Preparing Health Professions Students for Terrorism, Disaster, and Public Health Emergencies: Core Competencies

Markenson, David; DiMaggio, Charles; Redlener, Irwin E.

doi:10.1097/00001888-200506000-00002

Cited by 151 publications

(134 citation statements)

References 1 publication

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“…Such findings are of particular practical value in that the acquisition of core response competencies, via training, is an area over which organizations have considerable control. 3,18 These results also support other recent findings that the provision, timeliness, and quality of paramedic CBRNE training is associated with both higher willingness to respond to such incidents 2 and greater confidence in operational competencies. 3 The latter factor, in particular, relates to the readiness measure employed in this study.…”

Section: Discussionsupporting

confidence: 85%

Determinants of Paramedic Response Readiness for CBRNE Threats

Stevens

Jones

Smith

et al. 2010

Biosecurity and Bioterrorism: Biodefense Strategy, Practice, an

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Paramedics play a pivotal role in the response to major emergencies. Recent evidence indicates that their confidence and willingness to respond to chemical, biological, radiological, nuclear, and explosives-related (CBRNE) incidents differs from that relating to their ''routine'' emergency work. To further investigate the factors underpinning their readiness to respond to CBRNE incidents, paramedics in New South Wales (NSW), Australia, were asked to complete a validated online survey instrument. Univariate and multivariate analyses were performed to examine associated factors determining readiness. The sample of 663 respondents was weighted to reflect the NSW paramedic population as a whole. The univariate analysis indicated that gender, length of service, deployment concern, perceived personal resilience, CBRNE training, and incident experience were significantly associated with perceived CBRNE response readiness. In the initial multivariate analysis, significantly higher response readiness was associated with male gender, university education, and greater length of service (10-15 years). In the final multivariate model, the combined effect of training/incident experience negated the significant effects observed in the initial model and, importantly, showed that those with recent training reported higher readiness, irrespective of incident experience. Those with lower concern regarding CBRNE deployment and those with higher personal resilience were significantly more likely to report higher readiness (Adjusted Relative Risk [ARR] ¼ 0.91, 95% CI: 0.84-0.99; ARR ¼ 1.40, 95% CI: 1.11-1.72, respectively). These findings will assist emergency medical planners in recognizing occupational and dispositional factors associated with enhanced CBRNE readiness and highlight the important role of training in redressing potential readiness differences associated with these factors. Paramedics have an integral role in mass casualty response. They may be called on to attend sites affected by chemical, biological, radiological, nuclear, and explosives-related (CBRNE) agents, including their calculated use by terrorist groups.1 Identifying factors that support the CBRNE response readiness of paramedics will assist workforce management and development with this critical group of responders.

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Section: Discussionsupporting

confidence: 85%

Determinants of Paramedic Response Readiness for CBRNE Threats

Stevens

Jones

Smith

et al. 2010

Biosecurity and Bioterrorism: Biodefense Strategy, Practice, an

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“…The institutions that possess, use, receive or transfer or have access to certain select biological agents and toxins or receive such agents/toxins should be tracked about the handling and storage of these substances. Dealing with chemical, biological, radiological and nuclear attacks should be ''an integral component of the teaching and training curriculum of every health professional [24]. Then in every medical surge event epidemiologists, dentists, nurses, clinical microbiology and laboratory staff can invariably be the efficient medical first responders to identify the initial cases and co-ordinate with the medical professionals.…”

Section: Public Health Emergency Preparednessmentioning

confidence: 99%

Bioterrorism: Law Enforcement, Public Health & Role of Oral and Maxillofacial Surgeon in Emergency Preparedness

Sharma

Mishra

Newaskar³

et al. 2015

J. Maxillofac. Oral Surg.

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Introduction The contrived and deliberate use of pathogenic strains of micro-organisms such as bacteria, viruses or their toxins to spread life-threatening diseases on a mass scale with the aim to devastate the population of an area is referred to as 'bioterrorism'. Risk assessment The threat of bioterrorism is higher than ever. It is now a well established fact that the capability to create immense panic and unimaginable fear has allured the terrorists for the despicable use of biological agents for causing terror attacks. Moreover to add to the grievance, this era of biotechnology and nanotechnology has created an easy accessibility to more sophisticated biologic agents apart from the conventional bacteria, viruses and toxins. These biologic weapons can cause large-scale mortality and morbidity in large population and create civil disruption in the shortest possible time. Preparedness and mitigation Fight against bioterrorism is a global concern and necessitates that the issue should be criminalized internationally with the assistance of international co-operation and laws in favor of global public health. National public health agencies must also fortify their ability to be able to detect and respond to such biological attacks with better research and training facilities to health professionals, enhanced surveillance and improved diagnostic facilities by evolving an empowered public health system. Public health education and awareness are imperative; people should be made aware of reporting early to health institutions on arousal of signs and symptoms related to suspicious bioterrorist attack. Conclusion Effective bioterrorism planning, prevention and response requires cooperation and collaboration between law enforcement and public health; Oral and maxillofacial surgeons can be successfully integrated into the emergency medical response system. With their education, training, skills and amenities in form of equipments they can augment medical and surgical personnel in early identification and subsequent control of a bioterrorist attack.

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“…Yerel yönetimlerin, eğitim ve sağlık kurumlarının hazırlıklı olma ve yanıt kapasitesini geliştirmeye yönelik çabalarına rağ-men her düzeyde bilgi, beceri ve liderlik özelliklerindeki eksikliklerin devam ettiği bilinmektedir (12). Bugüne dek uygulanabilen programlar belli tıp disiplinleri, hemşirelik, hekimlik gibi belli sağlık hizmet grupları ve hastane içi ve dışı acil sağlık hizmetleri gibi belli alanlarla sınırlı kalmıştır (2,(12)(13)(14)(15). Olağandışı durum eğitiminde yaşanan eksiklik ve başarısızlıklara tipik bir örnek olarak ABD verilebilir.…”

Section: Dünyada Odd Eğitimiunclassified