Highly skilled swimmers and aquatically adaptable service members such as U.S. Navy Divers, Sea, Air and Land (SEAL) Teams, and Explosive Ordnance Disposal (EOD) technicians, die every year from drowning. Drowning is the cause of over 500,000 deaths annually across the globe. This Clinical Practice Guideline (CPG) provides an overview of drowning and associated conditions based on the best available current medical evidence. Unlike basic life support and advanced cardiac life support protocols, rescue breathing should be initiated prior to chest compressions to re-expand water-filled alveoli. These guidelines should be used as a standardized framework to guide first responders, prehospital emergency medical service personnel, and medical department personnel in evaluating, diagnosing, and managing common in water pathologies.
Objective
Reducing risk of coronavirus disease 2019 (COVID-19) infection among healthcare personnel requires a robust occupational health response involving multiple disciplines. We describe a flexible informatics solution to enable such coordination, and we make it available as open-source software.
Materials and Methods
We developed a stand-alone application that integrates data from several sources, including electronic health record data and data captured outside the electronic health record.
Results
The application facilitates workflows from different hospital departments, including Occupational Health and Infection Control, and has been used extensively. As of June 2020, 4629 employees and 7768 patients and have been added for tracking by the application, and the application has been accessed over 46 000 times.
Discussion
Data captured by the application provides both a historical and real-time view into the operational impact of COVID-19 within the hospital, enabling aggregate and patient-level reporting to support identification of new cases, contact tracing, outbreak investigations, and employee workforce management.
Conclusions
We have developed an open-source application that facilitates communication and workflow across multiple disciplines to manage hospital employees impacted by the COVID-19 pandemic.
Despite tremendous progress that has been made in transportation safety over the past century, transportation incidents remain one of the leading causes of industrial accidents, often with serious adverse consequences to human life, public property, and the environment. Human fatigue is increasingly recognized as an important factor in transportation safety, and employers play a vital role with their employees in ensuring fatigue-related risk is minimized. The NTSB has identified 7 focus areas employers can address to reduce fatigue-related transportation safety risk. By taking an active role as Rainey et al.
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