Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Disaster Planning”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 703 records · Page 39Linked to original sources
PubMed1980

Passenger survival in wide-bodied jet aircraft accidents vs. other aircraft: a comparison.

An analysis of survival of passengers involved in accidents over the last decade shows approximately three time fewer fatalities, in proportion to the number of passengers involved, in wide-bodied jets than in piston aircraft. Various factors affecting the improved survival rates are discussed. Application of these points with particular reference to airport disaster planning is made. It is shown that there are larger numbers of survivors when life-saving emergency treatment utilizes the concept of "bringing the hospital to the disaster." Details of the Mobile Emergency Hospital developed at Kennedy International Airport are described.

Accidents↗
PubMed1976

[Organization of surgical work in hospitals under special conditions].

A check-list consisting all the importants measures in hospital care for handling all sorts of disasters is described. In those situations the management of organization is primarily more important than medical attendance. The doctor educated in individual medicine overestimates the medical problems. In every hospital a disaster plan should be step up as a precuation. The importance of triage has been confirmed, and several aspects of its planning have been stressed. Excercise and test alarm are necessary to check the set upa organization.

Disasters↗
PubMed2006

Mental health and psychosocial support after the tsunami: observations across affected nations.

The countries affected by the tsunami responded to the natural disaster promptly but with different results and outcomes. The reasons for this varied response were many. The outcome depended upon a number of factors, including the extent of the damage to property and lives, accessibility of the areas and existing disaster plans. In this paper we present the overall observations and suggest the way forward.

Asia↗
PubMed2006

Eight months later: Hurricane Katrina aftermath challenges facing the Infectious Diseases Section of the Louisiana State University Health Science Center.

The effects of Hurricane Katrina have caused the long-term sequelae of a diminished patient base, of a reduced number of available health care professionals, and of closing hospitals in New Orleans, Louisiana. These changes have substantially impacted the academic infrastructure of New Orleans. This article outlines the post-Katrina response of the Louisiana State University Health Science Center (LSUHSC) Infectious Diseases Section and Health Care Services Division to maintain existing HIV and infectious diseases programs. Although several challenges delayed the immediate reopening of the New Orleans location of the HIV Outpatient Program clinic, the LSUHSC Infectious Diseases Section and Health Care Services Division established clinics outside New Orleans for the care of HOP patients immediately following the hurricane. The HOP clinic reopened in New Orleans (in a temporary location) in early November 2005. Several recommendations for academic clinical, training, and research programs are outlined, to assist other centers that might face disaster aftermath challenges.

Academic Medical Centers↗
PubMed2006

A week we don't want to forget: lessons learned from Tulane.

By the time I walked into the conference call at about 7 a.m. on Tuesday, August 30, HCA's Tulane hospital was surrounded by between four and six feet of water, depending on the side of the building. The water was slowly rising. An estimated 1,300 people were trapped at Tulane Hospital. No CEO has ever had as much reason to be proud of his company as I did during the next few days. We safely evacuated Tulane's patients, staff members, and family members, coordinating more than 200 helicopter sorties to and from Tulane in the process. We transferred every patient to a waiting hospital and took nearly every staff and family member to an HCA-run shelter in Lafayette, Louisiana, where they were bathed, fed, inoculated, given shelter, given access to prepaid cellular phones, and sent where they needed to go. This, I believe, was one of HCA's greatest hours, but we also learned many lessons from the catastrophic event. Although we hope and pray that nothing like this ever happens again, the things we learned can be of use to the healthcare community at large.

Air Ambulances↗
PubMed1990

Cellular communication.

Generally, cellular-telephone communications seem to be a valuable means for the public to communicate that an accident has occurred on highways in metropolitan areas. Response time is reduced and congestion quickly relieved. This system could be improved by making a provision in emergency call boxes for the separation of vehicle problems from true emergency calls to ensure the proper response priority. Cellular-telephone communications are a valuable adjunct to EMS radio communications for biotelemetry, when channels are overcrowded or communications are needed in a "dead" area. A system of dedicated hospital-emergency-department lines and telephone numbers is needed. Cellular telephones shouldn't be used as a primary means of providing medical control. Advance planning should be undertaken to ensure immediate access to hospital emergency departments if cellular is used for secondary purposes. The amount of communication traffic at and surrounding a multi-casualty incident or disaster may overwhelm a local cell. Priority numbers providing immediate access and bumping of non-emergency calls for emergency responders are needed. All means of communication should be coordinated by an EMS communications MCI or disaster plan.

California↗
PubMedDate not supplied

The injury experience observed in two emergency departments in Kingston, Ontario during 'ice storm 98'.

OBJECTIVES: 1) To describe patterns of unintentional injury presenting for emergency medical care in Kingston, Ontario following the ice storm in January 1998; and 2) to provide recommendations for prevention during such situations. METHODS: Unintentional injuries related to the ice storm that presented at the two emergency departments in Kingston, Ontario were identified and described. RESULTS: A total of 254 injuries were identified. Injuries peaked the day following the onset of the ice storm and again 4-6 days following the storm. Common sources of injury included slips and falls on the ice (56%), activities related to clearing brush or trees (15%), and unintentional carbon monoxide poisonings (9%). CONCLUSIONS: While the number of injuries that presented during the storm and its aftermath was not unusual, the distribution of injuries by type did reflect the irregular nature of environmental conditions. This analysis provides useful information for public officials to use reviewing disaster plans and to generate recommendations for managing future occurrences.

Abbreviated Injury Scale↗
PubMed2002

Impact of a tornado on a community hospital.

A significant tornado passed through the Oklahoma City metropolitan area on May 3,1999. This study was undertaken at St Michael Hospital (Oklahoma City, Okla) to describe the impact on a community hospital's emergency department close to the tornado strike zone. Cases were defined as patients receiving diagnostic procedures, care, and interventions at the study hospital's emergency department for injuries related to the tornado. Medical records were abstracted and entered into a custom database; descriptive analysis was done using Microsoft Excel 97. A total of 147 patients met the study criteria, with an admission rate of 31 (21%) [corrected] of 147 patients (6 [19.4%] of 31 to the operating room, 4 [12.9%] of 31 to the intensive care unit, and 21 [67.7%] [corrected] of 31 to ward beds). In addition, 4 (2.7%) of the 147 patients were transferred to tertiary-care facilities (3 pediatric patients with head injuries and 1 adult patient with spinal cord injury). Complex soft tissue wounds, head injuries, and fractures were the most common diagnoses. The number of head-injured patients arriving alive to the emergency department was higher than expected. Most soft tissue wounds were closed primarily in the emergency department. The authors recommend that preexisting referral patterns for trauma and specialty care should be a part of the overall disaster plans for community hospitals.

Adolescent↗
PubMed2004

Emergency department visits for home medical device failure during the 2003 North America blackout.

OBJECTIVES: During a widespread North American blackout in August 2003, the authors identified a cluster of patients presenting to their northern Manhattan emergency department (ED) with complaints related to medical device failure. The characteristics of this group with respect to presenting complaint, type of device failure, time spent in the ED, and disposition are described in an effort to better understand the resource needs of this population. METHODS: This was a retrospective chart review for all patients evaluated in an urban teaching ED during a 24-hour period spanning the duration of regional power failure. Charts for patients presenting with medical device failure as part of their triage complaint were abstracted. RESULTS: Twenty-three of 255 patients coming to the ED during the 24-hour period presented with medical device failure. Nineteen of the device failures were due to nonfunctioning oxygen conservers, three to ventilator failure, and two to airway suction device failure (one patient had two devices fail). Thirteen of these patients were admitted to the hospital and accounted for 22% of all admissions during the study interval. Discharged patients spent a mean of 15.1 hours (range: 3.8-24.4 hours) in the ED. CONCLUSIONS: Patients using electrical medical devices seek care in the ED when power failure occurs, and they require significant ED and hospital resources. Effective disaster planning should anticipate the needs of this population.

Adult↗
PubMed2004

Increased incidence of inflicted traumatic brain injury in children after a natural disaster.

BACKGROUND: The incidence of child abuse following natural disasters has not been studied thoroughly. However, parental stress and decreased social support have been linked to increased reports of child maltreatment. We hypothesized that a large-scale natural disaster (North Carolina's Hurricane Floyd) would increase the incidence of inflicted traumatic brain injury (TBI) in young children. METHODS: An ecologic study design was used to compare regions affected to those regions unaffected by the disaster. Cases of inflicted TBI resulting in admission to an intensive care unit or death from September 1998 through December 2001 in North Carolina were ascertained. Poisson regression modeling was employed to calculate rate ratios of injury for each geographic area by time period. RESULTS: Inflicted TBI in the most affected counties increased in the 6 months post-disaster in comparison to the same region pre-disaster (rate ratio 5.1, 95% confidence interval [CI]=1.3-20.4), as did non-inflicted TBI (rate ratio 10.7, 95% CI=2.0-59.4). No corresponding increased incidence was observed in counties less affected or unaffected by the disaster. The rate of inflicted injuries returned to baseline in the severely affected counties 6 months post-hurricane; however, the rate of non-inflicted injuries appeared to remain elevated for the entire post-hurricane study period. CONCLUSIONS: Families are vulnerable to an elevated risk of inflicted and non-inflicted child TBI following a disaster. This information may be useful in future disaster planning.

Age Distribution↗