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Sample records for air medical evacuation

  1. [Forward medical air evacuation].

    PubMed

    Czerniak, Erik; Le Dorze, Patrick Causse; Hersan, Olivier; Pohl, Jean-Baptiste; Angot, Emmanuel

    2014-09-01

    The medical chain which assures the treatment of casualties from the theatre of operations back to France comprises several links connected by medical air transport. Whether it is tactical or strategic, it forms an integral part of the treatment pathway and offers casualties the best possible conditions for medical treatment with a high degree of safety, speed and traceability.

  2. Laryngeal Cuff Force Application Modeling During Air Medical Evacuation Simulation.

    PubMed

    Eisenbrey, David; Eisenbrey, Arthur B; Pettengill, Patrick

    2016-01-01

    Endotracheal tubes are intended to protect the airway and assist with mechanical ventilation in sedated patients. The blood vessels of the tracheal mucosa can be compressed by high tracheal tube cuff pressures (> 30 cm H2O), leading to reduced mucosal blood flow with resulting ischemia and morbidity. Previous research showed a direct correlation between aircraft pressure altitude and the pressure reading from the tracheal cuff, with resulting pressures > 80 cm H2O at 10,000 ft. Standard practice is to periodically remove air from the cuff during ascent based on assumed increased pressure on the adjacent tracheal mucosa. Using a vacuum chamber and a direct reading micropressure sensor in a 22-mm-diameter semirigid tube, we assessed the direct force applied by the tracheal cuff against the laryngeal tube analog. Standard tracheal cuffs showed direct force/pressure relationships when properly inflated to 20 cm H2O but much less than reported in the literature. Current literature reports values of 55 to 150 cm H2O at 5,000 ft, whereas we report 23 to 25 cm H2O. Our data indicate that a properly inflated cuff does not exceed the critical pressure of 30 cm H2O until the altitude exceeds 8,000 ft. Thus, the standard practice of deflating the laryngeal cuff on ascent should be reconsidered because it may be counterproductive to patient safety.

  3. Medical evacuations from offshore structures.

    PubMed

    Norman, J N; Ballantine, B N; Brebner, J A; Brown, B; Gauld, S J; Mawdsley, J; Roythorne, C; Valentine, M J; Wilcock, S E

    1988-09-01

    A retrospective study was carried out on medical evacuations from the installations of four major oil or gas producing companies, or both, operating offshore on the United Kingdom continental shelf. The study covered 1976-84 during which 2162 evacuations were recorded. Of these, 137 (7.7%) required the use of a chartered helicopter. In the earlier years of the study there were substantially more injuries sustained than episodes of illness recorded but from 1980 onwards the cases of illness equalled those of injury. Using the International Classification of Diseases, the digestive system was responsible for most evacuations for illness and of those, about half (115 evacuations) were for dental problems. Suspected fractures were responsible for about one third of those evacuated for an injury but injuries of hands and eye conditions were particularly common, accounting for 25% of all evacuations. As the age of the evacuee increased the proportion of evacuations for injury decreased and that for illness increased. The mean age for evacuation for injury was 28.3 years and for illness 34.4 years. Few evacuations were required for those aged over 45.

  4. 48 CFR 752.228-70 - Medical Evacuation (MEDEVAC) Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Medical Evacuation... Clauses 752.228-70 Medical Evacuation (MEDEVAC) Services. As prescribed in 728.307-70, for use in all contracts requiring performance overseas: Medical Evacuation (MEDEVAC) Services (JUL 2007) (a)...

  5. Medication supply for people evacuated during disasters.

    PubMed

    Ochi, Sae; Hodgson, Susan; Landeg, Owen; Mayner, Lidia; Murray, Virginia

    2015-02-01

    Medication loss is a major problem in disaster settings, and it is crucial for patients to bring their medication and healthcare items with them when they leave their homes during an evacuation. This article is based on a systematic literature review on medication loss, the objectives of which were to identify the extent and implications of medication loss, to identify the burden of prescription refill, and to make recommendations on effective preparedness. The review revealed that medication loss, prescription loss and refills, and the loss of medical aids are a significant burden on the medical relief teams. The medical aids are not limited to drugs, but include routine medications, medical/allergy records, devices for specific care and daily life, and emergency medications. One possible solution is to make a personal emergency pack and for people to carry this with them at all times. To ensure that patients are adequately prepared, stakeholders, especially health professionals, need to be actively involved in the preparation plans. Since our findings have little impact on disaster risk reduction unless shared broadly, we are now taking actions to spread our findings, such as presenting in conferences and via posters, in order to raise awareness among patients and healthcare professionals. As part of these activities, our findings were presented at the Evidence Aid Symposium on 20 September 2014, at Hyderabad, India.

  6. A Maximum Expected Covering Problem for Locating and Dispatching Two Classes of Military Medical Evacuation Air Assets

    DTIC Science & Technology

    2014-01-01

    of American Scientists. Uh -60 black hawk, uh - 60l black hawk, uh -60q medevac, mh-60g pave hawk, hh-60g pave hawk, ch-60 sea hawk. Accessed November 13...treated within 24 hours. The fleet includes two classes of air assets to manage: – U.S. Army helicopters such as the UH -60A/L Black Hawk or HH-60...Specifically, the U.S. Army air assets ( UH -60A/L and HH-60 MEDEVAC) and the U.S. Air Force air asset (HH-60G Pave Hawk) are primarily responsible for

  7. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Emergency medical services... NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer must insert the clause at 1852.242-78, Emergency Medical Services and Evacuation, in all solicitations...

  8. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Emergency medical services... NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer must insert the clause at 1852.242-78, Emergency Medical Services and Evacuation, in all solicitations...

  9. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Emergency medical services... NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer must insert the clause at 1852.242-78, Emergency Medical Services and Evacuation, in all solicitations...

  10. 75 FR 49507 - Recovery Policy, RP9525.4, Emergency Medical Care and Medical Evacuations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... SECURITY Federal Emergency Management Agency Recovery Policy, RP9525.4, Emergency Medical Care and Medical..., Emergency Medical Care and Medical Evacuations. This is an existing policy that is scheduled for review to... policy identifies the extraordinary emergency medical care and medical evacuation expenses that...

  11. Aeromedical Evacuation: Validating Civil Reserve Air Fleet

    DTIC Science & Technology

    2009-02-25

    Requirements Center GTN Global Transportation Network xiii IAT.R 0554 GWOT Global War on Terrorism HDPLP High Deck Patient Lift Platform HLS homeland...the requirements against a PACOM plan and/or modify the program. The past several years, USTRANSCOM SG has been unsuccessful in obtaining CRAF AE...flight on September 15, 1991, and the first production model was delivered to Charleston Air Force Base, South Carolina June 14, 1993. The aircraft can

  12. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... assignment, for hospital emergency medical evacuation service helicopter operations unless that assignment... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Helicopter hospital emergency...

  13. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... assignment, for hospital emergency medical evacuation service helicopter operations unless that assignment... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Helicopter hospital emergency...

  14. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... assignment, for hospital emergency medical evacuation service helicopter operations unless that assignment... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Helicopter hospital emergency...

  15. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... assignment, for hospital emergency medical evacuation service helicopter operations unless that assignment... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Helicopter hospital emergency...

  16. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... assignment, for hospital emergency medical evacuation service helicopter operations unless that assignment... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Helicopter hospital emergency...

  17. Medical Treatment in Lieu of Evacuation: Techniques for Combat Casualty Care Physicians

    DTIC Science & Technology

    2012-06-08

    NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) U.S. Army Command and General Staff College ATTN: ATZL-SWD-GD Fort Leavenworth, KS 66027...DMMPO Defense Medical Material Program Office DMSB Defense Medical Standardization Board DOTMLPF Doctrine, Organization , Training, Materiel...Lessons learned?” Medical Challenges in the Evacuation Chain (Siegburg: NATO, 2008): 11. 3 combat evacuation system. North American Treaty Organization

  18. Medical Evacuation and Treatment Capabilities Optimization Model (METCOM)

    DTIC Science & Technology

    2005-09-01

    1 B . HEALTH SERVICE SUPPORT (HSS) SYSTEM...A. MULTIPERIOD/INTER-TEMPORAL NETWORKS..............................25 B . EVACUATION...29 A. OBJECTIVES OF THE MODEL ................................................................29 B . STRUCTURE OF THE GENERAL

  19. Where Have all the Patients Gone? A Critical Review of Case Management and Air Evacuation in The Pacific Theater

    DTIC Science & Technology

    2007-11-02

    Association of Health Plans, 1999). Demand management in today’s health plans provide patient education and ongoing provider intervention that reduces overall...movement between distant medical facilities. Ultimately, these interventions Patient Movement in the Pacific Theater 77 will benefit the quality of... Patient Movement in the Pacific Theater 1 “Where Have All the Patients Gone?” A Critical Review of Case Management and Air Evacuation in the Pacific

  20. Effectiveness of Installation Aeromedical Evacuation

    DTIC Science & Technology

    2013-12-13

    Medical, Dental, and Veterinary Care, specified, “the Medical Evacuation System consists of ground and air medical evacuation platforms which work...years in order to define optimal ambulance numbers and launch criteria (Fischer et al. 2000, 415-417). The article framed cost in terms of formulas ...provide an idea of the distances to the nearest hospital or trauma center within the golden hour. Army Regulation 40-3, Medical, Dental, and Veterinary

  1. 48 CFR 1852.242-78 - Emergency Medical Services and Evacuation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Emergency Medical Services... Provisions and Clauses 1852.242-78 Emergency Medical Services and Evacuation. As prescribed in 1842.7003, insert the following clause: Emergency Medical Services and Evacuation—April 2001 The Contractor...

  2. 48 CFR 1852.242-78 - Emergency Medical Services and Evacuation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Emergency Medical Services... Provisions and Clauses 1852.242-78 Emergency Medical Services and Evacuation. As prescribed in 1842.7003, insert the following clause: Emergency Medical Services and Evacuation—April 2001 The Contractor...

  3. 48 CFR 1852.242-78 - Emergency Medical Services and Evacuation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Emergency Medical Services... Provisions and Clauses 1852.242-78 Emergency Medical Services and Evacuation. As prescribed in 1842.7003, insert the following clause: Emergency Medical Services and Evacuation—April 2001 The Contractor...

  4. 48 CFR 1852.242-78 - Emergency Medical Services and Evacuation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 6 2014-10-01 2014-10-01 false Emergency Medical Services... Provisions and Clauses 1852.242-78 Emergency Medical Services and Evacuation. As prescribed in 1842.7003, insert the following clause: Emergency Medical Services and Evacuation—April 2001 The Contractor...

  5. 48 CFR 1852.242-78 - Emergency Medical Services and Evacuation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Emergency Medical Services... Provisions and Clauses 1852.242-78 Emergency Medical Services and Evacuation. As prescribed in 1842.7003, insert the following clause: Emergency Medical Services and Evacuation—April 2001 The Contractor...

  6. Medical problems in refugee children evacuated from South Vietnam.

    PubMed

    Hodson, E M; Springthorpe, B J

    1976-11-13

    One hundred and fourteen refugee children from South Vietnam showed similar disease prevalences to refugee children from Bangladesh. Common diseases were malnutrition, gastroenteritis, pneumonia and bronchitis, scabies and furunculosis. Seven children died, five from pneumonia complicated by malnutrition. Increased awareness of the high incidence of Pneumocystis pneumonia and more careful assessment of nutritional status may reduce mortality in future groups of refugee children evacuated to Australia.

  7. The Evolution and Future of Marine Corps Medical Evacuation and Casualty Evacuation Operations

    DTIC Science & Technology

    2011-03-16

    utilized for each mission was based on the number of casualties). At night there was a tactical advantage provided by Night Vision Goggles (NVGs) and...escorted during the day, and always flew as a flight of two CH- 46 helicopters at night . By September 2005, unarmed Army UH-60s provided CASEV AC and...Ail?J.Y has been using helicopters to provide medical tt:ansportation since the . Korean War. Using modified Bell47s, Army pilots transported wounded

  8. 48 CFR 728.307-70 - Medical Evacuation (MEDEVAC) Services (MAR 1993).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Medical Evacuation (MEDEVAC) Services (MAR 1993). 728.307-70 Section 728.307-70 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance...

  9. 48 CFR 728.307-70 - Medical Evacuation (MEDEVAC) Services (MAR 1993).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Medical Evacuation (MEDEVAC) Services (MAR 1993). 728.307-70 Section 728.307-70 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance...

  10. 48 CFR 728.307-70 - Medical Evacuation (MEDEVAC) Services (MAR 1993).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Medical Evacuation (MEDEVAC) Services (MAR 1993). 728.307-70 Section 728.307-70 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance...

  11. 48 CFR 728.307-70 - Medical Evacuation (MEDEVAC) Services (MAR 1993).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Medical Evacuation (MEDEVAC) Services (MAR 1993). 728.307-70 Section 728.307-70 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance...

  12. The wartime need for aeromedical evacuation physicians: the U.S. Air Force experience during Operation Desert Storm.

    PubMed

    Mabry, E W; Munson, R A; Richardson, L A

    1993-10-01

    Air transportation has been the primary method of moving patients by the armed services of the United States since 1949. It is fast, reliable, and allows for centralized medical care. Aeromedical Evacuation (AE), performed by the U.S. Air Force under Department of Defense directive, was intended as a method to transport medically stable patients. Modern warfare has evolved into a process capable of generating large numbers of casualties in a short period of time that can overwhelm local medical facilities. Such casualties would then require immediate transportation in order to obtain appropriate treatment. The terrorist bombing of the U.S. Marine barracks in Beirut and the 1989 military action in Panama (Operation Just Cause) are recent experiences where unstable casualties were transported by an AE system not designed to care for acute injuries while en route to definitive care. During Operation Desert Storm, Aeromedical Evacuation Flight Surgeons (AE/FS's) augmented AE crews and provided flexibility to transport critically ill patients. Future planning should augment designated AE crews with appropriately trained physicians and include equipment on aircraft to resuscitate patients that decompensate inflight.

  13. A novel evacuation passageway formed by a breathing air supply zone combined with upward ventilation

    NASA Astrophysics Data System (ADS)

    Gao, Ran; Li, Angui; Lei, Wenjun; Zhao, Yujiao; Zhang, Ying; Deng, Baoshun

    2013-10-01

    With the development of transportation, the tunnel has become one of the important facilities of railway, highway and subway transportation. However, fire hazards occurring inside the tunnel may incur huge numbers of casualties and property losses. In this paper, a breathing air supply zone combined with an upward ventilation assisted tunnel evacuation system (BTES) is introduced. It can be used to create a safe, smoke-free evacuation passageway out of the tunnel. The BTES is optimized to achieve high-performance. The impacts of heat release rates, fire source locations and fire detection times are also discussed. The carbon monoxide (CO) concentrations found when utilizing the BTES were significantly lower than that found when utilizing the traditional ventilation system. An obvious, clean evacuation passageway was created by the BTES. The maximum CO concentrations in the BTES evacuation passageway were below 10 PPM throughout the entire combustion process. A larger CO concentration gradient in the vertical direction was detected with the BTES than that found in other ventilation systems. This finding means that the lower part of the tunnel has a lower CO concentration with the BTES, which benefits the evacuation process. The impacts of fire source locations and fire detection times were tested to ensure the system reliability, and it was found that the performance of the BTES was not sensitive to them.

  14. Disaster-Driven Evacuation and Medication Loss: a Systematic Literature Review

    PubMed Central

    Ochi, Sae; Hodgson, Susan; Landeg, Owen; Mayner, Lidia; Murray, Virginia

    2014-01-01

    AIM: The aim of this systematic literature review was to identify the extent and implications of medication loss and the burden of prescription refill on medical relief teams following extreme weather events and other natural hazards. METHOD: The search strategy followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Key health journal databases (Medline, Embase, PsycINFO, Maternity and Infant Care, and Health Management Information Consortium (HMIC)) were searched via the OvidSP search engine. Search terms were identified by consulting MeSH terms. The inclusion criteria comprised articles published from January 2003 to August 2013, written in English and containing an abstract. The exclusion criteria included abstracts for conferences or dissertations, book chapters and articles written in a language other than English. A total of 70 articles which fulfilled the inclusion criteria were included in this systematic review. RESULTS: All relevant information was collated regarding medication loss, prescription loss and refills, and medical aids loss which indicated a significant burden on the medical relief teams. Data also showed the difficulty in filling prescriptions due to lack of information from the evacuees. People with chronic conditions are most at risk when their medication is not available. This systematic review also showed that medical aids such as eye glasses, hearing aids as well as dental treatment are a high necessity among evacuees. DISCUSSION: This systematic review revealed that a considerable number of patients lose their medication during evacuation, many lose essential medical aids such as insulin pens and many do not bring prescriptions with them when evacuated.. Since medication loss is partly a responsibility of evacuees, understanding the impact of medication loss may lead to raising awareness and better preparations among the patients and health care professionals. People who are not prepared could have

  15. An example of extreme cardiology: chest pain on the high seas and helicoptered medical evacuations: the French Navy experience.

    PubMed

    Vinsonneau, Ulric; Cavel, Christiane; Bombert, Christophe; Lely, Laurent; Paleiron, Nicolas; Vergez-Larrouget, Claude; Cornily, Jean-Christophe; Castellant, Philippe; Gilard, Martine; Paule, Paule; Bronstein, Jean-Ariel

    2012-10-01

    Medicalized high sea rescue is very different from prehospital medical evacuation. It requires specifically trained medical teams because the difficulties are marine, aerial, and medically related. The French Navy provides medical evacuations by helicopter on the Atlantic coast, up to 320 km offshore and under all weather conditions. The epidemiology of acute chest pain in the high seas has been poorly described. Therefore, in this retrospective study, we aimed to assess the prevalence and constraints found in the management of these emergencies. From January 1, 2000, to April 30, 2009, 286 medical evacuations by helicopter were performed, 132 of which were due to traumatological emergencies, and 154 to medical emergencies. Acute chest pain, with 36 missions, was the leading cause of medical evacuation. All evacuated patients were men who were either professional sailors or ferry passengers. The median age was 48 years (range, 26-79). The most common prehospital diagnosis was coronary chest pain in 23 patients (64%), including 11 patients with acute coronary syndrome with ST-segment elevation. Thirty-two patients were airlifted by helicopter. All patients benefited from monitoring, electrocardiogram, peripheral venous catheter, and medical management as soon as the technical conditions allowed it.

  16. International Organization for Migration: experience on the need for medical evacuation of refugees during the Kosovo crisis in 1999.

    PubMed

    Szilard, Istvan; Cserti, Arpad; Hoxha, Ruhija; Gorbacheva, Olga; O'Rourke, Thomas

    2002-04-01

    The International Organization for Migration (IOM) developed and implemented a three-month project entitled Priority Medical Screening of Kosovar Refugees in Macedonia, within the Humanitarian Evacuation Program (HEP) for Kosovar refugees from FR Yugoslavia, which was adopted in May 1999. The project was based on an agreement with the office of United Nations High Commission for Refugees (UNHCR) and comprised the entry of registration data of refugees with medical condition (Priority Medical Database), and classification (Priority Medical Screening) and medical evacuation of refugees (Priority Medical Evacuation) in Macedonia. To realize the Priority Medical Screening project plan, IOM developed and set up a Medical Database linked to IOM/UNHCR HEP database, recruited and trained a four-member data entry team, worked out and set up a referral system for medical cases from the refugee camps, and established and staffed medical contact office for refugees in Skopje and Tetovo. Furthermore, it organized and staffed a mobile medical screening team, developed and implemented the system and criteria for the classification of referred medical cases, continuously registered and classified the incoming medical reports, contacted regularly the national delegates and referred to them the medically prioritized cases asking for acceptance and evacuation, and co-operated and continuously exchanged the information with UNHCR Medical Co-ordination and HEP team. Within the timeframe of the project, 1,032 medical cases were successfully evacuated for medical treatment to 25 host countries throughout the world. IOM found that those refugees suffering from health problems, who at the time of the termination of the program were still in Macedonia and had not been assisted by the project, were not likely to have been priority one cases, whose health problems could be solved only in a third country. The majority of these vulnerable people needed social rather than medical care and

  17. [Lessons learned from the evacuation of the VU University Medical Centre after flooding].

    PubMed

    Biesheuvel, T H; Brouwers, C; Bloemers, F W

    2017-01-01

    On 8 September 2015, flooding of the lower floors of the VU University Medical Center in Amsterdam caused serious damage to many vital technical services, such as water and power supplies. The decision was made to completely evacuate the university hospital. This paper describes the chronology and events of that day and shares a number of important lessons that were learned, in order to help readers to optimise crisis organisation in their own institutions. A serious situation or disaster can never be standardised in protocols or manuals; flexibility, improvisation and confidence in one another's expertise and commitment are therefore essential.

  18. Mass medical evacuation: Hurricane Katrina and nursing experiences at the New Orleans airport.

    PubMed

    Klein, Kelly R; Nagel, Nanci E

    2007-01-01

    Hurricane Katrina, a category 4 storm, struck the U.S. Gulf states in late August, 2005, resulting in the most costly and second most deadly natural disaster in recent United States history. The storm and subsequent flooding due to levee failure necessitated the evacuation of 80% of the city of New Orleans' 484,674 residents. Most of the city's hospitals and other health care resources were destroyed or inoperable. The hurricane devastated many communities, stranding people in hospitals, shelters, homes, and nursing homes. Nurses and other health care providers deployed to New Orleans to provide medical assistance experienced substantial challenges in making triage and treatment decisions for patients whose numbers far exceeded supplies and personnel. This article describes the experiences and solutions of nurses and other personnel from 3 Disaster Medical Assistance Teams assigned to the New Orleans airport responsible for perhaps the most massive patient assessment, stabilization, and evacuation operation in U.S. history. As the frequency of disasters continues to rise, it is imperative that the nursing profession realize its value in the disaster arena and continually take leadership roles.

  19. Misoprostol use in medical evacuation of spontaneous miscarriage: Pilot drug use evaluation study at the Women's Hospital in Qatar

    PubMed Central

    ElSalem, Samah A.; AlSaad, Doua T.; Abdulrouf, Palli V.; Ahmed, Afif A.; AlHail, Moza S.

    2016-01-01

    Background: Misoprostol is a synthetic prostaglandin E1 that induces cervical effacement and uterine contractions at all gestational ages, thus facilitating uterine evacuation and pregnancy termination. Successful medical evacuation of spontaneous miscarriage with minimal adverse effects can be performed using misoprostol-only regimen if given as indicated and if the administered dose, frequency of the dosage, and number of total doses are appropriate. Aim: To conduct a drug use evaluation by investigating indications, appropriateness of dosing, and clinical outcome of misoprostol-only regimen when used for medical evacuation of spontaneous miscarriage at the Women's Hospital in Doha, Qatar. Materials and methods: A retrospective descriptive drug use evaluation was conducted on women with spontaneous miscarriage who received misoprostol for medical evacuation during August 2013. The current practice at the Women's Hospital was compared with the recommendation from the World Health Organization (WHO). Patients were stratified into three groups based on weeks of amenorrhea. Results: A total of 107 patients received misoprostol during August 2013, of which 33 (31%) were included in the study. In these patients, the main indication for misoprostol use was missed miscarriage (54.5%). In the group of patients at ≤ 9 weeks of gestation, 80% received an initial dose of 800 μg, 80% received frequency within the WHO recommendation, and the majority had surgical evacuation (80%). In the group of patients at 10–12 weeks of gestation, more than 80% received an initial dose of 800 μg, 6% received frequency within the WHO recommendation, and more than 75% had successful medical evacuation. In the group of patients at 13–22 weeks of gestation, more than 80% received an initial dose of 400 μg, more than 80% received frequency within the WHO recommendation, and 54% had successful medical evacuation. Overall, more than 70% of the patients received ≤ 3 total doses of

  20. A markov decision process model for the optimal dispatch of military medical evacuation assets.

    PubMed

    Keneally, Sean K; Robbins, Matthew J; Lunday, Brian J

    2016-06-01

    We develop a Markov decision process (MDP) model to examine aerial military medical evacuation (MEDEVAC) dispatch policies in a combat environment. The problem of deciding which aeromedical asset to dispatch to each service request is complicated by the threat conditions at the service locations and the priority class of each casualty event. We assume requests for MEDEVAC support arrive sequentially, with the location and the priority of each casualty known upon initiation of the request. The United States military uses a 9-line MEDEVAC request system to classify casualties as being one of three priority levels: urgent, priority, and routine. Multiple casualties can be present at a single casualty event, with the highest priority casualty determining the priority level for the casualty event. Moreover, an armed escort may be required depending on the threat level indicated by the 9-line MEDEVAC request. The proposed MDP model indicates how to optimally dispatch MEDEVAC helicopters to casualty events in order to maximize steady-state system utility. The utility gained from servicing a specific request depends on the number of casualties, the priority class for each of the casualties, and the locations of both the servicing ambulatory helicopter and casualty event. Instances of the dispatching problem are solved using a relative value iteration dynamic programming algorithm. Computational examples are used to investigate optimal dispatch policies under different threat situations and armed escort delays; the examples are based on combat scenarios in which United States Army MEDEVAC units support ground operations in Afghanistan.

  1. Air ambulance medical transport advertising and marketing.

    PubMed

    2011-01-01

    The National Association of EMS Physicians (NAEMSP), the American College of Emergency Physicians (ACEP), the Air Medical Physician Association (AMPA), the Association of Air Medical Services (AAMS), and the National Association of State EMS Officials (NASEMSO) believe that patient care and outcomes are optimized by using air medical transport services that are licensed air ambulance providers with robust physician medical director oversight and ongoing quality assessment and review. Only air ambulance medical transport services with these credentials should advertise/market themselves as air ambulance services.

  2. Contributing Factors to Total Mission Time for Medical Evacuation Missions during Operation Iraqi Freedom II

    DTIC Science & Technology

    2007-05-01

    nature have been conducted to analyze the data. Recent studies focused on the aeromedical evacuation from Level III facilities in theater to higher...missions with unusually large Total Mission Time or to compress the data by taking the natural log of the time variables. However, the data was not...All of the data is unclassified separately, but the analysis could be sensitive in nature so caution has been taken to protect it. Some missions may

  3. The Use of the Civil Reserve Air Fleet in Evacuation of Battlefield Casualties - An Evaluation.

    DTIC Science & Technology

    1985-07-01

    reduce their revenue- earning potential, and not doing any modification that would * require a long layup of any airplane. The best solution to this...that least affects the owners’ use of them. In other words, the planes should not be modified in any manner that would reduce their revenue- earning ...September 1981. * 20. Dreyfuss, U.Y., Faktor , J.H., and Charnilas, J.Z. "Aeromedical Evacuation in Israel: A Study of 884 Cases." Aviation, Space, and

  4. Medical relief activities, medical resourcing, and inpatient evacuation conducted by Nippon Medical School due to the Fukushima Daiichi Nuclear Power Plant accident following the Great East Japan Earthquake 2011.

    PubMed

    Koyama, Atsushi; Fuse, Akira; Hagiwara, Jun; Matsumoto, Gaku; Shiraishi, Shinichiro; Masuno, Tomohiko; Miyauchi, Masato; Kawai, Makoto; Yokota, Hiroyuki

    2011-01-01

    On March 11, 2011, after the Great East Japan Earthquake and tsunami, the government declared a nuclear emergency following damage to the Fukushima Daiichi Nuclear Power Plant. A second hydrogen explosion occurred on March 14 at the plant's No. 3 reactor and injured 11 people. At that time the prime minister urged people living 20 to 30 km from the Daiichi plant to stay indoors. Under these circumstances, many residents of Iwaki City, which was largely outside the 30-km zone, left the city, making it difficult to get supplies to the remaining residents. The only transportation route open for supplies and medical resources was roads, and many drivers feared the rumor that the city was contaminated by radioactive materials and, so, refused to go there. Nippon Medical School (NMS) heard that medical resources were running short at Iwaki Kyoritsu Hospital, which requested water, medications, food, fuel (gasoline), medical support, and the evacuation of 300 inpatients. As a first step, NMS decided to evaluate the situation at the hospital and, on March 16, the director of the NMS Advanced Emergency Center visited the hospital and helped provide triage for about 200 patients. Critically ill patients receiving ventilatory support were given priority for evacuation because they would be most at risk of not being able to evacuate should the Japanese government order an immediate evacuation of the city. We tried to evacuate the inpatients via an official framework, such as the Disaster Medical Assistance Team (DMAT), but DMAT could not support this mission because this hospital was not within the 30-km evacuation zone. Moreover, the Iwaki City government could not support the evacuation efforts because they were fearful of the rumor that Iwaki was contaminated by radioactive material. Ultimately, we realized that we had to conduct the mission ourselves and, so, contacted our colleagues in the Tokyo metropolitan area to prepare enough hospital beds. We evacuated 15 patients

  5. Surgical smoke evacuation systems.

    PubMed

    1997-04-01

    Surgical smoke evacuation systems are high-flow vacuum sources used to capture, at the surgical site, the smoke aerosols and gases generated during the use of lasers and electrosurgical units (ESUs). In this study, we evaluated 16 evacuation systems, from 10 suppliers, designed and marketed for use in the operating room for general surgery. For our testing, we focused on the performance of the systems (particularly their ability to capture smoke particles under simulated surgical conditions) and their ease of use and quality of construction. We also examined the projected costs of each system over a seven-year life cycle. We rated the systems separately for two different evacuation applications (1) general-purpose applications, for which the system would, in many cases, be used with a handheld nozzle (the traditional capture device used with these systems), and (2) ESU-pencil-based evacuation applications only, for which the system would always be used with a pencil-based wand. (We report on ESU-pencil-based smoke evacuation wands in a separate Evaluation in this issue.) While we found most units to be Acceptable, we did rate two units Acceptable-Not Recommended for both applications and one unit Unacceptable for general-purpose applications. In addition to our findings for the evaluated models, this study features several sections providing generic information and guidance about smoke evacuation technology. The Technology Overview describes the basics: what these systems do and how they do it. The Technology Management Guide, "Clearing the Air-Should Surgical Smoke Be Evacuated?," discusses the issues healthcare facilities should consider when determining whether, when, and how surgical smoke should be evacuated. Finally, the Selection, Purchasing, and Use Guide offers guidance on how facilities can most effectively implement this technology, from identifying models that will meet their needs to ensuring that the systems are used properly to provide adequate staff

  6. Ethics surrounding the medical evacuation of catastrophically injured individuals from an operational theatre of war.

    PubMed

    Bennett, Rebecca A

    2016-10-01

    Although prolonging life is usually in the best interests of patients, the British Medical Association states that it is not appropriate to prolong life with no regard to its quality. Medical advances both on the battlefield and within the field hospitals have resulted in the unexpected survival of a number of British personnel, and in some cases, soldiers are being repatriated with injuries categorised as 'catastrophic'. This paper considers medical ethics based on the Beauchamp and Childress Four Principles framework with regard to whether catastrophically injured individuals should be repatriated without any prior advanced directive and without evaluation of future quality of life.

  7. Statewide air medical transports for Massachusetts.

    PubMed

    Garthe, Elizabeth; Mango, Nicholas K; Prenney, Brad

    2002-01-01

    In 1997, the Massachusetts Department of Public Health (MDPH) established a process to centralize air medical transport information. This database is one of the first statewide, population-based sources for civilian rotary-wing air medical transports (U.S. Coast Guard, police, and military missions are not included). The purpose of this database is to facilitate MDPH review of air medical transport service utilization, with input from a multidisciplinary committee. This article discusses the challenges in producing uniform data from multiple service submissions and presents aggregate "baseline" utilization information for 1996. These data served as a starting point for later studies using data linkage. This indexed article is the first to report statewide, population-based data for all types of air medical helicopter transports. The only other indexed "statewide air medical transport" paper focused on scene transports to trauma centers in Pennsylvania. A previous article by the authors in the July-September 2000 Air Medical Journal provided an overview of air medical transports for fatal motor vehicle crashes for 1 region of the state.

  8. Haughton-Mars Project/NASA 2006 Lunar Medical Contingency Simulation: Equipment and Methods for Medical Evacuation of an Injured Crewmember

    NASA Technical Reports Server (NTRS)

    Chappell, S. P.; Scheuring, R. A.; Jones, J. A.; Lee, P.; Comtois, J. M.; Chase, T.; Gernhardt M.; Wilkinson, N.

    2007-01-01

    Introduction: Achieving NASA's Space Exploration Vision scientific objectives will require human access into cratered and uneven terrain for the purpose of sample acquisition to assess geological, and perhaps even biological features and experiments. Operational risk management is critical to safely conduct the anticipated tasks. This strategy, along with associated contingency plans, will be a driver of EVA system requirements. Therefore, a medical contingency EVA scenario was performed with the Haughton-Mars Project/NASA to develop belay and medical evacuation techniques for exploration and rescue respectively. Methods: A rescue system to allow two rescuer astronauts to evacuate one in incapacitated astronaut was evaluated. The systems main components were a hard-bottomed rescue litter, hand-operated winch, rope, ground picket anchors, and a rover-winch attachment adapter. Evaluation was performed on 15-25deg slopes of dirt with embedded rock. The winch was anchored either by adapter to the rover or by pickets hammered into the ground. The litter was pulled over the surface by rope attached to the winch. Results: The rescue system was utilized effectively to extract the injured astronaut up a slope and to a waiting rover for transport to a simulated habitat for advanced medical care, although several challenges to implementation were identified and overcome. Rotational stabilization of the winch was found to be important to get maximize mechanical advantage from the extraction system. Discussion: Further research and testing needs to be performed to be able to fully consider synergies with the other Exploration surface systems, in conducting contingency operations. Structural attachment points on the surface EVA suits may be critical to assist in incapacitated evacuation. Such attach points could be helpful in microgravity incapacitated crewmember transport as well. Wheeled utility carts or wheels that may be attachable to a litter may also aid in extraction and

  9. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet air purifier is a device intended for medical purposes that is used to destroy bacteria in the air by...

  10. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet air purifier is a device intended for medical purposes that is used to destroy bacteria in the air by...

  11. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet air purifier is a device intended for medical purposes that is used to destroy bacteria in the air by...

  12. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet air purifier is a device intended for medical purposes that is used to destroy bacteria in the air by...

  13. Exposure to Environmental Air Manganese and Medication ...

    EPA Pesticide Factsheets

    Manganese (Mn) is an essential element with natural low levels found in water, food, and air, but due to industrialized processes, both workplace and the environmental exposures to Mn have increased. Recently, environmental studies have reported physical and mental health problems associated with air-Mn exposure, but medical record reviews for exposed residents are rare in the literature. When medical records and clinical testing are unavailable, examination of residents’ prescribed medication use may be used as a surrogate of health effects associated with Mn. We examined medication use among adult Ohio residents in two towns with elevated air-Mn (n=185) and one unexposed control town (n=90). Study participants recorded medication use in a health questionnaire and brought their currently prescribed medication, over-the-counter and supplement lists to their interview. Two physicians (family and psychiatric medicine) reviewed the provided medication list and developed medical categories associated with the medications used. The exposed (E) and control (C) groups were compared on the established 12 medication and 1 supplement categories using chi-square tests. The significant medication categories were further analyzed using hierarchical binomial logistic regression adjusting for education, personal income, and years of residency. The two groups were primarily white (E:94.6%; C:96.7%) but differed on education (E:13.8; C:15.2 years), residence length in their re

  14. Physician roles in aeromedical evacuation: current practices in USAF operations.

    PubMed

    Hurd, William W; Montminy, Richard J; De Lorenzo, Robert A; Burd, Lawrence T; Goldman, Brad S; Loftus, Thomas J

    2006-06-01

    Physicians play an increasingly important role in the critical medical process of aeromedical evacuation (AE). Incomplete or inappropriate preparation for AE can result in increased patient discomfort, and in the worst cases, potentially serious or insurmountable in-flight medical problems. During military operations and in response to natural disasters, physicians are responsible for four processes necessary for a successful AE mission. These include: 1) AE screening, including determination of appropriate classification, precedence, and special medical requirements; 2) validation; 3) medical preparation; and 4) clearance. Physicians responsible for preparing patients for AE need to understand both the patient evacuation system and the unique medical aspects associated with AE. The U.S. military patient evacuation system is comprised of three principal transportation phases: casualty evacuation; inter-theater AE; and intra-theater AE. Important elements of the USAF AE system are patient movement requirements centers, the validating flight surgeon, aeromedical staging facilities, AE liaison teams, aeromedical crews, and critical care air transport (CCAT) teams. Important medical aspects unique to AE include the effects of flight physiology on medical conditions, oxygen limitations, and distinctive medication and supplies requirements.

  15. Air Evacuation and Its Effect on Theater and Zone of Interior Hospitalization Requirements

    DTIC Science & Technology

    1947-10-13

    34:,; invalided home. 9 Medical Service- Communication Zone, Subj~ct 4308, Adv Sheet, par 8, p. 12 10 Historical Review, WuV II, Apend P, P• 58 11 FM...Service in Communication Zone", Apend 4 to Adv Sheet, par 9, p.26 25 liiJiil FM 8-35, par 102 f. 26 Maj Gen Kirk, op. cit. PP• 27-29 -12- skilled

  16. Air medical transportation in India: Our experience

    PubMed Central

    Khurana, Himanshu; Mehta, Yatin; Dubey, Sunil

    2016-01-01

    Background and Aims: Long distance air travel for medical needs is on the increase worldwide. The condition of some patients necessitates specially modified aircraft, and monitoring and interventions during transport by trained medical personnel. This article presents our experience in domestic and international interhospital air medical transportation from January 2010 to January 2014. Material and Methods: Hospital records of all air medical transportation undertaken to the institute during the period were analyzed for demographics, primary etiology, and events during transport. Results: 586 patients, 453 (77.3%) males and 133 (22.6%) females of ages 46.7 ± 12.6 years and 53.4 ± 9.7 years were transported by us to the institute. It took 3030 flying hours with an average of 474 ± 72 min for each mission. The most common indication for transport was cardiovascular diseases in 210 (35.8%) and central nervous system disease in 120 (20.4%) cases. The overall complication rate was 5.3% There was no transport related mortality. Conclusion: Cardiac and central nervous system ailments are the most common indication for air medical transportation. These patients may need attention and interventions as any critical patient in the hospital but in a difficult environment lacking space and help. Air medical transport carries no more risk than ground transportation. PMID:27625486

  17. 21 CFR 880.5045 - Medical recirculating air cleaner.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Medical recirculating air cleaner. 880.5045... Therapeutic Devices § 880.5045 Medical recirculating air cleaner. (a) Identification. A medical recirculating air cleaner is a device used to remove particles from the air for medical purposes. The device...

  18. Is there one optimal medical treatment and evacuation chain for all situations: "scoop-and-run" or "stay-and-play".

    PubMed

    Hoejenbos, Maarten J J; McManus, John; Hodgetts, Timothy

    2008-01-01

    In 2006, the Ministry of Defense of the Netherlands initiated a targeted agenda program for the World Congress on Disaster and Emergency Medicine in Amsterdam in 2007 (15WCDEM). The issue to be discussed was if there is one "golden" treatment and evacuation system that is applicable for different military and civilian situations. And, if there is not such a system, which parameters are important to construct the most optimal system for each different situation. This issue is related to the applicability and evidence base of the standards of the North Atlantic Treaty Organization. A group of experts started a website discussion on the issue during December 2006. During the 15WCDEM, several other participants were active in the discussion. Using the different experiences and the outcome of the discussions, it was concluded that there is not one "golden" medical emergency system, there are no "golden" timelines, and no "golden" skills. A medical system should be flexible and be able to adjust on each specific, local situation. First responder and non-medical people with medical skills (first responders) are essential in the front line of the emergency medical systems. More research is needed on the medical techniques and skills that are most effective early in the treatment and evacuation systems. Lessons learned from the military system are relevant for the civilian emergency medical services and vice-versa. The World Association for Disaster and Emergency Medicine can be an important platform to share and exchange information between these two systems. The target of the platform should be to obtain a generic picture of the important elements in prehospital emergency medical care.

  19. 21 CFR 880.5045 - Medical recirculating air cleaner.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Medical recirculating air cleaner. 880.5045... (CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Therapeutic Devices § 880.5045 Medical recirculating air cleaner. (a) Identification. A medical...

  20. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Medical ultraviolet air purifier. 880.6500 Section... (CONTINUED) MEDICAL DEVICES GENERAL HOSPITAL AND PERSONAL USE DEVICES General Hospital and Personal Use Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet...

  1. Mexico City's Petroleos Mexicanos explosion: disaster management and air medical transport.

    PubMed

    Urquieta, Emmanuel; Varon, Joseph

    2014-01-01

    Mexico City is the largest metropolitan area in the Americas and 1 of the largest in the world; its geographic location and uncontrolled population and industrial growth make this metropolis prone to natural and human-made disasters. Mass casualty disaster responses in Mexico City tend to have complications from multiple logistical and operational challenges. This article focuses on the experiences and lessons learned from an explosion that occurred in a government building in Mexico City and the current status of mass casualty disaster risks and response strategies in Mexico City as well as air medical evacuation, which is a critical component and was shown to be extremely useful in the evacuation of 15 critically ill and polytraumatized patients (Injury Severity Score > 15). Several components of the public and privately owned emergency medical services and health care systems among Mexico City pose serious logistical and operational complications, which finally will be addressed by a joint emergency preparedness council to unify criteria in communications, triage, and incident/disaster command post establishment.

  2. 21 CFR 888.4220 - Cement monomer vapor evacuator.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Cement monomer vapor evacuator. 888.4220 Section... (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4220 Cement monomer vapor evacuator. (a) Identification. A cement monomer vapor evacuator is a device intended for use during surgery to contain or...

  3. 21 CFR 888.4220 - Cement monomer vapor evacuator.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Cement monomer vapor evacuator. 888.4220 Section... (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4220 Cement monomer vapor evacuator. (a) Identification. A cement monomer vapor evacuator is a device intended for use during surgery to contain or...

  4. 21 CFR 888.4220 - Cement monomer vapor evacuator.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Cement monomer vapor evacuator. 888.4220 Section... (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4220 Cement monomer vapor evacuator. (a) Identification. A cement monomer vapor evacuator is a device intended for use during surgery to contain or...

  5. 21 CFR 888.4220 - Cement monomer vapor evacuator.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Cement monomer vapor evacuator. 888.4220 Section... (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4220 Cement monomer vapor evacuator. (a) Identification. A cement monomer vapor evacuator is a device intended for use during surgery to contain or...

  6. 21 CFR 888.4220 - Cement monomer vapor evacuator.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cement monomer vapor evacuator. 888.4220 Section... (CONTINUED) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4220 Cement monomer vapor evacuator. (a) Identification. A cement monomer vapor evacuator is a device intended for use during surgery to contain or...

  7. Evacuation and Community Shelters

    MedlinePlus

    Evacuation and community shelters − Leave natural gas on unless local officials advise otherwise. Local government officials issue evacuation orders when disaster threatens. Listen to local radio and TV ...

  8. Evacuation of the ICU

    PubMed Central

    Niven, Alexander S.; Beninati, William; Fang, Ray; Einav, Sharon; Rubinson, Lewis; Kissoon, Niranjan; Devereaux, Asha V.; Christian, Michael D.; Grissom, Colin K.; Christian, Michael D.; Devereaux, Asha V.; Dichter, Jeffrey R.; Kissoon, Niranjan; Rubinson, Lewis; Amundson, Dennis; Anderson, Michael R.; Balk, Robert; Barfield, Wanda D.; Bartz, Martha; Benditt, Josh; Beninati, William; Berkowitz, Kenneth A.; Daugherty Biddison, Lee; Braner, Dana; Branson, Richard D; Burkle, Frederick M.; Cairns, Bruce A.; Carr, Brendan G.; Courtney, Brooke; DeDecker, Lisa D.; De Jong, Marla J.; Dominguez-Cherit, Guillermo; Dries, David; Einav, Sharon; Erstad, Brian L.; Etienne, Mill; Fagbuyi, Daniel B.; Fang, Ray; Feldman, Henry; Garzon, Hernando; Geiling, James; Gomersall, Charles D.; Grissom, Colin K.; Hanfling, Dan; Hick, John L.; Hodge, James G.; Hupert, Nathaniel; Ingbar, David; Kanter, Robert K.; King, Mary A.; Kuhnley, Robert N.; Lawler, James; Leung, Sharon; Levy, Deborah A.; Lim, Matthew L.; Livinski, Alicia; Luyckx, Valerie; Marcozzi, David; Medina, Justine; Miramontes, David A.; Mutter, Ryan; Niven, Alexander S.; Penn, Matthew S.; Pepe, Paul E.; Powell, Tia; Prezant, David; Reed, Mary Jane; Rich, Preston; Rodriquez, Dario; Roxland, Beth E.; Sarani, Babak; Shah, Umair A.; Skippen, Peter; Sprung, Charles L.; Subbarao, Italo; Talmor, Daniel; Toner, Eric S.; Tosh, Pritish K.; Upperman, Jeffrey S.; Uyeki, Timothy M.; Weireter, Leonard J.; West, T. Eoin; Wilgis, John; Ornelas, Joe; McBride, Deborah; Reid, David; Baez, Amado; Baldisseri, Marie; Blumenstock, James S.; Cooper, Art; Ellender, Tim; Helminiak, Clare; Jimenez, Edgar; Krug, Steve; Lamana, Joe; Masur, Henry; Mathivha, L. Rudo; Osterholm, Michael T.; Reynolds, H. Neal; Sandrock, Christian; Sprecher, Armand; Tillyard, Andrew; White, Douglas; Wise, Robert; Yeskey, Kevin

    2014-01-01

    BACKGROUND: Despite the high risk for patient harm during unanticipated ICU evacuations, critical care providers receive little to no training on how to perform safe and effective ICU evacuations. We reviewed the pertinent published literature and offer suggestions for the critical care provider regarding ICU evacuation. The suggestions in this article are important for all who are involved in pandemics or disasters with multiple critically ill or injured patients, including front-line clinicians, hospital administrators, and public health or government officials. METHODS: The Evacuation and Mobilization topic panel used the American College of Chest Physicians (CHEST) Guidelines Oversight Committee’s methodology to develop seven key questions for which specific literature searches were conducted to identify studies upon which evidence-based recommendations could be made. No studies of sufficient quality were identified. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process. RESULTS: Based on current best evidence, we provide 13 suggestions outlining a systematic approach to prepare for and execute an effective ICU evacuation during a disaster. Interhospital and intrahospital collaboration and functional ICU communication are critical for success. Pre-event planning and preparation are required for a no-notice evacuation. A Critical Care Team Leader must be designated within the Hospital Incident Command System. A three-stage ICU Evacuation Timeline, including (1) no immediate threat, (2) evacuation threat, and (3) evacuation implementation, should be used. Detailed suggestions on ICU evacuation, including regional planning, evacuation drills, patient transport preparation and equipment, patient prioritization and distribution for evacuation, patient information and tracking, and federal and international evacuation assistance systems, are also provided. CONCLUSIONS: Successful ICU evacuation during a disaster requires

  9. Aeromedical Evacuation Contingency Planning

    DTIC Science & Technology

    1992-06-19

    S~ -(Unclassified Paper) . S~DTIC_ EECTE lmU~ JUL2 819921 i•I NAVAL WAR COLLEGE Newport, R.I. 3JUL AEROMEDICAL EVACUATION CONTINGENCY PLANNING by...ACCESSION INO. I𔃻. TITLE (kKInd Security ClOSSificAtICIA AEROMEDICAL EVACUATION CONTINGENCY PLANNING ( ) 12. PERSONAL AUTHOR(S) Schwartz, Rudolh Carl, Jr...8217 are obsolete U.G eawnP൓ ofW 118401 0102-LF-014-6602 Abstract of AEROMEDICAL EVACUATION CONTINGENCY PLANNING Aeromedical evacuation is an element of

  10. Risk and Resilience in Deployed Air Force Medical Personnel Study

    DTIC Science & Technology

    2011-09-15

    understand how different types and levels of stress exposure relate to positive and negative mental health outcomes among military medical personnel, the...associations between combat and healthcare stress exposure and posttraumatic growth and posttraumatic stress disorder (PTSD) were examined among 253...Air Force medical personnel recently redeployed from Iraq. Both types of stress exposure were uniquely associated with increased PTSD symptomatology

  11. The impact of the San Diego wildfires on a general mental health population residing in evacuation areas.

    PubMed

    Tally, Steven; Levack, Ashley; Sarkin, Andrew J; Gilmer, Todd; Groessl, Erik J

    2013-09-01

    San Diego County Mental Health system clients completed a questionnaire after the October 2007 wildfires. As compared to those not in an evacuation area, those residing in an evacuation area reported significantly more impact of the fires. Clients who evacuated were most affected, followed by those in an evacuation area who did not evacuate. Evacuation strongly impacted client-reported emotional effects of the fire, confusion about whether to evacuate, and ability to obtain medications. Gender and clinical diagnosis interacted with evacuation status for some fire impact variables. Loss of control and disruption of routine are discussed as possibly related factors.

  12. Mass Casualty Incident Response and Aeromedical Evacuation in Antarctica

    PubMed Central

    Mills, Christopher N.; Mills, Gregory H.

    2011-01-01

    Antarctica is one of the most remote regions on Earth. Mass casualty incident (MCI) responses in Antarctica are prone to complications from multiple environmental and operational challenges. This review of the current status of MCI risks and response strategies for Antarctica focuses on aeromedical evacuation, a critical component of many possible MCI scenarios. Extreme cold and weather, a lack of medical resources and a multitude of disparate international bases all exert unique demands on MCI response planning. Increasing cruise ship traffic is also escalating the risk of MCI occurrence. To be successful, MCI response must be well coordinated and undertaken by trained rescuers, especially in the setting of Antarctica. Helicopter rescue or aeromedical evacuation of victims to off-continent facilities may be necessary. Currently, military forces have the greatest capacity for mass air evacuation. Specific risks that are likely to occur include structure collapses, vehicle incapacitations, vehicle crashes and fires. All of these events pose concomitant risks of hypothermia among both victims and rescuers. Antarctica’s unique environment requires flexible yet robust MCI response planning among the many entities in operation on the continent. PMID:21691470

  13. Personal experience of aeromedical evacuation of patients in the Balkans.

    PubMed

    Harper, Phil

    Nurses in the Princess Mary's Royal Air Force Nursing Service (PMRAFNS) undertake a variety of different roles in providing nursing care to Armed Forces personnel wherever they may serve. One such role is the evacuation by air of sick or injured personnel. This article discusses the experience of a nurse lecturer in the PMRANS who undertook the role of aeromedical evacuation liaison officer in the Balkans for a 4-month period during winter. The role is described and details of how the aeromedical evacuation of patients was organized is presented. The benefits of evacuating patients by air are discussed along with some of the potential problems that were encountered in the Balkans, including logistical problems and the vagaries of the weather. Finally, several examples of the types of patients evacuated are presented.

  14. 78 FR 10608 - David Grant United States Air Force Medical Center Specialty Care Travel Reimbursement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... of the Secretary David Grant United States Air Force Medical Center Specialty Care Travel... States Air Force Medical Center Specialty Care Travel Reimbursement Demonstration Project. This... MTF, and sustain readiness-related medical skills activities for the military providers....

  15. Intraosseous access in trauma by air medical retrieval teams.

    PubMed

    Sheils, Mark; Ross, Mark; Eatough, Noel; Caputo, Nicholas D

    2014-01-01

    Trauma accounts for a significant portion of overall mortality globally. Hemorrhage is the second major cause of mortality in the prehospital environment. Air medical retrieval services throughout the world have been developed to help improve the outcomes of patients suffering from a broad range of medical conditions, including trauma. These services often utilize intraosseous (IO) devices as an alternative means for access of both medically ill and traumatically injured patients in austere environments. However, studies have suggested that IO access cannot reach acceptable rates for massive transfusion. We review the subject to find the answer of whether IO access should be performed by air medical teams in the prehospital setting, or would central venous (CVC) access be more appropriate? We decided to assess the literature for capacity of IO access to meet resuscitation requirements in the prehospital management of trauma. We also decided to compare the insertion and complication characteristics of IO and CVC access.

  16. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes. When veterans are evacuated from a community nursing home as the result of an emergency, they may be...

  17. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes. When veterans are evacuated from a community nursing home as the result of an emergency, they may be...

  18. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes. When veterans are evacuated from a community nursing home as the result of an emergency, they may be...

  19. Aeromedical evacuation in the "Luftwaffe" from its origins until 1945.

    PubMed

    Harsch, Viktor

    2006-01-01

    Prior to WWII, Germany had little experience in aeromedical evacuation (AE) of the sick and wounded. The need for a specialized AE organization was recognized, organized, and used extensively on all fronts during WWII. Nearly 2.5 million casualties were transported by regular troop carriers and 11 specialized AE Units, which concentrated on the intensive care air transport of the seriously wounded, especially those with injuries of the brain, eyes, or jaw, thoracic or abdominal wounds, or gun-shot fractures. The AE Units were commanded by medical officers, most of whom were pilot-physicians, who had command jurisdiction over flying and line personnel as well as medical service personnel. The AE Units were equipped with both Junkers Ju-52s, which could carry up to 12 litter patients plus 3 to 5 ambulatory patients each, and with Fieseler Fi -156s (STOL "Stork" for 1 or 2 litter patients), ambulances, as well as the personnel needed for operating and maintaining the vehicles and materiel. The AE Units of the Luftwaffe--the Sanitaetsflugbereitschaften--made an outstanding contribution to military medical care in achieving this significant number of casualties evacuated under the humanitarian symbol of the Red Cross.

  20. [Papers Presented at the American Medical Association's Air Pollution Medical Research Conference (New Orleans, Louisiana, October 5-7, 1970).

    ERIC Educational Resources Information Center

    American Medical Association, Chicago, IL.

    This is a collection of twenty speeches presented at the American Medical Association's Air Pollution Medical Conference, October 5-7, 1970. Speeches included: Air Pollution Control: The Physician's Role; Air Pollution Problems in Nuclear Power Development; Airway Resistance and Collateral Ventilation; Asbestos Air Pollution in Urban Areas;…

  1. Factors Affecting Hurricane Evacuation Intentions.

    PubMed

    Lazo, Jeffrey K; Bostrom, Ann; Morss, Rebecca E; Demuth, Julie L; Lazrus, Heather

    2015-10-01

    Protective actions for hurricane threats are a function of the environmental and information context; individual and household characteristics, including cultural worldviews, past hurricane experiences, and risk perceptions; and motivations and barriers to actions. Using survey data from the Miami-Dade and Houston-Galveston areas, we regress individuals' stated evacuation intentions on these factors in two information conditions: (1) seeing a forecast that a hurricane will hit one's area, and (2) receiving an evacuation order. In both information conditions having an evacuation plan, wanting to keep one's family safe, and viewing one's home as vulnerable to wind damage predict increased evacuation intentions. Some predictors of evacuation intentions differ between locations; for example, Florida respondents with more egalitarian worldviews are more likely to evacuate under both information conditions, and Florida respondents with more individualist worldviews are less likely to evacuate under an evacuation order, but worldview was not significantly associated with evacuation intention for Texas respondents. Differences by information condition also emerge, including: (1) evacuation intentions decrease with age in the evacuation order condition but increase with age in the saw forecast condition, and (2) evacuation intention in the evacuation order condition increases among those who rely on public sources of information on hurricane threats, whereas in the saw forecast condition evacuation intention increases among those who rely on personal sources. Results reinforce the value of focusing hurricane information efforts on evacuation plans and residential vulnerability and suggest avenues for future research on how hurricane contexts shape decision making.

  2. Urgent Aeromedical Evacuation Network Capacity Planning

    DTIC Science & Technology

    2013-03-01

    acupuncture inflight for pain management of which posted positive results (Walter, York, Thati, Niemtzow, & Burns, 2012). A recent study focused on...R., & Burns, S. (2012). The feasibility of integrating ear acupuncture into the aeromedical evacuation system from Ramstein Air Base (Germany) to

  3. Evacuation Priorities in Mass Casualty Terror-Related Events

    PubMed Central

    Einav, Sharon; Feigenberg, Zvi; Weissman, Charles; Zaichik, Daniel; Caspi, Guy; Kotler, Doron; Freund, Herbert R.

    2004-01-01

    Objective: To assess evacuation priorities during terror-related mass casualty incidents (MCIs) and their implications for hospital organization/contingency planning. Summary Background Data: Trauma guidelines recommend evacuation of critically injured patients to Level I trauma centers. The recent MCIs in Israel offered an opportunity to study the impositions placed on a prehospital emergency medical service (EMS) regarding evacuation priorities in these circumstances. Methods: A retrospective analysis of medical evacuations from MCIs (29.9.2000–31.9.2002) performed by the Israeli National EMS rescue teams. Results: Thirty-three MCIs yielded data on 1156 casualties. Only 57% (506) of the 1123 available and mobilized ambulances were needed to provide 612 evacuations. Rescue teams arrived on scene within <5 minutes and evacuated the last urgent casualty within 15–20 minutes. The majority of non-urgent and urgent patients were transported to medical centers close to the event. Less than half of the urgent casualties were evacuated to more distant trauma centers. Independent variables predicting evacuation to a trauma center were its being the hospital closest to the event (OR 249.2, P < 0.001), evacuation within <10 minutes of the event (OR 9.3, P = 0.003), and having an urgent patient on the ambulance (OR 5.6, P < 0.001). Conclusions: Hospitals nearby terror-induced MCIs play a major role in trauma patient care. Thus, all hospitals should be included in contingency plans for MCIs. Further research into the implications of evacuation of the most severely injured casualties to the nearest hospital while evacuating all other casualties to various hospitals in the area is needed. The challenges posed by terror-induced MCIs require consideration of a paradigm shift in trauma care. PMID:15075645

  4. The Economics of Air Force Medical Service Readiness

    DTIC Science & Technology

    2010-01-01

    50 Effects of Converting Inpatient Facilities to Stand -Alone Clinics...for Air Force Medical Service Stand -Alone Clinics in CONUS...Force bases were closed after the end of the Cold War) and to the conversion of many hospitals into stand -alone clinics or ASCs. The reasons for

  5. Prioritization strategies for patient evacuations.

    PubMed

    Childers, Ashley Kay; Mayorga, Maria E; Taaffe, Kevin M

    2014-03-01

    Evacuation from a health care facility is considered last resort, and in the event of a complete evacuation, a standard planning assumption is that all patients will be evacuated. A literature review of the suggested prioritization strategies for evacuation planning-as well as the transportation priorities used in actual facility evacuations-shows a lack of consensus about whether critical or non-critical care patients should be transferred first. In addition, it is implied that these policies are "greedy" in that one patient group is given priority, and patients from that group are chosen to be completely evacuated before any patients are evacuated from the other group. The purpose of this paper is to present a dynamic programming model for emergency patient evacuations and show that a greedy, "all-or-nothing" policy is not always optimal as well as discuss insights of the resulting optimal prioritization strategies for unit- or floor-level evacuations.

  6. Disaster aeromedical evacuation.

    PubMed

    Lezama, Nicholas G; Riddles, Lawrence M; Pollan, William A; Profenna, Leonardo C

    2011-10-01

    Successful disaster aeromedical evacuation depends on applying the principles learned by moving patients since World War II, culminating in today's global patient movement system. This article describes the role of the Department of Defense patient movement system in providing defense support to civil authorities during the 2008 hurricane season and the international disaster response to the 2010 Haiti earthquake. Adapting and applying the principles of active partnerships, establishing patient movement requirements, patient preparation, and in-transit visibility have resulted in the successful aeromedical evacuation of over 1,600 patients since the federal response to Hurricane Katrina.

  7. Intra-community implications of implementing multiple tsunami-evacuation zones in Alameda, California

    USGS Publications Warehouse

    Peters, Jeff; Wood, Nathan J.; Wilson, Rick; Miller, Kevin

    2016-01-01

    Tsunami-evacuation planning in coastal communities is typically based on maximum evacuation zones for a single scenario or a composite of sources; however, this approach may over-evacuate a community and overly disrupt the local economy and strain emergency-service resources. To minimize the potential for future over-evacuations, multiple evacuation zones based on arrival time and inundation extent are being developed for California coastal communities. We use the coastal city of Alameda, California (USA), as a case study to explore population and evacuation implications associated with multiple tsunami-evacuation zones. We use geospatial analyses to estimate the number and type of people in each tsunami-evacuation zone and anisotropic pedestrian evacuation models to estimate pedestrian travel time out of each zone. Results demonstrate that there are tens of thousands of individuals in tsunami-evacuation zones on the two main islands of Alameda, but they will likely have sufficient time to evacuate before wave arrival. Quality of life could be impacted by the high number of government offices, schools, day-care centers, and medical offices in certain evacuation zones and by potentially high population density at one identified safe area after an evacuation. Multi-jurisdictional evacuation planning may be warranted, given that many at-risk individuals may need to evacuate to neighboring jurisdictions. The use of maximum evacuation zones for local tsunami sources may be warranted given the limited amount of available time to confidently recommend smaller zones which would result in fewer evacuees; however, this approach may also result in over-evacuation and the incorrect perception that successful evacuations are unlikely.

  8. Emergency medical kit for commercial airlines. Air Transport Medicine Committee, Aerospace Medical Association.

    PubMed

    Thibeault, C

    1998-11-01

    While it has been of general interest for a long time, the issue of a Medical Kit for Commercial Airlines is now close to the top of the priority list because of recent activities in Europe within the Joint Aviation Authorities (JAA) and in the United States at the Congressional Level. The Aerospace Medical Association (AsMA) requested its Air Transport Medicine Committee to review the situation and make recommendations for a basic medical kit for international airlines. After reviewing the contents of existing kits, and the limited amount of available data, a proposal was submitted to and accepted by the AsMA Council. This is just a beginning. The Air Transport Medicine Committee will continue to follow the evolution and periodically adapt the kit accordingly.

  9. [New possibilities in emergency medical transportation and emergency services of Polish Medical Air Rescue].

    PubMed

    Gałazkowski, Robert

    2010-01-01

    In Poland, two types of medical services are accomplished by the Medical Air Rescue (MAR) operating all over the country: emergency transport from the incident scene to hospital and inter-hospital transport. Helicopters or planes are used for this purpose. In 2009, helicopters performed 4359 flights to incidents and 1537 inter-hospital transports whereas planes performed 589 inter-hospital ambulance and 196 rescue flights. MAR operates from 17 bases of the Helicopter Emergency Medical Service (HEMS) and one airbase. Helicopters are mainly used when medical transport is emergent, within the operational region of a given base whereas planes when the distance between the present and target airports exceeds 250 km. In 2008, new modern aircraft were introduced to HEMS-helicopters EC 135. They fulfil all requirements of air transport regulations and are adjusted to visual (VFR) and instrumental (IFR) flights rules, at day and night. The medical cabin of EC 135 is ergonomic and functional considering the majority of rescue activities under life-saving circumstances. It is equipped with ventilator, defibrillator, infusion pumps etc. Defibrillators have 12-lead ECG, E(T)CO2, SpO2, NIBP, and IBP modules. Transport ventilators can work in a variety of ventilation modes including CMV, SIMV, SVV, BILEVEL, PCV, ASB, PPV and CPAP. The purchase of helicopters with modern avionic and medical configuration ensures high quality services of MAR for many years to come.

  10. Modeling Evacuation of a Hospital without Electric Power.

    PubMed

    Vugrin, Eric D; Verzi, Stephen J; Finley, Patrick D; Turnquist, Mark A; Griffin, Anne R; Ricci, Karen A; Wyte-Lake, Tamar

    2015-06-01

    Hospital evacuations that occur during, or as a result of, infrastructure outages are complicated and demanding. Loss of infrastructure services can initiate a chain of events with corresponding management challenges. This report describes a modeling case study of the 2001 evacuation of the Memorial Hermann Hospital in Houston, Texas (USA). The study uses a model designed to track such cascading events following loss of infrastructure services and to identify the staff, resources, and operational adaptations required to sustain patient care and/or conduct an evacuation. The model is based on the assumption that a hospital's primary mission is to provide necessary medical care to all of its patients, even when critical infrastructure services to the hospital and surrounding areas are disrupted. Model logic evaluates the hospital's ability to provide an adequate level of care for all of its patients throughout a period of disruption. If hospital resources are insufficient to provide such care, the model recommends an evacuation. Model features also provide information to support evacuation and resource allocation decisions for optimizing care over the entire population of patients. This report documents the application of the model to a scenario designed to resemble the 2001 evacuation of the Memorial Hermann Hospital, demonstrating the model's ability to recreate the timeline of an actual evacuation. The model is also applied to scenarios demonstrating how its output can inform evacuation planning activities and timing.

  11. The Economics of Air Force Medical Service Readiness.

    PubMed

    Graser, John C; Blum, Daniel; Brancato, Kevin; Burks, James J; Chan, Edward W; Nicosia, Nancy; Neumann, Michael J; Ritschard, Hans V; Mundell, Benjamin F

    2012-01-01

    The prime mission of the Air Force Medical Service (AFMS), like those of the medical departments of its sister services, is to provide medical care during wartime. AFMS currently runs three successful in-theater hospitals that treat severely injured or wounded U.S. personnel from all four services. But this wartime mission depends on capabilities built at home, as critical-care specialists maintain their technical proficiency, as much as peacetime opportunities allow, by meeting health-care needs of Department of Defense beneficiaries at home. These patients have ranged from young, healthy active-duty personnel to aging retirees, historically presenting a broad range of injuries and illnesses for treatment. However, between the demands of deployments creating gaps in staff at home and changes in care plans, some beneficiaries now seek care in the civilian sector. In addition, several AFMS hospitals stateside have been closed, converted to clinics, or combined with those of other services for various reasons. All is problematic for two reasons: First, inpatient workloads in particular represent the best opportunities for critical care providers to prepare for their wartime missions. AFMS will need to increase these opportunities, perhaps working with other services, the Department of Veterans Affairs, or civilian hospitals. Second, AFMS's funding depends, in part, on the workload performed, but current measurement methods do not necessarily do a good job of accounting for the work AFMS practitioners accomplish outside their home stations. Some imminent changes may help resolve this situation, but AFMS should pursue opportunities to create additional workload for its medical personnel and to increase its budgets.

  12. Rapid health assessments of evacuation centres in areas affected by Typhoon Haiyan

    PubMed Central

    de los Reyes, Vikki Carr; Sucaldito, Ma Nemia; Tayag, Enrique

    2015-01-01

    Introduction Typhoon Haiyan caused thousands of deaths and catastrophic destruction, leaving many homeless in Region 8 of the Philippines. A team from the Philippine Field Epidemiology Training Program conducted a rapid health assessment survey of evacuation centres severely affected by Haiyan. Methods A descriptive study was conducted whereby a convenience sample of evacuation centres were assessed on the number of toilets per evacuee, sanitation, drinking-water, food supply source and medical services. Results Of the 20 evacuation centres assessed, none had a designated manager. Most were located in schools (70%) with the estimated number of evacuees ranging from 15 to 5000 per centre. Only four (20%) met the World Health Organization standard for number of toilets per evacuee; none of the large evacuation centres had even half the recommended number of toilets. All of the evacuation centres had available drinking-water. None of the evacuation centres had garbage collection, vector control activities or standby medical teams. Fourteen (70%) evacuation centres had onsite vaccination activities for measles, tetanus and polio virus. Many evacuation centres were overcrowded. Conclusion Evacuation centres are needed in almost every disaster. They should be safely located and equipped with the required amenities. In disaster-prone areas such as the Philippines, schools and community centres should not be designated as evacuation centres unless they are equipped with adequate sanitation services. PMID:26767134

  13. Evacuation of a mental health center during a forest fire in Israel.

    PubMed

    Kreinin, Anatoly; Shakera, Tatiana; Sheinkman, Ayala; Levi, Tamar; Tal, Vered; Polakiewicz, Jacob

    2014-08-01

    Tirat Carmel Mental Health Center was successfully evacuated in December 2010 during a ravaging forest fire in the nearby Carmel Mountains. A total of 228 patients were successfully evacuated from the center within 45 minutes. No fatalities or injuries associated with the evacuation occurred. We believe that the efficient functioning of the administrative and medical staff provides a replicable model that can contribute to the level of awareness and readiness of hospital staff members for natural and manmade disasters.

  14. An Air MEDEVAC Asset Dispatching and Prioritized Casualty Transporting Model for Military Medical Evacuation Systems with Distinguishable Medical Treatment Facilities and Errors in Triage

    DTIC Science & Technology

    2014-02-13

    allows for batch arrival of casualties to the system. The MDP is solved with a value iteration algorithm. The optimal policy is compared to three...casualties to the system. The MDP is solved with a value iteration algorithm. The optimal policy is compared to three heuristic casualty transport policies...transport decisions are interrelated and more accurate information is collected at the scene. This paper formulates a Markov decision process ( MDP

  15. [Medical research in the US Armed Forces. (Report 5). The US Air Force and Coast Guard].

    PubMed

    Agapitov, A A; Aleĭnikov, S I; Bolekhan, V N; Ivchenko, E V; Krassiĭ, A B; Nagibovich, O A; Petrov, S V; Rezvantsev, M V; Soldatov, E A; Shalakhin, R A; Sheppli, E V

    2013-02-01

    The present article is the last part of the review dedicated to organization and management of medical research in the US Armed Forces. The first through fourth parts were published in the previous issues of the journal. Specifically this article is dedicated to organization and management of medical research in the US Air Force and Coast Guard. It is shown that in the US Air Force the medical research is conducted in the Air Force Research Laboratory and in the US Coast Guard--in its Research and Development Center. The particular research programs conducted in the above mentioned units are discussed.

  16. Transportation Networks for Emergency Evacuations

    SciTech Connect

    Franzese, Oscar; Liu, Cheng

    2008-01-01

    Evacuation modeling systems (EMS) have been developed to facilitate the planning, analysis, and deployment of emergency evacuation of populations at risk. For any EMS, data such as road network maps, traffic control characteristics, and population distribution play critical roles in delineating emergency zones, estimating population at risk, and determining evacuation routes. There are situations in which it is possible to plan in advance for an emergency evacuation including, for example, an explosion at a chemical processing facility or a radiological accident at a nuclear plant. In these cases, if an accident or a terrorist attack were to happen, then the best evacuation plan for the prevailing network and weather conditions would be deployed. In other instances -for example, the derailment of a train transporting hazardous materials-, there may not be any previously developed plan to be implemented and decisions must be made ad-hoc on if and how to identify and proceed with the best course of action to minimize losses. Although both cases require as a starting point the development of a transportation network model of the area at risk, which must include road capacity and topology, in the latter the available time to generate this network is extremely limited. This time constraint precludes the use of any traditional data gathering methodology and the network generation process has to rely on the use of GIS and stochastic modeling techniques. The generation of these transportation networks in real time is the focus of this entry.

  17. Mortality Risk amongst Nursing Home Residents Evacuated after the Fukushima Nuclear Accident: A Retrospective Cohort Study

    PubMed Central

    Nomura, Shuhei; Gilmour, Stuart; Tsubokura, Masaharu; Yoneoka, Daisuke; Sugimoto, Amina; Oikawa, Tomoyoshi; Kami, Masahiro; Shibuya, Kenji

    2013-01-01

    Background Safety of evacuation is of paramount importance in disaster planning for elderly people; however, little effort has been made to investigate evacuation-related mortality risks. After the Fukushima Daiichi Nuclear Plant accident we conducted a retrospective cohort survival survey of elderly evacuees. Methods A total of 715 residents admitted to five nursing homes in Minamisoma city, Fukushima Prefecture in the five years before 11th March 2011 joined this retrospective cohort study. Demographic and clinical characteristics were drawn from facility medical records. Evacuation histories were tracked until the end of 2011. The evacuation's impact on mortality was assessed using mortality incidence density and hazard ratios in Cox proportional hazards regression. Results Overall relative mortality risk before and after the earthquake was 2.68 (95% CI: 2.04–3.49). There was a substantial variation in mortality risks across the facilities ranging from 0.77 (95% CI: 0.34–1.76) to 2.88 (95% CI: 1.74–4.76). No meaningful influence of evacuation distance on mortality was observed although the first evacuation from the original facility caused significantly higher mortality than subsequent evacuations, with a hazard ratio of 1.94 (95% CI: 1.07–3.49). Conclusion High mortality, due to initial evacuation, suggests that evacuation of the elderly was not the best life-saving strategy for the Fukushima nuclear disaster. Careful consideration of the relative risks of radiation exposure and the risks and benefits of evacuation is essential. Facility-specific disaster response strategies, including in-site relief and care, may have a strong influence on survival. Where evacuation is necessary, careful planning and coordination with other nursing homes, evacuation sites and government disaster agencies is essential to reduce the risk of mortality. PMID:23555921

  18. Pedestrian evacuation at the subway station under fire

    NASA Astrophysics Data System (ADS)

    Xiao-Xia, Yang; Hai-Rong, Dong; Xiu-Ming, Yao; Xu-Bin, Sun

    2016-04-01

    With the development of urban rail transit, ensuring the safe evacuation of pedestrians at subway stations has become an important issue in the case of an emergency such as a fire. This paper chooses the platform of line 4 at the Beijing Xuanwumen subway station to study the emergency evacuation process under fire. Based on the established platform, effects of the fire dynamics, different initial pedestrian densities, and positions of fire on evacuation are investigated. According to simulation results, it is found that the fire increases the air temperature and the smoke density, and decreases pedestrians’ visibility and walking velocity. Also, there is a critical initial density at the platform if achieving a safe evacuation within the required 6 minutes. Furthermore, different positions of fire set in this paper have little difference on crowd evacuation if the fire is not large enough. The suggestions provided in this paper are helpful for the subway operators to prevent major casualties. Project supported by the National Natural Science Foundation of China (Grant Nos. 61322307 and 61233001).

  19. Successful Hospital Evacuation After the Kumamoto Earthquakes, Japan, 2016.

    PubMed

    Nagata, Takashi; Himeno, Shinkichi; Himeno, Akihiro; Hasegawa, Manabu; Lefor, Alan Kawarai; Hashizume, Makoto; Maehara, Yoshihiko; Ishii, Masami

    2017-02-22

    Two major earthquakes struck Kumamoto Prefecture in Japan in April 2016. Disaster response was immediately provided, including disaster medical services. Many hospitals were damaged and patients needed immediate evacuation to alternative facilities. The hospital bed capacity of Kumamoto Prefecture was overwhelmed, and transportation of more than 100 patients was needed. Hospital evacuation was carried out smoothly with the coordinated efforts of multiple agencies. The overall operation was deemed a success because patients were transported in a timely manner without any significant adverse events. Upon repair of facilities in Kumamoto Prefecture, patients were returned safely to their previous facilities. The management of inpatients after this natural disaster in Kumamoto Prefecture can serve as a model for hospital evacuation with multi-agency coordination in the future. Future efforts are needed to improve interfacility communications immediately following a natural disaster. (Disaster Med Public Health Preparedness. 2017;0:1-5).

  20. Study of Tranexamic Acid During Air Medical Prehospital Transport Trial (STAAMP trial)

    DTIC Science & Technology

    2015-10-01

    AWARD NUMBER: W81XWH-13-2-0080 TITLE: Study of Tranexamic Acid During Air Medical Prehospital Transport Trial (STAAMP trial) PRINCIPAL INVESTIGATOR...TITLE AND SUBTITLE 5a. CONTRACT NUMBER Study of Tranexamic Acid During Air Medical Prehospital Transport Trial (STAAMP trial) 5b. GRANT NUMBER W81XWH...IRB approval regarding changes to the protocol language. 15. SUBJECT TERMS Prehospital; Tranexamic acid 16. SECURITY CLASSIFICATION OF: 17. LIMITATION

  1. Solid evacuated microspheres of hydrogen

    DOEpatents

    Turnbull, Robert J.; Foster, Christopher A.; Hendricks, Charles D.

    1982-01-01

    A method is provided for producing solid, evacuated microspheres comprised of hydrogen. The spheres are produced by forming a jet of liquid hydrogen and exciting mechanical waves on the jet of appropriate frequency so that the jet breaks up into drops with a bubble formed in each drop by cavitation. The drops are exposed to a pressure less than the vapor pressure of the liquid hydrogen so that the bubble which is formed within each drop expands. The drops which contain bubbles are exposed to an environment having a pressure just below the triple point of liquid hydrogen and they thereby freeze giving solid, evacuated spheres of hydrogen.

  2. Managing Field Evacuations.

    ERIC Educational Resources Information Center

    Satz, Jay A.; McEvoy, David; Merrill, Kurt

    In the event of a debilitating injury or illness, outdoor leaders should consider four critical phases in successfully managing backcountry field evaluations. The first phase, managing the immediate scene, involves assuring scene safety, medical care of the patient, instituting the emergency response plan, and providing for the needs of uninjured…

  3. Central Dental Evacuation Systems.

    DTIC Science & Technology

    1982-05-01

    contact water or effluent in normal opera- tion shall be constructed of noncorrosive materials. Pump impellers or rotors shall be balanced . Each rotor ...large volumes of air at low to medium vacuum pressure. A turboexhauster is basically a multistage centrifugal pump with rotors , or impellers, mounted...cross section of this device is illustrated in Figure 3. Like the turboexhauster, the only moving part is the shaft/ rotor assembly. This pump may be a

  4. 14 CFR 25.803 - Emergency evacuation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... evacuation. (a) Each crew and passenger area must have emergency means to allow rapid evacuation in crash... unless the Administrator finds that a combination of analysis and testing will provide data equivalent...

  5. The Eighth Annual Air Pollution Medical Research Conference, Los Angeles, March 2-4, 1966.

    ERIC Educational Resources Information Center

    Archives of Environmental Health, 1967

    1967-01-01

    Papers read before the Eighth Annual American Medical Association Air Pollution Medical Research Conference, Los Angeles, California, March 2-4, 1966, are presented in this document. Topics deal with basic approaches to the study of the effects of inhaled irritants on the lung; environmental parameters in relation to host responses; biological…

  6. Optimal nonimaging integrated evacuated solar collector

    NASA Astrophysics Data System (ADS)

    Garrison, John D.; Duff, W. S.; O'Gallagher, Joseph J.; Winston, Roland

    1993-11-01

    A non imaging integrated evacuated solar collector for solar thermal energy collection is discussed which has the lower portion of the tubular glass vacuum enveloped shaped and inside surface mirrored to optimally concentrate sunlight onto an absorber tube in the vacuum. This design uses vacuum to eliminate heat loss from the absorber surface by conduction and convection of air, soda lime glass for the vacuum envelope material to lower cost, optimal non imaging concentration integrated with the glass vacuum envelope to lower cost and improve solar energy collection, and a selective absorber for the absorbing surface which has high absorptance and low emittance to lower heat loss by radiation and improve energy collection efficiency. This leads to a very low heat loss collector with high optical collection efficiency, which can operate at temperatures up to the order of 250 degree(s)C with good efficiency while being lower in cost than current evacuated solar collectors. Cost estimates are presented which indicate a cost for this solar collector system which can be competitive with the cost of fossil fuel heat energy sources when the collector system is produced in sufficient volume. Non imaging concentration, which reduces cost while improving performance, and which allows efficient solar energy collection without tracking the sun, is a key element in this solar collector design.

  7. Disaster Manual: Emergency, Evacuation, Recovery.

    ERIC Educational Resources Information Center

    Koplowitz, Brad; And Others

    This manual outlines the responsibilities of the director of the Oklahoma Department of Libraries in the event of a disaster as well as the functions of the emergency recovery team (ERT) in the coordination of recovery, and emergency action steps to be taken. The evacuation and emergency plan provided for the Allen Wright Memorial Library Building…

  8. Hospital mutual aid evacuation plan.

    PubMed

    Phillips, R

    1997-02-01

    Health care facilities need to be prepared for disasters such as floods, tornadoes and earthquakes. Rochester, NY, and its surrounding communities devised a hospital mutual aid evacuation plan in the event a disaster occurs and also to comply with the Joint Commission. This document discusses the plan's development process and also provides the end result.

  9. Emergency medical support units to critical care transport teams in Iraq.

    PubMed

    Collins, Sean T

    2008-03-01

    Early in the author's deployment in the United States Air Force to southern Iraq, his unit was exposed to the first of many mass casualties sent to his Expeditionary Medical Support System unit. Within minutes of the injured military members' arrival, the four-bed evaluation station was transformed into an open bay trauma room where patients were treated and supported until they could be evacuated to more definitive care. Patients were transitioned with awe-inspiring speed and professionalism to Critical Care Air Transport teams for care during aeromedical evacuation. The lessons learned from the frequency of these events are valuable to any similar transport case with critically ill and injured patients.

  10. [The main ways of improvement of medical support of the Air Forces in modern conditions].

    PubMed

    Blaginin, A A; Grebeniuk, A N; Lizogub, I N

    2014-02-01

    Blaginin A.A., Grebenyuk A.N., Lizogub LN. - The main ways of improvement of medical support of the Air Forces in modern conditions. Aircrew conducting active hostilities suffers from the whole spectrum of factors and conditions of the combat situation. The main task for the medical service of the Air Force is to carry out preventive and curative action for aviation specialists who are responsible for the combat capability of aircraft formations. The medical service of the Air Force must have forces and facilities for planning, organization and implementation of the treatment of lightly wounded and sick aviation professionals with short periods of recovery, medical rehabilitation of aircrew qfter suffering injuries, diseases, sanatorium therapy of aircrew with partial failure of health, outpatient and inpatient medical examination aircrew - flight commissions, preventive rest of aviation specialists with symptoms of chronic fatigue. Should be trained aviation physicians, including both basic military medical education and in-depth study of the medical aspects of various fields of personnel of the Air Force.

  11. Exposure to Environmental Air Manganese and Medication Use

    EPA Science Inventory

    Manganese (Mn) is an essential element with natural low levels found in water, food, and air, but due to industrialized processes, both workplace and the environmental exposures to Mn have increased. Recently, environmental studies have reported physical and mental health problem...

  12. How Should Air Force Expeditionary Medical Capabilities Be Expressed

    DTIC Science & Technology

    2009-01-01

    be during a DSCA mission, it may be set up outside or near a major hospital, medical shelter, or palliative care unit. In these situations, patient...aircraft. Third, patients may be transferred to a palliative care facility. Patients who are expectant, for whom the decision has been made that no...further definitive care will be given, may be transferred to a setting where palliative care may be provided to give comfort and ease pain. The

  13. Evacuation of a neonatal intensive care unit in a disaster: lessons from Hurricane Sandy.

    PubMed

    Espiritu, Michael; Patil, Uday; Cruz, Hannaise; Gupta, Arpit; Matterson, Heideh; Kim, Yang; Caprio, Martha; Mally, Pradeep

    2014-12-01

    NICU patients are among those potentially most vulnerable to the effects of natural or man-made disaster on a medical center. The published data on evacuations of NICU patients in the setting of disaster are sparse. In October of 2012, New York University Langone Medical Center was evacuated during Hurricane Sandy in the setting of a power outage secondary to a coastal surge. In this setting, 21 neonates were safely evacuated from the medical center's NICU to receiving hospitals within New York City in a span of 4.5 hours. Using data recorded during the evacuation and from staff debriefings, we describe the challenges faced and lessons learned during both the power outage and vertical evacuation. From our experience, we identify several elements that are important to the functioning of an NICU in a disaster or to an evacuation that may be incorporated into future NICU-focused disaster planning. These include a clear command structure, backups (personnel, communication, medical information, and equipment), establishing situational awareness, regional coordination, and flexibility as well as special attention to families and to the availability of neonatal transport resources.

  14. An Analysis of the Populations of the Air Force's Medical and Professional Officer Corps.

    PubMed

    Keating, Edward G; Massey, Hugh G; Mele, Judith D; Mundell, Benjamin F

    2012-01-01

    Since the advent of the all-volunteer force, one of the foremost personnel challenges of the U.S. Air Force has been recruiting and retaining an adequate number of medical and professional officers in the Air Force's seven medical and professional officer corps: the Biomedical Sciences Corps (BSC), the Chaplain Corps, the Dental Corps, the Judge Advocate General (JAG) Corps (attorneys), the Medical Corps (physicians), the Medical Service Corps (MSC), and the Nurse Corps. For each of these corps, there are highly similar jobs in the private sector, so attracting and retaining these corps' officers is a constant challenge. This article analyzes all seven Air Force medical and professional officer corps and their relative statuses with regard to end strengths, accession levels, promotion flow, and attrition since the late 1970s. The authors find that recent accession and retention trends have been most adverse in the Air Force's Nurse Corps, while the MSC and the JAG Corps appear to have the most stable populations.

  15. Medication use modifies the health effects of particulate sulfate air pollution in children with asthma.

    PubMed Central

    Peters, A; Dockery, D W; Heinrich, J; Wichmann, H E

    1997-01-01

    Previous controlled studies have indicated that asthma medication modifies the adverse effects of sulfur dioxide (SO2) on lung function and asthma symptoms. The present report analyzed the role of medication use in a panel study of children with mild asthma. Children from Sokolov (n = 82) recorded daily peak expiratory flow (PEF) measurements, symptoms, and medication use in a diary. Linear and logistic regression analyses estimated the impact of concentrations of sulfate particles with diameters less than 2.5 microns, adjusting for linear trend, mean temperature, weekend (versus weekday), and prevalence of fever in the sample. Fifty-one children took no asthma medication, and only 31 were current medication users. Most children were treated with theophylline; only nine used sprays containing beta-agonist. For the nonmedicated children, weak associations between a 5-day mean of sulfates and respiratory symptoms were observed. Medicated children, in contrast, increased their beta-agonist use in direct association with an increase in 5-day mean of sulfates, but medication use did not prevent decreases in PEF and increases in the prevalence of cough attributable to particulate air pollution. Medication use was not a confounder but attenuated the associations between particulate air pollution and health outcomes. Images Figure 1. Figure 1. Figure 2. A Figure 2. B PMID:9189709

  16. The Current Practices in Injury Prevention and Safety Helmet Use in an Air Force Medical Center

    DTIC Science & Technology

    2000-05-01

    Clinic at Malcom Grow Medical Center, Andrews Air Force Base, Maryland. Preventive counseling Preventing the occurrence of both mental and physical ...of their care. The primary care provider assumes ongoing responsibility for health maintenance and therapy for illness, including consultation with...PA) or a Medical Doctor (M.D.). Doctor of Osteopathy (D.O.), or Registered Nurse (R.N.). Safety helmet For the purpose of this study, the safety

  17. Air Force Aerospace Medicine Enterprise Ambulatory Medical Care Survey

    DTIC Science & Technology

    2014-03-01

    28.7%;), Visual Function Screening (161,054 procedures, 15.4%), Screening Test Pure Tone, Air Only (107,551 procedures, 10.3%) and Color Vision...28.82 10,882 25.98 13,479 24.77 14,068 24.93 16,157 27.51 19,221 32.25 18,140 28.24 20,321 27.13 19,994 26.02 Visual Function Screening 91,625 17.58...5,117 26.15 4,613 21.61 5,253 26.55 5,688 26.53 9,385 30.66 11,820 29.36 6,453 22.67 6,852 23.53 Visual Function Screening 37,927 16.10 685 5.97

  18. Traffic evacuation time under nonhomogeneous conditions.

    PubMed

    Fazio, Joseph; Shetkar, Rohan; Mathew, Tom V

    2015-09-22

    During many manmade and natural crises such as terrorist threats, floods, hazardous chemical and gas leaks, emergency personnel need to estimate the time in which people can evacuate from the affected urban area. Knowing an estimated evacuation time for a given crisis, emergency personnel can plan and prepare accordingly with the understanding that the actual evacuation time will take longer. Given the urban area to be evacuated, street widths exiting the area's perimeter, the area's population density, average vehicle occupancy, transport mode share and crawl speed, an estimation of traffic evacuation time can be derived. Peak-hour traffic data collected at three, midblock, Mumbai sites of varying geometric features and traffic composition were used in calibrating a model that estimates peak-hour traffic flow rates. Model validation revealed a correlation coefficient of +0.98 between observed and predicted peak-hour flow rates. A methodology is developed that estimates traffic evacuation time using the model.

  19. Evacuation decision-making: process and uncertainty

    SciTech Connect

    Mileti, D.; Sorensen, J.; Bogard, W.

    1985-09-01

    The purpose was to describe the processes of evacuation decision-making, identify and document uncertainties in that process and discuss implications for federal assumption of liability for precautionary evacuations at nuclear facilities under the Price-Anderson Act. Four major categories of uncertainty are identified concerning the interpretation of hazard, communication problems, perceived impacts of evacuation decisions and exogenous influences. Over 40 historical accounts are reviewed and cases of these uncertainties are documented. The major findings are that all levels of government, including federal agencies experience uncertainties in some evacuation situations. Second, private sector organizations are subject to uncertainties at a variety of decision points. Third, uncertainties documented in the historical record have provided the grounds for liability although few legal actions have ensued. Finally it is concluded that if liability for evacuations is assumed by the federal government, the concept of a ''precautionary'' evacuation is not useful in establishing criteria for that assumption. 55 refs., 1 fig., 4 tabs.

  20. Shuttle abort landing site emergency medical services

    NASA Technical Reports Server (NTRS)

    Mckenas, David K.; Jennings, Richard T.

    1991-01-01

    NASA and DOD studies of medical-planning and logistical problems are reviewed as applicable to providing emergency medical care at remote transoceanic abort landing (TAL) sites. Two options are analyzed including a modified surgical response team and a combination physician/medical technician team. The two concepts are examined in terms of cost-effectiveness, specific types of medical support such as blood procurement, and search-and-rescue requirements. It is found that the physician/technician team is more economically efficient, and the description of the concept permits the development of an effective TAL-site astronaut medical-support system. A balance is struck between the competing problems of cost and medical capability by planning for on-scene medical stabilization and air evacuation to DOD tertiary medical centers.

  1. Air Medical Evacuations of Soldiers for Oral-facial Disease and Injuries, Operations Enduring Freedom/Iraqi Freedom, January-December 2006

    DTIC Science & Technology

    2006-12-01

    COL Timothy A Mitchener, DC USA 5e. TASK NUMBER 6. AUTHOR( S ) 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES) 8...SPONSORING/MONITORING AGENCY NAME( S ) AND 10. SPONSOR/MONITOR’S ACRONYM( S ) ADDRESS(ES) 11. SPONSOR/MONITOR’S REPORT NUMBER( S ) 12. DISTRIBUTION/AVAILABILITY...NATO) Standardization Agreement (STANAG), 5th edition, coding scheme. (See P.J. Amoroso, G.S. Smith, and N.S. Bell : Qualitative assessment of cause

  2. Fetal evaluation for transport by ultrasound performed by air medical teams: A case series.

    PubMed

    Polk, James D; Merlino, James I; Kovach, Betty L; Mancuso, Charlene; Fallon, William F

    2004-01-01

    The air medical team has limited options when evaluating the obstetrical patient and assessing fetal health during air transport to a high-risk obstetrical unit. Traditionally, physical examination and a Doppler stethoscope have been used to determine fetal heart rates and movement. However, with the advent of portable ultrasound technology, new information about the mother and child are available to the air medical crew. The Fetal Evaluation for Transport with Ultrasound (FETUS) is a screening examination that consists of an evaluation of the fetal heart rate, position, and movement and general condition of the placenta. The examination can be repeated in flight with no acoustic distortion from rotor noise. The additional information can be advantageous when transport decisions need to be made or when conditions do not allow Doppler stethoscope use.

  3. Pedestrian Evacuation Analysis for Tsunami Hazards

    NASA Astrophysics Data System (ADS)

    Jones, J. M.; Ng, P.; Wood, N. J.

    2014-12-01

    Recent catastrophic tsunamis in the last decade, as well as the 50th anniversary of the 1964 Alaskan event, have heightened awareness of the threats these natural hazards present to large and increasing coastal populations. For communities located close to the earthquake epicenter that generated the tsunami, strong shaking may also cause significant infrastructure damage, impacting the road network and hampering evacuation. There may also be insufficient time between the earthquake and first wave arrival to rely on a coordinated evacuation, leaving at-risk populations to self-evacuate on foot and across the landscape. Emergency managers evaluating these coastal risks need tools to assess the evacuation potential of low-lying areas in order to discuss mitigation options, which may include vertical evacuation structures to provide local safe havens in vulnerable communities. The U.S. Geological Survey has developed the Pedestrian Evacuation Analyst software tool for use by researchers and emergency managers to assist in the assessment of a community's evacuation potential by modeling travel times across the landscape and producing both maps of travel times and charts of population counts with corresponding times. The tool uses an anisotropic (directionally dependent) least cost distance model to estimate evacuation potential and allows for the variation of travel speed to measure its effect on travel time. The effectiveness of vertical evacuation structures on evacuation time can also be evaluated and compared with metrics such as travel time maps showing each structure in place and graphs displaying the percentage change in population exposure for each structure against the baseline. Using the tool, travel time maps and at-risk population counts have been generated for some coastal communities of the U.S. Pacific Northwest and Alaska. The tool can also be used to provide valuable decision support for tsunami vertical evacuation siting.

  4. Aeromedical evacuation: remembering the past, bridging to the future.

    PubMed

    Howell, F J; Brannon, R H

    2000-06-01

    Operations Desert Shield/Desert Storm saw the largest mobilization of aeromedical evacuation (AE) assets since the Vietnam War. Ultimately, more than 1,950 AE personnel were deployed to support the medical airlift of personnel. With aircrews based at 17 locations in the region, at its peak the system could move up to 3,600 intratheater and 2,500 intertheater casualties per day. Fortunately, the demand for AE fell far short of predictions. During the period from August 12, 1990, to March 31, 1991, more than 12,500 patients were successfully airlifted using converted cargo aircraft, a concept originally validated in World War II. The authors describe the Operations Desert Shield/Desert Storm AE system and identify the efforts underway to construct a new aeromedical evacuation system capable of meeting the needs of the battlefield of the 21st century.

  5. Ultra-Scale Computing for Emergency Evacuation

    SciTech Connect

    Bhaduri, Budhendra L; Nutaro, James J; Liu, Cheng; Zacharia, Thomas

    2010-01-01

    Emergency evacuations are carried out in anticipation of a disaster such as hurricane landfall or flooding, and in response to a disaster that strikes without a warning. Existing emergency evacuation modeling and simulation tools are primarily designed for evacuation planning and are of limited value in operational support for real time evacuation management. In order to align with desktop computing, these models reduce the data and computational complexities through simple approximations and representations of real network conditions and traffic behaviors, which rarely represent real-world scenarios. With the emergence of high resolution physiographic, demographic, and socioeconomic data and supercomputing platforms, it is possible to develop micro-simulation based emergency evacuation models that can foster development of novel algorithms for human behavior and traffic assignments, and can simulate evacuation of millions of people over a large geographic area. However, such advances in evacuation modeling and simulations demand computational capacity beyond the desktop scales and can be supported by high performance computing platforms. This paper explores the motivation and feasibility of ultra-scale computing for increasing the speed of high resolution emergency evacuation simulations.

  6. Laboratory evaluation of 10 heat and moisture exchangers using simulated aeromedical evacuation conditions.

    PubMed

    Suliman, Huda S; Fecura, Stephen E; Baskin, Jonathan; Kalns, John E

    2011-06-01

    Heat and moisture exchangers (HMEs) are used for airway humidification in mechanically ventilated patients and have been evaluated only under hospital conditions. U.S. Air Force aeromedical evacuation transports are performed under rugged conditions further complicated by the cold and dry environment in military aircrafts, and HMEs are used to provide airway humidification for patients. This study evaluated 10 commercial HMEs using a test system that simulated aeromedical evacuation conditions. Although the American National Standards Institute recommends inspired air to be at an absolute humidity value of > or = 30 mg/L for mechanically ventilated patients, the highest absolute humidity by any HME was approximately 20 mg/L. Although none of the HMEs were able to maintain a temperature high enough to achieve the humidity standard of the American National Standards Institute, the clinical significance of this standard may be less important than the relative humidity maintained in the respired air, especially on evacuation flights of short duration.

  7. Delinquent Medical Service Accounts at David Grant Air Force Medical Center Need Additional Management Oversight

    DTIC Science & Technology

    2015-09-24

    facilities. DGMC provides a full spectrum of care to a prime service area of more than 106,000 Tricare-eligible patients in the San Francisco-Sacramento...area and 370,000 patients from the Department of Veterans Affairs Northern California Health Care System that covers more than 40,000 square miles and...members of the Military Services and others entitled to or eligible for DoD medical care and benefits. U.S. Treasury FedDebt FedDebt is an online

  8. Heat Transfar Properties of Flat-Panel Evacuated Porous Insrlators

    NASA Astrophysics Data System (ADS)

    Yoneno, Hirosyi; Yamamoto, Ryoichi

    Flat Panel evacuated porous insulators have been produced by filling powder or fiber (such as perlite powder, diatomaceous earth powder, silica aerogel powder, g lass fiber and ceramic fiber) in film-like laminated plastic container and by evacuating to form vacuum in it is interior. Heat transfer properties of these evacuated insulators have been studied under various conditions (such as particle diameter, surface area, packing density, solid volume fraction and void dimension). The apparent mean thermal conductivity has been measured for the boundary surface temperature at cold face temperature 13°C and hot face temperature 35°. The effect of air pressure ranging from 1 Pa to one atomosphere (105 Pa) was examined. The results were as follows. (1) For each powder the apparent mean thermal conductivity decreases with decreasing residual air pressure, and at very low pressure bellow 1 -103 Pa the conductivity becomes indeqendent of pressure. The thermal conductivity at 1.3Pa is 0.0053 W/mK for perlite powder, 0.0048W/mK for diatomaceous earth powder, 0.0043 W/mK for silica aerogel powder and 0.0029W/mK for glass fiber. (2) With decreasing particle size, the apparent mean thermal conductivity is constant independent of residual air pressure in higher pressure region. It is that void dimension continues to decrease with particle size and the mean free path of air becomes comparable with void dimension. (3) In the range of minor solid volume fraction, the apparent mean thermal conductivity at very low precreases with decreasing particle size. This shows the thermal contact resistance of the solid particle increases with decreasing particle size.

  9. Inflight Medical/Nursing Task Performance

    DTIC Science & Technology

    1990-12-01

    was to evaluate and compare the ability of aeromedical evacuation crew members (AECMs) to perform certain specific inflight medical and nursing care tasks...medical and nursing care procedures in conventional war scenarios has been well demonstrated in the past during actual aeromedical evacuation...same medical and nursing care procedures under chemical threat conditions during aeromedical evacuation operations is not as well documented. Low

  10. Interaction of Ambient Air Pollution With Asthma Medication on Exhaled Nitric Oxide Among Asthmatics

    PubMed Central

    Qian, Zhengmin; Lin, Hung-Mo; Chinchilli, Vernon M.; Lehman, Erik B.; Duan, Yinkang; Craig, Timothy J.; Wilson, William E.; Liao, Duanping; Lazarus, Stephen C.; Bascom, Rebecca

    2013-01-01

    The interaction between ambient air pollution and asthma medication remains unclear. The authors compared airway inflammation response to air pollution among asthmatics. Increases of 10 ppb of nitrogen dioxide (NO2) and of 10 μg/m3 of particulate matter < 10 micron in diameter (PM10) daily concentrations were associated with an increase in exhaled nitric oxide (eNO) of 0.13 ppb (95% confidence interval = 0.06, 0.19) and of 0.07 ppb (95% confidence interval = 0.02, 0.12), respectively, in models adjusted for important covariates. The results show that the medication could not counteract airway inflammation effects of air pollution. Specifically, the patients on triamcinolone decreased the sensitivity to PM10 but increased the sensitivity to NO2. The patients on salmeterol were more vulnerable to both NO2 and PM10. This study indicates that the current pollution levels may still enhance airway inflammation among patients with persistent asthma even when they are on asthma medications. PMID:19864219

  11. 46 CFR 199.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform;...

  12. 46 CFR 199.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform;...

  13. 46 CFR 199.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform;...

  14. 46 CFR 199.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform;...

  15. Wildland fire evacuation/relocation plan

    SciTech Connect

    Not Available

    1994-08-01

    The purpose of this plan is to ensure that appropriate actions are taken to provide for the safety of LBL employees by minimizing their exposure to the effects of an urban-wildland fire threatening the Laboratory. This plan has the following objectives: Provide a continuous assessment of the urban-wildland fire threat to LBL. Provide the mechanisms for alerting employees, visitors, and the Emergency Management Team when fire threatens the Laboratory. Provide guidelines for the Emergency Management Team to determine when to relocate or evacuate employees. Outline the communications pathways used to issue and control evacuations. Describe the options for the Emergency Management Team to consider during evacuation. Outline the specific responsibilities of the Emergency Response Organization when implementing an evacuation or relocation.

  16. Room evacuation through two contiguous exits

    NASA Astrophysics Data System (ADS)

    Sticco, I. M.; Frank, G. A.; Cerrotta, S.; Dorso, C. O.

    2017-05-01

    Current regulations demand that at least two exits should be available for a safe evacuation during a panic situation. The second exit is expected to reduce the overall clogging, and consequently, improve the evacuation time. However, rooms having contiguous doors not always reduce the leaving time as expected. We investigated the relation between the door's separation and the evacuation performance. We found that there exists a separation distance range that does not really improve the evacuation time, or it can even worsen the process performance. To our knowledge, no attention has been given to this issue in the literature. This work reports how the pedestrian's dynamics differ when the separation distance between two exit doors changes and how this affects the overall performance.

  17. Evacuation Planning in the TMI Accident

    DTIC Science & Technology

    1980-01-01

    evacuation (some categories, like intensive care patients, would require quick evacuation) These items are a synthesis of elements of the plans of the four...Handicapped persons * Invalids • Persons in special treatment programs (e.g., methadone ) Some of the sources of information used were: * York County Visiting... methadone treatment. The shelter was to be staffed by personnel from the treatment program, and supplies of the drug were arranged. e A special shelter

  18. The evacuation of cairns hospitals due to severe tropical cyclone Yasi.

    PubMed

    Little, Mark; Stone, Theona; Stone, Richard; Burns, Jan; Reeves, Jim; Cullen, Paul; Humble, Ian; Finn, Emmeline; Aitken, Peter; Elcock, Mark; Gillard, Noel

    2012-09-01

    On February 2, 2011, Tropical Cyclone Yasi, the largest cyclone to cross the Australian coast and a system the size of Hurricane Katrina, threatened the city of Cairns. As a result, the Cairns Base Hospital (CBH) and Cairns Private Hospital (CPH) were both evacuated, the hospitals were closed, and an alternate emergency medical center was established in a sports stadium 15 km from the Cairns central business district. This article describes the events around the evacuation of 356 patients, staff, and relatives to Brisbane (approximately 1,700 km away by road), closure of the hospitals, and the provision of a temporary emergency medical center for 28 hours during the height of the cyclone. Our experience highlights the need for adequate and exercised hospital evacuation plans; the need for clear command and control with identified decision-makers; early decision-making on when to evacuate; having good communication systems with redundancy; ensuring that patients are adequately identified and tracked and have their medications and notes; ensuring adequate staff, medications, and oxygen for holding patients; and planning in detail the alternate medical facility safety and its role, function, and equipment.

  19. Managed traffic evacuation using distributed sensor processing

    NASA Astrophysics Data System (ADS)

    Ramuhalli, Pradeep; Biswas, Subir

    2005-05-01

    This paper presents an integrated sensor network and distributed event processing architecture for managed in-building traffic evacuation during natural and human-caused disasters, including earthquakes, fire and biological/chemical terrorist attacks. The proposed wireless sensor network protocols and distributed event processing mechanisms offer a new distributed paradigm for improving reliability in building evacuation and disaster management. The networking component of the system is constructed using distributed wireless sensors for measuring environmental parameters such as temperature, humidity, and detecting unusual events such as smoke, structural failures, vibration, biological/chemical or nuclear agents. Distributed event processing algorithms will be executed by these sensor nodes to detect the propagation pattern of the disaster and to measure the concentration and activity of human traffic in different parts of the building. Based on this information, dynamic evacuation decisions are taken for maximizing the evacuation speed and minimizing unwanted incidents such as human exposure to harmful agents and stampedes near exits. A set of audio-visual indicators and actuators are used for aiding the automated evacuation process. In this paper we develop integrated protocols, algorithms and their simulation models for the proposed sensor networking and the distributed event processing framework. Also, efficient harnessing of the individually low, but collectively massive, processing abilities of the sensor nodes is a powerful concept behind our proposed distributed event processing algorithms. Results obtained through simulation in this paper are used for a detailed characterization of the proposed evacuation management system and its associated algorithmic components.

  20. Evacuation of institutionalized and specialized populations

    SciTech Connect

    Vogt, B.M. )

    1990-02-01

    The purpose of this research was to assess the needs of organizations caring for institutional and specialized populations when faced with a threat or hazard requiring an evacuation. Individuals within specialized populations are unlike other victims of disaster because of their inherent dependency on organizational care givers and require different management strategies on the part of organizations and agencies in an evacuation. The research sought to identify those aspects of coping strategies that have been used successfully to manage an emergency evacuation. To identify special populations that have evacuated from institutions and similar facilities over a four-year period, a computerized search was conducted of media accounts describing such events. The search yielded a total of 1024 accounts from which four major subgroups were identified: nursing homes and related care facilities, hospitals, educational institutions, and correctional facilities. A miscellaneous group including housing for the elderly, apartments and other building complexes, workplaces and factories, public facilities, and places occupied by transient populations, such as transportation units and recreational facilities, could be used for future study. Among the factors found to affect evacuations were the extent of organizational resources (such as the number of staff or other individuals available at the time of the event), the type and number of clientele, and such community characteristics as population density. The study focuses on selected organizational characteristics of health care facilities (nursing homes and related care facilities and hospitals) which have recently experienced either a partial or complete evacuation of their facilities. 165 refs., 13 tabs.

  1. Medical liabilities of the French physician passenger during a commercial air flight.

    PubMed

    Dedouit, F; Tournel, G; Barguin, P; Becart-Robert, A; Hedouin, V; Gosset, D

    2007-01-01

    Nearly two billion passengers travel each year on commercial air flights. More elderly people and/or people with a pre-existing condition are taking to the air and with the anticipated growth of air travel, in-flight illnesses and injuries are expected to increase as well. Even if in-flight medical events and deaths are still uncommon, physician passengers are occasionally called upon to render assistance. Although no case law exists as yet in France, physicians who often travel on commercial flights should be aware of the risks they run if they do not respond to the well-known call, 'Is there a doctor on board?', or if they assist a sick passenger. This paper describes in-flight resources available to a physician who is called upon to treat an ill or injured passenger. Two questions concerning the French physician passenger are discussed: What are the liabilities of the physician who does not respond to the call of a medical event aboard an aircraft? What are the liabilities of the physician providing assistance to a sick passenger? The different liabilities and also the legal status of the French physician passenger are examined.

  2. Assessment of workplace air concentrations of formaldehyde during and before working hours in medical facilities

    PubMed Central

    HIGASHIKUBO, Ichiro; MIYAUCHI, Hiroyuki; YOSHIDA, Satoru; TANAKA, Shinsuke; MATSUOKA, Mitsunori; ARITO, Heihachiro; ARAKI, Akihiro; SHIMIZU, Hidesuke; SAKURAI, Haruhiko

    2017-01-01

    Workplace air concentrations of formaldehyde (FA) in medical facilities where FA and FA-treated organs were stored and handled were measured before and during working hours and assessed by the official method specified by Work Environment Measurement Law. Sixty-percent of the total facilities examined were judged as inappropriately controlled work environment. The concentrations of FA before working hours by spot sampling were found to exceed 0.1 ppm in some facilities, and tended to increase with increasing volume of containers storing FA and FA-treated materials. Regression analysis revealed that logarithmic concentrations of FA during working hours by the Law-specified analytical method were highly correlated with those before working hours by spot sampling, suggesting the importance for appropriate storing methods of FA and FA-treated materials. The concentrations of FA during working hours are considered to be lowered by effective ventilation of FA-contaminated workplace air and appropriate storage of FA and FA-treated materials in plastic containers in the medical facilities. In particular, such improvement by a local exhaust ventilation system and tightly-sealed containment of FA-treated material were urgently needed for the dissecting room where FA-treated cadavers were prepared and handled for a gross anatomy course in a medical school. PMID:28090065

  3. Prehospital airway management: high tech meets trauma: an air medical perspective.

    PubMed

    Bauer, Kris

    2012-01-01

    Trauma is the leading cause of death in the United States for those younger than 35 years and injuries sustained from trauma are a significant source of moderate to severe disability. The inability to establish, secure, or maintain a definitive airway is a major cause of preventable death and secondary injury due to inadequate oxygenation and ventilation. Prehospital airway management is an essential skill of any prehospital care provider. A critical component to providing excellent airway management is the ability of the provider to quickly establish endotracheal intubation without complications such as hypoxia, hyper/hypocapnea, or hypotension. These complications have been shown to cause increased morbidity and mortality, especially in patients suffering from traumatic brain injury. This article presents some of the challenges faced by flight nurses in the air medical environment and how Airlift Northwest has developed a structured, standardized approach to airway management both in training and it the prehospital setting. We will discuss the process improvements that lead to the implementation of video laryngoscopy as our first-line intubation tool. The ultimate goal of any air medical or prehospital emergency medical services program is to manage 100% of airways without complications, which will decrease morbidity and mortality, ultimately improving patient outcomes.

  4. The impact of shadow evacuation on evacuation time estimates for nuclear power plants.

    PubMed

    Weinisch, Kevin; Brueckner, Paul

    2015-01-01

    A shadow evacuation is the voluntary evacuation of people from areas outside a declared evacuation area. Shadow evacuees can congest roadways and inhibit the egress of those evacuating from an area at risk. Federal regulations stipulate that nuclear power plant (NPP) licensees in the United States must conduct an Evacuation Time Estimate (ETE) study after each decennial census. The US Nuclear Regulatory Commission (NRC) published federal guidance for conducting ETE studies in November 2011. This guidance document recommends the consideration of a Shadow Region which extends 5 miles radially beyond the existing 10-mile Emergency Planning Zone (EPZ) for NPPs. The federal guidance also suggests the consideration of the evacuation of 20 percent of the permanent resident population in the Shadow Region in addition to 100 percent of the declared evacuation region within the EPZ when conducting ETE studies. The 20 percent recommendation was questioned in a March 2013 report prepared by the US Government Accountability Office. This article discusses the effects on ETE of increasing the shadow evacuation from 20 to 60 percent for 48 NPPs in the United States. Only five (10 percent) of the 48 sites show a significant increase (30 minutes or greater) in 90th percentile ETE (time to evacuate 90 percent of the population in the EPZ), while seven (15 percent) of the 48 sites show a significant increase in 100th percentile ETE (time to evacuate all population in the EPZ). Study areas that are prone to a significant increase in ETE due to shadow evacuation are classified as one of four types; case studies are presented for one plant of each type to explain why the shadow evacuation significantly affects ETE. A matrix of the four case types can be used by emergency management personnel to predict during planning stages whether the evacuated area is prone to a significant increase in ETE due to shadow evacuation. Potential mitigation tactics that reduce demand (public information

  5. Evacuation During Hurricane Sandy: Data from a Rapid Community Assessment

    PubMed Central

    Brown, Shakara; Parton, Hilary; Driver, Cynthia; Norman, Christina

    2016-01-01

    Introduction: In anticipation of Hurricane Sandy in 2012 New York City officials issued mandatory evacuation orders for evacuation Zone A. However, only a small proportion of residents complied. Failure to comply with evacuation warnings can result in severe consequences including injury and death. To better ascertain why individuals failed to heed pre­-emptive evacuation warnings for Hurricane Sandy we assessed factors that may have affected evacuation among residents in neighborhoods severely affected by the storm. Methods: Data from a mental health needs assessment survey conducted among adult residents in South Brooklyn, the Rockaways, and Staten Island from December 13-­18, 2012 was assessed. Several disasters related questions were evaluated, and prevalence estimates of evacuation and evacuation timing by potential factors that may influence evacuation were estimated. Measures of association were assessed using chi-­square and t-­test. Results: Our sample consisted of 420 residents of which, only 49% evacuated at any time for Sandy. Evacuation was higher among those who witnessed trauma to others related to the World Trade Center attacks (66% vs. 40%, p=0.024). Those who reported extensive household damage after Sandy, had a higher rate of evacuation than those with minimal damage (83% vs. 30%, p<0.001). Among those who evacuated, evacuation before the storm was lower among residents living on higher floors (56% vs. 22%, p=0.022). Discussion: Given that warnings to evacuate were issued before Sandy made landfall, evacuation among residents in South Brooklyn, the Rockaways and Staten Island, while higher than the overall Zone A evacuation rate, was less than optimal. Continued research on evacuation behaviors is needed, particularly on how timing affects evacuation. A better understanding may help to reduce barriers, and improve evacuation compliance. PMID:26865989

  6. Point-of-care ultrasonography during rescue operations on board a Polish Medical Air Rescue helicopter.

    PubMed

    Darocha, Tomasz; Gałązkowski, Robert; Sobczyk, Dorota; Żyła, Zbigniew; Drwiła, Rafał

    2014-12-01

    Point-of-care ultrasound examination has been increasingly widely used in pre-hospital care. The use of ultrasound in rescue medicine allows for a quick differential diagnosis, identification of the most important medical emergencies and immediate introduction of targeted treatment. Performing and interpreting a pre-hospital ultrasound examination can improve the accuracy of diagnosis and thus reduce mortality. The authors' own experiences are presented in this paper, which consist in using a portable, hand-held ultrasound apparatus during rescue operations on board a Polish Medical Air Rescue helicopter. The possibility of using an ultrasound apparatus during helicopter rescue service allows for a full professional evaluation of the patient's health condition and enables the patient to be brought to a center with the most appropriate facilities for their condition.

  7. The Civil Air Patrol's role in medical countermeasure distribution in Michigan.

    PubMed

    Hankinson, Jennifer Lixey; Chamberlain, Kerry; Doctor, Suzanne M; Macqueen, Mary

    2011-12-01

    Michigan's unique geological features and highly variable climatic conditions make distribution of medical countermeasures during a public health emergency situation very challenging. To enhance distribution during these situations, the Civil Air Patrol (CAP) has agreed to support the state of Michigan by transporting life-saving medical countermeasures to remote areas of the state. The Michigan Strategic National Stockpile (MISNS) program has successfully developed, exercised, and enhanced its partnership with the CAP to include distribution of federally provided Strategic National Stockpile (SNS) assets. The CAP has proven to be a reliable and valuable partner, as well as a cost-effective and time-efficient means of transporting vital resources during a public health emergency.

  8. The Civil Air Patrol's Role in Medical Countermeasure Distribution in Michigan

    PubMed Central

    Hankinson, Jennifer Lixey; Doctor, Suzanne M.; Macqueen, Mary

    2011-01-01

    Michigan's unique geological features and highly variable climatic conditions make distribution of medical countermeasures during a public health emergency situation very challenging. To enhance distribution during these situations, the Civil Air Patrol (CAP) has agreed to support the state of Michigan by transporting life-saving medical countermeasures to remote areas of the state. The Michigan Strategic National Stockpile (MISNS) program has successfully developed, exercised, and enhanced its partnership with the CAP to include distribution of federally provided Strategic National Stockpile (SNS) assets. The CAP has proven to be a reliable and valuable partner, as well as a cost-effective and time-efficient means of transporting vital resources during a public health emergency. PMID:22060035

  9. [The fight against polio: a social-medical alliance, Buenos Aires, 1943].

    PubMed

    Testa, Daniela Edelvis

    2012-12-01

    The present article analyzes the emergence of a volunteer-based social assistance organization that played an active role in the health care provided for poliomyelitis in Argentina: Asociación para la Lucha contra la Parálisis Infantil (Association for the Fight against Child Paralysis). This institution was created in Buenos Aires in 1943 by a group of women from upper and middle class social sectors. In a context of biomedical uncertainty, the organization mobilized material and symbolic resources to respond to the need for rehabilitation of the permanent physical conditions the disease provoked in its victims. Using as a source the institutional memories of the organization, the article demonstrates how doctors and philanthropists formed a social-medical alliance and developed a fundamental interest in practicing a form of treatment sustained in a framework that united Christian ideas with medical and rehabilitative innovations.

  10. Feasibility of Remote Ischemic Peri-conditioning during Air Medical Transport of STEMI Patients.

    PubMed

    Martin-Gill, Christian; Wayne, Max; Guyette, Francis X; Olafiranye, Oladipupo; Toma, Catalin

    2016-01-01

    Remote ischemic peri-conditioning (RIPC) has gained interest as a means of reducing ischemic injury in patients with acute ST-elevation myocardial infarction (STEMI) who are undergoing emergent primary percutaneous coronary intervention (pPCI). We aimed to evaluate the feasibility, process, and patient-related factors related to the delivery of RIPC during air medical transport of STEMI patients to tertiary pPCI centers. We performed a retrospective review of procedural outcomes of a cohort of STEMI patients who received RIPC as part of a clinical protocol in a multi-state air medical service over 16 months (March 2013 to June 2014). Eligible patients were transported to two tertiary PCI centers and received up to four cycles of RIPC by inflating a blood pressure cuff on an upper arm to 200 mmHg for 5 minutes and subsequently deflating the cuff for 5 minutes. Data regarding feasibility, process variables, patient comfort, and occurrence of hypotension were obtained from prehospital records and prospectively completed quality improvement surveys. The primary outcome was whether at least 3 cycles of RIPC were completed by air medical transport crews prior to pPCI. Secondary outcomes included the number of cycles completed prior to pPCI, time spent with the patient prior to transport (bedside time), patient discomfort level, and incidence of hypotension (systolic blood pressure <90 mmHg) during the procedure. RIPC was initiated in 99 patients (91 interfacility, 8 scene transports) and 83 (83.3%) received 3 or 4 cycles of RIPC, delivered over 25-35 minutes. Median bedside time for interfacility transfers was 8 minutes (IQR 7, 10). More than half of patients reported no pain related to the procedure (N = 53, 53.3%), whereas 5 (5.1%) patients reported discomfort greater than 5 out of 10. Two patients developed hypotension while receiving RIPC and both had experienced hypotension prior to initiation of RIPC. RIPC is feasible and safe to implement for STEMI patients

  11. Compliance with surgical smoke evacuation guidelines: implications for practice.

    PubMed

    Ball, Kay

    2010-08-01

    Surgical smoke presents a serious health hazard, but perioperative nurses' compliance with smoke evacuation recommendations is not consistent. I investigated key indicators for compliance with electrosurgical smoke evacuation recommendations based on nurses' individual innovativeness characteristics, perceptions of the attributes of smoke evacuation recommendations, and organizational innovativeness characteristics. The study findings provide implications for improving nurses' compliance with smoke evacuation recommendations. Individual innovativeness characteristics, including nurses' knowledge and training, were most strongly linked to smoke evacuation compliance. The key indicators that promote surgical smoke evacuation can provide direction to guide the content of education programs and help identify the personnel and settings that are most in need of this information. Barriers to compliance included lack of equipment, physician resistance, noise, and staff member complacency. Vendor demonstrations on the ease of smoke evacuation device use can show nurses that smoke evacuation is compatible with nursing practice. Facility leaders should provide smoke evacuation policies that are easy to understand and should enforce these policies.

  12. Compliance with surgical smoke evacuation guidelines: implications for practice.

    PubMed

    Ball, Kay

    2012-03-01

    Surgical smoke presents a serious health hazard, but perioperative nurses' compliance with smoke evacuation recommendations is not consistent. I investigated key indicators for compliance with electrosurgical smoke evacuation recommendations based on nurses' individual innovativeness characteristics, perceptions of the attributes of smoke evacuation recommendations, and organizational innovativeness characteristics. The study findings provide implications for improving nurses' compliance with smoke evacuation recommendations. Individual innovativeness characteristics, including nurses' knowledge and training, were most strongly linked to smoke evacuation compliance. The key indicators that promote surgical smoke evacuation can provide direction to guide the content of education programs and help identify the personnel and settings that are most in need of this information. Barriers to compliance included lack of equipment, physician resistance, noise, and staff member complacency. Vendor demonstrations on the ease of smoke evacuation device use can show nurses that smoke evacuation is compatible with nursing practice. Facility leaders should provide smoke evacuation policies that are easy to understand and should enforce these policies.

  13. Air

    MedlinePlus

    ... do to protect yourself from dirty air . Indoor air pollution and outdoor air pollution Air can be polluted indoors and it can ... this chart to see what things cause indoor air pollution and what things cause outdoor air pollution! Indoor ...

  14. Visual analysis of situationally aware building evacuations

    NASA Astrophysics Data System (ADS)

    Guest, Jack; Eaglin, Todd; Subramanian, Kalpathi; Ribarsky, William

    2013-01-01

    Rapid evacuation of large urban structures (campus buildings, arenas, stadiums, etc.) is a complex operation and of prime interest to emergency responders and planners. Although there is a considerable body of work in evacuation algorithms and methods, most of these are impractical to use in real-world scenarios (non real-time, for instance) or have difficulty handling scenarios with dynamically changing conditions. Our goal in this work is towards developing computer visualizations and real-time visual analytic tools for building evacuations, in order to provide situational awareness and decision support to first responders and emergency planners. We have augmented traditional evacuation algorithms in the following important ways, (1) facilitate real-time complex user interaction with first responder teams, as information is received during an emergency, (2) visual reporting tools for spatial occupancy, temporal cues, and procedural recommendations are provided automatically and at adjustable levels, and (3) multi-scale building models, heuristic evacuation models, and unique graph manipulation techniques for producing near real-time situational awareness. We describe our system, methods and their application using campus buildings as an example. We also report the results of evaluating our system in collaboration with our campus police and safety personnel, via a table-top exercise consisting of 3 different scenarios, and their resulting assessment of the system.

  15. 3 Echo: concept of operations for early care and evacuation of victims of mass violence.

    PubMed

    Autrey, Allen W; Hick, John L; Bramer, Kurtis; Berndt, Jeremy; Bundt, Jonathan

    2014-08-01

    This report describes the successful use of a simple 3-phase approach that guides the initial 30 minutes of a response to blast and active shooter events with casualties: Enter, Evaluate, and Evacuate (3 Echo) in a mass-shooting event occurring in Minneapolis, Minnesota USA, on September 27, 2012. Early coordination between law enforcement (LE) and rescue was emphasized, including establishment of unified command, a common operating picture, determination of evacuation corridors, swift victim evaluation, basic treatment, and rapid evacuation utilizing an approach developed collaboratively over the four years prior to the event. Field implementation of 3 Echo requires multi-disciplinary (Emergency Medical Services (EMS), fire and LE) training to optimize performance. This report details the mass-shooting event, the framework created to support the response, and also describes important aspects of the concepts of operation and curriculum evolved through years of collaboration between multiple disciplines to arrive at unprecedented EMS transport times in response to the event.

  16. Panic evacuation of single pedestrians and couples

    NASA Astrophysics Data System (ADS)

    Frank, G. A.; Dorso, C. O.

    2016-02-01

    Understanding the timing requirements for evacuation of people has focused primarily on independent pedestrians rather than pedestrians emotionally connected. However, the main statistical effects observed in crowds, the so-called “faster is slower”, “clever is not always better” and the “low visibility enhancement”, cannot explain the overall behavior of a crowd during an evacuation process when correlated pedestrians due to, for example feelings, are present. Our research addresses this issue and examines the statistical behavior of a mixture of individuals and couples during a (panic) escaping process. We found that the attractive feeling among couples plays an important role in the time delays during the evacuation of a single exit room.

  17. The origins of casualty evacuation and echelons of care: lessons learned from the American Civil War.

    PubMed

    Blansfield, J S

    1999-01-01

    The American Civil War produced many victims of battle who challenged the medical community. Not long after the war started the medical community was forced to make rapid, significant changes in how soldiers were evacuated, how they were cared for both immediately and long-term, and how the spread of fatal infectious diseases was controlled. This was the era in which nurses proved their importance and became a permanent segment of trauma care.

  18. Evacuate and backfill apparatus and method

    DOEpatents

    Oakley, David J.; Groves, Oliver J.

    1985-01-01

    An apparatus and method for treatment of hollow articles by evacuating existing gas or gases therefrom and purging or backfilling the articles with a second gas such as helium. The apparatus includes a sealed enclosure having an article storage drum mounted therein. A multiplicity of such articles are fed singly into the enclosure and loaded into radial slots formed in the drum. The enclosure is successively evacuated and purged with helium to replace the existing gas in the articles with helium. The purged articles are then discharged singly from the drum and transported out of the enclosure.

  19. Evacuate and backfill apparatus and method

    DOEpatents

    Oakley, D.J.; Groves, O.J.

    1984-06-27

    An apparatus and method as described for treatment of hollow articles by evacuating existing gas or gases therefrom and purging or backfilling the articles with a second gas such as helium. The apparatus includes a sealed enclosure having an article storage drum mounted therein. A multiplicity of such articles are fed singly into the enclosure and loaded into radial slots formed in the drum. The enclosure is successively evacuated and purged with helium to replace the existing gas in the articles with helium. The purged articles are then discharged singly from the drum and transported out of the enclosure.

  20. [Emergency and disaster response in critical care unit in the Mexican Social Security Institute: triage and evacuation].

    PubMed

    Echevarría-Zuno, Santiago; Cruz-Vega, Felipe; Elizondo-Argueta, Sandra; Martínez Valdés, Everardo; Franco-Bey, Rubén; Méndez-Sánchez, Luis Miguel

    2013-01-01

    Providing medical assistance in emergencies and disaster in advance makes the need to maintain Medical Units functional despite the disturbing phenomenon that confronts the community, but conflict occurs when the Medical Unit needs support and needs to be evacuated, especially when the evacuation of patients in a Critical Care Unit is required. In world literature there is little on this topic, and what is there usually focuses on the conversion of areas and increased ability to care for mass casualties, but not about how to evacuate if necessary, and when a wrong decision can have fatal consequences. That is why the Mexican Social Security Institute gave the task of examining these problems to a working group composed of specialists of the Institute. The purpose was to evaluate and establish a method for performing a protocol in the removal of patients and considering always to safeguard both staff and patients and maintain the quality of care.

  1. Safe Emergency Evacuation From Tall Structures

    NASA Technical Reports Server (NTRS)

    Stephan, E. S.

    1984-01-01

    Emergency egress system allows people to be evacuated quickly from tall structures. New emergency system applicable to rescues from fires in tall hotels and other buildings. System consists of basket on slide wire. Basket descends by gravity on sloped slide wire staked to ground.

  2. Evacuated flat-plate solar collectors

    SciTech Connect

    Whittemore, P.G.

    1981-09-15

    A structural support system is disclosed for use in an evacuated, flat-plate, solar collector to eliminate the problem of stress fractures in a glass cover plate. Nonlinearly spaced supports are used within the collector to dampen vibrations in the glass cover and to prevent overdeflection before buckling or stress fractures occur.

  3. The Pedestrian Evacuation Analyst: geographic information systems software for modeling hazard evacuation potential

    USGS Publications Warehouse

    Jones, Jeanne M.; Ng, Peter; Wood, Nathan J.

    2014-01-01

    Recent disasters such as the 2011 Tohoku, Japan, earthquake and tsunami; the 2013 Colorado floods; and the 2014 Oso, Washington, mudslide have raised awareness of catastrophic, sudden-onset hazards that arrive within minutes of the events that trigger them, such as local earthquakes or landslides. Due to the limited amount of time between generation and arrival of sudden-onset hazards, evacuations are typically self-initiated, on foot, and across the landscape (Wood and Schmidtlein, 2012). Although evacuation to naturally occurring high ground may be feasible in some vulnerable communities, evacuation modeling has demonstrated that other communities may require vertical-evacuation structures within a hazard zone, such as berms or buildings, if at-risk individuals are to survive some types of sudden-onset hazards (Wood and Schmidtlein, 2013). Researchers use both static least-cost-distance (LCD) and dynamic agent-based models to assess the pedestrian evacuation potential of vulnerable communities. Although both types of models help to understand the evacuation landscape, LCD models provide a more general overview that is independent of population distributions, which may be difficult to quantify given the dynamic spatial and temporal nature of populations (Wood and Schmidtlein, 2012). Recent LCD efforts related to local tsunami threats have focused on an anisotropic (directionally dependent) path distance modeling approach that incorporates travel directionality, multiple travel speed assumptions, and cost surfaces that reflect variations in slope and land cover (Wood and Schmidtlein, 2012, 2013). The Pedestrian Evacuation Analyst software implements this anisotropic path-distance approach for pedestrian evacuation from sudden-onset hazards, with a particular focus at this time on local tsunami threats. The model estimates evacuation potential based on elevation, direction of movement, land cover, and travel speed and creates a map showing travel times to safety (a

  4. 30 CFR 57.4361 - Underground evacuation drills.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Underground evacuation drills. 57.4361 Section... Prevention and Control Firefighting Procedures/alarms/drills § 57.4361 Underground evacuation drills. (a) At least once every six months, mine evacuation drills shall be held to assess the ability of all...

  5. 30 CFR 57.4361 - Underground evacuation drills.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Underground evacuation drills. 57.4361 Section... Prevention and Control Firefighting Procedures/alarms/drills § 57.4361 Underground evacuation drills. (a) At least once every six months, mine evacuation drills shall be held to assess the ability of all...

  6. 30 CFR 57.4361 - Underground evacuation drills.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Underground evacuation drills. 57.4361 Section... Prevention and Control Firefighting Procedures/alarms/drills § 57.4361 Underground evacuation drills. (a) At least once every six months, mine evacuation drills shall be held to assess the ability of all...

  7. 30 CFR 57.4361 - Underground evacuation drills.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Underground evacuation drills. 57.4361 Section... Prevention and Control Firefighting Procedures/alarms/drills § 57.4361 Underground evacuation drills. (a) At least once every six months, mine evacuation drills shall be held to assess the ability of all...

  8. 30 CFR 57.4361 - Underground evacuation drills.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Underground evacuation drills. 57.4361 Section... Prevention and Control Firefighting Procedures/alarms/drills § 57.4361 Underground evacuation drills. (a) At least once every six months, mine evacuation drills shall be held to assess the ability of all...

  9. 46 CFR 108.545 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Marine evacuation system launching arrangements. 108.545... DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1)...

  10. 46 CFR 108.545 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Marine evacuation system launching arrangements. 108.545... DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1)...

  11. 46 CFR 133.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Marine evacuation system launching arrangements. 133.145... LIFESAVING SYSTEMS Requirements for All OSVs § 133.145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1) Each marine...

  12. 46 CFR 133.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Marine evacuation system launching arrangements. 133.145... LIFESAVING SYSTEMS Requirements for All OSVs § 133.145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1) Each marine...

  13. 46 CFR 108.545 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Marine evacuation system launching arrangements. 108.545... DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1)...

  14. 46 CFR 133.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Marine evacuation system launching arrangements. 133.145... LIFESAVING SYSTEMS Requirements for All OSVs § 133.145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1) Each marine...

  15. 46 CFR 133.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... OSV is upright and in the lightest seagoing condition. (6) Each marine evacuation system platform must... waterline in the lightest seagoing condition. (2) The marine evacuation system's launching positions must be... 46 Shipping 4 2013-10-01 2013-10-01 false Marine evacuation system launching arrangements....

  16. 46 CFR 108.545 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... upright and in the lightest seagoing condition. (6) Each marine evacuation system platform must be capable... the lightest seagoing condition. (2) The marine evacuation system must be protected from any... marine evacuation system's stowage area must be protected from damage by heavy seas. (c) Stowage...

  17. Portable Cathode-Air Vapor-Feed Electrochemical Medical Oxygen Concentrator (OC)

    NASA Technical Reports Server (NTRS)

    Balasubramanian, Ashwin

    2015-01-01

    Missions on the International Space Station and future space exploration will present significant challenges to crew health care capabilities, particularly in the efficient utilization of onboard oxygen resources. Exploration vehicles will require lightweight, compact, and portable oxygen concentrators that can provide medical-grade oxygen from the ambient cabin air. Current pressure-swing adsorption OCs are heavy and bulky, require significant start-up periods, operate in narrow temperature ranges, and require a liquid water feed. Lynntech, Inc., has developed an electrochemical OC that operates with a cathode-air vapor feed, eliminating the need for a bulky onboard water supply. Lynntech's OC is smaller and lighter than conventional pressure-swing OCs, is capable of instant start-up, and operates over a temperature range of 5-80 C. Accomplished through a unique nanocomposite proton exchange membrane and catalyst technology, the unit delivers 4 standard liters per minute of humidified oxygen at 60 percent concentration. The technology enables both ambient-pressure operating devices for portable applications and pressurized (up to 3,600 psi) OC devices for stationary applications.

  18. Variations in population exposure and evacuation potential to multiple tsunami evacuation phases on Alameda and Bay Farm Islands, California

    NASA Astrophysics Data System (ADS)

    Peters, J.

    2015-12-01

    Planning for a tsunami evacuation is challenging for California communities due to the variety of earthquake sources that could generate a tsunami. A maximum tsunami inundation zone is currently the basis for all tsunami evacuations in California, although an Evacuation Playbook consisting of specific event-based evacuation phases relating to flooding severity is in development. We chose to investigate the Evacuation Playbook approach for the island community of Alameda, CA since past reports estimated a significant difference in numbers of residents in the maximum inundation zone when compared to an event-based inundation zone. In order to recognize variations in the types of residents and businesses within each phase, a population exposure analysis was conducted for each of the four Alameda evacuation phases. A pedestrian evacuation analysis using an anisotropic, path distance model was also conducted to understand the time it would take for populations to reach high ground by foot. Initial results suggest that the two islands of the City of Alameda have different situations when it comes to the four tsunami evacuation phases. Pedestrian evacuation results suggest that Bay Farm Island would have more success evacuating by vehicle due to limited nearby high ground for pedestrians to reach safety. Therefore, agent-based traffic simulation software was used to model vehicle evacuation off Bay Farm Island. Initial results show that Alameda Island could face challenges evacuating numerous boat docks and a large beach for phases 1 and 2, whereas Bay Farm Island is unaffected at these phases but might be challenged with evacuating by vehicle for phases 3 and maximum due to congestion on limited egress routes. A better understanding of the population exposure within each tsunami Evacuation Playbook phase and the time it would take to evacuate out of each phase by foot or vehicle will help emergency managers implement the evacuation phases during an actual tsunami event.

  19. [Factors associated with academic success of medical students at Buenos Aires University].

    PubMed

    Borracci, Raúl A; Pittaluga, Roberto D; Álvarez Rodríguez, Juan E; Arribalzaga, Eduardo B; Poveda Camargo, Ricardo L; Couto, Juan L; Provenzano, Sergio L

    2014-01-01

    The aim of this study was to identify common factors relating to the academic success of medical students who were distinguished with honors at the Buenos Aires University. In 2011, 142 graduates were surveyed; the questionnaire included 59 questions on their sociodemographic environment, living conditions and social integration, motivation to study, learning capacity and health quality during their career. Compared to other students, these distinguished students more often lived in the city, far from their families; had been educated at private or universitary high schools, their economic needs were financed by their parents, who were on the whole professionals. Most of them were single and childless. The possibility of future employment oportunities (work) did not influence their choice of a medical career, academic success was important to them and they believed that success depended largely on personal effort; they knew how to handle anxiety, were sociable but independent and preferred solid experience to abstract conceptuality in order to obtain information. Our conclusion, within the current system of candidate selection, these results serve to calculate the covert self-selection mechanisms during the career, or in a more restrictive regime, to select those likely to reach academic success due to their privileged ambience. The analysis of demographic factors indicates some degree of inequality for socially disadvantaged students. Perhaps, a selection system based only on intellectual abilities would help identify and support the best candidates regardless of their social context.

  20. Study on the Principle Mechanisms of Heat Transfer for Cryogenic Insulations: Especially Accounting for the Temperature-Dependent Deposition-Evacuation of the Filling Gas (Self-Evacuating Systems)

    NASA Astrophysics Data System (ADS)

    Geisler, Matthias; Vidi, Stephan; Ebert, Hans-Peter

    2016-11-01

    This study concentrates on the principles of heat transfer within cryogenic insulation systems, especially accounting for self-evacuating systems (deposition-evacuation of the filling gas). These principles allow the extrapolation to other temperatures, gases and other materials with the input of only a few experimentally derived or carefully estimated material properties. The type of gas (e.g. air or CO2) within the porous insulation material dominates the behaviour of the effective thermal conductivity during the cooldown of the cryogenic application. This is due to the specific temperature-dependent saturation gas pressure which determines the contribution of the gas conductivity. The selected material classes include powders, fibrous insulations, foams, aerogels and multilayer insulations in the temperature range of 20 K to 300 K. Novel within this study is an analytical function for the total and the mean thermal conductivity with respect to the temperature, type of gas, external pressure and material class of the insulation. Furthermore, the integral mean value of the thermal conductivity, the so-called mean thermal conductivity, is calculated for a mechanically evacuated insulation material and an insulation material evacuated by deposition-evacuation of the filling gas, respectively. This enables a comparison of the total thermal conductivity of cryogenic insulation materials and their applicability for a self-evacuating cryogenic insulation system.

  1. The significance of a small, level-3 'semi evacuation' hospital in a terrorist attack in a nearby town.

    PubMed

    Pinkert, Moshe; Leiba, Adi; Zaltsman, Eilon; Erez, Onn; Blumenfeld, Amir; Avinoam, Shkolnick; Laor, Daniel; Schwartz, Dagan; Goldberg, Avishay; Levi, Yehezkel; Bar-Dayan, Yaron

    2007-09-01

    Terrorist attacks can occur in remote areas causing mass-casualty incidents MCIs far away from level-1 trauma centres. This study draws lessons from an MCI pertaining to the management of primary and secondary evacuation and the operational mode practiced. Data was collected from formal debriefings during and after the event, and the medical response, interactions and main outcomes analysed using Disastrous Incidents Systematic Analysis through Components, Interactions and Results (DISAST-CIR) methodology. A total of 112 people were evacuated from the scene-66 to the nearby level 3 Laniado hospital, including the eight critically and severely injured patients. Laniado hospital was instructed to act as an evacuation hospital but the flow of patients ended rapidly and it was decided to admit moderately injured victims. We introduce a novel concept of a 'semi-evacuation hospital'. This mode of operation should be selected for small-scale events in which the evacuation hospital has hospitalization capacity and is not geographically isolated. We suggest that level-3 hospitals in remote areas should be prepared and drilled to work in semi-evacuation mode during MCIs.

  2. Flood risk acceptability and economic value of evacuation.

    PubMed

    Zhai, Guofang; Ikeda, Saburo

    2006-06-01

    The economic value of evacuation and its relationship with flood risk acceptability in Japan were studied by applying the contingent valuation method (CVM). Flood risk acceptability here refers to the extent to which people accept the occurrence of floods, in terms of scale and frequency. The economic value of evacuation refers to people's willingness to pay (WTP) for avoiding evacuation inconvenience because of its inconvenience and the potential for certain losses as a result of evacuation. Our main finding was that over half of the people (56%) who actually evacuated in a real flood situation reported inconvenience. The greatest inconveniences were the shortages of information and food. Evacuation inconvenience can be regarded as an important factor causing the low rate of evacuation in Japan. The WTP for avoiding current inconvenience was approximately half of the estimated economic value of evacuation, implying that the current budget for evacuation is too small and should be increased to improve the conditions of evacuation sites. The economic value of evacuation can be taken into consideration in the risk assessment process in order to evaluate the efficiency of risk reduction measures. Flood risk acceptability and home ownership are two major statistically significantly determinants of the WTP. Considering that those who accept flood risk have a lower WTP for flood risk control (ex ante measures) than those who reject it, it is reasonable to think that there may be a tradeoff between the public WTPs for ex ante or ex post measures.

  3. Optimization and Planning of Emergency Evacuation Routes Considering Traffic Control

    PubMed Central

    Zhang, Lijun; Wang, Zhaohua

    2014-01-01

    Emergencies, especially major ones, happen fast, randomly, as well as unpredictably, and generally will bring great harm to people's life and the economy. Therefore, governments and lots of professionals devote themselves to taking effective measures and providing optimal evacuation plans. This paper establishes two different emergency evacuation models on the basis of the maximum flow model (MFM) and the minimum-cost maximum flow model (MC-MFM), and proposes corresponding algorithms for the evacuation from one source node to one designated destination (one-to-one evacuation). Ulteriorly, we extend our evaluation model from one source node to many designated destinations (one-to-many evacuation). At last, we make case analysis of evacuation optimization and planning in Beijing, and obtain the desired evacuation routes and effective traffic control measures from the perspective of sufficiency and practicability. Both analytical and numerical results support that our models are feasible and practical. PMID:24991636

  4. Optimization and planning of emergency evacuation routes considering traffic control.

    PubMed

    Li, Guo; Zhang, Lijun; Wang, Zhaohua

    2014-01-01

    Emergencies, especially major ones, happen fast, randomly, as well as unpredictably, and generally will bring great harm to people's life and the economy. Therefore, governments and lots of professionals devote themselves to taking effective measures and providing optimal evacuation plans. This paper establishes two different emergency evacuation models on the basis of the maximum flow model (MFM) and the minimum-cost maximum flow model (MC-MFM), and proposes corresponding algorithms for the evacuation from one source node to one designated destination (one-to-one evacuation). Ulteriorly, we extend our evaluation model from one source node to many designated destinations (one-to-many evacuation). At last, we make case analysis of evacuation optimization and planning in Beijing, and obtain the desired evacuation routes and effective traffic control measures from the perspective of sufficiency and practicability. Both analytical and numerical results support that our models are feasible and practical.

  5. Evacuation Criteria after A Nuclear Accident: A Personal Perspective

    PubMed Central

    Wilson, Richard

    2012-01-01

    In any decision involving radiation a risk-risk or risk-benefit comparison should be done. This can be either explicit or implicit. When the adverse effect of an alternate action is less than the planned action, such as medical use of X rays or nuclear power in ordinary operation, the comparison is simple. But in this paper I argue that with the situation faced by the Japanese in Fukushima, the assumption that the risk of an alternate action is small is false. The risks of unnecessary evacuation exceeded the risk of radiation cancers hypothetically produced by staying in place. This was not realized by those that had to make a decision within hours. This realization suggests important changes, worldwide, in the guidelines for radiation protection in accident situations. PMID:23304100

  6. Low-cost evacuated-tube solar collector appendices. Final report

    SciTech Connect

    Beecher, D.T.

    1980-05-31

    A low cost solar heat energy collector module and array has been designed using the evacuated tube, selective absorber, air cooled concept. Glass tubing as used in fluorescent lamps with automatic sealing methods is a key feature of the evacuated tube design. A molded fiber glass concentrating reflector panel and sheet metal header assembly are proposed. Major design problems involved included the cost of materials and labor, thermal expansion and distortion problems, high stagnation and operating temperatures, isolation, thermal efficiency, sealing, joining, air pressure drop, and weight of the preassembled module. A cost of less than $5 per active square foot of collecting surface has been estimated for materials and labor of the module and its mounting frame.

  7. Determining Optimal Evacuation Decision Policies for Disasters

    DTIC Science & Technology

    2012-03-01

    randomly-sized horizontal steps toward the tar - get. We defined the terms Expected Step-Size (E[∆H]) and an Expected Time-To-Go (E(TTG)), and showed...Generized Information The- ory. Hoboken, NJ: John Wiley and Sons. Regnier, Eva . 2008. Public Evacuation Decisions and Hurricane Track Uncertainty...Manage- ment Science, 54, 16–28. Regnier, Eva , & Harr, Patrick. 2006. A Dynamic Decision Model Applied to Hurricane Land- fall. Weather and Forecasting, 21

  8. Effects of evacuation assistant’s leading behavior on the evacuation efficiency: Information transmission approach

    NASA Astrophysics Data System (ADS)

    Wang, Xiao-Lu; Guo, Wei; Zheng, Xiao-Ping

    2015-07-01

    Evacuation assistants are expected to spread the escape route information and lead evacuees toward the exit as quickly as possible. Their leading behavior influences the evacuees’ movement directly, which is confirmed to be a decisive factor of the evacuation efficiency. The transmission process of escape information and its function on the evacuees’ movement are accurately presented by the proposed extended dynamic communication field model. For evacuation assistants and evacuees, their sensitivity parameter of static floor field (SFF), , and , are fully discussed. The simulation results indicate that the appropriate is associated with the maximum of evacuees. The optimal combinations of and were found to reach the highest evacuation efficiency. There also exists an optimal value for evacuation assistants’ information transmission radius. Project supported by the National Basic Research Program of China (Grant No. 2011CB706900), the National Natural Science Foundation of China (Grant Nos. 71225007 and 71203006), the National Key Technology Research and Development Program of the Ministry of Science and Technology of China (Grant No. 2012BAK13B06), the Humanities and Social Sciences Project of the Ministry of Education of China (Grant Nos. 10YJA630221 and 12YJCZH023), and the Beijing Philosophy and Social Sciences Planning Project of the Twelfth Five-Year Plan, China (Grant Nos. 12JGC090 and 12JGC098).

  9. Task Force on Emergency Evacuation of Transport Airplanes. Volume 2. Supporting Documentation.

    DTIC Science & Technology

    1986-07-01

    announces a proposed rule has been published for -Should there be handicapped. obese . :ublic technical conference, which is public comment: Improved...evacuation of persons needing assistance. The air carrier association representative discounted the need to take the handicapped, exceptionally obese , and...25.17, 121.17 -- delete "carrier choice " insert "FAA choice ." Part 25-D -- and after yesterday and the last two hours, define "analysis." (PTC, 311

  10. Regional Colonic Transit Pattern Does Not Conclusively Identify Evacuation Disorders in Constipated Patients with Delayed Colonic Transit

    PubMed Central

    Park, Seon-Young; Burton, Duane; Busciglio, Irene; Eckert, Deborah; Camilleri, Michael

    2017-01-01

    Background/Aims After exclusion of structural diseases, chronic constipation may be associated with normal or slow transit or rectal evacuation disorders. We evaluated: (1) clinical features and anorectal function, (2) difference of regional colonic transit according to the presence or absence of evacuation disorders, and (3) association of colonic transit with gender in patients with objectively slow colonic transit. Methods We reviewed electronic medical records of 1553 patients with constipation seen by one gastroenterologist from 1994–2015 at a tertiary medical center. We identified patients with slow colonic transit using scintigraphy. Evacuation disorders were identified on clinical examination or anorectal manometry. Colonic compliance and tone were measured in 29 patients. Statistical analysis was by the Mann-Whitney rank sum test. Results Of the 207 patients (155 females, mean age 41.3 ± 15.3 [SD] years), 113 had evacuation disorders (ED+ve) and 94 did not (ED−ve). There were no significant differences in colonic transit or gastric emptying between ED+ve or ED−ve; similarly, colonic compliance, tone and responses to neostigmine were not different in ED+ve and ED−ve. Conversely, there were significant differences by gender in patients with slow colonic transit: colonic transit, small bowel transit, and gastric emptying (all P < 0.005). Conclusions Delayed colonic transit does not exclude evacuation disorders in chronic constipation. In chronic constipation and objectively slow colonic transit, females had slower gastric, small bowel, and colonic transit than males. PMID:27667753

  11. The effect of disinfectants on 2024-T3 aluminum in the air medical helicopter.

    PubMed

    Austin, E N; Austin, H C; McKechnie, T N

    1993-03-01

    A principle structural component of helicopters is 2024-T3 aluminum alloy. This alloy has been designed for use in areas requiring high strength-to-weight ratios, but it is susceptible to corrosion damage. The air medical helicopter is frequently exposed to bloodborne pathogens, dirt, intravenous solutions and a variety of other contaminants. The amount of damage to the helicopter that can be caused by the use of cleaners and disinfectants has been raised as an area of concern for the safety of the helicopter, crew and patients. In a controlled study, 2024-T3 alclad aluminum strips were placed in 120-ml glass jars that were filled with 60 ml of solution and then sealed. The solutions used were disinfectants, cleaners and water (both tap and distilled). The strips in solution were placed in a controlled oven at 140 F for 100 hours to simulate long-term damage from immersion, vapors and heat. On examination, many strips were discolored and corroded. Only one solution caused no apparent damage, and only one caused slight vapor damage. As a result of the study, one of the solutions has been designated for use. The results have been used as examples for flight team members on the costly damage that can result from inappropriate use of these substances. A cleaning policy and procedure has been developed to ensure adequate protection from chemical exposure while protecting all team members from the dangers of bloodborne pathogens.

  12. A novel approach for mental health disease management: the Air Force Medical Service's interdisciplinary model.

    PubMed

    Runyan, Christine N; Fonseca, Vincent P; Meyer, John G; Oordt, Mark S; Talcott, G Wayne

    2003-01-01

    Mental health disorders are one of the most substantial public health problems affecting society today, accounting for roughly 15% of the overall burden of disease from all causes in the United States. Although primary care (PC) has the potential to be the frontline for recognition and management of behavioral health conditions, this has been a challenge historically. In order to more effectively address the broad scope of behavioral health needs, the Air Force Medical Service (AFMS) established a new model of behavioral health care. Through a series of coordinated steps, the AFMS ultimately placed trained behavioral health providers into PC clinics to serve as consultants to PC providers (PCPs). Behavioral Health Consultants (BHCs) provide focused assessments, present healthcare options to patients, and deliver brief collaborative interventions in the PC setting. BHCs see patients at the request of the PCP, in 15-30-min appointments. In the pilot study, patients averaged 1.6 visits to the BHC. Over 70% of patients fell into six categories of presenting problems: situational reactions, depressive disorders, adjustment disorders, anxiety disorders, health promotion, and obesity. Patient data (n = 76) suggest 97% of patients seen were either "satisfied" or "very satisfied" with BHC services, and 100% of the PCPs (n = 23, 68% response rate) were highly satisfied and indicated they would "definitely recommend" others use BHC services for their patients. Both the implications and the limitations of this pilot study are discussed.

  13. Investigation of Self-Reported Musculoskeletal Injuries on Post-Deployment Health Assessment Forms for Aeromedical Evacuation Personnel.

    PubMed

    Fouts, Brittany L; Serres, Jennifer L; Dukes, Susan F; Maupin, Genny M; Wade, Molly E; Pohlman, Daniel M

    2015-12-01

    Musculoskeletal injuries (MSIs) are a concern for the military community because of medical expenses, possible disability, and separation from the military. This study investigated the prevalence of MSIs in deployed aeromedical evacuation (AE) populations reported on Post-Deployment Health Assessment (PDHA) forms. A secondary aim was to examine the relationship between the occurrence of self-reported MSIs on PDHAs and a subsequent medical diagnosis. Flight nurses (Air Force Specialty Code [AFSC] 46F) and AE technicians (AETs) (AFSC 4N0 with a flight duty badge) who completed a PDHA during 2008-2010 were investigated. Data from the test population were compared with a control group of deployed ground-based counterparts. During this time period, 1,366 and 1,959 PDHAs were completed by the AE nursing and AET groups, respectively. At least 1 MSI was reported by 18% of AE nurse and 19% of AET compared with 23% of non-AE nurse and 25% of non-AET PDHAs. Of these individuals with reported MSIs, 35% and 44% of AE nurse and AET PDHAs, respectively, had a diagnosis matching their MSIs. Identifying the prevalence of MSIs in the unique AE environment can lead to the development of preventative and ergonomic solutions, minimizing the risk of MSIs and improving mission success.

  14. Simulation of local tsunami and evacuation of urban areas, informed by population exposure analysis and studies of tsunami evacuation behaviour.

    NASA Astrophysics Data System (ADS)

    Fraser, Stuart; Wood, Nathan; Johnston, David; Leonard, Graham

    2013-04-01

    We demonstrate a methodology for the integration of hazard, population and evacuation modelling to optimise evacuation planning. Deterministic tsunami simulations are carried out to define the spatial and temporal evolution of tsunami inundation onshore in the several hours following local-source subduction zone earthquakes. Exposure of an urban population to the hazard and options for risk mitigation (specifically through evacuation) are then assessed, demonstrating how tsunami simulation and evacuation simulations can be combined for effective tsunami evacuation planning. The east coast of New Zealand is subject to significant local tsunami hazard due to the proximity of the Hikurangi subduction margin only 100 km offshore. Seismic, geodetic and paleo-tsunami studies have shown the potential for large subduction zone earthquakes (Mw 7.0 to > Mw 9.0) to occur on this margin, though none have been experienced in New Zealand's short European-recorded history. Deterministic simulation of earthquake-generated local tsunami indicates the variability in potential inundation extent and tsunami arrival time at Napier City, an urban centre located on the east coast of New Zealand. Maximum spatial extent of inundation is used to analyse the exposed population, while temporal evolution of inundation is implemented in GIS modelling of evacuation travel time. Exposure analysis reveals the spatial distribution of the urban population, including sub-populations with varying characteristics influencing their ability to evacuate effectively in the short time-frame available for a local tsunami. These include vulnerable groups such as those who are mobility-impaired, in the care of institutions (I.e. schools, prisons) and transient populations with little knowledge of local hazard or evacuation routes. Observations of evacuation behaviour in previous tsunami and research into awareness of appropriate evacuation behaviour in the Napier community are used to calibrate and validate

  15. Airworthiness testing of medical maggots.

    PubMed

    Peck, George W; Helgeson, Sandra M; Powell, Eric D; Roth, Amanda L; Flores, Micah; Kirkup, Benjamin C

    2015-05-01

    An investigation was conducted to test and certify medicinal maggots to facilitate rapid healing of traumatic and chronic wound infections in Wounded warriors being transported onboard military aircraft. Our specific aims included (1) to test the ability of medical grade larvae to withstand the rigors of U.S. Army aeromedical certification, including tolerance to change in pressure, temperature, and humidity inside ground-based chambers; (2) to evaluate the efficacy of the medical grade larvae during a high-vibration rotary-wing medical transport flight; and (3) to gain U.S. Army aeromedical certification and U.S. Air Force safe-to-fly approval and begin the steps needed to deploy/implement the use of medicinal maggots in patient care regimes for medical airlift standard operating procedures. This report outlines the ground-based and initial air-based tests performed during the study. Maggot mortality was very low during all tests, with a mortality rate of less than 1%. Maggot growth rates in wound arenas were mixed but generally depended on temperature. Overall, the results of these tests suggest that medicinal maggots can withstand the rigors of aeromedical evacuation flights in simulated flight environments and rotary- or fixed-wing aircraft.

  16. A Review of Computer Evacuation Models and Their Data Needs

    DTIC Science & Technology

    1994-05-01

    evacu- edge of aircraft exits and routes). The number of ation from trains , theaters, cinemas, and lecture halls. parameters, and their associated values...regarding training , operation, describing the system to the model, and design of aircraft to ensure as fast a cabin evacu- Accident reconstructions are a more...17). In the future when March 1993 evacuation tests are planned, consideration should be 7. G2 Reference Manual, Gensym Corporation, 125 given to

  17. Analysis of radionuclide concentration in air released through the stack of a radiopharmaceutical production facility based on a medical cyclotron

    NASA Astrophysics Data System (ADS)

    Giardina, M.; Tomarchio, E.; Greco, D.

    2015-11-01

    Positron emitting radionuclides are increasingly used in medical diagnostics and the number of radiopharmaceutical production facilities have been estimated to be growing worldwide. During the process of production and/or patient administration of radiopharmaceuticals, an amount of these radionuclides might become airborne and escape into the environment. Therefore, the analysis of radionuclide concentration in the air released to the stack is a very important issue to evaluate the dose to the population living around the plant. To this end, sampling and measurement of radionuclide concentration in air released through the stack of a Nuclear Medicine Center (NMC), provided with a cyclotron for radiopharmaceuticals production, must be routinely carried out with an automatic measurement system. In this work is presented the air monitoring system realized at "San Gaetano" NMC at Bagheria (Italy) besides the analysis of the recorded stack relesead air concentration data. Sampling of air was carried out continuously and gamma-ray spectrometric measurement are made on-line and for a short time by using a shielded Marinelli beaker filled with sampled air and a gamma detector. The use of this system allows to have 1440 values of air concentration per day from 2002, year of the start of operation with the cyclotron. Therefore, the concentration values are very many and an analysis software is needed to determine the dose to the population. A comparison with the results of a simulation code based on a Gaussian Plume air dispersion modelling allow us to confirm the no-radiological significance of the stack effluent releases in terms of dose to population and to evaluate possible improvements in the plant devices to reduce the air concentration at stack.

  18. Emergency evacuation orders: considerations and lessons from Hurricane Sandy.

    PubMed

    O'Neil, Patrick D

    2014-01-01

    This article analyzes the problems surrounding the execution of emergency evacuation orders by evaluating Hurricane Sandy and the emergency actions taken by the State of New Jersey and the City of Atlantic City New Jersey. The analysis provides an overview of the legal authority granting emergency powers to governors and mayors to issue evacuation proclamations in addition to an evaluation of the New Jersey's emergency evacuation mandate and subsequent compliance. The article concludes with provision of planning and preparedness recommendations for public managers facing similar hazards, including a recommendation for provision of emergency shelter contingencies within the threat zone in anticipation of citizen noncompliance evacuation orders.

  19. Analysis of dynamic road risk for pedestrian evacuation

    NASA Astrophysics Data System (ADS)

    Zhang, Nan; Huang, Hong; Su, Boni; Zhao, Jinlong

    2015-07-01

    Knowing the dynamic road risk for pedestrian evacuation and having an efficient evacuation plan play a very important role in the serious disasters such as earthquake, tsunami and hurricane. In this paper, the dynamic road risk for pedestrian evacuation in a densely populated area of Beijing was studied with consideration of different influencing factors. Firstly, the eight influencing factors including road width, node degree, safety betweenness, road resistor coefficient, building threat, pedestrian counterflow, illegal vehicle parking and traffic flow were considered to assess the road risk for pedestrian evacuation. Secondly, based on complex network theory, electric circuit theory and real situation of the roads, the comprehensive assessment function for road risk was developed quantitatively based on the eight influencing factors. Thirdly, we analyzed road risk for pedestrian evacuation considering different situations: current condition, regular condition, and optimal condition; the risk distribution maps were drawn to directly show the risk level. Through assessments, the roads with high risk for pedestrian evacuation were found, and an optimized evacuation plan was obtained and analyzed. This mathematical model can guide the emergency evacuation in real time. The process and the results are essential for improving the efficiency of evacuations which should considerably reduce the possibility of injuries, deaths and other losses in the disaster.

  20. Environmental Assessment for Conversion of the Existing Aero Club Runway to Emergency Helipad for David Grant Medical Center Travis Air Force Base, Fairfield, California

    DTIC Science & Technology

    2010-07-01

    Travis Air Force Base, Fairfield, California Contract No. GS-10F-132K Delivery Order No. FA4427-08-F-0133 Submitted to U. S. Air Force Center for...Engineering and the Environment Travis Air Force Base, California July 2010 2485 Natomas Park Drive Suite 600 Sacramento, CA 95833 Report...Club Runway to Emergency Helipad for David Grant Medical Center Travis Air Force Base, Fairfield, California 5a. CONTRACT NUMBER 5b. GRANT NUMBER

  1. Evacuation time estimate for total pedestrian evacuation using a queuing network model and volunteered geographic information

    NASA Astrophysics Data System (ADS)

    Kunwar, Bharat; Simini, Filippo; Johansson, Anders

    2016-02-01

    Estimating city evacuation time is a nontrivial problem due to the interaction between thousands of individual agents, giving rise to various collective phenomena, such as bottleneck formation, intermittent flow, and stop-and-go waves. We present a mean field approach to draw relationships between road network spatial attributes, the number of evacuees, and the resultant evacuation time estimate (ETE). Using volunteered geographic information, we divide 50 United Kingdom cities into a total of 704 catchment areas (CAs) which we define as an area where all agents share the same nearest exit node. 90% of the agents are within ≈6 ,847 m of CA exit nodes with ≈13 ,778 agents/CA. We establish a characteristic flow rate from catchment area attributes (population, distance to exit node, and exit node width) and a mean flow rate in a free-flow regime by simulating total evacuations using an agent based "queuing network" model. We use these variables to determine a relationship between catchment area attributes and resultant ETEs. This relationship could enable emergency planners to make a rapid appraisal of evacuation strategies and help support decisions in the run up to a crisis.

  2. The Need for an Operational Level Approach to Medical Evacuation

    DTIC Science & Technology

    2011-05-04

    Department of the Army, 31 October 1991), 4-1. 3 Michael Moss, “A Mission That Ended in Inferno for 3 Women,” nytimes.com, 20 December 2005, http...story from the authors experiences, 23 Jun 2005. 5 Michael Moss, “A Mission That Ended in Inferno for 3 Women,” nytimes.com, 20 December 2005...Moss, Michael. “A Mission That Ended in Inferno for 3 Women.” nytimes.com, 20 December 2005. http://www.nytimes.com/2005/12/20/international

  3. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... AERONAUTICS AND SPACE ADMINISTRATION CONTRACT MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Additional... contracts when employees of the contractor are required to travel outside the United States or to...

  4. 48 CFR 1842.7003 - Emergency medical services and evacuation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... AERONAUTICS AND SPACE ADMINISTRATION CONTRACT MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Additional... contracts when employees of the contractor are required to travel outside the United States or to...

  5. Risk Factors for Incident Postdeployment Mental Health Conditions Among U.S. Air Force Medical Service Personnel.

    PubMed

    Maupin, Genny M; Tvaryanas, Anthony P; White, Edward D; Lysfjord, Heather J

    2017-03-01

    The prevalence of postdeployment mental health (PDMH) conditions in military health care personnel appears to be on par with that of other military personnel. However, there is no comprehensive analysis of incident PDMH conditions within the overall population of U.S. Air Force Medical Service personnel. This study explored the epidemiology of incident PDMH conditions among Air Force Medical Service personnel returning from deployment. A cohort survival analysis was conducted of 24,409 subjects without preexisting mental health conditions and at least one deployment during 2003-2013. Electronic health record data were used to ascertain the diagnosis of a PDMH condition. The primary outcome measure was an incident PDMH condition defined as a mental health diagnosis on at least two separate clinical encounters. The incidence of PDMH conditions was 59.74 per 1,000 person-years. Adjustment, anxiety, mood, sleep, and post-traumatic stress disorders accounted for 78% diagnoses. Protective factors included officer, surgeon, specific enlisted career fields, Air National Guard or Air Force Reserve, and multiple deployments. Risk factors included nurse, other specific enlisted career fields, female, and unmarried with dependents. Most subjects (73%) were diagnosed within the standard 30-month surveillance time period; median time to diagnosis was 13 months.

  6. Assessment of pain in less severely ill and injured aeromedical evacuation patients: a prospective field study.

    PubMed

    Bridges, Elizabeth; Dukes, Susan; Serres, Jennifer

    2015-03-01

    Pain management is vitally important to injured patients being evacuated from the warzone. A prospective assessment of real-time ratings of pain acceptability, intensity, and satisfaction of a convenience sample of 114 less severely ill and injured U.S. military patients being evacuated on Aeromedical Evacuation (AE) missions from Ramstein Air Field, Germany, to Andrews Air Force Base, Maryland, was conducted. Data were collected before and during 12 AE flights in December 2012 and May 2013. Acceptable pain intensity was a median of 6/10 (range 2-9), with 76% of patients indicating an acceptable pain intensity greater than 4. During AE transport, 75% of patients reported at least one pain score≥4. Despite these high pain ratings, there was documentation of administration for only 58% of routine and 48% for as-needed analgesics/adjuvants. Over 47% of patients experienced pain that exceeded their acceptable intensity level, but of those patients with pain that was more severe than acceptable, only 10% rated their satisfaction with their pain management as poor or fair. This is the first study to provide real-time concurrent assessment of pain and pain management during en route care. The worst pain was reported for the hospital to aircraft arrival, suggesting the need for interventions to safely optimize pain management during this handoff period.

  7. 4,871 Emergency Airway Encounters by Air Medical Providers: A Report of the Air Transport Emergency Airway Management (NEAR VI: “A-TEAM”) Project

    PubMed Central

    Brown, Calvin A.; Cox, Kelly; Hurwitz, Shelley; Walls, Ron M.

    2014-01-01

    Introduction Pre-hospital airway management is a key component of resuscitation although the benefit of pre-hospital intubation has been widely debated. We report a large series of pre-hospital emergency airway encounters performed by air-transport providers in a large, multi-state system. Methods We retrospectively reviewed electronic intubation flight records from an 89 rotorcraft air medical system from January 01, 2007, through December 31, 2009. We report patient characteristics, intubation methods, success rates, and rescue techniques with descriptive statistics. We report proportions with 95% confidence intervals and binary comparisons using chi square test with p-values <0.05 considered significant. Results 4,871 patients had active airway management, including 2,186 (44.9%) medical and 2,685 (55.1%) trauma cases. There were 4,390 (90.1%) adult and 256 (5.3%) pediatric (age ≤ 14) intubations; 225 (4.6%) did not have an age recorded. 4,703 (96.6%) had at least one intubation attempt. Intubation was successful on first attempt in 3,710 (78.9%) and was ultimately successful in 4,313 (91.7%). Intubation success was higher for medical than trauma patients (93.4% versus 90.3%, p=0.0001 JT test). 168 encounters were managed primarily with an extraglottic device (EGD). Cricothyrotomy was performed 35 times (0.7%) and was successful in 33. Patients were successfully oxygenated and ventilated with an endotracheal tube, EGD, or surgical airway in 4809 (98.7%) encounters. There were no reported deaths from a failed airway. Conclusion Airway management, predominantly using rapid sequence intubation protocols, is successful within this high-volume, multi-state air-transport system. PMID:24672610

  8. A Generic Framework for Tsunami Evacuation Planning

    NASA Astrophysics Data System (ADS)

    Scheer, Stefan; Eftichidis, George; Guillande, Richard

    2010-05-01

    Coastal communities are vulnerable with regard to the devastating impacts tsunami waves may generate to life, lifelines, assets and economy. The risk is quantified by rather rare occurrence on one hand, and by high damage to be expected on the other hand. Hence a pure numerical calculation could easily become meaningless. Yet over-dramatizing the threat could become counter-productive taking into account social behaviour and human perception of potential risk of tsunami waves. Local communities would therefore rather act in a "silent" way by gradually improving the level of preparedness. The goal should be to create a concept of an emergency and evacuation plan that could easily be invoked if necessary. Obviously such concepts are based on a huge variety of parameters which can be set in an individual way considering local particularities, scopes and questions of applicability. Nevertheless guidance through all these parameters and their calculations is difficult to find. This abstract proposes a generic framework that summarizes the application of various steps to be taken, the interdependencies of these steps and the three phases of repetition due to generation, mid-term maintenance and long-term revision of such emergency and evacuation plans. The abstract represents the outcome of research work done as part of the EU-funded SCHEMA (scenarios for hazard-induced emergencies management) project.

  9. Preparedness in Long-Term Care: A Novel Approach to Address Gaps in Evacuation Tracking.

    PubMed

    Prot, Emilie Y; Clements, Bruce

    2017-02-01

    With an aging population, the number of elderly individuals residing in long-term care (LTC) facilities will continue to grow and pose unique challenges to disaster preparedness and response. With this rapidly growing vulnerable population, it becomes imperative to identify enhanced and novel preparedness strategies and measures. LTC residents not only have complicated medical needs, including the timing of dispensing multiple medications, but frequently have cognitive and mobility deficits as well. In nearly every major disaster, elderly populations have suffered disproportionate morbidity and mortality. This is often due to elderly evacuees getting overlooked in the chaos of an initial response. Instituting measures to rapidly recognize this population in a crowd during an evacuation will reduce their risk. This commentary reviews the LTC facility evacuation challenges of the 2013 explosion of the West Fertilizer Company plant in West, Texas, and offers a novel solution of mandating the wearing of pink vests by all nursing home residents in case of an evacuation. The pink vests quickly alert disaster rescue and response workers of LTC residents with special needs. (Disaster Med Public Health Preparedness. 2017;11:28-30).

  10. [Experience with passenger motor ship re-equipment used for evacuation of the wounded and sick].

    PubMed

    Sokolovskiĭ, N A; Grishchuk, A V; Tsymbal, A N

    2003-08-01

    In September 2002 the mobilization headquarters training was conducted on the base of Volga-Baltic steamship. During this training the passenger motor-vessel (the project 301) was re-equipped into sanitary-and-transport ship. The sanitary treatment coast post and the elements of evacuation receiving-room were developed by the personnel on the shore near the mooring wall. On the 3rd day the ship's sanitary treatment post, medical department (60 beds) with the wards for psychic patients (4 critical patients/ward), post for nurse on duty, room of physician on duty, dressing room, drugstore, autoclave room, clinical laboratory and collective defense post were created in the re-equipped rooms of the ship. The training has confirmed the advantages of casualty and patient transportation using the inner water-ways over the other types of transport. The following defects should be noted: the season work of river transport; frequent discrepancy of river trend with evacuation ways; comparatively low rate of transportation; different types of river ships used for medical evacuation.

  11. Medical Surveillance Monthly Report (MSMR). Volume 21, Number 8, August 2014

    DTIC Science & Technology

    2014-08-01

    ic al e va...cu at io ns (l in e) N o. o f m ed ic al e va cu at io ns (b ar s) No. medical evacuations % female medical evacuations MSMR Vol. 21 No. 8...vaginal dis- charges. Treatments include antifungal creams , vaginal suppositories, and oral medications. Because yeast infections can be diffi cult

  12. 46 CFR 133.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... individual release from its stowage rack. (3) Each inflatable liferaft used in conjunction with the marine... evacuation. (b) Stowage. Each marine evacuation system must be stowed as follows: (1) There must not be any... deployed; its stowage container; and its operational arrangement must not interfere with the operation...

  13. 21 CFR 876.4370 - Gastroenterology-urology evacuator.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Gastroenterology-urology evacuator. 876.4370 Section 876.4370 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... evacuator, and the AC-powered vacuum pump. (b) Classification. (1) Class II (special controls) for...

  14. 21 CFR 876.4370 - Gastroenterology-urology evacuator.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Gastroenterology-urology evacuator. 876.4370 Section 876.4370 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... evacuator, and the AC-powered vacuum pump. (b) Classification. (1) Class II (special controls) for...

  15. 14 CFR 121.570 - Airplane evacuation capability.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Airplane evacuation capability. 121.570... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.570 Airplane evacuation capability. (a) No person may cause an airplane carrying passengers to be moved on the surface, take off,...

  16. 14 CFR 121.570 - Airplane evacuation capability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Airplane evacuation capability. 121.570... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.570 Airplane evacuation capability. (a) No person may cause an airplane carrying passengers to be moved on the surface, take off,...

  17. Prediction of pressure during evacuation of multilayer insulation.

    NASA Technical Reports Server (NTRS)

    Glassford, A. P. M.

    1972-01-01

    Description of an improved analytical procedure for predicting the pressure time history during evacuation of multilayer-insulation thermal-protection systems. To evaluate the performance of the proposed analysis and to demonstrate its usefulness as a design tool, a comparison is presented of the experimentally measured and predicted evacuation pressure histories for a laboratory-scale model multilayer insulation blanket.

  18. Getting out of harm's way - evacuation from tsunamis

    USGS Publications Warehouse

    Jones, Jeanne M.; Wood, Nathan J.; Gordon, Leslie C.

    2015-01-01

    Maps of travel time can be used by emergency managers and community planners to identify where to focus evacuation training and tsunami education. The tool can also be used to examine the potential benefits of vertical-evacuation structures, which are buildings or berms designed to provide a local high ground in low-lying areas of the hazard zone. 

  19. Air Force Medical Modeling and Simulation: Bringing Virtual Reality to Reality

    DTIC Science & Technology

    2011-01-26

    Modeling and Simulation 26 January 2011 Colonel Deborah N. Burgess, MD, FACP 1 Military Health System Conference Medical Modernization Division...Medical Modeling and Simulation: Bringing Virtual Reality to Reality 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d...Coordinating Group-1 Modeling & Simulation subgroup • USAF SG designated SPO vs MEFPAK for medical simulation E&T *Current Jan 2011 2011 MHS

  20. Effect of authority figures for pedestrian evacuation at metro stations

    NASA Astrophysics Data System (ADS)

    Song, Xiao; Zhang, Zenghui; Peng, Gongzhuang; Shi, Guoqiang

    2017-01-01

    Most pedestrian evacuation literatures are about routing algorithm, human intelligence and behavior etc. Few works studied how to fully explore the function of authority/security figures, who know more of the environment by simply being there every day. To evaluate the effect of authority figure (AF) in complex buildings, this paper fully investigates the AF related factors that may influence the evacuation effect of crowd, such as the number and locations of AFs, their spread of direction, calming effect and distribution strategies etc. Social force based modeling and simulation results show that these factors of AFs play important roles in evacuation efficiency, which means fewer AFs with right guiding strategy can have good evacuation performance. For our case study, Zhichun Avenue station, the conclusion is that deployment of four AFs is a good choice to achieve relatively high evacuation performance yet save cost.

  1. Effective strategies of collective evacuation from an enclosed space

    NASA Astrophysics Data System (ADS)

    Shao, Zhi-Gang; Yang, Yan-Yan

    2015-06-01

    On the basis of fundamental principles of the Vicsek model and the leader-follower model, we develop an extended evacuation model of self-propelled particles system considering movable exits, and then propose effective strategies of self-organization evacuating from an enclosed space. It is found that placing exits in the corner is an effective strategy for evacuation via simulations. Furthermore, increasing the intensity of exit sign takes only effect in some extent. In addition, multi exits will make the evacuation more slowly. In general, one corner exit is the best choice for collective evacuation. Our results provide new insights into designing a safe passage in some enclosed places, such as the cinema and conference halls.

  2. 75 FR 79034 - Proposed Extension of Existing Information Collection; Escape and Evacuation Plans (Pertains to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... Evacuation Plans (Pertains to Underground Metal and Nonmetal Mines) AGENCY: Mine Safety and Health... and evacuation plan specifically addressing the unique conditions of each underground metal...

  3. ["Medical Deputies": clinics and politics in the dispute for public resources in Buenos Aires (1906-1917)].

    PubMed

    Souza, P; Hurtado, D

    2008-01-01

    In June 1906, the conservative deputy and doctor Eliseo Cantón submitted in the Argentinian Parliament the project of a , which would take up four blocks, would be located in front of the Faculty of Medicine of the University of Buenos Aires and would be made up by 20 institutes with a capacity for 80 beds each. The dispute over this huge project, which lasted until 1917, placed in the middle of the scene, a group of "medical deputies" who used the political platform as a space to define the main aspects of the hospital system. The controversy went beyond the Parliament reaching the public sphere. The lavishness of the project on the eve of the Centenary public festivities or the opulence of a Buenos Aires which inspired to be like Paris were related, in a symbolic view, to the progress of local medicine and its aspirations to be included in the international medical arena. The analysed case helps understand how an essentially political controversy - which led to economical, ethical and cognitive discussions - intervened in the process of building up a socio-professional space of the hospital medical practice.

  4. Glass heat pipe evacuated tube solar collector

    DOEpatents

    McConnell, Robert D.; Vansant, James H.

    1984-01-01

    A glass heat pipe is adapted for use as a solar energy absorber in an evacuated tube solar collector and for transferring the absorbed solar energy to a working fluid medium or heat sink for storage or practical use. A capillary wick is formed of granular glass particles fused together by heat on the inside surface of the heat pipe with a water glass binder solution to enhance capillary drive distribution of the thermal transfer fluid in the heat pipe throughout the entire inside surface of the evaporator portion of the heat pipe. Selective coatings are used on the heat pipe surface to maximize solar absorption and minimize energy radiation, and the glass wick can alternatively be fabricated with granular particles of black glass or obsidian.

  5. Personnel evacuation apparatus for an offshore platform

    SciTech Connect

    Hunter, A.F.

    1987-04-28

    An apparatus is described for evacuating personnel from an offshore platform in all weather conditions to a position on the ocean surface a safe distance from the platform the apparatus comprising: a boat launching ramp; flotation means; boat means adapted to be supported and launched by the ramp; means for releasably securing the boat means within the ramp means adjacent the entry end; means for releasing the latch means to permit the flotation means to move the launching ramp from its stowed position to a deployed position; and means for releasing the boat securing means, thereby permitting the boat means to slide down the ramp and be launched from the exit end of the ramp onto the surface of the ocean a safe distance from the platform.

  6. Queuing network approach for building evacuation planning

    NASA Astrophysics Data System (ADS)

    Ishak, Nurhanis; Khalid, Ruzelan; Baten, Md. Azizul; Nawawi, Mohd. Kamal Mohd.

    2014-12-01

    The complex behavior of pedestrians in a limited space layout can explicitly be modeled using an M/G/C/C state dependent queuing network. This paper implements the approach to study pedestrian flows through various corridors in a topological network. The best arrival rates and their impacts to the corridors' performances in terms of the throughput, blocking probability, expected number of occupants in the system and expected travel time were first measured using the M/G/C/C analytical model. These best arrival rates were then fed to its Network Flow Programming model to find the best arrival rates to source corridors and routes optimizing the network's total throughput. The analytical results were then validated using a simulation model. Various results of this study can be used to support the current Standard Operating Procedures (SOP) to efficiently and safely evacuate people in emergency cases.

  7. Glass heat pipe evacuated tube solar collector

    SciTech Connect

    McConnell, R.D.; Vansant, J.H.

    1984-10-02

    A glass heat pipe is adapted for use as a solar energy absorber in an evacuated tube solar collector and for transferring the absorbed solar energy to a working fluid medium or heat sink for storage or practical use. A capillary wick is formed of granular glass particles fused together by heat on the inside surface of the heat pipe with a water glass binder solution to enhance capillary drive distribution of the thermal transfer fluid in the heat pipe throughout the entire inside surface of the evaporator portion of the heat pipe. Selective coatings are used on the heat pipe surface to maximize solar absorption and minimize energy radiation, and the glass wick can alternatively be fabricated with granular particles of black glass or obsidian.

  8. NUclear EVacuation Analysis Code (NUEVAC) : a tool for evaluation of sheltering and evacuation responses following urban nuclear detonations.

    SciTech Connect

    Yoshimura, Ann S.; Brandt, Larry D.

    2009-11-01

    The NUclear EVacuation Analysis Code (NUEVAC) has been developed by Sandia National Laboratories to support the analysis of shelter-evacuate (S-E) strategies following an urban nuclear detonation. This tool can model a range of behaviors, including complex evacuation timing and path selection, as well as various sheltering or mixed evacuation and sheltering strategies. The calculations are based on externally generated, high resolution fallout deposition and plume data. Scenario setup and calculation outputs make extensive use of graphics and interactive features. This software is designed primarily to produce quantitative evaluations of nuclear detonation response options. However, the outputs have also proven useful in the communication of technical insights concerning shelter-evacuate tradeoffs to urban planning or response personnel.

  9. Operation Amaryllis: French Evacuation Operation in Rwanda 1994 - Lessons Learned for Future German Noncombatant Evacuation Operations?

    DTIC Science & Technology

    2007-11-02

    Evacuation Operation (NEO) " Amaryllis " in Rwanda, conducted in order to rescue European citizens, who were in extreme danger during the riots. While the...German Armed Forces developed their own NEO capability from 1994 to 1999. This study assesses the successful French Operation Amaryllis and develops 21...Eritrea in 1998. Finally, this study evaluates whether the German Armed Forces have learned their lessons from Operation Amaryllis .

  10. Archives of Environmental Health, Volume 18 Number 4. Ninth AMA Air Pollution Medical Research Conference, Denver, July 22-24, 1968.

    ERIC Educational Resources Information Center

    Barton, Frank

    Papers read before the Ninth American Medical Association (AMA) Air Pollution Medical Research Conference, Denver, Colorado, July 22-24, 1968, are presented in this document. Topics deal with the relationship and effects of atmospheric pollution to respiratory diseases, epidemiology, human physiological reactions, urban morbidity, health of school…

  11. Taking the Blood Bank to the Field: The Design and Rationale of the Prehospital Air Medical Plasma (PAMPer) Trial.

    PubMed

    Brown, Joshua B; Guyette, Francis X; Neal, Matthew D; Claridge, Jeffrey A; Daley, Brian J; Harbrecht, Brian G; Miller, Richard S; Phelan, Herb A; Adams, Peter W; Early, Barbara J; Peitzman, Andrew B; Billiar, Timothy R; Sperry, Jason L

    2015-01-01

    Hemorrhage and trauma induced coagulopathy remain major drivers of early preventable mortality in military and civilian trauma. Interest in the use of prehospital plasma in hemorrhaging patients as a primary resuscitation agent has grown recently. Trauma center-based damage control resuscitation using early and aggressive plasma transfusion has consistently demonstrated improved outcomes in hemorrhaging patients. Additionally, plasma has been shown to have several favorable immunomodulatory effects. Preliminary evidence with prehospital plasma transfusion has demonstrated feasibility and improved short-term outcomes. Applying state-of-the-art resuscitation strategies to the civilian prehospital arena is compelling. We describe here the rationale, design, and challenges of the Prehospital Air Medical Plasma (PAMPer) trial. The primary objective is to determine the effect of prehospital plasma transfusion during air medical transport on 30-day mortality in patients at risk for traumatic hemorrhage. This study is a multicenter cluster randomized clinical trial. The trial will enroll trauma patients with profound hypotension (SBP ≤ 70 mmHg) or hypotension (SBP 71-90 mmHg) and tachycardia (HR ≥ 108 bpm) from six level I trauma center air medical transport programs. The trial will also explore the effects of prehospital plasma transfusion on the coagulation and inflammatory response following injury. The trial will be conducted under exception for informed consent for emergency research with an investigational new drug approval from the U.S. Food and Drug Administration utilizing a multipronged community consultation process. It is one of three ongoing Department of Defense-funded trials aimed at expanding our understanding of the optimal therapeutic approaches to coagulopathy in the hemorrhaging trauma patient.

  12. Low-cost evacuated-tube solar collector. Final report

    SciTech Connect

    Beecher, D. T.

    1981-02-10

    A prototype design for an evacuated tube air cooled solar collector module has been completed. A product cost study, based on the production of 60,000 of the prototype modules per year (approx. 1,000,000 square feet annually), estimates that the module as shipped would have a cost at inventory of $7.09 to $7.40 per square foot of aperture. Computer programs were developed to predict the optical and thermal performance of the module. Antireflective coatings (porous aluminum oxide) which could be formed by spraying or dipping were demonstrated but degraded more rapidly when exposed to a high humidity ambient than acid etched films. A selective black chromium oxide multi-layered graded film was vapor deposited which had an absorptivity of about 0.9 and an emissivity of 0.03. When the film was heated to temperatures of 400/sup 0/C in a gettered vacuum for as little as 24 hours, however, irreversible changes took place both between and within coating layers which resulted in ..cap alpha.. decreasing to about 0.73 and epsilon increasing to 0.14. The product cost studies indicate that module design changes are warranted to reduce product cost prior to tooling for production.

  13. Problem Oriented Medical Record: Characterizing the Use of the Problem List at Hospital Italiano de Buenos Aires.

    PubMed

    Franco, Mariano; Giussi Bordoni, Maria Victoria; Otero, Carlos; Landoni, Mariana Clara; Benitez, Sonia; Borbolla, Damian; Luna, Daniel

    2015-01-01

    Problem oriented medical record (POMR) was born in late sixties. Expecting an ordered, complete and updated medical record were some of the goals of its founder. Several healthcare institutions have included problem list into their clinical records but some concerns have been reported. These concerns are in reference to their voluminosity, incompleteness and outdatedness. This study attempts to understand how healthcare professionals are using the problem list at Hospital Italiano de Buenos Aires (HIBA). We believe it is essential to understand the local reality applied to our own applications and cultural instances of documentation. This report is the basis from which several improvements could be made in order to meet the goals of Weed's proposal.

  14. The application of a marketing systems planning framework to design a ground-air medical transport service.

    PubMed

    Chasin, S; Schlacter, J; Shirley, C

    1986-01-01

    This article has examined the application of a marketing and community planning process to the development of a regional, complete patient transportation system. The model is designed to interface with a region whose existing Emergency Medical Service System is operating at the advanced Life Support (usually paramedic) level. It is suitable for regions whose existing ambulance (ground and air) services are in need of improvement and/or coordination, and specifically utilizes the concept of ownership and management by a hospital consortium. The model, as described, is sufficiently flexible to be usable in a variety of local and regional environments, where changes in the patient transportation system can enhance the quality and operations of emergency medical services.

  15. Reference dosimetry at the Australian Synchrotron's imaging and medical beamline using free-air ionization chamber measurements and theoretical predictions of air kerma rate and half value layer

    SciTech Connect

    Crosbie, Jeffrey C.; Rogers, Peter A. W.; Stevenson, Andrew W.; Hall, Christopher J.; Lye, Jessica E.; Nordstroem, Terese; Midgley, Stewart M.; Lewis, Robert A.

    2013-06-15

    Purpose: Novel, preclinical radiotherapy modalities are being developed at synchrotrons around the world, most notably stereotactic synchrotron radiation therapy and microbeam radiotherapy at the European Synchrotron Radiation Facility in Grenoble, France. The imaging and medical beamline (IMBL) at the Australian Synchrotron has recently become available for preclinical radiotherapy and imaging research with clinical trials, a distinct possibility in the coming years. The aim of this present study was to accurately characterize the synchrotron-generated x-ray beam for the purposes of air kerma-based absolute dosimetry. Methods: The authors used a theoretical model of the energy spectrum from the wiggler source and validated this model by comparing the transmission through copper absorbers (0.1-3.0 mm) against real measurements conducted at the beamline. The authors used a low energy free air ionization chamber (LEFAC) from the Australian Radiation Protection and Nuclear Safety Agency and a commercially available free air chamber (ADC-105) for the measurements. The dimensions of these two chambers are different from one another requiring careful consideration of correction factors. Results: Measured and calculated half value layer (HVL) and air kerma rates differed by less than 3% for the LEFAC when the ion chamber readings were corrected for electron energy loss and ion recombination. The agreement between measured and predicted air kerma rates was less satisfactory for the ADC-105 chamber, however. The LEFAC and ADC measurements produced a first half value layer of 0.405 {+-} 0.015 and 0.412 {+-} 0.016 mm Cu, respectively, compared to the theoretical prediction of 0.427 {+-} 0.012 mm Cu. The theoretical model based upon a spectrum calculator derived a mean beam energy of 61.4 keV with a first half value layer of approximately 30 mm in water. Conclusions: The authors showed in this study their ability to verify the predicted air kerma rate and x-ray attenuation

  16. Correction: Washington and Geneva arrive in Buenos Aires: notes on the history of the habit of smoking and its medicalization.

    PubMed

    2015-12-01

    [This corrects the article DOI: 10.1590/S0104-59702015000100017.]. Upon request of the author, the article "Washington and Geneva come to Buenos Aires: notes on the history of smoking and its medicalization" by Diego Armus, publicado em História, Ciências, Saúde - Manguinhos, v.22, n.1 , Jan.-Mar. 2015:on page 301, second paragraph, sixth line, where it says " It was only in 2012 when Argentina ratified the agreement and the National Congress approved a new national law" it should read "It was only in 2012, without having ratified the convention, when the National Congress approved a new national law. "

  17. Quality Circles at Wilford Hall U.S.A.F. Medical Center, Lackland Air Force Base, Texas: Some Preliminary Findings

    DTIC Science & Technology

    1982-08-01

    646-3341 32. Navy Personnel Research & Dr. D . M . Nebeker AV-933-6935 Development Center Code P307 San Diego CA 92120 33. AU Maj Alvin Tootle/EDU AV-875...REGULATILON 168-11 rwAr,Art% t~ ’ m lm rm ~ --- ----------- DEPARRFTNT OF THE AIR FORCE MifcaU Center Regulati:. 91.- Wilford Hall USAF Medical Center...data would be collected. Good Luck! APPENDIX J WILFORD HALL U.S.A.F. IMEDICAL MN ER QUALITY CIRCLE M MBER MANUAL N( APPENDIX K LISTING OF WORK( AREAS

  18. An analysis of evacuation options for nuclear accidents

    SciTech Connect

    Tawil, J.J.; Strenge, D.L.; Schultz, R.W.

    1987-11-01

    In this report we consider the threat posed by the accidental release of radionuclides from a nuclear power plant. The objective is to establish relationships between radiation dose and the cost of evacuation under a wide variety of conditions. The dose can almost always be reduced by evacuating the population from a larger area. However, extending the evacuation zone outward will cause evacuation costs to increase. The purpose of this analysis was to provide the Environmental Protection Agency (EPA) a data base for evaluating whether implementation costs and risks averted could be used to justify evacuation at lower doses. The procedures used and results of these analyses are being made available as background information for use by others. We develop cost/dose relationships for 54 scenarios that are based upon the severity of the reactor accident, meteorological conditions during the release of radionuclides into the environment, and the angular width of the evacuation zone. The 54 scenarios are derived from combinations of three accident severity levels, six meteorological conditions and evacuation zone widths of 70{degree}, 90{degree}, and 180{degree}.

  19. [Organization of medical support for troops, defending Leningrad and the people of the blockaded city].

    PubMed

    Shelepov, A M; Kryuchkov, O A

    2015-03-01

    The data on the composition of forces of medical services and organization of medical-evacuation support for troops defending the blockaded Leningrad are presented. The information about the health losses among the population of Leningrad as a result of bombing, shelling and disease is given. Extremely high rates of morbidity and mortality in residents were associated with hunger, hypothermia and emotional stress. The clinical picture of some diseases has different peculiarities because of alimentary dystrophy background. The city health service suffered huge losses: 482 medical institutions were destroyed, only about 300 people from 1.5 thousand of medical personnel in 1942 saved working capability. The health care service of the local air defense played an essential role in delivery of medical aid. The contribution of civil and military health workers in saving residents lives in the blockaded Leningrad was appreciated.

  20. Leveraging Air Force Medical Service (AFMS) Senior Leadership Corps Diversity to Improve Efficiency

    DTIC Science & Technology

    2013-04-01

    commanders and AFMS senior leadership; • Set a single PME standard for AFMS officers; • Shift provider billets to patient care roles and establish...single PME standard, and by realigning human resources to increase clinical currency, medical readiness and resource efficiency. Some structural...organizational entity. Like running a surgical service or a medical service. . . . It’s much bigger than that, because you’re dealing with finance and

  1. [The use of the new loads of expendable medical supplies by the medical service of the Armed Forces].

    PubMed

    Miroshnichenko, Iu V; Bunin, S A; Grebeniuk, A N; Kononov, V N; Sidorov, D A

    2014-09-01

    The new loads of expendable medical supplies adopted by the Armed Forces of the Russian Federation and included into regulating documents are the most important elements of the authorized equipment system. Nine loads of expendable medical supplies, combined into two classification groups, are provided for the medical service. The use of these loads improves the effectiveness of medical supply for all stages of medical evacuation, medical continuity during medical and evacuation procedures and allows to deliver medical aid to patients on the basis of modern and innovative medical technologies.

  2. Evacuation Process in Two-Dimensional Traffic Flow Models

    NASA Astrophysics Data System (ADS)

    Moussa, Najem

    Within the framework of Biham-Middleton-Levine traffic model with origin-destination trips, we study the evacuation processes of cars in cities. Cars move from the origin to the destination points. A driver which reaches its destination disappears with rate β. It is found that the evacuation processes are greatly influenced by the origin-destination distance probability distribution. We also find that the evacuation time of drivers diverges in the form of a power law τ ∝ β-ν, with ν = 1.

  3. Application of Catastrophe Risk Modelling to Evacuation Public Policy

    NASA Astrophysics Data System (ADS)

    Woo, G.

    2009-04-01

    The decision by civic authorities to evacuate an area threatened by a natural hazard is especially fraught when the population in harm's way is extremely large, and where there is considerable uncertainty in the spatial footprint, scale, and strike time of a hazard event. Traditionally viewed as a hazard forecasting issue, civil authorities turn to scientists for advice on a potentially imminent dangerous event. However, the level of scientific confidence varies enormously from one peril and crisis situation to another. With superior observational data, meteorological and hydrological hazards are generally better forecast than geological hazards. But even with Atlantic hurricanes, the track and intensity of a hurricane can change significantly within a few hours. This complicated and delayed the decision to call an evacuation of New Orleans when threatened by Hurricane Katrina, and would present a severe dilemma if a major hurricane were appearing to head for New York. Evacuation needs to be perceived as a risk issue, requiring the expertise of catastrophe risk modellers as well as geoscientists. Faced with evidence of a great earthquake in the Indian Ocean in December 2004, seismologists were reluctant to give a tsunami warning without more direct sea observations. Yet, from a risk perspective, the risk to coastal populations would have warranted attempts at tsunami warning, even though there was significant uncertainty in the hazard forecast, and chance of a false alarm. A systematic coherent risk-based framework for evacuation decision-making exists, which weighs the advantages of an evacuation call against the disadvantages. Implicitly and qualitatively, such a cost-benefit analysis is undertaken by civic authorities whenever an evacuation is considered. With the progress in catastrophe risk modelling, such an analysis can be made explicit and quantitative, providing a transparent audit trail for the decision process. A stochastic event set, the core of a

  4. West Valley Support Program evacuated canister system design

    SciTech Connect

    Ketner, G.L.; Berger, D.N. ); Liu, K.J. )

    1993-01-01

    Pacific Northwest Laboratory has prepared a preliminary design of the evacuated canister system for the West Valley Demonstration Project (WVDP). The function of the evacuated canister is to remove molten radioactive glass from the WVDP melter cavity during a planned melter shutdown. The proposed evacuated canister system consists of an L-shaped, 4-in.-diam Type 304L stainless steel schedule-40 pipe sealed with an aluminum plug at one end and attached to a canister at the other. While it is lifted, the canister is positioned and held above the melter by two cranes at [approximately] 15 deg from horizontal.

  5. Arthroscopically Assisted Evacuation of Brodie’s Abscess of Distal Femur

    PubMed Central

    Manandhar, Rajeev R; Lakhey, Shisir; Rijal, Kiran P

    2017-01-01

    Brodie’s abscess is a type of subacute osteomyelitis. Opinions differ as to whether treatment should be surgical or medical for these classic lesions. Failure of symptoms to resolve after six weeks of antibiotics or worsening of the condition during treatment should be followed by surgical treatment. Clinical signs of subperiosteal pus or synovitis indicate that the subacute infection has transformed into an acute component, and it must be drained surgically. Surgical treatment is comprised of evacuation and curettage for small lesions and evacuation, packing with cancellous bone chips, for large cavities. When clinical signs of synovitis are present, with a possibility of pus within a joint, arthrotomy is performed. Arthroscopically assisted evacuation of Brodie’s abscess from the distal femur has never been reported in the literature. We report a case of a 23-year-old female who presented with pain and swelling over the left knee for four months. There was diffuse swelling in the knee; tenderness was present over medial femoral condyle and range of motion (ROM) of the knee was five to 45 degrees at the time of presentation. X-ray and magnetic resonance imaging (MRI) revealed Brodie’s abscess on the lateral aspect of the medial femoral condyle. The patient was treated with the evacuation of pus and curettage of the cavity using an arthroscope. After two weeks, the patient had mild pain with knee ROM from zero to 45 degrees, and at the one-month follow-up, the knee ROM improved to zero to 90 degrees. At the two-year follow-up, the patient had no pain, with knee ROM from zero to 120 degrees. PMID:28168137

  6. Analyzing evacuation versus shelter-in-place strategies after a terrorist nuclear detonation.

    PubMed

    Wein, Lawrence M; Choi, Youngsoo; Denuit, Sylvie

    2010-09-01

    We superimpose a radiation fallout model onto a traffic flow model to assess the evacuation versus shelter-in-place decisions after the daytime ground-level detonation of a 10-kt improvised nuclear device in Washington, DC. In our model, ≈ 80k people are killed by the prompt effects of blast, burn, and radiation. Of the ≈ 360k survivors without access to a vehicle, 42.6k would die if they immediately self-evacuated on foot. Sheltering above ground would save several thousand of these lives and sheltering in a basement (or near the middle of a large building) would save of them. Among survivors of the prompt effects with access to a vehicle, the number of deaths depends on the fraction of people who shelter in a basement rather than self-evacuate in their vehicle: 23.1k people die if 90% shelter in a basement and 54.6k die if 10% shelter. Sheltering above ground saves approximately half as many lives as sheltering in a basement. The details related to delayed (i.e., organized) evacuation, search and rescue, decontamination, and situational awareness (via, e.g., telecommunications) have very little impact on the number of casualties. Although antibiotics and transfusion support have the potential to save ≈ 10k lives (and the number of lives saved from medical care increases with the fraction of people who shelter in basements), the logistical challenge appears to be well beyond current response capabilities. Taken together, our results suggest that the government should initiate an aggressive outreach program to educate citizens and the private sector about the importance of sheltering in place in a basement for at least 12 hours after a terrorist nuclear detonation.

  7. The Variable Scale Evacuation Model (VSEM): a new tool for simulating massive evacuation processes during volcanic crises

    NASA Astrophysics Data System (ADS)

    Marrero, J. M.; García, A.; Llinares, A.; Rodríguez-Losada, J. A.; Ortiz, R.

    2010-04-01

    Volcanic eruptions are among the most awesome and powerful displays of nature's force, constituting a major natural hazard for society (a single eruption can claim thousands of lives in an instant). Consequently, assessment and management of volcanic risk have become critically important goals of modern volcanology. Over recent years, numerous tools have been developed to evaluate volcanic risk and support volcanic crisis management: probabilistic analysis of future eruptions, hazard and risk maps, event trees, etc. However, there has been little improvement in the tools that may help Civil Defense officials to prepare Emergency Plans. Here we present a new tool for simulating massive evacuation processes during volcanic crisis: the Variable Scale Evacuation Model (VSEM). The main objective of the VSEM software is to optimize the evacuation process of Emergency Plans during volcanic crisis. For this, the VSEM allows the simulation of an evacuation considering different strategies depending on diverse impact scenarios. VSEM is able to calculate the required time for the complete evacuation taking into account diverse evacuation scenarios (number and type of population, infrastructure, road network, etc.) and to detect high-risk or "blackspots" of the road network. The program is versatile and can work at different scales, thus being capable of simulating the evacuation of small villages as well as huge cities.

  8. Extended duration orbiter medical project Microbial Air Sampler (STS-50/USML-1)

    NASA Technical Reports Server (NTRS)

    Pierson, Duane L.; Boettcher, Sheila W.

    1994-01-01

    The Microbial Air Sampler was used on mission days 1, 7, and 13 in the Spacelab during STS-50/USML-1. Microbial air samples were collected using two types of media strips containing agar (Rose Bengal for yeast and molds, TSA for bacteria). The bacterial level found on day 1 was lower than experienced on previous Spacelab missions. A high level of fungi was present on day 1, however subsequent samples on days 7 and 13 did not indicate fungal growth. Bacterial growth was also minimized in this microgravity environment as the mission progressed. No pathogenic microorganisms were isolated, and the health risk from airborne microbes was minimal throughout the mission.

  9. 30 CFR 77.1101 - Escape and evacuation; plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... alarm signals, and applicable procedures to be followed in case of fire. (c) Plans for escape and evacuation shall include the designation and proper maintenance of adequate means for exit from all...

  10. 30 CFR 77.1101 - Escape and evacuation; plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... alarm signals, and applicable procedures to be followed in case of fire. (c) Plans for escape and evacuation shall include the designation and proper maintenance of adequate means for exit from all...

  11. 30 CFR 77.1101 - Escape and evacuation; plan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... alarm signals, and applicable procedures to be followed in case of fire. (c) Plans for escape and evacuation shall include the designation and proper maintenance of adequate means for exit from all...

  12. Quartz crystals detect gas contaminants during vacuum chamber evacuation

    NASA Technical Reports Server (NTRS)

    Stephens, J. B.

    1967-01-01

    Piezoelectric quartz crystals detect condensable gas contaminants backstreaming into a vacuum chamber when a pump is evacuating the chamber. One crystal acts as a thermometer, the other detects mass change. They are energized by electronic equipment which records frequency changes.

  13. Complication Rates in Altitude Restricted Patients Following Aeromedical Evacuation

    DTIC Science & Technology

    2016-04-01

    rates and bears further investigation. 15. SUBJECT TERMS Cabin altitude restriction, postflight complications, aeromedical evacuation 16...suggests that aggressive prescribing of CARs may have a salutary effect on postflight complication rates and bears further investigation. KEYWORDS: cabin

  14. Theoretical Basis for the Design of a DWPF Evacuated Canister

    SciTech Connect

    Routt, K.R.

    2001-09-17

    This report provides the theoretical bases for use of an evacuated canister for draining a glass melter. Design recommendations are also presented to ensure satisfactory performance in future tests of the concept.

  15. Tsunami Evacuation Plan for the City of Tangier-Morocco

    NASA Astrophysics Data System (ADS)

    Benchekroun, Sabah; Omira, Rachid; Baptista, Maria Ana; Arbi Toto, El

    2016-04-01

    Tsunami evacuation plan is an important tool to mitigate the tsunami impact. It is the most efficient way to save human lives, well before the waves reach the threatened coastal area, by providing evacuation routes and appropriate shelters. In this study, we propose a tsunami evacuation plan for the city of Tangier-Morocco. This plan is designed considering the tsunami threat from the tsunamigenic sources located in the SW Iberia Margin and using the inundation maps of the worst case to define the limit of flooding area. The evacuation plan is elaborated through modelling the required time for the threatened coastal population to reach the shelters. Results of this study will be useful for decision makers and local authorities in preventing the community resiliency for tsunami hazard. This work received funding from collaborative project ASTARTE - Assessment Strategy and Risk Reduction for Tsunamis in Europe Grant 603839, FP7.

  16. Evacuation of aged persons from inundated underground space.

    PubMed

    Ishigaki, T; Asai, Y; Nakahata, Y; Shimada, H; Baba, Y; Toda, K

    2010-01-01

    Underground is an important space that supports function of cities, such as subways, shopping malls and basement parking. However in consequence a new type of disaster, the "urban flood" menaces these spaces. In the last decade, urban floods struck Tokyo, Nagoya and Fukuoka. When underground inundation occurs, people must evacuate to the ground as soon as possible. But, when such an inundation situation happens, aged persons may not be able to evacuate quickly to ground level. In this paper, the method of safety assessment for aged persons is discussed on the experimental results and flood simulation data in an underground space. As a criterion of the safety evacuation, the specific force per unit width is used in this study. From the result of experiments, it is difficult to implement safety evacuation when the specific force per unit width is over 0.100 m(2) for the aged male.

  17. Lessons learned from the 2010 evacuations at Merapi volcano

    NASA Astrophysics Data System (ADS)

    Mei, Estuning Tyas Wulan; Lavigne, Franck; Picquout, Adrien; de Bélizal, Edouard; Brunstein, Daniel; Grancher, Delphine; Sartohadi, Junun; Cholik, Noer; Vidal, Céline

    2013-07-01

    The rapid onset and large magnitude of the 2010 eruption of Merapi posed significant challenges for evacuations and resulted in a peak number of almost 400,000 Internally Displaced Persons (IDPs). A pre-existing hazard map and an evacuation plan based on the relatively small magnitude of previous eruptions of the 20th century were utilized by emergency officials during the initial phase of the eruption (25 October-3 November, 2010). However, when the magnitude of the eruption increased greatly on 3-5 November 2010, the initial evacuation plan had to be abandoned as danger zones were expanded rapidly and the scale and pace of the evacuation increased dramatically. Fortunately, orders to evacuate were communicated quickly through a variety of communication methods and as a result many thousands of lives were saved. However, there were also problems that resulted from this rapid and larger-than-expected evacuation; and there were lessons learned that can improve future mass evacuations at Merapi and other volcanoes. We analyzed the results of 1969 questionnaires and conducted a series of interviews with community leaders and emergency officials. Results were compiled for periods both during and after the 2010 eruption. Our results show that: (1) trust in the Indonesian government and volcanologists was very high after the eruption; (2) multiple modes of communication were used to relay warnings and evacuation orders; (3) 50% to 70% of IDPs returned to the danger zone during the crisis despite evacuation orders; (4) preparation before the eruption was critical to the successes and included improvements to roads and education programs, (5) public education about hazards and evacuation protocols before the eruption was focused in the perceived highest danger zone where it was effective yet, confusion and loss of life in other areas demonstrated that education programs in all hazard zones are needed to prepare for larger-than-normal eruptions, and (6) improvements in

  18. Design of instructions for evacuating disabled adults.

    PubMed

    Boyce, Michael W; Al-Awar Smither, Janan; Fisher, Daniel O; Hancock, P A

    2017-01-01

    We investigated how the design of instructions can affect performance in preparing emergency stair travel devices for the evacuation of disable individuals. We had three hypotheses: 1) Design of instructions would account for a significant portion of explained performance variance, 2) Improvements in design of instructions would reduce time on task across device type and age group, and 3) There would be a performance decrement for older adults compared to younger adults based on the slowing of older adult information processing abilities. Results showed that design of instructions does indeed account for a large portion of explained variance in the operation of emergency stair travel devices, and that improvements in design of instructions can reduce time on task across device type and age group. However, encouragingly for real-world operations, results did not indicate any significant differences between older versus younger adults. We look to explore ways that individuals with disabilities can exploit these insights to enhance the performance of emergency stair travel devices for use.

  19. Analyzing Noncombatant Evacuation Operations Using Discrete Event Simulation

    DTIC Science & Technology

    2013-12-01

    ELEMENTS The typical NEO evacuation structure involves Assembly Areas (AAs), Evacuation Control Centers (ECCs), Temporary Safe Havens ( TSH ), and...for AAs, ECCs, TSHs , and repatriation. If a new AA is needed, then the modeler can simply copy and paste the AA module and rename variables and...decision point and can be easily adjusted in the model. The NCEs are then passed into a queue to await transpor- tation to a TSH . After the drop-off

  20. Real-Time Traffic Information for Emergency Evacuations

    SciTech Connect

    Franzese, Oscar; Zhang, Li; Mahmoud, Anas M.

    2010-01-01

    There are many instances in which it is possible to plan ahead for an emergency evacuation (e.g., a chemical processing facility explosion). For those cases, if an accident were to happen, then the best evacuation plan for the prevailing network and weather conditions would be deployed. In other cases (e.g., the derailment of a train transporting hazardous materials), there may not be any previously developed plan to be implemented, and decisions must be made ad-hoc on how to proceed with an emergency evacuation. In both situations, the availability of real-time traffic information plays a critical role in the management of the evacuation operations. Due to cost constraints, only large urban areas have traffic sensor deployments that permit access to some sort of real-time traffic information; an evacuation taking place in other areas of the country would have to proceed without real-time traffic information. In order to improve operations during a vehicular emergency evacuation anywhere, a system of sensors that uses newly developed real-time traffic-information-gathering technologies to assess traffic conditions and to detect incidents on the main evacuation routes is presented in this paper. A series of tests, both in a controlled environment and in the field, were conducted to study the feasibility of such a system of traffic sensors and to assess its ability to provide real-time traffic information during an emergency evacuation. The results of these tests indicated that the prototype sensors are reliable and accurate for the type of application that is the focus of this paper.

  1. A Time-Aware Routing Map for Indoor Evacuation

    PubMed Central

    Zhao, Haifeng; Winter, Stephan

    2016-01-01

    Knowledge of dynamic environments expires over time. Thus, using static maps of the environment for decision making is problematic, especially in emergency situations, such as evacuations. This paper suggests a fading memory model for mapping dynamic environments: a mechanism to put less trust on older knowledge in decision making. The model has been assessed by simulating indoor evacuations, adopting and comparing various strategies in decision making. Results suggest that fading memory generally improves this decision making. PMID:26797610

  2. The National Disaster Medical System

    NASA Technical Reports Server (NTRS)

    Reutershan, Thomas P.

    1991-01-01

    The Emergency Mobilization Preparedness Board developed plans for improved national preparedness in case of major catastrophic domestic disaster or the possibility of an overseas conventional conflict. Within the health and medical arena, the working group on health developed the concept and system design for the National Disaster Medical System (NDMS). A description of NDMS is presented including the purpose, key components, medical response, patient evacuation, definitive medical care, NDMS activation and operations, and summary and benefits.

  3. Forecasting pedestrian evacuation times by using swarm intelligence

    NASA Astrophysics Data System (ADS)

    Izquierdo, J.; Montalvo, I.; Pérez, R.; Fuertes, V. S.

    2009-04-01

    Many models have been developed to provide designers with methods for forecasting the time required for evacuation from various places under a variety of conditions. Particularly for high traffic buildings or buildings of cultural, governmental, or industrial importance, it is of paramount importance to properly evaluate and plan for the necessary evacuation time. To address this need, a number of models for pedestrian simulation, either considering the system as a whole or studying the behavior and decisions of individual pedestrians and their interactions with other pedestrians, have been developed over the years. In this work, a model for evacuation simulation and for estimating evacuation times is proposed. It is inspired by the so-called Particle Swarm Optimization (PSO). The multi-agent-based simulation characteristics of PSO and the way this technique combines individual and collective intelligence make it suitable for this problem. The PSO-based model presented here allows for assessment of the behavioral patterns followed by individuals during a rapid evacuation event. Evaluation of these behaviors can address a variety of public safety concerns, such as architectural design, evacuation protocol definition, and regulation of public space.

  4. Tsunami evacuation mathematical model for the city of Padang

    SciTech Connect

    Kusdiantara, R.; Hadianti, R.; Badri Kusuma, M. S.; Soewono, E.

    2012-05-22

    Tsunami is a series of wave trains which travels with high speed on the sea surface. This traveling wave is caused by the displacement of a large volume of water after the occurrence of an underwater earthquake or volcano eruptions. The speed of tsunami decreases when it reaches the sea shore along with the increase of its amplitudes. Two large tsunamis had occurred in the last decades in Indonesia with huge casualties and large damages. Indonesian Tsunami Early Warning System has been installed along the west coast of Sumatra. This early warning system will give about 10-15 minutes to evacuate people from high risk regions to the safe areas. Here in this paper, a mathematical model for Tsunami evacuation is presented with the city of Padang as a study case. In the model, the safe areas are chosen from the existing and selected high rise buildings, low risk region with relatively high altitude and (proposed to be built) a flyover ring road. Each gathering points are located in the radius of approximately 1 km from the ring road. The model is formulated as an optimization problem with the total normalized evacuation time as the objective function. The constraints consist of maximum allowable evacuation time in each route, maximum capacity of each safe area, and the number of people to be evacuated. The optimization problem is solved numerically using linear programming method with Matlab. Numerical results are shown for various evacuation scenarios for the city of Padang.

  5. Selfishness- and Selflessness-based models of pedestrian room evacuation

    NASA Astrophysics Data System (ADS)

    Song, Xiao; Ma, Liang; Ma, Yaofei; Yang, Chen; Ji, Hang

    2016-04-01

    Some pedestrian evacuation studies have employed game strategy to deal with moving conflicts involving two or three pedestrians. However, most of these have simply presented game strategies for pedestrians without analyzing the reasons why they choose to defect or cooperate. We believe that selfish and selfless behaviors are two main factors that should be considered in evacuation. In addition to these behaviors, human emotions such as sympathy and behaviors such as vying were also taken into account to investigate their impacts on pedestrians' strategies. Moreover, an essential objective factor, the building design factor of door width was tested and analyzed. Experimental results showed that the sense of self leads to more defectors and a longer evacuation time. However, sympathy does some good, leading to more cooperators and a shorter evacuation time. Moreover, the exit door width is an essential factor of the evacuation efficiency. When the width was less than 6 cells in a rectangular room with a size greater than 50 × 50, the evacuation time greatly decreased when the width increased. However, this effect was less obvious when the width increased.

  6. Use of a Tourniquet by LIFE STAR Air Medical Crew: A Case Report.

    PubMed

    Jacobs, Lenworth M; Burns, Karyl J; Priest, Heather Standish; Muskett, William

    2015-10-01

    For many years tourniquets were perceived as dangerous due to the belief that they led to loss of limb because of ischemia. Their use in civilian and military environments was discouraged. Emergency medical responders were not taught about tourniquets and commercial tourniquets were not available. However, research by the United States military during the wars in Iraq and Afghanistan has demonstrated that tourniquets are safe life-saving devices. As a consequence, they have been widely deployed in combat situations and there are now calls for the use of tourniquets in the civilian prehospital setting. This article presents a report of the successful application of a tourniquet by the LIFE STAR crew to control bleeding that local emergency medical services (EMS) personnel could not control with direct pressure. Tourniquets should be readily available in public places and carried by all EMS.

  7. The Development of Permanent Medical Standards for Landing Craft Air Cushion (LCAC) Crew Personnel.

    DTIC Science & Technology

    1993-11-01

    include the navigator and student navigator. or allergy immunotherapy for control. (c) Class II. Crew personnel not engaged in the ac- (b) Recurrent...item 20) This item asked the subject to estimate the effect of various pre-existing medical conditions (such as chronic allergies , hypoglycemia) on...CHRONIC ALLERGIES 10 43 48 27 ULCERS 11 42 49 27 LOW BLOOD SUGAR 7 39 48 34 RECURRENT LOWER BACK PAIN 3 13 43 70 EATING DISORDERS 13 34 44 36 Open

  8. Optimizing Medical Kits for Spaceflight

    NASA Technical Reports Server (NTRS)

    Keenan, A. B,; Foy, Millennia; Myers, G.

    2014-01-01

    The Integrated Medical Model (IMM) is a probabilistic model that estimates medical event occurrences and mission outcomes for different mission profiles. IMM simulation outcomes describing the impact of medical events on the mission may be used to optimize the allocation of resources in medical kits. Efficient allocation of medical resources, subject to certain mass and volume constraints, is crucial to ensuring the best outcomes of in-flight medical events. We implement a new approach to this medical kit optimization problem. METHODS We frame medical kit optimization as a modified knapsack problem and implement an algorithm utilizing a dynamic programming technique. Using this algorithm, optimized medical kits were generated for 3 different mission scenarios with the goal of minimizing the probability of evacuation and maximizing the Crew Health Index (CHI) for each mission subject to mass and volume constraints. Simulation outcomes using these kits were also compared to outcomes using kits optimized..RESULTS The optimized medical kits generated by the algorithm described here resulted in predicted mission outcomes more closely approached the unlimited-resource scenario for Crew Health Index (CHI) than the implementation in under all optimization priorities. Furthermore, the approach described here improves upon in reducing evacuation when the optimization priority is minimizing the probability of evacuation. CONCLUSIONS This algorithm provides an efficient, effective means to objectively allocate medical resources for spaceflight missions using the Integrated Medical Model.

  9. Minimally invasive evacuation of intraventricular hemorrhage with the Apollo vibration/suction device.

    PubMed

    Tan, Lee A; Lopes, Demetrius K; Munoz, Lorenzo F; Shah, Yojan; Bhabad, Sudeep; Jhaveri, Miral; Moftakhar, Roham

    2016-05-01

    Intraventricular hemorrhages (IVH) can occur as a consequence of spontaneous intracerebral hemorrhage, aneurysm rupture, arteriovenous malformation hemorrhage, trauma, or coagulopathy. IVH is a known risk factor for poor clinical outcome with up to 80% mortality. The current standard treatment strategy for IVH consists of the placement of an external ventricular drain. We report our early experience with using the Apollo suction/vibration aspiration system (Penumbra, Alameda, CA, USA) for minimally invasive evacuation of IVH with a review of the pertinent literature. Medical records of patients with IVH who were admitted to Rush University Medical Center, USA, from July to November 2014 were queried from the electronic database. Patients with Graeb Scores (GS) >6 were selected for minimally invasive IVH evacuation with the Apollo aspiration system. Patient demographics, pre- and post-operative GS, pre- and post-operative modified Graeb Score (mGS), as well procedure related complications were analyzed and recorded. A total of eight patients (five men) were identified during the study period. The average age was 55.5years. The mean GS was 9.6 pre-operatively and decreased to 4.9 post-operatively (p=0.0002). The mean mGS was 22.9 pre-operatively and decreased to 11.4 post-operatively (p=0.0001). Most of the IVH reduction occurred in the frontal horn and atrium of the lateral ventricle, as well the third ventricle. One (1/8) procedure-related complication occurred consisted of a tract hemorrhage. The Apollo system can be used for minimally invasive IVH evacuation to achieve significant blood clot volume reduction with minimal procedure-related complication.

  10. High-Performing Primary Care Teams: Creating The Air Force Medical Home Advantage

    DTIC Science & Technology

    2015-02-17

    summarized as the following six elements: (1) a shared goal of patient centered, quality health care , (2) clearly defined roles and responsibilities of...20 The “Quadruple Aim,” (established by the MHS): “readiness, better care , better health , and better value,” 21 encompasses all of the U.S...seen in private U.S. health systems. Military medics need to maintain currency in skills not typically used in their day-to-day patient care duties as

  11. The very large airplane: safety, health, and comfort considerations. Air Transport Medicine Committee, Aerospace Medical Association.

    PubMed

    1997-10-01

    In recent years, aircraft manufacturers have been considering a very large airplane with a capacity of 600-1000 passengers. The human factors aspects of such an unprecedented enterprise demand that the aerospace medicine community take an active role early on in the design phase. Consequently, the Aerospace Medical Association formed an international task force to prepare a paper containing pertinent human factors recommendations for the manufacturers. This paper, including the recommendations herein, has been forwarded to Boeing and Airbus as well as to 50 major airlines of the world.

  12. Association between neighbourhood air pollution concentrations and dispensed medication for psychiatric disorders in a large longitudinal cohort of Swedish children and adolescents

    PubMed Central

    Bråbäck, Lennart; Åström, Daniel Oudin; Strömgren, Magnus; Forsberg, Bertil

    2016-01-01

    Objective To investigate associations between exposure to air pollution and child and adolescent mental health. Design Observational study. Setting Swedish National Register data on dispensed medications for a broad range of psychiatric disorders, including sedative medications, sleeping pills and antipsychotic medications, together with socioeconomic and demographic data and a national land use regression model for air pollution concentrations for NO2, PM10 and PM2.5. Participants The entire population under 18 years of age in 4 major counties. We excluded cohort members whose parents had dispensed a medication in the same medication group since the start date of the register. The cohort size was 552 221. Main outcome measures Cox proportional hazards models to estimate HRs and their 95% CIs for the outcomes, adjusted for individual-level and group-level characteristics. Results The average length of follow-up was 3.5 years, with an average number of events per 1000 cohort members of ∼21. The mean annual level of NO2 was 9.8 µg/m3. Children and adolescents living in areas with higher air pollution concentrations were more likely to have a dispensed medication for a psychiatric disorder during follow-up (HR=1.09, 95% CI 1.06 to 1.12, associated with a 10 µg/m3 increase in NO2). The association with NO2 was clearly present in 3 out of 4 counties in the study area; however, no statistically significant heterogeneity was detected. Conclusion There may be a link between exposure to air pollution and dispensed medications for certain psychiatric disorders in children and adolescents even at the relatively low levels of air pollution in the study regions. The findings should be corroborated by others. PMID:27259522

  13. Agent-based Modeling with MATSim for Hazards Evacuation Planning

    NASA Astrophysics Data System (ADS)

    Jones, J. M.; Ng, P.; Henry, K.; Peters, J.; Wood, N. J.

    2015-12-01

    Hazard evacuation planning requires robust modeling tools and techniques, such as least cost distance or agent-based modeling, to gain an understanding of a community's potential to reach safety before event (e.g. tsunami) arrival. Least cost distance modeling provides a static view of the evacuation landscape with an estimate of travel times to safety from each location in the hazard space. With this information, practitioners can assess a community's overall ability for timely evacuation. More information may be needed if evacuee congestion creates bottlenecks in the flow patterns. Dynamic movement patterns are best explored with agent-based models that simulate movement of and interaction between individual agents as evacuees through the hazard space, reacting to potential congestion areas along the evacuation route. The multi-agent transport simulation model MATSim is an agent-based modeling framework that can be applied to hazard evacuation planning. Developed jointly by universities in Switzerland and Germany, MATSim is open-source software written in Java and freely available for modification or enhancement. We successfully used MATSim to illustrate tsunami evacuation challenges in two island communities in California, USA, that are impacted by limited escape routes. However, working with MATSim's data preparation, simulation, and visualization modules in an integrated development environment requires a significant investment of time to develop the software expertise to link the modules and run a simulation. To facilitate our evacuation research, we packaged the MATSim modules into a single application tailored to the needs of the hazards community. By exposing the modeling parameters of interest to researchers in an intuitive user interface and hiding the software complexities, we bring agent-based modeling closer to practitioners and provide access to the powerful visual and analytic information that this modeling can provide.

  14. Association of asthma symptoms with peak particulate air pollution and effect modification by anti-inflammatory medication use.

    PubMed Central

    Delfino, Ralph J; Zeiger, Robert S; Seltzer, James M; Street, Donald H; McLaren, Christine E

    2002-01-01

    Maxima of hourly data from outdoor monitors may capture adverse effects of outdoor particulate matter (PM) exposures in asthmatic children better than do 24-hr PM averages, which form the basis of current regulations in the United States. Also, asthmatic children on anti-inflammatory medications may be protected against the proinflammatory effects of air pollutants and aeroallergens. We examined strengths of pollutant associations with asthma symptoms between subgroups of asthmatic children who were on versus not on regularly scheduled anti-inflammatory medications, and tested associations for different particle averaging times. This is a daily panel study of 22 asthmatic children (9-19 years of age) followed March through April 1996 (1,248 person-days). They lived in nonsmoking households in a semirural area of Southern California within the air inversion mixing zone (range, 1,200-2,100 feet) with transported air pollution from urban areas of Southern California. The dependent variable derived from diary ordinal scores is episodes of asthma symptoms that interfered with daily activities. Minimum to 90th-percentile levels of exposures at the outdoor monitoring site were 12-63 microg/m(3) for 1-hr PM < 10 microm in aerodynamic diameter (PM(10)); 8-46 microg/m(3) for 8-hr PM(10); 7-32 microg/m(3) for 24-hr PM(10); 45-88 ppb for 1-hr O(3); 6-26 ppb for 8-hr NO(2); 70-4,714 particles/m(3) for 12-hr daytime fungi; and 12-744 particles/m(3) for 24-hr pollen. Data were analyzed with generalized estimating equations controlling for autocorrelation. There was no confounding by weather, day of week, or linear time trend. Associations were notably stronger in 12 asthmatic children who were not taking anti-inflammatory medications versus 10 subjects who were. Odds ratios (95% confidence intervals) for asthma episodes in relation to lag 0 minimum to 90th-percentile pollutant changes were, respectively, 1-hr maximum PM(10), 1.92 (1.22-3.02) versus 0.96 (0.25-3.69); 8-hr maximum

  15. A Study on Evacuation Performance of Siphon-Type Water Closets

    NASA Astrophysics Data System (ADS)

    Cheng, Wei-Seng; Lee, Ruey-Tsung; Liu, Chia-Hung; Hsia, Cheng-Wei

    2010-06-01

    Many designs of sit-type water closets have been in the market. Different design uses different mechanism to bring down the waste. One of these many designs utilizes siphon effect to flush, therefore is called siphon type. This type of water closet has simple structure and is very widely used at home. To obtain good flush effect, water volume for each flush is crucial. However, it is limited to no more than 6 liters by government regulation in many countries. It is a common sense that the water passage in the closet affects the flush effect. This research uses 3 different passages, a commercial existed one and two others to compare how the flush effect varies at different water volume and different passages. Tests were used to examine the evacuation effect and flow velocities of water in passages were also measured by particle tracking technique. Observations indicate air is always trapped in the passage. The passage creates better evacuation effect contains fewer air trap and completes a flush process at less time span. A correlation based on non-dimensional parameters based on water volume and flush time and geometry dimensions is also constructed. A diagram established according to these non-dimensional parameters depicts different regions for good and poor flush performance.

  16. On the medical edge: preparation of expatriates, refugee and disaster relief workers, and Peace Corps volunteers.

    PubMed

    Callahan, Michael V; Hamer, Davidson H

    2005-03-01

    Travelers to extreme environments and those who spend long periods of time in settings with limited health care resources need to have more detailed pretravel screening and education than the routine short-term traveler. Expatriates, relief workers, and Peace Corps volunteers need to receive careful pretravel medical, dental, and psychologic screening before deployment. Knowledge of special risks associated with the environment in which they will be stationed is necessary to provide effective education about ways to reduce or eliminate the risk of illness and death. The travel medicine practitioner should also provide detailed, region-specific recommendations regarding emergency care while traveling in remote regions. Information on foreign medical facilities and practitioners should be gathered in advance and regularly updated. Many fee-for-service directories of overseas medical centers are often out of date and do not include emergency contact information. Once deployed, systems should be in place to ensure the traveler's continued personal safety and maintenance of good health. Although these systems are generally beyond the scope of work of travel medicine providers, it is important for the long-term traveler to be aware of the need to be prepared to deal with unexpected medical events. In the event of an overseas emergency, the travel medicine specialist may be called on to facilitate ground or air medical evacuation to the most appropriate medical center, to communicate treatment priorities and pertinent medical details to foreign medical providers, and to facilitate international air evacuation or repatriation if necessary. In each of these cases, the experience for the patient and the travel health professional is dramatically improved by adhering to risk-reduction measures, such as pretravel screening, pretravel health and safety education, and preparing for emergencies in advance.

  17. Multiobjective optimization of evacuation routes in stadium using superposed potential field network based ACO.

    PubMed

    Kou, Jialiang; Xiong, Shengwu; Fang, Zhixiang; Zong, Xinlu; Chen, Zhong

    2013-01-01

    Multiobjective evacuation routes optimization problem is defined to find out optimal evacuation routes for a group of evacuees under multiple evacuation objectives. For improving the evacuation efficiency, we abstracted the evacuation zone as a superposed potential field network (SPFN), and we presented SPFN-based ACO algorithm (SPFN-ACO) to solve this problem based on the proposed model. In Wuhan Sports Center case, we compared SPFN-ACO algorithm with HMERP-ACO algorithm and traditional ACO algorithm under three evacuation objectives, namely, total evacuation time, total evacuation route length, and cumulative congestion degree. The experimental results show that SPFN-ACO algorithm has a better performance while comparing with HMERP-ACO algorithm and traditional ACO algorithm for solving multi-objective evacuation routes optimization problem.

  18. Air pollution and health effects: A study of medical visits among children in Santiago, Chile.

    PubMed Central

    Ostro, B D; Eskeland, G S; Sanchez, J M; Feyzioglu, T

    1999-01-01

    Many epidemiological studies conducted in the last several years have reported associations between exposure to airborne particulate matter, measured as PM10 (<10 microm in diameter), and daily morbidity and mortality. However, much of the evidence involves effects on the elderly population; there is less evidence about the effects of particulates on children, especially those under 2 years of age. To examine these issues, we conducted time-series analyses of 2 years of daily visits to primary health care clinics in Santiago, Chile, where counts were computed for either upper or lower respiratory symptoms and for cohorts of children 3-15 years of age and below age 2. Daily PM10 and ozone measurements and meteorological variables were available from instruments located in downtown Santiago. The multiple regression analysis indicates a statistically significant association between PM10 and medical visits for lower respiratory symptoms in children ages 3-15 and in children under age 2. PM10 is also associated with medical visits related to upper respiratory symptoms in the older cohort, while ozone is associated with visits related to both lower and upper respiratory symptoms in the older cohort. For children under age 2, a 50- microg/m3 change in PM10 (the approximate interquartile range) is associated with a 4-12% increase in lower respiratory symptoms. For children 3-15 years of age, the increase in lower respiratory symptoms ranges from 3 to 9% for a 50- microg/m3 change in PM10 and 5% per 50 ppb change in ozone. These magnitudes are similar to results from studies of children undertaken in Western industrial nations. PMID:9872719

  19. Dual effects of pedestrian density on emergency evacuation

    NASA Astrophysics Data System (ADS)

    Ma, Yi; Lee, Eric Wai Ming; Yuen, Richard Kwok Kit

    2017-02-01

    This paper investigates the effect of the pedestrian density in building on the evacuation dynamic with simulation method. In the simulations, both the visibility in building and the exit limit of building are taken into account. The simulation results show that the effect of the pedestrian density in building on the evacuation dynamics is dual. On the one hand, when the visibility in building is very large, the increased pedestrian density plays a negative effect. On the other hand, when the visibility in building is very small, the increased pedestrian density can play a positive effect. The simulation results also show that when both the exit width and visibility are very small, the varying of evacuation time with regard to the pedestrian density is non-monotonous and presents a U-shaped tendency. That is, in this case, too large or too small pedestrian density in building is disadvantageous to the evacuation process. Our findings provide a new insight about the effect of the pedestrian density in building on the evacuation dynamic.

  20. A Simple Evacuation Modeling and Simulation Tool for First Responders

    SciTech Connect

    Koch, Daniel B; Payne, Patricia W

    2015-01-01

    Although modeling and simulation of mass evacuations during a natural or man-made disaster is an on-going and vigorous area of study, tool adoption by front-line first responders is uneven. Some of the factors that account for this situation include cost and complexity of the software. For several years, Oak Ridge National Laboratory has been actively developing the free Incident Management Preparedness and Coordination Toolkit (IMPACT) to address these issues. One of the components of IMPACT is a multi-agent simulation module for area-based and path-based evacuations. The user interface is designed so that anyone familiar with typical computer drawing tools can quickly author a geospatially-correct evacuation visualization suitable for table-top exercises. Since IMPACT is designed for use in the field where network communications may not be available, quick on-site evacuation alternatives can be evaluated to keep pace with a fluid threat situation. Realism is enhanced by incorporating collision avoidance into the simulation. Statistics are gathered as the simulation unfolds, including most importantly time-to-evacuate, to help first responders choose the best course of action.

  1. Evacuation of pedestrians from a hall by game strategy update

    NASA Astrophysics Data System (ADS)

    Wang, Hao-Nan; Chen, Dong; Pan, Wei; Xue, Yu; He, Hong-Di

    2014-08-01

    In this paper, a cellular automaton model considering game strategy update is proposed to study the pedestrian evacuation in a hall. Pedestrians are classified into two categories, i.e., cooperators and defectors, and they walk to an exit according to their own strategy change. The conflicts that two or three pedestrians try to occupy the same site at the same time are investigated in the Game theory model. Based on it, the relationship between the pedestrian flow rate and the evacuation time as well as the variation of cooperative proportion against evacuation time is investigated from the different initial cooperative proportions under the influence of noise. The critical value of the noise is found when there is a small number of defectors in the initial time. Moreover, the influences of the initial cooperative proportion and strength of noise on evacuation are discussed. The results show that the lower the initial cooperative proportion as well as the bigger the strength of noise, the longer the time it takes for evacuation.

  2. Fluid Line Evacuation and Freezing Experiments for Digital Radiator Concept

    NASA Technical Reports Server (NTRS)

    Berisford, Daniel F.; Birur, Gajanana C.; Miller, Jennifer R.; Sunada, Eric T.; Ganapathi, Gani B.; Stephan, Ryan; Johnson, Mark

    2011-01-01

    The digital radiator technology is one of three variable heat rejection technologies being investigated for future human-rated NASA missions. The digital radiator concept is based on a mechanically pumped fluid loop with parallel tubes carrying coolant to reject heat from the radiator surface. A series of valves actuate to start and stop fluid flow to di erent combinations of tubes, in order to vary the heat rejection capability of the radiator by a factor of 10 or more. When the flow in a particular leg is stopped, the fluid temperature drops and the fluid can freeze, causing damage or preventing flow from restarting. For this reason, the liquid in a stopped leg must be partially or fully evacuated upon shutdown. One of the challenges facing fluid evacuation from closed tubes arises from the vapor generated during pumping to low pressure, which can cause pump cavitation and incomplete evacuation. Here we present a series of laboratory experiments demonstrating fluid evacuation techniques to overcome these challenges by applying heat and pumping to partial vacuum. Also presented are results from qualitative testing of the freezing characteristics of several different candidate fluids, which demonstrate significant di erences in freezing properties, and give insight to the evacuation process.

  3. Evacuated FM08 Fuses Carry a Sustained Arc in a Bus over 75 VDC

    NASA Technical Reports Server (NTRS)

    Leidecker, Henning; Slonaker, J.

    1999-01-01

    The FM08 style fuse is specified to interrupt an overcurrent of up to 300 A in a bus of up to 125 VDC, but this applies only when its barrel is filled with air. When placed into a space-grade vacuum, the FM08 style fuse exhausts its air within a year. Then, the probability of an enduring arc is high for all ratings when the bus is above 75 VDC, and the overcurrent is large. The arc endures until something else interrupts the current. The fuse can violently eject metal vapor or other material during the sustained arcing. The evacuated FM08 does not develop a sustained arc when interrupted in a bus of 38 VDC or less, at least when there is little inductance in the circuit. This is consistent with its successful use in many spacecraft having buses in the range 24 to 36 volts.

  4. A computer simulation of aircraft evacuation with fire

    NASA Technical Reports Server (NTRS)

    Middleton, V. E.

    1983-01-01

    A computer simulation was developed to assess passenger survival during the post-crash evacuation of a transport category aircraft when fire is a major threat. The computer code, FIREVAC, computes individual passenger exit paths and times to exit, taking into account delays and congestion caused by the interaction among the passengers and changing cabin conditions. Simple models for the physiological effects of the toxic cabin atmosphere are included with provision for including more sophisticated models as they become available. Both wide-body and standard-body aircraft may be simulated. Passenger characteristics are assigned stochastically from experimentally derived distributions. Results of simulations of evacuation trials and hypothetical evacuations under fire conditions are presented.

  5. A cellular automaton model for evacuation flow using game theory

    NASA Astrophysics Data System (ADS)

    Guan, Junbiao; Wang, Kaihua; Chen, Fangyue

    2016-11-01

    Game theory serves as a good tool to explore crowd dynamic conflicts during evacuation processes. The purpose of this study is to simulate the complicated interaction behavior among the conflicting pedestrians in an evacuation flow. Two types of pedestrians, namely, defectors and cooperators, are considered, and two important factors including fear index and cost coefficient are taken into account. By combining the snowdrift game theory with a cellular automaton (CA) model, it is shown that the increase of fear index and cost coefficient will lengthen the evacuation time, which is more apparent for large values of cost coefficient. Meanwhile, it is found that the defectors to cooperators ratio could always tend to consistent states despite different values of parameters, largely owing to self-organization effects.

  6. Simple technique for evacuation of traumatic subcutaneous haematomas under tension

    PubMed Central

    Chami, George; Chami, Belinda; Hatley, Edward; Dabis, Hossam

    2005-01-01

    Background Traumatic subcutaneous haematomas are common cases in the accident and emergency department. Occasionally, urgent evacuation is required to prevent skin necrosis. Methods We present a simple and safe technique, based on a principle similar to liposuction to evacuate traumatic subcutaneous haematomas under tension. Instruments readily available in the accident and emergency department are used without the need of general anaesthesia. Results The technique was performed in six cases without complication such as infection or re-collection of the haematoma under tension. We present two typical scenarios where urgent evacuation was indicated and the technique performed. Conclusion The technique is useful as an urgent and safe procedure in the accident and emergency department setting. PMID:16351725

  7. An evacuation model accounting for elementary students' individual properties

    NASA Astrophysics Data System (ADS)

    Tang, Tie-Qiao; Chen, Liang; Guo, Ren-Yong; Shang, Hua-Yan

    2015-12-01

    In this paper, we propose a cellular automata model for pedestrian flow to investigate the effects of elementary students' individual properties on the evacuation process in a classroom with two exits. In this model, each student's route choice behavior is determined by the capacity of his current route to each exit, the distance between his current position and the corresponding exit, the repulsive interactions between his adjacent students and him, and the congestion degree near each exit; the elementary students are sorted into rational and irrational students. The simulation results show that the irrational students' proportion has significant impacts on the evacuation process and efficiency, and that all students simultaneously evacuating may be inefficient.

  8. Uniting multi-adult households during emergency evacuation planning.

    PubMed

    Liu, Sirui; Murray-Tuite, Pamela M; Schweitzer, Lisa

    2014-07-01

    When a no-notice emergency prompts an evacuation, family members in different locations throughout a city may unite so that they can evacuate as a group. This paper draws on data from more than 300 interviews conducted in the metropolitan area of Chicago, Illinois, United States. The study uses discrete choice models to analyse the expectations of respondents regarding whether their likely plans for evacuation involve gathering spouses, parents, adult-age children, and/or non-family members. In addition, it addresses the matter of whether respondents plan to reunite with family members at home. Individuals' access to a personal car is the dominating factor in predicting whether respondents plan to gather a spouse. Being the parent of a child under the age of 18 years increases the tendency to report planning to reunite with family members at home. Both commute mode and car availability are not significantly associated with plans to reunite at home.

  9. SCALING AN URBAN EMERGENCY EVACUATION FRAMEWORK: CHALLENGES AND PRACTICES

    SciTech Connect

    Karthik, Rajasekar; Lu, Wei

    2014-01-01

    Critical infrastructure disruption, caused by severe weather events, natural disasters, terrorist attacks, etc., has significant impacts on urban transportation systems. We built a computational framework to simulate urban transportation systems under critical infrastructure disruption in order to aid real-time emergency evacuation. This framework will use large scale datasets to provide a scalable tool for emergency planning and management. Our framework, World-Wide Emergency Evacuation (WWEE), integrates population distribution and urban infrastructure networks to model travel demand in emergency situations at global level. Also, a computational model of agent-based traffic simulation is used to provide an optimal evacuation plan for traffic operation purpose [1]. In addition, our framework provides a web-based high resolution visualization tool for emergency evacuation modelers and practitioners. We have successfully tested our framework with scenarios in both United States (Alexandria, VA) and Europe (Berlin, Germany) [2]. However, there are still some major drawbacks for scaling this framework to handle big data workloads in real time. On our back-end, lack of proper infrastructure limits us in ability to process large amounts of data, run the simulation efficiently and quickly, and provide fast retrieval and serving of data. On the front-end, the visualization performance of microscopic evacuation results is still not efficient enough due to high volume data communication between server and client. We are addressing these drawbacks by using cloud computing and next-generation web technologies, namely Node.js, NoSQL, WebGL, Open Layers 3 and HTML5 technologies. We will describe briefly about each one and how we are using and leveraging these technologies to provide an efficient tool for emergency management organizations. Our early experimentation demonstrates that using above technologies is a promising approach to build a scalable and high performance urban

  10. Personalized Alert Notifications and Evacuation Routes in Indoor Environments

    PubMed Central

    Aedo, Ignacio; Yu, Shuxin; Díaz, Paloma; Acuña, Pablo; Onorati, Teresa

    2012-01-01

    The preparedness phase is crucial in the emergency management process for reaching an adequate level of readiness to react to potential threats and hazards. During this phase, emergency plans are developed to establish, among other procedures, evacuation and emergency escape routes. Information and Communication Technologies (ICT) can support and improve these procedures providing appropriate, updated and accessible information to all people in the affected zone. Current emergency management and evacuation systems do not adapt information to the context and the profile of each person, so messages received in the emergency might be useless. In this paper, we propose a set of criteria that ICT-based systems could achieve in order to avoid this problem adapting emergency alerts and evacuation routes to different situations and people. Moreover, in order to prove the applicability of such criteria, we define a mechanism that can be used as a complement of traditional evacuation systems to provide personalized alerts and evacuation routes to all kinds of people during emergency situations in working places. This mechanism is composed by three main components: CAP-ONES for notifying emergency alerts, NERES for defining emergency plans and generating personalized evacuation routes, and iNeres as the interface to receive and visualize these routes on smartphones. The usability and understandability of proposed interface has been assessed through a user study performed in a fire simulation in an indoor environment. This evaluation demonstrated that users considered iNeres easy to understand, to learn and to use, and they also found very innovative the idea to use smartphones as a support for escaping instead of static signals on walls and doors. PMID:22969373

  11. Modelling gastric evacuation in gadoids feeding on crustaceans.

    PubMed

    Andersen, N G; Chabot, D; Couturier, C S

    2016-05-01

    A mechanistic, prey surface-dependent model was expanded to describe the course and rate of gastric evacuation in predatory fishes feeding on crustacean prey with robust exoskeletons. This was accomplished by adding a layer of higher resistance to the digestive processes outside the inner softer parts of a prey cylinder abstraction and splitting up the prey evacuation into two stages: an initial stage where the exoskeleton is cracked and a second where the prey remains are digested and evacuated. The model was parameterized for crustaceans with different levels of armour fed to Atlantic cod Gadus morhua or whiting Merlangius merlangus and recovered from the stomachs at different post-prandial times. The prey species were krill Meganyctiphanes norvegica; shrimps and prawns Crangon crangon, Pandalus borealis, Pandalus montagui and Eualus macilentus; crabs Liocarcinus depurator and Chionoecetes opilio. In accordance with the apparent intraspecific isometric relationship between exoskeleton mass and total body mass, the model described stage duration and rate of evacuation of the crustacean prey independently of meal and prey sizes. The duration of the first stage increased (0-33 h) and the evacuation rate of both stages decreased (by a half) with increasing level of the crustacean armament in terms of chitin and ash. A common, interspecific parameterization of the model within each of the categories krill, shrimp and crab can probably be used if the contents of chitin and ash are similar among prey species per prey category. The model offers a simple way for estimating evacuation rates from stomach content data in order to obtain food consumption rates of wild fishes, provided that information about digestion stage of crustacean prey is available.

  12. Timing, safety, and efficacy of thoracoscopic evacuation of undrained post-traumatic hemothorax.

    PubMed

    Vassiliu, P; Velmahos, G C; Toutouzas, K G

    2001-12-01

    Residual post-traumatic hemothorax (RPTH) occurs in 3 to 8 per cent of patients with tube thoracostomy and may cause serious infectious complications. Surgical evacuation is recommended, and thoracoscopic evacuation (THEVA) tends to replace open thoracotomy for this purpose. The objective of this study is to evaluate the optimal timing, safety, and efficacy of THEVA. Over 5 years patients with tube thoracostomy for trauma who had unresolved opacities on plain chest radiograph were evaluated by CT. If the residual fluid volume was estimated to be more than 500 mL3 on CT the patients were offered THEVA. Unstable patients were excluded. A score ranging from one (easy) to three (difficult) was used to grade the difficulty of the operation according to the attending surgeon's perception. Of 1728 chest trauma patients 143 (8%) were evaluated by CT for persistent opacity on plain film, 31 (1.8%) were found to have RPTH, and 24 (1.4%) were eventually taken for THEVA at 3.5+/-2 days after admission. Low oxygen saturation (less than 94%) was found in 58 per cent of patients before THEVA but in only 25 per cent after THEVA (P = 0.02). The majority of chest tubes (75%) were removed within 4 days of the operation. Two patients required conversion to thoracotomy. THEVA done within 3 days of admission was associated with a lower operative difficulty score, shorter hospital stay, and a trend toward shorter intraoperative time compared with THEVA done after 3 days of admission. All patients had effective resolution of their radiographic opacities after THEVA. Three patients developed a complication (urinary tract infection, pneumonia, and persistent air leak). We conclude that patients with significant RPTH and without major physiologic compromise are appropriate candidates for THEVA. The procedure is safe, evacuates PRTH effectively, and improves the respiratory function of affected patients. Ideally it should be performed within 3 days of admission.

  13. Air Conditioner Charging. Automotive Mechanics. Air Conditioning. Instructor's Guide [and] Student Guide.

    ERIC Educational Resources Information Center

    Spignesi, B.

    This instructional package, one in a series of individualized instructional units on automobile air conditioning, consists of a student guide and an instructor guide dealing with air conditioning charging. Covered in the module are checking the air conditioning system for leaks, checking and adding refrigerant oil as needed, evacuating the system,…

  14. Evacuation areas for transportation accidents involving propellant tank pressure bursts

    NASA Technical Reports Server (NTRS)

    Siewert, R. D.

    1972-01-01

    Evacuation areas are defined for those transportation accidents where volatile chemical propellant tanks are exposed to fire in the wreckage and eventually explode with consequent risks from fragments in surrounding populated areas. An evacuation area with a minimum radius of 600 m is recommended to limit the statistical probability of fatality to one in 100 such accidents. The result of this study was made possible by the derivation of a distribution function of distances reached by fragments from bursting chemical car tanks. Data concerning fragments were obtained from reports of tank car pressure bursts between 1958 and 1971.

  15. Evacuation areas for transportation accidents involving propellant tank pressure bursts

    NASA Technical Reports Server (NTRS)

    Siewert, R. D.

    1972-01-01

    Evacuation areas are defined for those transportation accidents where volatile chemical propellant tanks are exposed to fire in the wreckage and eventually explode with consequent risks from fragments in surrounding populated areas. An evacuation area with a minimum radius of 600 m (2000 ft) is recommended to limit the statistical probability of fatality to one in 100 such accidents. The result was made possible by the derivation of a distribution function of distances reached by fragments from bursting chemical car tanks. Data concerning fragments was obtained from reports or tank car pressure bursts between 1958 and 1971.

  16. Method and means for producing solid evacuated microspheres of hydrogen

    DOEpatents

    Turnbull, Robert J.; Foster, Christopher A.; Hendricks, Charles D.

    1976-01-01

    A method is provided for producing solid, evacuated microspheres comprised of hydrogen. The spheres are produced by forming a jet of liquid hydrogen and exciting mechanical waves on the jet of appropriate frequency so that the jet breaks up into drops with a bubble formed in each drop by cavitation. The drops are exposed to a pressure less than the vapor pressure of the liquid hydrogen so that the bubble which is formed within each drop expands. The drops which contain bubbles are exposed to an environment having a pressure just below the triple point of liquid hydrogen and they thereby freeze giving solid, evacuated spheres of hydrogen.

  17. The evolution of casualty evacuation in the British Army in the 20th century (Part 2)--1918 to 1945.

    PubMed

    Bricknell, M C M

    2002-09-01

    This is the second in a series of papers that examine the evolution of the military casualty evacuation chain during the 20th century. The Spanish Civil War demonstrated to the world the revolutionary tactic of 'Blitzkrieg' developed by the Germans. This and the experience of the British Expeditionary Force in 1940 emphasised the need for mobility in forward medical units. The campaign in the Western Desert led to the creation of a number of new units such as the Field Surgical Unit and the Field Transfusion Unit which were introduced across the British Army as a result of the findings of the Hartgill Committee. The aeroplane transformed the evacuation chain from CCSs to base hospitals and beyond.

  18. Source Term Estimates of Radioxenon Released from the BaTek Medical Isotope Production Facility Using External Measured Air Concentrations

    SciTech Connect

    Eslinger, Paul W.; Cameron, Ian M.; Dumais, Johannes R.; Imardjoko, Yudi; Marsoem, Pujadi; McIntyre, Justin I.; Miley, Harry S.; Stoehlker, Ulrich; Widodo, Susilo; Woods, Vincent T.

    2015-10-01

    Abstract Batan Teknologi (BaTek) operates an isotope production facility in Serpong, Indonesia that supplies 99mTc for use in medical procedures. Atmospheric releases of Xe-133 in the production process at BaTek are known to influence the measurements taken at the closest stations of the International Monitoring System (IMS). The purpose of the IMS is to detect evidence of nuclear explosions, including atmospheric releases of radionuclides. The xenon isotopes released from BaTek are the same as those produced in a nuclear explosion, but the isotopic ratios are different. Knowledge of the magnitude of releases from the isotope production facility helps inform analysts trying to decide whether a specific measurement result came from a nuclear explosion. A stack monitor deployed at BaTek in 2013 measured releases to the atmosphere for several isotopes. The facility operates on a weekly cycle, and the stack data for June 15-21, 2013 show a release of 1.84E13 Bq of Xe-133. Concentrations of Xe-133 in the air are available at the same time from a xenon sampler located 14 km from BaTek. An optimization process using atmospheric transport modeling and the sampler air concentrations produced a release estimate of 1.88E13 Bq. The same optimization process yielded a release estimate of 1.70E13 Bq for a different week in 2012. The stack release value and the two optimized estimates are all within 10 percent of each other. Weekly release estimates of 1.8E13 Bq and a 40 percent facility operation rate yields a rough annual release estimate of 3.7E13 Bq of Xe-133. This value is consistent with previously published estimates of annual releases for this facility, which are based on measurements at three IMS stations. These multiple lines of evidence cross-validate the stack release estimates and the release estimates from atmospheric samplers.

  19. A microcomputer based traffic evacuation modeling system for emergency planning application

    SciTech Connect

    Rathi, A.K.

    1994-12-01

    Vehicular evacuation is one of the major and often preferred protective action options available for emergency management in a real or anticipated disaster. Computer simulation models of evacuation traffic flow are used to estimate the time required for the affected populations to evacuate to safer areas, to evaluate effectiveness of vehicular evacuations as a protective action option. and to develop comprehensive evacuation plans when required. Following a review of the past efforts to simulate traffic flow during emergency evacuations, an overview of the key features in Version 2.0 of the Oak Ridge Evacuation Modeling System (OREMS) are presented in this paper. OREMS is a microcomputer-based model developed to simulate traffic flow during regional emergency evacuations. OREMS integrates a state-of-the-art dynamic traffic flow and simulation model with advanced data editing and output display programs operating under a MS-Windows environment.

  20. 77 FR 60676 - Proposed Information Collection; Comment Request; Usage of Elevators for Occupant Evacuation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... Elevators for Occupant Evacuation Questionnaire AGENCY: National Institute of Standards and Technology (NIST... a previously approved information collection. The questionnaire approved by the Office of Management... be contacted to fill out a questionnaire asking about how the buildings' evacuation plans...

  1. EvacuAid: a probabilistic model to determine the expected loss of life for different mass evacuation strategies during flood threats.

    PubMed

    Kolen, Bas; Kok, Matthijs; Helsloot, Ira; Maaskant, Bob

    2013-07-01

    Evacuation of people in case of a threat is a possible risk management strategy. Evacuation has the potential to save lives, but it can be costly with respect to time, money, and credibility. The consequences of an evacuation strategy depend on a combination of the time available, citizen response, authority response, and capacity of the infrastructure. The literature that discusses evacuations in case of flood risk management focuses, in most cases, only on a best-case strategy as a preventive evacuation and excludes other possible strategies. This article introduces a probabilistic method, EvacuAid, to determine the benefits of different types of evacuation with regards to loss of life. The method is applied for a case study in the Netherlands for preventive and vertical evacuation due to flood risk. The results illustrate the impact of uncertainties in available time and actual conditions (e.g., the responses of citizens and authorities and the use of infrastructure). It is concluded that preparation for evacuation requires adaptive planning that takes preventive and vertical evacuation into account, based on a risk management approach.

  2. Social contagion process in informal warning networks to understand evacuation timing behavior.

    PubMed

    Hasan, Samiul; Ukkusuri, Satish V

    2013-01-01

    Individual evacuation decisions are often characterized by the influence of one's social network, referred to as informal warning network. In this article, a threshold model of social contagion, originally introduced in the network science literature, is proposed to characterize this social influence in the evacuation decision-making process, in particular the timing of evacuation decision. Simulation models are developed to investigate the effects of community mixing patterns and the strength of ties on timing of evacuation decision.

  3. The Level of Willingness to Evacuate among Older Adults

    ERIC Educational Resources Information Center

    Gray-Graves, Amy; Turner, Keith W.; Swan, James H.

    2011-01-01

    The issues of rising numbers of disasters, overwhelming increases in number of older adults, and historically flawed evacuations present real challenges. During the next two decades, the number of American baby boomers, who turn 65, will increase by 40%. As evidenced by recent disasters, the imperfections and vulnerabilities of flawed evacuations…

  4. 14 CFR 135.123 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Flight Operations § 135.123 Emergency and emergency evacuation duties. (a) Each certificate holder shall assign to each required crewmember for each type of aircraft as appropriate, the necessary functions...

  5. 14 CFR 135.123 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Flight Operations § 135.123 Emergency and emergency evacuation duties. (a) Each certificate holder shall assign to each required crewmember for each type of aircraft as appropriate, the necessary functions...

  6. 14 CFR 135.123 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Flight Operations § 135.123 Emergency and emergency evacuation duties. (a) Each certificate holder shall assign to each required crewmember for each type of aircraft as appropriate, the necessary functions...

  7. 14 CFR 135.123 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Flight Operations § 135.123 Emergency and emergency evacuation duties. (a) Each certificate holder shall assign to each required crewmember for each type of aircraft as appropriate, the necessary functions...

  8. 14 CFR 135.123 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... OPERATING REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Flight Operations § 135.123 Emergency and emergency evacuation duties. (a) Each certificate holder shall assign to each required crewmember for each type of aircraft as appropriate, the necessary functions...

  9. 46 CFR 108.545 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... capable of individual release from its stowage rack. (3) Each inflatable liferaft used in conjunction with...) Stowage. Each marine evacuation system must be stowed as follows: (1) There must not be any openings..., when deployed, its stowage container, and its operational arrangement must not interfere with...

  10. 46 CFR 199.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...; (2) So it is capable of individual release from its stowage rack; (3) In accordance with the... and if necessary, is capable of being adjusted to the position required for evacuation. (b) Stowage... and platform, when deployed; its stowage container; and its operational arrangement must not...

  11. 14 CFR 121.291 - Demonstration of emergency evacuation procedures.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Demonstration of emergency evacuation procedures. 121.291 Section 121.291 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... airplane, using that operator's line operating procedures, open 50 percent of the required...

  12. Quantitative comparison of three electrosurgical smoke evacuation systems

    NASA Astrophysics Data System (ADS)

    de Boorder, Tjeerd; Noordmans, Herke Jan; Grimbergen, Matthijs; Been, Stefan; Verdaasdonk, Rudolf

    2010-02-01

    Electrosurgical equipment used during surgery generate smoke consisting of particles, vapor, aerosols and potentially harmful biological agents. Smoke evacuation systems are used more commonly and various types are available. A special image enhancement technique was used to study the behavior of surgical smoke and the effectiveness of smoke evacuation systems. Three different smoke evacuation systems were investigated. Rapid vac (Valleylab Boulder CO) The Buffalo silent whisper turbo (Buffalo, NY) ERBE IES 300 ( Tübingen, Germany) A back scatter illumination technique in combination with a high speed camera was applied to image the dynamics of a smoke plume generated by vaporizing a homogenous meat paste irradiated with the beam of a 10 W cw CO2 laser moving at a constant speed. The three different smoke evacuation systems with their individual nozzles, were held 2 cm above the surface of the meat paste and were switched on and off at fixed intervals to mimic a clinical situation. For images analysis, software was developed to count 'smoke pixels' in the video frames as a quantification tool. For the observer's eye, there were no differences between the systems. However, images quantification showed significantly less 'smoke' for the Buffalo system. It is expected that the performance in a clinical situation is also influenced by additional conditions like nozzle design, airflow and noise level. Noise levels were measured at the tip of the nozzle, 80 cm from the tip, 140 cm from the tip. The Buffalo system is the loudest system at every distance measured.

  13. Development of Cladding Materials for Evacuated Panel Superinsulation

    SciTech Connect

    Wilkes, K.E.; Weaver, F.J.; Cumberbatch, G.M.; Begnoche, B.; Brodie, V.; Lamb, W.; Reitz, R.; Caldwell, P.; Meyer, C.

    1999-11-01

    This Cooperative Research and Development Agreement (CRADA) was among E.I. DuPont de Nemours and Company, VacuPanel, Inc., and Lockheed Martin Energy Research Corp. Evacuated panel superinsulations have thermal resistivities (R) substantially above that of conventional existing insulation without the environmental problems of some insulations such as foam insulations blown with Chlorofluorocarbons (CFCs) or hydrochlorofluorocarbons (HCFCs).

  14. Regional Evacuation Modeling: A State of the Art Reviewing

    SciTech Connect

    Southworth, F.

    1991-01-01

    Regional evacuation modeling is treated as a five step process: involving vehicle trip generation, trip departure time, trip destination, and trip route selection modeling, supplemented by plan set-up and analysis procedures. Progress under each of these headings is reviewed and gaps in the process identified. The potential for emergency planners to make use of real time traffic data, resulting from the recent technical and economic revolutions in telecommunications and infrared traffic sensing, is identified as the single greatest opportunity for the near future; and some beginnings in the development of real time dynamic traffic modeling specifically geared to evacuation planning are highlighted. Significant data problems associated with the time of day location of large urban populations represent a second area requiring extensive research. A third area requiring much additional effort is the translation of the considerable knowledge we have on evacuee behavior in times of crisis into reliable quantitative measures of the timing of evacuee mobilization, notably by distance from the source of the hazard. Specific evacuation models are referenced and categorized by method. Incorporation of evacuation model findings into the definition of emergency planning zone boundaries is also discussed.

  15. Optimal control of diarrhea transmission in a flood evacuation zone

    NASA Astrophysics Data System (ADS)

    Erwina, N.; Aldila, D.; Soewono, E.

    2014-03-01

    Evacuation of residents and diarrhea disease outbreak in evacuation zone have become serious problem that frequently happened during flood periods. Limited clean water supply and infrastructure in evacuation zone contribute to a critical spread of diarrhea. Transmission of diarrhea disease can be reduced by controlling clean water supply and treating diarrhea patients properly. These treatments require significant amount of budget, which may not be fulfilled in the fields. In his paper, transmission of diarrhea disease in evacuation zone using SIRS model is presented as control optimum problem with clean water supply and rate of treated patients as input controls. Existence and stability of equilibrium points and sensitivity analysis are investigated analytically for constant input controls. Optimum clean water supply and rate of treatment are found using optimum control technique. Optimal results for transmission of diarrhea and the corresponding controls during the period of observation are simulated numerically. The optimum result shows that transmission of diarrhea disease can be controlled with proper combination of water supply and rate of treatment within allowable budget.

  16. Conceptualizing intragroup and intergroup dynamics within a controlled crowd evacuation.

    PubMed

    Elzie, Terra; Frydenlund, Erika; Collins, Andrew J; Robinson, R Michael

    2015-01-01

    Social dynamics play a critical role in successful pedestrian evacuations. Crowd modeling research has made progress in capturing the way individual and group dynamics affect evacuations; however, few studies have simultaneously examined how individuals and groups interact with one another during egress. To address this gap, the researchers present a conceptual agent-based model (ABM) designed to study the ways in which autonomous, heterogeneous, decision-making individuals negotiate intragroup and intergroup behavior while exiting a large venue. A key feature of this proposed model is the examination of the dynamics among and between various groupings, where heterogeneity at the individual level dynamically affects group behavior and subsequently group/group interactions. ABM provides a means of representing the important social factors that affect decision making among diverse social groups. Expanding on the 2013 work of Vizzari et al., the researchers focus specifically on social factors and decision making at the individual/group and group/group levels to more realistically portray dynamic crowd systems during a pedestrian evacuation. By developing a model with individual, intragroup, and intergroup interactions, the ABM provides a more representative approximation of real-world crowd egress. The simulation will enable more informed planning by disaster managers, emergency planners, and other decision makers. This pedestrian behavioral concept is one piece of a larger simulation model. Future research will build toward an integrated model capturing decision-making interactions between pedestrians and vehicles that affect evacuation outcomes.

  17. Cellular automaton model for evacuation process with obstacles

    NASA Astrophysics Data System (ADS)

    Varas, A.; Cornejo, M. D.; Mainemer, D.; Toledo, B.; Rogan, J.; Muñoz, V.; Valdivia, J. A.

    2007-08-01

    A bidimensional cellular automaton model is used to simulate the process of evacuation of pedestrians in a room with fixed obstacles. A floor field is defined so that moving to a cell with lower floor field means approaching an exit door. The model becomes non-deterministic by introducing a “panic” parameter, given by a probability of not moving, and by a random choice to resolve conflicts in the update of pedestrian positions. Two types of exit doors are considered: single (where only one person can pass) and double (two persons can pass simultaneously). For a double door, the longest evacuation time turns out to occur for a very traditional location of the door. The optimum door position is determined. Replacing the double door by two single doors does not improve evacuation times noticeably. On the other hand, for a room without obstacles, a simple scaling law is proposed to model the dependence of evacuation time with the number of persons and exit width. This model fails when obstacles are present, as their presence introduces local bottlenecks whose effect outweighs the benefits of increasing door width beyond a certain threshold.

  18. Considering culture in evacuation planning and consequence management.

    PubMed

    Bergeron, Wayne P

    2015-01-01

    Because culture profoundly affects human behavior, it is important that emergency management decision makers from both government and the private sector who will be involved in the management of evacuation operations build cultural considerations into their planning, preparations, education, and training from the very beginning. Preparation in this regard ensures that when the crisis hits, the response efforts undertaken will at a minimum not disregard culture or make situations worse because of a lack of cultural understanding and optimally will use the consideration of culture to frame the most effective response possible to ultimately save lives and relieve suffering. Whether it is recognizing that in some cultures the decision to comply with evacuation advice and orders will be made by a matriarch or patriarch of the family, or that the ability of an entire extended family unit to remain together in the evacuation process will be the key to compliance, culture may be the pivotal factor in a successful outcome. It is these (and many more) small cultural considerations and an overall understanding of the effect that culture has on behavior that can enhance the overall effectiveness of a culturally aware organization involved in the management of evacuation operations and emergency response. Hopefully, this initial work begins a deeper discussion and evaluation of cultural aspects both concerning the populations and cultures impacted by events, but just as importantly, the cultures and cultural understanding of the responding organizations.

  19. 33 CFR 146.210 - Emergency Evacuation Plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Emergency Evacuation Plan. 146.210 Section 146.210 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OUTER CONTINENTAL SHELF ACTIVITIES OPERATIONS Mobile Offshore Drilling Units § 146.210...

  20. 46 CFR 116.520 - Emergency evacuation plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... fires or flooding, including a fire in the largest capacity passenger space in each main vertical zone... ARRANGEMENT Escape and Embarkation Station Requirements § 116.520 Emergency evacuation plan. The owner or... paragraph (a) of this section without abandoning the vessel, including— (1) Identify readily...

  1. 46 CFR 116.520 - Emergency evacuation plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... fires or flooding, including a fire in the largest capacity passenger space in each main vertical zone... ARRANGEMENT Escape and Embarkation Station Requirements § 116.520 Emergency evacuation plan. The owner or... paragraph (a) of this section without abandoning the vessel, including— (1) Identify readily...

  2. Benchmarking for hospital evacuation: a critical data collection tool.

    PubMed

    Schultz, Carl H; Koenig, Kristi L; Auf der Heide, Erik; Olson, Robert

    2005-01-01

    In events such as earthquakes or terrorist attacks, hospitals may be victims of disasters. They may need to transfer patients to outside facilities rather than continue to provide on-site care. Following the Northridge earthquake, eight hospitals in the damaged area were the foci of a United States National Science Foundation study that examined the status of the hospitals' pre-event planning, post-event evacuation decision-making, and internal and external evacuation processes. Building on this experience, this paper offers a standardized data collection tool, which will enable researchers to record hospital evacuation information in a systematic manner so that comparable data can be accumulated, evacuation research methods can be improved, and consensus on methods can be reached. The study's principal subjects include: (1) hospital demographics; (2) description of existing disaster response plans; (3) an event's impacts on hospital operations; (4) decision-making and incident command; (5) movement of patients within the facility; (6) movement of patients to off-site institutions; and (7) hospital recovery.

  3. A Training Program in Evacuation of Special Education Pupils.

    ERIC Educational Resources Information Center

    Lenane, Judith D.

    1987-01-01

    To protect special education students fully, bus drivers must be trained to respond to emergencies in an organized fashion. This article describes special equipment and procedures used in Baltimore County buses for the handicapped, along with yearly evacuation drills to hone drivers' skills. Speed was not a factor in these exercises. (MLH)

  4. Modified Evacuated-Tube Collector Tested in Solar Simulator

    NASA Technical Reports Server (NTRS)

    1982-01-01

    According to report, particular commercial evacuated-tube solar collector performs slightly more efficiently with larger manifold. Tests were performed with Marshall Space Flight Center solar simulator. Report describes test conditions and procedures, provides analysis of results, and presents tables and graphs of data, both measured and calculated.

  5. Pathways toward a low cost evacuated collector system

    NASA Astrophysics Data System (ADS)

    Hull, J. R.; Schertz, W. W.; Allen, J. W.; Ogallagher, J. J.; Winston, R.

    The goal of widespread use of solar thermal collectors will only be achieved when they are proven to be economically superior to competing energy sources. Evacuated tubular collectors appear to have the potential to achieve this goal. An advanced evacuated collector using nonimaging concentration under development at the University of Chicago and Argonne can achieve a 50% seasonal efficiency at heat delivery temperatures in excess of 170C. The same collector has an optical efficiency so that low temperature performance is also excellent. In this advanced collector design all of the critical components are enclosed in the vacuum, and the collector has an inherently long lifetime. The current cost of evacuated systems is too high, mainly because the volume of production has been too low to realize economies of mass production. It appears that certain design features of evacuated collectors can be changed (e.g., use of heat pipe absorbers) so as to introduce new system design and market strategy options that can reduce the balance of system cost.

  6. 46 CFR 116.520 - Emergency evacuation plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... person may be permitted for each 0.28 square meters (3 square feet) of deck area; and (2) Identify at least two means of escape complying with § 114.400 from the space being evacuated; and (c) Include... passengers and the vessel's route. The abandon ship plan must identify at least one escape route from...

  7. Debulking from within: a robotic steerable cannula for intracerebral hemorrhage evacuation.

    PubMed

    Burgner, Jessica; Swaney, Philip J; Lathrop, Ray A; Weaver, Kyle D; Webster, Robert J

    2013-09-01

    New approaches to intracerebral hemorrhage management are motivated by its high incidence and 40% mortality rate. Surgery is sometimes attempted to decompress the brain, although patient outcomes are similar regardless of whether surgery occurs. We hypothesize that surgical decompression is not more effective because current open surgical techniques disrupt healthy brain tissue to access the clot formed by the hemorrhage, offsetting the benefits of surgery. To address this, we propose a less invasive needle-based approach in which the clot is debulked from within using a superelastic, precurved aspiration cannula that is deployed from a needle. The tip of this aspiration cannula is controlled by coordinated insertion and retraction of the cannula and needle, as well as axial rotation of the cannula. We describe the design of a sterilizable and biocompatible robot that can control the three degrees of freedom of the needle and cannula. Image guidance is achieved by adapting an approach originally developed for brain biopsy. We provide an optimization method for the selection of the precurvatures of one or more sequentially used aspiration cannulas to maximize hemorrhage evacuation, based on preoperative medical image data. In vitro experiments demonstrate the feasibility of evacuating 83-92% of hemorrhage volume, depending on the number of tubes and deployment method used.

  8. Emergency Responses and Health Consequences after the Fukushima Accident; Evacuation and Relocation.

    PubMed

    Hasegawa, A; Ohira, T; Maeda, M; Yasumura, S; Tanigawa, K

    2016-04-01

    The Fukushima accident was a compounding disaster following the strong earthquake and huge tsunami. The direct health effects of radiation were relatively well controlled considering the severity of the accident, not only among emergency workers but also residents. Other serious health issues include deaths during evacuation, collapse of the radiation emergency medical system, increased mortality among displaced elderly people and public healthcare issues in Fukushima residents. The Fukushima mental health and lifestyle survey disclosed that the Fukushima accident caused severe psychological distress in the residents from evacuation zones. In addition to psychiatric and mental health problems, there are lifestyle-related problems such as an increase proportion of those overweight, an increased prevalence of hypertension, diabetes mellitus and dyslipidaemia and changes in health-related behaviours among evacuees; all of which may lead to an increased cardiovascular disease risk in the future. The effects of a major nuclear accident on societies are diverse and enduring. The countermeasures should include disaster management, long-term general public health services, mental and psychological care, behavioural and societal support, in addition to efforts to mitigate the health effects attributable to radiation.

  9. 30 CFR 75.1504 - Mine emergency evacuation training and drills.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Mine emergency evacuation training and drills....1504 Mine emergency evacuation training and drills. Each operator of an underground coal mine shall conduct mine emergency evacuation training and drills and require all miners to participate. (a)...

  10. 30 CFR 75.1504 - Mine emergency evacuation training and drills.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Mine emergency evacuation training and drills....1504 Mine emergency evacuation training and drills. Each operator of an underground coal mine shall conduct mine emergency evacuation training and drills and require all miners to participate. (a)...

  11. 30 CFR 75.1504 - Mine emergency evacuation training and drills.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Mine emergency evacuation training and drills....1504 Mine emergency evacuation training and drills. Each operator of an underground coal mine shall conduct mine emergency evacuation training and drills and require all miners to participate. (a)...

  12. 30 CFR 75.1504 - Mine emergency evacuation training and drills.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Mine emergency evacuation training and drills....1504 Mine emergency evacuation training and drills. Each operator of an underground coal mine shall conduct mine emergency evacuation training and drills and require all miners to participate. (a)...

  13. 30 CFR 75.1504 - Mine emergency evacuation training and drills.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Mine emergency evacuation training and drills....1504 Mine emergency evacuation training and drills. Each operator of an underground coal mine shall conduct mine emergency evacuation training and drills and require all miners to participate. (a)...

  14. Variable population exposure and distributed travel speeds in least-cost tsunami evacuation modelling

    USGS Publications Warehouse

    Fraser, Stuart A.; Wood, Nathan J.; Johnston, David A.; Leonard, Graham S.; Greening, Paul D.; Rossetto, Tiziana

    2014-01-01

    Evacuation of the population from a tsunami hazard zone is vital to reduce life-loss due to inundation. Geospatial least-cost distance modelling provides one approach to assessing tsunami evacuation potential. Previous models have generally used two static exposure scenarios and fixed travel speeds to represent population movement. Some analyses have assumed immediate departure or a common evacuation departure time for all exposed population. Here, a method is proposed to incorporate time-variable exposure, distributed travel speeds, and uncertain evacuation departure time into an existing anisotropic least-cost path distance framework. The method is demonstrated for hypothetical local-source tsunami evacuation in Napier City, Hawke's Bay, New Zealand. There is significant diurnal variation in pedestrian evacuation potential at the suburb level, although the total number of people unable to evacuate is stable across all scenarios. Whilst some fixed travel speeds approximate a distributed speed approach, others may overestimate evacuation potential. The impact of evacuation departure time is a significant contributor to total evacuation time. This method improves least-cost modelling of evacuation dynamics for evacuation planning, casualty modelling, and development of emergency response training scenarios. However, it requires detailed exposure data, which may preclude its use in many situations.

  15. Variable population exposure and distributed travel speeds in least-cost tsunami evacuation modelling

    NASA Astrophysics Data System (ADS)

    Fraser, S. A.; Wood, N. J.; Johnston, D. M.; Leonard, G. S.; Greening, P. D.; Rossetto, T.

    2014-06-01

    Evacuation of the population from a tsunami hazard zone is vital to reduce life-loss due to inundation. Geospatial least-cost distance modelling provides one approach to assessing tsunami evacuation potential. Previous models have generally used two static exposure scenarios and fixed travel speeds to represent population movement. Some analyses have assumed immediate evacuation departure time or assumed a common departure time for all exposed population. In this paper, a method is proposed to incorporate time-variable exposure, distributed travel speeds, and uncertain evacuation departure time into an existing anisotropic least-cost path distance framework. The model is demonstrated for a case study of local-source tsunami evacuation in Napier City, Hawke's Bay, New Zealand. There is significant diurnal variation in pedestrian evacuation potential at the suburb-level, although the total number of people unable to evacuate is stable across all scenarios. Whilst some fixed travel speeds can approximate a distributed speed approach, others may overestimate evacuation potential. The impact of evacuation departure time is a significant contributor to total evacuation time. This method improves least-cost modelling of evacuation dynamics for evacuation planning, casualty modelling, and development of emergency response training scenarios.

  16. Variable population exposure and distributed travel speeds in least-cost tsunami evacuation modelling

    NASA Astrophysics Data System (ADS)

    Fraser, S. A.; Wood, N. J.; Johnston, D. M.; Leonard, G. S.; Greening, P. D.; Rossetto, T.

    2014-11-01

    Evacuation of the population from a tsunami hazard zone is vital to reduce life-loss due to inundation. Geospatial least-cost distance modelling provides one approach to assessing tsunami evacuation potential. Previous models have generally used two static exposure scenarios and fixed travel speeds to represent population movement. Some analyses have assumed immediate departure or a common evacuation departure time for all exposed population. Here, a method is proposed to incorporate time-variable exposure, distributed travel speeds, and uncertain evacuation departure time into an existing anisotropic least-cost path distance framework. The method is demonstrated for hypothetical local-source tsunami evacuation in Napier City, Hawke's Bay, New Zealand. There is significant diurnal variation in pedestrian evacuation potential at the suburb level, although the total number of people unable to evacuate is stable across all scenarios. Whilst some fixed travel speeds approximate a distributed speed approach, others may overestimate evacuation potential. The impact of evacuation departure time is a significant contributor to total evacuation time. This method improves least-cost modelling of evacuation dynamics for evacuation planning, casualty modelling, and development of emergency response training scenarios. However, it requires detailed exposure data, which may preclude its use in many situations.

  17. Understanding and managing disaster evacuation on a transportation network.

    PubMed

    Lambert, James H; Parlak, Ayse I; Zhou, Qian; Miller, John S; Fontaine, Michael D; Guterbock, Thomas M; Clements, Janet L; Thekdi, Shital A

    2013-01-01

    Uncertain population behaviors in a regional emergency could potentially harm the performance of the region's transportation system and subsequent evacuation effort. The integration of behavioral survey data with travel demand modeling enables an assessment of transportation system performance and the identification of operational and public health countermeasures. This paper analyzes transportation system demand and system performance for emergency management in three disaster scenarios. A two-step methodology first estimates the number of trips evacuating the region, thereby capturing behavioral aspects in a scientifically defensible manner based on survey results, and second, assigns these trips to a regional highway network, using geographic information systems software, thereby making the methodology transferable to other locations. Performance measures are generated for each scenario including maps of volume-to-capacity ratios, geographic contours of evacuation time from the center of the region, and link-specific metrics such as weighted average speed and traffic volume. The methods are demonstrated on a 600 segment transportation network in Washington, DC (USA) and are applied to three scenarios involving attacks from radiological dispersion devices (e.g., dirty bombs). The results suggests that: (1) a single detonation would degrade transportation system performance two to three times more than that which occurs during a typical weekday afternoon peak hour, (2) volume on several critical arterials within the network would exceed capacity in the represented scenarios, and (3) resulting travel times to reach intended destinations imply that un-aided evacuation is impractical. These results assist decisions made by two categories of emergency responders: (1) transportation managers who provide traveler information and who make operational adjustments to improve the network (e.g., signal retiming) and (2) public health officials who maintain shelters, food and

  18. Minimally Invasive Surgery plus rt-PA for Intracerebral Hemorrhage Evacuation (MISTIE) Decreases Perihematomal Edema

    PubMed Central

    Mould, W. Andrew; Carhuapoma, J. Ricardo; Muschelli, John; Lane, Karen; Morgan, Timothy C; McBee, Nichol A; Bistran-Hall, Amanda J; Ullman, Natalie L; Vespa, Paul; Martin, Neil A; Awad, Issam; Zuccarello, Mario; Hanley, Daniel F.

    2014-01-01

    Background and Purpose Perihematomal edema (PHE) can worsen outcomes following ICH. Reports suggest that blood degradation products lead to PHE. We hypothesized that hematoma evacuation will reduce PHE volume and that treatment with rt-PA will not exacerbate it. Methods MISTIE II tested safety and efficacy of hematoma evacuation after ICH. We conducted a semi-automated, computerized volumetric analysis on CT to assess impact of hematoma removal on PHE and 2) effects of rt-PA on PHE. Volumetric analyses were performed on Baseline Stability (BLS) and End of Treatment (EOT) scans. Results Seventy-nine surgical and 39 medical patients from MISTIE II were analyzed. Mean hematoma volume at EOT was 19.6±14.5 cc for the surgical cohort and 40.7±13.9 cc for the medical cohort (p<0.001). Edema volume at EOT was lower for the surgical cohort: 27.7±13.3 cc than medical cohort: 41.7±14.6 cc (p<0.001). Graded effect of clot removal on PHE was observed when patients with >65%, 20-65%, and <20% ICH removed were analyzed (p<0.001). Positive correlation between PHE reduction and percent of ICH removed was identified (ρ=0.658; p<0.001). In the surgical cohort, 69 patients underwent surgical aspiration and rt-PA (S+rt-PA) while 10 underwent surgical aspiration only (SO). Both cohorts achieved similar clot reduction: S+rt-PA, 18.9±14.5 cc; and SO, 24.5±14.0 cc (p=0.26). Edema at EOT in S+rt-PA was 28.1±13.8 cc and 24.4±8.6 cc in SO (p=0.41). Conclusions Hematoma evacuation is associated with significant reduction in PHE. Furthermore, PHE does not appear to be exacerbated by rt-PA, making such neurotoxic effects unlikely when the drug is delivered to intracranial clot. Clinical Trial Registration Information URL: http://clinicaltrials.gov/ct2/show/NCT00224770?term=MISTIE&rank=1 Clinicaltrials.gov ID: NCT00224770 PMID:23391763

  19. Use of an agent-based simulation model to evaluate a mobile-based system for supporting emergency evacuation decision making.

    PubMed

    Tian, Yu; Zhou, Tian-Shu; Yao, Qin; Zhang, Mao; Li, Jing-Song

    2014-12-01

    Recently, mass casualty incidents (MCIs) have been occurring frequently and have gained international attention. There is an urgent need for scientifically proven and effective emergency responses to MCIs, particularly as the severity of incidents is continuously increasing. The emergency response to MCIs is a multi-dimensional and multi-participant dynamic process that changes in real-time. The evacuation decisions that assign casualties to different hospitals in a region are very important and impact both the results of emergency treatment and the efficiency of medical resource utilization. Previously, decisions related to casualty evacuation were made by an incident commander with emergency experience and in accordance with macro emergency guidelines. There are few decision-supporting tools available to reduce the difficulty and psychological pressure associated with the evacuation decisions an incident commander must make. In this study, we have designed a mobile-based system to collect medical and temporal data produced during an emergency response to an MCI. Using this information, our system's decision-making model can provide personal evacuation suggestions that improve the overall outcome of an emergency response. The effectiveness of our system in reducing overall mortality has been validated by an agent-based simulation model established to simulate an emergency response to an MCI.

  20. Unaccompanied Evacuation and Adult Mortality: Evaluating the Finnish Policy of Evacuating Children to Foster Care During World War II

    PubMed Central

    2014-01-01

    Objectives. I examined associations between evacuation of Finnish children to temporary foster care in Sweden during World War II and all-cause mortality between ages 38 and 78 years. Methods. I used a Cox proportional hazards model to estimate mortality risk according to whether the individual was evacuated during childhood or not. I used within-sibling analysis to control for all unobserved socioeconomic and genetic characteristics shared among siblings. Individual-level data for Finnish cohorts born in 1933 to 1944 were derived from wartime government records, Finnish census data from 1950 and 1970, and death cause registry from 1971 to 2011. Results. I found no statistically significant association between evacuation and all-cause mortality when all exposed individuals were included in the analysis. However, subgroup analysis showed that men evacuated before age 4 years had a 1.31 higher mortality risk (95% confidence interval = 1.01, 1.69) than their nonevacuated counterparts. Conclusions. In the aggregate, individuals do not have elevated mortality risk as a consequence of foster care during early childhood owing to the onset of sudden external shocks (e.g., wars). PMID:25033125

  1. Development of the Japanese National Disaster Medical System and Experiences during the Great East Japan Earthquake

    PubMed Central

    Homma, Masato

    2015-01-01

    After the Great Hanshin-Awaji Earthquake in 1995, the Japanese national disaster medical system (NDMS) was developed. It mainly consists of four components, namely, a disaster base hospital, an emergency medical information system, a disaster medical assistance team (DMAT), and national aeromedical evacuation (AE). The NDMS was tested for the first time in a real disaster situation during the Great East Japan Earthquake in 2011. Two airports and one base were appointed as DMAT gathering places, and approximately 393 DMAT members divided into 78 teams were transported by Japan Air Self-Defense Force (JASDF) aircrafts to two AE staging bases the following day. Staging care units were installed at Hanamaki Airport, Fukushima Airport, and the Japan Ground Self-Defense Force Camp Kasuminome, and 69, 14 and 24 DMAT teams were placed at those locations, respectively. In total, 19 patients were evacuated using JASDF fixed-wing aircraft. Important issues requiring attention became clear through the experiences of the Great East Japan Earthquake and will be discussed in this paper. PMID:26306054

  2. A multi-grid model for pedestrian evacuation in a room without visibility

    NASA Astrophysics Data System (ADS)

    Cao, Shuchao; Song, Weiguo; Lv, Wei; Fang, Zhiming

    2015-10-01

    The evacuation process from a room without visibility is investigated by both experiment and modeling. Some typical characteristics of blind evacuation, including the preference of choosing left-hand side direction and following behavior, are found from the experiment. Meanwhile, different strategies of conflict resolution are observed in the experiment. Based on the experimental observation, a multi-grid model for evacuation without visibility is built in this paper. Simulation results of the model agree well with the experiments. Furthermore, the effect of exit width, number of exits and initial density on evacuation are studied, and results show that exit width has little impact on evacuation time and increasing number of exits is an effective way to decrease evacuation time. Finally, simulations of evacuation under normal and no visibility are compared, and the differences for two conditions are predicted. The comparison results also demonstrate that the blind evacuation is much slower than evacuation under normal visibility, which is match with the practical experience. A similar point is that the distributions of time interval in both situations satisfy power-law relation approximately. The study may be useful for understanding the egress behaviors and developing efficient evacuation strategy and plan to guide pedestrian evacuation without visibility.

  3. Experimental study on thermal performance of filled-type evacuated tube with U-tube

    NASA Astrophysics Data System (ADS)

    Liang, Ruobing; Ma, Liangdong; Zhang, Jili; Zhao, Dan

    2012-06-01

    The filled-type evacuated tube with U-tube, in which the filled layer is used to transfer energy absorbed by working fluid in the U-tube, is proposed to eliminate the effect of thermal resistance between the absorber tube and copper fin of the conventional solar collector. In this paper, the thermal performance of the filled-type evacuated tube was researched by means of experimental study. In order to avoid the effect of some uncertain factors, the single collector tube was considered as investigated objective. The test setup of the thermal performance of the filled-type evacuated tube with U-tube was established. The results show that the filled-type evacuated tube with U-tube has a favorable thermal performance compared with the evacuated tube with copper fin. The heat efficiency of filled-type evacuated tube is higher than that of copper fin evacuated tube by 12%. The useful energy gain of filled-type evacuated tube is 22% higher than that of copper fin evacuated tube at the practical irradiance received I T = 800 W/m2 and flow rate M f = 0.005 L/s. In addition, the exergy efficiency of the filled-type evacuated tube is higher than that of copper fin evacuated tube.

  4. Primary trauma care experience of army reserve combat medics: is a new approach needed?

    PubMed

    Ben-Abraham, R; Paret, G; Kluger, Y; Shemer, J; Stein, M

    1999-01-01

    Combat medics play a significant role in any fighting unit. In recent years, during times of peace and low-intensity military conflicts, as well as in operations other than war, reserve combat medics have been challenged to treat major casualties in the field. Although this work requires important manual skills, the medics perform basic treatment maneuvers that are not necessarily for saving of lives. A sample survey of reserve combat medics revealed that most (70%) were engaged in medical care for trauma victims during their regular and reserve service. Many (32.5%) were involved in incidents with multiple casualties. These incidents included seriously injured victims, with 39.2% of the medics being involved with air evacuation and 44.4% with fatalities. Not all medics are exposed to major trauma, but for those who are, the numbers of patients per medic is not large. Therefore, the need to educate the medics in cognitive, and more importantly, in manual skills, is obvious. Suggestions for the means to do so are provided.

  5. Optimization-based decision support to assist in logistics planning for hospital evacuations.

    PubMed

    Glick, Roger; Bish, Douglas R; Agca, Esra

    2013-01-01

    The evacuation of the hospital is a very complex process and evacuation planning is an important part of a hospital's emergency management plan. There are numerous factors that affect the evacuation plan including the nature of threat, availability of resources and staff the characteristics of the evacuee population, and risk to patients and staff. The safety and health of patients is of fundamental importance, but safely moving patients to alternative care facilities while under threat is a very challenging task. This article describes the logistical issues and complexities involved in planning and execution of hospital evacuations. Furthermore, this article provides examples of how optimization-based decision support tools can help evacuation planners to better plan for complex evacuations by providing real-world solutions to various evacuation scenarios.

  6. A Delphi Study Executive Skills 2010: A Toolbox of Competencies for Air Force Medical Service Corps Officers of the 21st Century

    DTIC Science & Technology

    2006-05-31

    Executive Skills 2010 1 A Delphi Study Executive Skills 2010: A Toolbox of Competencies for Air Force Medical Service Corps Officers of the 21st...Century A Graduate Management Project Submitted for the Degree of Master in Health Administration 3 June 2003 Douglas E. E. Stevens, Capt, USAF, MSC...Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to

  7. 76 FR 34845 - Medical Devices; Ear, Nose, and Throat Devices; Classification of the Wireless Air-Conduction...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-15

    ... Drug Administration 21 CFR Part 874 Medical Devices; Ear, Nose, and Throat Devices; Classification of... established by this final rule create ``requirements'' for specific medical devices under 21 U.S.C. 360k, even..., 1976 (the date of enactment of the Medical Device Amendments of 1976), generally referred to...

  8. Community disruptions and business costs for distant tsunami evacuations using maximum versus scenario-based zones

    USGS Publications Warehouse

    Wood, Nathan J.; Wilson, Rick I.; Ratliff, Jamie L.; Peters, Jeff; MacMullan, Ed; Krebs, Tessa; Shoaf, Kimberley; Miller, Kevin

    2017-01-01

    Well-executed evacuations are key to minimizing loss of life from tsunamis, yet they also disrupt communities and business productivity in the process. Most coastal communities implement evacuations based on a previously delineated maximum-inundation zone that integrates zones from multiple tsunami sources. To support consistent evacuation planning that protects lives but attempts to minimize community disruptions, we explore the implications of scenario-based evacuation procedures and use the California (USA) coastline as our case study. We focus on the land in coastal communities that is in maximum-evacuation zones, but is not expected to be flooded by a tsunami generated by a Chilean earthquake scenario. Results suggest that a scenario-based evacuation could greatly reduce the number of residents and employees that would be advised to evacuate for 24–36 h (178,646 and 159,271 fewer individuals, respectively) and these reductions are concentrated primarily in three counties for this scenario. Private evacuation spending is estimated to be greater than public expenditures for operating shelters in the area of potential over-evacuations ($13 million compared to $1 million for a 1.5-day evacuation). Short-term disruption costs for businesses in the area of potential over-evacuation are approximately $122 million for a 1.5-day evacuation, with one-third of this cost associated with manufacturing, suggesting that some disruption costs may be recouped over time with increased short-term production. There are many businesses and organizations in this area that contain individuals with limited mobility or access and functional needs that may have substantial evacuation challenges. This study demonstrates and discusses the difficulties of tsunami-evacuation decision-making for relatively small to moderate events faced by emergency managers, not only in California but in coastal communities throughout the world.

  9. A spatiotemporal optimization model for the evacuation of the population exposed to flood hazard

    NASA Astrophysics Data System (ADS)

    Alaeddine, H.; Serrhini, K.; Maizia, M.

    2015-03-01

    Managing the crisis caused by natural disasters, and especially by floods, requires the development of effective evacuation systems. An effective evacuation system must take into account certain constraints, including those related to traffic network, accessibility, human resources and material equipment (vehicles, collecting points, etc.). The main objective of this work is to provide assistance to technical services and rescue forces in terms of accessibility by offering itineraries relating to rescue and evacuation of people and property. We consider in this paper the evacuation of an urban area of medium size exposed to the hazard of flood. In case of inundation, most people will be evacuated using their own vehicles. Two evacuation types are addressed in this paper: (1) a preventive evacuation based on a flood forecasting system and (2) an evacuation during the disaster based on flooding scenarios. The two study sites on which the developed evacuation model is applied are the Tours valley (Fr, 37), which is protected by a set of dikes (preventive evacuation), and the Gien valley (Fr, 45), which benefits from a low rate of flooding (evacuation before and during the disaster). Our goal is to construct, for each of these two sites, a chronological evacuation plan, i.e., computing for each individual the departure date and the path to reach the assembly point (also called shelter) according to a priority list established for this purpose. The evacuation plan must avoid the congestion on the road network. Here we present a spatiotemporal optimization model (STOM) dedicated to the evacuation of the population exposed to natural disasters and more specifically to flood risk.

  10. A spatio-temporel optimization model for the evacuation of the population exposed to natural disasters

    NASA Astrophysics Data System (ADS)

    Alaeddine, H.; Serrhini, K.; Maïzia, M.; Néron, E.

    2015-01-01

    The importance of managing the crisis caused by natural disasters, and especially by flood, requires the development of an effective evacuation systems. An effective evacuation system must take into account certain constraints, including those related to network traffic, accessibility, human resources and material equipment (vehicles, collecting points, etc.). The main objective of this work is to provide assistance to technical services and rescue forces in terms of accessibility by offering itineraries relating to rescue and evacuation of people and property. We consider in this paper the evacuation of an urban area of medium size exposed to the hazard of flood. In case of inundation, most people will be evacuated using their own vehicles. Two evacuation types are addressed in this paper, (1) a preventive evacuation based on a flood forecasting system and (2) an evacuation during the disaster based on flooding scenarios. The two study sites on which the evacuation model developed is applied are the valley of Tours (Fr, 37) which is protected by a set of dikes (preventive evacuation) and the valley of Gien (Fr, 45) which benefits of a low rate of flooding (evacuation before and during the disaster). Our goal is to construct, for each of these two sites, a chronological evacuation plan i.e. computing for each individual the departure date and the path to reach the assembly point (also called shelter) associated according to a priorities list established for this purpose. Evacuation plan must avoid the congestion on the road network. Here we present a Spatio-Temporal Optimization Model (STOM) dedicated to the evacuation of the population exposed to natural disasters and more specifically to flood risk.

  11. [Prophylactic medicine--a foreground direction of medical support of the air staff of aviation of the Armed Forces of Russian Federation].

    PubMed

    Khomenko, M N; Klepikov, A N; Zubkov, A D; Bagaudinov, K G; Churilov, Iu K

    2008-06-01

    The first prophylaxis of chronic not-infection diseases obtains more and more value. Level of these diseases among air staff is rather high and has a tendency of increasing. It's bounded up with defects in the system of the first medical unit, insufficient conducting of ecological and sanitarium-hygiene screening and taking steps on decreasing of the influence of noxious agent on the human organism, improvement of working conditions of air specialists, decreasing of the value of psychoemotional stress and other factors. An important factor during the conducting the first and the second prophylaxis is an early detection of changes in health by the air staff and technical-engineer staff, diagnostics of diseases on early stages, when they conduct without any symptoms, forehanded rehabilitation and treatment.

  12. Modeling Evacuation of Emergency Vehicles by Cellular Automata Models

    NASA Astrophysics Data System (ADS)

    Moussa, Najem

    An evacuation of the emergency vehicle (EV) from an origin point (e.g., accident location) to a destination point (e.g., hospital) in lower and higher congestions is simulated using city cellular automata models. We find that the mean speed of the EV and its arrival time all depend enormously on the cars density, the route length of the EV and the turn capability of the cars. Dangerous situations that occurred during the evacuation of the EV are also investigated. By allowing high turning capabilities to cars, considerable improvements are obtained. Indeed, the EV mean speed is enhanced and its arrival time is optimized. Moreover, at relatively high density, a significant reduction of the risk of accident is expected.

  13. Silica powders for powder evacuated thermal insulating panel and method

    DOEpatents

    Harris, Michael T.; Basaran, Osman A.; Kollie, Thomas G.; Weaver, Fred J.

    1994-01-01

    A powder evacuated thermal insulating panel using generally spherical and porous silica particles of a median size less than about 100 nanometers in diameter, a pour packing density of about 0.4 to 0.6 g/cm.sup.3 and an external surface area in the range of about 90 to 600 m.sup.2 /g is described. The silica powders are prepared by reacting a tetraakyl silicate with ammonia and water in an alcohol solvent, distilling the solution after the reaction to remove the ammonia and recover the alcohol. The resulting aqueous slurry was dried, ball-milled, and dried again to provide the silica particles with defined internal and external porosity. The nanometer size and the large external surface area of the silica particles along with the internal and external porosity of the silica particles provide powder evacuated thermal insulating panels with significantly higher R-values than obtainable using previously known silica powders.

  14. Silica powders for powder evacuated thermal insulating panel and method

    DOEpatents

    Harris, Michael T.; Basaran, Osman A.; Kollie, Thomas G.; Weaver, Fred J.

    1996-01-01

    A powder evacuated thermal insulating panel using generally spherical and porous silica particles of a median size less than about 100 nanometers in diameter, a pour packing density of about 0.4 to 0.6 g/cm.sup.3 and an external surface area in the range of about 90 to 600 m.sup.2/ g is described. The silica powders are prepared by reacting a tetraakyl silicate with ammonia and water in an alcohol solvent, distilling the solution after the reaction to remove the ammonia and recover the alcohol. The resulting aqueous slurry was dried, ball-milled, and dried again to provide the silica particles with defined internal and external porosity. The nanometer size and the large external surface area of the silica particles along with the internal and external porosity of the silica particles provide powder evacuated thermal insulating panels with significantly higher R-values than obtainable using previously known silica powders.

  15. Silica powders for powder evacuated thermal insulating panel and method

    DOEpatents

    Harris, Michael T.; Basaran, Osman A.; Kollie, Thomas G.; Weaver, Fred J.

    1995-01-01

    A powder evacuated thermal insulating panel using generally spherical and porous silica particles of a median size less than about 100 nanometers in diameter, a pour packing density of about 0.4 to 0.6 g/cm.sup.3 and an external surface area in the range of about 90 to 600 m.sup.2/ g is described. The silica powders are prepared by reacting a tetraakyl silicate with ammonia and water in an alcohol solvent, distilling the solution after the reaction to remove the ammonia and recover the alcohol. The resulting aqueous slurry was dried, ball-milled, and dried again to provide the silica particles with defined internal and external porosity. The nanometer size and the large external surface area of the silica particles along with the internal and external porosity of the silica particles provide powder evacuated thermal insulating panels with significantly higher R-values than obtainable using previously known silica powders.

  16. Silica powders for powder evacuated thermal insulating panel and method

    DOEpatents

    Harris, M.T.; Basaran, O.A.; Kollie, T.G.; Weaver, F.J.

    1996-01-02

    A powder evacuated thermal insulating panel using generally spherical and porous silica particles of a median size less than about 100 nanometers in diameter, a pour packing density of about 0.4 to 0.6 g/cm{sup 3} and an external surface area in the range of about 90 to 600 m{sup 2}/g is described. The silica powders are prepared by reacting a tetraalkyl silicate with ammonia and water in an alcohol solvent, distilling the solution after the reaction to remove the ammonia and recover the alcohol. The resulting aqueous slurry was dried, ball-milled, and dried again to provide the silica particles with defined internal and external porosity. The nanometer size and the large external surface area of the silica particles along with the internal and external porosity of the silica particles provide powder evacuated thermal insulating panels with significantly higher R-values than obtainable using previously known silica powders. 2 figs.

  17. History of Aeromedical Evacuation in the Korean War and Vietnam War

    DTIC Science & Technology

    2006-05-31

    were clean.11 A British surgeon by the name of Joseph Lister published his work on antisepsis two years after the end of the American Civil War. His...patient helicopters. The 498th Medical Company ( Air Ambulance), under the command of Lieutenant Colonel Joseph P. Madrano, became operational in... Joseph F. “Dustoff Korea (377th Medical Company) ( Air Ambulance).” United States Army Aviation Digest 4 (July-August 1993): 33-37. Neel, Spurgeon

  18. Solar energy utilisation and evacuated tubular solar collectors

    NASA Astrophysics Data System (ADS)

    Parand, Foroutan

    Four types of evacuated tubular solar collectors have been constructed and their performance evaluated. The characteristics of the collectors are then compared and their design strengths assessed. One of the designs, a flat absorber with a single glass cover using glass to metal seals was found to have the best performance among the four designs which included a dewar vessel type collector, a heat pipe collector and a black liquid collector with an optical efficiency of 87.7 pct. and an overall heat loss coefficient of 12.3 Wm(exp -2)/C. The performance of the dewar vessel type and black liquid collectors was found to be comparable to the glass to metal seal collector. A detailed analysis of the optical and thermal processes in evacuated tubular collectors was made. On the basis of this analysis a computer simulation model using a finite difference technique has been developed to predict the performance of evacuated tubular collectors. The computer simulation results are then compared with the test results. For the majority of the tests the discrepancy between the simulation and the test results was within the error band of the test results (maximum 12 pct.). For the published test results the maximum discrepancy for operating temperature below 100 C was found to be 6 pct. The computer simulation model was compared with other published models and its advantages and disadvantages discussed. In some analytical and semi-analytical simulation models the energy absorbed by the glass cover and the heat loss from joints and supports has to be ignored. The present model has none of these deficiencies and more complex designs can be simulated. The developed computer simulation program might be used as an aid in the design of evacuated tubular collectors. Using the computer simulation, a parametric study of the three commmercially available collectors was made. The results are discussed and the areas of improvement are identified.

  19. Coastal evacuations by fish during extreme weather events.

    PubMed

    Bailey, Helen; Secor, David H

    2016-07-26

    An increase in the intensity and frequency of extreme events is predicted to occur as a result of climate change. In coastal ecosystems, hurricanes and flooding can cause dramatic changes in water quality resulting in large mortality events in estuarine fauna. Facultative migration behaviors represent a key adaptation by which animals can evacuate ecological catastrophes, but remain poorly studied in marine systems. Here we identify coastal evacuations by otherwise resident riverine striped bass in the Hudson River Estuary, New York, USA, caused by an intense period of tropical storms in autumn 2011. These storms produced record rainfall and high water discharges into the Hudson River Estuary that increased the water level and reduced the water temperature, salinity and dissolved oxygen levels. Striped bass moved out of the estuary, exhibiting novel migration behaviours, that may have been in response to the strong flow and unsuitable conditions. In the months following the storms, some fish demonstrated exploratory trips back to the estuary, which may have been to assess the conditions before returning for the remainder of the winter. Behavioural adaptions to weather events by striped bass and other coastal fishes will depend on maintenance of key population segments and unimpeded evacuation routes.

  20. Pedestrians’ behavior in emergency evacuation: Modeling and simulation

    NASA Astrophysics Data System (ADS)

    Wang, Lei; Zheng, Jie-Hui; Zhang, Xiao-Shuang; Zhang, Jian-Lin; Wang, Qiu-Zhen; Zhang, Qian

    2016-11-01

    The social force model has been widely used to simulate pedestrian evacuation by analyzing attractive, repulsive, driving, and fluctuating forces among pedestrians. Many researchers have improved its limitations in simulating behaviors of large-scale population. This study modifies the well-accepted social force model by considering the impacts of interaction among companions and further develops a comprehensive model by combining that with a multi-exit utility function. Then numerical simulations of evacuations based on the comprehensive model are implemented in the waiting hall of the Wulin Square Subway Station in Hangzhou, China. The results provide safety thresholds of pedestrian density and panic levels in different operation situations. In spite of the operation situation and the panic level, a larger friend-group size results in lower evacuation efficiency. Our study makes important contributions to building a comprehensive multi-exit social force model and to applying it to actual scenarios, which produces data to facilitate decision making in contingency plans and emergency treatment. Project supported by the National Natural Science Foundation of China (Grant No. 71471163).

  1. Controlled evacuation using the biocompatible and energy efficient microfluidic ejector.

    PubMed

    Lad, V N; Ralekar, Swati

    2016-10-01

    Development of controlled vacuum is having many applications in the realm of biotechnology, cell transfer, gene therapy, biomedical engineering and other engineering activities involving separation or chemical reactions. Here we show the controlled vacuum generation through a biocompatible, energy efficient, low-cost and flexible miniature device. We have designed and fabricated microfluidic devices from polydimethylsiloxane which are capable of producing vacuum at a highly controlled rate by using water as a motive fluid. Scrupulous removal of infected fluid/body fluid from the internal hemorrhage affected parts during surgical operations, gene manipulation, cell sorting, and other biomedical activities require complete isolation of the delicate cells or tissues adjacent to the targeted location. We demonstrate the potential of the miniature device to obtain controlled evacuation without the use of highly pressurized motive fluids. Water has been used as a motive liquid to eject vapor and liquid at ambient conditions through the microfluidic devices prepared using a low-cost fabrication method. The proposed miniature device may find applications in vacuum generation especially where the controlled rate of evacuation, and limited vacuum generation are of utmost importance in order to precisely protect the cells in the nearby region of the targeted evacuated area.

  2. Extreme argon purity in a large, non-evacuated cryostat

    SciTech Connect

    Tope, Terry; Adamowski, Mark; Carls, B.; Hahn, A.; Jaskierny, W.; Jostlein, H.; Kendziora, C.; Lockwitz, S.; Pahlka, B.; Plunkett, R.; Pordes, S.; Rebel, B.; Schmitt, R.; Skup, E.; Stancari, M.; Yang, T.

    2014-01-29

    Liquid Argon Time Projection Chambers (LArTPCs) show promise as scalable devices for the large detectors needed for long-baseline neutrino oscillation physics. Over the last several years at Fermilab a staged approach to developing the technology for large detectors has been developed. The TPC detectors require ultra-pure liquid argon with respect to electronegative contaminants such as oxygen and water. The tolerable electronegative contamination level may be as pure as 60 parts per trillion of oxygen. Three liquid argon cryostats operated at Fermilab have achieved the extreme purity required by TPCs. These three cryostats used evacuation to remove atmospheric contaminants as the first purification step prior to filling with liquid argon. Future physics experiments may require very large detectors with tens of kilotonnes of liquid argon mass. The capability to evacuate such large cryostats adds significant cost to the cryostat itself in addition to the cost of a large scale vacuum pumping system. This paper describes a 30 ton liquid argon cryostat at Fermilab which uses purging to remove atmospheric contaminants instead of evacuation as the first purification step. This cryostat has achieved electronegative contamination levels better than 60 parts per trillion of oxygen equivalent. The results of this liquid argon purity demonstration will strongly influence the design of future TPC cryostats.

  3. Coastal evacuations by fish during extreme weather events

    PubMed Central

    Bailey, Helen; Secor, David H.

    2016-01-01

    An increase in the intensity and frequency of extreme events is predicted to occur as a result of climate change. In coastal ecosystems, hurricanes and flooding can cause dramatic changes in water quality resulting in large mortality events in estuarine fauna. Facultative migration behaviors represent a key adaptation by which animals can evacuate ecological catastrophes, but remain poorly studied in marine systems. Here we identify coastal evacuations by otherwise resident riverine striped bass in the Hudson River Estuary, New York, USA, caused by an intense period of tropical storms in autumn 2011. These storms produced record rainfall and high water discharges into the Hudson River Estuary that increased the water level and reduced the water temperature, salinity and dissolved oxygen levels. Striped bass moved out of the estuary, exhibiting novel migration behaviours, that may have been in response to the strong flow and unsuitable conditions. In the months following the storms, some fish demonstrated exploratory trips back to the estuary, which may have been to assess the conditions before returning for the remainder of the winter. Behavioural adaptions to weather events by striped bass and other coastal fishes will depend on maintenance of key population segments and unimpeded evacuation routes. PMID:27455872

  4. Low cost vee-trough evacuated tube collector module

    NASA Technical Reports Server (NTRS)

    Selcuk, M. K.

    1979-01-01

    A low cost solar collector capable of operating at 150-200 C is described. An evacuated tube receiver is combined with asymmetric vee-trough concentrators. Peak efficiencies of about 40% at 120 C and 30% at 180 C are expected. Predicted future collector cost is $70/sq m which yields an energy cost of $4.20/GJ at 120 C. During the development of the vee trough/evacuated tube collector both mathematical models to predict thermal and optical performance were developed and tests run to verify theory. The asymmetric vee trough concentrator increases the solar flux intensity for an average value of 2 for year-round performance. Optimized collector module has reflector angles of 55 deg/85 deg. The aperture plane is tilted to the latitude. The reflector is made of electropolished aluminum. The supporting frame is formed by bending sheet metal. Evacuated tube receivers are Pyrex, 15 cm diam and 2.4 m long. The module has 12 tubes on right and left sides altogether. Attainable operation at temperatures on the order of 150-200 C are suitable for absorption refrigeration and power generation via Rankine engines.

  5. Simulation of traffic flow during emergency evacuations: A microcomputer based modeling system

    SciTech Connect

    Rathi, A.K.; Solanki, R.S.

    1993-09-01

    Evacuation is one of the major and often preferred protective action options available for emergency management in times of threat to the general public. One of the key factors used in evaluating the effectiveness of evacuation as a protective action option is the estimate of time required for evacuation. The time required for evacuation is the time associated with clearing an area at risk to areas far enough away to be considered safe. Computer simulation models of traffic flow are used to estimate the time it takes to evacuate or ``clear`` an at-risk region by means of vehicular evacuation. This paper provides a brief description of the Oak Ridge Evacuation Modeling System (OREMS), a prototype under development at the Oak Ridge National Laboratory. OREMS consists of a set of computer programs and models which can be used to simulate traffic flow during regional population evacuations and to develop evacuation plans for different events and scenarios (e.g. good vs. bad weather and nighttime vs. daytime evacuations) for user-defined spatial boundaries.

  6. Why Don't People Evacuate When Nature Threatens?

    NASA Astrophysics Data System (ADS)

    Thompson, K. J.; Broad, K.; Meyer, R.; Orlove, B. S.

    2011-12-01

    Why do so many Southern Californians fail to evacuate when warned that winter storms have critically raised the risk of a debris flow in their neighborhoods? Have they perhaps not seen or heeded news coverage of past debris flow events? Are they unaware that recent fires made the hillsides above them more prone to gravity-driven processes? Do they think they can wait to start their cars until they can actually see the flow coming? Or have they merely experienced too many "false alarms" in past years, and no longer put much stock in the judgment of public officials or the ability of scientists to judge debris flow risk? In preparation for a simulation study that will place decision makers in a virtual house in the California foothills during a winter storm event, we explore the reasons that people do and do not evacuate in the face of potential debris flows. Working in collaboration with the USGS Multi-Hazards Demonstration Project for Southern California, we are surveying hundreds of local residents, from debris-flow prone areas and from elsewhere in the state, to establish their baseline knowledge (and misconceptions) about, attitudes toward, information use regarding, and experience with debris flows. Initial interviews with residents of recently hit neighborhoods give qualitative data suggesting that false-alarm effects and underestimation of risk are driving factors; these surveys will provide quantitative evidence to extend those findings. We will discuss the results of this survey in the context of a comprehensive body of psychology research that seeks to explain why people frequently appear to ignore or discount hazard warnings: neglecting to insure their homes and crops (Kunreuther, 1984), failing to evacuate in the face of storms and fires (Baker, 1991; Packham, 1995), and (barring a recent, vivid event) showing little support for measures that would manage or mitigate future hazards (Kunreuther, 2006a, 2006b; Weber, 2006). We will also consider the

  7. The Mapping of Temporary Evacuation Site (TES) and Tsunami Evacuation Route in North Pagai Island, Mentawai Islands Regency - Indonesia

    NASA Astrophysics Data System (ADS)

    Putra, Aprizon; Mutmainah, Herdiana

    2016-11-01

    Mentawai Islands Regency, especially north Pagai island, suffered two earthquakes on April 15 2016. The local government in cooperation with the relevant parties had tried to minimize casualties before the disaster or during the disaster by making an evacuation route to the TES. The purpose of this study was to the mapping of TES and tsunami evacuation route using the approach of Geographic Information Systems (GIS) for disaster mitigation of tsunami-potential earthquake in north Pagai island.The research was conducted at 3 locations in the coast of Sikakap village, 4 locations in the coast of Taikako village, 3 locations in the coast of Silabu village, 7 locations in the coast of Saumanganya village, and 3 locations in the coast of Matobe village. The effort taken was to evacuate people to the TES with an average distance of 372.62 m from the beach. The results showed that the feasibility of TES that could accommodate residents, among others, were in the hills behind Sikakap Port, Taikako Silaoinan hills, the hills near the Mapinang Silabu village chief's office and Mapinang hills, Gulukguluk Saumanganya and Panatarat Matobe hills.

  8. Prototype Tsunami Evacuation Park in Padang, West Sumatra, Indonesia

    NASA Astrophysics Data System (ADS)

    Tucker, B. E.; Cedillos, V.; Deierlein, G.; Di Mauro, M.; Kornberg, K.

    2012-12-01

    Padang, Indonesia, a city of some 900,000 people, half of whom live close to the coast and within a five-meter elevation above sea level, has one of the highest tsunami risks in the world due to its close offshore thrust-fault seismic hazard, flat terrain and dense population. There is a high probability that a tsunami will strike the shores of Padang, flooding half of the area of the city, within the next 30 years. If that tsunami occurred today, it is estimated that several hundred thousand people would die, as they could not reach safe ground in the ~30 minute interval between the earthquake's occurrence and the tsunami's arrival. Padang's needs have been amply demonstrated: after earthquakes in 2007, 2009, 2011 and 2012, citizens, thinking that those earthquakes might cause a tsunami, tried to evacuate in cars and motorbikes, which created traffic jams, and most could not reach safe ground in 30 minutes. Since 2008, GeoHazards International (GHI) and Stanford University have studied a range of options for improving this situation, including ways to accelerate evacuation to high ground with pedestrian bridges and widened roads, and means of "vertical" evacuation in multi-story buildings, mosques, pedestrian overpasses, and Tsunami Evacuation Parks (TEPs), which are man-made hills with recreation facilities on top. TEPs proved most practical and cost-effective for Padang, given the available budget, technology and time. The Earth Observatory Singapore (EOS) developed an agent-based model that simulates pedestrian and vehicular evacuation to assess tsunami risk and risk reduction interventions in Southeast Asia. EOS applied this model to analyze the effectiveness in Padang of TEPs over other tsunami risk management approaches in terms of evacuation times and the number of people saved. The model shows that only ~24,000 people (20% of the total population) in the northern part of Padang can reach safe ground within 30 minutes, if people evacuate using cars and

  9. [The main conclusions about the medical aspects of air pollution: the projects REVIHAAP and HRAPIE WHO/EC].

    PubMed

    Heroux, M E; Braubach, M; Korol, N; Krzyzanowski, M; Paunovic, E; Zastenskaya, I

    2013-01-01

    For the time present the World Health Organization (WHO) is coordinating two major international projects aimed to provide the European Union (EU) with science-based information on health aspects of air pollution for a comprehensive analysis of EU policy in the field of air quality, scheduled for 2013. The information provided is structured in the form of answers to 26 policy-forming key questions, defined by the European Commission (EC). The questions cover the both general aspects that are important for air quality management, and also specific topics related to the health effects of certain air pollutants. Texts of the answers to the questions were provided on requests of large group of invited experts from leading specialized institutions around the world. First stages of the overview of existing data have shown that in recent years there has been published a significant amount of information proving adverse health effects of suspended particulate matter (PM), ozone (O3) and nitrogen dioxide (NO2) in an amount, which typically occurs in the air in Europe. These new data confirm the findings reported in renewed in 2005 WHO Guidelines for Air Quality (GAQ), and show that the negative health effects in some cases may take place at concentrations of aeropollutants in the air below mentioned in the GAQ in 2005. In the review there are presented the scientific arguments in favor of adoption of strong measures to improvement air quality and reduction of the burden of diseases associated with air pollution in Europe. The conclusions formulated within a framework of these projects, are equally referred to all Member States and can become a basis for the development and implementation of effective strategies to reduce air pollution and reduction of its negative impact on the health of the population.

  10. Synopsis of Information Requirements in Future Medical Operations.

    DTIC Science & Technology

    1996-11-01

    basic informa- tion on the field medical card, his hands are not free to do other things. Dog tags are supposed to have the infantryman’s blood type , but...we are told that the blood type information is often wrong. Quick evacuation of casualties from the battlefield could compensate for these...weaknesses. For example, quick evacuation to a rearward facility makes the blood type information on the dog tag less important. Similarly, the field

  11. Implementation and modeling of a Regional Hub Reception Center during mass evacuation operations.

    PubMed

    Wojtalewicz, Cliff; Kirby, Adam; Dietz, J Eric

    2014-01-01

    When developing response plans in the aftermath of a catastrophic incident, jurisdictions often fail to conduct the necessary interdisciplinary planning needed to fully address the needs across jurisdictional borders. The Purdue Homeland Security Institute (PHSI) was selected by the City of Chicago Office of Emergency Management and Communications (OEMC) in 2010 to lead an effort to address planning across jurisdictional borders during mass evacuations following a catastrophic incident. Specifically, PHSI was chosen to lead the effort in developing a planning and implementation guide for standing up a conceptual Regional Hub Reception Center (RHRC). A major component within the mass evacuation and sheltering continuum, the RHRC is designed to provide evacuees with quickresponse mass care and emergency assistance while their other needs are assessed and appropriate shelter locations are identified. The RHRC also provides a central location to leverage governmental, nongovernmental, and private sector resources and is the first point in the evacuation, mass care, and sheltering concept of operations where more comprehensive support (food, shelter, medical, psychological, household pet sheltering, reunification, etc) can be expected. PHSI undertook this lead role working within the Illinois-Indiana-Wisconsin (IL-IN-WI) Combined Statistical Area (CSA) as part of the US Department of Homeland Security Regional Catastrophic Planning Grant Program. Coordinating closely with the City of Chicago OEMC and IL-IN-WI CSA Regional Catastrophic Planning Team, PHSI lead the research effort using resource and capability data compiled from all 17 jurisdictions within the IL-IN-WI CSA and validated the RHRC concept using three tabletop exercises. Upon completion, the PHSI team published the RHRC planning guide complete with procedures and processes that define the roles and responsibilities of government, nongovernment organizations, and private sector for providing RHRC mass care

  12. Qualitative and Political Issues Impacting Academic Medical Center Strategic Planning--A Methodological Approach. AIR Forum 1982 Paper.

    ERIC Educational Resources Information Center

    Kutina, Kenneth L.; And Others

    A simulation model of an academic medical center that was developed to aid in strategic planning and policy analysis is described. The model, designated MCM for Medical Center Model, was implemented at the School of Medicine, University Hospitals of Cleveland, and the private practices of the faculty in the clinical departments at University…

  13. Long term mental health outcomes of Finnish children evacuated to Swedish families during the second world war and their non-evacuated siblings: cohort study

    PubMed Central

    Betancourt, Theresa S; Gilman, Stephen E

    2015-01-01

    Objectives To compare the risks of admission to hospital for any type of psychiatric disorder and for four specific psychiatric disorders among adults who as children were evacuated to Swedish foster families during the second world war and their non-evacuated siblings, and to evaluate whether these risks differ between the sexes. Design Cohort study. Setting National child evacuation scheme in Finland during the second world war. Participants Children born in Finland between 1933 and 1944 who were later included in a 10% sample of the 1950 Finnish census ascertained in 1997 (n=45 463; women: n=22 021; men: n=23 442). Evacuees in the sample were identified from war time government records. Main outcome measure Adults admitted to hospital for psychiatric disorders recorded between 1971 and 2011 in the Finnish hospital discharge register. Methods We used Cox proportional hazards models to estimate the association between evacuation to temporary foster care in Sweden during the second world war and admission to hospital for a psychiatric disorder between ages 38 and 78 years. Fixed effects methods were employed to control for all unobserved social and genetic characteristics shared among siblings. Results Among men and women combined, the risk of admission to hospital for a psychiatric disorder did not differ between Finnish adults evacuated to Swedish foster families and their non-evacuated siblings (hazard ratio 0.89, 95% confidence interval 0.64 to 1.26). Evidence suggested a lower risk of admission for any mental disorder (0.67, 0.44 to 1.03) among evacuated men, whereas for women there was no association between evacuation and the overall risk of admission for a psychiatric disorder (1.21, 0.80 to 1.83). When admissions for individual psychiatric disorders were analyzed, evacuated girls were significantly more likely than their non-evacuated sisters to be admitted to hospital for a mood disorder as an adult (2.19, 1.10 to 4.33). Conclusions The Finnish

  14. Enhancing evacuation plans with a situation awareness system based on end-user knowledge provision.

    PubMed

    Morales, Augusto; Alcarria, Ramon; Martin, Diego; Robles, Tomas

    2014-06-24

    Recent disasters have shown that having clearly defined preventive procedures and decisions is a critical component that minimizes evacuation hazards and ensures a rapid and successful evolution of evacuation plans. In this context, we present our Situation-Aware System for enhancing Evacuation Plans (SASEP) system, which allows creating end-user business rules that technically support the specific events, conditions and actions related to evacuation plans. An experimental validation was carried out where 32 people faced a simulated emergency situation, 16 of them using SASEP and the other 16 using a legacy system based on static signs. From the results obtained, we compare both techniques and discuss in which situations SASEP offers a better evacuation route option, confirming that it is highly valuable when there is a threat in the evacuation route. In addition, a study about user satisfaction using both systems is presented showing in which cases the systems are assessed as satisfactory, relevant and not frustrating.

  15. Comprehensive optimization of emergency evacuation route and departure time under traffic control.

    PubMed

    Li, Guo; Zhou, Ying; Liu, Mengqi

    2014-01-01

    With the frequent occurrence of major emergencies, emergency management gets high attention from all around the world. This paper investigates the comprehensive optimization of major emergency evacuation route and departure time, in which case the evacuation propagation mechanism is considered under traffic control. Given the practical assumptions, we first establish a comprehensive optimization model based on the simulation of evacuation route and departure time. Furthermore, we explore the reasonable description method of evacuation traffic flow propagation under traffic control, including the establishment of traffic flow propagation model and the design of the simulation module that can simulate the evacuation traffic flow. Finally, we propose a heuristic algorithm for the optimization of this comprehensive model. In case analysis, we take some areas in Beijing as the evaluation sources to verify the reliability of our model. A series of constructive suggestions for Beijing's emergency evacuation are proposed, which can be applied to the actual situation under traffic control.

  16. Comprehensive Optimization of Emergency Evacuation Route and Departure Time under Traffic Control

    PubMed Central

    Zhou, Ying; Liu, Mengqi

    2014-01-01

    With the frequent occurrence of major emergencies, emergency management gets high attention from all around the world. This paper investigates the comprehensive optimization of major emergency evacuation route and departure time, in which case the evacuation propagation mechanism is considered under traffic control. Given the practical assumptions, we first establish a comprehensive optimization model based on the simulation of evacuation route and departure time. Furthermore, we explore the reasonable description method of evacuation traffic flow propagation under traffic control, including the establishment of traffic flow propagation model and the design of the simulation mudule that can simulate the evacuation traffic flow. Finally, we propose a heuristic algorithm for the optimization of this comprehensive model. In case analysis, we take some areas in Beijing as the evaluation sources to verify the reliability of our model. A series of constructive suggestions for Beijing's emergency evacuation are proposed, which can be applied to the actual situation under traffic control. PMID:24977232

  17. Enhancing Evacuation Plans with a Situation Awareness System Based on End-User Knowledge Provision

    PubMed Central

    Morales, Augusto; Alcarria, Ramon; Martin, Diego; Robles, Tomas

    2014-01-01

    Recent disasters have shown that having clearly defined preventive procedures and decisions is a critical component that minimizes evacuation hazards and ensures a rapid and successful evolution of evacuation plans. In this context, we present our Situation-Aware System for enhancing Evacuation Plans (SASEP) system, which allows creating end-user business rules that technically support the specific events, conditions and actions related to evacuation plans. An experimental validation was carried out where 32 people faced a simulated emergency situation, 16 of them using SASEP and the other 16 using a legacy system based on static signs. From the results obtained, we compare both techniques and discuss in which situations SASEP offers a better evacuation route option, confirming that it is highly valuable when there is a threat in the evacuation route. In addition, a study about user satisfaction using both systems is presented showing in which cases the systems are assessed as satisfactory, relevant and not frustrating. PMID:24961212

  18. Impacts of high resolution data on traveler compliance levels in emergency evacuation simulations

    DOE PAGES

    Lu, Wei; Han, Lee D.; Liu, Cheng; ...

    2016-05-05

    In this article, we conducted a comparison study of evacuation assignment based on Traffic Analysis Zones (TAZ) and high resolution LandScan USA Population Cells (LPC) with detailed real world roads network. A platform for evacuation modeling built on high resolution population distribution data and activity-based microscopic traffic simulation was proposed. This platform can be extended to any cities in the world. The results indicated that evacuee compliance behavior affects evacuation efficiency with traditional TAZ assignment, but it did not significantly compromise the performance with high resolution LPC assignment. The TAZ assignment also underestimated the real travel time during evacuation. Thismore » suggests that high data resolution can improve the accuracy of traffic modeling and simulation. The evacuation manager should consider more diverse assignment during emergency evacuation to avoid congestions.« less

  19. Impacts of high resolution data on traveler compliance levels in emergency evacuation simulations

    SciTech Connect

    Lu, Wei; Han, Lee D.; Liu, Cheng; Bhaduri, Budhendra L.

    2016-05-05

    In this article, we conducted a comparison study of evacuation assignment based on Traffic Analysis Zones (TAZ) and high resolution LandScan USA Population Cells (LPC) with detailed real world roads network. A platform for evacuation modeling built on high resolution population distribution data and activity-based microscopic traffic simulation was proposed. This platform can be extended to any cities in the world. The results indicated that evacuee compliance behavior affects evacuation efficiency with traditional TAZ assignment, but it did not significantly compromise the performance with high resolution LPC assignment. The TAZ assignment also underestimated the real travel time during evacuation. This suggests that high data resolution can improve the accuracy of traffic modeling and simulation. The evacuation manager should consider more diverse assignment during emergency evacuation to avoid congestions.

  20. Air bearing vacuum seal assembly

    DOEpatents

    Booth, Rex

    1978-01-01

    An air bearing vacuum seal assembly capable of rotating at the speed of several thousand revolutions per minute using an air cushion to prevent the rotating and stationary parts from touching, and a two stage differential pumping arrangement to maintain the pressure gradient between the air cushion and the vacuum so that the leak rate into the vacuum is, for example, less than 1 .times. 10.sup.-4 Pa m.sup.3 /s. The air bearing vacuum seal has particular application for mounting rotating targets to an evacuated accelerator beam tube for bombardment of the targets with high-power charged particle beams in vacuum.

  1. Numerical Simulation of Evacuation Process in Malaysia By Using Distinct-Element-Method Based Multi-Agent Model

    NASA Astrophysics Data System (ADS)

    Abustan, M. S.; Rahman, N. A.; Gotoh, H.; Harada, E.; Talib, S. H. A.

    2016-07-01

    In Malaysia, not many researches on crowd evacuation simulation had been reported. Hence, the development of numerical crowd evacuation process by taking into account people behavioral patterns and psychological characteristics is crucial in Malaysia. On the other hand, tsunami disaster began to gain attention of Malaysian citizens after the 2004 Indian Ocean Tsunami that need quick evacuation process. In relation to the above circumstances, we have conducted simulations of tsunami evacuation process at the Miami Beach of Penang Island by using Distinct Element Method (DEM)-based crowd behavior simulator. The main objectives are to investigate and reproduce current conditions of evacuation process at the said locations under different hypothetical scenarios for the efficiency study of the evacuation. The sim-1 is initial condition of evacuation planning while sim-2 as improvement of evacuation planning by adding new evacuation area. From the simulation result, sim-2 have a shorter time of evacuation process compared to the sim-1. The evacuation time recuded 53 second. The effect of the additional evacuation place is confirmed from decreasing of the evacuation completion time. Simultaneously, the numerical simulation may be promoted as an effective tool in studying crowd evacuation process.

  2. Cellular automaton model of crowd evacuation inspired by slime mould

    NASA Astrophysics Data System (ADS)

    Kalogeiton, V. S.; Papadopoulos, D. P.; Georgilas, I. P.; Sirakoulis, G. Ch.; Adamatzky, A. I.

    2015-04-01

    In all the living organisms, the self-preservation behaviour is almost universal. Even the most simple of living organisms, like slime mould, is typically under intense selective pressure to evolve a response to ensure their evolution and safety in the best possible way. On the other hand, evacuation of a place can be easily characterized as one of the most stressful situations for the individuals taking part on it. Taking inspiration from the slime mould behaviour, we are introducing a computational bio-inspired model crowd evacuation model. Cellular Automata (CA) were selected as a fully parallel advanced computation tool able to mimic the Physarum's behaviour. In particular, the proposed CA model takes into account while mimicking the Physarum foraging process, the food diffusion, the organism's growth, the creation of tubes for each organism, the selection of optimum tube for each human in correspondence to the crowd evacuation under study and finally, the movement of all humans at each time step towards near exit. To test the model's efficiency and robustness, several simulation scenarios were proposed both in virtual and real-life indoor environments (namely, the first floor of office building B of the Department of Electrical and Computer Engineering of Democritus University of Thrace). The proposed model is further evaluated in a purely quantitative way by comparing the simulation results with the corresponding ones from the bibliography taken by real data. The examined fundamental diagrams of velocity-density and flow-density are found in full agreement with many of the already published corresponding results proving the adequacy, the fitness and the resulting dynamics of the model. Finally, several real Physarum experiments were conducted in an archetype of the aforementioned real-life environment proving at last that the proposed model succeeded in reproducing sufficiently the Physarum's recorded behaviour derived from observation of the aforementioned

  3. Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

    PubMed

    Tang, Chin-Sheng; Wan, Gwo-Hwa

    2013-01-01

    To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

  4. Simulation of a solar evacuated collector with black fluid

    SciTech Connect

    Samano, A.; Fernandez, A.

    1983-06-01

    The use of black fluids in an evacuated tube solar collector for intermediate temperatures is analyzed, and an operation mathematical model is proposed. The model is unidimensional and the integral equation for the mass, momentum and energy conservation balances are used. An expression for the pressure drop in the tube is obtained by integrating the momentum equation. The energy conservation equation is integrated analytically for constant insolation and numerically for transient insolation. An adjustment in the global emissivity value for the black fluid was made to make the representation in the mathematical model, and a discussion between the calculated and the experimental results is made.

  5. A Space-Time Flow Optimization Model for Neighborhood Evacuation

    DTIC Science & Technology

    2010-03-01

    We model the minimum cost evacuation behavior through time with formulation SPACETIME below. Index Sets i L Locations (alias j) t T...and ensures that there are no negative flows. C. THE MISSION CANYON EXAMPLE We apply model SPACETIME to the Mission Canyon neighborhood. We use a...11:00 1000 21:54 19:10 15:10 19:00 15:00 1200 26:53 22:50 21:40 22:40 21:40 1400 32:45 28:20 28:20 28:10 28:20 Vital Report SPACETIME SPACETIME

  6. Evacuated blood-collection tubes--the backflow hazard.

    PubMed Central

    Katz, L.; Johnson, D. L.; Neufeld, P. D.; Gupta, K. G.

    1975-01-01

    Five cases of nosocomial infection caused by Serratia marcescens were traced to backflow of blood from nonsterile evacuated blood-collection tubes. The mechanism of backflow was investigated theoretically and the conditions were determined under which backflow can occur. The theory was confirmed by experiments conducted on a simulated venous system and by measurements of the venous pressure in the brachial vein of a patient during application and removal of a tourniquet. Various possible solutions to the backflow hazard include strict adherence to correct venipuncture technique, sterilization of all blood-collection tubes, improvement of the vacuum in the tubes and incorporation of a check valve into the system. PMID:1095169

  7. The United States Army Medical Department Journal. July-September 2010

    DTIC Science & Technology

    2010-09-01

    Bariatric Surgery at Duke University Hospital, Durham, North Carolina. He has made deployments as a general surgeon to both Iraq and Afghanistan. LTC...saving surgery (hypotension with penetrating neck and torso trauma).27,28 Medical Evacuation Times 1. The golden hour was a “best guess” rule-of...GLOSSARY ATLS - advanced trauma life support MEDEVAC - military medical evacuation DCS - damage control surgery RTS - revised trauma score EM

  8. The Use of the Integrated Medical Model for Forecasting and Mitigating Medical Risks for a Near-Earth Asteroid Mission

    NASA Technical Reports Server (NTRS)

    Kerstman, Eric; Saile, Lynn; Freire de Carvalho, Mary; Myers, Jerry; Walton, Marlei; Butler, Douglas; Lopez, Vilma

    2011-01-01

    Introduction The Integrated Medical Model (IMM) is a decision support tool that is useful to space flight mission managers and medical system designers in assessing risks and optimizing medical systems. The IMM employs an evidence-based, probabilistic risk assessment (PRA) approach within the operational constraints of space flight. Methods Stochastic computational methods are used to forecast probability distributions of medical events, crew health metrics, medical resource utilization, and probability estimates of medical evacuation and loss of crew life. The IMM can also optimize medical kits within the constraints of mass and volume for specified missions. The IMM was used to forecast medical evacuation and loss of crew life probabilities, as well as crew health metrics for a near-earth asteroid (NEA) mission. An optimized medical kit for this mission was proposed based on the IMM simulation. Discussion The IMM can provide information to the space program regarding medical risks, including crew medical impairment, medical evacuation and loss of crew life. This information is valuable to mission managers and the space medicine community in assessing risk and developing mitigation strategies. Exploration missions such as NEA missions will have significant mass and volume constraints applied to the medical system. Appropriate allocation of medical resources will be critical to mission success. The IMM capability of optimizing medical systems based on specific crew and mission profiles will be advantageous to medical system designers. Conclusion The IMM is a decision support tool that can provide estimates of the impact of medical events on human space flight missions, such as crew impairment, evacuation, and loss of crew life. It can be used to support the development of mitigation strategies and to propose optimized medical systems for specified space flight missions. Learning Objectives The audience will learn how an evidence-based decision support tool can be

  9. Tsunami evacuation analysis, modelling and planning: application to the coastal area of El Salvador

    NASA Astrophysics Data System (ADS)

    Gonzalez-Riancho, Pino; Aguirre-Ayerbe, Ignacio; Aniel-Quiroga, Iñigo; Abad Herrero, Sheila; González Rodriguez, Mauricio; Larreynaga, Jeniffer; Gavidia, Francisco; Quetzalcoalt Gutiérrez, Omar; Álvarez-Gómez, Jose Antonio; Medina Santamaría, Raúl

    2014-05-01

    Advances in the understanding and prediction of tsunami impacts allow the development of risk reduction strategies for tsunami-prone areas. Conducting adequate tsunami risk assessments is essential, as the hazard, vulnerability and risk assessment results allow the identification of adequate, site-specific and vulnerability-oriented risk management options, with the formulation of a tsunami evacuation plan being one of the main expected results. An evacuation plan requires the analysis of the territory and an evaluation of the relevant elements (hazard, population, evacuation routes, and shelters), the modelling of the evacuation, and the proposal of alternatives for those communities located in areas with limited opportunities for evacuation. Evacuation plans, which are developed by the responsible authorities and decision makers, would benefit from a clear and straightforward connection between the scientific and technical information from tsunami risk assessments and the subsequent risk reduction options. Scientifically-based evacuation plans would translate into benefits for the society in terms of mortality reduction. This work presents a comprehensive framework for the formulation of tsunami evacuation plans based on tsunami vulnerability assessment and evacuation modelling. This framework considers (i) the hazard aspects (tsunami flooding characteristics and arrival time), (ii) the characteristics of the exposed area (people, shelters and road network), (iii) the current tsunami warning procedures and timing, (iv) the time needed to evacuate the population, and (v) the identification of measures to improve the evacuation process, such as the potential location for vertical evacuation shelters and alternative routes. The proposed methodological framework aims to bridge the gap between risk assessment and risk management in terms of tsunami evacuation, as it allows for an estimation of the degree of evacuation success of specific management options, as well as

  10. An Evaluation of Infrastructure for Tsunami Evacuation in Padang, West Sumatra, Indonesia (Invited)

    NASA Astrophysics Data System (ADS)

    Cedillos, V.; Canney, N.; Deierlein, G.; Diposaptono, S.; Geist, E. L.; Henderson, S.; Ismail, F.; Jachowski, N.; McAdoo, B. G.; Muhari, A.; Natawidjaja, D. H.; Sieh, K. E.; Toth, J.; Tucker, B. E.; Wood, K.

    2009-12-01

    Padang has one of the world’s highest tsunami risks due to its high hazard, vulnerable terrain and population density. The current strategy to prepare for tsunamis in Padang is focused on developing early warning systems, planning evacuation routes, conducting evacuation drills, and raising local awareness. Although these are all necessary, they are insufficient. Padang’s proximity to the Sunda Trench and flat terrain make reaching safe ground impossible for much of the population. The natural warning in Padang - a strong earthquake that lasts over a minute - will be the first indicator of a potential tsunami. People will have about 30 minutes after the earthquake to reach safe ground. It is estimated that roughly 50,000 people in Padang will be unable to evacuate in that time. Given these conditions, other means to prepare for the expected tsunami must be developed. With this motivation, GeoHazards International and Stanford University’s Chapter of Engineers for a Sustainable World partnered with Indonesian organizations - Andalas University and Tsunami Alert Community in Padang, Laboratory for Earth Hazards, and the Ministry of Marine Affairs and Fisheries - in an effort to evaluate the need for and feasibility of tsunami evacuation infrastructure in Padang. Tsunami evacuation infrastructure can include earthquake-resistant bridges and evacuation structures that rise above the maximum tsunami water level, and can withstand the expected earthquake and tsunami forces. The choices for evacuation structures vary widely - new and existing buildings, evacuation towers, soil berms, elevated highways and pedestrian overpasses. This interdisciplinary project conducted a course at Stanford University, undertook several field investigations, and concluded that: (1) tsunami evacuation structures and bridges are essential to protect the people in Padang, (2) there is a need for a more thorough engineering-based evaluation than conducted to-date of the suitability of

  11. Using a GIS to Model Tsunami Evacuation Times for the Community of Fairhaven, California

    NASA Astrophysics Data System (ADS)

    Graehl, N.; Dengler, L.

    2008-12-01

    The community of Fairhaven (pop. 200) is located at the southern end of the Samoa Peninsula in Humboldt County, California. Fairhaven experienced minor flooding from the 1964 Alaska teletsunami and lies within the inundation zone of numerical models for tsunamis generated by the Cascadia s¬ubduction zone. The highest elevations in the community are about 8 meters which potentially exposes the community to high velocity waves and tsunami inundation. This study modeled the evacuation times to reach the nearest designated evacuation area in the adjacent community of Samoa by foot, to determine if this time frame is realistic in the event of a tsunami evacuation. We used a GIS to generate a Cost Weighted Surface that takes into account distance, physical objects such as buildings, lakes, rivers and other obstructions, and elevation. The Spatial Analyst extension in ArcGIS along with 1 meter resolution NAIP imagery was used to construct a land-use polygon shapefile for the Samoa Peninsula. Slope values were imported into the Cost Weighted Surface with 5 meter resolution DEM's of the Humboldt Bay area. Land-use and slope were reclassified to contain speed values based on the type of surface or slope a pedestrian would walk over. Land-use was reclassified based on walking speed values attained in the field while slope values were reclassified based on Laghi and Cavalletti's criteria. Land-use and slope were then combined to create the final Cost Weighted Surface. Two evacuation time maps were created: one modeled pedestrian evacuation time to Samoa's official evacuation site and the other to a proposed evacuation site located within Fairhaven. The generated evacuation time maps show that evacuation times generally increase radially as the distance from the evacuation sites increases. However, this is untrue where slope and land use characteristics have more of an influence on evacuation time than distance. Maximum pedestrian evacuation times decreased from nearly two

  12. International Conference on Remote Emergency Medical Services

    NASA Technical Reports Server (NTRS)

    1975-01-01

    An emergency medical system is characterized. Applications of NASA technology in biomedical telecommunication and bioinstrumentation are explored. The training and effectiveness of paramedics, technicians, nurses, and physicians are evaluated as applied to emergency situations and the operations of trauma centers. Civilian and military aeromedical evacuation is discussed.

  13. Predicting emergency evacuation and sheltering behavior: a structured analytical approach.

    PubMed

    Dombroski, Matt; Fischhoff, Baruch; Fischbeck, Paul

    2006-12-01

    We offer a general approach to predicting public compliance with emergency recommendations. It begins with a formal risk assessment of an anticipated emergency, whose parameters include factors potentially affecting and affected by behavior, as identified by social science research. Standard procedures are used to elicit scientific experts' judgments regarding these behaviors and dependencies, in the context of an emergency scenario. Their judgments are used to refine the model and scenario, enabling local emergency coordinators to predict the behavior of citizens in their area. The approach is illustrated with a case study involving a radiological dispersion device (RDD) exploded in downtown Pittsburgh, PA. Both groups of experts (national and local) predicted approximately 80-90% compliance with an order to evacuate workplaces and 60-70% compliance with an order to shelter in place at home. They predicted 10% lower compliance for people asked to shelter at the office or to evacuate their homes. They predicted 10% lower compliance should the media be skeptical, rather than supportive. They also identified preparatory policies that could improve public compliance by 20-30%. We consider the implications of these results for improving emergency risk assessment models and for anticipating and improving preparedness for disasters, using Hurricane Katrina as a further case in point.

  14. Estimates of radioxenon released from Southern Hemisphere medical isotope production facilities using measured air concentrations and atmospheric transport modeling.

    PubMed

    Eslinger, Paul W; Friese, Judah I; Lowrey, Justin D; McIntyre, Justin I; Miley, Harry S; Schrom, Brian T

    2014-09-01

    The International Monitoring System (IMS) of the Comprehensive-Nuclear-Test-Ban-Treaty monitors the atmosphere for radioactive xenon leaking from underground nuclear explosions. Emissions from medical isotope production represent a challenging background signal when determining whether measured radioxenon in the atmosphere is associated with a nuclear explosion prohibited by the treaty. The Australian Nuclear Science and Technology Organisation (ANSTO) operates a reactor and medical isotope production facility in Lucas Heights, Australia. This study uses two years of release data from the ANSTO medical isotope production facility and (133)Xe data from three IMS sampling locations to estimate the annual releases of (133)Xe from medical isotope production facilities in Argentina, South Africa, and Indonesia. Atmospheric dilution factors derived from a global atmospheric transport model were used in an optimization scheme to estimate annual release values by facility. The annual releases of about 6.8 × 10(14) Bq from the ANSTO medical isotope production facility are in good agreement with the sampled concentrations at these three IMS sampling locations. Annual release estimates for the facility in South Africa vary from 2.2 × 10(16) to 2.4 × 10(16) Bq, estimates for the facility in Indonesia vary from 9.2 × 10(13) to 3.7 × 10(14) Bq and estimates for the facility in Argentina range from 4.5 × 10(12) to 9.5 × 10(12) Bq.

  15. Estimates of Radioxenon Released from Southern Hemisphere Medical isotope Production Facilities Using Measured Air Concentrations and Atmospheric Transport Modeling

    SciTech Connect

    Eslinger, Paul W.; Friese, Judah I.; Lowrey, Justin D.; McIntyre, Justin I.; Miley, Harry S.; Schrom, Brian T.

    2014-09-01

    Abstract The International Monitoring System (IMS) of the Comprehensive-Nuclear-Test-Ban-Treaty monitors the atmosphere for radioactive xenon leaking from underground nuclear explosions. Emissions from medical isotope production represent a challenging background signal when determining whether measured radioxenon in the atmosphere is associated with a nuclear explosion prohibited by the treaty. The Australian Nuclear Science and Technology Organisation (ANSTO) operates a reactor and medical isotope production facility in Lucas Heights, Australia. This study uses two years of release data from the ANSTO medical isotope production facility and Xe-133 data from three IMS sampling locations to estimate the annual releases of Xe-133 from medical isotope production facilities in Argentina, South Africa, and Indonesia. Atmospheric dilution factors derived from a global atmospheric transport model were used in an optimization scheme to estimate annual release values by facility. The annual releases of about 6.8×1014 Bq from the ANSTO medical isotope production facility are in good agreement with the sampled concentrations at these three IMS sampling locations. Annual release estimates for the facility in South Africa vary from 1.2×1016 to 2.5×1016 Bq and estimates for the facility in Indonesia vary from 6.1×1013 to 3.6×1014 Bq. Although some releases from the facility in Argentina may reach these IMS sampling locations, the solution to the objective function is insensitive to the magnitude of those releases.

  16. Validation of an evacuated canister method for measuring part-per-billion levels of chemical warfare agent simulants.

    PubMed

    Coffey, Christopher C; LeBouf, Ryan F; Calvert, Catherine A; Slaven, James E

    2011-08-01

    The National Institute for Occupational Safety and Health (NIOSH) research on direct-reading instruments (DRIs) needed an instantaneous sampling method to provide independent confirmation of the concentrations of chemical warfare agent (CWA) simulants. It was determined that evacuated canisters would be the method of choice. There is no method specifically validated for volatile organic compounds (VOCs) in the NIOSH Manual of Analytical Methods. The purpose of this study was to validate an evacuated canister method for sampling seven specific VOCs that can be used as a simulant for CWA agents (cyclohexane) or influence the DRI measurement of CWA agents (acetone, chloroform, methylene chloride, methyl ethyl ketone, hexane, and carbon tetrachloride [CCl4]). The method used 6-L evacuated stainless-steel fused silica-lined canisters to sample the atmosphere containing VOCs. The contents of the canisters were then introduced into an autosampler/preconcentrator using a microscale purge and trap (MPT) method. The MPT method trapped and concentrated the VOCs in the air sample and removed most of the carbon dioxide and water vapor. After preconcentration, the samples were analyzed using a gas chromatograph with a mass selective detector. The method was tested, evaluated, and validated using the NIOSH recommended guidelines. The evaluation consisted of determining the optimum concentration range for the method; the sample stability over 30 days; and the accuracy, precision, and bias of the method. This method meets the NIOSH guidelines for six of the seven compounds (excluding acetone) tested in the range of 2.3-50 parts per billion (ppb), making it suitable for sampling of these VOCs at the ppb level.

  17. The Communication of Information Such as Evacuation Orders at the Time of a Nuclear Power Station Accident

    PubMed Central

    HATANAKA, Takashi; YOSHIDA, Sumito; OJINO, Mayo; ISHII, Masami

    2014-01-01

    This research was carried out from the perspective that the damage to the people of Fukushima and others from the Fukushima Daiichi Nuclear Power Station (NPS) accident was an “information disaster.” It evaluated the critical problems raised by and actual condition analysis on the process of events in the Fukushima Daiichi NPS disaster and responses of the governments and others, notification of the occurrence of the accident and evacuation order by the national and local governments and the evacuation of residents, and guidance for distribution and intake of stable iodine tablets. The research aimed to provide a basis for the implementation of effective distribution and intake of stable iodine tablets and responses to the “information disaster” in the nuclear power disaster. On March 15 at the time that the most radioactive substances were dispersed, even when the average wind speed at the site area was 1.6 m/s, the radioactive substances had reached the outer boundary of Urgent Protective action planning Zone (UPZ, the region with a radius of 30 km) within about five hours. Because of this, every second counted in the provision of information about the accident and the issuance of evacuation orders. This study evaluated the actual condition of information provision by the national government and others from the perspective of this awareness of the importance of time. On the basis of the results of this kind of consideration, we come to the following recommendations: The Nuclear Emergency Response Guidelines and the system for communication of information to medical providers should be revised. The national government should make preparations for the effective advance distribution and intake of stable iodine tablets. PMID:26557446

  18. ALFIL: A Crowd Simulation Serious Game for Massive Evacuation Training and Awareness

    ERIC Educational Resources Information Center

    García-García, César; Fernández-Robles, José Luis; Larios-Rosillo, Victor; Luga, Hervé

    2012-01-01

    This article presents the current development of a serious game for the simulation of massive evacuations. The purpose of this project is to promote self-protection through awareness of the procedures and different possible scenarios during the evacuation of a massive event. Sophisticated behaviors require massive computational power and it has…

  19. 30 CFR 75.1502 - Mine emergency evacuation and firefighting program of instruction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... fire, explosion, or gas or water inundation; (ii) Evacuating all miners not required for a mine... evacuation under each of the various mine emergencies (fires, explosions, or gas or water inundations). These... and heat. (10) A summary of the procedures related to deploying refuge alternatives. (11) A summary...

  20. Simulating the effects of social networks on a population's hurricane evacuation participation

    NASA Astrophysics Data System (ADS)

    Widener, Michael J.; Horner, Mark W.; Metcalf, Sara S.

    2013-04-01

    Scientists have noted that recent shifts in the earth's climate have resulted in more extreme weather events, like stronger hurricanes. Such powerful storms disrupt societal function and result in a tremendous number of casualties, as demonstrated by recent hurricane experience in the US Planning for and facilitating evacuations of populations forecast to be impacted by hurricanes is perhaps the most effective strategy for reducing risk. A potentially important yet relatively unexplored facet of people's evacuation decision-making involves the interpersonal communication processes that affect whether at-risk residents decide to evacuate. While previous research has suggested that word-of-mouth effects are limited, data supporting these assertions were collected prior to the widespread adoption of digital social media technologies. This paper argues that the influence of social network effects on evacuation decisions should be revisited given the potential of new social media for impacting and augmenting information dispersion through real-time interpersonal communication. Using geographic data within an agent-based model of hurricane evacuation in Bay County, Florida, we examine how various types of social networks influence participation in evacuation. It is found that strategies for encouraging evacuation should consider the social networks influencing individuals during extreme events, as it can be used to increase the number of evacuating residents.

  1. A microcomputer based traffic evacuation modeling system for emergency planning application

    SciTech Connect

    Rathi, A.K.

    1995-12-31

    The US Army stockpiles unitary chemical weapons, both as bulk chemicals and as munitions, at eight major sites in the United States. The continued storage and disposal of the chemical stockpile has the potential for accidental releases of toxic gases that could escape the installation boundaries and pose a threat to the civilian population in the vicinity. Vehicular evacuation is one of the major and often preferred protective action options available for emergency management in a real or anticipated disaster. Computer simulation models of evacuation traffic flow are used to estimate the time required for the affected populations to evacuate to safer areas, to evaluate effectiveness of vehicular evacuations as a protective action option, and to develop comprehensive evacuation plans when required. Following a review of the past efforts to simulate traffic flow during emergency evacuations, an overview of the key features in Version 2.0 of the Oak Ridge Evacuation Modeling System (OREMS) are presented in this paper. OREMS is a microcomputer-based model developed to simulate traffic flow during regional emergency evacuations. OREMS integrates a state-of-the-art dynamic traffic flow and simulation model with advanced data editing and output display programs operating under a MS-Windows environment.

  2. 76 FR 43265 - Proposed Information Collection; Comment Request; Evacuation Movement and Behavior Questionnaire

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... Movement and Behavior Questionnaire AGENCY: National Institute of Standards and Technology (NIST). ACTION... behavior and movement of occupants from approximately 50 high-rise building evacuation drills in cities... consist of questionnaires that will be handed out to occupants who have evacuated previously-...

  3. An Evacuation Emergency Response Model Coupling Atmospheric Release Advisory Capability Output.

    DTIC Science & Technology

    1983-01-10

    concentration contours coupled with the SMI evacuation model were calculated by using the MATHEW and ADPIC codes. The evacuation emergency response...2 M ATH EW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2 ADPIC ...CDC 7600 computer within a matter of minutes MATHEW and ADPIC codes. These two models after the computer center is notified, are described briefly

  4. 5 CFR 550.406 - Work assignments during evacuation; return to duty.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Work assignments during evacuation; return to duty. 550.406 Section 550.406 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY ADMINISTRATION (GENERAL) Payments During Evacuation § 550.406 Work...

  5. Agent-based Large-Scale Emergency Evacuation Using Real-Time Open Government Data

    SciTech Connect

    Lu, Wei; Liu, Cheng; Bhaduri, Budhendra L

    2014-01-01

    The open government initiatives have provided tremendous data resources for the transportation system and emergency services in urban areas. This paper proposes a traffic simulation framework using high temporal resolution demographic data and real time open government data for evacuation planning and operation. A comparison study using real-world data in Seattle, Washington is conducted to evaluate the framework accuracy and evacuation efficiency. The successful simulations of selected area prove the concept to take advantage open government data, open source data, and high resolution demographic data in emergency management domain. There are two aspects of parameters considered in this study: user equilibrium (UE) conditions of traffic assignment model (simple Non-UE vs. iterative UE) and data temporal resolution (Daytime vs. Nighttime). Evacuation arrival rate, average travel time, and computation time are adopted as Measure of Effectiveness (MOE) for evacuation performance analysis. The temporal resolution of demographic data has significant impacts on urban transportation dynamics during evacuation scenarios. Better evacuation performance estimation can be approached by integrating both Non-UE and UE scenarios. The new framework shows flexibility in implementing different evacuation strategies and accuracy in evacuation performance. The use of this framework can be explored to day-to-day traffic assignment to support daily traffic operations.

  6. 76 FR 45205 - Change in Definitions; Evacuation Pay and the Separate Maintenance Allowance at Johnston Island

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-28

    ... MANAGEMENT 5 CFR Parts 550 and 591 RIN 3206-AM31 Change in Definitions; Evacuation Pay and the Separate... provides definitions to help ensure its consistent application across the Federal Government. Changes to... clarify the evacuation pay regulations. OPM is altering its definition of dependent, and is adding...

  7. The simulation and analysis of small group effect in crowd evacuation

    NASA Astrophysics Data System (ADS)

    You, Lei; Hu, Jun; Gu, Musong; Fan, Wenjie; Zhang, Hong

    2016-10-01

    A crowd usually tends to move in small groups during evacuation. Small group has a large proportion in crowd evacuation, and small group effect affects crowd evacuation significantly. In this work, we propose a novel methodology for calculating movement profit based on cellular automaton model. Specifically, this methodology calculates the movement profit for a target at the next moment by comprehensively combining distance profit, density profit, and average velocity profit. In particular, this paper defines three types of small-group formation with totally six different forms of small group in terms of the size, and sets the corresponding movement velocity. At last, we simulate the evacuation process of small groups, and discuss the relationship among evacuation time, average movement velocity, and pedestrian density, and analyze the efficiency of small group evacuation in terms of evacuation strategies. As the simulation results demonstrated, the evacuation efficiency of different types of small groups is greatly different, and the same type of small groups with different forms is also different.

  8. 30 CFR 57.4330 - Surface firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Surface firefighting, evacuation, and rescue... NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4330 Surface..., evacuation, and rescue procedures for the surface portions of their operations. These procedures shall...

  9. Evacuation dynamic and exit optimization of a supermarket based on particle swarm optimization

    NASA Astrophysics Data System (ADS)

    Li, Lin; Yu, Zhonghai; Chen, Yang

    2014-12-01

    A modified particle swarm optimization algorithm is proposed in this paper to investigate the dynamic of pedestrian evacuation from a fire in a public building-a supermarket with multiple exits and configurations of counters. Two distinctive evacuation behaviours featured by the shortest-path strategy and the following-up strategy are simulated in the model, accounting for different categories of age and sex of the pedestrians along with the impact of the fire, including gases, heat and smoke. To examine the relationship among the progress of the overall evacuation and the layout and configuration of the site, a series of simulations are conducted in various settings: without a fire and with a fire at different locations. Those experiments reveal a general pattern of two-phase evacuation, i.e., a steep section and a flat section, in addition to the impact of the presence of multiple exits on the evacuation along with the geographic locations of the exits. For the study site, our simulations indicated the deficiency of the configuration and the current layout of this site in the process of evacuation and verified the availability of proposed solutions to resolve the deficiency. More specifically, for improvement of the effectiveness of the evacuation from the site, adding an exit between Exit 6 and Exit 7 and expanding the corridor at the right side of Exit 7 would significantly reduce the evacuation time.

  10. Game-Based Evacuation Drill Using Augmented Reality and Head-Mounted Display

    ERIC Educational Resources Information Center

    Kawai, Junya; Mitsuhara, Hiroyuki; Shishibori, Masami

    2016-01-01

    Purpose: Evacuation drills should be more realistic and interactive. Focusing on situational and audio-visual realities and scenario-based interactivity, the authors have developed a game-based evacuation drill (GBED) system that presents augmented reality (AR) materials on tablet computers. The paper's current research purpose is to improve…

  11. 33 CFR 165.1413 - Regulated navigation area; Southern Oahu Tsunami Evacuation; Honolulu, Hawaii.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...; Southern Oahu Tsunami Evacuation; Honolulu, Hawaii. 165.1413 Section 165.1413 Navigation and Navigable... Fourteenth Coast Guard District § 165.1413 Regulated navigation area; Southern Oahu Tsunami Evacuation... staging area is intended for use by all commercial vessels intended to remain in the RNA during a...

  12. Simulation of pedestrian crowds’ evacuation in a huge transit terminal subway station

    NASA Astrophysics Data System (ADS)

    Lei, Wenjun; Li, Angui; Gao, Ran; Hao, Xinpeng; Deng, Baoshun

    2012-11-01

    As modernized urban rail transportation, subways are playing an important role in transiting large passenger flows. Passengers are in high density within the subway during rush hours. The casualty and injury will be tremendous if an accident occurs, such as a fire. Hence, enough attention should be paid on pedestrian crowds’ evacuation in a subway. In this paper, simulation of the process of pedestrian crowds’ evacuation from a huge transit terminal subway station is conducted. The evacuation process in different cases is conducted by using an agent-based model. Effects of occupant density, exit width and automatic fare gates on evacuation time are studied in detail. It is found that, with the increase of the occupant density, the evacuation efficiency would decline. There is a linear relationship between occupant density and evacuation time. Different occupant densities correspond to different critical exit widths. However, the existence of the automatic fare gates has little effect on evacuation time and tendency. The current results of this study will be helpful in guiding evacuation designs of huge underground spaces.

  13. Modeling and assessment of civil aircraft evacuation based on finer-grid

    NASA Astrophysics Data System (ADS)

    Fang, Zhi-Ming; Lv, Wei; Jiang, Li-Xue; Xu, Qing-Feng; Song, Wei-Guo

    2016-04-01

    Studying civil aircraft emergency evacuation process by using computer model is an effective way. In this study, the evacuation of Airbus A380 is simulated using a Finer-Grid Civil Aircraft Evacuation (FGCAE) model. In this model, the effect of seat area and others on escape process and pedestrian's "hesitation" before leaving exits are considered, and an optimized rule of exit choice is defined. Simulations reproduce typical characteristics of aircraft evacuation, such as the movement synchronization between adjacent pedestrians, route choice and so on, and indicate that evacuation efficiency will be determined by pedestrian's "preference" and "hesitation". Based on the model, an assessment procedure of aircraft evacuation safety is presented. The assessment and comparison with the actual evacuation test demonstrate that the available exit setting of "one exit from each exit pair" used by practical demonstration test is not the worst scenario. The half exits of one end of the cabin are all unavailable is the worst one, that should be paid more attention to, and even be adopted in the certification test. The model and method presented in this study could be useful for assessing, validating and improving the evacuation performance of aircraft.

  14. 78 FR 13325 - Proposed Information Collection; Comment Request; Research on Evacuating Persons With Mobility...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ... technical aspects of ensuring safe and reliable evacuation for the occupants of tall buildings. In addition... the use of elevators for both occupant evacuation and fire fighter access into the building. However... focus of this research effort is two-fold: (1) To gain an understanding of how building occupants...

  15. A floor field cellular automaton for crowd evacuation considering different walking abilities

    NASA Astrophysics Data System (ADS)

    Fu, Zhijian; Zhou, Xiaodong; Zhu, Kongjin; Chen, Yanqiu; Zhuang, Yifan; Hu, Yuqi; Yang, Lizhong; Chen, Changkun; Li, Jian

    2015-02-01

    It has been hard to model a crowd evacuation process considering different walking abilities using a synchronous cellular automaton. That is because the cross and the overlaps of routes have to be taken into consideration and the conflicts resolution between pedestrians is more complex. However, the desired velocities of evacuees might be quite different due to the discrepancies of the physiological function, including age, gender, physical state, and the psychological behavior, such as the perception and reflection to the dangers. Additionally, an evacuee might change his desired velocity constantly to adapt to the changing evacuation environment. Thus, a multi-velocities floor field cellular automaton model was established in this paper. Using little CPU time, a dense crowd evacuation simulation with tiny varied velocity can be conducted very well. Significant discrepancies between the single-velocity evacuation and the multi-velocities evacuation were observed. The plateaus, where the exit flow rate is rather low, can be well predicted by a dimensionless parameter describing the congestion level of the evacuation system. The crowd evacuation time almost depends on the low desired velocity evacuees, though the proportion is not high. We also observed that faster evacuees make the evacuation system easily approaching to the jam.

  16. A fire safety engineering perspective on crowd evacuation dynamics. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.

    NASA Astrophysics Data System (ADS)

    Ronchi, Enrico

    2016-09-01

    The review presented by Bellomo et al. [1] addresses the modelling approaches employed to represent human behaviour in evacuation in a comprehensive manner. The authors discuss crowd evacuation modelling in light of crisis management, a relevant and current topic given the recent escalation of terrorist threats all over the world. The need for designing buildings for rapid evacuation using crowd evacuation models has been recently raised in important forums [2]. This research area is strictly linked to the field of Fire Safety Engineering.

  17. Development of prototype air/liquid solar collector subsystem

    NASA Technical Reports Server (NTRS)

    1978-01-01

    Testing of the evacuated tubular air collector in conjunction with air/liquid heat exchange and liquid storage elements was completed. Test results emphasize matching of heat exchanger and collector characteristics with specific attention to the dynamic response of each of the elements.

  18. United States Air Force Guide to Operational Surveillance of Medically Important Vectors and Pests "Operational Entomology"

    DTIC Science & Technology

    2006-08-15

    Entomology in the Pacific, Det. 3 AFIERA, Operating Location at Kadena AB , Okinawa -- medical entomology pest management consulting and other...is available as a wettable powder or emulsifiable concentrate. However, Bayluscide is not EPA-registered since it has no uses in the US. Bayluscide

  19. A sigmoid model to predict gastric evacuation rates of smallmouth bass Micropterus dolomieui fed juvenile salmon

    USGS Publications Warehouse

    Rogers, Jean Beyer; Burley , Craig C.

    1991-01-01

    Laboratory experiments were conducted to examine the effects of water temperature, predator size, prey size, and prey number on gastric evacuation of smallmouth bass (Micropterus dolomieui) fed juvenile salmon. The smallmouth bass were allowed to feed voluntarily after 24–48 h of starvation and stomachs were pumped at intervals of 1–4 h until 90% of the stomach contents were evacuated (E90). Evacuation approximated an S-shaped curve over time, and a sigmoid model was developed to predict evacuation at varying water temperatures, total meal weights, predator sizes, and prey number. The rate of evacuation increased with increasing water temperature, meal weight, or predator size. The E90 increased with larger meal weights but decreased with increasing temperature or predator size. E90 ranged between 4 and 95 h, depending upon conditions. E90 was slower than those estimated previously for another predator of salmon, the stomachless northern squawfish (Ptychocheilus oregonensis).

  20. Household evacuation characteristics in American Samoa during the 2009 Samoa Islands tsunami

    USGS Publications Warehouse

    Apatu, Emma J. I.; Gregg, Chris E.; Wood, Nathan J.; Wang, Liang

    2016-01-01

    Tsunamis represent significant threats to human life and development in coastal communities. This quantitative study examines the influence of household characteristics on evacuation actions taken by 211 respondents in American Samoa who were at their homes during the 29 September 2009 Mw 8.1 Samoa Islands earthquake and tsunami disaster. Multiple logistic regression analysis of survey data was used to examine the association between evacuation and various household factors. Findings show that increases in distance to shoreline were associated with a slightly decreased likelihood of evacuation, whereas households reporting higher income had an increased probability of evacuation. The response in American Samoa was an effective one, with only 34 fatalities in a tsunami that reached shore in as little as 15 minutes. Consequently, future research should implement more qualitative study designs to identify event and cultural specific determinants of household evacuation behaviour to local tsunamis.

  1. Household evacuation characteristics in American Samoa during the 2009 Samoa Islands tsunami.

    PubMed

    Apatu, Emma J I; Gregg, Chris E; Wood, Nathan J; Wang, Liang

    2016-10-01

    Tsunamis represent significant threats to human life and development in coastal communities. This quantitative study examines the influence of household characteristics on evacuation actions taken by 211 respondents in American Samoa who were at their homes during the 29 September 2009 Mw 8.1 Samoa Islands earthquake and tsunami disaster. Multiple logistic regression analysis of survey data was used to examine the association between evacuation and various household factors. Findings show that increases in distance to shoreline were associated with a slightly decreased likelihood of evacuation, whereas households reporting higher income had an increased probability of evacuation. The response in American Samoa was an effective one, with only 34 fatalities in a tsunami that reached shore in as little as 15 minutes. Consequently, future research should implement more qualitative study designs to identify event and cultural specific determinants of household evacuation behaviour to local tsunamis.

  2. Hazard warnings and responses to evacuation orders: the case of Bangladesh's cyclone Sidr.

    PubMed

    Paul, Bimal K; Dutt, Sohini

    2010-01-01

    On 15 November 2007 Cyclone Sidr, a category 4 storm, struck the southwestern coast of Bangladesh. Despite early cyclone warnings and evacuation orders for coastal residents, thousands of individuals stayed in their homes. This study examines dissemination of the warning, assesses the warning responses, and explores the reasons why many residents did not evacuate. Field data collected from 257 Sidr survivors in four severely affected coastal districts revealed that more than three-fourths of all respondents were aware of the cyclone warnings and evacuation orders. Despite the sincere efforts of the Bangladesh government, however, lapses in cyclone warnings and evacuation procedures occurred. Field data also revealed several reasons why evacuation orders were not followed. The reasons fell into three broad groups: those involving shelter characteristics; the attributes of the warning message itself; and the respondents' characteristics. Based on our findings, we recommend improved cyclone warnings and utilization of public shelters for similar events in the future.

  3. Analysis of sheltering and evacuation strategies for an urban nuclear detonation scenario.

    SciTech Connect

    Yoshimura, Ann S.; Brandt, Larry D.

    2009-05-01

    Development of an effective strategy for shelter and evacuation is among the most important planning tasks in preparation for response to a low yield, nuclear detonation in an urban area. This study examines shelter-evacuate policies and effectiveness focusing on a 10 kt scenario in Los Angeles. The goal is to provide technical insights that can support development of urban response plans. Results indicate that extended shelter-in-place can offer the most robust protection when high quality shelter exists. Where less effective shelter is available and the fallout radiation intensity level is high, informed evacuation at the appropriate time can substantially reduce the overall dose to personnel. However, uncertainties in the characteristics of the fallout region and in the exit route can make evacuation a risky strategy. Analyses indicate that only a relatively small fraction of the total urban population may experience significant dose reduction benefits from even a well-informed evacuation plan.

  4. [The organizational bases for the building of a modern medical support system for the Armed Forces].

    PubMed

    Chizh, I M

    1996-01-01

    In the article the problems concerning characteristic features of the local wars and armed conflicts, organization bases of construction of The Army and Fleet medical support modern system are discussed. The organization of personnel medical security is considered depending on the duration, intensity and spatial scope of military conflict, peculiarities of group (forces) application and ways of military actions conduction. The distribution of federal troops sanitary losses during the war in Chechenskaya Republic is shown depending on the type, localization and degree of injuries gravity as well as volume of the wounded and invalids evacuation by air transport and work of military medical institutions. The following principles of construction of the Armed Forces medical support system are formulated: The system must be in compliance with troops goals, structure, strategy and tactics, its specificity; development of medical security forms and methods, their historicism; interdependency, completeness and integrity of the system's elements; territorial aspects of its construction and management optimization. Considering character of the goals being laid on the Mobile Forces the paramount importance is attached to the level of readiness of medical service and its formations and units to act in crisis situations.

  5. Beat-the-wave evacuation mapping for tsunami hazards in Seaside, Oregon, USA

    USGS Publications Warehouse

    Priest, George R.; Stimely, Laura; Wood, Nathan J.; Madin, Ian; Watzig, Rudie

    2016-01-01

    Previous pedestrian evacuation modeling for tsunamis has not considered variable wave arrival times or critical junctures (e.g., bridges), nor does it effectively communicate multiple evacuee travel speeds. We summarize an approach that identifies evacuation corridors, recognizes variable wave arrival times, and produces a map of minimum pedestrian travel speeds to reach safety, termed a “beat-the-wave” (BTW) evacuation analysis. We demonstrate the improved approach by evaluating difficulty of pedestrian evacuation of Seaside, Oregon, for a local tsunami generated by a Cascadia subduction zone earthquake. We establish evacuation paths by calculating the least cost distance (LCD) to safety for every grid cell in a tsunami-hazard zone using geospatial, anisotropic path distance algorithms. Minimum BTW speed to safety on LCD paths is calculated for every grid cell by dividing surface distance from that cell to safety by the tsunami arrival time at safety. We evaluated three scenarios of evacuation difficulty: (1) all bridges are intact with a 5-minute evacuation delay from the start of earthquake, (2) only retrofitted bridges are considered intact with a 5-minute delay, and (3) only retrofitted bridges are considered intact with a 10-minute delay. BTW maps also take into account critical evacuation points along complex shorelines (e.g., peninsulas, bridges over shore-parallel estuaries) where evacuees could be caught by tsunami waves. The BTW map is able to communicate multiple pedestrian travel speeds, which are typically visualized by multiple maps with current LCD-based mapping practices. Results demonstrate that evacuation of Seaside is problematic seaward of the shore-parallel waterways for those with any limitations on mobility. Tsunami vertical-evacuation refuges or additional pedestrian bridges may be effective ways of reducing loss of life seaward of these waterways.

  6. Sensitivity of tsunami evacuation modeling to direction and land cover assumptions

    USGS Publications Warehouse

    Schmidtlein, Mathew C.; Wood, Nathan J.

    2015-01-01

    Although anisotropic least-cost-distance (LCD) modeling is becoming a common tool for estimating pedestrian-evacuation travel times out of tsunami hazard zones, there has been insufficient attention paid to understanding model sensitivity behind the estimates. To support tsunami risk-reduction planning, we explore two aspects of LCD modeling as it applies to pedestrian evacuations and use the coastal community of Seward, Alaska, as our case study. First, we explore the sensitivity of modeling to the direction of movement by comparing standard safety-to-hazard evacuation times to hazard-to-safety evacuation times for a sample of 3985 points in Seward's tsunami-hazard zone. Safety-to-hazard evacuation times slightly overestimated hazard-to-safety evacuation times but the strong relationship to the hazard-to-safety evacuation times, slightly conservative bias, and shorter processing times of the safety-to-hazard approach make it the preferred approach. Second, we explore how variations in land cover speed conservation values (SCVs) influence model performance using a Monte Carlo approach with one thousand sets of land cover SCVs. The LCD model was relatively robust to changes in land cover SCVs with the magnitude of local model sensitivity greatest in areas with higher evacuation times or with wetland or shore land cover types, where model results may slightly underestimate travel times. This study demonstrates that emergency managers should be concerned not only with populations in locations with evacuation times greater than wave arrival times, but also with populations with evacuation times lower than but close to expected wave arrival times, particularly if they are required to cross wetlands or beaches.

  7. A Study of Flood Evacuation Center Using GIS and Remote Sensing Technique

    NASA Astrophysics Data System (ADS)

    Mustaffa, A. A.; Rosli, M. F.; Abustan, M. S.; Adib, R.; Rosli, M. I.; Masiri, K.; Saifullizan, B.

    2016-07-01

    This research demonstrated the use of Remote Sensing technique and GIS to determine the suitability of an evacuation center. This study was conducted in Batu Pahat areas that always hit by a series of flood. The data of Digital Elevation Model (DEM) was obtained by ASTER database that has been used to delineate extract contour line and elevation. Landsat 8 image was used for classification purposes such as land use map. Remote Sensing incorporate with GIS techniques was used to determined the suitability location of the evacuation center from contour map of flood affected areas in Batu Pahat. GIS will calculate the elevation of the area and information about the country of the area, the road access and percentage of the affected area. The flood affected area map may provide the suitability of the flood evacuation center during the several levels of flood. The suitability of evacuation centers can be determined based on several criteria and the existing data of the evacuation center will be analysed. From the analysis among 16 evacuation center listed, there are only 8 evacuation center suitable for the usage during emergency situation. The suitability analysis was based on the location and the road access of the evacuation center toward the flood affected area. There are 10 new locations with suitable criteria of evacuation center proposed on the study area to facilitate the process of rescue and evacuating flood victims to much safer and suitable locations. The results of this study will help in decision making processes and indirectly will help organization such as fire-fighter and the Department of Social Welfare in their work. Thus, this study can contribute more towards the society.

  8. Poster — Thur Eve — 24: Commissioning and preliminary measurements using an Attix-style free air ionization chamber for air kerma measurements on the BioMedical Imaging and Therapy beamlines at the Canadian Light Source

    SciTech Connect

    Anderson, D; McEwen, M; Shen, H; Siegbahn, EA; Fallone, BG; Warkentin, B

    2014-08-15

    Synchrotron facilities, including the Canadian Light Source (CLS), provide opportunities for the development of novel imaging and therapy applications. A vital step progressing these applications toward clinical trials is the availability of accurate dosimetry. In this study, a refurbished Attix-style (cylindrical) free air chamber (FAC) is tested and used for preliminary air kerma measurements on the two BioMedical Imaging and Therapy (BMIT) beamlines at the CLS. The FAC consists of a telescoping chamber that relies on a difference measurement of collected charge in expanded and collapsed configurations. At the National Research Council's X-ray facility, a Victoreen Model 480 FAC was benchmarked against two primary standard FACs. The results indicated an absolute accuracy at the 0.5% level for energies between 60 and 150 kVp. A series of measurements were conducted on the small, non-uniform X-ray beams of the 05B1-1 (∼8 – 100 keV) and 05ID-2 (∼20 – 200 keV) beamlines for a variety of energies, filtrations and beam sizes. For the 05B1-1 beam with 1.1 mm of Cu filtration, recombination corrections of less than 5 % could only be achieved for field sizes no greater than 0.5 mm × 0.6 mm (corresponding to an air kerma rate of ∼ 57 Gy/min). Ionic recombination thus presents a significant challenge to obtaining accurate air kerma rate measurements using this FAC in these high intensity beams. Future work includes measurements using a smaller aperture to sample a smaller and thus more uniform beam area, as well as experimental and Monte Carlo-based investigation of correction factors.

  9. Monte Carlo Simulation in the Optimization of a Free-Air Ionization Chamber for Dosimetric Control in Medical Digital Radiography

    SciTech Connect

    Leyva, A.; Pinera, I.; Abreu, Y.; Cruz, C. M.; Montano, L. M.

    2008-08-11

    During the earliest tests of a free-air ionization chamber a poor response to the X-rays emitted by several sources was observed. Then, the Monte Carlo simulation of X-rays transport in matter was employed in order to evaluate chamber behavior as X-rays detector. The photons energy deposition dependence with depth and its integral value in all active volume were calculated. The obtained results reveal that the designed device geometry is feasible to be optimized.

  10. Prioritizing Medical Resources for Exploration Missions

    NASA Technical Reports Server (NTRS)

    Shah, R. V.; Kerstman, E. L.

    2015-01-01

    Long duration missions beyond low Earth orbit introduce new constraints to the medical system. Factors such as the inability to evacuate to Earth in a timely manner, communication delay, limitations in available medical equipment, and the clinical background of the crew will all have an impact on the assessment and treatment of medical conditions. The Exploration Medical Capability (ExMC) Element of NASAs Human Research Program seeks to improve the way the element derives its mitigation strategies for the risk of "Unacceptable Health and Mission Outcomes Due to Limitation of In-flight Medical Capabilities."

  11. Real-time micro-modelling of city evacuations

    NASA Astrophysics Data System (ADS)

    Löhner, Rainald; Haug, Eberhard; Zinggerling, Claudio; Oñate, Eugenio

    2017-01-01

    A methodology to integrate geographical information system (GIS) data with large-scale pedestrian simulations has been developed. Advances in automatic data acquisition and archiving from GIS databases, automatic input for pedestrian simulations, as well as scalable pedestrian simulation tools have made it possible to simulate pedestrians at the individual level for complete cities in real time. An example that simulates the evacuation of the city of Barcelona demonstrates that this is now possible. This is the first step towards a fully integrated crowd prediction and management tool that takes into account not only data gathered in real time from cameras, cell phones or other sensors, but also merges these with advanced simulation tools to predict the future state of the crowd.

  12. Game theory in models of pedestrian room evacuation.

    PubMed

    Bouzat, S; Kuperman, M N

    2014-03-01

    We analyze the pedestrian evacuation of a rectangular room with a single door considering a lattice gas scheme with the addition of behavioral aspects of the pedestrians. The movement of the individuals is based on random and rational choices and is affected by conflicts between two or more agents that want to advance to the same position. Such conflicts are solved according to certain rules closely related to the concept of strategies in game theory, cooperation and defection. We consider game rules analogous to those from the Prisoner's Dilemma and Stag Hunt games, with payoffs associated to the probabilities of the individuals to advance to the selected site. We find that, even when defecting is the rational choice for any agent, under certain conditions, cooperators can take advantage from mutual cooperation and leave the room more rapidly than defectors.

  13. The Effect of Damaged Vehicles Evacuation on Traffic Flow Behavior

    NASA Astrophysics Data System (ADS)

    Mhirech, Abdelaziz; Ez-Zahraouy, Hamid; Ismaili, Assia Alaoui

    The effect of the damaged car evacuation on the traffic flow behavior is investigated, in the one-dimensional deterministic Nagel-Schreckenberg model, using parallel dynamics. A realistic model applied to the cars involved in collisions is considered. Indeed, in this model we suppose that the damaged cars must be removed from the ring with a probability Pexit. This investigation enables us to understand how the combination of the two probabilities, namely Pcol and Pexit, acts on density and current. It is found that the current and density at the steady state, depend strongly on the initial density of cars in the ring. However, for the intermediate initial density ρi, the current J decreases when increasing either Pexit and/or Pcol. While, for high initial density, J increases passes through a maximum and decreases for large values of Pexit. Furthermore, the current can decrease or increase with the collision probability depending on the initial density.

  14. Evacuated, displacement compression mold. [of tubular bodies from thermosetting plastics

    NASA Technical Reports Server (NTRS)

    Heier, W. C. (Inventor)

    1974-01-01

    A process of molding long thin-wall tubular bodies from thermosetting plastic molding compounds is described wherein the tubular body lengths may be several times the diameters. The process is accomplished by loading a predetermined quantity of molding compound into a female mold cavity closed at one end by a force mandrel. After closing the other end of the female mold with a balance mandrel, the loaded cavity is evacuated by applying a vacuum of from one-to-five mm pressure for a period of fifteen-to-thirty minutes. The mold temperature is raised to the minimum temperature at which the resin constituent of the compound will soften or plasticize and a pressure of 2500 psi is applied.

  15. Glass-heat-pipe evacuated-tube solar collector

    SciTech Connect

    McConnell, R.D.; VanSant, J.H.

    1981-08-06

    A glass heat pipe is adapted for use as a solar energy absorber in an evacuated tube solar collector and for transferring the absorbed solar energy to a working fluid medium or heat sink for storage or practical use. A capillary wick is formed of granular glass particles fused together by heat on the inside surface of the heat pipe with a water glass binder solution to enhance capillary drive distribution of the thermal transfer fluid in the heat pipe throughout the entire inside surface of the evaporator portion of the heat pipe. Selective coatings are used on the heat pipe surface to maximize solar absorption and minimize energy radiation, and the glass wick can alternatively be fabricated with granular particles of black glass or obsidian.

  16. Engineering development studies for integrated evacuated CPC arrays

    NASA Astrophysics Data System (ADS)

    Winston, R.

    1982-04-01

    An evacuated tube concentrator which achieves respectable high temperature performance (100 C to 300 C) was developed. The design concept utilizes nonimaging CPC type concentration integrated into each tube by shaping the outer glass vacuum envelope. The detailed design, prototype fabrication and preliminary test measurements are reviewed. In addition the results of this first study specifically devoted to engineering development questions related to practical applications of this collector concept are summarized. Questions having to do with the deployment of medium to large area arrays, optimizations of the manifolding of individual tube panels, selected near term applications (with an emphasis on residential cooling based on Rankine driven chillers) and long term performance projections are addressed.

  17. Transient response of a concentric evacuated tubular solar collector

    NASA Astrophysics Data System (ADS)

    Al-Khalil, Kamel M.; Jakubowski, Gerald S.; Springman, Richard A.

    The transient and the steady state performances of an evacuated coaxial tubular solar collector were investigated. A purely implicit central finite differencing numerical technique was used to determine the time-varying temperature distributions in the collector components as well as the fluid exit temperature. Experimental indoor transient tests were conducted in which step inputs of insolation were used. Close agreeement between the experimental and the theoretical results was obtained. The computer model was found to be useful to carry out a complete parametric study. The latter showed that the fluid flow rate had the largest effect on the performance of the collector tube. Lower flow rates resulted in lower efficiencies and longer response times.

  18. Analysis of Tsunami Evacuation Issues Using Agent Based Modeling. A Case Study of the 2011 Tohoku Tsunami in Yuriage, Natori.

    NASA Astrophysics Data System (ADS)

    Mas, E.; Takagi, H.; Adriano, B.; Hayashi, S.; Koshimura, S.

    2014-12-01

    The 2011 Great East Japan earthquake and tsunami reminded that nature can exceed structural countermeasures like seawalls, breakwaters or tsunami gates. In such situations it is a challenging task for people to find nearby haven. This event, as many others before, confirmed the importance of early evacuation, tsunami awareness and the need for developing much more resilient communities with effective evacuation plans. To support reconstruction activities and efforts on developing resilient communities in areas at risk, tsunami evacuation simulation can be applied to tsunami mitigation and evacuation planning. In this study, using the compiled information related to the evacuation behavior at Yuriage in Natori during the 2011 tsunami, we simulated the evacuation process and explored the reasons for the large number of fatalities in the area. It was found that residents did evacuate to nearby shelter areas, however after the tsunami warning was increased some evacuees decided to conduct a second step evacuation to a far inland shelter. Simulation results show the consequences of such decision and the outcomes when a second evacuation would not have been performed. The actual reported number of fatalities in the event and the results from simulation are compared to verify the model. The case study shows the contribution of tsunami evacuation models as tools to be applied for the analysis of evacuees' decisions and the related outcomes. In addition, future evacuation plans and activities for reconstruction process and urban planning can be supported by the results provided from this kind of tsunami evacuation models.

  19. PYRONES: pyro-modeling and evacuation simulation system

    NASA Astrophysics Data System (ADS)

    Kanellos, Tassos; Doulgerakis, Adam; Georgiou, Eftichia; Kountouriotis, Vassilios I.; Paterakis, Manolis; Thomopoulos, Stelios C. A.; Pappou, Theodora; Vrahliotis, Socrates I.; Rekouniotis, Thrasos; Protopsaltis, Byron; Rozenberg, Ofir; Livneh, Ofer

    2016-05-01

    Structural fires continue to pose a great threat towards human life and property. Due to the complexity and non-deterministic characteristics of a building fire disaster, it is not a straightforward task to assess the effectiveness of fire protection measures embedded in the building design, planned evacuation strategies and potential modes of response for mitigating the fire's consequences. Additionally, there is a lack of means that realistically and accurately recreate the conditions of building fire disasters for the purpose of training personnel in order to be sufficiently prepared when vis-a-vis with such an environment. The propagation of fire within a building, the diffusion of its volatile products, the behavior of the occupants and the sustained injuries not only exhibit non-linear behaviors as individual phenomena, but are also intertwined in a web of co-dependencies. The PYRONES system has been developed to address all these aspects through a comprehensive approach that relies on accurate and realistic computer simulations of the individual phenomena and their interactions. PYRONES offers innovative tools and services to strategically targeted niches in two market domains. In the domain of building design and engineering, PYRONES is seamlessly integrated within existing engineering Building Information Modelling (BIM) workflows and serves as a building performance assessment platform, able to evaluate fire protection systems. On another front, PYRONES penetrates the building security management market, serving as a holistic training platform for specialists in evacuation strategy planning, firefighters and first responders, both at a Command and Control and at an individual trainee level.

  20. Thermal performance of evacuated tube heat pipe solar collector

    NASA Astrophysics Data System (ADS)

    Putra, Nandy; Kristian, M. R.; David, R.; Haliansyah, K.; Ariantara, Bambang

    2016-06-01

    The high fossil energy consumption not only causes the scarcity of energy but also raises problems of global warming. Increasing needs of fossil fuel could be reduced through the utilization of solar energy by using solar collectors. Indonesia has the abundant potential for solar energy, but non-renewable energy sources still dominate energy consumption. With heat pipe as passive heat transfer device, evacuated tube solar collector is expected to heat up water for industrial and home usage without external power supply needed to circulate water inside the solar collector. This research was conducted to determine the performance of heat pipe-based evacuated tube solar collector as solar water heater experimentally. The experiments were carried out using stainless steel screen mesh as a wick material, and water and Al2O3-water 0.1% nanofluid as working fluid, and applying inclination angles of 0°, 15°, 30°, and 45°. To analyze the heat absorbed and transferred by the prototype, water at 30°C was circulated through the condenser. A 150 Watt halogen lamp was used as sun simulator, and the prototype was covered by an insulation box to obtain a steady state condition with a minimum affection of ambient changes. Experimental results show that the usage of Al2O3-water 0.1% nanofluid at 30° inclination angle provides the highest thermal performance, which gives efficiency as high as 0.196 and thermal resistance as low as 5.32 °C/W. The use of nanofluid as working fluid enhances thermal performance due to high thermal conductivity of the working fluid. The increase of the inclination angle plays a role in the drainage of the condensate to the evaporator that leads to higher thermal performance until the optimal inclination angle is reached.

  1. The Development of a Total Quality Management Plan for David Grant USAF Medical Center Travis Air Force Base, California

    DTIC Science & Technology

    1991-12-01

    AUTHOR (S) WITT, BRIAN, KENDALL 13a. TYPE OF REPORT 13b. TIME COVERED 14. DATE OF REPORT (YearMonthDay) IS. PAGE COUNT FINAL FROM 7-90 TO 7-91...One author points out that "The DOD has mandated that you implement in military health care a TOM program. TOM has a strong foot hold. The philosophy... author , "It (TOM) is officially the management style of the Department of Defense" (Harben, 1989, p. 3). The Department of the Air Force has issued very

  2. [Experience of application of modern means of disinfection of air for preventive medications for respiratory diseases in troops].

    PubMed

    Kalmykov, A A; Aminev, R M; Alimov, A V; Nosarev, V G; Poliakov, V S

    2014-03-01

    Among factors of acute respiratory diseases morbidity in military personnel one of most important is frequent interfuisions, of military personnel and long-term occupancy in barracks in conditions of overcrowding. These factors conduce accumulation and communication of causative agents. Prophylaxis focused on prevention ofaerogenous transmission of infection. It is very important if ventilation in barracks is ineffective. Principally new possibilities of air sanitation in barracks are aerosol generators. Application of these generators unlike standard disinfection method provides massive exposure of fine aerosol to rooms. Authors highlight successful experience ofaerosol generators type Raster ULV that helped to reduce acute respiratory diseases morbidity in military personnel.

  3. Fiber Bragg grating sensors for real-time monitoring of evacuation process

    NASA Astrophysics Data System (ADS)

    Guru Prasad, A. S.; Hegde, Gopalkrishna M.; Asokan, S.

    2009-12-01

    Fiber bragg grating (FBG) sensors have been widely used for number of sensing applications like temperature, pressure, acousto-ultrasonic, static and dynamic strain, refractive index change measurements and so on. Present work demonstrates the use of FBG sensors in in-situ measurement of vacuum process with simultaneous leak detection capability. Experiments were conducted in a bell jar vacuum chamber facilitated with conventional Pirani gauge for vacuum measurement. Three different experiments have been conducted to validate the performance of FBG sensor in monitoring vacuum creating process and air bleeding. The preliminary results of FBG sensors in vacuum monitoring have been compared with that of commercial Pirani gauge sensor. This novel technique offers a simple alternative to conventional method for real time monitoring of evacuation process. Proposed FBG based vacuum sensor has potential applications in vacuum systems involving hazardous environment such as chemical and gas plants, automobile industries, aeronautical establishments and leak monitoring in process industries, where the electrical or MEMS based sensors are prone to explosion and corrosion.

  4. Fiber Bragg grating sensors for real-time monitoring of evacuation process

    NASA Astrophysics Data System (ADS)

    Guru Prasad, A. S.; Hegde, Gopalkrishna M.; Asokan, S.

    2010-03-01

    Fiber bragg grating (FBG) sensors have been widely used for number of sensing applications like temperature, pressure, acousto-ultrasonic, static and dynamic strain, refractive index change measurements and so on. Present work demonstrates the use of FBG sensors in in-situ measurement of vacuum process with simultaneous leak detection capability. Experiments were conducted in a bell jar vacuum chamber facilitated with conventional Pirani gauge for vacuum measurement. Three different experiments have been conducted to validate the performance of FBG sensor in monitoring vacuum creating process and air bleeding. The preliminary results of FBG sensors in vacuum monitoring have been compared with that of commercial Pirani gauge sensor. This novel technique offers a simple alternative to conventional method for real time monitoring of evacuation process. Proposed FBG based vacuum sensor has potential applications in vacuum systems involving hazardous environment such as chemical and gas plants, automobile industries, aeronautical establishments and leak monitoring in process industries, where the electrical or MEMS based sensors are prone to explosion and corrosion.

  5. Traumatic Brain Injury and Aeromedical Evacuation: When is the Brain Fit to Fly?

    PubMed Central

    Goodman, Michael D.; Makley, Amy T.; Lentsch, Alex B.; Barnes, Stephen L.; Dorlac, Gina R.; Dorlac, Warren C.; Johannigman, Jay A.; Pritts, Timothy A.

    2015-01-01

    Background To review the inflammatory sequelae of traumatic brain injury (TBI) and altitude exposure and discuss the potential impact of aeromedical evacuation (AE) on this process. Methods Literature review and expert opinion regarding the inflammatory effects of TBI and AE. Results Traumatic brain injury has been called the signature injury of the current military conflict. As a result of the increasing incidence of blast injury, TBI is responsible for significant mortality and enduring morbidity in injured soldiers. Common secondary insults resulting from post-traumatic cerebral inflammation are recognized to adversely impact outcome. AE utilizing Critical Care Air Transport Teams has become a standard of care practice following battlefield injury, to quickly and safely transport critically injured soldiers to more sophisticated echelons of care. Exposure to the hypobaric conditions of the AE process may impose an additional physiologic risk on the TBI patient as well as a “second hit” inflammatory stimulus. Conclusions We review the known inflammatory effects of TBI and altitude exposure and propose that optimizing the post-traumatic inflammatory profile may assist in determining an ideal time to fly for head-injured soldiers. PMID:20006349

  6. A Method for Formulizing Disaster Evacuation Demand Curves Based on SI Model

    PubMed Central

    Song, Yulei; Yan, Xuedong

    2016-01-01

    The prediction of evacuation demand curves is a crucial step in the disaster evacuation plan making, which directly affects the performance of the disaster evacuation. In this paper, we discuss the factors influencing individual evacuation decision making (whether and when to leave) and summarize them into four kinds: individual characteristics, social influence, geographic location, and warning degree. In the view of social contagion of decision making, a method based on Susceptible-Infective (SI) model is proposed to formulize the disaster evacuation demand curves to address both social influence and other factors’ effects. The disaster event of the “Tianjin Explosions” is used as a case study to illustrate the modeling results influenced by the four factors and perform the sensitivity analyses of the key parameters of the model. Some interesting phenomena are found and discussed, which is meaningful for authorities to make specific evacuation plans. For example, due to the lower social influence in isolated communities, extra actions might be taken to accelerate evacuation process in those communities. PMID:27735875

  7. An interval-parameter mixed integer multi-objective programming for environment-oriented evacuation management

    NASA Astrophysics Data System (ADS)

    Wu, C. Z.; Huang, G. H.; Yan, X. P.; Cai, Y. P.; Li, Y. P.

    2010-05-01

    Large crowds are increasingly common at political, social, economic, cultural and sports events in urban areas. This has led to attention on the management of evacuations under such situations. In this study, we optimise an approximation method for vehicle allocation and route planning in case of an evacuation. This method, based on an interval-parameter multi-objective optimisation model, has potential for use in a flexible decision support system for evacuation management. The modeling solutions are obtained by sequentially solving two sub-models corresponding to lower- and upper-bounds for the desired objective function value. The interval solutions are feasible and stable in the given decision space, and this may reduce the negative effects of uncertainty, thereby improving decision makers' estimates under different conditions. The resulting model can be used for a systematic analysis of the complex relationships among evacuation time, cost and environmental considerations. The results of a case study used to validate the proposed model show that the model does generate useful solutions for planning evacuation management and practices. Furthermore, these results are useful for evacuation planners, not only in making vehicle allocation decisions but also for providing insight into the tradeoffs among evacuation time, environmental considerations and economic objectives.

  8. Disentangling the impact of social groups on response times and movement dynamics in evacuations.

    PubMed

    Bode, Nikolai W F; Holl, Stefan; Mehner, Wolfgang; Seyfried, Armin

    2015-01-01

    Crowd evacuations are paradigmatic examples for collective behaviour, as interactions between individuals lead to the overall movement dynamics. Approaches assuming that all individuals interact in the same way have significantly improved our understanding of pedestrian crowd evacuations. However, this scenario is unlikely, as many pedestrians move in social groups that are based on friendship or kinship. We test how the presence of social groups affects the egress time of individuals and crowds in a representative crowd evacuation experiment. Our results suggest that the presence of social groups increases egress times and that this is largely due to differences at two stages of evacuations. First, individuals in social groups take longer to show a movement response at the start of evacuations, and, second, they take longer to move into the vicinity of the exits once they have started to move towards them. Surprisingly, there are no discernible time differences between the movement of independent individuals and individuals in groups directly in front of the exits. We explain these results and discuss their implications. Our findings elucidate behavioural differences between independent individuals and social groups in evacuations. Such insights are crucial for the control of crowd evacuations and for planning mass events.

  9. A Global System for Transportation Simulation and Visualization in Emergency Evacuation Scenarios

    SciTech Connect

    Lu, Wei; Liu, Cheng; Thomas, Neil; Bhaduri, Budhendra L; Han, Lee

    2015-01-01

    Simulation-based studies are frequently used for evacuation planning and decision making processes. Given the transportation systems complexity and data availability, most evacuation simulation models focus on certain geographic areas. With routine improvement of OpenStreetMap road networks and LandScanTM global population distribution data, we present WWEE, a uniform system for world-wide emergency evacuation simulations. WWEE uses unified data structure for simulation inputs. It also integrates a super-node trip distribution model as the default simulation parameter to improve the system computational performance. Two levels of visualization tools are implemented for evacuation performance analysis, including link-based macroscopic visualization and vehicle-based microscopic visualization. For left-hand and right-hand traffic patterns in different countries, the authors propose a mirror technique to experiment with both scenarios without significantly changing traffic simulation models. Ten cities in US, Europe, Middle East, and Asia are modeled for demonstration. With default traffic simulation models for fast and easy-to-use evacuation estimation and visualization, WWEE also retains the capability of interactive operation for users to adopt customized traffic simulation models. For the first time, WWEE provides a unified platform for global evacuation researchers to estimate and visualize their strategies performance of transportation systems under evacuation scenarios.

  10. Fleeing the storm(s): an examination of evacuation behavior during Florida's 2004 hurricane season.

    PubMed

    Smith, Stanley K; McCarty, Chris

    2009-02-01

    The 2004 hurricane season was the worst in Florida's history, with four hurricanes causing at least 47 deaths and some $45 billion in damages. To collect information on the demographic impact of those hurricanes, we surveyed households throughout the state and in the local areas that sustained the greatest damage. We estimate that one-quarter of Florida's population evacuated prior to at least one hurricane; in some areas, well over one-half of the residents evacuated at least once, and many evacuated several times. Most evacuees stayed with family or friends and were away from home for only a few days. Using logistic regression analysis, we found that the strength of the hurricane and the vulnerability of the housing unit had the greatest impact on evacuation behavior; additionally, several demographic variables had significant effects on the probability of evacuating and the choice of evacuation lodging (family/friends, public shelters, or hotels/motels). With continued population growth in coastal areas and the apparent increase in hurricane activity caused by global warming, threats posed by hurricanes are rising in the United States and throughout the world. We believe the present study will help government officials plan more effectively for future hurricane evacuations.

  11. Medical diagnosis of atherosclerosis from Carotid Artery Doppler Signals using principal component analysis (PCA), k-NN based weighting pre-processing and Artificial Immune Recognition System (AIRS).

    PubMed

    Latifoğlu, Fatma; Polat, Kemal; Kara, Sadik; Güneş, Salih

    2008-02-01

    In this study, we proposed a new medical diagnosis system based on principal component analysis (PCA), k-NN based weighting pre-processing, and Artificial Immune Recognition System (AIRS) for diagnosis of atherosclerosis from Carotid Artery Doppler Signals. The suggested system consists of four stages. First, in the feature extraction stage, we have obtained the features related with atherosclerosis disease using Fast Fourier Transformation (FFT) modeling and by calculating of maximum frequency envelope of sonograms. Second, in the dimensionality reduction stage, the 61 features of atherosclerosis disease have been reduced to 4 features using PCA. Third, in the pre-processing stage, we have weighted these 4 features using different values of k in a new weighting scheme based on k-NN based weighting pre-processing. Finally, in the classification stage, AIRS classifier has been used to classify subjects as healthy or having atherosclerosis. Hundred percent of classification accuracy has been obtained by the proposed system using 10-fold cross validation. This success shows that the proposed system is a robust and effective system in diagnosis of atherosclerosis disease.

  12. Induction of early meconium evacuation: is it effective in reducing the level of neonatal hyperbilirubinemia?

    PubMed

    Bader, David; Yanir, Yoav; Kugelman, Amir; Wilhelm-Kafil, Mira; Riskin, Arieh

    2005-08-01

    This prospective randomized trial evaluated the effect of induction of early meconium evacuation on neonatal jaundice in healthy term neonates. The study group was given glycerin suppository immediately after birth and every 4 hours thereafter, until evacuation of first stool. Glycerin suppository caused faster meconium evacuation but had no effect on mean bilirubin levels at 48 hours. However, males had significantly lower mean bilirubin levels, especially if they also had type A blood group. Glycerin suppository cannot be routinely recommended as a means for reducing the severity of neonatal jaundice. Nonetheless, male newborn with type A blood group may benefit from such a therapy.

  13. [Diary of a hospital evacuation. Discovery of a 5 hundredweight bomb from World War II].

    PubMed

    Katter, I; Kunitz, O; Deller, A

    2008-07-01

    The discovery of an aircraft bomb from World War II made the complete evacuation of a tertiary care hospital with 629 beds and 17 specialist departments including a neonatal intensive care unit necessary. Some months before an alarm plan had been issued and a fire practice had been carried out which made it obvious to all concerned how important such measures are. Nevertheless, more room for improvement could be learned from the evacuation, in particular the rapid classification of the patients into categories and the fact that 20-30% of the patients needed stretcher-based transport for evacuation.

  14. A Participatory Agent-Based Simulation for Indoor Evacuation Supported by Google Glass

    PubMed Central

    Sánchez, Jesús M.; Carrera, Álvaro; Iglesias, Carlos Á.; Serrano, Emilio

    2016-01-01

    Indoor evacuation systems are needed for rescue and safety management. One of the challenges is to provide users with personalized evacuation routes in real time. To this end, this project aims at exploring the possibilities of Google Glass technology for participatory multiagent indoor evacuation simulations. Participatory multiagent simulation combines scenario-guided agents and humans equipped with Google Glass that coexist in a shared virtual space and jointly perform simulations. The paper proposes an architecture for participatory multiagent simulation in order to combine devices (Google Glass and/or smartphones) with an agent-based social simulator and indoor tracking services. PMID:27563911

  15. A Participatory Agent-Based Simulation for Indoor Evacuation Supported by Google Glass.

    PubMed

    Sánchez, Jesús M; Carrera, Álvaro; Iglesias, Carlos Á; Serrano, Emilio

    2016-08-24

    Indoor evacuation systems are needed for rescue and safety management. One of the challenges is to provide users with personalized evacuation routes in real time. To this end, this project aims at exploring the possibilities of Google Glass technology for participatory multiagent indoor evacuation simulations. Participatory multiagent simulation combines scenario-guided agents and humans equipped with Google Glass that coexist in a shared virtual space and jointly perform simulations. The paper proposes an architecture for participatory multiagent simulation in order to combine devices (Google Glass and/or smartphones) with an agent-based social simulator and indoor tracking services.

  16. Legal Preparedness for Hurricane Sandy: Authority to Order Hospital Evacuation or Shelter-in-Place in the Mid-Atlantic Region.

    PubMed

    McGinty, Meghan D; Burke, Thomas A; Resnick, Beth A; Smith, Katherine C; Barnett, Daniel J; Rutkow, Lainie

    2016-01-01

    Hospitals were once thought to be places of refuge during catastrophic hurricanes, but recent disasters such as Hurricanes Katrina and Sandy have demonstrated that some hospitals are unable to ensure the safety of patients and staff and the continuity of medical care at key times. The government has a duty to safeguard public health and a responsibility to ensure that appropriate protective action is taken when disasters threaten or impair the ability of hospitals to sustain essential services. The law can enable the government to fulfill this duty by providing necessary authority to order preventive or reactive responses--such as ordering evacuation of or sheltering-in-place in hospitals--when safety is imperiled. We systematically identified and analyzed state emergency preparedness laws that could have affected evacuation of and sheltering-in-place in hospitals in order to characterize the public health legal preparedness of 4 states (Delaware, Maryland, New Jersey, and New York) in the mid-Atlantic region during Hurricane Sandy in 2012. At that time, none of these 4 states had enacted statutes or regulations explicitly granting the government the authority to order hospitals to shelter-in-place. Whereas all 4 states had enacted laws explicitly enabling the government to order evacuation, the nature of this authority and the individuals empowered to execute it varied. We present empirical analyses intended to enhance public health legal preparedness and ensure these states and others are better able to respond to future natural disasters, which are predicted to be more severe and frequent as a result of climate change, as well as other hazards. States can further improve their readiness for catastrophic disasters by ensuring explicit statutory authority to order evacuation and to order sheltering-in-place, particularly of hospitals, where it does not currently exist.

  17. Symptoms in pediatric asthmatics and air pollution: differences in effects by symptom severity, anti-inflammatory medication use and particulate averaging time.

    PubMed Central

    Delfino, R J; Zeiger, R S; Seltzer, J M; Street, D H

    1998-01-01

    Experimental research in humans and animals points to the importance of adverse respiratory effects from short-term particle exposures and to the importance of proinflammatory effects of air pollutants, particularly O(subscript)3. However, particle averaging time has not been subjected to direct scientific evaluation, and there is a lack of epidemiological research examining both this issue and whether modification of air pollutant effects occurs with differences in asthma severity and anti-inflammatory medication use. The present study examined the relationship of adverse asthma symptoms (bothersome or interfered with daily activities or sleep) to O(3) and particles (less than or equal to)10 micrometer (PM10) in a Southern California community in the air inversion zone (1200-2100 ft) with high O(3) and low PM (R = 0.3). A panel of 25 asthmatics 9-17 years of age were followed daily, August through October 1995 (n = 1,759 person-days excluding one subject without symptoms). Exposures included stationary outdoor hourly PM10 (highest 24-hr mean, 54 microgram/m(3), versus median of 1-hr maximums, 56 microgram/m(3) and O(3) (mean of 1-hr maximums, 90 ppb, 5 days (greater than or equal to)120 ppb). Longitudinal regression analyses utilized the generalized estimating equations (GEE) model controlling for autocorrelation, day of week, outdoor fungi, and weather. Asthma symptoms were significantly associated with both outdoor O(3) and PM(10) in single pollutant- and co-regressions, with 1-hr and 8-hr maximum PM(10) having larger effects than the 24-hr mean. Subgroup analyses showed effects of current day PM(10) maximums were strongest in 10 more frequently symptomatic (MS) children: the odds ratios (ORs) for adverse symptoms from 90th percentile increases were 2.24 [95% confidence interval (CI), 1.46-3.46] for 1-hr PM10 (47 microgram/m(3); 1.82 (CI, 1.18-2.81) for 8-hr PM10 (36 microgram/m(3); and 1.50 (CI, 0.80-2.80) for 24-hr PM10 (25 microgram/m(3). Subgroup analyses

  18. Was the Risk from Nursing-Home Evacuation after the Fukushima Accident Higher than the Radiation Risk?

    PubMed

    Murakami, Michio; Ono, Kyoko; Tsubokura, Masaharu; Nomura, Shuhei; Oikawa, Tomoyoshi; Oka, Tosihiro; Kami, Masahiro; Oki, Taikan

    2015-01-01

    After the 2011 accident at the Fukushima Daiichi nuclear power plant, nursing-home residents and staff were evacuated voluntarily from damaged areas to avoid radiation exposure. Unfortunately, the evacuation resulted in increased mortalities among nursing home residents. We assessed the risk trade-off between evacuation and radiation for 191 residents and 184 staff at three nursing homes by using the same detriment indicator, namely loss of life expectancy (LLE), under four scenarios, i.e. "rapid evacuation (in accordance with the actual situation; i.e. evacuation on 22 March)," "deliberate evacuation (i.e. evacuation on 20 June)," "20-mSv exposure," and "100-mSv exposure." The LLE from evacuation-related mortality among nursing home residents was assessed with survival probability data from nursing homes in the city of Minamisoma and the city of Soma. The LLE from radiation mortality was calculated from the estimated age-specific mortality rates from leukemia and all solid cancers based on the additional effective doses and the survival probabilities. The total LLE of residents due to evacuation-related risks in rapid evacuation was 11,000 persons-d-much higher than the total LLEs of residents and staff due to radiation in the other scenarios (27, 1100, and 5800 persons-d for deliberate evacuation, 20 mSv-exposure, and 100 mSv-exposure, respectively). The latitude for reducing evacuation risks among nursing home residents is surprisingly large. Evacuation regulation and planning should therefore be well balanced with the trade-offs against radiation risks. This is the first quantitative assessment of the risk trade-off between radiation exposure and evacuation after a nuclear power plant accident.

  19. Was the Risk from Nursing-Home Evacuation after the Fukushima Accident Higher than the Radiation Risk?

    PubMed Central

    Murakami, Michio; Ono, Kyoko; Tsubokura, Masaharu; Nomura, Shuhei; Oikawa, Tomoyoshi; Oka, Tosihiro; Kami, Masahiro; Oki, Taikan

    2015-01-01

    After the 2011 accident at the Fukushima Daiichi nuclear power plant, nursing-home residents and staff were evacuated voluntarily from damaged areas to avoid radiation exposure. Unfortunately, the evacuation resulted in increased mortalities among nursing home residents. We assessed the risk trade-off between evacuation and radiation for 191 residents and 184 staff at three nursing homes by using the same detriment indicator, namely loss of life expectancy (LLE), under four scenarios, i.e. “rapid evacuation (in accordance with the actual situation; i.e. evacuation on 22 March),” “deliberate evacuation (i.e. evacuation on 20 June),” “20-mSv exposure,” and “100-mSv exposure.” The LLE from evacuation-related mortality among nursing home residents was assessed with survival probability data from nursing homes in the city of Minamisoma and the city of Soma. The LLE from radiation mortality was calculated from the estimated age-specific mortality rates from leukemia and all solid cancers based on the additional effective doses and the survival probabilities. The total LLE of residents due to evacuation-related risks in rapid evacuation was 11,000 persons-d—much higher than the total LLEs of residents and staff due to radiation in the other scenarios (27, 1100, and 5800 persons-d for deliberate evacuation, 20 mSv-exposure, and 100 mSv-exposure, respectively). The latitude for reducing evacuation risks among nursing home residents is surprisingly large. Evacuation regulation and planning should therefore be well balanced with the trade-offs against radiation risks. This is the first quantitative assessment of the risk trade-off between radiation exposure and evacuation after a nuclear power plant accident. PMID:26359666

  20. Functional status after blast-plus-impact complex concussive traumatic brain injury in evacuated United States military personnel.

    PubMed

    MacDonald, Christine L; Johnson, Ann M; Nelson, Elliot C; Werner, Nicole J; Fang, Raymond; Flaherty, Stephen F; Brody, David L

    2014-05-15

    Fundamental questions remain unanswered about the longitudinal impact of blast-plus-impact complex traumatic brain injuries (TBI) from wars in Iraq and Afghanistan. This prospective, observational study investigated measures of clinical outcome in US military personnel evacuated to Landstuhl Regional Medical Center (LRMC) in Germany after such "blast-plus" concussive TBIs. Glasgow Outcome Scale-Extended assessments completed 6-12 months after injury indicated a moderate overall disability in 41/47 (87%) blast-plus TBI subjects and a substantial but smaller number (11/18, 61%, p=0.018) of demographically similar US military controls without TBI evacuated for other medical reasons. Cognitive function assessed with a neuropsychological test battery was not different between blast-plus TBI subjects and controls; performance of both groups was generally in the normal range. No subject was found to have focal neurological deficits. However, 29/47 (57%) of blast-plus subjects with TBI met all criteria for post-traumatic stress disorder (PTSD) versus 5/18 (28%) of controls (p=0.014). PTSD was highly associated with overall disability; 31/34 patients with PTSD versus 19/31 patients who did not meet full PTSD criteria had moderate to severe disability (p=0.0003). Symptoms of depression were also more severe in the TBI group (p=0.05), and highly correlated with PTSD severity (r=0.86, p<0.0001). Thus, in summary, high rates of PTSD and depression but not cognitive impairment or focal neurological deficits were observed 6-12 months after concussive blast-plus-impact complex TBI. Overall disability was substantially greater than typically reported in civilian non-blast concussive ("mild") patients with TBI, even with polytrauma. The relationship between these clinical outcomes and specific blast-related aspects of brain injuries versus other combat-related factors remains unknown.

  1. Echelons of medical care.

    PubMed

    HACON, W S

    1962-12-01

    The mortality rate of wounded soldiers who survived long enough to leave the Crimean battlefields was nearly 20%. A similar rate can be expected in Canada among casualties evacuated from target cities if no preparations are made.From their considerable experience over the last 100 years the military medical services have developed effective techniques for caring for large numbers of casualties under adverse conditions, thereby reducing the mortality rate to 3.6%. The Emergency Health Services in Canada are employing these same techniques.The basic planning technique is the establishment of echelons or levels of medical care. It evolved from the fact that casualties usually occur at places remote from hospitals and have to be given sustaining care and shelter at staging points on the evacuation route. The opportunity was taken to institute a system of progressive care at these points, and four echelons of care became recognized. The productivity of available treatment personnel was increased by dividing the labour and by standardizing the treatment. Minor casualties should be diverted elsewhere so that serious casualties may receive better attention. The problem of the proper transportation of casualties is still unsolved in Canada.

  2. Deployment Related Risk of Incident Mental Health Conditions Among Aeromedical Evacuation Crewmembers

    DTIC Science & Technology

    2015-09-01

    B . PROBLEM IMPORTANCE.....................................................................2 C. HUMAN SYSTEMS INTEGRATION...9 B . AEROMEDICAL EVACUATION COMMUNITY .............................12 C. MENTAL HEALTH CONDITION OF MILITARY...INSTITUTIONAL REVIEW AND DATA COLLECTION................25 B . PARTICIPANTS

  3. Modified social force model based on information transmission toward crowd evacuation simulation

    NASA Astrophysics Data System (ADS)

    Han, Yanbin; Liu, Hong

    2017-03-01

    In this paper, the information transmission mechanism is introduced into the social force model to simulate pedestrian behavior in an emergency, especially when most pedestrians are unfamiliar with the evacuation environment. This modified model includes a collision avoidance strategy and an information transmission model that considers information loss. The former is used to avoid collision among pedestrians in a simulation, whereas the latter mainly describes how pedestrians obtain and choose directions appropriate to them. Simulation results show that pedestrians can obtain the correct moving direction through information transmission mechanism and that the modified model can simulate actual pedestrian behavior during an emergency evacuation. Moreover, we have drawn four conclusions to improve evacuation based on the simulation results; and these conclusions greatly contribute in optimizing a number of efficient emergency evacuation schemes for large public places.

  4. The Forced Evacuation of the Japanese Minority During World War II

    ERIC Educational Resources Information Center

    Miyamoto, S. Frank

    1973-01-01

    Attempts to explain in extremely abbreviated form what caused the evacuation and how the Japanese minority reacted to their exclusion and rejection, focusing on three general causes: collective dispositions, situational factors, and collective interaction. (Author/JM)

  5. 78 FR 61223 - Regulated Navigation Area; Southern Oahu Tsunami Vessel Evacuation, Honolulu, HI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-03

    ... Evacuation, Honolulu, HI AGENCY: Coast Guard, DHS. ACTION: Supplementary notice of proposed rulemaking... regulated navigation area (RNA): All waters of the Pacific Ocean south of the southern shoreline of Oahu,...

  6. 78 FR 28170 - Regulated Navigation Area; Southern Oahu Tsunami Vessel Evacuation; Honolulu, HI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-14

    ... Evacuation; Honolulu, HI AGENCY: Coast Guard, DHS. ACTION: Notice of proposed rulemaking. SUMMARY: The Coast... waters contained within an area composing of an area on the southern side of Oahu, HI. The RNA...

  7. Enhanced photovoltaic performance of organic/silicon nanowire hybrid solar cells by solution-evacuated method.

    PubMed

    Wang, Wei-Li; Zou, Xian-Shao; Zhang, Bin; Dong, Jun; Niu, Qiao-Li; Yin, Yi-An; Zhang, Yong

    2014-06-01

    A method has been developed to fabricate organic-inorganic hybrid heterojunction solar cells based on n-type silicon nanowire (SiNW) and poly (3,4-ethylenedioxythiophene):poly (styrenesulfonate) (PEDOT:PSS) hybrid structures by evacuating the PEDOT:PSS solution with dip-dropping on the top of SiNWs before spin-coating (solution-evacuating). The coverage and contact interface between PEDOT:PSS and SiNW arrays can be dramatically enhanced by optimizing the solution-evacuated time. The maximum power conversion efficiency (PCE) reaches 9.22% for a solution-evacuated time of 2 min compared with 5.17% for the untreated pristine device. The improvement photovoltaic performance is mainly attributed to better organic coverage and contact with an n-type SiNW surface.

  8. Contralateral development of chronic subdural hematoma after evacuation of chronic subdural hematoma. A case report.

    PubMed

    Sucu, H Kamil; Gökmen, M; Bezircioglu, H; Tektaş, S

    2006-09-01

    Contralateral acute complications such as acute epi/subdural hematomas can be encountered after evacuation of a chronic subdural hematoma, though they are rare. We found only one case of chronic subdural hematoma following the surgery for contralateral chronic subdural hematoma, have been published in English language literature. A 73-year-old male admitted to our hospital with a right-sided subdural hematoma. The subdural hematoma was evacuated through a burr-hole. A left-sided subdural higroma appeared after operation and turned into classical subdural hematoma in the course of time. After evacuation of contralateral chronic subdural hematoma, the patient recovered completely. All stages of the development of contralateral chronic subdural hematomas were shown by serial computed tomograms. It was suggested that traumatic chronic subdural hematomas develop from mostly subdural higromas. If contralateral subdural higroma is seen after surgical evacuation of a chronic subdural hematoma, the possibility of development of contralateral chronic subdural hematoma must be kept on mind.

  9. Conflict game in evacuation process: A study combining Cellular Automata model

    NASA Astrophysics Data System (ADS)

    Zheng, Xiaoping; Cheng, Yuan

    2011-03-01

    The game-theoretic approach is an essential tool in the research of conflicts of human behaviors. The aim of this study is to research crowd dynamic conflicts during evacuation processes. By combining a conflict game with a Cellular Automata model, the following factors such as rationality, herding effect and conflict cost are taken into the research on frequency of each strategy of evacuees, and evacuation time. Results from Monte Carlo simulations show that (i) in an emergency condition, rationality leads to “vying” behaviors and inhibited “polite” behavior; (ii) high herding causes a crowd of high rationality (especially in normal circumstances) to become more “vying” in behavior; (iii) the high-rationality crowd is shown to spend more evacuation time than a low-rationality crowd in emergency situations. This study provides a new perspective to understand conflicts in evacuation processes as well as the rationality of evacuees.

  10. A Comparison of the Nursing Home Evacuation Experience between Hurricanes Katrina (2005) and Gustav (2008)

    PubMed Central

    Blanchard, Gary; Dosa, David

    2009-01-01

    Background One of the tragic legacies of Hurricane Katrina was the loss of life among Louisiana (LA) nursing home (NH) residents. Katrina revealed a staggering lack of emergency preparation and understanding of how to safely evacuate frail populations. Three years later, LA braced for Hurricane Gustav, a storm heralded to rival Katrina's power. Though its magnitude of destruction ultimately paled to Katrina, the warnings and predicted path preceding Gustav yielded a process of NH evacuations similar to Katrina. The goal of this paper was to ascertain whether NH administrative directors (ADs) felt more prepared to evacuate before Gustav. Methods In 2006, Dosa, et. al. (JAMDA, 3/07), interviewed 20 NH ADs by qualitative telephone survey to evaluate their lessons learned from Katrina. Administrators at these 20 participating nursing homes were contacted and asked to participate in a follow-up survey to compare hurricane preparedness between 2005 and 2008. Specifically, ADs were asked if they evacuated prior to Gustav, their destination, and about logistical issues with evacuation (e.g., transportation, injuries). ADs were asked to rate their confidence with state assistance, hurricane transportation, and evacuation preparedness on a 10-point scale (10=most confident) and compare their preparedness to Katrina. Results Sixteen of the 20 NHs that participated in 2006 agreed to be surveyed – 11 of whom held the same position before Katrina. Unlike Katrina, when only 45% evacuated prior to the storm, all 16 NHs evacuated before Gustav. (56% to another NH and 46% to a church, gym, college, or other facility). Overall, ADs rated their confidence in preparedness for Gustav as a mean of 8.3 (range 5 to 10) – compared with a mean of 5.4 (range 3 to 8) for Katrina, a 54% improvement. Of the 11 ADs employed pre-Katrina, 73% reported improved collaboration with the state and 55% noted improved transportation. Nevertheless, seven ADs noted significant logistical problems during

  11. BIM Based Virtual Environment for Fire Emergency Evacuation

    PubMed Central

    Rezgui, Yacine; Ong, Hoang N.

    2014-01-01

    Recent building emergency management research has highlighted the need for the effective utilization of dynamically changing building information. BIM (building information modelling) can play a significant role in this process due to its comprehensive and standardized data format and integrated process. This paper introduces a BIM based virtual environment supported by virtual reality (VR) and a serious game engine to address several key issues for building emergency management, for example, timely two-way information updating and better emergency awareness training. The focus of this paper lies on how to utilize BIM as a comprehensive building information provider to work with virtual reality technologies to build an adaptable immersive serious game environment to provide real-time fire evacuation guidance. The innovation lies on the seamless integration between BIM and a serious game based virtual reality (VR) environment aiming at practical problem solving by leveraging state-of-the-art computing technologies. The system has been tested for its robustness and functionality against the development requirements, and the results showed promising potential to support more effective emergency management. PMID:25197704

  12. Testing Refrigeration Trucks for the Emergency Evacuation of Companion Animals.

    PubMed

    Langman, Vaughan A; Ellifrit, Nancy; Sime, Debra; Rowe, Mike; Hogue, Allan

    2015-01-01

    The purpose of this study was to quantify the changes in oxygen (O2) and carbon dioxide (CO2) in sealed refrigerator trucks scheduled to be used for transporting companion animals (dogs and cats) during an emergency evacuation. A total of 122 nonhuman animals (total weight = 1,248 kg) housed in individual crates were loaded into a 16-m refrigeration truck. Once they were loaded, the doors were closed and the percentages of O2 and CO2 were measured every 5 min by O2 and CO2 analyzers, and they were used to quantify the changes in gas pressure in the sealed truck. CO2 had a much higher-than-predicted increase, and O2 had a higher-than-predicted decrease. These 2 pressures in combination with the functionality of the respiratory system will limit the animal's ability to load O2, and over time, they will initiate asphyxia or suffocation. Over time, the partial pressure of oxygen (PO2) in the sealed truck will decrease, causing hypoxia, and the partial pressure of carbon dioxide (PCO2) will increase, causing hypercapnia.

  13. Bioparticles assembled using low frequency vibration immune to evacuation drifts.

    PubMed

    Shao, Fenfen; Whitehill, James David; Ng, Tuck Wah

    2012-08-01

    The use of low frequency vibration on suspensions of glass beads in a droplet has been shown to develop a strong degree of patterning (to a ring) due to the manner with which the surface waves are modified. Functionalized glass beads that serve as bioparticles permit for sensitive readings when concentrated at specific locations. However, a time controlled exposure with analytes is desirable. The replacement of the liquid medium with analyte through extraction is needed to conserve time. Nevertheless, we show here that extraction with a porous media, which is simple and useable in the field, will strongly displace the patterned beads. The liquid removal was found to be dependent on two mechanisms that affect the shape of the droplet, one of contact hysteresis due to the outer edge pinning, and the other of liquid being drawn into the porous media. From this, we developed and demonstrated a modified well structure that prevented micro-bead displacement during evacuation. An added strong advantage with this approach lies with its ability to require only analytes to be dispensed at the location of aggregated particles, which minimizes analyte usage. This was analytically established here.

  14. Braided composite bore evacuator chambers for tank cannons

    NASA Technical Reports Server (NTRS)

    Wheeler, Philip C.

    1990-01-01

    Typically, continuous filament composite components are fabricated using a filament winding technique. In this operation, fibers are introduced to a rotating mandrel while a guide holding the material traverses back and forth to place the material in a helical pattern over the surface of the mandrel. This procedure is continued until complete coverage is obtained. An alternative method for fabricating continuous filament composite components is braiding. In the braiding operation a mandrel is traversed through the center of the braider while 144 strands of material traverse around a carrier ring. As the fibers are applied to a mandrel surface, 72 carriers holding the fibers travel clockwise, while another 72 carriers travel counterclockwise to interlock fibers. An additional 72 carriers located on the back of the braider introduce longitudinal fibers to the composite giving the composite lateral strength. The goal of using the braider is to reduce production time by simultaneously applying 144 strands of material onto a mandrel as opposed to the four-strand wrapping most filament winding techniques offer. Benefits to braiding include the ability to (1) introduce longitudinal fibers to the composite structure; (2) fabricate non-symmetric components without using complex functions to produce full coverage; and (3) produce a component with a higher degree of damage tolerance due to the interlocking of fibers. The fabrication of bore evacuator chambers for a tank cannon system is investigated by utilizing a 144 carrier braiding machine, an industrial robot, and a resin applicator system.

  15. Pedestrian flow-path modeling to support tsunami-evacuation planning

    NASA Astrophysics Data System (ADS)

    Wood, N. J.; Jones, J. M.; Schmidtlein, M.

    2015-12-01

    Near-field tsunami hazards are credible threats to many coastal communities throughout the world. Along the U.S. Pacific Northwest coast, low-lying areas could be inundated by a series of catastrophic tsunamis potentially arriving in a matter of minutes following a Cascadia subduction zone (CSZ) earthquake. We developed a geospatial-modeling method for characterizing pedestrian-evacuation flow paths and evacuation basins to support evacuation and relief planning efforts for coastal communities in this region. We demonstrate this approach using the coastal communities of Aberdeen, Hoquiam, and Cosmopolis in southwestern Grays Harbor County, Washington (USA), where previous research suggests approximately 20,500 people (99% of the residents in tsunami-hazard zones) will likely have enough time to evacuate before tsunami-wave arrival. Geospatial, anisotropic, path distance models were developed to map the most efficient pedestrian paths to higher ground from locations within the tsunami-hazard zone. This information was then used to identify evacuation basins, outlining neighborhoods sharing a common evacuation pathway to safety. We then estimated the number of people traveling along designated evacuation pathways and arriving at pre-determined safe assembly areas, helping determine shelter demand and relief support (e.g., for elderly individuals or tourists). Finally, we assessed which paths may become inaccessible due to earthquake-induced ground failures, a factor which may impact an individual's success in reaching safe ground. The presentation will include a discussion of the implications of our analysis for developing more comprehensive coastal community tsunami-evacuation planning strategies worldwide.

  16. Developing Tsunami Evacuation Plans, Maps, And Procedures: Pilot Project in Central America

    NASA Astrophysics Data System (ADS)

    Arcos, N. P.; Kong, L. S. L.; Arcas, D.; Aliaga, B.; Coetzee, D.; Leonard, J.

    2015-12-01

    In the End-to-End tsunami warning chain, once a forecast is provided and a warning alert issued, communities must know what to do and where to go. The 'where to' answer would be reliable and practical community-level tsunami evacuation maps. Following the Exercise Pacific Wave 2011, a questionnaire was sent to the 46 Member States of Pacific Tsunami Warning System (PTWS). The results revealed over 42 percent of Member States lacked tsunami mass coastal evacuation plans. Additionally, a significant gap in mapping was exposed as over 55 percent of Member States lacked tsunami evacuation maps, routes, signs and assembly points. Thereby, a significant portion of countries in the Pacific lack appropriate tsunami planning and mapping for their at-risk coastal communities. While a variety of tools exist to establish tsunami inundation areas, these are inconsistent while a methodology has not been developed to assist countries develop tsunami evacuation maps, plans, and procedures. The International Tsunami Information Center (ITIC) and partners is leading a Pilot Project in Honduras demonstrating that globally standardized tools and methodologies can be applied by a country, with minimal tsunami warning and mitigation resources, towards the determination of tsunami inundation areas and subsequently community-owned tsunami evacuation maps and plans for at-risk communities. The Pilot involves a 1- to 2-year long process centered on a series of linked tsunami training workshops on: evacuation planning, evacuation map development, inundation modeling and map creation, tsunami warning & emergency response Standard Operating Procedures (SOPs), and conducting tsunami exercises (including evacuation). The Pilot's completion is capped with a UNESCO/IOC document so that other countries can replicate the process in their tsunami-prone communities.

  17. K-Shortest-Path-Based Evacuation Routing with Police Resource Allocation in City Transportation Networks.

    PubMed

    He, Yunyue; Liu, Zhong; Shi, Jianmai; Wang, Yishan; Zhang, Jiaming; Liu, Jinyuan

    2015-01-01

    Emergency evacuation aims to transport people from dangerous places to safe shelters as quickly as possible. Police play an important role in the evacuation process, as they can handle traffic accidents immediately and help people move smoothly on roads. This paper investigates an evacuation routing problem that involves police resource allocation. We propose a novel k-th-shortest-path-based technique that uses explicit congestion control to optimize evacuation routing and police resource allocation. A nonlinear mixed-integer programming model is presented to formulate the problem. The model's objective is to minimize the overall evacuation clearance time. Two algorithms are given to solve the problem. The first one linearizes the original model and solves the linearized problem with CPLEX. The second one is a heuristic algorithm that uses a police resource utilization efficiency index to directly solve the original model. This police resource utilization efficiency index significantly aids in the evaluation of road links from an evacuation throughput perspective. The proposed algorithms are tested with a number of examples based on real data from cities of different sizes. The computational results show that the police resource utilization efficiency index is very helpful in finding near-optimal solutions. Additionally, comparing the performance of the heuristic algorithm and the linearization method by using randomly generated examples indicates that the efficiency of the heuristic algorithm is superior.

  18. K-Shortest-Path-Based Evacuation Routing with Police Resource Allocation in City Transportation Networks

    PubMed Central

    He, Yunyue; Liu, Zhong; Shi, Jianmai; Wang, Yishan; Zhang, Jiaming; Liu, Jinyuan

    2015-01-01

    Emergency evacuation aims to transport people from dangerous places to safe shelters as quickly as possible. Police play an important role in the evacuation process, as they can handle traffic accidents immediately and help people move smoothly on roads. This paper investigates an evacuation routing problem that involves police resource allocation. We propose a novel k-th-shortest-path-based technique that uses explicit congestion control to optimize evacuation routing and police resource allocation. A nonlinear mixed-integer programming model is presented to formulate the problem. The model’s objective is to minimize the overall evacuation clearance time. Two algorithms are given to solve the problem. The first one linearizes the original model and solves the linearized problem with CPLEX. The second one is a heuristic algorithm that uses a police resource utilization efficiency index to directly solve the original model. This police resource utilization efficiency index significantly aids in the evaluation of road links from an evacuation throughput perspective. The proposed algorithms are tested with a number of examples based on real data from cities of different sizes. The computational results show that the police resource utilization efficiency index is very helpful in finding near-optimal solutions. Additionally, comparing the performance of the heuristic algorithm and the linearization method by using randomly generated examples indicates that the efficiency of the heuristic algorithm is superior. PMID:26226109

  19. An indoor augmented reality mobile application for simulation of building evacuation

    NASA Astrophysics Data System (ADS)

    Sharma, Sharad; Jerripothula, Shanmukha

    2015-03-01

    Augmented Reality enables people to remain connected with the physical environment they are in, and invites them to look at the world from new and alternative perspectives. There has been an increasing interest in emergency evacuation applications for mobile devices. Nearly all the smart phones these days are Wi-Fi and GPS enabled. In this paper, we propose a novel emergency evacuation system that will help people to safely evacuate a building in case of an emergency situation. It will further enhance knowledge and understanding of where the exits are in the building and safety evacuation procedures. We have applied mobile augmented reality (mobile AR) to create an application with Unity 3D gaming engine. We show how the mobile AR application is able to display a 3D model of the building and animation of people evacuation using markers and web camera. The system gives a visual representation of a building in 3D space, allowing people to see where exits are in the building through the use of a smart phone or tablets. Pilot studies were conducted with the system showing its partial success and demonstrated the effectiveness of the application in emergency evacuation. Our computer vision methods give good results when the markers are closer to the camera, but accuracy decreases when the markers are far away from the camera.

  20. Optimal layout design of obstacles for panic evacuation using differential evolution

    NASA Astrophysics Data System (ADS)

    Zhao, Yongxiang; Li, Meifang; Lu, Xin; Tian, Lijun; Yu, Zhiyong; Huang, Kai; Wang, Yana; Li, Ting

    2017-01-01

    To improve the pedestrian outflow in panic situations by suitably placing an obstacle in front of the exit, it is vital to understand the physical mechanism behind the evacuation efficiency enhancement. In this paper, a robust differential evolution is firstly employed to optimize the geometrical parameters of different shaped obstacles in order to achieve an optimal evacuation efficiency. Moreover, it is found that all the geometrical parameters of obstacles could markedly influence the evacuation efficiency of pedestrians, and the best way for achieving an optimal pedestrian outflow is to slightly shift the obstacle from the center of the exit which is consistent with findings of extant literature. Most importantly, by analyzing the profiles of density, velocity and specific flow, as well as the spatial distribution of crowd pressure, we have proven that placing an obstacle in panic situations does not reduce or absorb the pressure in the region of exit, on the contrary, promotes the pressure to a much higher level, hence the physical mechanism behind the evacuation efficiency enhancement is not a pressure decrease in the region of exit, but a significant reduction of high density region by effective separation in space which finally causes the increasing of escape speed and evacuation outflow. Finally, it is clearly demonstrated that the panel-like obstacle is considerably more robust and stable than the pillar-like obstacle to guarantee the enhancement of evacuation efficiency under different initial pedestrian distributions, different initial crowd densities as well as different desired velocities.

  1. Records Review of Musculoskeletal Injuries in Aeromedical Evacuation Personnel

    DTIC Science & Technology

    2015-04-21

    military medical records containing ICD-9 codes to investigate the incidence of musculoskeletal injuries within flight nurses and medical technicians...the incidence of musculoskeletal injuries within flight nurses and medical technicians compared to their non-flying counterparts from 2006 through...healthcare facilities. Back and joint pain are frequently reported, with 52% of nurses reporting back pain.21–26 An investigation of occupational

  2. S(p)O(2) values in acute medical admissions breathing air--implications for the British Thoracic Society guideline for emergency oxygen use in adult patients?

    PubMed

    Smith, Gary B; Prytherch, David R; Watson, Duncan; Forde, Val; Windsor, Alastair; Schmidt, Paul E; Featherstone, Peter I; Higgins, Bernie; Meredith, Paul

    2012-10-01

    S(p)O(2) is routinely used to assess the well-being of patients, but it is difficult to find an evidence-based description of its normal range. The British Thoracic Society (BTS) has published guidance for oxygen administration and recommends a target S(p)O(2) of 94-98% for most adult patients. These recommendations rely on consensus opinion and small studies using arterial blood gas measurements of saturation (S(a)O(2)). Using large datasets of routinely collected vital signs from four hospitals, we analysed the S(p)O(2) range of 37,593 acute general medical inpatients (males: 47%) observed to be breathing room air. Age at admission ranged from 16 to 105 years with a mean (SD) of 64 (21) years. 19,642 admissions (52%) were aged <70 years. S(p)O(2) ranged from 70% to 100% with a median (IQR) of 97% (95-98%). S(p)O(2) values for males and females were similar. In-hospital mortality for the study patients was 5.27% (range 4.80-6.27%). Mortality (95% CI) for patients with initial S(p)O(2) values of 97%, 96% and 95% was 3.65% (3.22-4.13); 4.47% (3.99-5.00); and 5.67% (5.03-6.38), respectively. Additional analyses of S(p)O(2) values for 37,299 medical admissions aged ≥18 years provided results that were distinctly different to those upon which the current BTS guidelines based their definition of normality. Our findings suggest that the BTS should consider changing its target saturation for actively treated patients not at risk of hypercapnic respiratory failure to 96-98%.

  3. A Study to Determine a Methodology for Establishing a Center of Excellence Program at Fitzsimons Army Medical Center.

    DTIC Science & Technology

    1992-01-10

    cardiovascular disease is one method that Fitzsimons Army Medical Center can pursue...center of excellence program in cardiovascular disease . The development of specific criteria required for implementation of a cardiovascular center of...treatment capabilities at the Army medical centers.... Center of excellence, Specialized treatment facilities, Cardiovascular disease program criteria, Patient referral process, Aeromedical evacuation system, Graduate medical

  4. A Survey of U.S. Navy Medical Communications and Evacuations at Sea

    DTIC Science & Technology

    1984-07-05

    rectum, gastrointestinal bleeding vs. peptic ulcer). In the remaining 22% of the cases, the discrepancies between the shipboard and the shore-based...of abscesses/ infections , but problems with wisdom teeth and dental caries were also well represented. The fact that noninjury-related dental problems... gastrointestinal disorders aboard Navy ships. Mili Med 143:635, 1978. 19Gunderson EKE, Rahe RH, Arthur RJ: The epidemiology of illness in Navy environments. II

  5. A Markov Decision Process Model for the Optimal Dispatch of Military Medical Evacuation Assets

    DTIC Science & Technology

    2014-03-27

    of Coalition Forces KIA in 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 5 Stability Operations (Base Case) RTT = 60...result, despite a higher operational tempo and increased violence during those years, the rate of soldiers killed in action ( KIA ) decreased while the...time of our research [24]. Garrett [17] reports that 85% of soldiers killed in action ( KIA ) were a direct result of blood loss. Thus, we consider it to

  6. Marine Corps CASEVAC: Determining Medical Supply Requirements for Long-Range Casualty Evacuation Aircraft

    DTIC Science & Technology

    2003-08-01

    SAN DIEGO, CA 92186-5122 BUREAU OF MEDICINE AND SURGERY (M2) 2300 E ST. NW...Center P.O. Box 85122 San Diego, CA 92186-5122 Technical Report No. 03-20 was supported by the Bureau of Medicine and Surgery , BUMED-26...2,673.24 6545009577650 Surgical Instrument Set Minor Surgery 1.00 SE 1.8700 0.1330 $275.75 6515013737292 Thermometer Clinical Human Oral Digital 1.00 EA

  7. Effect of varying two key parameters in simulating evacuation for a dormitory in China

    NASA Astrophysics Data System (ADS)

    Lei, Wenjun; Li, Angui; Gao, Ran

    2013-01-01

    Student dormitories are both living and resting areas for students in their spare time. There are many small rooms in the dormitories. And the students are distributed densely in the dormitories. High occupant density is the main characteristic of student dormitories. Once there is an accident, such as fire or earthquake, the losses will be cruel. Computer evacuation models developed overseas are commonly applied in working out safety management schemes. The average minimum widths of corridor and exit are the two key parameters affecting the evacuation for the dormitory. The effect of varying these two parameters will be studied in this paper by taking a dormitory in our university as an example. Evacuation performance is predicted with the software FDS + Evac. The default values in the software are used and adjusted through a field survey. The effect of varying either of the two parameters is discussed. It is found that the simulated results agree well with the experimental results. From our study it seems that the evacuation time is not in proportion to the evacuation distance. And we also named a phenomenon of “the closer is not the faster”. For the building researched in this article, a corridor width of 3 m is the most appropriate. And the suitable exit width of the dormitory for evacuation is about 2.5 to 3 m. The number of people has great influence on the walking speed of people. The purpose of this study is to optimize the building, and to make the building in favor of personnel evacuation. Then the damage could be minimized.

  8. EXPERIMENTAL STUDIES ON DIFFICULTY OF EVACUATION FROM UNDERGROUND SPACES UNDER INUNDATED SITUATIONS USING REAL SCALE MODELS

    NASA Astrophysics Data System (ADS)

    Baba, Yasuyuki; Ishigaki, Taisuke; Toda, Keiichi; Nakagawa, Hajime

    Many urbanized cities in Japan are located in alluvial plains, and the vulnerability of urbanized areas to flood disaster is highlighted by flood attacks due to heavy rain fall or typhoons. Underground spaces located in the urbanized area are flood-prone areas, and the intrusion of flood watar into underground space inflicted severe damages on urban functions and infrastructures. In a similar way, low-lying areas like "bowl-shaped" depression and underpasses under highway and railroad bridges are also prone to floods. The underpasses are common sites of accidents of submerged vehicles, and severe damage including human damage occasionally occurs under flooding conditions. To reduce the damage due to inundation in underground space, needless to say, early evacuation is one of the most important countermeasures. This paper shows some experimental results of evacuation tests from underground spaces under inundated situations. The difficulities of the evacuation from underground space has been investigated by using real scale models (door, staircase and vehicle), and the limit for safety evacuation is discussed. From the results, it is found that water depth of 0.3 - 0.4m would be a critical situation for the evacuation from underground space through staircases and door and that 0.7 - 0.8m deep on the ground would be also a critical situation for safety evacuation though the doors of the vehicle. These criteria have some possibility to vary according to different inundated situations, and they are also influenced by the individual variation like the difference of physical strength. This means that these criteria requires cautious stance to use although they show a sort of an index of the limitation for saftty evacuation from underground space.

  9. A robust optimization model for distribution and evacuation in the disaster response phase

    NASA Astrophysics Data System (ADS)

    Fereiduni, Meysam; Shahanaghi, Kamran

    2016-10-01

    Natural disasters, such as earthquakes, affect thousands of people and can cause enormous financial loss. Therefore, an efficient response immediately following a natural disaster is vital to minimize the aforementioned negative effects. This research paper presents a network design model for humanitarian logistics which will assist in location and allocation decisions for multiple disaster periods. At first, a single-objective optimization model is presented that addresses the response phase of disaster management. This model will help the decision makers to make the most optimal choices in regard to location, allocation, and evacuation simultaneously. The proposed model also considers emergency tents as temporary medical centers. To cope with the uncertainty and dynamic nature of disasters, and their consequences, our multi-period robust model considers the values of critical input data in a set of various scenarios. Second, because of probable disruption in the distribution infrastructure (such as bridges), the Monte Carlo simulation is used for generating related random numbers and different scenarios; the p-robust approach is utilized to formulate the new network. The p-robust approach can predict possible damages along pathways and among relief bases. We render a case study of our robust optimization approach for Tehran's plausible earthquake in region 1. Sensitivity analysis' experiments are proposed to explore the effects of various problem parameters. These experiments will give managerial insights and can guide DMs under a variety of conditions. Then, the performances of the "robust optimization" approach and the "p-robust optimization" approach are evaluated. Intriguing results and practical insights are demonstrated by our analysis on this comparison.

  10. Mass and Volume Optimization of Space Flight Medical Kits

    NASA Technical Reports Server (NTRS)

    Keenan, A. B.; Foy, Millennia Hope; Myers, Jerry

    2014-01-01

    Resource allocation is a critical aspect of space mission planning. All resources, including medical resources, are subject to a number of mission constraints such a maximum mass and volume. However, unlike many resources, there is often limited understanding in how to optimize medical resources for a mission. The Integrated Medical Model (IMM) is a probabilistic model that estimates medical event occurrences and mission outcomes for different mission profiles. IMM simulates outcomes and describes the impact of medical events in terms of lost crew time, medical resource usage, and the potential for medically required evacuation. Previously published work describes an approach that uses the IMM to generate optimized medical kits that maximize benefit to the crew subject to mass and volume constraints. We improve upon the results obtained previously and extend our approach to minimize mass and volume while meeting some benefit threshold. METHODS We frame the medical kit optimization problem as a modified knapsack problem and implement an algorithm utilizing dynamic programming. Using this algorithm, optimized medical kits were generated for 3 mission scenarios with the goal of minimizing the medical kit mass and volume for a specified likelihood of evacuation or Crew Health Index (CHI) threshold. The algorithm was expanded to generate medical kits that maximize likelihood of evacuation or CHI subject to mass and volume constraints. RESULTS AND CONCLUSIONS In maximizing benefit to crew health subject to certain constraints, our algorithm generates medical kits that more closely resemble the unlimited-resource scenario than previous approaches which leverage medical risk information generated by the IMM. Our work here demonstrates that this algorithm provides an efficient and effective means to objectively allocate medical resources for spaceflight missions and provides an effective means of addressing tradeoffs in medical resource allocations and crew mission success

  11. Environmental Assessment for the Aeromedical Evacuation Formal Training Unit, Wright-Patterson Air Force Base

    DTIC Science & Technology

    2012-05-01

    hail, severe turbulence, dust storms , and wind shear. The evaluation of potential hazards of weather conditions rests in a pilot’s sound... coefficients of 0.85 to 0.95 are found between the percentages of groups of people highly annoyed and the level of average noise exposure. The correlation ... Storm Water Management Plan SWPPP Storm Water Pollution Prevention Plan TMDL Total Maximum Daily Load tpy tons per year TSCA Toxic Substances

  12. Occupational Health Screenings of Aeromedical Evacuation and Critical Care Air Transport Team Crew Members

    DTIC Science & Technology

    2015-08-01

    crew members were sent surveys, which were anonymous, voluntary, and self-report. A total of 251 AE and CCATT crew members completed the web -based...to all AE and CCATT crew members. The survey was anonymous, voluntary, and self-report. A total of 251 AE and CCATT crew members completed the web ...40% for AE and 37% for CCATT. Datasets from the web -based occupational health surveys obtained for both AE and CCATT crew members were merged

  13. Individual actual or perceived property flood risk: did it predict evacuation from Hurricane Isabel in North Carolina, 2003?

    PubMed

    Horney, Jennifer A; Macdonald, Pia D M; Van Willigen, Marieke; Berke, Philip R; Kaufman, Jay S

    2010-03-01

    Individual perception of risk has consistently been considered an important determinant of hurricane evacuation in published studies and reviews. Adequate risk assessment is informed by environmental and social cues, as well as evacuation intentions and past disaster experience. This cross-sectional study measured perceived flood risk of 570 residents of three coastal North Carolina counties, compared their perception with actual risk determined by updated flood plain maps, and determined if either was associated with evacuation from Hurricane Isabel in 2003. Census blocks were stratified by flood zone and 30 census blocks were randomly selected from each flood zone. Seven interviews were conducted at random locations within selected blocks. Bivariate and multivariable analyses were conducted to produce crude and adjusted risk differences. Neither the designated flood zone of the parcel where the home was located nor the residents' perceived flood risk was associated with evacuation from Hurricane Isabel in the bivariate analysis. In the multivariable analysis, intention to evacuate and home type were important confounders of the association between actual risk and evacuation. The belief that one is at high risk of property damage or injury is important in evacuation decision making. However, in this study, while coastal residents' perceived risk of flooding was correlated with their actual flood risk, neither was associated with evacuation. These findings provide important opportunities for education and intervention by policymakers and authorities to improve hurricane evacuation rates and raise flood risk awareness.

  14. VOCS IN AMBIENT AIR NEAR WORLD TRADE CENTER SITE

    EPA Science Inventory

    Beginning on September 22, 2001 and continuing through February 2002, ambient air samples were collected at three sites within a block of ground zero and at a fourth site on the 16th floor of a building at 290 Broadway. Grab samples were collected in evacuated, electro-polished...

  15. Air lock mechanism speeds specimen testing in high-temperature vacuum furnaces

    NASA Technical Reports Server (NTRS)

    Whitehead, C.

    1971-01-01

    Mechanism, made of 347 stainless steel, is attached to furnace port by bolted flange. Unit incorporates quick opening, high vacuum valve and associated fittings which provide connections to air lock evacuation and to inert gas supply for quenching specimen after it is withdrawn from furnace into air lock.

  16. Theoretical and experimental validation of evacuated tubes directly coupled with solar still

    NASA Astrophysics Data System (ADS)

    Panchal, H. N.; Thakkar, H.

    2016-11-01

    Experimental study of evacuated tubes coupled solar still in the climatic conditions of Mehsana, a region of North Gujarat, India during summer and winter climate conditions has been made. Experimental setup was made by authors. Fourteen double-walled hard borosilicate glass tubes have been used. Evacuated tubes were inclined at angle of 45° from horizontal. Outer tubes of evacuated tubes were transparent, inner tubes were coated with a selective coating of Al-Ni/Al compound for better solar radiation absorption and minimum emittance. It has been shown that evacuated tube attachments to the solar still increased the water temperature inside the solar still for increment in the generation of distillate output. Evacuated tubes coupled solar still is not only produce distilled water during sunshine hours, but also off-sunshine hours due to heat storage effect. For the validation of the experimental results, a theoretical model is proposed based on the fundamentals of heat and mass transfer equations for solar still glass cover, water in basin and basin bottom. Two main statistical parameters—root mean square error and mean bias error—were calculated to compare the results of experiments and theoretical analysis. Closed matching of the experimental and theoretical results has been found.

  17. A fuzzy Bayesian network approach to quantify the human behaviour during an evacuation

    NASA Astrophysics Data System (ADS)

    Ramli, Nurulhuda; Ghani, Noraida Abdul; Ahmad, Nazihah

    2016-06-01

    Bayesian Network (BN) has been regarded as a successful representation of inter-relationship of factors affecting human behavior during an emergency. This paper is an extension of earlier work of quantifying the variables involved in the BN model of human behavior during an evacuation using a well-known direct probability elicitation technique. To overcome judgment bias and reduce the expert's burden in providing precise probability values, a new approach for the elicitation technique is required. This study proposes a new fuzzy BN approach for quantifying human behavior during an evacuation. Three major phases of methodology are involved, namely 1) development of qualitative model representing human factors during an evacuation, 2) quantification of BN model using fuzzy probability and 3) inferencing and interpreting the BN result. A case study of three inter-dependencies of human evacuation factors such as danger assessment ability, information about the threat and stressful conditions are used to illustrate the application of the proposed method. This approach will serve as an alternative to the conventional probability elicitation technique in understanding the human behavior during an evacuation.

  18. A scenario-based modeling approach for emergency evacuation management and risk analysis under multiple uncertainties.

    PubMed

    Lv, Y; Huang, G H; Guo, L; Li, Y P; Dai, C; Wang, X W; Sun, W

    2013-02-15

    Nuclear emergency evacuation is important to prevent radioactive harms by hazardous materials and to limit the accidents' consequences; however, uncertainties are involved in the components and processes of such a management system. In the study, an interval-parameter joint-probabilistic integer programming (IJIP) method is developed for emergency evacuation management under uncertainties. Optimization techniques of interval-parameter programming (IPP) and joint-probabilistic constrained (JPC) programming are incorporated into an integer linear programming framework, so that the approach can deal with uncertainties expressed as joint probability and interval values. The IJIP method can schedule the optimal routes to guarantee the maximum population evacuated away from the effected zone during a finite time. Furthermore, it can also facilitate post optimization analysis to enhance robustness in controlling system violation risk imposed on the joint-probabilistic constraints. The developed method has been applied to a case study of nuclear emergency management; meanwhile, a number of scenarios under different system conditions have been analyzed. It is indicated that the solutions are useful for evacuation management practices. The result of the IJIP method can not only help to raise the capability of disaster responses in a systematic manner, but also provide an insight into complex relationships among evacuation planning, resources utilizations, policy requirements and system risks.

  19. Military Medical Revolution: Military Trauma System

    DTIC Science & Technology

    2012-01-01

    Representative impact of CPGs has been manifested in several analyses to in- clude burn resuscitation-associated abdominal compartment syndrome mortality in which...resuscitative care at Role 2 or 3 facilities, aeromedical evacuation, definitive surgical care/ reconstruction and rehabilitation, and operational...management of the injury pattern for care providers from combat medics to flight paramedics to urologic surgeons with reconstructive expertise in the Role

  20. Prehospital Pain Medication Use by U.S. Forces in Afghanistan

    DTIC Science & Technology

    2015-03-01

    MILITARY MEDICINE, 180, 3:304, 2015 Prehospital Pain Medication Use by U.S. Forces in Afghanistan Col Stacy A. Shackelford, USAF MC*; Marcie Fowler...a process improvement initiative to examine the current use and safety of prehospital pain medications by U.S. Forces in Afghanistan. Prehospital pain ...casualties (39%) received pain medication during POI care and 283 (92%) received pain medication during tactical evacuation (TACEVAC). Morphine and