Recent Advances in Medical Device Triage Technologies for Chemical, Biological, Radiological, and Nuclear Events

Lansdowne, Krystal; Scully, Christopher G.; Galeotti, Loriano; Schwartz, Suzanne; Marcozzi, David; Strauss, David G.

doi:10.1017/s1049023x15004641

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…ere is currently a true lack of information over this matter, although its importance of it is outlined by studies that stress the need for proper assessments and adjustments on scene and remotely [2]. At the same time, there are studies under way that evaluate new action models [3,4,5], real or simulated [6], without a proper reference point.…”

Section: Discussionmentioning

confidence: 99%

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Stănescu

Boeriu

Copotoiu

2016

Acta Medica Marisiensis

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Background: The current study outlines some of the main particularities of both real and simulated mass casualty incidents (MCI) and disasters in Romania as reported by medical and paramedical participating personnel. Methods: A non-profit organization in Romania trained 1250 doctors, nurses and paramedics for proper MCI interventions through a dedicated programme for the last part of the year 2013. Half a year later, an email with a unique link to an online questionnaire was sent to each participant to assess their opinion over the participation in real or already simulated MCI or disasters. The questionnaire consisted of 25 specific topics, out of which only a fraction were considered for the current study. Results: Out of all participants, 145 doctors, 184 nurses and 115 paramedics provided valid answers, totaling 444 responders. Most participants were satisfied with the information about the location and type of the incident they would respond to. The amplitude of a given event is generally well anticipated under simulation conditions as compared to real events, where the amplitude tends to be higher rather than lower than expected (p=0.0082). About three quarters of participants under real or simulated events repeated or demanded repeating the information trafficked through mobile radios, almost a quarter misinterpreted the information, and almost a half reported delayed operations due to miscommunication. Conclusions: Simulations are a proper method of communication evaluation for mass casualty incidents and disasters, which can also stress the common communication issues encountered during a real MCI unfolding. BackgroundMass casualty incidents (MCI) and disasters are relatively rare events that by de nition overwhelm the intervention capacity of the responding agencies. May that be momentarily for MCI or over a longer period of time for disasters, both raise particular management problems that are the object of timely training in order to achieve the best possible results under real circumstances.However, an e cient management is not the only concern for these events. During their unfolding, a larger number of problems arise like miscommunication between participants, delays or lack of necessary information -medical and operational [1]. Certainly, some of these issues are not avoidable not because of the human factor but because of the technical limitations like communicating through a uni ed TETRA channel, adding an extra layer of push-to-talk radio communication or the inability to speci cally lter the participants' exchanged information with the current setup.In Romania, simulated MCI exercises are carried out regularly with preset scenarios. Unannounced evaluations are generally more useful and are a better indication of an actual initial response, but they are a lot more expensive and require the participation of already limited resources.Studies regarding the professionals' perspective over their participation on MCI and disasters are very rare and are not generally dedicated to the investigation ...

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Section: Discussionmentioning

confidence: 99%

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Stănescu

Boeriu

Copotoiu

2016

Acta Medica Marisiensis

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“…As the staff are required to work under biosafety precautions and regulations, deviations from the routine mode of operation pose a complex challenge. Modifications to the routine mode of patient admittance are instated, and the staff operate while wearing personal protective gear that may be perceived as uncomfortable or daunting [83,84].…”

Section: Triagementioning

confidence: 99%

Clinical Management of Patients Infected with Highly Pathogenic Microorganisms

Kratz

Adini

Stich

et al. 2019

Defense Against Biological Attacks

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“…Large scale biological incidents can present an enormous challenge to the health care system. These events require highly skilled first responders and an appropriate and quick response to protect the public [5,6]. Thus, the unprecedented 2014-2016 Ebola epidemic in West Africa highlighted the relevance of implementing applicable, effective, well-coordinated and quick international intervention responses to reduce the spread of the Ebola virus and protect human health [7].…”

Section: Introductionmentioning

confidence: 99%

Environmental Recovery Training for Biological Incidents: Impressions From Pharmacy Students

Pena-Fernandez¹,

Peña²,

Ollero³

et al. 2017

EDULEARN Proceedings

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An innovative teaching group at De Montfort University (DMU, UK) and at the University of Alcalá (Spain) has developed specific training to prepare human health students to respond to biological incidents. The purpose of this training is to provide a basic understanding of environmental toxicology, recovery, public health and medical preparedness to protect humans and minimise the spread of biological hazards. We have followed previous experience gained when responding to the 2014-16 Ebola outbreak in Makeni, Sierra Leone (West Africa). Previously, to create this training, a series of basic competences to respond to biological incidents were created by our group for undergraduate students [1] following the European Commission competences specified for medical responders [2]. A critical part of any intervention plan to respond to these incidents is to implement a quick response to protect the public and actions to minimise the occurrence of infections and recover the environment affected by the biological agent(s) since they can subsequently impact humans. A specific short training course/workshop (3 hours long) has been created in conjunction with a series of specific lectures on emerging pathogens, biological hazards and prevention, medical preparedness and public health. Students were provided with a biological incident scenario affecting different environments (open water and food production systems) and they needed to tailor a basic recovery strategy following the novel methodology and guidelines to tailor a recovery response to biological incidents developed by Public Health England (PHE) [3]. Our recovery training has been tested within different undergraduate and postgraduate programmes (BSc Biomedical and BMedSci Medical Science; MSc Advances in Biomedical Science) at DMU during the 2016/17 academic course; we have determined high levels of student satisfaction and engagement. Currently we are in the process of validating this training by delivering it in other European universities and/or different health care programmes. Thus, we delivered a modified version of this recovery training/workshop to third year pharmacy students (n=101) enrolled in the module Biological Analysis & Laboratory Diagnostic at the Universidad de San Pablo CEU (Spain) in April 2017. Pharmacy students gain an appropriate knowledge on infectious diseases, microbiology and parasitology during the first two years of study, so we decided to reduce the length of the workshop to 1.5 hours. A validated feedback-questionnaire was distributed that has revealed the following initial impressions (33 students completed the questionnaire): 93.9% of students enjoyed the different exercises created (45.4% agreed; 48.5% strongly agreed); only 6.1% of them did not (6.1% disagreed; 0% strongly disagreed). 87.9% of these students reported that the novel PHE resources used aided their learning on environmental recovery and restoration. Finally, 93.9 % of students (42.4% agreed; 51.5% strongly agreed) indicated that they have gained knowledge ...

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Recent Advances in Medical Device Triage Technologies for Chemical, Biological, Radiological, and Nuclear Events

Cited by 6 publications

References 13 publications

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Clinical Management of Patients Infected with Highly Pathogenic Microorganisms

Environmental Recovery Training for Biological Incidents: Impressions From Pharmacy Students

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