Critical care and pandemic preparedness and response

Thomson, William R.; Puthucheary, Zudin A.; Wan, Yize I.

doi:10.1016/j.bja.2023.07.026

Cited by 2 publications

(3 citation statements)

References 119 publications

(132 reference statements)

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“…Multiple diverse factors contribute to the success of disaster management including (but not limited to) the level of community education, health and disaster literacy, infrastructure, economic resources, available personnel and good will between institutions (government, community, other institutions) [12]. Community literacy in disaster management is fundamental so civilians understand what is at stake and also what their responsibility is in the process [13].…”

Section: Disaster Preparedness and Managementmentioning

confidence: 99%

Disaster management – preparation and planning for acute care facilities

Gandra d’Almeida,

Coopersmith

2024

Current Opinion in Critical Care

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Purpose of review Both human-derived and naturally-occurring disasters stress the surge capacity of health systems and acute care facilities. In this article, we review recent literature related to having a disaster plan, facility planning principles, institutional and team preparedness, the concept of surge capacity, simulation exercises and advantages and disadvantages of each. Recent findings Evidence suggests that every institution should have a disaster plan and a dedicated team responsible for updating this plan. The disaster plan must be people-oriented and incorporate different perspectives and opinions so that all stakeholders feel included and can contribute to a joint response. Simulation exercises are fundamental for preparation so that the team functions seamlessly in uncommon times when disaster management transitions from a theoretical plan to one that is executed in real time. Notably, however, there are significantly different realities related to disaster management between countries and even within the same country or region. Unfortunately, key stakeholders such as hospital administration, board of directors and investors often do not believe they have any responsibility related to disaster management planning or response. Additionally, while a disaster plan often exists within an institution, it is frequently not well known or understood by many stakeholders. Communication, simple plans and well defined roles are some of the most important characteristics of a successful response. In extreme circumstances, adapting civilian facilities to manage high-volume warfare-related injuries may be adopted, but the consequences of this approach for routine healthcare within a system can be devastating. Summary Disaster management requires careful planning with input from multiple stakeholders and a plan that is frequently updated with repeated preparation to ensure the team is ready when a disaster occurs. Close communication as well as clearly defined roles are critical to success when transitioning from preparation to activation and execution of a disaster response.

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Section: Disaster Preparedness and Managementmentioning

confidence: 99%

Disaster management – preparation and planning for acute care facilities

Gandra d’Almeida,

Coopersmith

2024

Current Opinion in Critical Care

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“…Air pollution has always been a problem in human life because various gaseous pollutants (e.g., ultrafine particles) can cause a range of physical health problems when they enter the human respiratory system. , Respiratory infections caused by airborne viruses have also been a recurring concern. , Masks, as a type of personal protective equipment (PPE), can block harmful dust and respiratory droplet aerosols to reduce the risk of viral exposure and infection. , The key filter layer of the mask is usually manufactured by melt-blown or electrospinning, in which the fiber diameter of the PP filter membrane manufactured by the melt-blown method is generally in the range of 0.5–10 μm, which makes it difficult to rely on the mechanical interception of fibers to block ultrafine particles, and it also needs to be processed by electret treatment to attach an electric charge to obtain the electrostatic adsorption capability. , Electrospinning has a wide range of applications in tissue engineering scaffolds, energy production, human health protection, catalysis, and filtration. − …”

Section: Introductionmentioning

confidence: 99%

“…1,2 Respiratory infections caused by airborne viruses have also been a recurring concern. 3,4 Masks, as a type of personal protective equipment (PPE), can block harmful dust and respiratory droplet aerosols to reduce the risk of viral exposure and infection. 5,6 The key filter layer of the mask is usually manufactured by melt-blown or electrospinning, in which the fiber diameter of the PP filter membrane manufactured by the melt-blown method is generally in the range of 0.5−10 μm, which makes it difficult to rely on the mechanical interception of fibers to block ultrafine particles, and it also needs to be processed by electret treatment to attach an electric charge to obtain the electrostatic adsorption capability.…”

Section: ■ Introductionmentioning

confidence: 99%

Fiber-in-Tube Electrifiable Structure for Virus Filtration Self-Generated Static Electricity by Vibration/Sound

Tang,

Wang,

Sun

et al. 2024

ACS Appl. Mater. Interfaces

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Fiber has been considered as an ideal material for virus insulation due to the readily available electrostatic adsorption. However, restricted by the electrostatic attenuation and filtration performance decline, their long-lasting applications are unable to satisfy the requirements of medical protective equipment for major medical and health emergencies such as global epidemics, which results in both a waste of resources and environmental pollution. We overcame these issues by constructing a fiber-in-tube structure, achieving the robust reusability of fibrous membranes. Core fibers within the hollow could form generators with tube walls of shell fibers to provide persistent, renewable static electricity via piezoelectricity and triboelectricity. The PM 0.3 insulation efficiency achieved 98% even after 72 h of humidity and heat aging, through beating and acoustic waves, which is greatly improved compared with that of traditional nonwoven fabric (∼10% insulation). A mask spun with our fiber also has a low breathing resistance (differential pressure <24.4 Pa/cm 2 ). We offer an approach to enrich multifunctional fiber for developing electrifiable filters, which make the fiber-in-tube filtration membrane able to durably maintain a higher level of protective performance to reduce the replacement and provide a new train of thought for the preparation of other high-performance protective products.

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Critical care and pandemic preparedness and response

Cited by 2 publications

References 119 publications

Disaster management – preparation and planning for acute care facilities

Disaster management – preparation and planning for acute care facilities

Fiber-in-Tube Electrifiable Structure for Virus Filtration Self-Generated Static Electricity by Vibration/Sound

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