Care in emergencies and disasters: Can it be person-centered?

Khorram-Manesh, Amir; Gray, Lesley; Goniewicz, Krzysztof; Cocco, Annelise; Ranse, Jamie; Phattharapornjaroen, Phatthranit; Achour, Nebil; Sørensen, Jarle; Peyravi, Mahmoudreza; Hertelendy, Attila J.; Kupietz, Kevin; Bergholtz, Jana; Carlström, Eric

doi:10.1016/j.pec.2023.108046

Cited by 12 publications

(4 citation statements)

References 40 publications

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“…In response to our findings, it is imperative to integrate mental health services and community resilience programs into existing public health policies and emergency response strategies. 22 This integration not only addresses the immediate and long-term health impacts of CBRN incidents but also fosters a holistic approach to disaster preparedness. Strengthening psychosocial support systems, alongside physical health services, 23 will ensure a comprehensive response framework capable of addressing the full spectrum of needs arising from CBRN terrorism.…”

Section: Discussionmentioning

confidence: 99%

Public Health Responses to CBRN Terrorism in the Middle East and North Africa

Mani,

Plummer,

Kuhn

et al. 2024

Disaster med. public health prep.

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Objective: Escalating global challenges such as disasters, conflict, and climate change underline the importance of addressing Chemical, Biological, Radiological, and Nuclear (CBRN) terrorism for sustainable public health strategies. This study aims to provide a comprehensive epidemiological analysis of CBRN incidents in the Middle East and North Africa (MENA) region, emphasizing the necessity of sustainable responses to safeguard healthcare infrastructures. Methods: Utilizing a retrospective approach, this research analyzes data from the Global Terrorism Database (GTD) covering the period from 2003 to 2020. The study focuses on examining the frequency, characteristics, and consequences of CBRN incidents in the MENA region to identify patterns and trends that pose significant challenges to public health systems. Results: The analysis revealed a significant clustering of CBRN incidents in Iraq and Syria, with a predominant involvement of chemical agents. These findings indicate the extensive impact of CBRN terrorism on healthcare infrastructures, highlighting the challenges in providing immediate health responses and the necessity for long-term recovery strategies. Conclusions: The study underscores the need for improved healthcare preparedness, robust emergency response systems, and the development of sustainable public health policies. Advocating for international collaboration, the research contributes to the strategic adaptation of healthcare systems to mitigate the impacts of CBRN terrorism, ensuring preparedness for future incidents in the MENA region and beyond.

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Section: Discussionmentioning

confidence: 99%

Public Health Responses to CBRN Terrorism in the Middle East and North Africa

Mani,

Plummer,

Kuhn

et al. 2024

Disaster med. public health prep.

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“…Furthermore, our findings regarding the maximal number of hospitalization days, particularly for patients with head and neck injuries in rural areas, call attention to the need for enhanced trauma care systems that are not only robust but also flexible enough to adjust to sudden changes in healthcare demands [ 45 , 46 , 47 ]. The sustained or increased length of stay for trauma patients during the pandemic highlights a resilience gap in the healthcare system, which requires strategic investments in rural healthcare infrastructure to improve response capacity in future crises.…”

Section: Discussionmentioning

confidence: 99%

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic

Jojczuk,

Naylor,

Serwin

et al. 2024

JCM

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Introduction: Traumatic injuries are a significant global health concern, with profound medical and socioeconomic impacts. This study explores the patterns of trauma-related hospitalizations in the Lublin Province of Poland, with a particular focus on the periods before and during the COVID-19 pandemic. Aim of the Study: The primary aim of this research was to assess the trends in trauma admissions, the average length of hospital stays, and mortality rates associated with different types of injuries, comparing urban and rural settings over two distinct time periods: 2018–2019 and 2020–2021. Methods: This descriptive study analyzed trauma admission data from 35 hospitals in the Lublin Province, as recorded in the National General Hospital Morbidity Study (NGHMS). Patients were classified based on the International Classification of Diseases Revision 10 (ICD-10) codes. The data were compared for two periods: an 11-week span during the initial COVID-19 lockdown in 2020 and the equivalent period in 2019. Results: The study found a decrease in overall trauma admissions during the pandemic years (11,394 in 2020–2021 compared to 17,773 in 2018–2019). Notably, the average length of hospitalization increased during the pandemic, especially in rural areas (from 3.5 days in 2018–2019 to 5.5 days in 2020–2021 for head injuries). Male patients predominantly suffered from trauma, with a notable rise in female admissions for abdominal injuries during the pandemic. The maximal hospitalization days were higher in rural areas for head and neck injuries during the pandemic. Conclusions: The study highlights significant disparities in trauma care between urban and rural areas and between the pre-pandemic and pandemic periods. It underscores the need for healthcare systems to adapt to changing circumstances, particularly in rural settings, and calls for targeted strategies to address the specific challenges faced in trauma care during public health crises.

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“…24 Sustainable healthcare, in this context, hinges on the ability to uphold ethical standards while navigating complex and often rapidly evolving scenarios. 25,26 Our study highlights the need for sustainable ethical frameworks in emergency medicine, which are essential for ensuring not only the immediate well-being of patients but also the long-term resilience of healthcare systems in an era marked by frequent and unpredictable public health challenges.…”

mentioning

confidence: 94%

Ethical Awareness and Practices Among Emergency Department Personnel in Riyadh’s Tertiary Hospitals: A Cross-Sectional Analysis

Al-Wathinani,

AlHokair,

Almeshari

et al. 2024

RMHP

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Introduction Ethical dilemmas in healthcare, particularly in emergency medical services (EMS), present significant challenges for healthcare workers (HCWs), necessitating a profound understanding of ethics and decision-making. This study assesses the ethical awareness and practices among HCWs in emergency departments of tertiary hospitals in Saudi Arabia, aiming to identify areas of strength and opportunities for improvement. Methods A cross-sectional survey was conducted among 256 HCWs, including physicians, nurses, and administrative staff, in emergency departments across tertiary hospitals in Riyadh, Saudi Arabia. The questionnaire evaluated participants’ knowledge of healthcare ethics, their experiences with ethical dilemmas, and the sources from which they derived their ethical understanding. Results The majority of participants exhibited a commendable level of ethical knowledge and practice, with frequent encounters of ethical or legal issues highlighting the pervasive nature of ethical challenges in emergency healthcare settings. Key sources of ethical knowledge included experiential learning and academic lectures, with a notable emphasis on practical experience. Despite the satisfactory level of ethical awareness, areas requiring further educational focus were identified, emphasizing the need for enhanced ethics training tailored to the emergency medical context. Discussion The findings underline the critical importance of incorporating ethics into the core of healthcare education and ongoing professional development for HCWs. Establishing a culture of continuous ethical dialogue and learning is essential for fostering patient-centered care and making informed ethical decisions in the fast-paced environment of emergency services. The study advocates for revising current ethics training programs to ensure they are comprehensive, relevant, and accessible, preparing HCWs to effectively address both current and future ethical challenges.

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Care in emergencies and disasters: Can it be person-centered?

Cited by 12 publications

References 40 publications

Public Health Responses to CBRN Terrorism in the Middle East and North Africa

Public Health Responses to CBRN Terrorism in the Middle East and North Africa

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic

Ethical Awareness and Practices Among Emergency Department Personnel in Riyadh’s Tertiary Hospitals: A Cross-Sectional Analysis

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