2015 Pandemic Influenza Readiness Assessment Among US Public Health Emergency Preparedness Awardees

Fitzgerald, Thomas J.; Moulia, Danielle; Graitcer, Samuel B.; Vagi, Sara; Dopson, Stephanie A.

doi:10.2105/ajph.2017.303952

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…Classically, the POD is an improvisational venue where community stakeholders may dispense essential items (eg, Meals-Ready-To-Eat [MREs], potable water, antibiotics, and vaccines) during an emergency or disaster. 25,26 In a sense, the item that is being distributed in a tourniquet POD is education. From such a model, one can see a simple and effective way to dispense JiT training using the idea of a POD.…”

Section: Discussionmentioning

confidence: 99%

Developing “Herd Immunity” in a Civilian Community Through Incorporation of “Just-In-Time” Tourniquet Application Training

Marcus

Pontasch

Duff

et al. 2019

Prehosp. Disaster med.

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Introduction:Herd immunity, a concept normally applied in vaccinated populations, is a preventative measure to determine if a significant portion of a population can protect vulnerable individuals against a certain disease. Like vaccines, tourniquet education can be a form of herd immunity to protect vulnerable individuals in a population and prevent the loss of life from a peripheral hemorrhage. The authors have identified a deficiency in simple, quick, and effective hemorrhage control education. Therefore, to maximize herd immunity, the novel educational platform evaluates the efficacy of “Just-in-Time” (JiT) tourniquet application training.Hypothesis/Problem:The authors hypothesize that the utilization of JiT training will be effective in promoting both competence and confidence for individuals to utilize tourniquets in response to a disaster environment.Methods:This Institutional Review Board-approved study recruited medical students who were trained in hemorrhage control measures at a Level 1 Trauma Center. Tourniquet training sessions were held, and naïve civilians received tourniquet education. The subjects received a five- to ten-minute lesson on indications, contraindications, and application techniques of commercial and improvisational tourniquets. Participants subsequently applied a tourniquet to an instructor’s arm to demonstrate proper tourniquet application for a brachial artery hemorrhage. Pre- and post-educational surveys were completed to test participant competency and confidence.Results:Of the 104 subjects who completed the course, 97 had no prior training in hemorrhage control techniques, including commercial and improvisational tourniquet application. The mean pre-test score was 2.27/5.00 and the mean post-test score was 4.38/5.00, P <.001 (n = 97). When queried “How competent would you feel applying a tourniquet (commercial or improvisational) on an individual with a bleeding wound?” 92/97 felt confident (95%), one felt less confident, and four felt no difference in confidence levels (P <.001).Conclusion:Just-in-Time training is an effective method in teaching naïve civilians proper tourniquet application. This platform could serve as an alternative to more extensive training programs and requires less time, costs, and resources. If a significant number of individuals in a local community can effectively apply a tourniquet in a disaster scenario, a “herd immunity” effect could be achieved to control peripheral hemorrhages.

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Section: Discussionmentioning

confidence: 99%

Developing “Herd Immunity” in a Civilian Community Through Incorporation of “Just-In-Time” Tourniquet Application Training

Marcus

Pontasch

Duff

et al. 2019

Prehosp. Disaster med.

View full text Add to dashboard Cite

show abstract

“…In the United States, the Centers for Disease Control and Prevention (CDC) provides guidance on how to plan and prepare for these types of clinics [1] . To adhere to local population needs, clinic preparation decisions are made at the state and local levels with guidance from the CDC [5] . Some PHD-led public health clinics benefited from the innovation and expertise from private-sector partnerships.…”

Section: Introductionmentioning

confidence: 99%

Patient flow time data of COVID-19 vaccination clinics in 23 sites, United States, April and May 2021

Cho

Athar

Bates

et al. 2023

Vaccine

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Assessing public health emergency preparedness: A scoping review on recent tools and methods

Chiossi

Tsolova

Ciotti

2021

International Journal of Disaster Risk Reduction

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2015 Pandemic Influenza Readiness Assessment Among US Public Health Emergency Preparedness Awardees

Abstract: Awardees relied on PODs to vaccinate segments of their jurisdictions despite workforce decreases. Planners must ensure readiness for POD sites to vaccinate, but should also leverage complementary sites and providers to augment public health response.

Cited by 7 publications

References 4 publications

Developing “Herd Immunity” in a Civilian Community Through Incorporation of “Just-In-Time” Tourniquet Application Training

Developing “Herd Immunity” in a Civilian Community Through Incorporation of “Just-In-Time” Tourniquet Application Training

Patient flow time data of COVID-19 vaccination clinics in 23 sites, United States, April and May 2021

Assessing public health emergency preparedness: A scoping review on recent tools and methods

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