MCIs compared to medical students who participated in such a training program for the first time.

scholarly journals Practicing What You Preach

2019 ◽  
Vol 34 (s1) ◽  
pp. s159-s159
Author(s):  
Mario Raviiolo ◽  
Eli Jaffe ◽  
Raphael Herbst
Keyword(s):  
Medical Students ◽  
Self Efficacy ◽  
Sense Of Self ◽  
Real Life ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Self Confidence ◽  
The Mean ◽  
Time Frames

Introduction:During a mass casualty incident (MCI) seminar in Rome, Italy a survey was used to gauge the self-efficacy and confidence of the participants in managing an MCI. Following the course, a follow-up presentation was held by the Torino EMS Medical Director to evaluate and debrief the Torino Railway incident that occurred one day prior. Students partook in a seminar on MCI management, as well as a debriefing of the Turin Railway accident in which they evaluated the skills used by teams on the scene to manage the incident.Methods:Medical students partook in a seminar to learn to manage an MCI scene, as well as a debriefing of the Turin Railway accident. Following both seminars, the students were given a survey to assess their sense of self-confidence in managing such a situation.Results:The mean level of self-efficacy prior to the MCI training (M=3.43, SD+0.42) increased after the training (M=3.71, SD+0.37) and remained at the same higher level (M=3.71, SD+0.51) after the medical students were exposed to the details of the Turin train accident. The overall difference between the mean self-efficacy scores in the three time frames was not found to be significant. The mean level of confidence in managing MCIs prior to the training (M=2.83; SD+0.89) increased after the training (M=3.56; SD+0.53) and remained higher following the presentation of the Turin train accident, despite a slight decrease (M=3.52, SD+0.63).Discussion:The participants’ surveys showed an increase in their self-efficacy and confidence following the course and follow-up presentation. It is our professional recommendation that real-life events be used in such seminars to increase self-efficacy and confidence. The topic will continue to be evaluated further.

scholarly journals Virtual reality and live scenario simulation: options for training medical students in mass casualty incident triage

Critical Care ◽  
2012 ◽  
Vol 16 (S1) ◽  
Author(s):  
PL Ingrassia ◽  
L Ragazzoni ◽  
L Carenzo ◽  
FL Barra ◽  
D Colombo ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Medical Students ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Scenario Simulation

scholarly journals MP01: Use of an unmanned aerial vehicle to provide situational awareness in a simulated mass casualty incident

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S40-S40
Author(s):  
A. K. Sibley ◽  
T. Jain ◽  
B. Nicholson ◽  
M. Butler ◽  
S. David ◽  
...  
Keyword(s):  
Situational Awareness ◽  
Optimal Strategies ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Treatment Area ◽  
Incident Command ◽  
Emergency Responders ◽  
Video Footage ◽  
Scene Management ◽  
Patient Localization

Introduction: Situational awareness (SA) is essential for maintenance of scene safety and effective resource allocation in mass casualty incidents (MCI). Unmanned aerial vehicles (UAV) can potentially enhance SA with real-time visual feedback during chaotic and evolving or inaccessible events. The purpose of this study was to test the ability of paramedics to use UAV video from a simulated MCI to identify scene hazards, initiate patient triage, and designate key operational locations. Methods: A simulated MCI, including fifteen patients of varying acuity (blast type injuries), plus four hazards, was created on a college campus. The scene was surveyed by UAV capturing video of all patients, hazards, surrounding buildings and streets. Attendees of a provincial paramedic meeting were invited to participate. Participants received a lecture on SALT Triage and the principles of MCI scene management. Next, they watched the UAV video footage. Participants were directed to sort patients according to SALT Triage step one, identify injuries, and localize the patients within the campus. Additionally, they were asked to select a start point for SALT Triage step two, identify and locate hazards, and designate locations for an Incident Command Post, Treatment Area, Transport Area and Access/Egress routes. Summary statistics were performed and a linear regression model was used to assess relationships between demographic variables and both patient triage and localization. Results: Ninety-six individuals participated. Mean age was 35 years (SD 11), 46% (44) were female, and 49% (47) were Primary Care Paramedics. Most participants (80 (84%)) correctly sorted at least 12 of 15 patients. Increased age was associated with decreased triage accuracy [-0.04(-0.07,-0.01);p=0.031]. Fifty-two (54%) were able to localize 12 or more of the 15 patients to a 27x 20m grid area. Advanced paramedic certification, and local residency were associated with improved patient localization [2.47(0.23,4.72);p=0.031], [-3.36(-5.61,-1.1);p=0.004]. The majority of participants (78 (81%)) chose an acceptable location to start SALT triage step two and 84% (80) identified at least three of four hazards. Approximately half (53 (55%)) of participants designated four or more of five key operational areas in appropriate locations. Conclusion: This study demonstrates the potential of UAV technology to remotely provide emergency responders with SA in a MCI. Additional research is required to further investigate optimal strategies to deploy UAVs in this context.

Short Text Messages (SMS) as an Additional Tool for Notifying Medical Staff in Case of a Hospital Mass Casualty Incident

2015 ◽  
Vol 10 (1) ◽  
pp. 38-41 ◽  
Author(s):  
Dariusz Timler ◽  
Katarzyna Bogusiak ◽  
Anna Kasielska-Trojan ◽  
Aneta Neskoromna-Jędrzejczak ◽  
Robert Gałązkowski ◽  
...  
Keyword(s):  
Medical Staff ◽  
Arrival Time ◽  
Extreme Values ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Text Messages ◽  
Time Of Arrival ◽  
Short Text ◽  
Additional Tool ◽  
The Mean

AbstractObjectiveThe aim of the study was to verify the effectiveness of short text messages (short message service, or SMS) as an additional notification tool in case of fire or a mass casualty incident in a hospital.MethodsA total of 2242 SMS text messages were sent to 59 hospital workers divided into 3 groups (n=21, n=19, n=19). Messages were sent from a Samsung GT-S8500 Wave cell phone and Orange Poland was chosen as the telecommunication provider. During a 3-month trial period, messages were sent between 3:35 PM and midnight with no regular pattern. Employees were asked to respond by telling how much time it would take them to reach the hospital in case of a mass casualty incident.ResultsThe mean reaction time (SMS reply) was 36.41 minutes. The mean declared time of arrival to the hospital was 100.5 minutes. After excluding 10% of extreme values for declared arrival time, the mean arrival time was estimated as 38.35 minutes.ConclusionsShort text messages (SMS) can be considered an additional tool for notifying medical staff in case of a mass casualty incident. (Disaster Med Public Health Preparedness. 2016;10:38–41)

scholarly journals Seven First Minutes - Community Emergency Response Training

2019 ◽  
Vol 34 (s1) ◽  
pp. s18-s18
Author(s):  
Raphael Herbst ◽  
Eli Jaffe
Keyword(s):  
General Public ◽  
Emergency Services ◽  
Medical Training ◽  
Study Groups ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Emergency Responders ◽  
Accurate Picture ◽  
Unique Experience ◽  
Improve Patient

Introduction:Following a mass casualty incident (MCI), it can take several minutes for emergency medical services (EMS) to arrive. The course was developed by Magen David Adom (MDA) based on unique experience in dealing with MCIs, and the time between alerting emergency services to such an incident until they arrive. The course is focused on teaching the general public to channel their desire to help in such a situation into useful skills which can potentially improve patient outcomes. The seminar focuses on key principles such as safety, calling for help, providing an accurate picture of the scene, and initiating basic treatment with an emphasis on hemorrhage control.Aim:MDA examined the ability of the general public with no previous medical training to perform a basic triage and treatment in an MCI situation. Additionally, the study examined the abilities of the study groups to manage a scene until the arrival of EMS based on the principles taught in the course.Methods:MDA has sent teams of instructors around the world to teach over 1,000 participants. Upon completing the course, the participants partake in a drill that assesses their ability to manage a scene of 20 patients. Their ability to initiate the call for help, provide an accurate picture, initiate treatment, and give an accurate report to arriving emergency responders are examined.Results:The average times were recorded. Within 38 seconds, dispatch was alerted to the situation. Within 2:30 minutes, treatment was initiated for all patients. Within 4:37 minutes, the scene was fully under control, and within 6:37 minutes, an accurate report was transferred to EMS on the scene.Discussion:The participants demonstrated an unexpected willingness to learn, practice, and partake in the drills, and the results were unexpected.

scholarly journals Assessment of self-efficacy and academic performance of medical students

2020 ◽  
Vol 7 (6) ◽  
pp. 2169
Author(s):  
Manoj Kumar Saxena ◽  
Anshuman Sharma
Keyword(s):  
Medical Students ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Faculty Members ◽  
Cross Sectional ◽  
Professional Students ◽  
Medical College ◽  
Key Factor ◽  
The Mean ◽  
Academic Self Efficacy

Background: In present scenario academic self-efficacy is an important key factor to assess academic progress among students, so that their outcome in exams can be enhanced. The aim of this study was to assess academic self-efficacy among medical students according to present curriculum.Methods: This was a cross sectional study conducted among 120 students of Shyam Shah Medical College, Rewa (MP). Samples were selected from exam going students of third professional examination, either current batch or detained batch. A self-administrated, structured questionnaire was developed to collect data from the undergraduates. Assessment according to objective questions from their current syllabus was done to assess academic self-efficacy, the study adapted the questions framed by faculty members of third professional students. 200 questions from all the subjects of third year were included. Data were collected and data analysis was done by applying proper statistical tests.Results: The mean academic self-efficacy in boys was 76.03. Maximum marks obtained were 178/200 among boys and 189/200 among girls. The mean scores of all students were not significantly associated with mean scores from their academic session in college.Conclusions: The findings of this study indicate that more aged students have less academic self-efficacy as compared to their younger batch mates. Females and males were equally sincere in terms of their academic efficacy. Study pattern of medical students is curriculum based.

RESULTS OF INTRALESIONAL TRIAMCINOLONE ACETONIDE FOR CHALAZION TREATMENT

2011 ◽  
pp. 100-104
Author(s):  
Thi Thu Nguyen ◽  
Viet Hien Vo ◽  
Thi Em Do
Keyword(s):  
Success Rate ◽  
Key Words ◽  
Triamcinolone Acetonide ◽  
Lower Eyelid ◽  
Upper Eyelid ◽  
Interventional Trial ◽  
The Mean ◽  
First Time

The study use intralesional triamcinolone acetonide injection proceduce for chalazion treatment.1. Objectives: To evaluate results of intralesional triamcinolone acetonide injection for chalazion treatment. 2. Method: This noncomparative prospective interventional trial included 72 chalazions of 61 patients. 3. Results: 61 patients (72 chalazions) with 19 males (31.1%) và 42 females (68.9%), the mean age was 24 ± 9,78 years. 31.1% patients was the first time chalazion and 68.9% patients was more than one times chalazion including 78.6% patients was recurrent at the first position and 21.4% patients occur at new position. 72 chalazions with 16 (22.2%) chalazions was treated before and 56 (77.8%) chalazions wasn’t done that. 72 chalazions with 49 chalazions (68.1%) are local in upper eyelid and 23 chalazions (31.9%) are local in lower eyelid. The mean of chalazion diameter is 6.99 ± 3.03mm. Intralesional triamcinolone acetonide is injected to treat 72 chalazions with 16 (22.2%) chalazions are injected through the route of skin and 56 (77.8%) chalazions are injected through the route of conjunctiva. After 2 weeks follow-up, the success rate was 93.1% and 6.9% failed. 4. Conclusion: intralesional triamcinolone acetonide injection for chalazion treatment is really effective. Key words: chalazion, intralesional triamcinolone acetonide.

Synthesis of a silymarin-gold nanoparticle conjugate and analysis of its liver-protecting activity

2021 ◽  
Vol 22 ◽  
Author(s):  
Sergey Staroverov ◽  
Sergey Kozlov ◽  
Alexander Fomin ◽  
Konstantib Gabalov ◽  
Alexey Volkov ◽  
...  
Keyword(s):  
Gold Nanoparticles ◽  
Liver Disease ◽  
Carbon Tetrachloride ◽  
Glutathione Depletion ◽  
Laboratory Animals ◽  
Experimental Hepatitis ◽  
Acute Liver Disease ◽  
The Mean ◽  
Extent Of Damage ◽  
First Time

Background: The liver disease problem prompts investigators to search for new methods of liver treatment. Introduction: Silymarin (Sil) protects the liver by reducing the concentration of free radicals and the extent of damage to the cell membranes. A particularly interesting method to increase the bioavailability of Sil is to use synthesized gold nanoparticles (AuNPs) as reagents. The study considered whether it was possible to use the silymarin-AuNP conjugate as a potential liver-protecting drug. Method: AuNPs were conjugated to Sil and examine the liver-protecting activity of the conjugate. Experimental hepatitis and hepatocyte cytolysis after carbon tetrachloride actionwere used as a model system, and the experiments were conducted on laboratory animals. Result: For the first time, silymarin was conjugated to colloidal gold nanoparticles (AuNPs). Electron microscopy showed that the resultant preparations were monodisperse and that the mean conjugate diameter was 18–30 nm ± 0.5 nm (mean diameter of the native nanoparticles, 15 ± 0.5 nm). In experimental hepatitis in mice, conjugate administration interfered with glutathione depletion in hepatocytes in response to carbon tetrachloride was conducive to an increase in energy metabolism, and stimulated the monocyte–macrophage function of the liver. The results were confirmed by the high respiratory activity of the hepatocytes in cell culture. Conclusion: We conclude that the silymarin-AuNP conjugate holds promise as a liver-protecting agent in acute liver disease caused by carbon tetrachloride poisoning.

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