Disaster management & response : DMR : an official publication of the Emergency Nurses Association最新文献

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Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-04-01 DOI: 10.1016/S1540-2487(07)00040-5

引用次数: 0

Preventing Pediatric Mass Casualty Events 预防儿科大规模伤亡事件

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-04-01 DOI: 10.1016/j.dmr.2007.04.002

Margaret M. McMahon RN, MN, CEN, FAEN

引用次数: 3

Will First-Responders Show Up for Work During a Pandemic? Lessons From a Smallpox Vaccination Survey of Paramedics 在大流行期间，急救人员会出现在工作岗位上吗?护理人员天花疫苗接种调查的经验教训

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-04-01 DOI: 10.1016/j.dmr.2007.02.002

Niklas Mackler MD, William Wilkerson MD, Sandro Cinti MD

Background

The presence of H5N1 influenza in Southeast Asia has reawakened fears of a worldwide influenza pandemic of the sort that occurred in 1918. It is estimated that up to 1.9 million people in the United States could die if such an outbreak occurs. It is unlikely that a vaccine for a pandemic strain will be available quickly enough to protect first-responders. Similar concerns existed in 2002 when the United States attempted to vaccinate first-responders against smallpox, a potential biologic weapon.

Method

We conducted a survey of one group of first-responders, paramedics, to determine if fear of infection would compromise their ability to care for persons potentially infected with smallpox.

Results

Three hundred paramedics were given the survey, and 95 (32%) responded. More than 80% of paramedics polled would not remain on duty if there were no vaccine and no protective gear. Even if protective gear was available but the vaccine was unavailable, only 39% of respondents would remain on duty. Finally, although 91% of paramedics would remain on duty if they were fully protected, this number falls to 38% if the respondent believed that his or her immediate family was not protected. The results of this survey are relevant to current concerns about an influenza pandemic. Every effort must be made to protect first-responders from pandemic influenza and educate them about it.

H5N1流感在东南亚的出现再次唤起了人们对1918年发生的那种全球性流感大流行的担忧。据估计，如果爆发这种疫情，美国可能会有多达190万人死亡。一种针对大流行毒株的疫苗不太可能在足够快的时间内问世，以保护第一反应者。类似的担忧在2002年也曾出现过，当时美国试图给急救人员接种预防天花的疫苗，天花是一种潜在的生物武器。方法我们对一组急救人员(护理人员)进行了调查，以确定对感染的恐惧是否会影响他们对可能感染天花的人的护理能力。结果共对300名护理人员进行问卷调查，回复95人(32%)。如果没有疫苗和防护装备，超过80%的医护人员不会继续值班。即使有防护装备，但没有疫苗，只有39%的受访者会继续值班。最后，尽管91%的护理人员在得到充分保护的情况下会继续值班，但如果被调查者认为他或她的直系亲属没有得到保护，这个数字就会下降到38%。这项调查的结果与目前对流感大流行的关注有关。必须尽一切努力保护第一反应者免受大流行性流感的侵害，并对他们进行这方面的教育。

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引用次数: 68

Testing Hospital Disaster Communication Plan has Immense Value 测试医院灾难沟通计划具有巨大的价值

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-04-01 DOI: 10.1016/j.dmr.2007.04.001

Matthew Goldman MD, Todd Anderson MD, Shahriar Zehtabchi MD, Bonnie Arquilla DO

引用次数: 6

News and Insights 新闻与见解

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-04-01 DOI: 10.1016/j.dmr.2007.04.003

引用次数: 0

News and Insights 新闻与见解

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-01-01 DOI: 10.1016/j.dmr.2006.11.004

引用次数: 0

The Prevalence of Posttraumatic Stress Disorder Among Children and Adolescents Affected by Tsunami Disaster in Tamil Nadu 泰米尔纳德邦受海啸灾害影响的儿童和青少年中创伤后应激障碍的患病率

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-01-01 DOI: 10.1016/j.dmr.2006.11.001

Prashantham Baddam John PhD, Sushila Russell MPhil, Paul Swamidhas Sudhakar Russell MD, DPM, DNB

The Asian earthquake and subsequent tsunami of December 2004, one of the largest natural disasters in recent history, resulted in the deaths of over 250,000 people and massive destruction in 8 countries. As with any disaster, children are at risk for developing short- and long-term psychological consequences, including posttraumatic stress disorder (PTSD). One area particularly affected by this disaster was southern India. Five hundred twenty-three juvenile survivors of the tsunami were studied to determine the prevalence of PTSD. The survey was conducted in 2 waves. Interviews were conducted by postgraduate psychiatric social work students, proficient in the local language of Tamil and trained in PTSD-related data collection. The Impact of Event Scale-8 items Tamil Version and Child Behaviour Checklist Post-traumatic Stress Disorder-Tamil Revised Version, with age-specific measures and validated for the local culture and language, were used for the study. Our study revealed a prevalence of 70.7% for acute PTSD and 10.9% for delayed onset PTSD. PTSD was more prevalent among girls and more severe among adolescents exposed to loss of life or property. These results indicate that PTSD is widely prevalent among the survivors of the tsunami, reinforcing the need to develop an effective, culturally sensitive outreach therapy strategy for them.

2004年12月的亚洲地震和随后发生的海啸是近代历史上最大的自然灾害之一，造成25万多人死亡，并在8个国家造成大规模破坏。与任何灾难一样，儿童面临着产生短期和长期心理后果的风险，包括创伤后应激障碍(PTSD)。受这场灾难影响特别严重的一个地区是印度南部。研究人员对523名海啸幸存者进行了研究，以确定PTSD的患病率。该调查分两批进行。访谈由精通当地泰米尔语并受过创伤后应激障碍相关数据收集训练的精神病学社会工作研究生进行。本研究采用了事件影响量表-8项泰米尔版本和创伤后应激障碍儿童行为检查表-泰米尔修订版本，并采用了针对年龄的测量方法，并针对当地文化和语言进行了验证。我们的研究显示急性PTSD患病率为70.7%，迟发性PTSD患病率为10.9%。创伤后应激障碍在女孩中更为普遍，在遭受生命或财产损失的青少年中更为严重。这些结果表明，创伤后应激障碍在海啸幸存者中普遍存在，因此需要为他们制定有效的、文化敏感的外展治疗策略。

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引用次数: 84

Information for Readers 读者资讯

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-01-01 DOI: 10.1016/S1540-2487(07)00007-7

引用次数: 0

Information for Authors 作者信息

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-01-01 DOI: 10.1016/S1540-2487(07)00006-5

引用次数: 0

The Many Codes for a Disaster: A Plea for Standardization 灾难的许多代码:对标准化的请求

Disaster management & response : DMR : an official publication of the Emergency Nurses Association

Pub Date : 2007-01-01 DOI: 10.1016/j.dmr.2006.12.001

Margaret M. McMahon RN, MN, CEN, FAEN

引用次数: 7

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