Management of Diabetic Surgical Patients in a Deployed Field Hospital: A Model for Acute Non-Communicable Disease Care in Disaster.

Abstract:

:Sudden onset disasters (SODs) have affected over 1.5 billion of the world's population in the past decade. During the same time, developing nations have faced a sustained increase in the burden of non-communicable disease (NCD) with extra pressure placed on health systems. The combined increase in SODs and the NCD epidemic facing the world's most disaster-prone nations will present new challenges to emergency medical teams (EMTs) during disaster response. This report details the experience as an EMT during the Typhoon Haiyan disaster of 2013, with particular reference to the challenges of diabetic management in a surgical field hospital. The incidence of diabetes in this surgical cohort exceeded that of the population by a factor of four. The steps to prepare for and treat diabetes in the field provide a useful model for the management of NCD in the deployed field hospital environment after a disaster. McDermott KM , Hardstaff RM , Alpen S , Read DJ , Coatsworth NR . Management of diabetic surgical patients in a deployed field hospital: a model for acute non-communicable disease care in disaster. Prehosp Disaster Med. 2017;32(6):657-661.

journal_name

Prehosp Disaster Med

authors

McDermott KM,Hardstaff RM,Alpen S,Read DJ,Coatsworth NR

doi

10.1017/S1049023X17006707

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

657-661

issue

6

eissn

1049-023X

issn

1945-1938

pii

S1049023X17006707

journal_volume

32

pub_type

杂志文章
  • Evacuation Preparedness in the Event of Fire in Intensive Care Units in Sweden: More is Needed.

    abstract::Introduction Hospitals, including intensive care units (ICUs), can be subject to threat from fire and require urgent evacuation. Hypothesis The hypothesis was that the current preparedness for ICU evacuation for fire in the national public hospital system in a wealthy country was very good, using Sweden as model. MET...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17000152

    authors: Löfqvist E,Oskarsson Å,Brändström H,Vuorio A,Haney M

    更新日期:2017-06-01 00:00:00

  • Mass-gathering health research foundational theory: part 2 - event modeling for mass gatherings.

    abstract:BACKGROUND:Current knowledge about mass-gathering health (MGH) fails to adequately inform the understanding of mass gatherings (MGs) because of a relative lack of theory development and adequate conceptual analysis. This report describes the development of a series of event lenses that serve as a beginning "MG event mo...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X14001228

    authors: Turris SA,Lund A,Hutton A,Bowles R,Ellerson E,Steenkamp M,Ranse J,Arbon P

    更新日期:2014-12-01 00:00:00

  • Chronic diseases and natural hazards: impact of disasters on diabetic, renal, and cardiac patients.

    abstract:BACKGROUND:Inadequately controlled chronic diseases may present a threat to life and well-being during the emergency response phase of disasters. Chronic disease exacerbations (CDE) account for one of the largest patient populations during disasters, and patients are at increased risk for adverse outcomes. OBJECTIVE:T...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00005835

    authors: Miller AC,Arquilla B

    更新日期:2008-03-01 00:00:00

  • Analyzing the impact of severe tropical cyclone Yasi on public health infrastructure and the management of noncommunicable diseases.

    abstract:INTRODUCTION:Traditionally, post disaster response activities have focused on immediate trauma and communicable diseases. In developed countries such as Australia, the post disaster risk for communicable disease is low. However, a "disease transition" is now recognized at the population level where noncommunicable dise...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X1400137X

    authors: Ryan BJ,Franklin RC,Burkle FM,Watt K,Aitken P,Smith EC,Leggat P

    更新日期:2015-02-01 00:00:00

  • Mortality rates, prevalence of malnutrition, and prevalence of lost pregnancies among the drought-ravaged population of Tete Province, Mozambique.

    abstract:BACKGROUND:Tete Province, Mozambique has experienced chronic food insecurity and a dramatic fall in livestock numbers due to the cyclic problems characterized by the floods in 2000 and severe droughts in 2002 and 2003. The Province has been a beneficiary of emergency relief programs, which have assisted > 22% of the po...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00004301

    authors: Renzaho AM

    更新日期:2007-01-01 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

  • Future considerations for the medical management of nerve-agent intoxication.

    abstract::The use of chemical warfare agents against civilians and unprotected troops in international conflicts or by terrorists against civilians is considered to be a real threat, particularly following the terrorist attacks on 11 September 2001 against the World Trade Center in New York and against the Pentagon in Washingto...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00001072

    authors: Aas P

    更新日期:2003-07-01 00:00:00

  • Chief complaints, diagnoses, and medications prescribed seven weeks post-Katrina in New Orleans.

    abstract:BACKGROUND:In the aftermath of Hurricane Katrina, widespread flooding devastated the New Orleans healthcare system. Prior studies of post-hurricane healthcare do not consistently offer evidence-based recommendations for re-establishing patient care post-disaster. The primary objective of this study is to examine associ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00005549

    authors: Howe E,Victor D,Price EG

    更新日期:2008-01-01 00:00:00

  • 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

  • Methodological Challenges in Studies Comparing Prehospital Advanced Life Support with Basic Life Support.

    abstract::Determining the most appropriate level of care for patients in the prehospital setting during medical emergencies is essential. A large body of literature suggests that, compared with Basic Life Support (BLS) care, Advanced Life Support (ALS) care is not associated with increased patient survival or decreased mortalit...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17000292

    authors: Li T,Jones CMC,Shah MN,Cushman JT,Jusko TA

    更新日期:2017-08-01 00:00:00

  • Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies.

    abstract:OBJECTIVES:The goal of this study was to find out the training received in Urgent and Emergency Medicine (UEM) by the Primary Health Care (PHC) physicians of Asturias (Spain), as well as their perception of their own theoretical knowledge and practical skills in a series of procedures employed in life-threatening emerg...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X18000808

    authors: Cernuda Martínez JA,Castro Delgado R,Ferrero Fernández E,Arcos González P

    更新日期:2018-10-01 00:00:00

  • Poison control centers' role in glow product-related outbreak detection: implications for comprehensive surveillance system.

    abstract:INTRODUCTION:The development of syndromic surveillance systems to detect bioterrorist attacks and emerging infectious diseases has become an important and challenging goal to many governmental agencies and healthcare authorities. This study utilized the sharp increase of glow product-related calls to demonstrate the ut...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00006567

    authors: Chu AF,Marcus SM,Ruck B

    更新日期:2009-01-01 00:00:00

  • Managing Disaster-Related Health Risk: A Process for Prevention.

    abstract::In 1994, the first World Conference on Natural Disaster Reduction held in Yokohama, Japan affirmed that "Disaster prevention, mitigation, and preparedness are better than disaster response in achieving the goals and objectives of the decade. Disaster response alone is not sufficient, as it yields only temporary result...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X18000419

    authors: Keim M

    更新日期:2018-06-01 00:00:00

  • The efficacy of integrating "smart simulated casualties" in hospital disaster drills.

    abstract:INTRODUCTION:Full-scale disaster drills are complex, expensive, and may involve hundreds or thousands of people. However, even when carefully planned, they often fail to manifest the details of medical care given to the casualties during the drill. OBJECTIVE:To assess the feasibility of integrating physicians among th...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Gofrit ON,Leibovici D,Shemer J,Henig A,Shapira SC

    更新日期:1997-04-01 00:00:00

  • Analysis of collaboration in crisis management: Swedish study report.

    abstract::This report is a summary of a study 1 conducted at the Royal Swedish Academy of War Sciences to evaluate collaboration during crisis management. The study includes relevant legal and regulatory dynamics, as well as conclusions and recommendations. Rules and regulations of international interest are presented in the Ap...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000532

    authors: Kulling P

    更新日期:2012-04-01 00:00:00

  • Prevalence of radioactive signals from surveillance of an emergency department.

    abstract:INTRODUCTION:Since the 11 September 2001 terrorist attacks in the United States, concerns have been raised regarding the threat of a radiological terrorist weapon. Although the probability of the employment of a nuclear device is remote, the potential of a radiological dispersal device (RDD) or "dirty bomb" is of conce...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003836

    authors: Guyette F,Suyama J,Rosen J,Allswede M

    更新日期:2006-07-01 00:00:00

  • Earthquake-Related Orthopedic Injuries in Adult Population: A Systematic Review.

    abstract::Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in "Mega-Mass-Casualty" earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X16001515

    authors: Bortolin M,Morelli I,Voskanyan A,Joyce NR,Ciottone GR

    更新日期:2017-04-01 00:00:00

  • Lung function during hoist rescue operations.

    abstract:INTRODUCTION:A case is presented in which a 43-year-old man suffering from a severe asthma attack, had ventilatory arrest during a hoisting procedure. Based on this experience, the influence of three hoisting techniques on lung function was tested. METHODS:The ventilatory capacity of 12 healthy volunteers was tested d...

    journal_title:Prehospital and disaster medicine

    pub_type: 临床试验,杂志文章

    doi:

    authors: Haagensen RE,Sjöborg KA,Mjelstad S,Steen PA

    更新日期:1998-01-01 00:00:00

  • Principles of disaster management. Lesson 2: Program planning.

    abstract::Many of the problems that develop in disaster management can be avoided with good program planning. Assessment following a disaster is essential. Needs assessment is essential in the early phases of a disaster and situation assessments become more important as the disaster process continues. Both are dynamic and conti...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Cuny FC

    更新日期:1998-04-01 00:00:00

  • Ukranian's Disaster Medicine Team Mission to India following the earthquake of 2001.

    abstract::This article describes the basic principles around establishing a Disaster Medicine Camp and the organization of the Ukrainian Disaster Medicine Mobile Hospital, which provided medical aid to victims of the 2001 earthquake in India. All of the information was obtained through direct observation and estimates based on ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x0000039x

    authors: Roshchin GG,Mazurenko OV

    更新日期:2002-07-01 00:00:00

  • Isolated intrathoracic injury with air bag use.

    abstract::The restrained (air bag and seatbelt) driver of a vehicle involved in a high-speed motor-vehicle accident sustained a tear of the thoracic aorta with no signs of external injury. Air bag deployment may mask significant internal injury, and a high index of suspicion is warranted in such situations. ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00042011

    authors: Sama AE,Barnaby DP,Wallis KJ,Gadaleta D,Hall MH,Nelson RL,Naidich J,Ward RJ

    更新日期:1995-07-01 00:00:00

  • A qualitative and quantitative study of the surgical and rehabilitation response to the earthquake in Haiti, January 2010.

    abstract:BACKGROUND:The disaster response environment in Haiti following the 2010 earthquake represented a complex healthcare challenge. This study was designed to identify challenges during the Haiti disaster response. METHODS:Qualitative and quantitative study of injured patients carried out six months after the January 2010...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000088

    authors: Redmond AD,Mardel S,Taithe B,Calvot T,Gosney J,Duttine A,Girois S

    更新日期:2011-12-01 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

  • Voluntary Health Registry of French Nationals after the Great East Japan Earthquake, Tsunami, and Fukushima Daiichi Nuclear Power Plant Accident: Methods, Results, Implications, and Feedback.

    abstract:UNLABELLED:Introduction The 11th of March 2011, a magnitude 9.0 earthquake struck alongside the north-east coast of Honshu Island, Japan, causing a tsunami and a major nuclear accident. The French Institute for Public Health Surveillance (InVS) set up, within one week after the triple catastrophe, an Internet-based reg...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X16000200

    authors: Motreff Y,Pirard P,Lagrée C,Roudier C,Empereur-Bissonnet P

    更新日期:2016-06-01 00:00:00

  • Adverse events during interfacility transfers by ground advanced life support services.

    abstract:OBJECTIVE:To identify risk factors for adverse events that occur during interfacility transfers by advanced life support (ALS). DESIGN:A four-year, retrospective, case series. SETTING:Three ALS units in a rural/suburban emergency medical services (EMS) system. PARTICIPANTS:351 transports to or from twelve acute care...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x0004084x

    authors: Wuerz R,Meador S

    更新日期:1994-01-01 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

  • Minimum data set for mass-gathering health research and evaluation: a discussion paper.

    abstract::This paper discusses the need for consistency in mass-gathering data collection and biomedical reporting. Mass gatherings occur frequently throughout the world, and having an understanding of the complexities of mass gatherings is important to inform health services about the possible required health resources. Factor...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12001288

    authors: Ranse J,Hutton A

    更新日期:2012-12-01 00:00:00

  • Impact of Early Vasopressor Administration on Neurological Outcomes after Prolonged Out-of-Hospital Cardiac Arrest.

    abstract::Introduction Vasopressors are associated with return of spontaneous circulation (ROSC), but no long-term benefit has been demonstrated in randomized trials. However, these trials did not control for the timing of vasopressor administration which may influence outcomes. Consequently, the objective of this study was to ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X17000115

    authors: Hubble MW,Tyson C

    更新日期:2017-06-01 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

  • Prehospital Naloxone Administration as a Public Health Surveillance Tool: A Retrospective Validation Study.

    abstract:BACKGROUND:Abuse or unintended overdose (OD) of opiates and heroin may result in prehospital and emergency department (ED) care. Prehospital naloxone use has been suggested as a surrogate marker of community opiate ODs. The study objective was to verify externally whether prehospital naloxone use is a surrogate marker ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004793

    authors: Lindstrom HA,Clemency BM,Snyder R,Consiglio JD,May PR,Moscati RM

    更新日期:2015-08-01 00:00:00