Knowledge Of Emergency Management Research Articles

Enhancing elementary school teachers' knowledge in managing traumatic dental injuries: The effectiveness of educational sessions.

This study aims to evaluate the short- and long-term effects of educational intervention on elementary school teachers' knowledge of traumatic dental injuries (TDI). The study included all of the elementary schools (29) in the emirate of Ras Al Khaimah, United Arab Emirates. Of the initial 538 participants, 497 teachers completed the full-length study. The first assessment (T0) was performed prior to intervention using a four-part validated questionnaire that evaluated demographics, knowledge, attitudes, and self-assessment in relation to TDIs. The questionnaire was followed by a 30-min lecture presentation featuring various dental trauma scenarios. Each teacher's knowledge was reassessed immediately after the intervention (T1) and 3 months after the intervention (T2). The data were analyzed using the Cochran test, Wilcoxon signed-rank test, and chi-squared test. Half of the participants had witnessed dental trauma at least once; however, 96.6% of the participants had not attended any training related to dental trauma prior to the educational intervention. Knowledge regarding first aid management of broken teeth and avulsions was disappointing pre-intervention but was significantly higher post-intervention (p < .001). Following the workshop, participant self-assessments indicated improvement in the ability to appropriately respond to cases of dental trauma as necessary (p < .001). Inadequate knowledge of emergency management of TDI was demonstrated initially. There was a remarkable improvement in the overall knowledge of TDI after the educational sessions. Raising the awareness in dental trauma field by conducting educational sessions is crucial for achieving a better outcome.

The Effect of Simulation- Based Korean Advanced Life Support on Emergency Management Knowledge, Clinical Performance Ability, Performer Confidence and Learning Ethnicity of New Nurses

The Effect of Simulation- Based Korean Advanced Life Support on Emergency Management Knowledge, Clinical Performance Ability, Performer Confidence and Learning Ethnicity of New Nurses

Improvements in Primary Emergency Care Understanding during Matches for Football Coaches and Referees in East Java

Improper initial management of emergency conditions during soccer matches causes long-term morbidity, affects the athlete’s future performance, and is sometimes life-threatening. Soccer coaches and referees can be laypeople who give first aid and understand when to remove the athlete from the field of play. This program aims to improve the emergency management knowledge of the coaches and referees in East Java. This program was conducted in September 2022 – January 2023. All referees, assistant referees, and coaches of the Football Association of Indonesia region East Java who attended this training were included. The emergency management training was presented material using video, PowerPoint media, and hands-on mannequins. Before and after the training, participants were given some questions to assess their level of knowledge, with a minimum passing score was 75. Comparative tests (Wilcoxon signed rank, McNemar, and Chi-square test) were used to analyze the data. A hundred and twenty-eight (128) participants were included in this program. The median of the pre-and post-test scores were 62.5 and 87.5. There was a significant difference between pre-and post-test scores (p &lt; 0.001). There was no significant difference between coaches and referee groups in pre-test scores (p = 0.743). However, in the post-test score, the coach group had a significantly higher number of participants who did not pass than the referee group (29.6% vs. 10.8%, p = 0.007). This program improved the emergency knowledge during matches of the coaches and referees to prevent adding the severity of injuries of the soccer athlete.

Nurses' Knowledge About Wound Management at Bhayangkara Hospital, Manado, North Sulawesi

Problems and complications that arise due to injuries, if they do not receive proper and serious treatment, can result in lifelong disability and this causes lifelong suffering for the client. The aim of the research is to determine the description of nurses' knowledge of emergency management of injured patients at Bhayangkara Hospital, Manado, North Sulawesi. This research design uses a descriptive design, a research design that is structured in such a way that researchers can obtain answers to research questions. Research design refers to the type or kind of research chosen to achieve research objectives, and acts as a tool and guide to achieve these objectives. The research results show that a person's length of work in an organization or agency is not synonymous with high productivity. People with a long period of service do not mean they have a high level of proficiency. The longer someone works, the more skilled and experienced they are in their job.

Building disaster resilience through emergency Plan updates: A case study of Ya'an, China

Developing and updating emergency plans are crucial for enhancing disaster resilience. While extensive attention has been devoted to the technical aspects of plan updates, there is a notable gap in discourse from a policy perspective, particularly one centred on resilience. To delve into how emergency plan updates can effectively contribute to bolstering disaster resilience, this research proposes a conceptual framework that views the emergency plan update process as a complex adaptive system and seeks to elucidate the resilient traits inherent to such systems. We selected the Ya'an earthquake emergency plan updates as a representative case, drawing upon primary and secondary data sources. The research findings derived from content and social network analyses indicate that institutional and organisational resilience can be significantly improved by streamlining the update process, refining plan content, and optimising plan-based networks. Furthermore, this study offers two recommendations for fortifying disaster resilience via plan updates: 1) drawing insights from past disaster response experiences; 2) promoting the continuous production and integration of emergency management knowledge. This research offers a fresh perspective for analysing the process of building disaster resilience and provides valuable insights for the global disaster resilience community.

The impact of ACLS training in theoretical knowledge.

Italy has a public health system where also young physicians hold various jobs, including Emergency Services. Advanced Cardiovascular Life Support (ACLS) course is developed for the management of cardiovascular emergencies. This study evaluates the preparation of Italian physicians on ACLS and their perceived need to be trained on it. surveys had been administered to 4698 Medical Doctors. They consisted of questions on sociodemographic characteristics, knowledge of ACLS protocol, and willingness to attend an ACLS course. Online survey reached 4698 physicians, 137 of them had been excluded for invalid answering. People who had attended an ACLS course scored significantly higher on the test (M=5.68 SD=1.89) than those who had not (M=4.71 SD=1.91). Experienced physicians scored significantly higher (M=5.25 SD=1.96) than recently licensed ones (M=4.84 SD=1.94). Multiple regression was used to predict the ACLS test score. ACLS training has a stronger effect on Cardiovascular Emergency management knowledge (d=-.510) than general working experience (d=-.212). The median score in ACLS knowledge is low (5/10), despite its importance. Multiple linear regression reveals that ACLS has the greatest impact on the score. A small portion of doctors have attended an ACLS course (22%), but the majority of them would participate (89%).

Parents' knowledge of emergency management of avulsed permanent teeth in children and adolescents in the State of Qatar: a questionnaire cross-sectional study.

To elucidate the level of parental knowledge in Qatar regarding the management of avulsed teeth. A self-administered questionnaire was completed by 400 parents attending their children's routine dental appointments. The questionnaire comprised of items on sociodemographics, parents' prior knowledge on management of avulsion, parents' willingness to replantavulsed teeth at the site of injury, and parents' opinion as to the best format for future parental education on the management of dental trauma. Univariate and multivariate logistic regressions were employed to assess the association between sociodemographic status and knowledge in the management of avulsion. The overall mean score of parents' knowledge was (23%). Only 23.3% (n = 93) of parents thought that it was possible to reinsert an avulsed permanent tooth. Out of those, only 12.9% (n = 12) indicated willingness to reinsert the tooth back into its socket, while 48.4% (n = 49) indicated that an avulsed tooth should be stored using physiological media. Less than one third (27.8%) indicated that they would seek professional help within 30min. Males were less likely to give favourable answers when compared to females (OR = 0.43, 95% CI = 0.22-0.84). Age groups "31-40" years and "41-50" years were more likely to give favourable answers when compared to 20-30years age group (OR = 2.8, 95% CI = 1.05-8.0and OR = 3.8, 95% CI = 1.3-11.48; respectively). This study highlights critical deficiencies in parental knowledge on the management of tooth avulsion and the need to improve parents' knowledge by developing easily accessible onsite emergency management tools.

Flood emergency management in a municipality in the Czech Republic: A study of local strategies and leadership

After the fall of Communism in the Czech Republic, the centralised flood management was entrusted to a municipality. The new approach to disaster management in 1997 emphasised on emergency preparedness at the local level. The changing paradigms of emergency management and the changing rules and regulations of insurance companies have increased the responsibility of the local government to reduce the loss of property and save lives in villages. A qualitative method was used to explore a phenomenon in a bounded system and to understand the role and responsibilities of the municipality and the villagers' expectations. In addition, policy papers were examined to help understand the emergency planning of the municipality. The study found that successful emergency leadership is associated with adequate planning, appropriate strategies and effective implementation. The leaders must encourage subordinates and other individuals to participate actively in emergency management. It has been observed that the mayor created a ‘sense of urgency’ after assessing the prevailing institutional situation so that the plans to manage the emergency may be implemented immediately. The municipality also improves its disaster management strategies by identifying the causes of failure in the past, rectifying existing gaps, building confidence among villagers and preventing migration. It is not expected that all the stakeholders, staffs and elected members at the grassroots level engage in emergency management activities equally. However, leadership of a mayor can bind all the stakeholders to achieve a successful emergency management. They may not have adequate emergency management knowledge, but the sharing of knowledge through workshops and training programmes enhance their skills. The effective emergency management at the grassroots level not only requires collaborative strategies and human resource management, but also needs adequate management of funds. Because the local government can not always depend on voluntary participation and contribution, in which the mayor plays an important role.

Discussion on Centralization and Decentralization Patterns in Emergency Management

This paper comprehensively analyzes the advantages and disadvantages of centralization and decentralization patterns in emergency management. We examine their characteristics, challenges, and applicability to contribute insights for the development of effective emergency management systems. The paper also explores innovative ideas, including hybrid management patterns combining centralization and decentralization, and emphasizes community engagement and collaborative partnerships for information sharing and resource coordination. By offering a thorough analysis of both approaches and proposing innovative thoughts, this paper contributes to existing knowledge in emergency management, benefiting policymakers, practitioners, and researchers.

Developing Nursing Leadership Skills When Working With Disaster Response Programs

As the frequency and intensity of disasters worsen, now is the time for leaders in nursing to respond, hone their leadership skills, and acquire new competencies. The impact of these disasters will wreak havoc on community public health in both the short and long term, and involvement at any level of the four emergency management cycles—mitigation phase, preparedness phase, response phase, and recovery phase—will positively impact community health and enhance nurse leadership skills. Responding to a disaster requires resilience, knowledge of emergency management, willingness to work in austere environments, and transparent communication. Nurse leaders can find these opportunities with nonprofit disaster relief organizations and carry their experience over to leadership roles in health care.

Knowledge and Attitudes of Saudi Medical Students about Emergency Management of Traumatic Dental Injuries.

Several studies indicate that physicians lack emergency management knowledge concerning traumatic dental injuries (TDIs), emphasizing the fact that medical students are not taught about this topic. This study aimed to assess the basic knowledge and attitudes of medical students in Saudi Arabia about emergency TDI management. This cross-sectional study recruited a convenience sample of medical students in their clinical years through social networking sites and asked them to answer a pretested internationally accepted questionnaire that included demographic questions, two case scenarios about crown fractures and avulsion of permanent teeth, and self-assessment questions. The data were analyzed statistically using descriptive statistics and the chi-squared test (p < 0.05). A total of 761 medical students responded. Only 5.8% of the students reported receiving information about TDIs in their curriculum. Medical students, mainly those ready to graduate, were more knowledgeable of the emergency management of a crown fractured permanent tooth than an avulsed permanent tooth (p < 0.0001). However, more than half of the students were unable to differentiate between a primary versus permanent fractured tooth and would manage an avulsed primary or permanent tooth similarly. Regarding students' attitudes, less than one-quarter of the students (13.5%) were confident about diagnosing TDIs and/or providing emergency management when required (18.1%). Furthermore, only about one-tenth of the students (9.3%) were satisfied with their self-perceived knowledge, and most (71%) reported needing further education about the topic. Medical students in Saudi Arabia have insufficient knowledge about the emergency management of TDIs. Gaps in students' knowledge of emergency management of avulsion injury were identified in addition to their low confidence level to either diagnose or immediately treat TDIs if required. Students felt dissatisfied with their current knowledge level, this being most prominent among graduating students. There is a need to elaborate the undergraduate medical curriculum in Saudi Arabia to include emergency management of TDIs.

The Limits of Power Concentration and Expert Knowledge in Emergency Management: Spain’s Government Response during the First Phase of the Covid-19 Pandemic

ABSTRACT Focusing on the central government’s response to the Covid-19 crisis during the first wave in Spain, the article analyses the executive’s strategy of power concentration, and the factors that shape its implementation. We sketch how the crisis erupted, the main measures and strategies adopted by the national executive, the role of the experts, and the interaction with other political actors and institutions. We also explore the second phase and how the political reaction evolved towards a more consensual approach. Paradoxically, the consequences for the political actors were apparently less harmful than expected, since the governments did not lose political support, and the electorate continued to support the policy measures adopted to mitigate the pandemic.

Determining Factors Affecting the Perceived Preparedness of Super Typhoon: Three Broad Domains of Ergonomics Approach

Typhoon Rai (202122) was one of the most devastating natural disasters globally, and the Philippines is the country that was heavily hit by this super typhoon. This study examined the preparedness of Filipinos using a novel framework considering ergonomic domains and disaster knowledge. A total of 414 Filipinos in eight regions affected by the typhoon answered the online questionnaire distributed through social media sites using a convenience sampling approach. Ergonomic-based indicators for physical, cognitive, and macro-ergonomics were analyzed simultaneously with disaster-knowledge indicators such as awareness, adaptation, and risk perception. The results from the partial least square structural equation modeling (PLS-SEM) and artificial neural network (ANN) showed that physical ergonomics and macro-ergonomics are key factors affecting the perceived preparedness of Filipinos for Typhoon Rai (202122). Moreover, disaster awareness, adaptation, and risk perception were also found to positively influence the respondents’ perceived preparedness, while disaster awareness influenced adaptation and risk perception. The findings revealed that residents in highly exposed locations must practice typhoon preparation and evacuation ahead of time. The results of this study could be utilized to educate local communities about the importance of emergency response options during a typhoon to lessen the damage and risks associated with it. Academicians and disaster planners may extend the findings of this study to investigate the role of ergonomics and disaster knowledge in developing preparedness systems to increase resilience by strengthening emergency management knowledge, reinforcing coordination, and communication among communities, decreasing occupational dangers, and improving processes to improve response efficiency and effectiveness.

Assessment of Knowledge of Emergency Management of Ocular Trauma in a Tertiary Care Hospital

BACKGROUND&#x0D; Ocular trauma is a major cause of preventable monocular blindness and visual impairment worldwide. Thorough knowledge of comprehensive management of all types of ocular trauma is of utmost importance in the visual prognosis of such patients. Nurses are an integral part of emergency care. The objectives of this study were to assess the knowledge of emergency management of ocular trauma among the nursing staff and final year B.Sc. nursing students at a tertiary care hospital in northern India and suggest methods to enhance the knowledge if required.&#x0D; METHODS&#x0D; This prospective questionnaire-based study was conducted in the Department of Ophthalmology, at a tertiary care hospital in northern India to assess the nursing staff and final year B.Sc. nursing students about their knowledge of emergency management of ocular trauma. A total of 82 participants were randomly selected from the nursing staff as well as the B.Sc. final year nursing students and were asked to answer a questionnaire, based on their knowledge of the emergency management of ocular trauma. Data recorded was analysed using SPSS version 26.&#x0D; RESULTS&#x0D; The maximum score was 30 for answering the questions in the questionnaire. The mean score was found to be 23 among the nursing staff and a mean score of 21 among nursing students. A better overall score was noted among subjects who had experience working in Ophthalmology and Emergency Care.&#x0D; CONCLUSIONS&#x0D; It was found that there was a significant relationship between knowledge about emergency management of ocular trauma and variables like gender and work experience in the Department of Ophthalmology and Emergency Care. However, there was no significant association between knowledge of management of ocular trauma and the total number of working years. Knowledge regarding concepts about chemical injury was found to be low in all groups. Training and updating of knowledge on all aspects of ocular trauma must be done with an emphasis on emergency management during their posting in the Department of Ophthalmology and Emergency Care.

The Effect of Using an Educational Poster on Mothers’ Knowledge of Emergency Management of Dental Avulsion

Introduction: Mothers are commonly the first ones who encounter the dental avulsion in children. High knowledge of them could greatly affect the success rate of treatment. The purpose of this study was to evaluate the effect of educational poster on the mother’s knowledge about management of dental avulsion.Materials and Methods: This study was conducted at the Department of Pediatric Dentistry, Guilan University of Medical Sciences from November 2020 to February 2021. After obtaining the informed consent, a questionnaire containing the mothers’ socio-demographic information and 8 questions regarding knowledge about dental avulsion was responded alone by 262 mothers (131 in the study group and 131 in control group) before educational poster presentation in the study group. After three months, the participants of both groups were re-evaluated using the same questionnaire. McNemar’s test and Generalized Estimating Equations (GEE) was used to analyze the data. Results with P &lt; 0.05 were considered statistically significant. Results: Use of an educational poster improved the knowledge of participants of study group about dental avulsion, although this improvement was statistically significant in questions regarding immediate emergency action (P=0.003), appropriate time for replantation (P&lt;0.001), cleaning before replantation of a dirty tooth(P=0.022) and suitable storage medium for transferring an avulsed tooth (P&lt;0.001). It was found that variables like age, level of education, employment status and previous training had no significant effect on participants knowledge(P&gt;0.05).Conclusion: Results showed that the use of posters as an educational method can effectively improve mothers’ knowledge about management of children’s dental avulsion.

Confidence and knowledge in emergency management among medical students across Colombia: A role for the WHO basic emergency care course.

Globally, medical students have demonstrated knowledge gaps in emergency care and acute stabilization. In Colombia, new graduates provide care for vulnerable populations. The World Health Organization (WHO) Basic Emergency Care (BEC) course trains frontline providers with limited resources in the management of acute illness and injury. While this course may serve medical students as adjunct to current curriculum, its utility in this learner group has not been investigated. This study performs a baseline assessment of knowledge and confidence in emergency management taught in the BEC amongst medical students in Colombia. A validated, cross-sectional survey assessing knowledge and confidence of emergency care congruent with BEC content was electronically administered to graduating medical students across Colombia. Knowledge was evaluated via 15 multiple choice questions and confidence via 13 questions using 100 mm visual analog scales. Mean knowledge and confidence scores were compared across demographics, geography and prior training using Chi-Squared or one-way ANOVA analyses. Data were gathered from 468 graduating medical students at 36 institutions. The mean knowledge score was 59.9% ± 23% (95% CI 57.8-62.0%); the mean confidence score was 59.6 mm ±16.7 mm (95% CI 58.1-61.2). Increasing knowledge and confidence scores were associated with prior completion of emergency management training courses (p<0.0001). Knowledge and confidence levels of emergency care management for graduating medical students across Colombia demonstrated room for additional, specialized training. Higher scores were seen in groups that had completed emergency care courses. Implementation of the BEC as an adjunct to current curriculum may serve a valuable addition.

Pediatricians' Knowledge of Emergency Management of Dental Injuries and Use of Mouthguards: A Cross-Sectional Survey.

Aim: Dental injuries are one of the most frequent oral health problems in children and adolescents. This study aimed to evaluate Croatian pediatricians’ knowledge and practice regarding dental injuries management and the use of mouthguards as means of protection against traumatic injuries. Materials and methods: A questionnaire-based cross-sectional survey conducted among 186 pediatricians examined their demographic characteristics, knowledge and experience with dental injuries. Student t-test or one-way ANOVA, with Tukey’s post-hoc were used to analyze obtained data (p ≤ 0.05). Results: The overall mean score of knowledge on the management of dental injuries was 3.6 ± 1.53 points. Male pediatricians (p = 0.016), those who witnessed dental injuries (p = 0.003), and those who had more than ten years of pediatric practice (p = 0.027) showed better knowledge. The results of multiple linear regression analysis demonstrated impact between pediatricians’ knowledge in the emergency treatment of traumatic dental injuries concerning the level of health care (practice settings) (β = −0.254, p = 0.002) and the number of patients treated by a pediatrician per day (β = −0.187, p = 0.030). Conclusion: Pediatricians have a low level of knowledge regarding the primary care of traumatic dental injuries. An additional course on dental injurie management should be recommended as part of the physician and pediatricians’ educational training.

Self-reported experience of orofacial injury, preventive practice, and knowledge of Iranian adolescent martial art athletes towards sports-related orofacial injuries

BackgroundIncreased engagement of adolescents in martial arts exposes them to a relatively high risk of experiencing orofacial injuries. We evaluated self-reported experience of orofacial injuries, preventive practice, and knowledge of management of sport-related orofacial injuries and related factors in adolescent Karate and Taekwondo athletes in Iran.MethodsThis cross-sectional study was conducted on Iranian martial arts athletes including Karate and Taekwondo aged 11–17-year-old in 2020 via an online questionnaire. The anonymous self-administrated questionnaire had four parts: background (age, gender, duration of sports activity, training sessions per week, and previous education on orofacial injury); self-reported experience of orofacial injury; preventive practice including mouthguard and helmet use; and knowledge of emergency management of orofacial injuries. Preventive practice and knowledge scores were calculated by summing up the scores of corresponding questions (possibly range 0–7). A linear regression model and the Pearson correlation served for statistical analysis.ResultsTotally, 295 athletes with a mean age of 14.56 ± 1.91 years participated in the study. A quarter (n = 74, 25.1%) of athletes stated that they had received training on prevention of orofacial injuries. Only 3.7% (n = 11) of the participants reported the use of custom-made mouthguards, and 62% (n = 183) reported a positive history of orofacial injuries. A significant relationship existed between self-reported orofacial injury and age (β = − 0.32, p < 0.001), hours of training per week (β = 0.12, p = 0.037), type of sport (β = 0.11, p = 0.049), and previous training on orofacial injuries (β = − 0.14, p = 0.010). No difference existed in the history of orofacial injury between females (n = 114) and males (n = 69) (p = 0.374). The mean score of self-reported preventive practice and knowledge of management of orofacial injuries was 3.53 ± 1.82 (out of 7) and 1.67 ± 1.10 (out of 7), respectively. Age (β = 0.19, p = 0.002) and history of orofacial injury (β = − 0.15, p = 0.010) were associated with the score of self-reported preventive practice. Female athletes (β = 0.11, p = 0.048) and athletes who exercised more per week (β = 0.15, p = 0.012) had significantly more knowledge on management of orofacial injuries.ConclusionAdolescent athletes had relatively undesirable preventive practices and a distinct lack of knowledge. The high occurrence of self-reported orofacial injuries indicates the importance of more education and stricter rules for the athlete population.

Recognition and Management of Button Battery Ingestion Amongst Emergency Practitioners.

IntroductionButton battery ingestion (BBI) carries a significant risk of morbidity and mortality. We conducted a regional analysis following an NHS England national patient safety alert to evaluate the knowledge base in the emergency management of BBI amongst emergency practitioners.MethodsA ten-point questionnaire was distributed electronically and in hardcopy formats to emergency departments across 15 hospitals within the West Midlands, United Kingdom. The questionnaire assessed participants’ knowledge of emergency management of BBI. The effect of clinician grade and previous otorhinolaryngology experience on knowledge scores was evaluated.ResultsA total of 176 responses were received from 11 hospitals. A small proportion (18%) were aware of a local department protocol. The majority of participants (70%) routinely screened for a button battery in their history taking. Our findings highlighted a lack of awareness of the timeframe for mucosal injury, potential complications, radiological signs, and the necessity for immediate retrieval. The median knowledge score was 18.8% (IQR=12.5-31.3%). Both registrars and consultants scored the highest (median 25%). Previous otorhinolaryngology experience was associated with a higher median score (P=0.002).ConclusionOur multi-center regional emergency medicine analysis demonstrated knowledge deficiency in the initial assessment and management of BBI. A high index of suspicion for button battery ingestion is needed. In view of the time-critical nature of button battery impaction in the esophagus, a “golden hour” concept should be integrated into acute management pathways with the early involvement of otorhinolaryngologists.

The Effect of BTCLS Training on Emergency Knowledge of Dharma Husada Nursing Academy Kediri Graduates

Basic Trauma Cardiac Live Support (BTCLS) training for nurses is an effort to improve skills to overcome emergency events that occur outside the hospital due to accidents / trauma or in the hospital due to diseases that impact cardiac arrest. Training is an activity to increase skills, knowledge and skills for nurses in providing appropriate and prompt care to patients. The purpose of the research was to find out the effect of BTCLS training on emergency management knowledge for akper dharma husada kediri nursing alumni. Research design with pre-experimental method with one group pre-post test design approach. . Research samples 50 people with simple random sampling techniques. Data collection used questionnaires and data analysis using t-test. The results obtained a calculated value of 23.25 and a significance value of 0.000. Concluded the influence of BTCLS training on the knowledge of emergency management for graduates.