Medical Allocations to Persons with Special Needs during a Bioterrorism Event

Brannen, Donald E.; Branum, Melissa; Pawani, Sejal; Miller, S. D.; Bowman, J.K.; Clare, Tracy

doi:10.5210/ojphi.v8i3.6977

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…For example, in the course of treating patients affected by Typhoon Hagibis and in compiling data, it became clear that evacuation was difficult for those with low activity of daily living, 5,6 and we assumed that this was also the case for home care patients. There have been studies on specific needs among the those with special needs care who stay at disaster reception centers, 14 but to the best of our knowledge, there are no studies in Japan on risk of flooding and landslides of home care patients. Therefore, we created a questionnaire on the topics we considered important.…”

Section: Survey Sheetmentioning

confidence: 99%

Cross-Sectional Study on Risk of Flooding and Landslides and Their Associated Perceptions Among Home Health-Care Patients Living in Fukui Prefecture, Japan

Yoshida

Miyatake²,

Masunaga³

et al. 2022

Disaster med. public health prep.

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Objective: This study aimed to evaluate a risk of flooding and landslides among home-care patients, to reveal an extent to which patients require support for evacuation, and to determine whether risk was accurately perceived among the patients. Methods: This is a cross-sectional study targeting the patients who were actively treated at the home-care clinic in Fukui Prefecture, Japan. We collected data on the patients’ sociodemographic and clinical characteristics. Additionally, we collected data on their risk of flooding and landslides through hazard maps and distributed a questionnaire to these patients regarding their risk awareness of flooding and landslides. Results: Of the 199 eligible home-care patients, 84.9% (169 of 199) were at risk of flooding and/or landslides, and 58.6% (99 of 169) of them needs support during evacuation. Furthermore, of those who were at risk of flooding and/or landslides, 46.0% (45 of 99) had accurate risk assessments. Factors that resulted in inadequate risk awareness of flooding and landslides included: not placing importance on evacuation, not using medical equipment, and living on the first floor. Conclusions: There was limited risk awareness of flooding and/or landslides among the home-care patients. The information of the risk factors regarding inadequate risk awareness of flooding and landslides should be used to sophisticate flooding and landslides evacuation strategy.

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Section: Survey Sheetmentioning

confidence: 99%

Cross-Sectional Study on Risk of Flooding and Landslides and Their Associated Perceptions Among Home Health-Care Patients Living in Fukui Prefecture, Japan

Yoshida

Miyatake²,

Masunaga³

et al. 2022

Disaster med. public health prep.

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“…Tented hospitals may be set up to contain the outbreak (Das & Kataria, 2010;Terndrup & Nafziger, 2016). Methods to control disease and quarantine measures are instituted (Brannen et al, 2016;Das & Kataria, 2010;Terndrup & Nafziger, 2016). Once the disease is identified, treatment protocols are communicated and sent to all concerned by the fastest possible means (Das & Kataria, 2010;Mckinney, Wesley, Sprang, & Troutman, 2005).…”

Section: The Role Of Health Professionals In the Bioterrorism Phasementioning

confidence: 99%

Nurses' and Medical Officers' Knowledge, Attitude, and Preparedness Toward Potential Bioterrorism Attacks

et al. 2019

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Terrorist attacks are increasingly becoming more lethal and less discriminate. The threat of bioterrorism is increasing daily. The ease of production and the broad availability of biological agents and technical know-how have led to a further spread of biological weapons and an increased desire among nations as well as terrorists to have them. Health professionals in emergency departments are expected to play crucial roles in the management of victims of bioterrorism when bioterrorism occurs. This study explored the knowledge, attitudes, and preparedness of emergency department nurses and medical officers (MOs) toward potential bioterrorist attacks in Ghana. This qualitative study utilized focus group discussions and semistructured interviews to explore the knowledge, attitudes, and preparedness of emergency department nurses and MOs toward potential bioterrorist attacks in Ghana. Data were subjected to a qualitative content analysis in which three main thematic categories were developed. These thematic categories are as follows: (a) differences in bioterrorism knowledge between emergency department nurses and emergency department MOs, (b) unprepared emergency department nurses and MOs for care during bioterrorism attacks, and (c) positive attitudes of emergency department nurses and MOs toward bioterrorism preparedness. Although emergency MOs had better knowledge of bioterrorism than their nursing counterparts, both groups of health professionals were unprepared to respond to any form of bioterrorism. Both nurses and MOs indicated the need for staff education and infrastructure readiness to be able to respond effectively to a bioterrorist attack. A well-prepared emergency department and health professionals against bioterrorism could prevent high casualty rates in a bioterrorist attack and also serve a dual purpose of dealing with other natural disasters when they occur.

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“…The volunteers respond to natural disasters such as tornados, storms, fires, and pandemics. [13][14][15] Over the past several decades, human-made events including terrorism and active shooter incidents have escalated. 16 During public safety events, bystanders have frequently been the ones providing first care until emergency services arrived on the scene.…”

Section: Introductionmentioning

confidence: 99%

“…14 It is recommended that sufficient capacity (i.e., personal care assistance) be assigned to address persons with functional needs to avoid delays. 15 For medically cleared disaster survivors, triage should be repeated for psychological screening with consideration for not only severity but cumulative past trauma to help decrease disaster-related sequelae. 24 The Fast Mental Health Tool flowchart was shown to be more effective than a checklist during targeted mental health screening by MRC volunteers rather than paramedics.…”

Section: Introductionmentioning

confidence: 99%

Medical Reserve Corps Volunteers’ Characteristics Affect Disaster Survival

Brannen,

Howell,

Bidigare

et al. 2023

Disaster med. public health prep.

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Objective: Medical Reserve Corps’ volunteers underwent stop-the-bleed, triage, and disaster preparedness training to improve victim survival of a mass casualty event. Methods: Volunteer responses to 16 disaster vignettes were recorded as ‘survived’ if correct, or ‘died’ if incorrect. Volunteers’ characteristics were evaluated based on the health outcomes of the vignette victims via logistic regression. Results: Overall, 69 volunteers evaluated 1104 vignette victims. STB training significantly improved survival from 77.2% to 93.2% (P < 0.001). The training did not improve disaster preparedness (75.5% to 73%) nor triage (33.5% to 35.1%). Volunteer first care provider training in psychological first aid improved victim survival from 10.32 (9.6 - 10.9, 95% CI) to 11.9 (11.28 - 12.5, 95% CI). The odds of survival increased when disaster victims received first care from a volunteer who had a positive perception of the public authority’s truthfulness (1.50, range 1.07 - 2.10); stated a willingness to volunteer (1.65, range 1.2 - 2.26); completed psychological first aid training (1.557, range 1.08 - 2.22); or had 4-or-more years of post-secondary education (1.30, range 1.00 - 1.701). Conclusion: Psychological first aid training should be a basic requirement for disaster volunteers. Trust in public authority to provide protective public health recommendations increases disaster survival.

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Medical Allocations to Persons with Special Needs during a Bioterrorism Event

Cited by 5 publications

References 12 publications

Cross-Sectional Study on Risk of Flooding and Landslides and Their Associated Perceptions Among Home Health-Care Patients Living in Fukui Prefecture, Japan

Cross-Sectional Study on Risk of Flooding and Landslides and Their Associated Perceptions Among Home Health-Care Patients Living in Fukui Prefecture, Japan

Nurses' and Medical Officers' Knowledge, Attitude, and Preparedness Toward Potential Bioterrorism Attacks

Medical Reserve Corps Volunteers’ Characteristics Affect Disaster Survival

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