PT EMT – Portuguese Emergency Medical Team Type 1 Relief Mission in Mozambique

AbstractIntroduction:The tropical cyclone Idai hit Mozambique in the city of Beira on March 15, 2019. During the following days, the Portuguese Emergency Medical Team (PT EMT) and its infrastructure deployed to Mozambique with the mission of helping local people and collaborating with the authorities.Methods:Data analyzed were collected in the period of the deployment, from April 1-April 30, 2019. All patients admitted to PT EMT were registered through the Clinical Record of PT EMT.Results:In total, 1,662 patients were admitted to PT EMT during the 30-day mission. The five most prevalent diagnoses were: 61.49% classified with “code 29” (which corresponds to “other unspecified diagnoses”), 9.15% of cases of skin disease, 8.90% of minor injuries, 6.74% of acute respiratory infection, and 3.19% of obstetric/genecology complications.Discussion and Challenges:An important challenge identified was the need for a robust and effective network for transporting patients, allowing transfers between EMTs, enabling a true network response in the provision of care to disaster victims.Conclusions:The benefit of the deployment of PT EMT in Mozambique after Cyclone Idai was in line with the EMT initiative standards, allowing a direct delivery of care to the affected Mozambican population and support to the local health authorities.

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Surge Capacity Planning to Inform the Need for International and Domestic Emergency Medical Team Deployments Following a Severe Wellington, New Zealand Earthquake

Prehospital and Disaster Medicine ◽

10.1017/s1049023x19000311 ◽

2019 ◽

Vol 34 (s1) ◽

pp. s6-s6

Author(s):

Charles Blanch ◽

Emma Lawrey

Keyword(s):

New Zealand ◽

Emergency Management ◽

Clinical Care ◽

World Health ◽

Local Health ◽

Medical Team ◽

Surge Capacity ◽

Emergency Medical Team ◽

Emergency Medical ◽

Planning Methodology

Introduction:Wellington, New Zealand has a significant earthquake risk with unique response challenges posed by its geography and limited road, rail, and sea access. In 2014, the World Health Organization (WHO) Emergency Medical Team (EMT) initiative published minimum and technical standards for EMTs in response to failures by responding teams to deliver appropriate and ethical clinical care during a number of disasters (Norton, 2014). The initiative has evolved to develop national and International EMTs in addition to a support capacity building within Ministries of Health to better coordinate clinical capacity during an emergency.Aim:Over the last two years, the WHO EMT Coordination Cell (EMTCC) course has trained over 300 health personnel globally to coordinate clinical surge capacity using a three-step Impact Assessment, Needs Assessment, and Tasking process informed by disaster epidemiology and mass casualty ratios.Methods:EMTCC planning methodology was applied to the “Wellington Earthquake National Initial Response Plan” (MCDEM, 2017) to develop a Health Action Plan for a significant Wellington earthquake. Known earthquake impact modeling for injuries was applied against predicted capacity in receiving hospitals in the affected region, and the ability to transfer patients nationally to determine unmet response needs. EMT minimum standards and operational insights from recent disasters were then used to determine the number of EMTs required for optimal tasking.Discussion:The surge planning methodology provided a theoretical framework for national and local health emergency management staff to engage with clinical colleagues. This allowed likely EMT assistance to be pre-planned, which facilitates further planning with national and local emergency management, border, and registration agencies for rapid entry into NZ, including onward transport and logistical support. While injury treatment ratios had to be refined to reflect NZ context, the methodology proved useful for Ministries of Health to pre-identify the need for international assistance in national emergencies.

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The Beirut blast 2020: Lessons learned from the Swiss Emergency Medical Team specialized “Mother & Child”

American Journal of Disaster Medicine ◽

10.5055/ajdm.2020.0379 ◽

2020 ◽

Vol 15 (4) ◽

pp. 303-305

Author(s):

Olivier Hagon, MD ◽

Lionel Dumont, MD, PD

Keyword(s):

Humanitarian Aid ◽

Middle Income Country ◽

Lessons Learned ◽

Mass Casualties ◽

Local Health ◽

Medical Team ◽

Middle Income ◽

Emergency Medical Team ◽

Emergency Medical ◽

Mother And Child

On August 4, 2020, Beirut was hit by a devastating explosion leading to mass casualties: thousands were injured and there were significant damages to residences, offices, and health structures. The Emergency Medical Team (EMT) specialized “Mother and Child” was deployed by the Swiss Humanitarian Aid in order to support local health facilities, empower local health professionals to resume clinical activities and ensure access, and continuity of patient care in particular in the fields of gynecology-obstetrics and pediatrics. This communication presents the particularities of an EMT deployment in an urban area of an upper middle-income country with some recommendations for such settings.

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Screening China Emergency Medical Team (CEMT) Members: A Self-Leadership Perspective

Prehospital and Disaster Medicine ◽

10.1017/s1049023x18000961 ◽

2018 ◽

Vol 33 (6) ◽

pp. 596-601

Author(s):

Xinxin Hao ◽

Xiaoxue Li ◽

Jingchen Zheng

Keyword(s):

Leadership Development ◽

Future Research ◽

Leadership Strategies ◽

Medical Team ◽

Role Clarity ◽

Publication Type ◽

Emergency Medical Team ◽

Emergency Medical ◽

Future Work ◽

Depth Interviews

AbstractObjectiveThis study aims at establishing the self-leadership development model (SLM) of China Emergency Medical Team (CEMT) members as a supplement to current selection standards of CEMT members.MethodsRaw dataset was obtained through two ways: in-depth interviews and documentary materials (memoirs and articles). The in-depth interviews were conducted with a purposive sample of 12 CEMT members, all of whom have participated in multiple disaster relief activities and have been CEMT members for more than two years. This paper followed a grounded theory methodology dealing with all data.ResultsBased on tasks, the SLM-CEMT consists of three basic parts: (1) making plans; (2) action; and (3) outcomes. Different parts involve various self-leadership strategies, of which five are the original dimensions of previous research (goal-setting, visualizing successful performance, self-talk, self-reward, and self-correcting feedback) and three are new dimensions (role clarity, self-initiative, and self-vigilance).Conclusions:The SLM-CEMT, with the three new parts, provides a new look at screening CEMT members as well as pondering on future research. Based on the SLM-CEMT, administrators could screen more qualified CEMT members. For the limitations, future work will be on the generalization and confirmation of this model.HaoX,LiX,ZhengJ.Screening China Emergency Medical Team (CEMT) members: a self-leadership perspective.Prehosp Disaster Med.2018;33(6):596–601.

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Evaluation of Emergency Medical Team Coordination Following the 2015 Nepal Earthquake

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2019.155 ◽

2020 ◽

pp. 1-8

Author(s):

Yosuke Takada ◽

Yasuhiro Otomo ◽

Khem Bahadur Karki

Keyword(s):

Online Survey ◽

World Health ◽

Medical Team ◽

Team Coordination ◽

Emergency Medical Team ◽

Nepal Earthquake ◽

Emergency Medical ◽

Health Organization

ABSTRACT Objectives: After the Nepal earthquake in 2015, for the first time, the Emergency Medical Team Coordination Cell (EMTCC) was activated. This study aims to evaluate the emergency medical team (EMT) coordination in the aftermath of the Nepal earthquake in 2015. Methods: This is a retrospective study that (a) describes the coordination process in Nepal, and (b) reviews and analyzes the EMT database in Nepal to classify the EMTs based on the World Health Organization (WHO) EMT classification, an online survey for EMT coordination, and the Geographic Information System-analyzed EMT distribution. Results: We recorded 150 EMTs, which included 29 Type 1-Mobile, 71 Type 1-Fixed, 22 Type 2, 1 Type 3, and 27 specialist cell recorded EMTs including the military team. The EMTs were allocated based on the number of casualties in that area. The Type 1 EMTs were deployed around Type 2 EMTs. Conclusions: The EMT Classification is useful for the effective posting of EMTs. However, the method of onsite multi registration has room for improvement. The WHO should provide an opportunity for EMTCC training for better coordination of disasters.

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Emergency with Resiliency Equals Efficiency – Challenges of an EMT-3 in Nepal

Prehospital and Disaster Medicine ◽

10.1017/s1049023x18000936 ◽

2018 ◽

Vol 33 (6) ◽

pp. 673-677 ◽

Cited By ~ 1

Author(s):

Avraham Yitzhak ◽

Ofer Merin ◽

Jonathan Halevy ◽

Bader Tarif

Keyword(s):

Hospitalization Rate ◽

Moment Magnitude ◽

Magnitude Scale ◽

Medical Team ◽

Publication Type ◽

Emergency Medical Team ◽

Wound Debridement ◽

Disaster Area ◽

Emergency Medical

AbstractThe 7.8 MW (moment magnitude scale) earthquake that hit Nepal on April 25, 2015 caused significant casualties and serious damage to infrastructure.The Israeli Emergency Medical Team (IEMT; later verified as EMT-3) was deployed 80 hours after the earthquake. A Forward Disaster Scout Team (FDST) that was dispatched to the disaster area a few hours after the disaster relayed pre-deployment information.The EMT staff was comprised of 42 physicians. A total of 1,668 patients were treated. The number of non-trauma cases increased as the days went by. The hospitalization rate was 31%. Wound debridement procedures were the most common operations performed.YitzhakA, MerinO, HalevyJ, TarifB. Emergency with resiliency equals efficiency- challenges of an EMT-3 in Nepal. Prehosp Disaster Med. 2018;33(6):673–677.

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