Use of alternate healthcare facilities as alternate transport destinations during a mass-casualty incident.

Abstract:

:The purpose of this discussion is to review the use of destinations other than the hospital emergency department, to transport patients injured as a result of a mass-casualty incident (MCI). A MCI has the ability to overwhelm traditional hospital resources normally thought of as appropriate destinations for the transport of injured patients. As a result, those with less severe injuries often are required to wait before they can receive definitive treatment. This waiting period, either at the scene of the incident or in the emergency department, can increase morbidity and drain resources that can be better directed toward the transport and care of those more severely injured. Potential alternate transport destinations include physician office buildings, ambulatory care centers, ambulatory surgery centers, and urgent care centers. By allowing for transport to alternate locations, these less severely injured patients can be removed rapidly from the scene, treated, and potentially released. This effort can decrease the strain on traditional resources within the system, better allowing these resources to treat more seriously injured patients.

journal_name

Prehosp Disaster Med

authors

Glassman ES,Parrillo SJ

doi

10.1017/s1049023x00007949

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

178-82

issue

2

eissn

1049-023X

issn

1945-1938

journal_volume

25

pub_type

杂志文章
  • Assessment of hospital disaster preparedness for the 2010 FIFA World Cup using an internet-based, long-distance tabletop drill.

    abstract:INTRODUCTION:The State University of New York at Downstate (SUNY) conducted a web-based long-distance tabletop drill (LDTT) designed to identify vulnerabilities in safety, security, communications, supplies, incident management, and surge capacity for a number of hospitals preceding the 2010 FIFA World Cup. The tableto...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X11006443

    authors: Valesky W,Silverberg M,Gillett B,Roblin P,Adelaine J,Wallis LA,Smith W,Arquilla B

    更新日期:2011-06-01 00:00:00

  • Effects on local emergency departments of large-scale urban chemical fire with hazardous materials spill.

    abstract:INTRODUCTION:On 18 July 2001, a train hauling hazardous materials, including hydrochloric acid, hydrofluoric acid, and acetic acid, derailed in the city of Baltimore, Maryland, resulting in a fire that burned under a downtown street for five days. Firefighters were stymied in their efforts to extinguish the fire, and t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00000492

    authors: Hsu EB,Grabowski JG,Chotani RA,Winslow JA,Alves DW,VanRooyen MJ

    更新日期:2002-10-01 00:00:00

  • Research and Evaluations of the Health Aspects of Disasters, Part VIII: Risk, Risk Reduction, Risk Management, and Capacity Building.

    abstract::There is a cascade of risks associated with a hazard evolving into a disaster that consists of the risk that: (1) a hazard will produce an event; (2) an event will cause structural damage; (3) structural damage will create functional damages and needs; (4) needs will create an emergency (require use of the local respo...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X16000285

    authors: Birnbaum ML,Loretti A,Daily EK,O'Rourke AP

    更新日期:2016-06-01 00:00:00

  • Treatment management in disaster: a review of the Bam earthquake experience.

    abstract::In the early morning of 26 December 2003, Bam, an old city in southeastern Iran, was devastated by an earthquake measuring 6.6 on the Richter scale. Managing such situations always brings about many problems. In the case of the Bam Earthquake, two of the most serious problems were rescue operations and provision of ap...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00005355

    authors: Saghafinia M,Araghizade H,Nafissi N,Asadollahi R

    更新日期:2007-11-01 00:00:00

  • Women's Mental Health and Intimate Partner Violence Following Natural Disaster: A Scoping Review.

    abstract::Introduction Survivors of natural disasters in the United States experience significant health ramifications. Women particularly are vulnerable to both post-disaster posttraumatic stress disorder (PTSD) and depression, and research has documented that these psychopathological sequelae often are correlated with increas...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X16000911

    authors: Bell SA,Folkerth LA

    更新日期:2016-12-01 00:00:00

  • Global Characteristics of Chemical, Biological, and Radiological Poison Use in Terrorist Attacks.

    abstract:BACKGROUND:Chemical, biological, and radiological (CBR) terrorism continues to be a global threat. Studies examining global and historical toxicological characteristics of CBR terrorism are lacking. METHODS:Global Terrorism Database (GTD) and RAND Database of Worldwide Terrorism Incidents (RDWTI) were searched for CBR...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20000394

    authors: Aydin B

    更新日期:2020-06-01 00:00:00

  • Airway Clearance Using Suction Devices in Prehospital Combat Casualty Care: A Systematic Review.

    abstract::Airway management is at the forefront for combat medics dealing with battlefield trauma. For military service members, compromised airways are the second leading cause of potentially survivable death on the battlefield, accounting for one in ten preventable combat deaths. Effective suction is a critical component of a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001065

    authors: Jain P,Akhter F,Schoppe A,Hood RL,De Lorenzo RA

    更新日期:2020-12-01 00:00:00

  • When pressure is positive: a literature review of the prehospital use of continuous positive airway pressure.

    abstract:BACKGROUND:Heart failure poses a significant burden of disease, resulting in 2,658 Australian deaths in 2008, and listed as an associated cause of death in a further 14,466 cases. Common in the hospital setting, continuous positive airway pressure (CPAP) therapy is a non-invasive ventilation technique used to prevent a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X12001562

    authors: Williams B,Boyle M,Robertson N,Giddings C

    更新日期:2013-02-01 00:00:00

  • Increased depression and readmission risk in patients with new-onset angina after the Sichuan earthquake.

    abstract:INTRODUCTION:Earthquake exposure has been associated with adverse consequences for coronary heart disease. However, the natural history and prognostic significance of earthquake-related, new-onset angina have not been characterized. OBJECTIVE:The objective of this study was to evaluate the association between episodes...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X11006509

    authors: Kai-sen H,Qi W,Ping L,Ding-xiu H,Shu-yin W,You-gen Z,Fang-ming Z,Ying-de K,Xiao-jian D

    更新日期:2011-08-01 00:00:00

  • Integrated plan to augment surge capacity.

    abstract:INTRODUCTION:Surge capacity is defined as a healthcare system's ability to rapidly expand beyond normal services to meet the increased demand for appropriate space, qualified personnel, medical care, and public health in the event ofbioterrorism, disaster, or other large-scale, public health emergencies. There are many...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00005719

    authors: Dayton C,Ibrahim J,Augenbraun M,Brooks S,Mody K,Holford D,Roblin P,Arquilla B

    更新日期:2008-03-01 00:00:00

  • Comparison of rescue and relief activities within 72 hours of the atomic bombings in Hiroshima and Nagasaki.

    abstract:PURPOSE:To clarify the factors and reasons for the differences in the outcomes of rescue and relief efforts in Hiroshima and Nagasaki, mainly focusing on the numbers of rescue/relief staffs and casualties in the period within 72 hours of the atomic bombings in August 1945. METHODS:By retrieving the data and informatio...

    journal_title:Prehospital and disaster medicine

    pub_type: 历史文章,杂志文章

    doi:10.1017/S1049023X13008832

    authors: Matsunari Y,Yoshimoto N

    更新日期:2013-12-01 00:00:00

  • Diagnosis according to time of arrival at "The Great New York State Fair".

    abstract:OBJECTIVE:To study the diagnoses of patients presenting to a medical facility within a mass-gathering public event, "The Great New York State Fair" (NYSF) based on chief complaints, diagnoses, and time of arrival. The goal of the study was to assess the need for increased staffing, services, or supplies during certain ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X13009187

    authors: Nacca K,Scott J,Grant W

    更新日期:2014-02-01 00:00:00

  • Surviving collapsed structure entrapment after earthquakes: a "time-to-rescue" analysis.

    abstract:INTRODUCTION:Massive earthquakes often cause structures to collapse, trapping victims under dense rubble for long periods of time. Commonly, this spurs resource intensive, dangerous, and frustrating attempts to find and extricate live victims. The search and rescue phase usually is maintained for many days beyond the l...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00003253

    authors: Macintyre AG,Barbera JA,Smith ER

    更新日期:2006-01-01 00:00:00

  • Clinical Outcomes in Cardiac Arrest Patients Following Prehospital Treatment with Therapeutic Hypothermia.

    abstract:INTRODUCTION:Recent studies have brought to question the efficacy of the use of prehospital therapeutic hypothermia for victims of out-of-hospital cardiac arrest (OHCA). Though guidelines recommend therapeutic hypothermia as a critical link in the chain of survival, the safety of this intervention, with the possibility...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004987

    authors: Cortez E,Panchal AR,Davis J,Zeeb P,Keseg DP

    更新日期:2015-10-01 00:00:00

  • State Preparedness for Crisis Standards of Care in the United States: Implications for Emergency Management.

    abstract::State governments and hospital facilities are often unprepared to handle a complex medical crisis, despite a moral and ethical obligation to be prepared for disaster. The 2019 novel coronavirus disease (COVID-19) has drawn attention to the lack of state guidance on how hospitals should provide care in a crisis. When t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001405

    authors: Ingram AE,Hertelendy AJ,Molloy MS,Ciottone GR

    更新日期:2021-02-01 00:00:00

  • Review of accidents/injuries among emergency medical services workers in Baltimore, Maryland.

    abstract:OBJECTIVES:To characterize the types of occupational exposures and injuries reported by emergency medical service (EMS) workers. METHODS:A blinded review of accidents/exposures among EMS workers employed by a Baltimore County fire department was conducted. Medical records for 1992 were reviewed. RESULTS:Two hundred a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00041583

    authors: Gershon RR,Vlahov D,Kelen G,Conrad B,Murphy L

    更新日期:1995-01-01 00:00:00

  • External factors impacting hospital evacuations caused by Hurricane Rita: the role of situational awareness.

    abstract:INTRODUCTION:The 2005 Gulf Coast hurricane season was one of the most costly and deadly in US history. Hurricane Rita stressed hospitals and led to multiple, simultaneous evacuations. This study systematically identified community factors associated with patient movement out of seven hospitals evacuated during Hurrican...

    journal_title:Prehospital and disaster medicine

    pub_type: 历史文章,杂志文章

    doi:10.1017/S1049023X13000125

    authors: Downey EL,Andress K,Schultz CH

    更新日期:2013-06-01 00:00:00

  • Disaster metrics: a proposed quantitative model for benchmarking prehospital medical response in trauma-related multiple casualty events.

    abstract:INTRODUCTION:Quantitative benchmarking of trauma-related prehospital response for Multiple Casualty Events (MCE) is complicated by major difficulties due to the simultaneous occurrences of multiple prehospital activities. HYPOTHESIS/PROBLEM:Attempts to quantify the various components of prehospital medical response in...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000416

    authors: Bayram JD,Zuabi S

    更新日期:2012-04-01 00:00:00

  • Survey of medical services at major league baseball stadiums.

    abstract:OBJECTIVE:To analyze the availability and level of medical services for fans at major league baseball games in the United States. METHODS:A 10-item questionnaire was sent to the operations managers of each of 28 major league baseball stadiums. The survey was distributed in cooperation with a major league baseball club...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00042151

    authors: Ma OJ,Pirrallo RG,Rubin JM

    更新日期:1995-10-01 00:00:00

  • Health aspects of disaster preparedness and response. Report from a regional meeting of countries of South East Asia; Bangkok, Thailand, 21-23 November 2005.

    abstract:INTRODUCTION:This Supplement is a Report of the Conference convened by the South East Asia Regional Office (SEARO) of the World Health Organization (WHO). The Conference was a follow-up to the WHO Conference of May 2005 in Phuket, Thailand on the Earthquake and Tsunami of 26 December 2004. The invitational meeting brou...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Regional Office for South East Asia World Health Organization.

    更新日期:2006-09-01 00:00:00

  • Out-of-hospital cardiac arrest locations in a rural community: where should we place AEDs?

    abstract::Early defibrillation improves survival for patients suffering cardiac arrest from ventricular fibrillation (VF) or ventricular tachycardia (VT). Automated external defibrillators (AEDs) should be placed in locations in which there is a high incidence of out-of-hospital cardiac arrest (OOHCA). The study objective was t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00001977

    authors: Portner ME,Pollack ML,Schirk SK,Schlenker MK

    更新日期:2004-10-01 00:00:00

  • Evaluation of Bacterial Contamination on Prehospital Ambulances Before and After Disinfection.

    abstract:BACKGROUND:The contamination of the environment, ambulance equipment, and staff hands consequently are major factors which create nosocomial infections in emergency patients. The contamination of equipment and devices plays an important role in nosocomial infections. OBJECTIVES:The aim of this study was to determine t...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1800095X

    authors: Farhadloo R,Goodarzi Far J,Azadeh MR,Shams S,Parvaresh-Masoud M

    更新日期:2018-12-01 00:00:00

  • Pneumonia Prevention during a Humanitarian Emergency: Cost-effectiveness of Haemophilus Influenzae Type B Conjugate Vaccine and Pneumococcal Conjugate Vaccine in Somalia.

    abstract:BACKGROUND:Pneumonia is a leading cause of death among children less than five years old during humanitarian emergencies. Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae are the leading causes of bacterial pneumonia. Vaccines for both of these pathogens are available to prevent pneumonia. Problem This ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004781

    authors: Gargano LM,Hajjeh R,Cookson ST

    更新日期:2015-08-01 00:00:00

  • Simulation of a hospital disaster plan: a virtual, live exercise.

    abstract:INTRODUCTION:Currently, there is no widely available method to evaluate an emergency department disaster plan. Creation of a standardized patient database and the use of a virtual, live exercise may lead to a standardized and reproducible method that can be used to evaluate a disaster plan. PURPOSE:A virtual, live exe...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00005999

    authors: Franc-Law JM,Bullard M,Della Corte F

    更新日期:2008-07-01 00:00:00

  • A sustainable training strategy for improving health care following a catastrophic radiological or nuclear incident.

    abstract::The detonation of a nuclear device in a US city would be catastrophic. Enormous loss of life and injuries would characterize an incident with profound human, political, social, and economic implications. Nevertheless, most responders have not received sufficient training about ionizing radiation, principles of radiati...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1400003X

    authors: Blumenthal DJ,Bader JL,Christensen D,Koerner J,Cuellar J,Hinds S,Crapo J,Glassman E,Potter AB,Singletary L

    更新日期:2014-02-01 00:00:00

  • Mechanical Ventilation with Room Air is Feasible in a Moderate Acute Respiratory Distress Syndrome Pig Model - Implications for Disaster Situations and Low-Income Nations.

    abstract:INTRODUCTION:Patients with respiratory failure are usually mechanically ventilated, mostly with fraction of inspired oxygen (FiO2) > 0.21. Minimizing FiO2 is increasingly an accepted standard. In underserved nations and disasters, salvageable patients requiring mechanical ventilation may outstrip oxygen supplies. STUD...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001016

    authors: Halpern P,Goldvaser M,Yacov G,Rosner A,Wenger A,Bachar K,Katalan S

    更新日期:2020-12-01 00:00:00

  • Health Service Impact from Mass Gatherings: A Systematic Literature Review.

    abstract:BACKGROUND:During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assess...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X16001199

    authors: Ranse J,Hutton A,Keene T,Lenson S,Luther M,Bost N,Johnston AN,Crilly J,Cannon M,Jones N,Hayes C,Burke B

    更新日期:2017-02-01 00:00:00

  • The Effect of High Storage Temperature on the Stability and Efficacy of Lyophilized Tenecteplase.

    abstract:INTRODUCTION:Tenecteplase is a thrombolytic protein drug used by paramedics, emergency responders, and critical care medical personnel for the prehospital treatment of blood clotting diseases. Minimizing the time between symptom onset and the initiation of thrombolytic treatment is important for reducing mortality and ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20000928

    authors: Henkel E,Vella R,Fenning A

    更新日期:2020-10-01 00:00:00

  • Planning for resilience in hospital internal disaster.

    abstract::This article seeks to clarify the terminology and methods of planning to avert hospital internal disaster. It differentiates "crisis" from "disaster" in the in-hospital setting. Preparedness, as contrasted with mitigation, is meant to reduce the likelihood that a crisis will turn into a disaster. Though there are some...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00001230

    authors: Sternberg E

    更新日期:2003-10-01 00:00:00

  • Session 1.5: health policy and coordination: a critical review of experiences.

    abstract::This is a summary of the presentations and discussion of Session 1.5 on Health Policy and Coordination: A Critical Review of Experiences during the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The topics discussed inclu...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002958

    authors: Procacci P,Doran R,Chunkath SR,Garfield R,Briceno S,Fric A

    更新日期:2005-11-01 00:00:00