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Integrating flood loss data into an empirical model for community estimates of risk. 将洪水损失数据整合到社区风险估计的经验模型中。
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0946
Jennifer L Whytlaw

With an increase and intensification of tropical storm events in the future, it becomes paramount for individual communities and homeowners to understand their potential risks of impacts from these events. This study describes an empirical modeling methodology using the City of Norfolk in southeastern Virginia to indicate areas of higher risk based on built infrastructure, property exposure, and temporal records of previous losses. Under this new empirical modeling methodology, a risk score is defined as the properties that may be at higher risk from future flooding events based on elevation differences, the number of flood insurance payouts a property has received, and whether a property has an active flood insurance policy. Results make evident how the methodology can be used to characterize a community's risk and highlight higher-risk hot spots that can in turn be used for future resilience planning and hazard mitigation. Future work to further refine the model can reduce the overall uncertainty levels as data become more publicly accessible.

随着未来热带风暴事件的增加和加剧,个体社区和房主了解这些事件影响的潜在风险变得至关重要。本研究描述了一种经验建模方法,使用弗吉尼亚州东南部的诺福克市,根据已建成的基础设施、财产暴露和以前损失的时间记录来指出风险较高的地区。在这种新的经验建模方法下,风险评分被定义为基于海拔差异、已收到的洪水保险赔付数量以及是否有有效的洪水保险政策,未来洪水事件中可能面临更高风险的财产。结果表明,该方法可用于描述社区的风险特征,并突出高风险热点,从而可用于未来的复原力规划和减灾。随着数据变得更加公开,进一步完善模型的未来工作可以降低总体的不确定性水平。
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引用次数: 0
Pathways for enhancing capacity in adult climate literacy within US emergency management. 提高美国应急管理中成人气候素养能力的途径。
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0960
Joshua L DeVincenzo

This paper addresses the pathways for future training and education for emergency managers in the United States (US) to engage with climate literacy, drawing from the study Enhancing Capacity in Adult Climate Literacy: Investigating Sustainability Mindsets in the US Emergency Management Profession. Findings will be presented based on a collective case study that was conducted to understand how climate change education can meet the learning needs of emergency management professionals who must prepare for, and adapt to, the impacts of climate change on communities throughout the US. In this paper, the definition of "climate change" centers on anthropogenic climate change and, more specifically, the impact of human activities on the atmosphere's chemical composition. The exploratory collective case study involved six (N = 6) certified emergency management professionals currently practicing in the US as the study's key informants (KIs). In addition to the information collected from the six KIs, a survey was distributed to a larger sample (N = 56) to collect broader information from additional emergency managers to amplify and contrast the data collected from the KI interviews.

本文借鉴研究《提高成人气候素养能力:调查美国应急管理专业的可持续性思维》,探讨了美国应急管理人员参与气候素养的未来培训和教育途径。研究结果将基于一个集体案例研究,该研究旨在了解气候变化教育如何满足应急管理专业人员的学习需求,这些专业人员必须为气候变化对美国各地社区的影响做好准备和适应。在本文中,“气候变化”的定义集中在人为气候变化上,更具体地说,是人类活动对大气化学成分的影响。探索性集体案例研究涉及六名(N = 6)目前在美国执业的经过认证的应急管理专业人员作为研究的关键线人(KIs)。除了从六个KI中收集的信息外,还向更大的样本(N = 56)分发了一项调查,以从其他应急管理人员那里收集更广泛的信息,以扩大和对比从KI访谈中收集的数据。
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引用次数: 0
Unmasking the dilemma: Public health, safety, and the challenges of anonymity in emergency management and homeland security. 揭露困境:公共健康、安全和应急管理和国土安全中的匿名挑战。
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0942
Shevach Berkovits, Hunter LaCroix

Masks occupy a unique and dual role in society, functioning as both critical tools for public health protection and enablers of anonymity, which can be exploited for deviant or criminal purposes. Historically, masks have evolved from their origins in plague prevention to modern applications in medical, public health, and societal contexts. While essential during health crises such as the coronavirus disease 2019 pandemic, their use also reveals unintended consequences, including fostering riskier behavior through the Peltzman Effect and enabling anonymity-driven disassociation described by Deindividuation Theory. This article explores the complexities of mask usage at the intersection of public health and safety. It examines how masks, while mitigating disease transmission, can embolden individuals to take greater risks or evade accountability in public disturbances and criminal activities. Through historical and contemporary case studies-including the 1918 influenza pandemic, the Ku Klux Klan's use of masks, and modern legislation like New York's 2024 Mask Transparency Act-the article underscores the need for nuanced policies that balance public health objectives with security concerns. Integrating behavioral theories with legal and emergency management strategies, it advocates for a multifaceted approach to mask policy that addresses both their protective role and potential for misuse, ultimately fostering a safer and more resilient society.

面具在社会中发挥着独特的双重作用,既是保护公众健康的重要工具,也是匿名的推手,可被利用于越轨或犯罪目的。从历史上看,口罩已经从最初的鼠疫预防发展到现代在医疗、公共卫生和社会环境中的应用。尽管在2019年冠状病毒病大流行等健康危机期间至关重要,但它们的使用也揭示了意想不到的后果,包括通过佩尔兹曼效应(Peltzman Effect)培养更冒险的行为,以及实现去个性化理论(Deindividuation Theory)所描述的匿名驱动的分离。本文探讨了在公共卫生和安全的交叉点上使用口罩的复杂性。它审查了口罩如何在减轻疾病传播的同时,鼓励个人在公共骚乱和犯罪活动中承担更大风险或逃避问责。通过历史和当代的案例研究——包括1918年的流感大流行、三k党使用口罩,以及像纽约2024年《口罩透明度法案》这样的现代立法——文章强调了制定微妙政策的必要性,以平衡公共卫生目标和安全问题。它将行为理论与法律和应急管理战略相结合,倡导采取多方面的方法来掩盖政策,解决其保护作用和滥用的可能性,最终建立一个更安全、更有弹性的社会。
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引用次数: 0
Dependencies under pressure: Examining the impact of channel reliance on risk perceptions and information seeking during Hurricane Ian. 压力下的依赖:在飓风伊恩期间检查渠道依赖对风险感知和信息寻求的影响。
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0898
Kenneth Lachlan, James DiCairano, Christine Gilbert

Access to timely, reliable, and motivating information during crises and natural disasters is of utmost importance for those at risk. Yet, little is known about specific channel preferences in the times leading up to natural disasters. Building upon past research investigating news source reliability, the current study examined information preferences and their subsequent impact on risk perception and trust in public health agencies among 1,030 Florida residents who were directly impacted by 2022's Hurricane Ian. The results suggest that historically marginalized communities may have very specific informational needs, and that traditional media brands are strongly relied upon across almost all demographic strata. The results are discussed in terms of their implications for emergency managers and future research into building resilience for at-risk communities.

在危机和自然灾害期间获得及时、可靠和鼓舞人心的信息对处于危险中的人们至关重要。然而,在导致自然灾害的时期,人们对具体的频道偏好知之甚少。在过去调查新闻来源可靠性的研究的基础上,目前的研究调查了受2022年飓风伊恩直接影响的1030名佛罗里达州居民的信息偏好及其对公共卫生机构风险认知和信任的后续影响。结果表明,历史上被边缘化的社区可能有非常具体的信息需求,而传统媒体品牌几乎在所有人口阶层中都受到强烈依赖。讨论了这些结果对应急管理人员的影响以及未来对建立风险社区复原力的研究。
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引用次数: 0
Citizen interpreters in crisis response: Social capital, ethical trade-offs, and hybrid quality control in emergency language services-A comparative analysis of volunteer-led practices in COVID-19 pandemic and climate disasters. 危机应对中的公民口译员:紧急语言服务中的社会资本、道德权衡和混合质量控制——2019冠状病毒病大流行和气候灾害中志愿者主导实践的比较分析
Q3 Medicine Pub Date : 2025-11-01 DOI: 10.5055/jem.0966
Pengfei Bao

This study investigates the dual role of citizen interpreters in addressing emergency language gaps during crises, combining social capital theory and crisis ethics. Through comparative case studies of coronavirus disease 2019 responses in Montreal's multilingual communities and Hurricane Ida relief efforts within Louisiana's Haitian-Cajun networks, this research identifies three core tensions: the paradox of relational proximity, trade-offs between immediacy and accuracy in terminology translation, and challenges in scaling informal volunteer networks. The study introduces a hybrid quality control model integrating three components: (1) rapid crisis terminology training to bridge institutional-lay knowledge gaps, (2) peer review circles for contextual meaning-making, eg, negotiating "heat exhaustion" in Punjabi dialects, and (3) institutional mentorship to resolve ethical dilemmas, eg, disclosing shelter capacities without triggering trauma. By operationalizing Putnam's bridging/bonding capital and Bourdieu's cultural capital, the model reconciles grassroots agility with professional accountability, demonstrating that citizen interpreters' cultural embeddedness-when systematically supported-can transform emergency language services into participatory practices of language justice. Findings highlight the need for crisis communication frameworks that prioritize both interpretive accuracy and community trust, offering theoretical insights into the sociology of translation and practical guidelines for disaster preparedness.

本研究结合社会资本理论和危机伦理,探讨公民口译员在应对危机中应急语言缺口中的双重角色。通过对蒙特利尔多语言社区2019年冠状病毒病应对和路易斯安那州海地-卡津网络内飓风伊达救援工作的比较案例研究,本研究确定了三个核心紧张关系:关系接近性的悖论、术语翻译的即时性和准确性之间的权衡,以及扩大非正式志愿者网络的挑战。该研究引入了一个混合质量控制模型,该模型集成了三个组成部分:(1)快速危机术语培训,以弥合机构层面的知识差距;(2)同行评议圈子,以建立语境意义,例如,在旁遮普方言中协商“中暑”;(3)机构指导,以解决伦理困境,例如,在不引发创伤的情况下披露避难所的能力。通过运用普特南的桥梁/纽带资本和布迪厄的文化资本,该模型调和了基层的敏捷性和专业责任,表明公民口译员的文化嵌入——在系统支持下——可以将紧急语言服务转变为语言正义的参与性实践。研究结果强调,需要建立优先考虑解释准确性和社区信任的危机沟通框架,为翻译社会学提供理论见解和备灾实践指南。
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引用次数: 0
The dual nature of Emergency Operations Centers: Analyzing mechanistic and organic organizational elements. 应急行动中心的双重性质:机制与有机组织要素分析。
Q3 Medicine Pub Date : 2025-09-01 DOI: 10.5055/jem.0941
Putnam Reiter, Ray H Chang

Emergency Operations Centers (EOCs) are crucial to disaster response, yet their organizational structure and operational dynamics remain understudied. Through qualitative analysis of federal and state emergency management documents, including Federal Emergency Management Agency guidance and the Oklahoma State Emergency Operations Plan, this research examines mechanistic and organic organizational elements. Using organizational theory as an analytical framework, we identify three key findings: (1) EOCs operate along a continuum between mechanistic and organic structures; (2) informal organic design elements significantly influence EOC operations during disasters but remain largely undocumented; and (3) predisaster networking among EOC participants is essential for effective disaster operations. Drawing on crisis management and resilience frameworks, this research extends previous work while offering researchers and EOC participants practical recommendations for improving EOC design, training, and operations. Our findings suggest that EOC effectiveness depends on explicitly recognizing and supporting both mechanistic and organic structures.

应急行动中心(eoc)对灾害响应至关重要,但其组织结构和业务动态仍未得到充分研究。通过定性分析联邦和州应急管理文件,包括联邦应急管理机构的指导和俄克拉荷马州的紧急行动计划,本研究探讨了机制和有机的组织要素。利用组织理论作为分析框架,我们发现了三个主要发现:(1)生态环境组织在机械结构和有机结构之间沿连续体运行;(2)非正式的有机设计元素显著影响灾害期间的EOC操作,但大部分未被记录;(3) EOC参与者之间的灾前网络对有效的灾害行动至关重要。借鉴危机管理和弹性框架,本研究扩展了之前的工作,同时为研究人员和EOC参与者提供了改进EOC设计、培训和运营的实用建议。我们的研究结果表明,EOC的有效性取决于明确识别和支持机械和有机结构。
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引用次数: 0
Revitalizing Emergency Medical Services in the United States: A perspective from frontline workers. 振兴美国紧急医疗服务:一线工作者的视角。
Q3 Medicine Pub Date : 2025-09-01 DOI: 10.5055/jem.0936
Shivam Singh, Sofia DiFulvio, Hansel A Heres, Daniel Zeng, Vineet Madduru, Urvish Jain, Faraan O Rahim

Emergency Medical Services (EMS) stands at a critical juncture in the United States. Despite its indispensable role in the healthcare continuum-providing vital acute care and transportation during -emergencies-EMS is confronted with significant challenges. Underfunding, personnel shortages, and an outdated financing model collectively undermine the sustainability and efficacy of EMS agencies nationwide. Urgent action is required to address these issues and prevent the collapse of EMS. In this article, we present recommendations from frontline EMS workers to revitalize the current EMS system. These recommendations include restructuring the financial framework to improve workforce compensation and retention; fostering professional development pathways within the EMS sector; and implementing community paramedicine initiatives while fully utilizing advanced Emergency Medical Technicians to enhance service value.

在美国,紧急医疗服务(EMS)正处于一个关键时刻。尽管ems在医疗保健中发挥着不可或缺的作用,在紧急情况下提供重要的急性护理和运输,但它面临着重大挑战。资金不足、人员短缺和过时的融资模式共同破坏了全国EMS机构的可持续性和有效性。需要采取紧急行动解决这些问题,防止EMS崩溃。在这篇文章中,我们提出了一线EMS工作人员的建议,以振兴当前的EMS系统。这些建议包括重组财务框架,以改善劳动力薪酬和保留;在环境服务界别内培育专业发展途径;和推行社区辅助医疗,同时充分利用先进的急救医疗技术人员,提升服务价值。
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引用次数: 0
Expanding on the concept of emergency management professionalization. 拓展应急管理专业化的概念。
Q3 Medicine Pub Date : 2025-09-01 DOI: 10.5055/jem.0958
Michael Prasad

This editorial discusses the need for expansion in the United States (US) of the concept of professional emergency management (EM), rejecting the proposal of US national licensure for individuals, and to include oversight and compliance for those organizations that utilize and provide EM staff, protocols, doctrine, etc. Without this last component, the EM field cannot be considered by its own practitioners as professional, as in other fields such as healthcare and financial services. In fact, those industries and others are staffing their own roles for EM as the operational aspects of risk management. EM is not for government only. While in agreement with the basic foundational concepts of both Dr. Jennifer Carlson and Dr. Carol Cwiak in their academic advocacy regarding the need for an elevation in the public's acceptance and recognition of professionalism in our field, there is no concurrence as to the specific pathways and doctrine needed to execute this. Questions of national licensure, requirements for accredited higher educational degrees, new oversight entities, and more need to be further discussed and debated, especially in the context of expanding capacity for locally driven practitioners of professional EM in the US.

这篇社论讨论了在美国扩展专业应急管理(EM)概念的必要性,拒绝了美国国家个人执照的提议,并包括对那些利用和提供EM人员、协议、理论等的组织的监督和遵守。没有这最后一个组成部分,新兴市场领域的从业人员就不能像医疗保健和金融服务等其他领域那样,将其视为专业领域。事实上,这些行业和其他行业正在为新兴市场配备自己的角色,作为风险管理的运营方面。新兴市场不只是为政府服务。虽然我们同意Jennifer Carlson博士和Carol Cwiak博士在学术倡导中提出的基本概念,即需要提高公众对我们领域专业精神的接受和认可,但在执行这一目标所需的具体途径和原则方面,我们并没有达成一致。国家执照、对认可的高等教育学位的要求、新的监管实体等问题需要进一步讨论和辩论,特别是在美国本土驱动的专业新兴市场从业人员能力不断扩大的背景下。
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引用次数: 0
Fatalities due to terrorist attacks against healthcare facilities stratified by country economy. 针对医疗设施的恐怖袭击造成的死亡人数按国家经济分层。
Q3 Medicine Pub Date : 2025-09-01 DOI: 10.5055/jem.0899
Wesley Steeb, Benoit Stryckman, Gregory Jasani

Terrorist attacks on healthcare facilities disrupt healthcare delivery with increasing frequency. This study aims to assess the association between the number of casualties in terrorist attacks against healthcare facilities and economic classification of a country. Utilizing data from 1970 to 2018 compiled in the Global Terrorism Database, 901 attacks against healthcare settings were identified in 74 countries. Based on the World Bank economic classification, these 74 countries were categorized into low, lower-middle, upper-middle, and high-income groups. We further grouped these into "developed" (high-income countries) and "developing" economies (low, lower-middle, and upper-middle economies). A Poisson regression was developed to assess the association between country economic classifications and the number of casualties in attacks on healthcare facilities. A total of 901 incidents of terrorist attacks against healthcare facilities satisfied the database query, with 239 attacks listing at least one casualty. This demonstrated that, in this database set, 30 people in economically developing countries were killed per healthcare facility attack for every one person killed in an attack in a country with a developed economy. Terrorist attacks against healthcare facilities in countries with lower economic status resulted in greater casualties than similar attacks against healthcare facilities in high-income or economically developed countries. This knowledge can help shape ongoing research into terrorism prevention, mitigation, and resource allocation to protect vulnerable healthcare facilities.

针对医疗设施的恐怖袭击越来越频繁地破坏医疗服务。本研究旨在评估针对医疗设施的恐怖袭击中伤亡人数与国家经济分类之间的关系。利用全球恐怖主义数据库编制的1970年至2018年的数据,在74个国家发现了901起针对医疗机构的袭击。根据世界银行的经济分类,这74个国家被分为低、中下、中上和高收入群体。我们进一步将这些国家分为“发达”(高收入国家)和“发展中”经济体(低收入、中下和中上经济体)。开发了泊松回归来评估国家经济分类与医疗设施袭击中伤亡人数之间的关系。共有901起针对医疗设施的恐怖袭击事件符合数据库查询,其中239起袭击至少造成一人伤亡。这表明,在这个数据库集中,在经济发展中国家,每一次医疗设施袭击造成30人死亡,而在经济发达国家,每一次袭击造成1人死亡。针对经济地位较低国家的医疗设施的恐怖袭击造成的伤亡比针对高收入国家或经济发达国家医疗设施的类似袭击造成的伤亡要大。这些知识可以帮助形成正在进行的关于恐怖主义预防、缓解和资源分配的研究,以保护脆弱的医疗设施。
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引用次数: 0
Leadership and well-being among emergency professionals: A systematic literature review. 急救专业人员的领导力与幸福感:系统文献综述。
Q3 Medicine Pub Date : 2025-09-01 DOI: 10.5055/jem.0924
Laura Carmona, Raquel Pinheiro, Maria José Chambel

Background: Police officers and firefighters often face high-stress situations that might impact their well-being. In these contexts, leadership plays a key role in both operational success and safeguarding their well-being.

Objectives: This systematic review examines the relationship between leadership, well-being, and well-being predictors and outcomes in police and firefighting personnel.

Methods: A systematic review, following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, was conducted using the Web of Science and Scopus databases. Nineteen studies met the inclusion criteria.

Results: Relationship-oriented leadership is positively correlated with better well-being outcomes, eg, job satisfaction and engagement, and negatively correlated with poor well-being outcomes, eg, burnout and stress, among police officers and firefighters. It is also associated with individual-eg, emotional regulation and self-esteem-and contextual-eg, organizational support and shared values-predictors and negatively correlated with negative well-being consequences, eg, physical complaints and turnover intentions.

Conclusions: Relationship-oriented leadership appears to be associated with reduced stress and improved well-being. More studies focus on police officers than on firefighters, suggesting that further research is needed for firefighters. The findings emphasize the need for targeted firefighting and policing leadership programs focused on relationship-oriented skills for both professions.

背景:警察和消防员经常面临可能影响他们健康的高压力情况。在这种情况下,领导力在业务成功和保障员工福祉方面发挥着关键作用。目的:本系统综述考察了警察和消防人员的领导力、幸福感、幸福感预测因子和结果之间的关系。方法:采用Web of Science和Scopus数据库,按照系统评价和meta分析指南的首选报告项目进行系统评价。19项研究符合纳入标准。结果:在警察和消防员中,关系导向型领导与较好的幸福感结果(如工作满意度和敬业度)正相关,与较差的幸福感结果(如职业倦怠和压力)负相关。它还与个体(例如,情绪调节和自尊)以及情境(例如,组织支持和共同价值观)预测因子相关,并与负面幸福感后果(例如,身体抱怨和离职意图)负相关。结论:以关系为导向的领导似乎与减少压力和提高幸福感有关。更多的研究关注于警察而不是消防员,这表明需要对消防员进行进一步的研究。研究结果强调,需要有针对性的消防和警务领导课程,重点关注这两个职业的人际关系导向技能。
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引用次数: 0
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Journal of Emergency Management
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