bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological Emergency Cell and Prehospital Emergency Medical Service Integration into the Care Pathway for Victims
Authors: Cayre Anais , Sangay Virginie , Dionnet Pascal , Viault Benoit , Bounes Vincent , Schmitt Laurent 
Published: June 2023

Introduction:The Medical-Psychological Emergency Cells (CUMP) are integrated in France into the pre-hospital Medical Emergency Services (SAMU). The objective of this study aims to show an integrated course of care and the major interest of the inclusion of the Psychological Cells in the structures of the SAMU.Method:The CUMP of the Toulouse Area is made up of Psychologists, Nurses, Psychiatrists, professionals or volunteers sent or put on alert. Interventions take place immediately under the aegis of the prehospital medical care department or in a deferred manner within the first 48 hours. All subjects having at the time signs of acute stress, peritraumatic dissociation, behavioral disorders, are invited to follow-up consultations within 48 to 72 hours. The objective of this work is to show the continuity of care and the pathway of patients coordinated from an emergency call to several months beyond.Results:During 2021, 222 situations were handled, either individually or collectively. 94 were assaults (physical, psychological, or sexual), 55 were accidents (traffic accident, fire, explosion, etc.), 50 were confrontations with death (attending a suicide, death, etc.), 13 were traumatic bereavements, and 10 a context of a health disaster. Overall, 1,109 patients were seen immediately on site, 192 post-immediate in less than 48 hours and 197 had repeated individual consultations.Conclusion:1) The participation of the same professionals in immediate and post-immediate care makes the prevention of chronic post-traumatic stress more effective.2) The articulation with the care structures for lasting psycho-trauma establishes consistency in the course of care: sensitivity to signs of distress, dissociation or stupefaction.3) The links with the pre-hospital emergency medical aid service make emergency specialists aware of the psychological component of traumatic events.
Readiness of Emergency Medical Teams of Sri Lanka Army Medical Corps for Response to Natural Disasters in Sri Lanka
Authors: Kumara Saminda 
Published: June 2023

Introduction:Sri Lanka has been divided into 26 districts. These 26 districts are Colombo, Gampaha, Kalutara, Galle, Matara, Hambanthota, Trincomalee, Batticaloa, Ampara, Jaffna, Mullaitivu, Kilinochchi, Mannar, Vavuniya, Kandy, Matale, Nuwara Eliya, Anuradhapura, Polonnaruwa, Rathnapura, Kegalle, Badulla, Monaragala, Puttalam and Kurunegala. Ten key natural disasters have been identified in Sri Lanka as important to develop response capacity. These natural disasters are coastal erosion, cyclones, droughts, earthquakes, epidemics, floods, forest fires, landslides, lightning and tsunamis. Five battalions of the Sri Lanka Army Medical Corps (SLAMC) have been established in various parts of Sri Lanka. These battalions are named 1 SLAMC, 2(V) SLAMC, 3 SLAMC, 4 SLAMC and 5 SLAMC. The Army Hospital, Army Base Hospitals (ABH), and Medical Reception Stations have been located in various parts of Sri LankaMethod:Each battalion and hospital have Emergency Medical Teams (EMTs) for response to disasters. An EMT consists of: one medical officer, two nurses, two nursing assistants and one ambulance with a driver. There are two EMTs in each battalion and each ABH. The Army hospital has three EMTs.Results:1 SLAMC is responsible for responding to disasters in Colombo, Gampaha, Kalutara, Galle, Matara, Rathnapura, Kegalle, Kurunegala and Puttalam. 2(V) SLAMC is responsible for responding to disasters in Hambanthota, Kandy, Matale, Nuwara Eliya, Badulla and Monaragala. 3 SLAMC will respond to disasters in Anuradhapura, Vavuniya, Mannar and Mullaitivu. 4 SLAMC will respond to disasters in Jaffna and Kilinochchi dis. 5 SLAMC is responsible for disasters arising in Polonnaruwa, Trincomalee, Batticaloa and Ampara. When disasters happen in adjacent districts, hospitals will respond to those disasters.Conclusion:EMTs will be deployed to the disaster site as soon as possible and do treatments for casualties by staying seven days. The number of EMTs depends on the magnitude of the disaster.
The Results of a Foresight Exercise: Future Threats and Trends in Crisis Management
Authors: Voicescu George , Linty Monica , Ler Lian Guey , Kaufmann Stefan , Corte Francesco Della 
Published: June 2023

Introduction:The challenges that the health systems face in the last years increased exponentially. No matter if we are talking about the impact of the COVID-19 pandemic or the Russian military action in Ukraine, the European health ecosystem is facing new problems. In the light of these uncertainties, we assessed which could be the next trends that can impact the healthcare systems, in order to better prepare and adapt to the new contexts.Method:Using two foresights exercises (FSE), one in 2018 and the second one in 2022, we identified the most important trends in the political, economic, social, technological, security, environmental and medical sectors that could have an impact on health.Results:53 people participated in the first FSE and 40 in the second one. The respondents identified cyber security, an increased reliance on digital technologies for communications, CBRNE management of the patients, centrally coordinated attacks, demographic aging, reduced economic resources, violence against emergency medical staff and the increased need and demand for psychosocial support as the most important trends. Moreover, they considered that wars, hybrid threats, the fake news, pandemics and the influence of artificial intelligence could impact the healthcare systems.Conclusion:Many of the trends identified in 2018 as having a possible impact on the health system proved to be relevant four years later. Therefore, we consider the FSE a relevant tool in foreseeing the main areas that could have an impact on health and its results could guide the preparedness for the future.
The Network of Practitioners For Emergency medicAl Systems and cRitical care project - A Case Study for Innovative Approach of Cooperation Between End-Users, Policy Makers, and Businesses
Authors: Leonardi Luca , Linty Monica 
Published: June 2023

Introduction:The Network Of practitioners For Emergency medicAl systems and cRitical care project (NO-FEAR) was funded through an innovative call from the European Commission contained in the Horizon 2020 2016-2017 work program dedicated to Safe Societies - Protecting the freedom and security of Europe and its citizens.The call assumed that professionals from many different sectors, including medical emergency teams, had little means and time to monitor innovation and research that could be useful to them. Moreover they have little opportunity to interact with academia or industry on these issues.The project, funded in 2018 under a Coordination and Support Action Call, brings together practitioners, academia, policymakers and the industry involved in the response to medical emergencies, crises and health threats.Since the very beginning, NO-FEAR has mobilized the vast network created during the project, to share real-time knowledge, experiences, lessons observed and challenges.Method:Qualitative methodologyResults:This article intends to present the stages of the project during its journey where the creation of a network of practitioners dedicated to medical emergency services according to the three pillars methodology set in the project and which took place during the Covid 19 pandemic constituted a space to test innovative approaches in the relationship between end user and industry, in the identification of gaps and needs in the field and in responding to them, often going beyond the mandate of the project, creating a community capable of acting at the intersection of policymaker, companies and citizens.Conclusion:The case of NOFEAR demonstrates how, thanks to a European project, created a network of individuals and businesses that interact and or collaborate with each other can accelerate knowledge driven and sustainable growth of multidisciplinary ecosystems able to mitigate the fragmentation of the emergency medical systems.
Tropical Cyclones and Burn Injuries–Hurricane Ida 2021
Authors: Kearns Randy , Carter Jeffrey , Phelan Herbert 
Published: June 2023

Introduction:Tropical cyclones are common weather phenomena occurring during the summer and fall months, primarily impacting coastal areas of the eastern shore of North America and the eastern and southeastern coast of Asia. The injuries often reported in the aftermath of these storms include near drowning, orthopedic injuries, and stress-induced cardiovascular emergencies. However, in the aftermath of Hurricane Ida (August 2021), we saw (and will discuss) an unusual trend of burn injuries.Method:Anonymized patient data from the regional burn center was reviewed for storm-related injuries in the 30 days post-Hurricane Ida landfall. This retrospective analysis included demographics of the patient population, size of injury (reported in total body surface area [TBSA]), mechanism of injury, and length of stay.Results:Inclusion criteria (burn injury as a chief complaint during the 30 days following the hurricane) identified 41 patients. Of the 41 patients, (32/41 [78.0%]) were admitted for their injuries. The leading nature of the injuries included flame (25/41 [60.1%) and scald (9/41 [22.0%]). The leading cause of burn injury included generator operations (refueling, gasoline, propane, contact with hot surfaces, etc., (14/41 [34.1%]), debris management (7/41 [17.1%]), and open flame for cooking or lighting (11/41 [26.8%]). Patient ages; median of 43.0 years [0.5 to 79]) with sexual (identity being recorded as) male (32/41 [78.0%]) and (9/41 [22.0%]) female.Conclusion:Climate change is contributing to the increased frequency and intensity of tropical cyclones. Consequently, strategies such as generator use and reliance on alternative fuel sources for lighting, heating, and cooking, have become more widespread to cope with the temporary interruption of public utilities following a natural disaster. However, these temporary solutions have led to an increased frequency of burn and inhalation injuries. Solutions include campaigns to increase public awareness and an increased clinical readiness to receive and manage more patients with burn and inhalation injuries.
Crisis Communications for Leaders in Disasters
Authors: McIsaac Joseph 
Published: June 2023

Introduction:The COVID-19 crisis stressed the medical system and required leaders to rise to the occasion. Some institutions were very successful while others floundered. We saw this at every level of government as well as in healthcare. Applying the principles of crisis leadership and communication (and avoiding pitfalls) will increase our readiness to respond effectively during stressful times.Method:Literature review and US Centers for Disease Control and Prevention guidelines.Results:While there is robust literature on the topics of crisis communications and leadership this training is lacking in healthcare circles. This poster aims to introduce the subject and advocate for increased training in Crisis Communications.The US CDC has developed a freely downloadable training manual, along with tools for rapidly developing a crisis message. Furthermore, a checklist to help with the presentation and a list of communication pitfalls to avoid are included.Conclusion:Leaders can use these tools to prepare in advance for crisis communications, avoiding common mistakes that reduce communication effectiveness.
Towards a Multidisciplinary Guideline for Psychosocial Crisis Management
Authors: Hoof Wera , Jansen Noortje , Steen Charlie 
Published: June 2023

Introduction:The Dutch Multidisciplinary Guideline for Psychosocial support during Disasters and Crises (2014) contains general principles and recommendations for mental health and psychosocial support (MHPSS) to those affected by disasters, crises or other potentially traumatic events. Changes in the field of MHPSS, ‘new’ types of crises (such as social unrest and long-term crises) as well as new (scientific) knowledge have been identified. A revision of the guideline is therefore necessary to ensure that the document is in line with the current scientific evidence and practice.Method:The aim of the revision is to regain national consensus on the updated recommendations for providing optimal MHPSS in the event of disasters and crises. Needs and challenges identified in the national field formed the basis for the revision, together with the existing recommendations from 2014. The setup of the revised guideline is in accordance with the Dutch EBRO method [Evidence Based Guideline Development]. The knowledge input was twofold: first, a systematic literature search was conducted in PsycINFO, Ovid Medline, Embase en PTSDpubs. Further, a multidisciplinary working group was formed with representatives from the domains of practice, policy and research. A consensus process was followed to test and revise the guideline.Results:The literature search yielded 3,845 unique articles and 180 met the inclusion criteria. Based on the scoping review, supplemented with literature and expert knowledge, the recommendations have been updated and revised. The majority of the recommendations are still valid. They have been adapted based on current literature. Knowledge of the two new themes: ‘long-term and creeping crises’ and ‘social media’ is translated into recommendations in the field of MHPSS.Conclusion:The revision will lead to a more complete starting point for additional guidelines, perspective for action and protocols for specific users and applications.
The New York City Pediatric Disaster Coalition Pediatric Intensive-Care Response Team (PIRT)
Authors: Frogel Michael , Jermyn John , Foltin George , Cooper Arthur 
Published: June 2023

Introduction:Children represent 25% of the population, have special needs, and are often over-represented in disasters. The New York City Pediatric Disaster Coalition (NYC PDC) is funded by the NYC Department of Health and Mental Hygiene (DOHMH) to improve pediatric disaster preparedness and response. PDC worked with a network of pediatric intensivists to create the Pediatric Intensive-Care Response Team (PIRT). PIRT consists of volunteer pediatric intensivists that currently practice in New York City.Method:Secondary transport may be requested by hospitals due to a mismatch of resources to needs for patients requiring critical and/or subspecialty care. The team is activated when a disaster involves a significant number of pediatric patients. In the proposed plan, the PIRT physician on-call will triage/prioritize the patients based on acuity and need for services and relay the necessary information to the transport agency. PIRT is designated to provide subject matter expertise and resources during real-world events. PIRT maintains a 24/7 on-call schedule with backup. The PIRT system was tested in four call-down communications drills and a tabletop exercise for prioritization of pediatric mass casualty victims.Results:The call-down drills demonstrated the ability to contact the on-call and backup physicians by email or text within 20 minutes and others within one hour. In the tabletop, PIRT members were given 15 patient profiles based on a scenario and asked to prioritize patients based on their injuries/medical needs. This was accomplished in less than 30 minutes, followed by a review and discussion of the rank order. A number of lessons learned were identified and will be presented.Conclusion:The NYCPDC has developed and tested a PIRT that is available 24/7 to prioritize patients for secondary transport and offer subject matter expertise during pediatric mass casualty events. This model can be utilized to enhance pediatric disaster preparedness.
To Educate or Not to Educate: Systematic Review of Disaster Medicine Education in Kazakhstan in Compression with Post-Soviet Countries
Authors: Sissenberdiyeva Aidana 
Published: June 2023

Introduction:Disaster medicine education is a huge challenge, but essential to disaster preparedness. While natural disasters have always been a part of world events, recent large-scale natural and man-made disasters have drawn attention to disaster medicine. As a consequence, medical schools in many parts of the world have begun to incorporate disaster-related topics into their curricula. However, in the territory of the former USSR, disaster medicine has just begun its development, and at the moment it is represented only in a couple countries, including Kazakhstan.Method:Data collection was performed using a database search through the Ministry of Education and Ministry of Healthcare of the Republic of Kazakhstan, Uzbekistan, Kyrgyzstan, Russian Federation, Belarus, and Ukraine. Disaster Medicine curricula on different education levels, including bachelor, graduate, and postgraduate levels were reviewed and analyzed.Results:Even though Kazakhstan is the ninth largest country in the world, education in the field of disaster medicine is currently represented only in one medical university in the country: specialists in disaster and emergency medicine are trained in residency and master's programs. In the Republics of Uzbekistan and Kyrgyzstan, education in the disaster medicine field is not provided, but there are electives for bachelor students. The Federal Center for Disaster Medicine, located in Moscow, offers doctors advanced training in disaster medicine, also disaster medicine education is provided at the bachelor and residency levels all over the Russian Federation. In Ukraine, at the moment, there is no training of specialists in disaster medicine, while in Belarus there are curricula at all levels of education.Conclusion:Despite the fact that our life is impossible without catastrophes, most of the post-soviet countries are not having educational programs in disaster medicine. Using international experience could be beneficial so that every country will be prepared to face any disaster both locally and globally.
Severe Trauma in Germany and Israel– Are We Speaking the Same Language? A Trauma Registry Comparison
Authors: Kaim Arielle , Bodas Moran , Bieler Dan , Radomislensky Irina , Matthes Gerrit , Givon Adi , Trentzsch Heiko , Waydhas Christian , Lefering Rolf 
Published: June 2023

Introduction:Trauma registries are a crucial component of trauma systems, as they could be utilized to perform a benchmarking of quality of care and enable research in a critical but important area of health care. The aim of this study is to compare the performance of two national trauma systems: Germany (TraumaRegister DGU ®,TR-DGU) and Israel (Israeli National Trauma Registry,INTR) in a retrospective analysis.Method:Patients from both registries treated during 2015-2019 with an Injury Severity Score (ISS) ≥ 16 points were included. Patient demographics, pre-hospital care, hospital treatment, and outcome were compared.Results:Data were available from 12,585 Israeli patients and 55,660 German patients. Age and sex distribution were comparable, and road traffic accidents were the most prevalent cause of injuries. The ISS of German patients was higher (ISS 24 versus 20), more patients were treated in an intensive care unit (92% versus 32%), and mortality was higher(19.4% versus 9.5%) as well.Conclusion:Despite similar inclusion criteria (ISS ≥ 16), remarkable differences between the two national datasets were observed. Most likely, this was caused by different recruitment strategies of both registries like trauma team activation and the need for intensive care in TR- DGU. More detailed analyses are needed to uncover similarities and differences between both trauma systems.
Psychosocial Care Responses and Research After Terrorist Attacks
Authors: Stene Lise Eilin 
Published: June 2023

Introduction:The risk internationally of terrorist attacks and other mass trauma incites societies to strengthen the planning and implementation of psychosocial care. Prior findings have documented that psychosocial care responses, especially long-term follow-up, differ substantially between countries. With the aim to strengthen future psychosocial care responses and research, this presentation describes the models for psychosocial care and research activities following terrorist attacks in European countries.Method:Pre- and post-attack policy documents and reports addressing the psychosocial care responses to terrorist attacks were identified, and research on the mental health of affected individuals and psychosocial care provision was reviewed.Results:Although several aspects of the acute psychosocial care responses to terrorist attacks were similar across countries, there were substantial differences as to if and how long-term follow-up interventions were planned and implemented. There were also major differences in whether or not monitoring of and research on the psychosocial care responses were conducted, and existing research had important limitations.Conclusion:In order to strengthen the public health responses to future terrorist attacks and other mass casualty incidents, there is need for more standardized registration of affected individuals, as well as international models for monitoring their health and longitudinal research on the countries’ psychosocial care provision. During the presentation, it will be discussed how monitoring and research can be improved in this context.
Resilience Trustees Program in Hospitals–A Case Study: Wolfson Hospital, Israel
Authors: Bar-Haim Ronit , Amitzi Vered , Holzman Keren 
Published: June 2023

Introduction:Medical and paramedical staff endure a psychological toll of burn-out as part of the heavy personal consequences of their work, with an immeasurable increase during the Covid-19 pandemic outbreak. In Israel, there is an added stress of the highly unstable political situation, including war and racial-riots with direct hits of missiles leading to mass casualty events. Members often had to stay in the hospitals for days as the roads home were blocked. Wolfson Medical Center (WMC) is a medium size, level II hospital in the center of Israel. It serves a complex population, most from low to medium socioeconomic status, and a large population of displaced persons. The responsibilities of the staff weigh heavy, leading to psychological trauma, with clear signs of anxiety, depression and suicide.Israel Trauma Coalition (ITC) is a non-profit organization collaborating with over 40 organizations to create a continuum of care in psycho-trauma, response and preparedness.Method:ITC has initiated a Resilience-Trustees program, establishing a strong and active group within the organization, with adequate representation from each department and profession. Training the team to identify a colleague in distress, to respond adequately and to refer to professional help as needed. The program has started implementation in various hospitals in Israel, including WMC.Results:The expected results of this program is a change in the organization's culture of discourse and daily interaction so as to promote resilience and mutual trust and to help cope favorably with crisis situations. The actual results will be shown through a case study of the WMC team of Resilience Trustees, in accordance with the steps of the program (resilience in the original team, then the overall staff).Conclusion:This initiative will promote awareness and acceptance of mental, personal and team difficulties, as well as reduce risks of secondary traumatization, burnout and other disorders.