scholarly journals Quickly Evaluating an Emerging Medical Technology Using Feedback From the Field: A Case Study of the BrainScope One and Infrascanner 2000 User Evaluation

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1787-e1793 ◽  
Author(s):  
Stephen Krauss ◽  
Sarah Sanjakdar ◽  
Andrew Wilson ◽  
Brian Dacanay ◽  
Louis Jasper ◽  
...  
Keyword(s):  
Head Injuries ◽  
Field Evaluation ◽  
Medical Personnel ◽  
User Feedback ◽  
User Evaluation ◽  
Operational Environment ◽  
End User ◽  
Acquisition Process ◽  
Field Efficacy ◽  
Medical Teams

Abstract Introduction Gathering end-user feedback about candidate technologies in the operational environment prior to fielding helps to ensure that far-forward medical teams receive the most suitable technology. It is therefore a crucial step in the defense medical acquisition process. The current article reviews the methodology and provides an illustrative example of how end-user feedback was collected to evaluate the current suitability and future promise of two FDA-approved devices, the BrainScope One and Infrascanner 2000, that could potentially aid in the field evaluation of head injuries by far-forward medical teams. Materials and Method The BrainScope One and Infrascanner 2000 end-user evaluation is used as an example to illustrate how to collect end-user feedback from the field in order to rapidly assess the candidate technology. In this evaluation of whether and how to implement FDA-approved technology candidates for head injury assessment by far-forward medical teams, end-user feedback was collected from 158 medical personnel at 8 bases in Afghanistan, Iraq, and Kuwait using focus groups and interviews. Results The end users reported consistent concerns about the operational efficacy and suitability of the current versions of the devices as well as the areas where the devices showed promise for the Department of Defense (DoD). End-user feedback is shown in detail to demonstrate the depth and richness of feedback that can be gathered using this methodology. Conclusion Overall, the BrainScope One and Infrascanner 2000 end-user evaluation shows the necessity and value of gathering end-user field efficacy and suitability feedback during the medical acquisition process. Limitations and best practices for this approach are discussed.

Disaster Reanimatology Potentials: A Structured Interview Study in Armenia I. Methodology and Preliminary Results

1989 ◽  
Vol 4 (2) ◽  
pp. 135-152 ◽  
Author(s):  
Miroslav Klain ◽  
Edmund Ricci ◽  
Peter Safar ◽  
Victor Semenov ◽  
Ernesto Pretto ◽  
...  
Keyword(s):  
Intensive Care ◽  
Life Support ◽  
Medical Personnel ◽  
The United States ◽  
Structured Interview ◽  
Advanced Trauma Life Support ◽  
Mass Casualties ◽  
Medical Systems ◽  
Preliminary Results ◽  
Medical Teams

AbstractIn general, preparations for disasters which result in mass casualties do not incorporate a modern resuscitation approach. We explored the life-saving potential of, and time limits for life-supporting first aid (LSFA), advanced trauma life support (ATLS), resuscitative surgery, and prolonged life support (PLS: intensive care) following the earthquake in Armenia on 7 December 1988. We used a structured, retrospective interview method applied previously to evaluation of emergency medical services (EMS) in the United States. A total of 120 survivors of, and participants in the earthquake in Armenia were interviewed on site (49 lay eyewitnesses, 20 search-rescue personnel, 39 medical personnel and records, and 12 administrators). Answers were verified by crosschecks. Preliminary results permit the following generalizations: 1) a significant number of victims died slowly as the result of injuries such as external hemorrhage, head injury with coma, shock, or crush syndrome; 2) early search and rescue was performed primarily by uninjured covictims using hand tools; 3) many lives potentially could have been saved by the use of LSFA and ATLS started during extrication of crushed victims. 4) medical teams from neighboring EMS systems started to arrive at the site at 2-3 hours and therefore, A TLS could have been provided in time to save lives and limbs; 5) some amputations had to be performed in the field to enable extrication; 6) the usefulness of other resuscitative surgery in the field needs to be clarified; 7) evacuations were rapid; 8) air evacuation proved essential; 9) hospital intensive care was well organized; and 10) international medical aid, which arrived after 48 hours, was too late to impact on resuscitation. Definitive analysis of data in the near future will lead to recommendations for local, regional, and National Disaster Medical Systems (NDMS).

ASSESSMENT OF INTERVENTIONS COMPLETED BY THE VOIVODESHIP RESCUE SERVICE IN KATOWICE IN THE SILESIAN VOIVODESHIP IN 2018 DUE TO INJURIES

2021 ◽  
Vol 8 (1) ◽  
pp. 18-22
Author(s):  
Magdalena Wierzbik-Strońska ◽  
Klaudiusz Nadolny ◽  
Jerzy Robert Ładny ◽  
Beniamin Oskar Grabarek ◽  
Łukasz Pach ◽  
...  
Keyword(s):  
Head Injuries ◽  
Organizational Changes ◽  
Rescue Service ◽  
Emergency Medical ◽  
Emergency Ambulance ◽  
Icd 10 ◽  
Sprain And Strain ◽  
Cranial Nerve Injuries ◽  
Medical Teams ◽  
Post Hoc

Aim: To assess the trips made by Emergency Medical Teams due to injuries (ICD-10 code: S) completed by Voivodeship Medical Rescue Teams in Katowice in 2018. Material and methods: Analysis of the characteristics of the trips was done based on information contained on “Emergency ambulance travel cards”. Statistical analysis was carried out using the t-Student, ANOVA variance as well as the Tukey post-hoc tests (p<0.05). Results: The whole number of trips made by the Emergency Medical Teams in the Silesian Voivodeship totalled 211,896, of which due to the reported injury, the total number of trips was 202,946 cases (183,827 calls were in town – 91%; 19,119 calls were out of town – 9%; p<0.05). The most common cause for calls were due to head injuries (S03 – dislocation, sprain and strain of joints and ligaments of the head as well as S04 – cranial nerve injuries). Statistically significant differences in the number of trips depending on cause identification (p<0.05) were determined, as well as in comparison to the number of cases identified as S03 and S04 between the in town and out of town territory (p<0.05). The median arrival time to an in town site was 7 minutes and 42 second, whereas in out of town sites it was 13 minutes and 19 seconds. Conclusion: The characteristics of the trips made by Emergency Medical Teams depends on the time, and what is affected by organizational changes in the emergency medical system.

Hemostasis in a Noncompressible Hemorrhage Model: An End-User Evaluation of Hemostatic Agents in a Proximal Arterial Injury

2013 ◽  
Vol 70 (2) ◽  
pp. 206-211 ◽  
Author(s):  
Steven Satterly ◽  
Daniel Nelson ◽  
Nathan Zwintscher ◽  
Morohunranti Oguntoye ◽  
Wayne Causey ◽  
...  
Keyword(s):  
Arterial Injury ◽  
User Evaluation ◽  
End User ◽  
Hemostatic Agents

Field evaluation of the entomogenous fungus Metarhizium anisopliae (DAT F-001) as a biocontrol agent for the redheaded pasture cockchafer, Adoryphorus couloni (Coleoptera: Scarabaeidae)

1995 ◽  
Vol 46 (2) ◽  
pp. 429 ◽  
Author(s):  
AC Rath ◽  
TB Koen ◽  
GC Anderson ◽  
D Worledge
Keyword(s):  
Metarhizium Anisopliae ◽  
Field Evaluation ◽  
First Year ◽  
Pest Population ◽  
Larval Population ◽  
Entomogenous Fungus ◽  
Application Timing ◽  
Field Efficacy ◽  
Original Application ◽  
Previous Autumn

The field efficacy of Metarhizium anisopliae DAT F-001 for L3 larvae of Adoryphorus couloni was examined on two sheep grazing properties in central Tasmania ('Glenmorey' and 'Warringa'). Experiments included application timing and dose rate studies. All experiments significantly (P < 0.05) reduced survival of L3 larvae. At 'Warringa' DAT F-001 reduced the survival of L3 larvae by 81.5% in late spring following incorporation of 6.3x104 sp/g soil into pasture soils the previous autumn. The experiments showed that autumn application was unlikely to sufficiently reduce the L3 larval population quickly enough to avoid pasture damage in the first year. However, the following year, the overlapping larval populations in the treated plots at 'Warringa7 were reduced by 80% and the subsequent generation of L3 larvae at 'Glenmorey' 2 years after application was reduced by 47%. Additionally, the level of DAT F-001 in the soil remained at or near the original application levels over the experimental periods (12-30 months). We conclude that there are limited opportunities to use DAT F-001 to control an initial pest population, but the fungus has the potential to provide longer-term suppression of subsequent pest generations.

Integrating end-user feedback in the concept stage of development of a novel sensor access system for environmental control

2017 ◽  
Vol 13 (4) ◽  
pp. 366-372 ◽  
Author(s):  
Susan Koch Fager ◽  
Tabatha Sorenson ◽  
Susanne Butte ◽  
Alexander Nelson ◽  
Nilanjan Banerjee ◽  
...  
Keyword(s):  
Environmental Control ◽  
User Feedback ◽  
End User ◽  
Access System ◽  
Stage Of Development

scholarly journals THE EFFECT OF COVID-19 PANDEMIC ON THE EMOTIONS OF NURSES IN ISRAEL

2021 ◽  
Author(s):  
Orly Zelevich ◽  
◽  
Gadi Navon ◽  
Halit Kantor ◽  
Shulamith Kreitler ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Health And Safety ◽  
Medical Personnel ◽  
Well Being ◽  
Rare Occurrence ◽  
Medical Field ◽  
Entire World ◽  
Medical Teams ◽  
Anxiety Depression ◽  
Safe Care

"The Covid-19 pandemic, which originally spread in China in late 2019 and then affected the entire world including Israel, has thrown into the battle numerous medical teams, including physicians, nurses and other paraedical teams, both in hospitals and in the community. The medical personnel embarked on a variety of new tasks and challenges, which required them to manifest extraordinary strength. Healthcare providers and caregivers are one of the vital resources in each and every country. Their health and safety are important and crucial parameters not only for the continuous and safe care of patients, but also for controlling the outbreak of epidemics. Working in the medical field is known to bear implications for the mental health of healthcare providers and anxiety, depression, insomnia and stress are not a rare occurrence (S. Liu et al., 2020). Therefore, there is a need to consider the well-being of medical staff and to provide support where needed."

scholarly journals GAMBARAN KORBAN MENINGGAL DENGAN CEDERA KEPALA PADA KECELAKAAN LALU LINTAS DI BAGIAN FORENSIK BLU RSUP PROF. Dr. R. D. KANDOU MANADO PERIODE TAHUN 2011-2012

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Feibyg Theresia Lumandung ◽  
James F. Siwu ◽  
Johannis F. Mallo
Keyword(s):  
Head Injury ◽  
Medical Records ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Head Injuries ◽  
Study Researcher ◽  
The Government ◽  
Medical Teams ◽  
Descriptive Method

Abstrack: Traffic accidents lately occur anywhere and are already familiar. Most accidents are motor accident with head injury, where it can lead to death. This research isto describe the victim died with a head injury in a traffic accident forensics section BLU Prof.Dr.R.D.Kandou Hospital Manado period 2011-2012. In this study, researcher uses retrospective descriptive method. Datawere collected from medical records of all cases of accidents in the years 2011-2012. The conclusion ofthis research, cases of traffic accidents with head injuries are more prevalent than others, most especially in the region of the temporal head injury can effect to death. Researcher suggests that tightened regulations in traffic and further enhanced prevention efforts from the government, police, and medical teams. Keyword : head injury, traffic accident    Abstrak: Kecelakaan lalu lintas akhir-akhir ini terjadi dimana saja dan sudah tidak asing lagi. Kasus kecelakaan terbanyak adalah kecelakaan bermotor dengan cedera kepala, dimana hal ini dapat mengakibatkan kematian. Penelitian ini untuk mengetahui gambaran korban meninggal dengan cedera kepala pada kecelakaan lalu lintas dibagian forensik BLU RSUP Prof.Dr.R.D.Kandou Manado periode tahun 2011-2012. Dalam penelitian ini peniliti, menggunakan metode deskriptif retrospektif. Data penelitian dikumpulkan dari rekam medik seluruh kasus kecelakaan di tahun 2011-2012.Kesimpulan dari penelitian ini, kasus kecelakaan lalu lintas dengan cedera kepala lebih banyak terjadi dari cedera lainnya, khusunya paling banyak cedera kepala di regio temporalis yang dapat mengakibatkan kematian. Peneliti menyarankan agar lebih diperketat lagi peraturan-peraturan dalam berlalu lintas dan lebih ditingkatkan lagi berbagai usaha pencegahan dari pihak pemerintah, kepolisian, dan tim medis. Kata kunci :Cedera kepala, kecelakaan lalu lintas.

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