US Navy Ship-Based Disaster Response: Lessons Learned

Worlton, Tamara J.; Shwayhat, Alfred F.; Baird, M.; Fick, Daryl; Gadbois, Kyle D.; Jensen, Shane D.; Tadlock, Matthew D.

doi:10.1007/s40719-022-00227-3

Cited by 5 publications

(2 citation statements)

References 20 publications

(45 reference statements)

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“…In the acute phase of a disaster, it is essential to maintain the health care supply level to minimize the health impact on vulnerable populations [13][14][15]. Difficulty in delivering health care after a disaster can be caused by water and power outages [1,16], loss of medical resources [3,17], and problems with evacuation [3].…”

Section: Introductionmentioning

confidence: 99%

Importance of continuing health care before emergency hospital evacuation: a fatal case of a hospitalized patient in a hospital within 5 km radius of Fukushima Daiichi Nuclear Power Plant: a case report

et al. 2023

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Background After a disaster, it is essential to maintain the health care supply levels to minimize the health impact on vulnerable populations. During the 2011 Fukushima Daiichi Nuclear Power Plant accident, hospitals within a 20 km radius were forced to make an immediate evacuation, causing a wide range of short- and long-term health problems. However, there is limited information on how the disaster disrupted the continuity of health care for hospitalized patients in the acute phase of the disaster. Case presentation An 86-year-old Japanese man who needed central venous nutrition, oxygen administration, care to prevent pressure ulcers, skin and suctioning care of the trachea, and full assistance in the basic activities of daily living had been admitted to a hospital within 5 km radius of Fukushima Daiichi Nuclear Power Plant and experienced Fukushima Daiichi Nuclear Power Plant accident. After the accident, the hospital faced a manpower shortage associated with hospital evacuation, environmental changes caused by infrastructure and medical supply disruptions, and the difficulty of evacuating seriously ill patients. As a result, antibiotics and suction care for aspiration pneumonia could not be appropriately provided to the patient due to lack of caregivers and infrastructure shortages. The patient died before his evacuation was initiated, in the process of hospital evacuation. Conclusions This case illustrates that decline in health care supply levels to hospitalized patients before evacuation during the acute phase of a radiation-released disaster may lead to patient fatalities. It is important to maintain the health care supply level even in such situations as the radiation-released disaster; otherwise, patients may experience negative health effects.

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Section: Introductionmentioning

confidence: 99%

Importance of continuing health care before emergency hospital evacuation: a fatal case of a hospitalized patient in a hospital within 5 km radius of Fukushima Daiichi Nuclear Power Plant: a case report

et al. 2023

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“…The high incidence of MSIs among Naval officers and soldiers is related to their special military training and living environment [ 13 , 14 ]. The environments of high temperature, high humidity, high salt, high noise, high radiation, and high concentration of harmful gas during the long sea voyage have a significant impact on the occurrence of training injuries among officers and soldiers [ 15 , 16 ]. In the United States Marine Corps, MSIs occur primarily in young Marines who require strenuous exercise during training [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Musculoskeletal Injuries in the Navy: A Systematic Review

Chang¹,

Yang²,

Chen³

et al. 2022

Int J Public Health

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Objectives: This study aimed to critically review the results of recent studies that investigated the epidemiology of noncombat-related musculoskeletal injuries (MSIs) in the Navy.Methods: A systematic search was conducted of three major databases (Pubmed, Embase, and Cochrane) to identify epidemiological studies on MSIs in the Navy. Study selection and risk of bias assessment were conducted.Results: The overall prevalence of MSIs ranged from 12.69% to 48.81%. And the prevalence of head and face injuries, upper extremity injuries, spine injuries, chest injuries, and lower extremity injuries were 0.11%–0.66%, 0.53%–11.47%, 0.75%–12.09%, 0.43%–0.95%, and 0.4%–21.17%, respectively. For the specific MSIs, the incidence ranged from 0.03/1000 person-years to 32.3/1000 person-years in the Navy and Marines. The ankle-foot, lumbopelvic, knee and lower leg, and shoulder were identified as the most frequent location for MSIs.Conclusion: This systematic review summarized that the Navy population had a high prevalence of MSIs. And different risk factors for MSIs varied from different anatomic locations. This systematic review also provided valuable information on MSIs for sports medicine specialists.

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