scholarly journals Evaluation the Emergency Response Program of Emergency Operations Command Center of the Alborz University of Medical Sciences in Response to Kermanshah Earthquake in November 2017

Author(s):  
Farzaneh Ahmadzadeh ◽  
Neda Mohammadi ◽  
Mehrdad Babaie
Author(s):  
Osama Ali Maher ◽  
Saverio Bellizzi

ABSTRACT The past two decades have witnessed a major shift in humanitarian operations to respond to more internal conflicts instead of the traditional cross-border wars. Over the recent years, two major shifts have taken place within the WHO to orient toward response to emergencies, namely the introduction of the Humanitarian Reform and the Cluster Approach in 2005 and the introduction of the Emergency Response Framework (ERF). The financing of the agency in humanitarian operations is adding emerging elements to the WHO operations, especially because of the constantly higher contribution from non-state- and state- funding agencies. Pending issues include aspects like health strategy, conflict analysis, legal issues of aid delivery, impartiality in delivering services, and other aspects and needs.


Author(s):  
Andrey Novikov ◽  
Yury Osipov ◽  
Vladimir Yershov ◽  
Elena Panfilova

В статье рассмотрен графоаналитический метод, позволяющий оперативно осуществлять оценку пространственных и временных возможностей вертолетов при выполнении задач авиационного пожаротушения и аварийно-спасательных работ, связанных с доставкой сил и средств противодействия чрезвычайным ситуациям. Актуальность материалов статьи обусловлена следующим: выполнение большого объема расчетов по нескольким вариантам действий требует значительных затрат времени при использовании традиционных методов, изложенных в Руководствах по летной эксплуатации вертолетов. По мнению авторов, представленный в статье графоаналитический метод экспресс-оценки успешно применяется в частях и подразделениях военной авиации и позволяет проводить расчеты оперативно.The article describes the grapho-analytical method for quick assessment of spatial and temporal capabilities of helicopters when solving tasks of aviation fire fighting as well as rescue and emergency operations. The relevance of the article is caused by the following: performing a large amount of calculations for several action options requires significant time when using traditional methods from the helicopter flight Manuals. The presented in the article grapho-analytical method of express-evaluation is successfully used by military aviation units and allows performing calculations quickly. When solving problems related to the delivery of forces and means of emergency response, helicopter crews have to fly again to places for loading additional equipment or replenishment of the onboard water supply (fire-extinguishing composition). In such situation it is extremely important for crews to be aware of the possible number of flights to the wrecking area without refuelling. For assessment of helicopter capabilities it is not always possible and operational to use traditional methods of engineering and navigation calculation. One of the easiest ways to solve such problems, which do not require a lot of time, is a graphical method using a set of integral range lines. In the article the set of lines is presented in the form of nomogram to make the task solving process easier. The nomogram is constructed based on the information from the helicopter flight Manual concerning the hourly and kilometre fuel consumption. There are given algorithms for operative task solution with use of this nomogram. The use of nomograms while decision-making for emergency and rescue tasks performance provides an operational assessment of helicopter capabilities to reach objects of impact without computationally intensive traditional engineering and navigation calculations.


2015 ◽  
Vol 10 (2) ◽  
pp. 276-287 ◽  
Author(s):  
Xiaoxia Du ◽  
◽  
Jun Zhang ◽  
Jianhua Xu ◽  
Zhuan He ◽  
...  

A devastating <bm>Ms</bm>8.0 earthquake hit Wenchuan County, Sichuan Province, China, on May 12, 2008. A similarly destructive <bm>Ms</bm>9.0 earthquake hit eastcoast Miyagi Prefecture, Japan, on March 11, 2011. The governments of both countries took rapid, effective emergency response measures, gaining invaluable experience and learning precious lessons. To compare detailed emergency responses during these earthquakes and share lessons, this paper uses timeline analysis focusing on the levels of the two earthquakes, summarizing key emergency response measures focusing on emergency command center setup and operation, rescue force deployment and dispatch, emergency victim housing and resettlement, and public information reporting and release based on a time sequence. It also comparatively analyzes and sorts their implementation and timing and studies the similarities and differences of the two earthquakes. This paper also analyzes the advantages and disadvantages of emergency response measures taken by both nations, considering the background of emergency management systems to share experiences and provide references on future disaster emergency response work to improve abilities and progress in earthquake response.


2015 ◽  
Vol 7 (2) ◽  
pp. 90-95
Author(s):  
Ogbuanya Aloysius Ugwu-Olisa ◽  
Emedike Samuel Chukwuemeka Ogadi

Aims and Objectives: Inguinal hernia repair is the most common operation in general surgery worldwide. Elective repair to safeguard complications is recommended because outcomes of early repair are uniformly superior to results of emergency operations. This study aimed to document our own experiences with regards to elective repair of uncomplicated inguinal hernia and compare our findings with previous data.Materials and Methods: This is a descriptive prospective study of 261 consecutive patients with uncomplicated inguinal hernias repaired electively at Federal Teaching Hospital, Abakaliki, southeastern Nigeria between January 2010 to December 2012. Relevant data extracted and analyzed with SPSS version 22.0 included patients’ demographics, clinical details, surgical repairs and outcome measures.Result: A total of two hundred and sixty one patients with 306 uncomplicated inguinal hernias repaired electively were enrolled. The age range of the patients was 2 months – 88 years with a mean age of 35.7 ± SD 16.6. Majority (46.4%) of the patients presented with hernias on the right side, the rest either had hernias on the left(36.4%) or both sides (17.2%). At operation, 203 (66.3%) hernias were indirect, 96 (31.4%) direct and 7 (2.3%) pantaloon hernias. Modified Bassini repair was used in the majority (66.7%) of patients. Complications occurred in only 9.7% of repairs. At a median follow up of 8 months, 1 (0.3%) hernia recurrence was seen. No mortality was recorded.Conclusion: Inguinal hernias in our environment are very common, but often neglected. Our results show that elective repair is critical for preventing devastating complications and ensuring successful surgical outcomes.Asian Journal of Medical Sciences Vol.7(2) 2015 90-95


2020 ◽  
Vol 34 (08) ◽  
pp. 13356-13362 ◽  
Author(s):  
M Arif Rahman ◽  
Sarah M. Preum ◽  
Ronald Williams ◽  
Homa Alemzadeh ◽  
John A. Stankovic

EMS (emergency medical service) plays an important role in saving lives in emergency and accident situations. When first responders, including EMS providers and firefighters, arrive at an incident, they communicate with the patients (if conscious), family members and other witnesses, other first responders, and the command center. The first responders utilize a microphone and headset to support these communications. After the incident, the first responders are required to document the incident by filling out a form. Today, this is performed manually. Manual documentation of patient summary report is time-consuming, tedious, and error-prone. We have addressed these form filling problems by transcribing the audio from the scene, identifying the relevant information from all the conversations, and automatically filling out the form. Informal survey of first responders indicate that this application would be exceedingly helpful to them. Results show that we can fill out a model summary report form with an F1 score as high as 94%, 78%, 96%, and 83% when the data is noise-free audio, noisy audio, noise-free textual narratives, and noisy textual narratives, respectively.


2017 ◽  
Vol 17 (9) ◽  
pp. 1521-1540 ◽  
Author(s):  
Tom R. Robinson ◽  
Nicholas J. Rosser ◽  
Alexander L. Densmore ◽  
Jack G. Williams ◽  
Mark E. Kincey ◽  
...  

Abstract. Current methods to identify coseismic landslides immediately after an earthquake using optical imagery are too slow to effectively inform emergency response activities. Issues with cloud cover, data collection and processing, and manual landslide identification mean even the most rapid mapping exercises are often incomplete when the emergency response ends. In this study, we demonstrate how traditional empirical methods for modelling the total distribution and relative intensity (in terms of point density) of coseismic landsliding can be successfully undertaken in the hours and days immediately after an earthquake, allowing the results to effectively inform stakeholders during the response. The method uses fuzzy logic in a GIS (Geographic Information Systems) to quickly assess and identify the location-specific relationships between predisposing factors and landslide occurrence during the earthquake, based on small initial samples of identified landslides. We show that this approach can accurately model both the spatial pattern and the number density of landsliding from the event based on just several hundred mapped landslides, provided they have sufficiently wide spatial coverage, improving upon previous methods. This suggests that systematic high-fidelity mapping of landslides following an earthquake is not necessary for informing rapid modelling attempts. Instead, mapping should focus on rapid sampling from the entire affected area to generate results that can inform the modelling. This method is therefore suited to conditions in which imagery is affected by partial cloud cover or in which the total number of landslides is so large that mapping requires significant time to complete. The method therefore has the potential to provide a quick assessment of landslide hazard after an earthquake and may therefore inform emergency operations more effectively compared to current practice.


Author(s):  
Changwon Son ◽  
Farzan Sasangohar ◽  
S. Camille Peres

Inherent limitations of controlling risks in complex socio-technical systems were revealed in several major catastrophic disasters such as nuclear meltdown in Fukushima Daiichi nuclear power plant in 2011, well blowout in Deepwater Horizon drilling rig in 2010, and Hurricane Katrina in 2005. While desired risk management leans toward the prevention of such unwanted events, the mitigation of their impact becomes more important and emergency response operations provide the last line of protection against disasters (Kanno, Makita, & Furuta, 2008). In response to September 11 terrorist attack at World Trade Center in New York, U.S. Government launched the National Incident Management System (NIMS), an integrated national and multi-jurisdictional emergency preparedness and response program (Department of Homeland Security, 2008). The NIMS framework is characterized by a common operating picture, interoperability, reliability, scalability and portability, and resilience and redundancy (Department of Homeland Security, 2008). Among these characteristics, effective emergency response operations require resilience because planned-for actions may not be implementable and therefore the emergency response organizations must adapt to and cope with uncertain and changing environment (Mendonca, Beroggi, & Wallace, 2003). There have been many attempts to define resilience in various disciplines (Hollnagel, Woods, & Leveson, 2007). Nevertheless, such attempts for emergency management systems (EMS) is still scarce in the existing body of resilience literature. By considering traits of EMS, this study proposes the definition of resilience as ‘ a system’s capability to respond to different kinds of disrupting events and to bring the system back to a desired state in a timely manner with efficient use of resources, and with minimum loss of performance capacity.’ In order to model resilience in EMS, the U.S. NIMS is chosen because it allows for investigation of resilient behavior among different components that inevitably involve both human agents and technological artifacts as joint cognitive systems (JCSs) (Hollnagel & Woods, 2005). In the NIMS, the largest JCS comprises five critical functions: Command, Planning, Operations, Logistics and Finance & Administration (F&A) (Department of Homeland Security, 2008). External stimuli or inputs to this JCS are events that occur outside of its boundary such as uncontrolled events. When these events do occur, they are typically perceived by the ‘boots-on-the-ground’ in the Operations function. The perceived data are reported and transported to the Planning function in which such data are transformed into useful and meaningful information. This information provides knowledge base for generating a set of decisions. Subsequently, Command function selects some of those decisions and authorizes them with adequate resources so that Operations actually take actions for such decisions to the uncontrolled events. This compensation process continues until the JCS achieves its systematic goal which is to put the event under control. On the other hand, Logistics feeds required and requested resources such as workforce, equipment and material for the system operations and F&A does the accounting of resources as those resources are actually used to execute its given missions. Such JCS utilizes two types of memory: a collective working memory (CWM) can be manifested in the form of shared displays, document or whiteboards used by teams; similarly, collective long-term memory (CLTM) can take forms of past accident reports, procedures and guidelines. Based on this conceptual framework for resilience of emergency operations, five Resilient Performance Factors (RPFs) are suggested to make resilience operational in EMS. Such RPFs are adaptive response, rapidity of recovery, resource utilization, performance stability and team situation awareness. Adaptation is one of the most obvious patterns of resilient performance (Leveson et al., 2006; Rankin, Lundberg, Woltjer, Rollenhagen, & Hollnagel, 2014). Another factor that typifies resilience of any socio- technical system is how quickly or slowly it bounces back from perturbations (Hosseini, Barker, & Ramirez-Marquez, 2016). In most systems, resources are constrained. Hence, resilience requires the effective and efficient use of resources to varying demands. As such demands persist over time, the system’s performance level tends to diminish. For the EMS to remain resilient, its performance should be maintained in a stable fashion. Finally, EMS is is expected to possess the ability to perceive what is currently taking place, to comprehend what such occurrence actually means, and to anticipate what may happen and decide what to do about it. When this occurs within a team, it is often referred to as team situation awareness (Endsley, 1995; McManus, Seville, Brunsden, & Vargo, 2007). This resilience model for EMS needs validation and many assumptions and simplifications made in this work require further justification. This model will be discussed and validated by using subsequent data collection from Emergency Operations Training Center operated by Texas A&M Engineering Extension Service (TEEX) and will be reported in future publications.


2014 ◽  
Vol 23 (3) ◽  
pp. 222-242 ◽  
Author(s):  
Roshan Bhakta Bhandari ◽  
Christine Owen ◽  
Benjamin Brooks

Purpose – This study reports on a survey of experienced emergency management personnel in Australia and New Zealand to identify the influence of organisational features in perceived emergency management performance. The purpose of this paper is to analyse the influence of organisational features in emergency response performance and to discuss how this knowledge can be used to enhance the response capacity of emergency services organisations. Design/methodology/approach – Based on a review of the literature, a conceptual theoretical model for organisational performance is first developed based on four organisational features found to be previously important in emergency management organisation. These are, adaptability, leadership, stability (mission and direction) and stakeholder communication. An organisational survey was distributed to all 25 fire and emergency services agencies in Australia and New Zealand which included indicators of these elements. Responses were received from experienced emergency management personnel from fire and emergency services agencies. The sample was stratified into the three main organisational types, namely, established, expanding and extending organisations. Findings – The findings reveal that the predictive significance of organisational features in emergency response performance vary among established, expanding and extending organisations. The predictive significance of stability, adaptability and leadership for perceived success is strong in all organisational types. It is interesting to note that the predictive significance of communication with external stakeholders is low in all organisation types. This indicates the preference of emergency services agencies to look internally within their own operations than externally to build relationships with different specialism. Originality/value – The theoretical model in this study makes a first attempt to understand the role of organisational features in emergency response performance of organisations in Australia and New Zealand. This work contributes to theorizing emergency operations by highlighting how organisations need to manage two orientations simultaneously: their own internal as well as external orientations, together with their processes for managing both mission and direction and the need for change and flexibility.


2018 ◽  
Vol 2018 ◽  
pp. 1-24
Author(s):  
Claudia Nass ◽  
Jessica Jung ◽  
Eduard C. Groen ◽  
Karina Villela ◽  
Konstantin Holl

While seemingly irrational behaviors such as panicking or displaying antisocial behavior are the responses to emergency situations the media and movies lead us to believe, several studies show that people rather react based on decision-making such as acting altruistically and protectively. However, what can we really expect from people in a crowd in terms of participation in an emergency response system? In this paper, we present a mobile application called the RESCUER App, which allows civilians to participate in the emergency response process by providing information about the emergency to a command center and to receive instructions from this command center. We developed a human reaction model for emergencies to better understand the human–computer interaction capabilities of people in an emergency situation. Based on this model, we defined three different interaction modes: one-click interaction, guided interaction, and chat interaction. These interaction modes were implemented in an interactive prototype and evaluated in an experiment in which high cognitive load was induced to simulate a stress situation, similar to the stress experienced in an emergency. The experiment results showed that the three predefined interaction modes enabled people to interact with the RESCUER App even though they were in a stress situation.


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