The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Frederick M Burkle - One of the best experts on this subject based on the ideXlab platform.
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core Disaster Medicine education cdme for emergency Medicine residents in the united states
Prehospital and Disaster Medicine, 2019Co-Authors: Ritu R Sarin, Gregory R Ciottone, Frederick M Burkle, John L Hick, Paul D Biddinger, Jonathan L Burstein, Kristi L Koenig, John F Brown, Douglas M Char, Charles M LittleAbstract:Objectives Disaster Medicine (DM) education for Emergency Medicine (EM) residents is highly variable due to time constraints, competing priorities, and program expertise. The investigators' aim was to define and prioritize DM core competencies for EM residency programs through consensus opinion of experts and EM professional organization representatives. Methods Investigators utilized a modified Delphi methodology to generate a recommended, prioritized core curriculum of 40 DM educational topics for EM residencies. Results The DM topics recommended and outlined for inclusion in EM residency training included: patient triage in Disasters, surge capacity, introduction to Disaster nomenclature, blast injuries, hospital Disaster mitigation, preparedness, planning and response, hospital response to chemical mass-casualty incident (MCI), decontamination indications and issues, trauma MCI, Disaster exercises and training, biological agents, personal protective equipment, and hospital response to radiation MCI. Conclusions This expert-consensus-driven, prioritized ranking of DM topics may serve as the core curriculum for US EM residency programs.
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building resilience by professionalization of healthcare workers through technological innovations
International journal of disaster risk reduction, 2017Co-Authors: Moa M Herrgard, Luca Ragazzoni, Adrian Paul J Rabe, Frederick M BurkleAbstract:Abstract Disaster Medicine remains an underdeveloped specialty field requiring significant focus. This paper recommends that professionalization of this specialty is a global health priority, benchmarking it according to emerging global health standards. This paper emphasis the importance of technological innovations and increased access to the internet, to ensure enhanced learning and a greater reach of essential information. Education and training initiatives in Disaster Medicine are emerging with greater frequency leading to a call for unified standards of practice and policy necessary to build the capacity of future health worker and other to be effective responders to humanitarian and Disaster crises. These initiatives will contribute to increased resilience, and more robust and sustainable development at the community level contributing greatly to Disaster risk reduction and management.
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conversations in Disaster Medicine and public health the profession
Disaster Medicine and Public Health Preparedness, 2014Co-Authors: Frederick M BurkleAbstract:Using historical and research examples of Disaster and crisis science, I argue here for the professionalization of Disaster Medicine and public health as a unique and essential discipline in support of global public health security. Questions about clinical competencies of providers and reports of unacceptable practices and the limited scope of guidelines for foreign medical teams have persisted for years. The professionalization movement endorses a standard route to certification through the completion of a competency-based curriculum, demonstrating competency through examination or experience to produce a learning and development portfolio, document competency through the acquisition of experience and added training, and develop professional associations. These programs devise certification criteria for entry, mid-level, and higher level candidates who serve in domestic and global humanitarian crises.
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a118 evidence based Disaster Medicine what can we learn from a science spread across 900 journals
Prehospital and Disaster Medicine, 2011Co-Authors: Erin Smith, Peter Aitken, Frederick M Burkle, Francis Leo ArcherAbstract:IntroductionDisasters and large-scale crises continue to increase in frequency. To mitigate the potential catastrophes that confront humanity in the new millennium, an evidence-based approach to Disaster Medicine is required urgently. This paper moves towards such an approach by identifying the current evidence-base for Disaster Medicine.MethodsUsing a search strategy developed by the Cochrane Prehospital and Emergency Health Field, three independent reviewers searched the electronically indexed database MEDLINE (January 2000 – August 2010) to identify peer-reviewed literature relevant to Disaster Medicine. Reviewers screened the titles and abstracts identified by the search strategy and applied predetermined criteria to classify the reported publications for date, source and study type and topic.ResultsA total of 8149 publications were identified. Of these, 8% focused on mitigation, 22% on preparedness, 19% on response and 51% on recovery. The publications were overwhelmingly anecdotal or descriptive (89%) while 5% were quantitative studies and 6% used qualitative methodologies. Only 66 of these publications were classified as being high level evidence. The publications were published in 928 journals, of which 34% were mental health related journals and 28% were public health journals. The journal “Prehospital and Disaster Medicine” had the greatest number of publications (5%) of all journals publishing on issues within the scope of Disaster Medicine. The events with the greatest numbers of publications were the 9/11 terrorist attacks, Hurricane Katrina, the Indian Ocean Tsunami, and the conflict in Iraq. Of note, this search highlights the lack of publications reporting on the application of evaluation tools or frameworks.ConclusionGiven that the “science” of Disaster Medicine is spread across over 900 different journals, keeping on top of the evolving evidence-base of this emerging discipline will continue to be a challenge. Furthermore, the overall low quality of the evidence is an ongoing concern.
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telecommunications systems in support of Disaster Medicine applications of basic information pathways
Annals of Emergency Medicine, 1999Co-Authors: Victoria Garshnek, Frederick M BurkleAbstract:Disaster events have always been a fact of life. Success or failure of a Disaster response is often determined by timely access to communication and reliable information. The rapid progress and future course in telecommunications indicate that lack of communications need no longer be the paralyzing factor in a Disaster scenario. This is especially important for medical response where time is of essence to save lives. This article explores various telecommunications tools that can enhance medical response in a Disaster and includes those associated with teleMedicine (providing medical care from a distance through telecommunications). Disaster teleMedicine systems need not be special or sophisticated-the challenge is to match the right systems with a given Disaster plan or scenario. A brief history of teleMedicine use for Disaster relief and humanitarian assistance is presented together with a discussion of advantages, disadvantages, and near-future potential of telecommunication systems to gain a better perspective of which tools might best fit Disaster Medicine needs today and into the new millennium.
Yasuhiro Otomo - One of the best experts on this subject based on the ideXlab platform.
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needs for Disaster Medicine lessons from the field of the great east japan earthquake
Western Pacific Surveillance and Response Journal, 2013Co-Authors: Hiroto Ushizawa, Alice Ruth Foxwell, Steven Bice, Tamano Matsui, Yutaka Ueki, Naoki Tosaka, Tomohisa Shoko, Junichi Aiboshi, Yasuhiro OtomoAbstract:PROBLEM: The Great East Japan Earthquake, which occurred in Tohoku, Japan on 11 March 2011, was followed by a devastating tsunami and damage to nuclear power plants that resulted in radiation leakage. CONTEXT: The medical care, equipment and communication needs of four Disaster Medical Assistance Teams (DMAT) during four missions are discussed. DMATs are medically trained mobile teams used in the acute phase of Disasters. ACTION: The DMATs conducted four missions in devastated areas from the day of the earthquake to day 10. The first and second missions were to triage, resuscitate and treat trauma victims in Tokyo and Miyagi, respectively. The third mission was to conduct emergency Medicine and primary care in Iwate. The fourth was to assist with the evacuation and screening of inpatients with radiation exposure in Fukushima. OUTCOME: Triage, resuscitation and trauma expertise and equipment were required in Missions 1 and 2. Emergency Medicine in hospitals and primary care in first-aid stations and evacuation areas were required for Mission 3. In Mission 4, the DMAT assisted with evacuation by ambulances and buses and screened people for radiation exposure. Only land phones and transceivers were available for Missions 1 to 3 although they were ineffective for urgent purposes. DISCUSSION: These DMAT missions showed that there are new needs for DMATs in primary care, radiation screening and evacuation after the acute phase of a Disaster. Alternative methods for communication infrastructure post-Disaster need to be investigated with telecommunication experts. Language: en
Yuichi Koido - One of the best experts on this subject based on the ideXlab platform.
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expected scopes of health emergency and Disaster risk management health edrm report on the expert workshop at the annual conference for the japanese association for Disaster Medicine 2020
International Journal of Environmental Research and Public Health, 2021Co-Authors: Shuhei Nomura, Ryoma Kayano, Shinichi Egawa, Nahoko Harada, Yuichi KoidoAbstract:The World Health Organization (WHO) and its partners established the WHO Thematic Platform for Health Emergency and Disaster Risk Management Research Network (HEALTH EDRM RN) in 2016 to respond to the increasing burden of recent health emergencies and Disasters. The mission of the HEALTH EDRM RN, whose secretariat is located at the WHO Kobe Centre (WKC), is to promote global research collaboration and strengthen research activities to inform policies and programs by generating new evidence to manage health risks associated with all types of emergencies and Disasters. With the strong support and involvement of all WHO regional offices, the HEALTH EDRM RN now works with more than 200 global experts and partners to pursue its mission. The first Core Group Meetings of the HEALTH EDRM RN were held on 17–18 October 2019, and concluded with the HEALTH EDRM RN-activity priorities to (1) promote operational research to better meet the needs of emergency- and Disaster-exposed individuals and communities and efforts to translate science to policies and programs and (2) strengthen the research capacity of the Health EDRM community. In collaboration with the Japanese Association for Disaster Medicine, the WKC held a workshop on 21 February 2020, in which 20 Japanese experts from different research fields participated to further discuss these two points. This paper summarizes the discussion at the workshop.
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resources for business continuity in Disaster based hospitals in the great east japan earthquake survey of miyagi prefecture Disaster base hospitals and the prefectural Disaster Medicine headquarters
Disaster Medicine and Public Health Preparedness, 2013Co-Authors: Daisuke Kudo, Hajime Furukawa, Atsuhiro Nakagawa, Satoshi Yamanouchi, Yuichi Koido, Takashi Matsumura, Yoshiko Abe, Ryota Konishi, Masaaki Matoba, Teiji TominagaAbstract:ObjectiveTo clarify advance measures for business continuity taken by Disaster base hospitals involved in the Great East Japan Earthquake.MethodsThe preDisaster situation regarding stockpiles was abstracted from a 2010 survey. Timing of electricity and water restoration and sufficiency of supplies to continue operations were investigated through materials from Miyagi Prefecture Disaster Medicine headquarters (prefectural medical headquarters) and Disaster base hospitals (14 hospitals) in Miyagi Prefecture after the East Japan earthquake.ResultsThe number of hospitals with less than 1 day of stockpiles in reserve before the Disaster was 7 (50%) for electricity supplies, 8 (57.1%) for water, 6 (42.9%) for medical goods, and 6 (42.9%) for food. After the Disaster, restoration of electricity and water did not occur until the second day or later at 8 of 13 (61.5%) hospitals, respectively. By the fourth postDisaster day, 14 hospitals had requested supplies from the prefectural medical headquarters: 9 (64.3%) for electricity supplies, 2 (14.3%) for water trucks, 9 (64.3%) for medical goods, and 6 (42.9%) for food.ConclusionsThe lack of supplies needed to continue operations in Disaster base hospitals following the Disaster clearly indicated that current business continuity plans require revision. (Disaster Med Public Health Preparedness. 2013;0:1-6)
Francesco Della Corte - One of the best experts on this subject based on the ideXlab platform.
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use of simulated patients in Disaster Medicine training a systematic review
Disaster Medicine and Public Health Preparedness, 2021Co-Authors: Pier Luigi Ingrassia, Luca Ragazzoni, Luca Pigozzi, Mattia Bono, Francesco Della CorteAbstract:Simulation is an effective teaching tool in Disaster Medicine education, and the use of simulated patients (SPs) is a frequently adopted technique. Throughout this article, we critically analyzed the use and the preparation of SPs in the context of simulation in Disaster Medicine. A systematic review of English, French, and Italian language articles was performed on PubMed and Google Scholar. Studies were included if reporting the use of SPs in Disaster Medicine training. Exclusion criteria included abstracts, citations, theses, articles not dealing with Disaster Medicine, and articles not using human actors in simulation. Eighteen papers were examined. All the studies were conducted in Western countries. Case reports represent 50% of references. Only in 44.4% of articles, the beneficiaries of simulations were students, while in most of cases were professionals. In 61.1% of studies SPs were moulaged, and in 72.2%, a method to simulate victim symptoms was adopted. Ten papers included a previous training for SPs and their involvement in the participants' assessment at the end of the simulation. Finally, this systematic review revealed that there is still a lack of uniformity about the use of SPs in the Disaster Medicine simulations.
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a nationwide peer assisted learning program in Disaster Medicine for medical students
European Journal of Emergency Medicine, 2020Co-Authors: Luca Ragazzoni, Andrea Conti, Marcelo Farah Dellaringa, Marta Caviglia, Fabio Maccapani, Francesco Della CorteAbstract:Objectives The Sendai Framework advocates the importance of training in Disaster Medicine as a way to improve health system resilience. In Italy, despite the official recognition of Disaster Medicine as a mandatory discipline in the standard curriculum, most students are never exposed to its basic concepts. DisasterSISM is a nationwide educational program in Disaster Medicine developed in 2008. Given the scarcity of experienced instructors, in 2013, the course adopted a peer-assisted learning (PAL) approach to correct the omission identified in the national curriculum. The new approach involved a training of trainers (ToT) and a basic course organized and delivered by certified student teachers. Methods The authors gathered and analyzed data from demographic questionnaires, pretest and posttests, and satisfaction questionnaires. Results From 2013 to 2018, 42 medical students attended the ToT becoming student teachers. From 2014 to 2018, 2316 medical students attended the basic course delivered by the student teachers across Italy. Thirty-six out of 41 medical schools were reached. Participation in the program improved students' knowledge in Disaster Medicine. Participants were satisfied with both the course structure and its PAL approach and considered Disaster Medicine to be highly relevant for their future professional career. Conclusions By presenting this nationwide program and its outcomes, the authors hope to strengthen the case for including Disaster Medicine education in the standard medical curriculum. Because the course relies on medical students and PAL, the authors trust that it could be adapted to other countries worldwide.
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self perception of medical students knowledge and interest in Disaster Medicine nine years after the approval of the curriculum in german universities
Prehospital and Disaster Medicine, 2017Co-Authors: Robert Wunderlich, Francesco Della Corte, Luca Ragazzoni, Pier Luigi Ingrassia, Jens Werner Bickelmayer, Jan Grundgeiger, B DomresAbstract:BACKGROUND Following the recommendations of the World Association for Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) to develop standards for training the undergraduates in Disaster-relevant fields (2004), a German curriculum was approved in 2006. This paper aims to describe the level of training and interest of medical students nine years later. Problem The aim of this study was to assess the self-perception of medical students' knowledge and interest in Disaster Medicine nine years after the implementation of a standardized Disaster Medicine curriculum in German medical schools. METHODS This prospective, cross-sectional, observational study was conducted with medical students in Germany using a web-based, purpose-designed questionnaire consisting of 27 mandatory and 11 optional questions. RESULTS Nine hundred ninety-two students from 36 of 37 medical schools in Germany participated. More than one-half of medical students were aware of the field of Disaster Medicine. One hundred twenty-one students undertook training internally within their university and 307 undertook training externally at other institutions. Only a small content of the curriculum was taught. A difference in self-perception of knowledge between trained and untrained participants was found, despite the level of training being low in both groups. Participants were generally highly motivated to learn Disaster Medicine in a variety of institutions. CONCLUSION German students are still largely not well educated regarding Disaster Medicine, despite their high motivation. The curriculum of 2006 was not implemented as originally planned and the number of trained students still remains low as the self-perception of knowledge. Currently, there is no clear and standardized training concept in place. A renewal in the agreement of implementation of the curriculum at medical schools should be targeted in order to follow the recommendation of WADEM. Wunderlich R Ragazzoni L Ingrassia PL Della Corte F Grundgeiger J Bickelmayer JW Domres B . Self-perception of medical students' knowledge and interest in Disaster Medicine: nine years after the approval of the curriculum in German universities. Prehosp Disaster Med. 2017;32(4):374-381.
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evaluation of a new community based curriculum in Disaster Medicine for undergraduates
BMC Medical Education, 2016Co-Authors: Nidaa Bajow, Luca Ragazzoni, Pier Luigi Ingrassia, Ahmadreza Djalali, Hussein Ageely, Ibrahim Bani, Francesco Della CorteAbstract:Nowadays, many medical schools include training in Disaster Medicine in undergraduate studies. This study evaluated the efficacy of a Disaster Medicine curriculum recently designed for Saudi Arabian medical students. Participants were 15 male and 14 female students in their fourth, fifth or sixth year at Jazan University Medical School, Saudi Arabia. The course was held at the Research Center in Emergency and Disaster Medicine and Computer Sciences Applied to the Medical Practice in Novara, Italy. The overall mean score on a test given before the course was 41.0 % and it increased to 67.7 % on the post-test (Wilcoxon test for paired samples: z = 4.71, p < 0.0001). There were no significant differences between the mean scores of males and females, or between students in their fourth, fifth or sixth year of medical school. These results show that this curriculum is effective for teaching Disaster Medicine to undergraduate medical students. Adoption of this course would help to increase the human resources available for dealing with Disaster situations.
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Disaster Medicine through google glass
European Journal of Emergency Medicine, 2015Co-Authors: Luca Carenzo, Pier Luigi Ingrassia, Federico Lorenzo Barra, Davide Colombo, Alessandro Costa, Francesco Della CorteAbstract:Nontechnical skills can make a difference in the management of Disasters and mass casualty incidents and any tool helping providers in action might improve their ability to respond to such events. Google Glass, released by Google as a new personal communication device, could play a role in this field. We recently tested Google Glass during a full-scale exercise to perform visually guided augmented-reality Simple Triage and Rapid Treatment triage using a custom-made application and to identify casualties and collect georeferenced notes, photos, and videos to be incorporated into the debriefing. Despite some limitations (battery life and privacy concerns), Glass is a promising technology both for teleMedicine applications and augmented-reality Disaster response support to increase operators' performance, helping them to make better choices on the field; to optimize timings; and finally represents an excellent option to take professional education to a higher level.
Lewis Lampiris - One of the best experts on this subject based on the ideXlab platform.
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Disaster Medicine training survey results for dental health care providers in illinois
Journal of the American Dental Association, 2007Co-Authors: Michael D Colvard, Melissa Naiman, Danielle Mata, Geoffrey A Cordell, Lewis LampirisAbstract:ABSTRACT Background Ongoing vigilance by governments, public health agencies and health care professionals monitoring potential epidemic and pandemic outbreaks, terrorist threats and ever-present natural Disasters requires the continuous evolution of comprehensive Disaster response plans and teams, which include the integration of oral health care professionals. Methods The authors conducted a study in which oral health care professionals assessed their training in the American Medical Association's (AMA's) National Disaster Life Support (NDLS) courses. At the conclusion of each instructional session, the authors asked participants to complete an anonymous course evaluation form to report their impressions of the training activity. The authors included in the analysis those evaluations associated with sessions attended almost exclusively by dentists and hygienists. Results The authors derived descriptive statistics from the selected course evaluations. Overall, oral health care professionals believed that the Core Disaster Life Support (CDLS) and Basic Disaster Life Support (BDLS) courses were of great educational value, rating course impact at 9.50 and 9.29, respectively, on a scale from 1 to 10. Conclusions Statistical evaluation instruments reveal satisfaction with the all-hazards awareness training received through the AMA's NDLS Disaster Medicine training curriculum. Licensed oral health care professionals in Illinois accepted the utility and merits of, and benefited from, the four-hour CDLS and eight-hour BDLS certification programs. Practice Implications Dental professionals in Illinois require minimal additional training for dental emergency responder duties. The AMA's NDLS curriculum provides effective preparation for dental professionals.