Disasters; the 2010 Haitian earthquake and the evacuation of burn victims to US burn centers

Kearns, Randy D.; Holmes, James H.; Skarote, Mary Beth; Cairns, Charles B.; Strickland, Samantha Cooksey; Smith, Howard G.; Cairns, Bruce A.

doi:10.1016/j.burns.2013.12.015

Cited by 7 publications

(7 citation statements)

References 32 publications

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“…Maintaining Critical Infrastructure and Transportation: A resilient health system develops plans to weather interruptions in critical infrastructure and transportation [24, 25, 38–50]. Timely and Flexible Access to Emergency/Crisis Financing: A resilient health system has timely, flexible access to financing so that it can better prepare for and respond to public health emergencies [24, 29, 36, 37, 39–41, 51–59]. Leadership and Command Structure: A resilient health system has a clear and flexible command structure that has been established prior to an event and is exercised frequently [24, 29, 57, 60–65].…”

Section: Resultsmentioning

confidence: 99%

“…Timely and Flexible Access to Emergency/Crisis Financing: A resilient health system has timely, flexible access to financing so that it can better prepare for and respond to public health emergencies [24, 29, 36, 37, 39–41, 51–59].…”

Section: Resultsmentioning

confidence: 99%

“…There are some indicators in the JEE that do address the themes identified in the literature review, but only within the context of public health. For example, the literature suggests that health facilities need access to financing during emergencies to cover the added costs of preparing for and responding to emergencies [24, 29, 36, 37, 39–41, 51–59]. The JEE indicator on National, Legislation, Policy and Financing does address whether countries have the financing to fulfill their obligations under the IHR, which includes “regulations or administrative requirements, or other governmental instruments governing public health surveillance and response” [12].…”

Section: Resultsmentioning

confidence: 99%

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What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping review

et al. 2019

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Background The 2014–2016 Ebola outbreak was a wake-up call regarding the critical importance of resilient health systems. Fragile health systems can become overwhelmed during public health crises, further exacerbating the human, economic, and political toll. Important work has been done to describe the general attributes of a health system resilient to these crises, and the next step will be to identify the specific capacities that health systems need to develop and maintain to achieve resiliency. Methods We conducted a scoping review of the literature to identify recurring themes and capacities needed for health system resiliency to infectious disease outbreaks and natural hazards and any existing implementation frameworks that highlight these capacities. We also sought to identify the overlap of the identified themes and capacities with those highlighted in the World Health Organization’s Joint External Evaluation. Sources of evidence included PubMed, Web of Science, OAIster, and the websites of relevant major public health organizations. Results We identified 16 themes of health system resilience, including: the need to develop plans for altered standards of care during emergencies, the need to develop plans for post-event recovery, and a commitment to quality improvement. Most of the literature described the general attributes of a resilient health system; no implementation frameworks were identified that could translate these elements into specific capacities that health system actors can employ to improve resilience to outbreaks and natural hazards in a variety of settings. Conclusions An implementation-oriented health system resilience framework could help translate the important components of a health system identified in this review into specific capacities that actors in the health system could work to develop to improve resilience to public health crises. However, there remains a need to further refine the concept of resilience so that health systems can simultaneously achieve sustainable transformations in healthcare practice and health service delivery as well as improve their preparedness for emergencies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping review

et al. 2019

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“…The available literature included cutaneous radiation injuries (Parrish and Seda 2019 ; DiCarlo et al 2020 ), armed conflicts (Haverkamp et al 2019 ), parties/concerts/discos (Chen et al 2019 ; Lin et al 2019 ; Tseng et al 2019 ; Yang et al 2019 ), communication accidents (Ewbank et al 2018 ), terrorist attacks (Konwinski et al 2016 ; Ozoilo et al 2010 ; Sheridan et al 2017 , Hunt et al 2020), mass chemical casualties (Zhang et al 2015 ), petroleum and LPG explosions (Kumar 2013 ; Carlsonet al 2015 ), earthquakes (Kearns and Holmes 2014 ), indoor fires (Koning et al 2015 ), forest fires (Seifman et al 2011 ), and mine explosions (Allister and Hamilton et al 1983 ).…”

Section: Resultsmentioning

confidence: 99%

“…40% TBSA. Due to the lack of adequate medical infrastructure on site, the patients were transferred to other hospitals, especially in the USA (Kearns et al 2014 ).…”

Section: Resultsmentioning

confidence: 99%

The urgent need to achieve an optimal strategic stock of human allogeneic skin graft materials in case of a mass disaster in Poland

et al. 2022

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A burn is a sudden injury which immediate or long-term consequences may be life-threatening for the patient. A mass disaster event may involve large numbers of severely burned patients. Patients of this type typically have a limited area of healthy, unburned skin from which an autologous split thickness skin graft could be collected. In a clinical situation of this type, it is necessary to use a particular skin substitute. Non-viable allogeneic human skin graft materials might be considered as the most suitable skin substitutes in the treatment of such patients. At present, Poland does not have a sufficient supply of human allogeneic skin graft materials to meet the needs arising from a sudden and unforeseen mass disaster. This study involved an analysis of selected mass disasters. From this an estimate was made from a verified casualty profile of the necessary minimum stock of human allogeneic skin graft materials. An insufficient amount of skin results from an inadequate number of skin donors, which in turn results from the current tissue donation system. Therefore, a proposal has been made for the organizational, legal and systemic changes required to improve the situation in Polish transplantology, with particular emphasis on skin donation. In order to achieve a strategic stock of human skin grafts, a tissue collecting transplantation team should be organized. The rights and obligations of the non-physician transplant team member should be extended. Proposals have been made for awareness campaigns (adverts, posters etc.) and educational schemes (educational video, lectures during transplant coordinator training, etc.). Finally, a proposal has been made for possible methods to deal with the logistic management of the allogeneic skin stock. The required, essential stock of human allogeneic skin in the event of a mass disaster has been estimated at 600,000 cm 2 . Supplementary Information The online version contains supplementary material available at 10.1007/s10561-022-10001-z.

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Advancing the scientific study of prehospital mass casualty response through a Translational Science process: the T1 scoping literature review stage

Weinstein

Cuthbertson

Herbert

et al. 2023

Eur J Trauma Emerg Surg

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Purpose The European Union Horizon 2020 research and innovation funding program awarded the NIGHTINGALE grant to develop a toolkit to support first responders engaged in prehospital (PH) mass casualty incident (MCI) response. To reach the projects’ objectives, the NIGHTINGALE consortium used a Translational Science (TS) process. The present work is the first TS stage (T1) aimed to extract data relevant for the subsequent modified Delphi study (T2) statements. Methods The authors were divided into three work groups (WGs) MCI Triage, PH Life Support and Damage Control (PHLSDC), and PH Processes (PHP). Each WG conducted simultaneous literature searches following the PRISMA extension for scoping reviews. Relevant data were extracted from the included articles and indexed using pre-identified PH MCI response themes and subthemes. Results The initial search yielded 925 total references to be considered for title and abstract review (MCI Triage 311, PHLSDC 329, PHP 285), then 483 articles for full reference review (MCI Triage 111, PHLSDC 216, PHP 156), and finally 152 articles for the database extraction process (MCI Triage 27, PHLSDC 37, PHP 88). Most frequent subthemes and novel concepts have been identified as a basis for the elaboration of draft statements for the T2 modified Delphi study. Conclusion The three simultaneous scoping reviews allowed the extraction of relevant PH MCI subthemes and novel concepts that will enable the NIGHTINGALE consortium to create scientifically anchored statements in the T2 modified Delphi study.

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Disasters; the 2010 Haitian earthquake and the evacuation of burn victims to US burn centers

Cited by 7 publications

References 32 publications

What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping review

What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping review

The urgent need to achieve an optimal strategic stock of human allogeneic skin graft materials in case of a mass disaster in Poland

Advancing the scientific study of prehospital mass casualty response through a Translational Science process: the T1 scoping literature review stage

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