Medical Kit Research Articles

Redefining space pharmacology: bridging knowledge gaps in drug efficacy and safety for deep space missions

The space environment is incredibly hostile, and humans are vulnerable in such conditions. Astronauts encounter various stress factors during a space journey, including radiation, microgravity, forceful acceleration during launch, altered magnetic fields, and confinement. These stressors significantly impact the human body homeostasis, leading to physio-pathological adaptations, loss of bone density, muscle atrophy, cardiovascular deconditioning, alterations in liver function, vestibular adaptations, and immune system dysregulation. These alterations can potentially influence drug pharmacokinetics and pharmacodynamics, affecting the efficacy and safety of medications administered to astronauts. Due to the limited number of studies on pharmaceuticals conducted in microgravity conditions, it’s challenging to assess the effectiveness and stability of these medications during spaceflight. The objective of the present work is to compare the state-of-the-art knowledge on PK/PD changes and factors likely to affect them during spaceflight, with the subjective perception of the problem by a collection of separate interviews conducted with seven experts in the field. The interviewees were chosen as “experts,” i.e., representatives in a specific discipline, who possess knowledge and experience in space pharmacology, physiology, or biology. Thus, our panel included astronauts, space surgeons, and scientists aiming to bridge the lack of experimental data in the literature. Each interview explores assorted aspects of space physiology and pharmacology, including drug use and storage onboard the ISS; notable consideration has arisen regarding the current research gaps and future space expeditions. All the interviews were held remotely using online conferencing software. None of the interviewees could provide a comprehensive overview regarding potential changes in drugs PK/PD in microgravity conditions. Further, any medication brought on board (whether as part of an astronaut’s medical kit or stored in the ISS pharmacy) is destroyed, thereby suppressing the possibility of analyzing any degradation products resulting from long-term exposure to microgravity and radiation. According to these results, the use of drugs without understanding how they are genuinely absorbed, distributed, metabolized, and excreted in microgravity conditions is concerning, posing risks for drug effectiveness. Conducting genotyping and phenotyping on astronauts would be beneficial for developing personalized pharmacological countermeasures for each astronaut and anticipating expected drug metabolism changes during space missions.

Work Experience of Medosmotr39 LLC in Organizing and Conducting Medical Support for the Floating Staff of the Fishing and Scientific Fleet in the Subject of the Russian Federation

There is a problem in the country of comprehensive and competent pre-voyage medical examination of seafarers. Since the implementation of Federal Law no. 326 dated 11/29/2010 On Compulsory medical insurance in the Russian Federation, the issues of compulsory medical insurance in the field of marine medicine have not been resolved. Crew members with chronic diseases are sent on the flight without prior medical examinations. There is no medical worker on the ships, a member of the crew is responsible for the medical part without a license to provide medical care, who does not have the right to provide it, which in turn led to an increase in morbidity and deaths on the voyage. There is no single standardized form of laying first-aid kits on ships, which also affects the health of the crew. This situation prompted the medical organization Medical Examinations 39 to open a Marine Medicine Department at its base, which significantly improved the situation in the region. We also propose to legislate the issue of a single form of packing first-aid kits on flights, the composition of which will depend on the time of year, natural and social conditions of the area to which the sailors will go.

Efficacy of a burn prevention educational program to diminish the incidence of burn injuries in the pediatric population

BackgroundPediatric burn injuries are a significant public health issue in low- and middle-income countries, leading to substantial morbidity and mortality. This study aimed to evaluate the efficacy of the No+Quema2 educational program, implemented in Aguascalientes, Mexico, in preventing burn injuries among children under nine years old. MethodsThe No+Quema2 program, initiated in 2014, included educational courses for children, training for health workers, and specialized care for children with burn sequelae. Epidemiological data on burn injuries from 2014 to 2022 were retrieved from the National System of Epidemiological Surveillance of the Health Ministry of Mexico. Monthly incidence rates per 100,000 inhabitants were analyzed using the Mann-Kendall trend test and segmentation analysis to detect trends and changes. ResultsThe program trained over 25,000 scholars from 1750 elementary schools and distributed medical kits for immediate burn care. Additionally, 200 children with burn sequelae received scheduled treatment. The analysis showed a significant decrease in the state incidence rate of burn injuries compared to the national mean post-implementation. The estimated number of burn injuries prevented during the study period was approximately 3839, or 604 per year. ConclusionThe No+Quema2 program has made a significant impact on burn prevention among children in Aguascalientes, Mexico. Despite the limitations of relying on government-reported data, the correlation between the program's activities and the observed decrease in burn injuries is promising. These findings underscore the critical importance of the No+Quema2 program's activities in achieving sustained, targeted educational interventions and long-term reductions in burn injury incidence. They also highlight the need for more robust study designs to validate these outcomes, emphasizing the importance of evidence-based strategies in future burn prevention efforts.

Recommendations for Updates to Emergency Medical Kits for Commercial Aviation

INTRODUCTION: Emergency medical kits (EMK) are provided to clinicians who volunteer on commercial aircraft during a medical emergency. The contents of the EMKs are mandated by the Federal Aviation Administration in the United States and, internationally, by the International Civil Aviation Organization and the country of airline origin. The mandatory contents of the kits have not been updated by the Federal Aviation Administration since 2006, and the EMKs continue to lack key equipment such as automated blood pressure cuffs, glucometers, pulse oximeters, and epinephrine autoinjectors. Of further concern is a lack of standardized and centralized reporting for in-flight medical events that, if it existed, could better inform the contents of the kits. This commentary is intended to advocate for an update to the EMKs in the United States given the authors’ experiences with in-flight medical events. Rajagopal AB, Pissaris A, Clark K, Merrill A, Glatter R, Ho A, Towle DC, Yanuck J, Lahham S, Ulin L, Fischetti C, Apisa L. Recommendations for updates to emergency medical kits for commercial aviation. Aerosp Med Hum Perform. 2024; 95(10):794–796.

Psychiatric first-aid kit: A review of EMA's critical medicines list

Psychiatric first-aid kit: A review of EMA's critical medicines list

Pharmaceutical Activities, Services, Medicines, and Products at Community Pharmacies in the Qassim Region of Saudi Arabia: Findings and Implications for the Future.

Introduction Community pharmacies are highly accessible and provide access to several services to patients and community members. Recently, several developments have been made in Saudi Arabia to enhance the roles and contributions of community pharmacists to the healthcare system, including expanding their scope of practice. This study aims to evaluate the current pharmaceutical activities, medicines, products, and services offered by community pharmacies. Methods This was a cross-sectional questionnaire-based descriptive study. The questionnaire consisted of three sections. The first section comprised the demographic characteristics of the participants. The second section explored the types of pharmaceuticals and products sold by community pharmacies, while the third section explored the current professional services and activities offered bypharmacies. This study was conducted among community pharmacists in the Qassim region of Saudi Arabia. Results Overall, 109/115 community pharmacies participated in the study, yielding a response rate of 94.78%. Most participants (97.25%) were men, and 42.20% were 31-40 years old. All pharmacies (100%) dispensed prescriptions and provided over-the-counter medicines, self-care therapeutics, vitamins, minerals, and dietary supplements. However, only a few pharmacies had controlled and narcotic medicine services (5.50%) and supplied vaccines (3.67%). Almost all pharmacies provided access to herbal products (97.25%), self-diagnostic test/home-test kits (97.25%), first-aid kits (95.41%), and medical equipment and devices and their accessories (89.91%). All pharmacies (100%) sold health-related products, including oral, skin, and hair care products. All pharmacists (100%) provided medication counseling. However, e-prescription services (Wasfaty) were provided in only 55.96% of the pharmacies. Most pharmacists provided health education and promotion (95.41%), management of minor ailments (88.99%), and patient training on the use of medical devices (92.66%). Other pharmaceutical activities included travel health advice (52.29%) and smoking cessation (31.19%). However, patient care services, including vaccination services (0.92%), patient assessment and monitoring services (0.92%), and point-of-care (POC) testing (0.92%), were limited. Additional services included online shopping (66.97%), home delivery of medicines (54.13%), and instant/live chat communication with pharmacies (70.64%). Conclusion Community pharmacies play a crucial role in Saudi Arabia's healthcare system. These include providing access to medicines, medical equipment, and various products related to health and wellness. Community pharmacies provide public health services. However, their clinical services are limited. Consequently, a holistic strategy involving all stakeholders is required to further enhance the role of community pharmacists and better utilize their skills and training to provide preventive healthcare services and optimize medication therapy in primary care settings.

Evaluating the effects of comprehensive simulation on central venous catheterization training: a comparative observational study

BackgroundSimulation-based training (SBT) is vital to complex medical procedures such as ultrasound guided central venous catheterization (US-IJCVC), where the experience level of the physician impacts the likelihood of incurring complications. The Dynamic Haptic Robotic Trainer (DHRT) was developed to train residents in CVC as an improvement over manikin trainers, however, the DHRT and manikin trainer both only provide training on one specific portion of CVC, needle insertion. As such, CVC SBT would benefit from more comprehensive training. An extended version of the DHRT was created, the DHRT + , to provide hands-on training and automated feedback on additional steps of CVC. The DHRT + includes a full CVC medical kit, a false vein channel, and a personalized, reactive interface. When used together, the DHRT and DHRT + systems provide comprehensive training on needle insertion and catheter placement for CVC. This study evaluates the impact of the DHRT + on resident self-efficacy and CVC skill gains as compared to training on the DHRT alone.MethodsForty-seven medical residents completed training on the DHRT and 59 residents received comprehensive training on the DHRT and the DHRT + . Each resident filled out a central line self-efficacy (CLSE) survey before and after undergoing training on the simulators. After simulation training, each resident did one full CVC on a manikin while being observed by an expert rater and graded on a US-IJCVC checklist.ResultsFor two items on the US-IJCVC checklist, “verbalizing consent” and “aspirating blood through the catheter”, the DHRT + group performed significantly better than the DHRT only group. Both training groups showed significant improvements in self-efficacy from before to after training. However, type of training received was a significant predictor for CLSE items “using the proper equipment in the proper order”, and “securing the catheter with suture and applying dressing” with the comprehensive training group that received additional training on the DHRT + showing higher post training self-efficacy.ConclusionsThe integration of comprehensive training into SBT has the potential to improve US-IJCVC education for both learning gains and self-efficacy.

A cross-sectional survey of first-aid kit equipment in a family in Sichuan, China

PurposeTo examine residents’ first-aid kit preparation and its influencing factors.DesignCross-sectional survey.MethodsA questionnaire survey was conducted among 449 permanent residents in Sichuan Province using convenience sampling. We examined participants’ demographic characteristics, self-efficacy, health literacy, and personality.FindingsOf the participants, 111 (24.7%) stocked a home first-aid kit. The most frequent supplies were disinfection supplies (91.9%), common medicines (86.5%), and dressing supplies (76.6%). Family per capita monthly income, medical expenses payment method, chronic diseases, general self-efficacy, and health literacy were influencing factors of family first-aid kit preparedness.ConclusionA multilevel and interactive emergency literacy education system should be established to improve residents’ abilities to prevent emergencies.

Health and Safety Information Management on Construction Sites in Lagos State, Nigeria

Management of health and safety information helps to achieve a safe work environment by educating construction participants on risks and hazards on sites. This study therefore identified and assessed health and safety information on construction sites with a view to enhancing safe work environment. Data for the study were collected from site operatives on construction sites of registered construction organisations in Lagos State, Nigeria. On each site visited, three (3) site operatives were randomly selected from bricklayers, carpenters, iron benders, and so on working on the identified sites. This gave a sample size of one hundred and sixty-five (165). Questionnaire administration was adopted for data collection. The total number of copies of the questionnaire retrieved was one hundred and twenty-six (126) -76% response rate. Mean score and standard deviation were the analytical tools used to rank the information, while Kendall’s Coefficient of Concordance was used to determine the degree of agreement among the respondents. The analysis revealed that the most frequent health and safety information on construction sites were first aid procedures, safety signs and symbols, protective equipment. Kendall’s Coefficient of Concordance revealed strong agreement among the respondents on the ranking. The safety of operatives should be considered the number one priority; hence, the contractor should ensure the provision of adequate and well-equipped first-aid boxes on every site. Posters, safety, and warning signs indicating different hazardous working conditions should be provided on the sites. When these operatives are healthy, work can go smoothly on construction sites.

Who bit the boat? New DNA collection and genomic methods enable species identification in suspected shark-related incidents

Species identification following shark-related incidents is critical for effective incident management and for collecting data to inform shark-bite mitigation strategies. Witness statements are not always reliable, and species identification is often ambiguous or missing. Alternative methods for species identification include morphological assessments of bite marks, analysis of collected teeth at the scene of the incident, and genetic approaches. However, access to appropriate collection media and robust genetic assays have limited the use of genetic technologies. Here, we present a case study that facilitated a unique opportunity to compare the effectiveness of medical gauze readily available in first-aid kits, and forensic-grade swabs in collecting genetic material for shark-species identification. Sterile medical gauze and forensic-grade swabs were used to collect transfer DNA from the bite margins on a bitten surf ski which were compared to a piece of shark tissue embedded along the bite margin. Witness accounts and the characteristics of the bite mark impressions inferred the involvement of a Carcharodon carcharias (white shark). The morphology of a tooth found on the boat that picked up the surf ski, however, suggested it belonged to an Orectolobus spp. (wobbegong). Genetic analysis of DNA transferred from the shark to the surf ski included the application of a broad-target nested PCR assay followed by Sanger sequencing, with white shark contribution to the ‘total sample DNA’ determined with a species-specific qPCR assay. The results of the genetic analyses were congruent between sampling methods with respect to species identification and the level of activity inferred by the donor-specific DNA contribution. These data also supported the inferences drawn from the bite mark morphology. DNA from the recovered tooth was PCR amplified with a wobbegong-specific primer pair designed for this study to corroborate the tooth’s morphological identification. Following the confirmation of gauze used for sampling in the case study event, two additional isolated incidents occurred and were sampled in situ using gauze, as typically found in a first-aid kit, by external personnel. DNA extracted from these gauze samples resulted in the identification of a white shark as the donor of the DNA collected from the bite marks in both instances. This study, involving three incidents separated by time and location, represents the seminal application of gauze as a sampling media after critical human-shark interactions and strongly supports the practical implementation of these methods in the field.

Assembly and Programming of Hexacopter Drone for Surveillance and Medical Kit Delivery Purposes

Assembly and Programming of Hexacopter Drone for Surveillance and Medical Kit Delivery Purposes

Worldwide Regulation of the Medical Emergency Kit and First Aid Kit.

INTRODUCTION: On-board medical emergencies are increasing. Different geographies have different legislation and requirements for medical emergency kits and first aid kits. A comprehensive review to compare the contents of both kits was conducted, including the International Air Transport Association, European Union Aviation Safety Agency, and Federal Aviation Administration, as well as some from other geographical areas of the globe to cover continents and regions with the highest air traffic, such as Brazil, Kenya, Australia, and Taiwan.METHODS: On June 10, 2023, a search was conducted using standardized medical terms (medical subject headings) within the PubMed® database. The relevant terms identified were "Aircraft" and "Medical Emergencies"; articles published within the last 10 yr were filtered. Subsequently, even articles published before 2013 were consulted if cited by the initial ones. The main regulatory entities' documentation was found using the Google search engine and consulted.CONCLUSIONS: It is impossible to be prepared for every emergency on board. Still, as doctors, we have a moral and ethical obligation to try to improve the outcomes of those emergencies. Getting a standardized report of every on-board emergency is crucial. That would make optimizing the items to include in the emergency and first aid kits easier. There are many similarities among the compared entities, but essential differences have been found. There is room for improvement, especially for pediatric travelers.Oliveira ATB. Worldwide regulation of the medical emergency kit and first aid kit. Aerosp Med Hum Perform. 2024; 95(6):321-326.

Distributionally robust disaster relief planning under the Wasserstein set

We study a two-stage natural disaster management problem modeled as a stochastic program, where the first stage consists of a facility location problem, deciding where to open facilities and pre-allocate resources such as medical and food kits, and the second stage is a fixed-charge transportation problem, routing resources to affected areas after observing a disaster. Our model has binary variables present in both stages. Due to the lack of data, classical stochastic programming approaches may be ill-suited, and we propose a two-stage distributionally robust formulation with a Wasserstein ambiguity set, where we consider distributions consistent with historical data and a tunable parameter to control the level of risk aversion. We develop a tailored column-and-constraint generation (CCG) algorithm to solve an extensive reformulation, where scenarios are iteratively generated. We handle the presence of binary variables in the second stage by leveraging the structure of our support set and second-stage problem, and provide conditions under which the optimal value of the latter is concave with respect to the intensity of the disaster, leading to an efficient scenario generation procedure. We also show that our results extend to the case where the second stage is a fixed-charge network flow problem. We perform extensive computational experiments demonstrating the computational advantage of our method over classical CCG implementations on synthetic instances, and illustrate the benefits of our approach on a popular case study from the literature of hurricane threats on the Gulf of Mexico in the United States.

Impact of drone-specific dispatch instructions on the safety and efficacy of drone-delivered emergency medical treatments: A randomized simulation pilot study

IntroductionMedical drones have potential for improving the response times to out-of-hospital emergencies. However, widespread adoption is hindered by unanswered questions surrounding medical dispatch and bystander safety. This study evaluated the impact of novel drone-specific dispatch instructions (DSDI) on bystanders’ ability to interact effectively with a medical drone and provide prompt, safe, and high-quality treatment in a simulated emergency scenario.11Drone-specific dispatch instructions. We hypothesized DSDI would improve bystanders’ performance and facilitate safer bystander-drone interactions. MethodsTwenty-four volunteers were randomized to receive either DSDI and standard Medical Priority Dispatch (MPD) instructions or MPD alone in a simulated out-of-hospital cardiac arrest (OHCA) or pediatric anaphylaxis.,22Medical priority dispatch3 Out-of-hospital cardiac arrest.3 Participants in the DSDI group received detailed instructions on locating and interacting with the drone and its enclosed medical kit. The simulations were video recorded. Participants completed a semi-structured interview and survey. ResultsThe addition of DSDI did not lead to statistically significant changes to the overall time to provide care in either the anaphylaxis or OHCA simulations. However, DSDI did have an impact on bystander safety. In the MPD only group, 50% (6/12) of participants ignored the audio and visual safety cues from the drone instead of waiting for it to be declared safe compared to no DSDI participants ignoring these safety cues. ConclusionsAll participants successfully provided patient care. However, this study indicates that DSDI may be useful to ensure bystander safety and should be incorporated in the continued development of emergency medical drones.

Medical kit delivery using Drone: Critical medical infrastructure solution for emergency medical situation

COVID-19 pandemic is a situation where every person is looking for solution towards disease. Once a person tested positive for COVID-19, he/she has to get admitted in hospital or home isolation as per the available resources and guidance by doctors and local authorities. The hospitals are equipped with necessary requirements for patients, but home isolation requires various daily usage medical equipment, medicines and data reporting. Authorities are struggling a lot to supply medical aids and other required necessary items to be delivered at home isolation persons. For such type of pandemic situation, we have proposed a Medical Kit Delivery Drone (MKDD) algorithm to deliver medical aids, lightweight equipment and data reports from hospitals to home isolations. The proposed algorithm is very well simulated in CupCarbon simulator and obtained results are compared with state-of-the-art algorithms like M63P–H7DM, GHSP-D-19-00119, MedART & PMC9451063. We observed that our proposed algorithm achieved the highest date rate in payload delivery time, payload weight, speed & maximum distance covered by various drones.

Features of the formation of a home first aid kit for a child

To provide first aid (mutual assistance) or treat self-recognized symptoms at home, you must have a home first aid kit (YES). For this study, we formulated the definition: «A first–aid kit for a child is a set of over-the-counter medicines (LP) and other pharmacy products (TAA) intended for use in children of various ages and used for first aid (or mutual assistance) and treatment of symptoms recog­nized by parents or other adult family members.» The purpose of our work was to identify criteria that can ensure the proper formation of YES for children. The research methodology consisted of the following stages: a survey of consumers and pharmaceutical workers; monitoring of sites offering recommendations on the preparation of a YES for children; analysis of ready-made first-aid kits for children available in the assortment of pharmacy organizations. The conducted research has shown that there are no ready-made first-aid kits on the pharmaceutical market, equipped with the necessary medicines and other TAAS, and there is also a high demand for recommenda­tions on their preparation. Criteria have been developed that will be able to ensure the proper formation of YES for the child.

Men after the sexual assault: The journey from medical service to court

BackgroundThere may be significant physical and psychological consequences and impacts for males who experience sexual assault as adults, however, published literature in this context is sparse, specifically for the investigative outcomes in the criminal legal process. MethodThis clinical audit tracked 138 adult males who presented for forensic and medical sexual assault care from initial presentation to ACT Police investigation and court outcome from 2004 to 2022. ResultsThere were 103/138 (74.6%) males who attended for medical and forensic care within 72 h of the reported assault. Pre-existing mental health conditions were self-reported in 59/138 (42.7%) males.Nearly half of males 67/138 (48.5%) had a medical evidence kit collected. Males presenting for medical care 44/138 (31.2%) went on to report to ACT Policing, 36/44 (81.2%) of cases did not proceed to court. The most common clearance type was inadequate evidence to proceed (17/44, 38.6%).In 8/44 (18.2%) of adult male cases who subsequently reported to ACT Police, the investigation resulted in entry to the judicial process with a suspect charged with a sexual offence. Five of those cases resulting in a conviction. ConclusionsMany adult male patients presented within timeframes that enabled the provision of time critical medical care and provided an opportunity for forensic medical evidence collection. Many adult males 59 (42.7%) self-reported pre-existing mental health conditions upon initial presentation.Attrition occurred throughout the patient journey with many males not reporting to police and thus not presenting in the legal process. This further emphasises the need for independent sexual violence patient advisors to support adult male victims through the medical and criminal justice process.

The Effectiveness of Dokterkit Application-Based Coronary Heart Risk Monitoring and Education

Background: In 2019, primary diagnoses in coronary heart disease outpatients increased by 1.4% and secondary diagnoses byi6% of patients. Aims: To determine the effectiveness of Edmon (Education & Monitoring) based on the medical kit application on coronary heart disease risk control at Soewandhi Hospital Surabaya. Method: This study is a quantitative study with quasi-experimental non-equivalent group design. This study involved 30 people consistingi of 2 groups (the treatment group that received CHD health education through a dokterkit application and through leaflets). This research was conducted at Soewandi Hospital in Surabaya in August-November 2022. Univariate data analysis techniques were performed on each variable from the research results, then an independenti test was carried out to find out the differencesi betweeni the two groups. Results: The results showed that android-based education and monitoring were effective because they contributed to a 26.7% reductioni in the numberi of patientsi with severe CHD risk and a 40% increase in the numberi of patients with normal urici acidi levelsi in the treatment group. Conclusion: Dokterkit-based education & monitoring is effective in controlling the risk of coronaryi heart diseasei and uric acid levelsi in Soewandhie Hospital Surabaya, but not effective in reducing cholesterol levels, systolic blood pressure, blood sugar levels and not effective in changing smoking behavior.

Management of Hereditary Angioedema in Pediatric, Pregnant, and Breast-Feeding Patients: An Expert Opinion – A Secondary Publication

Hereditary angioedema (HAE) is a rare inherited condition marked by recurrent skin and submucosal edema. HAE is caused by a C1 inhibitor deficiency or decreased C1 inhibitor function. The initial attack may occur during childhood or pregnancy, with symptoms ranging from classic angioedema to nonspecific stomach cramps. In this review, we discuss strategies for children and pregnant women to manage HAE attacks effectively and safely in light of the recent increase in HAE diagnosis. To begin, an aggressive work-up is necessary to confirm HAE-1/2 and to determine the most effective countermeasures. Secondly, in the event of an acute attack, plasma-derived C1-inhibitor is the first line of defense for children and pregnant women. Icatibant is also appropriate for use, except in pregnant women. Fresh frozen plasma (FFP) may be suggested as an alternative. Thirdly, proactive measures to prevent HAE attacks should be considered whenever a procedure is performed that may result in an exacerbation. Finally, FFP, attenuated androgen, and antifibrinolytic agents are recommended for long-term prophylaxis in South Korea where the C1 inhibitor is scarce. However, when making a decision, it is necessary to consider both the efficacy and the risk of adverse effects. For proper management, written action plans and first-aid kits are required. The action plans should be customized to the patient’s unique circumstances.

The Effectiveness of Medical Disaster Emergency Kits Compared to Midwife Kits for Midwife Preparedness in Facing Disasters in Disaster-Prone Areas

Introduction: Every country needs preparation to face disasters especially for Indonesia which is in the ring of fire, an active volcano cluster. In an emergency to provide first aid, the Midwife can perform health services outside her authority according to her competence. First aid aims to save the client's life or circumstances that threaten the client's life. Medical disaster preparation kits compared to midwife kits for midwife preparedness in dealing with disasters in disaster prone areas in UPT Puskesmas Kandang MasBengkulu City in 2023.
 Methods: This research method uses a quantitative approach using a pre-experimental research design with paired sample t test. The data collection in this study used a questionnaire. The sample of this study were 30 midwives.
 Results: Indicate that midwife preparedness in facing disasters using medical disaster preparation kits is categorized as good at 63.3%, has a positive attitude of 56.7% midwives when using the Medical Disaster Preparation Kit, that midwife preparedness in facing disasters midwife kits is categorized as bad at 36.30%, has a negative attitude of 56.70%, midwives when midwife Kit. Statistical test results revealed that the value of midwife preparedness in facing disasters using the medical disaster preparation kit and the attitude when using the Medical Disaster Preparation Kit had p < 0.05.
 Conclusion: The conclusion of this study is that there are differences in midwife preparedness by using the medical disaster emergency kit and the midwife kit for disaster preparation and handling. There is also a difference in the attitude of use towards the medical disaster emergency kit and midwife kit for midwife preparedness in facing disasters.