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

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Venous Thromboembolism in Earthquake Victims 地震受害者的静脉血栓栓塞
Kazuo Inoue MD

Sudden death from pulmonary thromboembolism following an earthquake has not been reported to date. This is a published case report of a 48-year-old woman who died suddenly of a pulmonary embolism on October 28, 2004. She lived in the Chuetu District in Japan, where a big epicentral earthquake occurred on October 23. She evacuated her house with her family and spent 4 of 5 nights in a private car. Until November 1, 8 persons who had been living out of their cars after evacuation from their houses in the District were treated for pulmonary thromboembolism. The immobility that comes with living in a car should be recognized as a risk factor for venous thromboembolism. In addition, potential preventive measures should be recommended, including provisions for emergency shelters, access to other temporary housing, public education, and the use of compression stockings.

地震后肺血栓栓塞引起的猝死至今尚未见报道。这是2004年10月28日一名48岁妇女因肺栓塞猝死的病例报告。她住在10月23日发生大地震的日本中部地区。她和家人撤离了自己的房子,在一辆私家车里度过了5个晚上中的4个。直到11月1日,从该区房屋撤离后一直住在汽车外的8人因肺血栓栓塞而接受治疗。生活在车里的不动应该被认为是静脉血栓栓塞的一个危险因素。此外,应建议采取潜在的预防措施,包括提供紧急避难所、获得其他临时住房、公共教育和使用压缩袜。
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引用次数: 21
Information for Authors 作者信息
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引用次数: 0
Request for Volunteers 招募志愿者
Commander Kim Lippes
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引用次数: 1
Information for Readers 读者资讯
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引用次数: 0
After the Storm 风暴过后
Judith Stoner Halpern MS, NP, APRN-BC
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引用次数: 0
Development of a State Medical Surge Plan, Part II: Components of a Medical Surge Plan 国家医疗激增计划的制定,第二部分:医疗激增计划的组成部分。
Royce Moser Jr. MD, MPH, Colleen Connelly BSN, RN, Lloyd Baker BA, Richard Barton MD, Jan Buttrey MBA, Stephen Morris MD, Jeffrey Saffle MD, Jolene R. Whitney MPA

In 2003, the Utah State Department of Health received funding from the Health Resources and Services Administration to develop a medical surge plan to increase the number of available hospital beds in the state by 1250 beds, including 125 beds for burn or critical trauma patients. A prior article discussed the planning procedures and process. This article describes the major components of the plan, including analysis of threats, direction and control, activation and system response; communications; and critical issues.

2003年,犹他州卫生部得到卫生资源和服务管理局的资助,制定了一项医疗激增计划,将该州现有的医院病床数量增加1250张,其中包括125张烧伤或严重创伤患者的病床。之前的一篇文章讨论了规划程序和过程。本文介绍了该计划的主要组成部分,包括威胁分析、方向与控制、激活与系统响应;通信;和关键问题。
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引用次数: 16
IMERT Deployment to Baton Rouge, Louisiana in Response to Hurricane Katrina, September 2005 2005年9月在路易斯安那州巴吞鲁日部署imt以应对卡特里娜飓风
Mary Connelly RN

An Illinois volunteer emergency response team was deployed to assist in the disaster care efforts following Hurricane Katrina. The team joined local care providers to establish a field hospital on the campus of Louisiana State University in Baton Rouge, Louisiana. The team worked to support local providers, establish order, and assist more than 3000 evacuees. The challenges and lessons learned from this deployment are identified.

在卡特里娜飓风过后,伊利诺斯州的一个志愿应急小组被派去协助救灾工作。该团队与当地护理提供者一起在路易斯安那州巴吞鲁日的路易斯安那州立大学校园内建立了一家野战医院。该团队努力支持当地供应商,建立秩序,并协助3000多名撤离人员。确定了从该部署中获得的挑战和经验教训。
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引用次数: 15
Regional Medicine Following a Large Earthquake: Economy-class Syndrome 大地震后的区域医学:经济舱综合症
Takashi Yokota MD, Seiichi Kojima MD, Hidemi Yamauchi MD, Masahito Hatori MD
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引用次数: 7
Assessing the Readiness and Training Needs of Non-urban Physicians in Public Health Emergency and Response 评估非城市医生在突发公共卫生事件和应对中的准备和培训需求
Chiehwen Ed Hsu PhD, Francisco Soto Mas MD, PhD, MPH, Holly Jacobson PhD, Richard Papenfuss PhD, Ella T. Nkhoma MPH, James Zoretic MD, MPH

Emergency readiness has become a public health priority for United States communities after the 9/11 attacks. Communities that have a less developed public health infrastructure are challenged to organize preparedness and response efforts and to ensure that health care providers are capable of caring for victims of terrorist acts. A survey was used to assess non-urban physicians' prior experience with and self-confidence in treating, and preferred training needs for responding to chemical, biologic, radiologic, nuclear, and explosive (CBRNE) cases. Data were collected through a mailed and Web-based survey. Although the response rate was calculated at 30%, approximately one third of the surveys were not able to be delivered. Most respondents reported never having seen or treated CBRNE-inflicted cases and were not confident in their ability to diagnose or treat CBRNE cases, but many were willing to participate in a state-led response plan. Almost half of the individuals had not participated in any related training but expressed interest in receiving training in small group workshops or through CD-ROM. These results provide potential direction for strategic preparedness planning for non-urban health care providers.

9/11袭击后,应急准备已成为美国社区的公共卫生优先事项。公共卫生基础设施较不发达的社区面临的挑战是组织防备和应对工作,并确保保健提供者有能力照顾恐怖主义行为的受害者。一项调查用于评估非城市医生在治疗化学、生物、放射、核和爆炸(CBRNE)病例方面的经验和自信,以及首选的培训需求。数据是通过邮寄和网络调查收集的。虽然回复率计算为30%,但约有三分之一的调查未能送达。大多数受访者报告从未见过或治疗过CBRNE造成的病例,并且对自己诊断或治疗CBRNE病例的能力没有信心,但许多人愿意参与国家主导的应对计划。几乎一半的人没有参加任何有关的培训,但表示有兴趣在小组讲习班或通过CD-ROM接受培训。这些结果为非城市卫生保健提供者的战略准备规划提供了潜在的方向。
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引用次数: 29
2005 Peer Reviewers 2005年同行评审
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引用次数: 0
期刊
Disaster management & response : DMR : an official publication of the Emergency Nurses Association
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