Emergency response team activation in the outpatient clinic of a single dental teaching hospital in Korea: a retrospective study of 10 years' records

Police work exposes officers to high levels of stress. Special emergency response team (SERT) service exposes personnel to additional demands. Specifically, the circadian cycles of SERT operators are subject to disruption, resulting in decreased capacity to compensate in response to changing demands. Adaptive regulation loss can be measured through heart rate variability (HRV) analysis. While HRV Trends with health and performance indicators, few studies have assessed the effect of overnight shift work on HRV in specialist police. Therefore, this study aimed to determine the effects overnight shift work on HRV in specialist police. HRV was analysed in 11 SERT officers and a significant (p = 0.037) difference was found in pRR50 levels across the training day (percentage of R-R intervals varying by >50 ms) between those who were off-duty and those who were on duty the night prior. HRV may be a valuable metric for quantifying load holistically and can be incorporated into health and fitness monitoring and personnel allocation decision making.

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A Retrospective Review of 589 Percutaneous Tracheostomies in a Canadian Community Teaching Hospital

Ear Nose & Throat Journal ◽

10.1177/01455613211025744 ◽

2021 ◽

pp. 014556132110257

Author(s):

Dongho Shin ◽

Andrew Ma ◽

Yvonne Chan

Keyword(s):

Retrospective Study ◽

Teaching Hospital ◽

Intraoperative Complications ◽

Percutaneous Tracheostomy ◽

Hospital Setting ◽

Complication Rates ◽

Safe Alternative ◽

Neck Extension ◽

Intraoperative Complication ◽

Community Teaching

Objective: The primary objective of this study was to review the complication rate of percutaneous tracheostomies performed by a single surgeon in a community teaching hospital. Methods: This retrospective study reviewed the patients who underwent percutaneous tracheostomy with bronchoscopic guidance in a community hospital setting between 2009 and 2017. Patients older than the age of 18 requiring percutaneous tracheostomy were chosen for this retrospective study. Patients who were medically unstable, had no palpable neck landmarks, and inadequate neck extension were excluded. Indications for percutaneous tracheostomy included patients who had failed to wean from mechanical ventilation, required pulmonary toileting, or in whom airway protection was required. Results: Of the 600 patients who received percutaneous tracheostomy, 589 patients were included in the study. Intraoperative complication (2.6%) and postoperative complication rates (11.4%) compared similarly to literature reported rates. The most common intraoperative complications were bleeding, technical difficulties, and accidental extubation. Bleeding, tube obstruction, and infection were the most common postoperative complications. Overall burden of comorbidity, defined by Charlson Comorbidity Index, and coagulopathy were also found to be associated with higher complication rates. The decannulation rate at discharge was 46.3%. Conclusion: Percutaneous tracheostomy is a safe alternative to open tracheostomies in the community setting for appropriately selected patients.

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Effects of COVID-19 Lockdown on Otitis Media With Effusion in Children: Future Therapeutic Implications

Otolaryngology ◽

10.1177/0194599820987458 ◽

2021 ◽

pp. 019459982098745

Author(s):

Mirko Aldè ◽

Federica Di Berardino ◽

Paola Marchisio ◽

Giovanna Cantarella ◽

Umberto Ambrosetti ◽

...

Keyword(s):

Retrospective Study ◽

Otitis Media ◽

Outpatient Clinic ◽

Otitis Media With Effusion ◽

Tertiary Level ◽

Vestibular Disorders ◽

Therapeutic Implications ◽

History Of ◽

Clinic Population

Objective To evaluate the role of social isolation during the lockdown due to the SARS-CoV-2 outbreak (severe acute respiratory syndrome coronavirus 2) in modifying the prevalence of otitis media with effusion (OME) and the natural history of chronic OME. Study Design Retrospective study. Setting Tertiary level referral audiologic center. Methods We assessed the prevalence of OME among children aged 6 months to 12 years who attended the outpatient clinic for hearing or vestibular disorders during 2 periods before the lockdown, May-June 2019 (n = 350) and January-February 2020 (n = 366), and the period immediately after the lockdown, May-June 2020 (n = 216). We also compared the disease resolution rates between a subgroup of children with chronic OME (n = 30) who were diagnosed in summer 2019 and reevaluated in May-June 2020 and a similar subgroup (n = 29) assessed in 2018-2019. Results The prevalence of OME in this clinic population was 40.6% in May-June 2019, 52.2% in January-February 2020, and 2.3% in May-June 2020. Children with chronic OME had a higher rate of disease resolution in May-June 2020 (93.3%) than those examined in May-June 2019 (20.7%, P < .001). Conclusion Closure of schools and the physical distancing rules were correlated with a reduction in the prevalence of OME and favored the resolution of its chronic forms among children who attended the outpatient clinic. These data could suggest that in the presence of chronic OME, keeping young children out of group care settings for a period might be beneficial to allow for OME resolution.

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Evaluation of Coordination of Emergency Response Team through the Social Network Analysis. Case Study: Oil and Gas Refinery

Safety and Health at Work ◽

10.1016/j.shaw.2014.09.004 ◽

2015 ◽

Vol 6 (1) ◽

pp. 30-34 ◽

Cited By ~ 16

Author(s):

Iraj Mohammadfam ◽

Susan Bastani ◽

Mahbobeh Esaghi ◽

Rostam Golmohamadi ◽

Ali Saee

Keyword(s):

Social Network ◽

Social Network Analysis ◽

Network Analysis ◽

Emergency Response ◽

Oil And Gas ◽

The Social ◽

Response Team ◽

Gas Refinery

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Psychosocial Emergency Response Team

International Journal of Mental Health ◽

10.2753/imh0020-7411410302 ◽

2012 ◽

Vol 41 (3) ◽

pp. 24-44 ◽

Cited By ~ 1

Author(s):

Brian Guthrie

Keyword(s):

Emergency Response ◽

Response Team ◽

Psychosocial Emergency

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The Role of the Physician at a Medical Disaster: Hospital Emergency Response Teams

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00030600 ◽

1986 ◽

Vol 2 (1-4) ◽

pp. 128-132

Author(s):

Eric Alcouloumre ◽

Davis Rasumoff

Keyword(s):

Los Angeles ◽

Emergency Response ◽

Medical Personnel ◽

Hospital Emergency ◽

Medical Response ◽

Emergency Medical ◽

Response Team ◽

Emergency Medical Personnel ◽

Emergency Medical Response

The Hospital Emergency Response Team concept, as outlined here and in the Multi-Casualty Incident Operational Procedures of the California Fire Chiefs Association, is the result of a consensus effort by all EMS interest groups in Los Angeles. It is an effective way to utilize the skills of emergency medical personnel at the scene of a disaster. The role of the physician is an important one, and this concept was specifically designed to maximize the benefit to be derived from having a physician at the scene. It is important, however, that physicians recognize their limitations; a medical degree does not automatically confer “mystic abilities”in the area of disaster management. The role of the physician should include pre-disaster planning and at-scene patient management responsibilities as a member or leader of a pre-designated hospital-based emergency medical response team.

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Community Emergency Response Team (CERT) Training of High-Risk Teens in the Community of Watts, South Los Angeles, 2013–2014

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2016.199 ◽

2017 ◽

Vol 11 (5) ◽

pp. 605-609 ◽

Cited By ~ 1

Author(s):

Shamika Ossey ◽

Sharon Sylvers ◽

Sona Oksuzyan ◽

Lisa V Smith ◽

Douglas Frye ◽

...

Keyword(s):

High Risk ◽

Los Angeles ◽

Emergency Response ◽

Low Socioeconomic Status ◽

Risk Groups ◽

First Aid ◽

South Los Angeles ◽

Novel Approach ◽

Response Team ◽

Cpr Training

AbstractThe Community Emergency Response Team (CERT) concept was initially developed for adult members of the community to help prepare for disasters and minimize damage when disasters occur. CERTs also served as a tool for building community capacity and self-sufficiency by supporting a diverse group of people working together in dealing with challenges affecting their communities. The novel approach to CERTs described here sought to involve high-risk youth from low-socioeconomic status communities in CERTs and first aid and cardiopulmonary resuscitation (CPR) training to help them build ties with communities, stay off the streets, and become leaders in the community. It also helped to provide different perspectives on life, while building more resilient communities better prepared to minimize damage when a disaster strikes. After the successful launch of the first high-risk teen CERT cohort in Watts (27 CERT-trained and 14 first aid/CPR-trained), the project was expanded to other community groups and organizations. Seven additional cohorts underwent CERT and first aid/CPR training in 2013 through 2014. This initiative increased CERT visibility within South Los Angeles. New partnerships were developed between governmental, nongovernmental, and community-based organizations and groups. This model can be used to expand CERT programs to other communities and organizations by involving high-risk teens or other high-risk groups in CERT training. (Disaster Med Public Health Preparedness. 2017;11:605–609)

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