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Emergency department security challenges during civil unrest: A narrative review. 内乱期间急诊科的安全挑战:叙述回顾。
Q3 Medicine Pub Date : 2026-01-01 DOI: 10.5055/jem.0959
Gregory Jasani, Jamil D Bayram, Edbert B Hsu

Introduction: Periods of civil unrest pose significant operational and security challenges to those seeking to provide emergency care to patients. For emergency departments (EDs) and their staff, effectively operating in this potentially hostile environment requires careful planning. Understanding the challenges posed during periods of civil unrest is paramount for emergency medicine staff and emergency planners to ensure continuity of care.

Objective: To provide ED and hospital staff with an understanding of the challenges faced during periods of civil unrest and to offer recommendations to maintain safety and operational viability.

Discussion: Preplanning before any anticipated civil unrest is essential to a well-coordinated response. During the period of civil unrest, maintaining effective communication between command elements and clinicians in the ED is vital to ensure bidirectional sharing of information. Deviations from normal operating procedures should be expected and relayed to clinicians as quickly as possible. Similarly, staff may need to shelter in place or relocate to a more secure area within the hospital. Civil unrest is highly dynamic, and hospital leadership must follow developments closely to protect staff and facilities.

Conclusion: This review provides ED and hospital staff with an understanding of the significant challenges during periods of civil unrest.

引言:内乱时期对那些寻求为病人提供紧急护理的人构成了重大的业务和安全挑战。对于急诊科(ed)及其工作人员来说,在这种潜在的敌对环境中有效地开展工作需要仔细规划。了解内乱期间所带来的挑战对于急诊医务人员和应急计划人员确保护理的连续性至关重要。目的:让急诊科和医院工作人员了解内乱期间面临的挑战,并为维护安全和运营可行性提供建议。讨论:在任何预期的内乱发生之前进行预先规划对于协调一致的应对措施至关重要。在内乱期间,在急诊科的指挥部门和临床医生之间保持有效的沟通对于确保双向信息共享至关重要。对正常操作程序的偏差应予以预期并尽快告知临床医生。同样,工作人员可能需要就地避难或搬迁到医院内更安全的区域。内乱非常活跃,医院领导层必须密切关注事态发展,以保护工作人员和设施。结论:本综述为急诊科和医院工作人员提供了内乱时期重大挑战的理解。
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引用次数: 0
Improving flood resilience through coordination and collaboration: The 2022 New South Wales Floods in Australia. 通过协调和合作提高抗洪能力:2022年澳大利亚新南威尔士州洪水。
Q3 Medicine Pub Date : 2026-01-01 DOI: 10.5055/jem.0955
Naim Kapucu, Qian Hu, Abdul-Akeem Sadiq, Samiul Hasan

Flooding is the deadliest and most damaging natural hazard worldwide. Despite efforts to make communities more flood-resilient, global flood impacts are on the rise due to ongoing climate change. Amid the expected increase in the intensity and frequency of flood disasters, there is an urgent need to understand the roles of network governance in ensuring coordinated efforts in response to floods. The goal of this study is to examine interorganizational coordination and collaboration in the aftermath of the New South Wales (NSW) Floods in Australia in 2022. Specifically, this study addresses two primary research questions: (1) Which agencies coordinated and collaborated during the response to the NSW Floods? (2) What were the characteristics of the interorganizational coordination system in response to the NSW Floods in 2022? This study uses Natural Language Processing techniques to extract relevant information from the NSW Government (2022) Flood Inquiry Report and the NSW Legislative Council Report (2022) to answer the research questions. The findings indicate that several agencies played a critical coordinating role and collaborated during the response to the NSW Floods. In addition, the analysis of the collaborative networks indicates strong connections between certain entities and weak or absent connections among other entities in the response network. These results provide valuable insights into the relationships and thematic focus of flood-related policies in Australia and underscore the need for enhanced collaboration and coordination among key stakeholders, including government agencies, to ensure a unified and effective approach to flood resilience.

洪水是世界上最致命和最具破坏性的自然灾害。尽管人们努力提高社区的抗洪能力,但由于持续的气候变化,全球洪水的影响正在上升。在洪水灾害的强度和频率预计会增加的情况下,迫切需要了解网络治理在确保协调应对洪水方面的作用。本研究的目的是研究2022年澳大利亚新南威尔士州(NSW)洪水后的组织间协调与合作。具体而言,本研究解决了两个主要研究问题:(1)在新南威尔士州洪水响应期间,哪些机构进行了协调和合作?(2)应对2022年新南威尔士州洪水的组织间协调系统的特点是什么?本研究使用自然语言处理技术,从新南威尔士州政府(2022)洪水调查报告和新南威尔士州立法委员会报告(2022)中提取相关信息,回答研究问题。调查结果表明,几个机构在应对新南威尔士州洪水期间发挥了关键的协调作用和合作。此外,对协作网络的分析表明,响应网络中某些实体之间的联系较强,而其他实体之间的联系较弱或不存在联系。这些结果为了解澳大利亚洪水相关政策的关系和主题重点提供了有价值的见解,并强调了加强包括政府机构在内的主要利益相关者之间的合作与协调的必要性,以确保采取统一和有效的方法来应对洪水。
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引用次数: 0
Modeling hemorrhage control in the context of agent-based active shooter simulations. 基于智能体的主动射击模拟中的出血控制建模。
Q3 Medicine Pub Date : 2026-01-01 DOI: 10.5055/jem.0886
Krassimir T Tzvetanov, Eric Yazel, Michael Kaufmann, J Eric Dietz
<p><p>Computer simulation modeling provides significant value in enhancing emergency preparedness policies for schools, businesses, and outdoor events. This is especially true for complex and unpredictable events like active shooter scenarios, which are difficult to physically replicate due to their diversity in terms of circumstances, venues, and challenges. Active shooter events can occur under various circumstances and take place in a wide range of venues including schools, offices, and outdoor events and create a wide range of unique challenges. According to a 2017 study, 15 percent of human-caused mass casualty incidents with over 10 fatalities are mass shootings. Therefore, our work focused on adding injury type, blood loss related to the function of placement of gunshot wounds, and time lapse from injury. These additional parameters significantly improve active shooter event simulation and changes the paradigm established by currently available simulations where the victims are either "killed" or "unaffected." This traditional binary approach is unsuitable when the timeliness of interventions is of concern and does not help improve emergency preparedness and emergency response protocols. In a previous work, the authors demonstrated how simulating physiological decline can be quantified, improve realism, and lead to response protocol improvement. The current work proposes a model for simulated mitigation of gunshot wound injuries, which complements the previously presented exsanguination model. To simulate injury and blood loss mitigation, a number of data sources were consulted to quantify the blood outflow and how it can be limited by different measures, as well as the time required to apply them and their individual effectiveness. This work summarizes the findings and provides a practical guide for implementation. In an additional work, the authors provide a reference implementation in a software library for AnyLogic®. That research focused on the simulation of the initial injury, its mitigation, and the time for critical care transport during the proverbial golden hour of trauma. The human body is complex; the circulatory system alone has several compensatory mechanisms and a wide range of variability in every organism. In addition, the way it responds to coagulating agents and other blood loss control techniques may vary between different organisms and humans. In this work, the authors focus on the primary effectors of those variables and introduce a limited set of mitigations for a relatively short-term simulation. While the model is imperfect, it creates a common ground for further simulation work where different researchers can converge on a known unified deterministic model, allowing them to control that variable while testing hypotheses about other parts of the emergency response. Furthermore, by increasing fidelity, this model can help assess the effects of bystander volunteer hemorrhage control, medical first response, and criti
计算机模拟模型在加强学校、企业和户外活动的应急准备政策方面具有重要价值。这对于复杂且不可预测的事件,如主动射击场景尤其如此,由于其环境,场地和挑战的多样性,这些事件很难在物理上复制。主动射击事件可以发生在各种情况下,发生在各种场所,包括学校,办公室和户外活动,并创造了各种独特的挑战。根据2017年的一项研究,在10人以上的人为大规模伤亡事件中,15%是大规模枪击事件。因此,我们的工作重点是增加损伤类型,与枪伤放置功能相关的失血,以及受伤的时间流逝。这些额外的参数显著改善了主动射击事件模拟,并改变了目前可用的模拟模式,即受害者要么“被杀”,要么“未受影响”。当干预措施的及时性受到关注时,这种传统的二元方法是不合适的,并且无助于改进应急准备和应急响应协议。在之前的工作中,作者展示了如何模拟生理衰退可以量化,提高真实性,并导致反应方案的改进。目前的工作提出了一个模拟缓解枪伤的模型,它补充了先前提出的放血模型。为了模拟减少伤害和失血,咨询了一些数据来源,以量化流出的血液,以及如何通过不同的措施来限制流出的血液,以及应用这些措施所需的时间和各自的有效性。这项工作总结了研究结果,并为实施提供了实用指南。在另一项工作中,作者提供了AnyLogic®软件库中的参考实现。这项研究的重点是模拟最初的伤害,减轻伤害,以及在众所周知的创伤黄金时间内进行重症监护运输的时间。人体是复杂的;单是循环系统就有几种代偿机制,并且在每个生物体中都有广泛的可变性。此外,它对凝血剂和其他失血控制技术的反应方式可能在不同的生物和人类之间有所不同。在这项工作中,作者将重点放在这些变量的主要影响因素上,并为相对短期的模拟引入一组有限的缓解措施。虽然该模型并不完美,但它为进一步的模拟工作创造了一个共同的基础,不同的研究人员可以集中在一个已知的统一确定性模型上,使他们能够在测试关于应急响应其他部分的假设时控制该变量。此外,通过提高保真度,该模型可以帮助评估旁观者志愿者出血控制、医疗第一反应和重症监护运输时间的影响。
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引用次数: 0
Spatial responses and displacements according to Hurricane Michael. 根据飓风迈克尔的空间反应和位移。
Q3 Medicine Pub Date : 2026-01-01 DOI: 10.5055/jem.0875
Seungil Yum

This study highlights spatial responses and displacements following Hurricane Michael by analyzing X® (formerly known as Twitter) data across various states in the United States over a multitude of periods, regions, and demographic characteristics. This study finds that the top three states damaged by the hurricane (Florida, Georgia, and North Carolina) show a significantly higher proportion of tweets during the hurricane week than the prehurricane and post-hurricane weeks. Furthermore, people's responses on social network services have some similar and dissimilar characteristics compared to the census data. For instance, Hispanics show significantly low responses to the hurricane event in all the three states compared to other races/ethnicities, as reflected in the census data. Finally, the gender and region variables play an important role in displacements within the binary logistic regression model, whereas the race/ethnicity and age variables are not related to displacements. To be specific, females show 0.4 times more displacements than males, and Georgia and North Carolina exhibit 1.3 and 0.8 times more displacements than Florida.

本研究通过分析美国各州在多个时期、地区和人口特征上的X®(以前称为Twitter)数据,突出了飓风迈克尔之后的空间反应和流离失所。本研究发现,受飓风破坏最大的三个州(佛罗里达州、佐治亚州和北卡罗来纳州)在飓风周内的推文比例明显高于飓风前和飓风后的几周。此外,与人口普查数据相比,人们对社交网络服务的反应具有一些相似和不同的特征。例如,与其他种族/民族相比,在所有三个州,西班牙裔对飓风事件的反应明显较低,这反映在人口普查数据中。最后,在二元逻辑回归模型中,性别和地区变量在流离失所中发挥重要作用,而种族/民族和年龄变量与流离失所无关。具体来说,女性的流离失所程度是男性的0.4倍,乔治亚州和北卡罗来纳州的流离失所程度分别是佛罗里达州的1.3倍和0.8倍。
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引用次数: 0
Community Lifelines approach: Emergency management's role in ensuring access to water. 社区生命线办法:应急管理在确保获得水方面的作用。
Q3 Medicine Pub Date : 2026-01-01 DOI: 10.5055/jem.0914
Alessandra Jerolleman, Paula R Buchanan, Jerry V Graves

The critical importance of access to water has been recognized both nationally and internationally. In the United States, the National Infrastructure Protection Plan and other planning documents highlight the potentially dire public health implications of impacts on public water systems. According to the Fifth National Climate Assessment, safe and reliable potable water supplies are at risk due to climate change, flooding, drought, and sea level rise, and such risks are expected to increase going forward. Internationally, the Sustainable Development Goals include ensuring availability and sustainability of water and sanitation. Despite this fact, acute shocks and long-term stressors may cause contamination or otherwise limit access to safe drinking water. The Federal Emergency Management Agency's Community Lifelines approach encompasses access to water and other necessities, and requires emergency managers to take a whole-community approach to response and recovery. However, preparedness and mitigation efforts have not historically taken this same approach. Recent water crises, such as the ones in Flint, Michigan, and Jackson, Mississippi, have shown a disconnect between water system managers and emergency managers. Inclusive emergency management demands consideration of both current and future needs, and consideration of Community Lifelines, regardless of the circumstances surrounding the adverse event. The recent saltwater intrusion threat along the lower Mississippi River in southeast Louisiana has provided yet another example of vulnerability in the drinking water sector and the intersection of emergency management and public health.

获得水的极端重要性在国家和国际上都已得到承认。在美国,《国家基础设施保护计划》(National Infrastructure Protection Plan)和其他规划文件强调了对公共供水系统的影响可能对公众健康造成的可怕影响。根据第五次全国气候评估,由于气候变化、洪涝、干旱和海平面上升,安全可靠的饮用水供应面临风险,预计未来这些风险将会增加。在国际上,可持续发展目标包括确保水和卫生设施的可用性和可持续性。尽管如此,急性休克和长期应激源可能导致污染或以其他方式限制获得安全饮用水。联邦紧急事务管理局的“社区生命线”办法包括获得水和其他必需品,并要求应急管理人员采取全社区的办法来应对和恢复。然而,从历史上看,防备和缓解工作并没有采取同样的方法。最近的水危机,如密歇根州弗林特市和密西西比州杰克逊市的水危机,表明了水系统管理者和应急管理者之间的脱节。包容性应急管理要求考虑当前和未来的需求,并考虑社区生命线,而不管围绕不良事件的情况如何。最近,在路易斯安那州东南部的密西西比河下游发生的盐水入侵威胁,是饮用水部门以及应急管理和公共卫生交叉领域脆弱性的又一个例子。
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引用次数: 0
Content analysis and audience impact measure of World Health Organization's press conferences on YouTube during the COVID-19 pandemic. COVID-19大流行期间世界卫生组织YouTube新闻发布会的内容分析和受众影响衡量。
Q3 Medicine Pub Date : 2026-01-01 DOI: 10.5055/jem.0963
Christian Jara Amézaga

This research analyzes the content and performance of the public relations tactic of press conferences published on the World Health Organization's YouTube® channel during the coronavirus disease 2019 pandemic. This study examined 3,506 videos-focusing on 142 press conferences published between May 27, 2020, and May 5, 2023-and their audience impact and engagement correlations. In contrast, nonpress conference videos, spanning from the channel's inception up to the data collection date (March 16, 2024), were analyzed as a benchmark for evaluating the performance of press conferences. Moreover, the 13 most-viewed press conferences were qualitatively analyzed using framing theory to determine their dominant frames and sentiments. The analysis revealed that audiences who perceive a risky situation are willing to watch longer videos, post more comments than on other videos, and emit negative or neutral frames when they feel gaps in the official information.

本研究分析了2019冠状病毒病大流行期间世界卫生组织YouTube频道发布的新闻发布会公关策略的内容和效果。这项研究调查了3506个视频,重点关注2020年5月27日至2023年5月5日期间发布的142个新闻发布会,以及它们对受众的影响和参与度的相关性。相比之下,从频道成立到数据收集日期(2024年3月16日)的非新闻发布会视频被分析为评估新闻发布会表现的基准。此外,使用框架理论定性分析了13个收视率最高的新闻发布会,以确定其主导框架和情绪。分析显示,感知到危险情境的观众更愿意观看更长时间的视频,发表比其他视频更多的评论,当他们感受到官方信息的空白时,他们会发出负面或中性的帧。
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引用次数: 0
Securitization of Hurricane Katrina: Slow violence and injustice in New Orleans. 卡特里娜飓风的证券化:新奥尔良缓慢的暴力和不公正。
Q3 Medicine Pub Date : 2026-01-01 DOI: 10.5055/jem.0970
Natalie Schirmacher

Environmental disasters are inherently political phenomena, shaped by systemic inequalities and entrenched power dynamics. This article analyzes how the securitization paradigm and slow violence frameworks explain the disproportionate impact of Hurricane Katrina on marginalized communities. While the territorial securitization paradigm focuses on reactionary military preparedness, it fails to address the long-term systemic issues-such as racism, socioeconomic inequality, and inadequate -infrastructure-that exacerbate vulnerability to environmental events. Using qualitative case study analysis, this article draws on federal reports, congressional records, academic literature, and media sources to examine structural neglect and racialized disaster response, and it draws parallels between Hurricanes Katrina and Maria. The disproportionate impact of Katrina on New Orleans' Black and low-income communities underscores the intersection of structural violence, slow violence, and environmental vulnerability. By reframing environmental security within the context of systemic inequities, this article calls for a renewed focus on resilience-building measures and inclusive disaster planning to address the root causes of vulnerability and mitigate future disasters.

环境灾害本质上是一种政治现象,是由系统性不平等和根深蒂固的权力动态形成的。本文分析了证券化范式和缓慢暴力框架如何解释卡特里娜飓风对边缘化社区的不成比例的影响。虽然领土证券化范式侧重于反动的军事准备,但它未能解决长期的系统性问题,如种族主义、社会经济不平等和基础设施不足,这些问题加剧了对环境事件的脆弱性。本文采用定性案例研究分析,利用联邦报告、国会记录、学术文献和媒体资源来检查结构性忽视和种族化的灾难反应,并将卡特里娜飓风和玛丽亚飓风相提并论。卡特里娜飓风对新奥尔良黑人和低收入社区造成的不成比例的影响凸显了结构性暴力、缓慢暴力和环境脆弱性的交集。通过在系统性不平等的背景下重新构建环境安全,本文呼吁重新关注复原力建设措施和包容性灾害规划,以解决脆弱性的根本原因并减轻未来的灾害。
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引用次数: 0
Emergency preparedness planning for active shooter situations through higher-fidelity agent-based active shooter simulations: Framework for computational modeling of injury and blood loss. 通过高保真基于agent的主动射击模拟为主动射击情况制定应急准备计划:损伤和失血计算建模框架。
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0929
Krassimir T Tzvetanov, Michael Kaufmann, Eric Yazel, J Eric Dietz
<p><p>The main goal of emergency preparedness is the creation of processes and procedures focused on the preservation of human life. One of the leading contributors to loss of life during multi-casualty incidents (MCIs) is the lack of adequate planning, preparation, and simulation. According to a 2017 study, approximately 15 percent of human-caused mass casualty events, with over 10 fatalities, are mass shootings. These events can occur under various circumstances and take place in a wide range of venues, such as schools, offices, and outdoor events, presenting a wide range of unique challenges. To address these more effectively through procedures and policies, more research is need, including simulation and creation of digital twins, all of which have proven beneficial in gathering insights. This is especially true when conducting drills that are not practical or possible, as they do not allow for the multitude of responses to active shooter events. Current research models in use today treat the victims of these simulations either as "killed" or "unaffected." This binary approach is suitable for many simulations when the timeliness of interventions is of no concern, but it does not allow for higher-fidelity simulation, which may be beneficial when developing response and safety protocols for a specific event or specific facility. Simulating physiological decline is beneficial to improving realism and will lead to response protocol improvement. Increased fidelity can help assess the effects of active bystanders voluntarily and opportunistically providing medical first response. Furthermore, this allows us to assess the response of others who have different primary functions during those events, such as the School Resource Officer, or a tactical medic attached to Special Weapons And Tactics during the process of building clearing. Last but not least, this type of simulation can inform and improve how a lockdown is conducted. In mass shooting events, uncontrolled bleeding is often the proximate cause of death for victims. Several data sources were consulted to simulate exsanguination, which helped quantify and describe blood loss based on different types of injuries. This work summarizes our findings and provides a practical guide for the implementation of these findings. In additional papers, the authors cover the process of blood loss mitigation and provide a reference library for implementation in AnyLogic. This research focuses on the simulation of the initial injury and bleeding control mitigation, efforts which by historical context are limited to the first hour of treatment, the so-called golden hour of trauma management. The circulatory system is complex and has several compensatory mechanisms. The efficiency and timing of each are predictable but have some variability to every individual. This work mainly focuses on the primary effectors and simulates the overall process defined by statistical data from peer-reviewed studies. Ultimately, t
应急准备的主要目标是建立以保护人类生命为重点的过程和程序。在多重伤亡事件(MCIs)中造成生命损失的主要原因之一是缺乏充分的计划、准备和模拟。根据2017年的一项研究,大约15%的人为大规模伤亡事件是大规模枪击事件,死亡人数超过10人。这些事件可能发生在各种情况下,发生在各种场所,如学校、办公室和户外活动,呈现出各种独特的挑战。为了通过程序和政策更有效地解决这些问题,需要进行更多的研究,包括模拟和创建数字双胞胎,所有这些都已被证明有助于收集见解。当进行不实际或不可能的演习时尤其如此,因为它们不允许对主动射击事件做出大量反应。目前使用的研究模型将这些模拟的受害者视为“死亡”或“未受影响”。当干预措施的及时性不受关注时,这种二元方法适用于许多模拟,但它不允许进行高保真度的模拟,这在为特定事件或特定设施制定响应和安全协议时可能是有益的。模拟生理衰退有利于提高真实感,并将导致反应方案的改进。提高保真度可以帮助评估主动旁观者自愿和机会主义提供医疗第一反应的影响。此外,这使我们能够评估在这些事件中具有不同主要职能的其他人的反应,例如学校资源官员,或在建筑物清理过程中附属于特殊武器和战术的战术医生。最后但并非最不重要的是,这种类型的模拟可以告知和改进封锁的执行方式。在大规模枪击事件中,不受控制的出血往往是受害者死亡的直接原因。参考了几个数据来源来模拟失血,这有助于量化和描述基于不同类型损伤的失血。这项工作总结了我们的发现,并为这些发现的实施提供了实用指南。在其他论文中,作者介绍了减少失血的过程,并提供了在AnyLogic中实现的参考库。本研究侧重于模拟初始损伤和出血控制缓解,根据历史背景,这些努力仅限于治疗的第一个小时,即所谓的创伤管理的黄金时间。循环系统是复杂的,有几种代偿机制。每种方法的效率和时机都是可预测的,但每个人都有一些差异。这项工作主要集中在主要影响因素上,并模拟了由同行评议研究的统计数据定义的整个过程。最后,这项工作提出了一个定量的失血模型,它是时间、损伤位置和个体受害者可变性(如年龄、体重和性别)的函数,适合于计算机模拟。使用经验数据集对数据进行验证。虽然没有一个模型是完美的,但作者为未来的模拟工作提出了一个共同的框架,不同的研究人员可以在已知的标准确定性模型上使用。这可以更好地控制失血过程变量,同时测试与类似事件的应急响应相关的其他假设。
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引用次数: 0
Survey on Texas IT initiatives for disaster preparedness. 对德克萨斯州备灾IT计划的调查。
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0916
Alexandra G Paulsen, Qi Zhu

In recent years, Texas has experienced intensified damage and increasing costs from natural disasters due to climate change. This highlights the need to evaluate ongoing information technology (IT) initiatives that can guide better preparedness and mitigation strategies. In this paper, we establish a baseline by showcasing the benefits of humanitarian free and open-source software in addressing critical challenges faced by IT-driven relief efforts during Hurricane Harvey. Additionally, flooding has emerged as Texas' most pressing disaster, prompting a complete examination of existing IT, data, and free and open-source software initiatives focused on both inland and coastal flooding. Finally, we will analyze the most promising current initiative and offer insights into future developments.

近年来,由于气候变化,德克萨斯州遭受了自然灾害的严重破坏和不断增加的成本。这突出表明有必要评估能够指导更好的备灾和减灾战略的现行信息技术举措。在本文中,我们通过展示人道主义自由和开源软件在解决哈维飓风期间it驱动的救援工作所面临的关键挑战方面的好处,建立了一个基线。此外,洪水已经成为德克萨斯州最紧迫的灾难,促使人们对现有的IT、数据、以及专注于内陆和沿海洪水的免费和开源软件计划进行全面检查。最后,我们将分析当前最有希望的举措,并提供对未来发展的见解。
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引用次数: 0
Leading through disaster: A case study of the response to the Francis Scott Key Bridge in Baltimore collapse on March 26, 2024, and Governor Wes Moore's charismatic leadership. 在灾难中领导:对2024年3月26日巴尔的摩弗朗西斯·斯科特·基桥倒塌的反应案例研究,以及州长韦斯·摩尔的魅力领导。
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0934
Eda Jane Matchak

Charismatic leadership has long been attributed to a select few individuals with exceptional personal qualities, often described as possessing a mysterious and extraordinary capability. The collapse of the Francis Scott Key Bridge presents a case study of leadership during an emergency. Crises such as this not only affect organizational effectiveness but also shape leaders' behavior and influence the outcomes of their actions. The increasing frequency of natural disasters in the United States, with an average of 18-billion-dollar climate-related events annually in recent years, provides growing opportunities for leadership emergence. In the case of the Francis Scott Key Bridge collapse, Maryland Governor Wes Moore demonstrated charismatic leadership, earning public recognition for his response efforts. According to Judge, self-confidence is one of the few traits consistently associated with leadership emergence, closely linking it to charisma and the ability to attract and inspire others. Applying Judge's theory and those of others, this study argues that charisma plays a critical role in shaping how leaders are portrayed and remembered by both the public and the media. Through a qualitative analysis of Governor Wes Moore's communications, this study explores the lasting impact of charismatic leadership during emergency management situations.

长期以来,魅力型领导被认为是少数具有非凡个人品质的人,通常被描述为拥有一种神秘而非凡的能力。弗朗西斯·斯科特·基桥的倒塌为紧急情况下的领导力提供了一个案例研究。诸如此类的危机不仅会影响组织效率,还会塑造领导者的行为并影响他们行动的结果。近年来,美国每年平均发生180亿美元的与气候有关的自然灾害,这为领导力的崛起提供了越来越多的机会。在弗朗西斯·斯科特·基大桥倒塌事件中,马里兰州州长韦斯·摩尔展现了超凡的领导魅力,他的应对努力赢得了公众的认可。贾奇认为,自信是少数几个与领导力涌现一致的特质之一,它与个人魅力以及吸引和激励他人的能力密切相关。运用贾奇的理论和其他人的理论,这项研究认为,魅力在塑造领导者的形象和被公众和媒体记住方面起着至关重要的作用。通过对州长韦斯·摩尔的沟通进行定性分析,本研究探讨了魅力型领导在应急管理情况下的持久影响。
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Journal of Emergency Management
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