scholarly journals California and Oregon NICU Wildfire Disaster Preparedness Tools

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 465
Author(s):  
Amy L. Ma ◽  
Mackenzie E. D. Loughland ◽  
Wannasiri Lapcharoensap ◽  
Dmitry Dukhovny ◽  
Henry C. Lee
Keyword(s):  
United States ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Western United States ◽  
Medical Professionals ◽  
Disaster Experience ◽  
Wildfire Season ◽  
Wildfire Evacuation

The 2020 wildfire season was devastating to the Western United States and affected the region’s NICUs. In this study, we ask the question, “what tools/strategies do medical professionals deem as important and most helpful as they are preparing for wildfire disaster response?” It is a follow up to our previous study: Learning from Wildfire Disaster Experience in California NICUs. We reevaluated how California NICUs dealt with the 2020 wildfires and expanded to Oregon and Southwest (SW) Washington NICUs. We conducted a survey with eleven Oregon and SW Washington NICUs about their wildfire evacuation preparedness. We also interviewed two neonatologists about their wildfire disaster experience evacuating their NICU or preparing to evacuate. Our findings suggest there is more work needed to fully prepare NICUs for wildfire disasters. We hope that by bringing light to the strategies used by affected clinicians, we can educate and support future NICU disaster preparedness responses.

Characterizing Impacts of Wildfire Smoke Exposure on Medication Refills and Outpatient Visits for Asthma during the 2015 Wildfire Season in the Western United States

2018 ◽  
Vol 2018 (1) ◽  
Author(s):  
Ambarish Vaidyanathan ◽  
Ana Maria Vicedo-Cabrera ◽  
Kate O'Dell ◽  
Bonne Hotmann ◽  
Emily V Fischer ◽  
...  
Keyword(s):  
United States ◽  
Smoke Exposure ◽  
Western United States ◽  
Wildfire Smoke ◽  
Outpatient Visits ◽  
Wildfire Season

‘This does not compute’: the All-American Pipeline Project revisited

Antiquity ◽  
1995 ◽  
Vol 69 (264) ◽  
pp. 596-601 ◽  
Author(s):  
Neal W. Ackerly
Keyword(s):  
United States ◽  
Western United States ◽  
Pipeline Project

In 1989, ANTIQUITY published the ambitions and methods of a remarkable project to automate and computerize the recording and analysis of artefacts from a very large salvage program in the western United States. Here is a follow-up that explains why the methods did not realize the ambitions, and questions whether those ambitions were well chosen.

Disaster preparedness among medical students: A survey assessment

2010 ◽  
Vol 5 (5) ◽  
pp. 275-284 ◽  
Author(s):  
Kori Sauser, MD ◽  
Rita V. Burke, PhD, MPH ◽  
Rizaldy R. Ferrer, PhD ◽  
Catherine J. Goodhue, CPNP ◽  
Nikunj C. Chokshi, MD ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Medical Procedures ◽  
Cross Sectional ◽  
Disaster Experience ◽  
Students First ◽  
Fourth Year Medical Students ◽  
Academic Year

Objective: To describe the level of preparedness in performing medical procedures of medical students at one allopathic medical school and to determine the level of willingness to perform these procedures in the event of a disaster.Design: Cross-sectional survey.Setting: US allopathic medical school associated with a county hospital.Participants: All third- and fourth-year medical students (344) in the 2007-2008 academic year were invited to participate. One hundred ninety-five students participated in this study (response rate _ 57.6 percent).Main outcome measures: Information on demographic characteristics, personal disaster experience, personal disaster preparedness, and overall preparedness level and willingness to perform various medical procedures was collected. Multiple regression analysis was used to identify the factors predicting procedural willingness during a disaster.Results: Demographics and personal disaster preparedness were not statistically significant between third-year medical students (M3) and fourth-year medical students (M4). Although procedural preparedness was significantly higher in M4 than M3, willingness to perform these procedures in a disaster was not different. Fourth-year students, first receivers (students’ anticipated field is in emergency medicine or surgery), not having had a personal disaster experience, and increased procedural preparedness independently impact procedural willingness in a disaster. However, when controlled for the covariate effects in the regression model, only first receivers, no past personal disaster experience, and increased procedural preparedness predicted willingness to perform medical procedures during a disaster.Conclusions: Third- and fourth-year students possess skills that may prove useful in a disaster response. Further investigations are necessary to determine how medical students may be utilized during these events.

Pediatric Practice Readiness for Disaster Response

2020 ◽  
pp. 1-5
Author(s):  
Scott Needle ◽  
Andrew C. Rucks ◽  
Lauren A. Wallace ◽  
Peter M. Ginter ◽  
Charles R. Katholi ◽  
...  
Keyword(s):  
Disaster Preparedness ◽  
Disaster Response ◽  
Community Setting ◽  
The State ◽  
Chi Square ◽  
Disaster Experience ◽  
Disaster Potential ◽  
Practice Readiness ◽  
Chi Square Analysis ◽  
Disaster Preparedness And Response

ABSTRACT Objectives: The American Academy of Pediatrics (AAP) calls for the inclusion of office-based pediatricians in disaster preparedness and response efforts. However, there is little research about disaster preparedness and response on the part of pediatric practices. This study describes the readiness of pediatric practices to respond to disaster and delineates factors associated with increased preparedness. Methods: An AAP survey was distributed to members to assess the state of pediatric offices in readiness for disaster. Potential predictor variables used in chi-square analysis included community setting, primary employment setting, area of practice, and previous disaster experience. Results: Three-quarters (74%) of respondents reported some degree of disaster preparedness (measured by 6 indicators including written plans and maintaining stocks of supplies), and approximately half (54%) reported response experience (measured by 3 indicators, including volunteering to serve in disaster areas). Respondents who reported disaster preparation efforts were more likely to have signed up for disaster response efforts, and vice versa. Conclusions: These results contribute information about the state of pediatric physician offices and can aid in developing strategies for augmenting the inclusion of office-based pediatricians in community preparedness and response efforts.

Writing Time in Metaphors

2018 ◽  
Author(s):  
Jennifer J. Smith
Keyword(s):  
United States ◽  
The United States ◽  
Western United States ◽  
Entire System ◽  
Language And Culture ◽  
Space Race ◽  
Do So

Coherence of place often exists alongside irregularities in time in cycles, and chapter three turns to cycles linked by temporal markers. Ray Bradbury’s The Martian Chronicles (1950) follows a linear chronology and describes the exploration, conquest, and repopulation of Mars by humans. Conversely, Louise Erdrich’s Love Medicine (1984) jumps back and forth across time to narrate the lives of interconnected families in the western United States. Bradbury’s cycle invokes a confluence of historical forces—time as value-laden, work as a calling, and travel as necessitating standardized time—and contextualizes them in relation to anxieties about the space race. Erdrich’s cycle invokes broader, oppositional conceptions of time—as recursive and arbitrary and as causal and meaningful—to depict time as implicated in an entire system of measurement that made possible the destruction and exploitation of the Chippewa people. Both volumes understand the United States to be preoccupied with imperialist impulses. Even as they critique such projects, they also point to the tenacity with which individuals encounter these systems, and they do so by creating “interstitial temporalities,” which allow them to navigate time at the crossroads of language and culture.

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