Casualty and Scene Medical Management

2017 ◽  
Author(s):  
Ian Greaves ◽  
Paul Hunt
Keyword(s):  
Personal Protective Equipment ◽  
Medical Management ◽  
Systematic Approach ◽  
Major Incident ◽  
Protective Equipment ◽  
Roles And Responsibilities ◽  
Medical Response ◽  
National Emergency ◽  
Mass Fatalities

Chapter 5 covers the declaration of a major incident and practice of the initial situation report from the scene. A summary is given of the systematic approach and organization of the on-scene medical response including key medical roles and responsibilities at scene, triage, decontamination, personal protective equipment, dealing with the dead and human remains, evacuation, survivor reception, mass fatalities and national emergency mortuary arrangements, management of contaminated fatalities, and the role of the police senior investigation manager.

The operational role of the Royal Marines Band Service during the contingency era: lessons from Op GRITROCK

2015 ◽  
Vol 101 (2) ◽  
pp. 107-109
Author(s):  
CR Brisley ◽  
A Duggan
Keyword(s):  
Personal Protective Equipment ◽  
Medical Service ◽  
Temperature Monitoring ◽  
Protective Equipment ◽  
Medical Environment ◽  
Insight Into

AbstractThe Royal Marines Band Service (RMBS) deploys in support of the Royal Naval Medical Service in a variety of operational roles. This article describes the roles that RMBS personnel performed whilst deployed on board RFA ARGUS during the recent Operation GRITROCK. The article is divided into five main sections, each describing one aspect of the work that RMBS ranks were asked to undertake: casualty handling; working within Primary Casualty Receiving Facility (PCRF) departments; personal protective equipment (PPE) monitoring and drills; temperature monitoring; and last, but not least, musical support. This will provide the reader with an insight into what the RMBS have achieved whilst deployed on board ARGUS and also what skills they are able to bring, both to contingency operations and operations in the medical environment.

An Introduction to Major Incident Management

2017 ◽  
Author(s):  
Ian Greaves ◽  
Paul Hunt
Keyword(s):  
Emergency Services ◽  
Major Incident ◽  
Incident Management ◽  
Roles And Responsibilities ◽  
Communication Assessment ◽  
Major Incidents ◽  
And Control ◽  
Structured Approach ◽  
Mass Fatalities

Chapter 1 covers information on what a major incident is, definitions and classifications including chemical, biological, radiological and nuclear (CBRN), special arrangements, historical and recent major incidents, mass fatalities, the Civil Contingencies Act 2004, nomenclature, and the Joint Emergency Services Inter-operability Programme (JESIP). The phases and objectives of a response to a major incident are described. This chapter also outlines the generic structured approach including command and control, safety (including zones and cordons), communication, assessment, triage and categorization systems, casualty treatment, roles and responsibilities, and casualty transportation.

scholarly journals Pros and Cons of Plastic during the COVID-19 Pandemic

Recycling ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 27
Author(s):  
Fabiula Danielli Bastos de Sousa
Keyword(s):  
Health Systems ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Virus Spread ◽  
Real Possibility ◽  
Plastic Materials ◽  
The World ◽  
Pros And Cons ◽  
Critical Overview

Since the beginning of the first cases of the new coronavirus, opinions and laws on the use of plastic materials have been questioned around the world. Their importance in the manufacture of hospital devices and personal protective equipment (PPE) is unquestionable, as they contribute largely to the reduction of the virus spread, helping health systems from all edges of the world and, most importantly, saving lives. However, the same material that is a protector, becomes a polluter when inadequately disposed of in the environment, generating or worsening socio-environmental problems, such as pollution of water bodies by plastic. A critical overview of the role of plastic during the COVID-19 pandemic is provided in this paper. A future panorama is attempted to be outlined. The real possibility of the virus spread from the use of plastic is discussed, as well as the recycling of plastic during the pandemic, correlating its use with problems that it may cause.

scholarly journals Unmasking the mask: the role of personal protective equipment for ophthalmologists caring for asymptomatic patients during the COVID-19 pandemic

2020 ◽  
Vol 13 (12) ◽  
pp. 1841-1843
Author(s):  
Adrian T. Fung
Keyword(s):  
Personal Protective Equipment ◽  
Health Policies ◽  
Protective Equipment ◽  
Asymptomatic Patients

The use of personal protective equipment (PPE) for ophthalmologists caring for asymptomatic patients remains controversial. This commentary reviews the latest emerging evidence. This is paramountly important in shaping health policies in countries which is not currently recommended.

Efficacy of Critical Incident Monitoring for Evaluating Disaster Medical Readiness and Response During the Sydney 2000 Olympic Games

2004 ◽  
Vol 19 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Arthas Flabouris ◽  
Antony Nocera ◽  
Alan Garner
Keyword(s):  
Personal Protective Equipment ◽  
Olympic Games ◽  
Protective Equipment ◽  
Medical Systems ◽  
Contributing Factors ◽  
Medical Response ◽  
Safety Incident ◽  
Multiple Casualty Incidents ◽  
Quality Tool ◽  
Incident Monitoring

AbstractIntroduction:Multiple casualty incidents (MCI) are infrequent events for medical systems. This renders audit and quality improvement of the medical responses difficult. Quality tools and use of such tools for improvement is necessary to ensure that the design of medical systems facilitates the best possible response to MCI.Objective:To describe the utility of incident reporting as a quality monitoring and improvement tool during the deployment of medical teams for mass gatherings and multiple casualty incidents.Methods:Voluntary and confidential reporting of incidents was provided by members of the disaster medical response teams during the period of disaster medical team deployment for the 2000 Sydney Olympic Games. Qualitative evaluations were conducted of reported incidents. The main outcome measures included the nature of incident and associated contributing factors, minimization factors, harm potential, and comparison with the post-deployment, cold debriefings.Results:A total of 53 incidents were reported. Management-based decisions, poor or non-existent protocols, and equipment and communicationrelated issues were the principal contributing factors. Eighty nine percent of the incidents were considered preventable. A potential for harm to patients and/or team members was documented in 58% of reports, of which 76% were likely to cause at least significant harm. Of equipment incidents, personal protective equipment (33%), medical equipment (27%), provision of equipment (22%), and communication equipment (17%) predominated. Personal protective equipment (50%) was reported as the most frequent occupational health and safety incident followed by fatigue (25%). Predeployment planning was the most important factor for future incident impact minimization.Conclusions:Incident monitoring was efficacious as a quality tool in identifying incident contributing factors. Incident monitoring allowed for greater systems evaluation. Further evaluation of this quality tool within different disaster settings is required.

scholarly journals Regional Engagement Program: Supporting Local Leadership and Building Local Skills and Knowledge in Order to Develop a Systematic Approach to Disaster Medical Management

2019 ◽  
Vol 34 (s1) ◽  
pp. s162-s163
Author(s):  
Lisa Vermeulen ◽  
Dianne Stephens
Keyword(s):  
Medical Management ◽  
Disaster Response ◽  
Systematic Approach ◽  
External Support ◽  
Asia Pacific ◽  
Major Incident ◽  
Efficient Manner ◽  
Local Leadership ◽  
Key Stakeholders ◽  
Regional Engagement

Introduction:One of the key components in any effective disaster response is the capacity of local communities to respond in a timely and efficient manner. Over the last 3 years, the National Critical Care and Trauma Response Centre in Darwin has been involved in building regional capacity across the Asia-Pacific, supporting local leadership and building local skills and knowledge in order to develop a systematic approach to disaster medical management.Aim:This presentation is to describe the Regional Engagement Program, its strengths, weaknesses, and outcomes.Methods:We will describe the background to the program, the process for regional engagement and the Results of our evaluation. The program used the Major Incident Medical Management Systems (MIMMS) approach which was delivered in-country and included identifying and using local personnel to deliver the program. The program was conducted across the region in Myanmar, Fiji, Tonga, Vanuatu, Samoa, Timor, and Indonesia. Initially the courses were run by personnel from Australia but through engagement with local Ministries of Health and collaboration with identified key stakeholders, we have been able to build local faculty to ensure sustainability and local ownership.Results:Thirty-six personnel have been trained across four countries. Thirty-six candidates are now instructors, with a further 36 identified for future development as instructors. The evaluation illustrates the long-term partnerships that have been developed and the ongoing capacity development of key regional partners.Discussion:The Regional Engagement program demonstrates that prolonged engagement with key regional stakeholders and adequate and sustained mentoring will successfully build local capacity to the level needed to mount a successful response to a disaster. Personnel trained through this program helped guide the response to the Lombok earthquake and in Fiji, a MIMMS Team Member training program was conducted with minimal external support.

scholarly journals Use of a systems engineering framework to assess perceptions and practices about antimicrobial resistance of workers on large dairy farms in Wisconsin

2020 ◽  
Author(s):  
Ashley E. Kates ◽  
Mary Jo Knobloch ◽  
Ali Konkel ◽  
Amanda Young ◽  
Andrew Steinberger ◽  
...  
Keyword(s):  
Systems Engineering ◽  
Personal Protective Equipment ◽  
Behavioral Interventions ◽  
Dairy Farms ◽  
Farm Workers ◽  
Protective Equipment ◽  
Beliefs And Practices ◽  
Risk Practices ◽  
Level Of Knowledge

AbstractWe studied farmworker practices potentially contributing to transmission of bacteria and antimicrobial resistant genes (ARGs) among animals and farm workers to identify human behavioral interventions to reduce exposure risk. Ten focus groups were conducted on eight farms to explore potentially high-risk practices and farmworker knowledge and experiences with antimicrobial use and resistance using the Systems Engineering in Patient Safety (SEIPS) framework. Farmworkers were asked to describe common tasks and the policies guiding these practices. We found workers demonstrated knowledge of the role of antibiotic stewardship in preventing the spread of ARGs. Knowledge of various forms of personal protective equipment was higher for workers who commonly reported glove-use. Knowledge regarding the importance of reducing ARG transmission varied but was greater than previously reported. Programs to reduce ARG spread on dairy farms should focus on proper hand hygiene and personal protective equipment use but at the level of knowledge, beliefs, and practices.

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