Emergency Response Team Research Articles

Developing Faith Community Emergency Response Teams Through Simulation.

The development of a volunteer emergency response team is an effective method to mitigate the negative impacts and improve outcomes of health emergencies in faith communities and is supported by faith community nursing scope and standards of professional practice. Conducting simulated emergency drills with a core team of volunteers within one parish supported the confidence and comfort levels of the multidisciplinary group of volunteers, led by a nurse. Simulation and debriefing increased team members' preparedness for physical and mental health emergencies.

Building the emergency care workforce in a low resource setting; The Seed Global Health experience in Uganda

Introduction: Low- and middle-income countries (LMICs) face a disproportionate burden of diseases requiring emergency care. In Uganda, road traffic trauma in the context of rapid urbanization, particularly motorcycle accidents, accounts for 48% of medical emergencies. The burden of road traffic accidents, obstetric complications, and non-communicable diseases necessitate robust emergency care, yet Uganda faces systemic challenges in this sector. Following the 60th and 72nd sessions of the World Health Assembly that called for strengthened emergency, critical and operative care to achieve universal health coverage, Uganda committed to strengthening emergency medical services through taking key steps such as developing a national Emergency Medical Services (EMS) Policy. The EMS Policy outlined twelve key focus areas including development of human resources for emergency medical services, key among are emergency physicians. To support these efforts, Seed Global Health, the Ugandan Ministry of Health, Makerere University, and Mbarara University of Science and Technology partnered to strengthen the emergency medicine training between 2019 and 2024. Methods: We conducted a desk review to evaluate the collaborative effort between Seed Global Health, Ministry of Health, Makerere University and Mbarara University of Science and Technology. We reviewed policy documents, health records, and program reports to assess initiatives by Seed Global Health that were focused on developing human resources for emergency medical services, including emergency physicians training, emergency nurses and the contributions of local and international faculty. Results: The partnership between Seed Global Health, Ministry of Health, Mbarara University of Science and Technology and Makerere University successfully trained 21 new emergency physicians, with 43 more residents currently in training. It introduced essential clinical resources, enhancing diagnostic and treatment capacities for improved patient care while improving learning environments through skills laboratory support, simulation support and classroom equipment. Additionally, it supported the coordination of emergency services within emergency departments in hospitals as well as enhanced advocacy efforts to improving emergency care in Uganda. However, despite these tremendous milestones, challenges persist including a shortage of specialists relative to the high demand for services, a need for increased investment for emergency medical services and a need for better integration of emergency services within the healthcare system. Conclusion: This article highlights the value of international collaborations, long term partnership and targeted training in addressing emergency care gaps in LMICs. We recommend expanding emergency medicine programs, increasing government investment in facilities and human resources, and strengthening interdisciplinary emergency response teams. These measures are essential for providing sustainable, quality emergency care to address Uganda's growing needs.

A nursing-led sepsis response team guiding resuscitation with point-of-care ultrasound: A review and model for improving bundle compliance while individualizing sepsis care.

A dysregulated host response to infection resulting in life-threatening organ dysfunction defines the onset of sepsis. Unfortunately, sepsis is common, costly, and deadly. The Surviving Sepsis Campaign publishes regularly updated, evidence-informed, detection, and treatment guidelines culminating in time-sensitive care "bundles." The goal of these bundles is to expedite sepsis recognition because it is widely held that early treatment is life-saving. Hospitals are mandated to publicly report their bundle compliance, and this will soon be tied to hospital reimbursement. For these reasons, hospitals are creating sepsis emergency response teams which are a form of a rapid response team consisting of dedicated medical professionals who evaluate patients with suspected sepsis and initiate therapy when appropriate. Evidence to date support sepsis emergency response teams as a mechanism to improve bundle compliance, and potentially, patient outcome. Nevertheless, some elements of bundled sepsis care are controversial (e.g., intravenous fluid administration) as some argue that mandated treatment precludes personalized care. Herein, we briefly describe general sepsis emergency response team structure, review evidence supporting sepsis emergency response teams to improve bundle compliance and patient outcome and report our unique experience incorporating point of care ultrasound-to guide intravenous fluid-into a nursing-led sepsis team. We propose that our sepsis emergency response team approach allays concern that sepsis care is either bundled or personalized. Instead, incorporating point of care ultrasound into a nursing-led sepsis emergency response team increases bundle compliance and individualizes care.

Developing Faith Community Emergency Response Teams Through Simulation.

Developing Faith Community Emergency Response Teams Through Simulation.

Knowledge and application of patient’s rights by Emergency Response Team paramedics in the beginning of the SARS-CoV-2 pandemic

Knowledge and application of patient’s rights by Emergency Response Team paramedics in the beginning of the SARS-CoV-2 pandemic

Cutaneous Radiation Injuries: REAC/TS Clinical Experience.

The Radiation Emergency Assistance Center/Training Site (REAC/TS) is one of the US Department of Energy (DOE)/National Nuclear Security Administration (NNSA) Nuclear Emergency Response Team (NEST) assets and has been responding to radiological incidents since 1976. REAC/TS is in the Oak Ridge Institute for Science and Education (ORISE). A critical part of the REAC/TS mission is to provide emergency response, advice, and consultation on injuries and illnesses caused from ionizing radiation. Fortunately, radiation injuries are not frequent, but when they occur, they are more likely to be cutaneous radiation injuries (CRI) or internal contamination. In this paper, we will review selected cases from the REAC/TS experience in order to illustrate cutaneous patterns of injury and treatment options.

Emergency Response Team (ERT) As an Emergency Management for Campus Environment

The emergency preparedness and response plan (EPRP) are a critical system for effectively handling emergencies from various hazards, including the campus of higher education institutions (HEI). The emergencies carry significant risks for employees within their workplace settings and play an integral role in risk management. This paper introduces an Emergency Response Team (ERT) as an emergency management communication for EPRP within the safety management system campus sustainability. It also assesses the ERT's capacity to manage emergencies and involvement in emergencies through the procedure and documentation to optimise emergency preparedness and response. As an organisation, the HEI is encouraged to establish an emergency response team (ERT) and a procedure as essential components of their safety management systems. The paper employs analytical reviews of the related articles to assess the ERT's functions and capacity within the EPRP for the campus sustainability of the HEI. The content analysis is used to analyse the literature review of the article. The findings revealed that an Emergency Response Team (ERT) for campus sustainability plays a crucial role in ensuring the environmental well-being and resilience of a university or college campus. This specialised team addresses and mitigates sustainability-related emergencies, such as natural disasters, environmental hazards, or infrastructure failures. Their primary goal is to safeguard the campus's sustainable infrastructure, promote eco-friendly practices, and coordinate disaster preparedness and response efforts to minimise environmental damage, support the well-being of the campus community, and maintain a commitment to long-term sustainability goals.

Accident event detection from Facebook posts written in Bengali and Banglish languages

SummaryAccident events refer to abrupt or unpredictable incidents, which often cause a temporary or permanent bruise. Sometimes, the damage is so severe that it permanently ruins an individual's whole life and family. Detection of these unwanted accident events is the prerequisite for preventing and lowering the rate of casualty. Most people are habituated to posting their seeings, thoughts, and beliefs on social media and often post about accident incidents. This work detects accident incidents from real‐time Facebook data and the text‐mentioned probable time and location. Previous research works in this domain have been conducted in English, mainly with Twitter data. In this work, Bengali and Banglish Facebook posts have been used to aid the emergency response team in rapidly rescuing injured personnel. For this purpose, real‐time Facebook data have been crawled and pre‐processed. After that, several layers of feature extraction including individual keyword feature and paired keyword feature have been conducted and then sentiment analysis of the posts have taken place. Individual keyword feature is further divided into common event keyword and accident‐specific event keyword. Finally, the Support Vector Machine (SVM) classifier is used to classify accident and non‐accident events. Two more classifiers, Naive Bayes (NB) and Decision Tree (DT), are used for comparison. For NB, the Bernoulli, Gaussian, and Multinomial NB are applied. The SVM method achieves slightly better accuracy in the Bengali dataset than the Banglish dataset. The SVM, Bernoulli NB, Multinomial NB, Gaussian NB, and DT classifier achieved accuracy of 80%, 81%, 74%, 80%, and 79.5% for the Bengali dataset and 78%, 77.5%, 73%, 78%, and 78.5% for the Banglish dataset, respectively.

Strengthening Automotive Cybersecurity: A Comparative Analysis of ISO/SAE 21434-Compliant Automatic Collision Notification (ACN) Systems

The increasing usage of autonomous and automatic systems within the automotive industry is steering us towards a more interconnected world. This enhanced interconnectivity fosters a more streamlined driving experience, reduces costs, and provides timely driver assistance. The electric/electronic (EE) architectures of modern vehicles are inherently complex due to the multitude of components they encompass. Contemporary architectures reveal that these components converge at an electronic control unit (ECU) called the central gateway, which could potentially represent a single point of failure. While this central unit is typically adequately safeguarded, the same cannot be said for the connected components, which often remain vulnerable to cyber threats. The ISO/SAE 21434 standard paved the way for automotive cybersecurity and could be used in parallel with other standards such as ISO 26262 and ISO PAS 21488. Automatic collision notification (ACN) is one of the most typical systems in a vehicle, and limited effort has been dedicated to identifying the most suitable architecture for this feature. This paper addresses the existing security and privacy gap of this feature by conducting a comparative analysis of security threats in two distinct ACN architectures. Notably, despite ACN architectures exhibiting inherent similarities, the primary distinction between the two architectures lies in their strategies for crash estimation and detection, followed by subsequent communication with emergency response teams. A rigorous security assessment was conducted using the ISO/SAE 21434 standard, employing the TARA and STRIDE methodologies through the Ansys medini analyze software. This analysis identified an average of 310 threats per architecture, including a significant number of high-level threats (11.8% and 15%, respectively), highlighting the importance of a comprehensive evaluation.

“The Top Cop”: Understanding Correctional Officer Recruits’ Motivations Towards Correctional Emergency Response Team Membership

ABSTRACT Correctional officer recruits (CORs) must complete the correctional training program (CTP) mandated by Correctional Service Canada (CSC), in preparation for the plethora of occupational responsibilities they will be tasked with in their occupational role of correctional officer (CO). During training, recruits continue to conceive ideas about their career trajectories. Previous research exploring CO or COR motivations has focused largely on occupational entry and their underlying intrinsic and extrinsic motivations. Little empirical evidence examines the general occupational directions or desires of CORs exiting CTP, particularly their interest in future Correctional Emergency Response Team (CERT) membership. The current study relies on data from interviews with 36 CORs who expressed interest in CERT membership before employment at a federal penitentiary. Findings suggest that these CORs are drawn to CERT membership due to previous occupational interests, media representations of CERT/ERT, but also experience challenges in acquiring membership related to CERT culture, social relationships, and gender. We conclude the article with considerations for recruitment and retention of COs as it relates to CERT membership for Canadian federal correctional services.

The curious case of the lion from Berlin in summer’ 23: how Internet media shapes risk perception from wildlife-human conflict

Introduction. This paper explores the reactions of citizens to a perceived security risk at the human-wildlife interface mediated by social and traditional media sources. We take the case study of a reported ‘lioness’ appearing in the outskirts of Berlin as a risk to human and domestic animal life, sparking media frenzies.
 Methods. The subjects’ reactions to and perceptions of risk can be analysed through a mixed-methods (quantitative and qualitative) approach to information obtained via the respective media channels in covering the phenomenon as a newsworthy event of this research identifies three distinct peaks in public interest and response.
 Results. Following a Foucauldian tradition of problematisation, and a scholarship of critical media studies, we demonstrate that the ordering of animals in relation to society allows for a normalisation of certain threats from human-wildlife conflict while placing others in a state of exception which needs immediate action. We do not take the social conditions of predator-prey relations as a given, but seek to ‘de-normalise’ them and question the level of risk constructed, which plays out across public and media spheres and may carry over into human-wildlife conflicts. Our case study shows how social media posts can lead to the emergence of a perceived risk to society, which is reacted to dramatically, and whose emergency situation becomes a newsworthy event that confirms and seems to justify the level of security measures taken. The engagement of citizens online and with the emergency response teams can be viewed as overreacting to the situations based on having a real sense of danger of a ‘lioness’ penetrating their interactions with larger wildlife.
 Conclusions: That is, until it is determined that no immediate risk exists, and the actions taken are critiqued as a hysterical misinformed approach of ‘city dwelling’ officials lacking knowledge of wildlife in one’s region. We then speculate about what ethical and political repercussions this may create for multispecies co-existence with predators and pests in Germany.

Caffeine administration to treat oversedation after general anesthesia: A retrospective analysis

Study objectiveOur institution has adopted an informal practice of administering postoperative caffeine to expedite anesthesia recovery for patients with excessive sedation. This study aimed to determine whether caffeine administration was associated with improved sedation recovery and reduced risk of respiratory complications. DesignSingle-center, retrospective, observational study. SettingQuaternary medical center. PatientsWe included adult patients who were admitted to a postanesthesia recovery care unit (PACU) after general anesthesia and had evidence of postoperative sedation (Richmond Agitation Sedation Score [RASS] < 0). Patients were seen from May 5, 2018, through December 31, 2020. InterventionsPatients were categorized according to caffeine administration (0 vs 250 mg). MeasurementsSedation was measured with RASS. To account for potential confounding, binary and ordinal logistic regression with inverse probability of treatment weighting (IPTW) were used to compare RASS and episodes of severe respiratory complications within 48 h after PACU discharge. Main resultsWe identified 47,222 adult surgical patients with evidence of sedation in the PACU, and of these, 1892 (4.0%) were intravenously administered caffeine. Patients who received caffeine had more sedation in the PACU. In the IPTW-adjusted analysis, caffeine administration was associated with improved sedation scores after PACU discharge (ordinal logistic regression odds ratio [OR], 1.13 [95% CI, 1.00–1.28]; P = .04 for the first RASS score after PACU discharge) but increased risk of respiratory complications (OR, 2.99 [95% CI, 1.44–6.24]; P = .003) and emergency response team activation (OR, 7.18 [95% CI, 2.85–18.10]; P < .001). ConclusionsIn this observational study, caffeine administration during anesthesia recovery was associated with improved sedation scores. However, it was also associated with an increased risk of respiratory complications, possibly reflecting selection bias (ie, administering caffeine to higher-risk patients). Patients with signs of excessive sedation during anesthesia recovery may benefit from enhanced postoperative respiratory monitoring.

(161) C-L 911! Pilot Implementation of a Behavioral Emergency Response Team Reduces Work-Related Injuries from Patient-to-Staff Violence

(161) C-L 911! Pilot Implementation of a Behavioral Emergency Response Team Reduces Work-Related Injuries from Patient-to-Staff Violence

6 Years of a Behavioral Emergency Response Team: Challenges, Lessons Learned & Team Development

6 Years of a Behavioral Emergency Response Team: Challenges, Lessons Learned & Team Development

A Multi-Criteria Decision Intelligence Framework to Predict Fire Danger Ratings in Underground Engineering Structures

A wide variety of natural catastrophes are induced by coal mining, with fire hazard being one of the most significant threats to underground engineering structures. In recent years, there has been an alarming rise in mine fire accidents due to the abundance of coal deposits around the world. Underground fires and explosions have continuously been the primary reason for a significant proportion of deaths and the destruction of infrastructure over the last few decades. Underground mining fires deplete natural coal resources, have an adverse impact on the environment by releasing hazardous chemicals and greenhouse gases into the atmosphere, and cause subsidence due to coal depletion during the combustion process. This study aims to predict fire danger rating of underground mining production processes by using the application of state-of-the-art unsupervised and supervised machine learning techniques. The developed k-nearest-neighbors-based isometric feature mapping and fuzzy c-means clustering algorithm has shown its dependability and superiority with a higher accuracy and has been advantageous to the monitoring and prevention of fire danger in underground mining production processes. The proposed multi-criteria decision intelligence framework permits early fire detection, providing the emergency response team extra time to respond the critical situations in order to prevent the fire from spreading, hence promoting sustainable, green, climate-smart, environmentally friendly and safe mining engineering operations.

Does the causality between environmental sustainability, non-renewable energy consumption, geopolitical risks, and trade liberalization matter for Pakistan? Evidence from VECM analysis

Geopolitical threats have increased dramatically globally in recent years, adversely affecting the environment tremendously. On the other hand, there is a growing gap between the use of non-renewable energy, trade liberalization, and environmental sustainability. Due to this, the current work simulates the links between geopolitical threats, non-renewable energy use, trade liberalization, and environmental sustainability using a vector error correction model (VECM) and Granger causality test. The analysis includes data spanning from 1980 to 2021. Research outcomes indicated that geopolitical risks (GPR), Non-renewable energy consumption (NRE), Natural Resource (NR) and industrialization (IND) have a negative and statistically significant influence i.e., 0.234, 0.052, 0.028, and 0.070 units respectively on environmental sustainability (ES) while natural resource (NR) have also negative but insignificant impact on environmental sustainability. Alongside, trade liberalization (TR) and urbanization (UB) posed a positive and statistically significant influence i.e., 0.040 and 0.437 units respectively on ES. Further, causality analysis validates the feedback effect among GPR, NRE, TR, and ES. GPR, NRE, and TR granger cause environmental sustainability. The government can prepare for potential environmental disasters such as floods, droughts, and earthquakes by investing in early warning systems, emergency response teams, and disaster relief supplies. This can help mitigate the impact of geopolitical risks that can result in natural disasters. Pakistan should prioritize investing large resources in diplomatic endeavours to improve regional dynamics and ties with neighboring nations. Pakistan should place a high emphasis on developing methods targeted at reducing its non-renewable energy use to mitigate the negative effects. This might entail offering financial incentives, implementing efficient feed-in tariff schemes, and developing a thorough strategy for boosting the capacity of renewable energy sources.

Contemporary Resource Management: Adaptive, Innovative, Participatory, and Interactive Strategies for Dealing With Unexpected Crises

Unexpected challenges and crises can arise at any time and affect various aspects of life. Such crises require quick, appropriate and innovative responses from the parties involved. This research aims to identify and analyze the adaptive, innovative, participatory, and interactive strategies used in dealing with unexpected crises. This research uses qualitative research methods. The data collection technique was carried out by literature study obtained through Google Schoolar. The data obtained were then analyzed through three stages, namely data reduction, data presentation, and conclusion drawing. The results showed that there are several adaptive, innovative, participatory and interactive strategies that can be used to deal with unexpected crises, including forming an emergency response team consisting of various elements of the community, conducting effective communication and coordination with the community, using information technology to disseminate information and coordinate crisis management activities, developing an early warning system to anticipate the occurrence of a crisis and increasing the capacity of the community to deal with crises

REMADA: An Emergency Decision-Making Software for Radiation Dose Estimation of Mitigation Tasks in a Reactor Building During Severe Nuclear Accidents

In the event of a postulated severe accident, fission products may leak into the reactor building through the containment wall, exerting a radiological impact on the emergency response team as they are tasked with performing mitigative missions. It is thus important to estimate the potential radiological consequences of the mission before taking action so that an optimized plan can be devised to avoid putting the team in harm’s way unintentionally. Some of the most well-known accident simulation codes were attempted to do the estimation, but were found to be too time consuming to get the results, making them not suitable for emergency use. The problem evidently arises from the fact that there are too many (about 200) compartments in a typical reactor building. In this study, the software REMADA is developed to simulate fission product dispersion in a reactor building (with about 200 compartments) within a reasonable timeframe, and to estimate the radiation doses to those who are carrying out mitigative missions in the reactor building. The results show that the software is not only fast, but also informative, to provide support for well-informed emergency decision making.

Implementation of Emergency Response System in Elementary School as an Effort to Increase Safety Culture from an Early Age

Children are included in a vulnerable group that must be protected, both from the threat of natural disasters, non-natural disasters or social disasters. School is a place for children to spend a lot of time. Disaster events can occur anywhere and at any time, including at school and during school hours, so schools must have an adequate emergency response system to ensure the safety of all its citizens. The purpose of this study is to identify problems that exist in schools related to the implementation of the disaster response system and formulate indicators for the initiation of initial activities for implementing the emergency response system in elementary school. The research design uses a qualitative descriptive research. The results of identifying problems in Elementary School Y show that school has not implemented an emergency response and disaster mitigation system, but teachers' knowledge regarding multi-hazard mitigation is also still low. The conclusions obtained are that schools can apply initial activity initiation indicators for the implementation of an emergency response system including: preparation of an emergency response team complete with duties and roles, preparation of SOPs for emergency response at school, training and simulation of disaster mitigation, preparation of evacuation maps, installation of evacuation directions, determination gathering points, emergency response signs, installation of emergency response facilities at least Light Fire Extinguishers/APAR and instructions for their use, as well as developing a network of cooperation with related parties.

Dual-Activation Emergency Situation Notification System: A Feature Driven Development Approach

Emergencies can unpredictably arise, posing severe threats to individuals' lives. Swift and effective communication plays a crucial role in promptly relaying vital information to relevant response agencies and loved ones, aiming to minimize or eliminate the impact of such disasters. Existing systems often require manual triggering of distress signals through button presses or image captures. However, these methods can be ineffective, particularly when victims are under the surveillance of wrongdoers, rendering them unable to discreetly use their devices. To address this issue, this study introduces the Dual-Activation Emergency Situation Notification System (DA-ESNS) model, which ensures that potential wrongdoers remain unaware of the user's attempt to seek help by employing an efficient communication and alerting system during emergencies. Through a review of previous models, the DA-ESNS model was developed to address identified gaps. The Feature Driven Development software development process model was selected due to its agile and incremental nature, enabling focused development and integration of the notification feature. ReactJS and NodeJS were utilized for frontend and backend development, respectively. The integration of Twilio API and Geolocation API facilitated SMS notifications and precise location sharing with emergency response teams and predefined contacts. The DA-ESNS model automatically relays distress signals by persistently listening for predefined keywords or manually triggered by clicking on corresponding emergency cards, notifying both the emergency response team and the victim's family members. The model was implemented across various mobile platforms, providing a centralized and interactive interface. By offering quick notifications and offline accessibility, the DA-ESNS model streamlines the emergency alert process, significantly improving the effectiveness of emergency response teams in reducing the impact of crises through rapid reaction times. As a result, the DA-ESNS model emerges as a valuable and effective tool in emergency management.