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Sample records for air medical evacuation

  1. [Air medical evacuation on modern stage].

    PubMed

    Belevitin, A B; Shelepov, A M; Bochenkov, A A; Iamenskov, V V; Grebeniuk, S A; Peshkov, V V

    2010-01-01

    There was effectuated an analyze of using of aircrafts for medical air evacuation of ill and wounded persons, was shown it's place in system of treatment-evacuation measures during the war and peaceful time in course of liquidation of consequences of natural disasters. The article presents main clinical-physiological aspects of medical air evacuation, peculiarities of organization of delivery of health care aboard aircraft, state of medical air evacuation for now-days. The article presents characteristics of purposes and supply of created sanitary planes and helicopters: Mi-8MB "Bisectrix", An-26M "Saver", Il-76MD "Bistoury". There elaborated recommendations upon organization of medical air evacuation during war and peaceful time. PMID:20536037

  2. Medical and trauma evacuations.

    PubMed

    Neri, Myles; De Jongh, Rene

    2004-02-01

    Evacuating ill or injured expatriates on international assignments from globally challenging locations is a potent source of concern for individuals who are involved before, during, and after overseas assignments. It is essential to minimize the risk for such evacuations and to make the evacuations proceed as smoothly and safely as possible. The first half of this article addresses the planning and processes that are required to make inevitable medical evacuations as safe and smooth as possible. The second half reviews the non-medical consequences that medical and security evacuations can have for employees, dependents, and employers. PMID:15043365

  3. Air travel of patients with abdominal aortic aneurysm: urgent air medical evacuation and nonurgent commercial air repatriation.

    PubMed

    Barros, Andrew; Haffner, Faith; Duchateau, François-Xavier; Huff, J Stephen; Verner, Laurent; O'Connor, Robert E; Brady, William J

    2014-01-01

    Abdominal aortic aneurysm (AAA) presents across a spectrum of severity. Although some resources suggest a theoretic risk for rupture related to air travel, this claim remains unproven. In fact, there are little data from which to make evidence-based recommendations. Air medical evacuation of a patient with either an AAA at risk of imminent rupture or status post recent rupture can be performed, assuming that local surgical care is not available and that transfer is taking the patient to a higher level of medical intervention. Furthermore, medical opinion suggests that patients with asymptomatic and/or surgically corrected AAA can safely travel by commercial aircraft for nonurgent reasons, assuming that other issues including postoperative needs are appropriately addressed. In this discussion, answers to the following issues are sought: flight safety for urgent evacuation and nonurgent repatriation scenarios, waiting time to fly nonurgently after AAA diagnosis, and the need for medical accompaniment. PMID:24787514

  4. 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. PMID:3179237

  5. 48 CFR 752.228-70 - Medical Evacuation (MEDEVAC) Services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 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)...

  6. 48 CFR 752.228-70 - Medical Evacuation (MEDEVAC) Services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 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)...

  7. 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)...

  8. 48 CFR 752.228-70 - Medical Evacuation (MEDEVAC) Services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 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)...

  9. Air evacuation of critically burned patients.

    PubMed

    Santos, F X; Sanchez-Gabriel, J; Mayoral, E; Hamann, C

    1995-11-01

    We analyze the repercussions of air evacuation on the physiopathology of the critically burned patient based on the experience on 63 patients evacuated by air. Clinical repercussions are due to accelerations, vibrations, noise, and, primarily, to altitude. Accelerations are important during take-off and landing, and vibrations may be important in helicopter evacuations in the presence of craniofacial trauma. The noise, especially in helicopters, can interfere with diagnostic and therapeutic maneuvers in-flight. The altitude modifies atmospheric pressure, partial pressure of oxygen, and water concentration in inhaled air. In the aircraft we use, atmospheric pressure is between 550 and 532 mm Hg at the normal flight altitudes. This situation determines the expansion of body gases. Hypoxia seriously worsens any respiratory insufficiency, primarily in the presence of smoke inhalation. The decrease of water concentration in the inhaled air compels the increase of fluid perfusion. Pre-flight and in-flight measures are analyzed, especially with regard to smoke inhalation, pneumothorax, and parenteral perfusion. PMID:8538899

  10. 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. PMID:25594870

  11. 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...

  12. 48 CFR 1842.7003 - 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... AERONAUTICS AND SPACE ADMINISTRATION CONTRACT MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Additional NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer...

  13. 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... AERONAUTICS AND SPACE ADMINISTRATION CONTRACT MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Additional NASA Contract Clauses 1842.7003 Emergency medical services and evacuation. The contracting officer...

  14. [Provision of medical care to the wounded with craniocerebral injuries at stages of medical evacuation in mountains and desert areas].

    PubMed

    Orlov, V P

    2015-01-01

    The author shows that surgery with craniocerebral injuries should be fully performed at the stage of specialized medical care. Wounded have to be evacuated not earlier than 5-7 days after surgery with the mandatory use of a special air transport ("Scalpel" or "Spasatel"), accompanied by Anaesthetist. In the absence of the possibility of surgery in 5-7 days at this stage the wounded have to be evacuated by air to the center hospitals. On the stage there are only patients requiring specialized care because of health reasons. Wounded with gunshot wounds of the soft tissues of the head, and those with mild forms of brain damage during the explosive and combat injury (concussion, mild brain contusion) can be evacuated by air transport accompanied by a doctor or paramedic at any period of time after the injury (trauma). PMID:25916035

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

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... evacuation service (HEMES). 135.271 Section 135.271 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... 24-consecutive hour period of a HEMES assignment, unless an emergency medical evacuation operation...

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

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... evacuation service (HEMES). 135.271 Section 135.271 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... 24-consecutive hour period of a HEMES assignment, unless an emergency medical evacuation operation...

  17. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... evacuation service (HEMES). 135.271 Section 135.271 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... 24-consecutive hour period of a HEMES assignment, unless an emergency medical evacuation operation...

  18. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... evacuation service (HEMES). 135.271 Section 135.271 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... 24-consecutive hour period of a HEMES assignment, unless an emergency medical evacuation operation...

  19. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... evacuation service (HEMES). 135.271 Section 135.271 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... 24-consecutive hour period of a HEMES assignment, unless an emergency medical evacuation operation...

  20. Air evacuation under high-level biosafety containment: the aeromedical isolation team.

    PubMed Central

    Christopher, G. W.; Eitzen, E. M.

    1999-01-01

    Military contingency operations in tropical environments and potential use of biological weapons by adversaries may place troops at risk for potentially lethal contagious infections (e.g., viral hemorrhagic fevers, plague, and zoonotic poxvirus infections). Diagnosis and treatment of such infections would be expedited by evacuating a limited number of patients to a facility with containment laboratories. To safely evacuate such patients by military aircraft and minimize the risk for transmission to air crews, caregivers, and civilians, the U.S. Army Medical Research Institute of Infectious Diseases maintains an aeromedical isolation team. This rapid response team, which has worldwide airlift capability designed to evacuate and manage patients under high-level containment, also offers a portable containment laboratory, limited environmental decontamination, and specialized consultative expertise. This article also examines technical aspects of the team's equipment, training, capabilities, and deployments. PMID:10221876

  1. Registered nurses as permanent members of medical evacuation crews: the critical link.

    PubMed

    Wissemann, Michael W; Vanfosson, Christopher A

    2012-01-01

    Medical evacuation has changed form the experiences of the past decade of combat operations. Much of the focus of the medical support in the combat zone is now critical care during evacuation, which is, and will continue to be, a very successful, life-saving asset. The assignment of Army critical care or trauma nurses to medical evacuation units is consistent with the recognition that the medical evacuation system is a truly vital asset in the success of today's American military. Our NATO allies, and our sister services, rely heavily on the availability, reliability, and especially continuity of care of the Arm medical evacuation system. It is time to upgrade the system of evacuation and provide our Warriors with the greatest possibilities of survival. Army nurses trained in critical care and trauma nursing are best suited to provide that continuity of care. PMID:23007941

  2. 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 728.307-70 Medical Evacuation (MEDEVAC) Services...

  3. Expatriate clinics and medical evacuation companies are a growth industry worldwide.

    PubMed

    Wilde, Henry; Roselieb, Marcus; Hanvesakul, Rekha; Phaosavasdi, Sukhit; Pruksapong, Chumsak

    2003-01-01

    Globalization and the growth of tourism, which now includes "adventure" visits to very remote regions, has created new employment but also new problems. For example, elderly tourists break their hips where there is no competent orthopedic surgeon, a traveler gets bitten by a cobra in rural Cambodia where there is not even an "Ambu" bag to keep him oxygenated, and a tour guide develops high-altitude cerebral edema on a remote Nepalese mountain. What would we do without organizations that are capable of removing such victims rapidly and safely to a place able to provide appropriate medical care? Fortunately, several well-staffed and well-equipped air ambulance companies stand ready almost worldwide to help 24 hours a day. Medical assistance firms, which sell their own travel insurance and/or act as agents of large insurance companies, are also at hand and have offices in major cities worldwide. They have 24-hour telephone numbers and are prepared to advise a sick or injured traveler where he or she should go to obtain competent medical care. Most of these firms have regional medical advisors in strategic locations who maintain a network of contacts. They can ensure that an ill traveler is receiving appropriate care and will act as quality controllers. They are also able to advise whether medical evacuation to a higher level of care is needed and where the traveler should be evacuated to. PMID:14642196

  4. Surgery in the air--evacuating Finnish tsunami victims from Thailand.

    PubMed

    Leppäniemi, A; Vuola, J; Vornanen, M

    2005-01-01

    In connection with the Asian tsunami disaster on December 26, 2004, a specially equipped Finnair B-757 airplane capable of evacuating badly injured patients was remodeled into an ambulance airplane. The vehicle could take up to 22 severely injured or ill patients and intensive care and limited surgical procedures could be provided to the patients. The plane was manned with a civilian medical team of 37 physicians and nurses. The plane left for Thailand to evacuate the most severely injured Finnish citizens within 10 hours of the evacuation decision. A total of 14 patients including 4 critically ill (two on ventilator) were transferred to Helsinki within 32 hours of takeoff. The medical team included a general, an orthopedic and a plastic surgeon. Soft tissue wounds, some of them severely infected, were the most common injuries, followed by extremity fractures and head injuries. The surgical procedures that were performed mid-air included wound surgery, to remove necrotic tissue, and external fixation and fasciotomy for a lower extremity fracture. The facilities under these circumstances would allow performing life-saving procedures to maintain airway and breathing, and surgical procedures of the soft tissues, extremity and pelvic fractures. Cavitary surgery would require additional equipment and resources. PMID:15865108

  5. [Medical and technical means for united circle of evacuation measures in military-medical organisations of the Ministry of Defence].

    PubMed

    Fisun, A Ya; Kalachev, O V; Shchegolev, A V; Vertii, B D

    2015-06-01

    Experts of the medical service of the Armed Forces carried out an analysis of capabilities of modern Russian enterprises and their innovative projects regarding creation of unified means of evacuation of wounded and providing to them necessary types of emergency care with the use of existing and future special and regular means of transport for medical evacuation. As a result of the work of industrial enterprises of the OAO Kazan "Vertoletniy Zavod", "Zarechie", "Vysota" was created a device for the medical evacuation of severe wounded patients. The device is designed for medical evacuation of severe wounded patients from the military medical unit to the site providing comprehensive medical care with maintenance of vital functions and monitoring of his condition. Testing was conducted on the products of regular vehicles medical company of one of the brigades of the Western Military District. The device was presented at the special tactical exercises the Armed Forces Medical Service "Frontier-2014", "Innovation Day" of the Defence Ministry in 2014. PMID:26442308

  6. [Hurricane Ike and the University of Texas Medical Branch Hospital's evacuation].

    PubMed

    Maybauer, D M; Megna, M; Kafka, G; Maybauer, M O

    2009-12-01

    In September 2008 the University of Texas Medical Branch at Galveston was threatened by Hurricane Ike. The incident commander decided to evacuate the hospital. This is a report on how this was accomplished and the lessons learned. An adequate disaster preparedness plan, sufficient logistics, a comprehensive incident command center and the use of complex communication systems were crucial for success. Within 11 h a total of 469 patients had been evacuated using 143 ambulances, 23 helicopters, 2 fixed wing aircraft, buses and numerous passenger vans. The authors encourage physicians, as responsible members of the health care team, to be prepared to respond to disasters. PMID:19949762

  7. 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

  8. 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. PMID:22205005

  9. 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

  10. 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. PMID:17517364

  11. 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

  12. [Sterilization of non-air evacuated infusion flasks containing little water].

    PubMed

    Kownacki, E; Flury, F

    1989-01-01

    Studies have been carried out in connection with the sterilization of glass infusion bottles from which air had not been evacuated and containing certain limited quantities of water. Bottles with a capacity of 500 and 1000 cm3 were filled with 1-3 cm3 distilled water and sterilized in an autoclave for 20 min. set at a temperature of 121 degrees C reaching up to 126 degrees C. The sterility was tested by introducing bags containing Bacillus stearothermophilus spores into the centre of the bottles. Following sterilization the bottles were examined for the growth of spores allowing an incubation period of 7 days at 37 degrees C. Based on the actual conditions of this investigation, it would appear that a bottle from which air has not been evacuated should contain at least 2% (V/V) distilled water, when sterilized in an autoclave. It is, however, strongly recommended that the present findings should be validated based on actual conditions prevailing for individual sterilization procedures. PMID:2726985

  13. Air medical evacuations from a developing world conflict zone.

    PubMed

    Low, Adam; Vadera, Bettina

    2011-01-01

    Somalia has been without effective government for close to two decades, with more than 1 million people internally displaced. The political unrest persists, with United Nations-backed African Union peacekeeping forces supporting the Transitional National government of Sharif Ahmed, struggling to maintain control of central Mogadishu from Islamist extremist groups, such as the reportedly Al-Qaeda-backed Al-Shabab. The African Union force of 5,000 troops is predominantly of Ugandan and Burundian origin, making up the African Mission in Somalia (AMISOM) effort. However, its mandate is limited to operations only in Mogadishu, and it is unauthorized to actively pursue insurgents. As with other ongoing high-profile conflicts, African Union troops face an enemy that blends into the civilian populace, fighting with a lethal mixture of improvised explosive devices and suicide bombers. PMID:22055174

  14. [Towards the problem of necessity to reduce the medical evacuation stages in conditions of local wars and armed conflicts].

    PubMed

    Gaĭdar, B V; Ivantsov, V A; Sidel'nikov, V O; Rusev, I T; Madaĭ, D Iu; Kokoev, V G; Zinov'ev, E V; Mutalibov, M M

    2004-06-01

    The article is devoted to the review of modern opinions concerning the experience of military operation medical support in conditions of local wars and military conflicts. On the base of analysis of medical assistance rendered to the wounded and casualties in Republic of Chechnya the advantages and defects of different approaches are discussed. The experience in rendering assistance to the casualties in the Armed Forces of NATO countries during the local wars for the last decades is discussed. It is shown that the optimal variant of organization of treatment-and-evacuation measures during the local armed conflicts and wars is the two-stage scheme of evacuation: the first medical aid--the qualified (specialized) medical aid. PMID:15327132

  15. 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. PMID:25223847

  16. 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. PMID:21226561

  17. 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

  18. Air medical transport of cardiac patients.

    PubMed

    Essebag, Vidal; Halabi, Abdul R; Churchill-Smith, Michael; Lutchmedial, Sohrab

    2003-11-01

    The air medical transport of cardiac patients is a rapidly expanding practice. For various medical, social, and economic indications, patients are being flown longer distances at commercial altitudes, including international and intercontinental flights. There are data supporting the use of short-distance helicopter flights early in the course of a cardiac event for patients needing emergent transfer for percutaneous coronary intervention or aortocoronary bypass. When considering elective long-distance air medical transport of cardiac patients for social or economic reasons, it is necessary to weigh the benefits against the potential risks of flight. A few recent studies suggest that long-distance air medical transport is safe under certain circumstances. Current guidelines for air travel after myocardial infarction do not address the use of medical escorts or air ambulances equipped with intensive care facilities. Further research using larger prospective studies is needed to better define criteria for safe long-distance air medical transport of cardiac patients. PMID:14605071

  19. Analysis of evacuations from areas of operation to the Spanish Role 4 medical treatment facility (2008-2013).

    PubMed

    Navarro Suay, Ricardo; Tamburri Bariain, Rafael; Gutiérrez Ortega, Carlos; Hernández Abadía de Barbará, Alberto; López Soberón, Edurne; Rodríguez Moro, Carlos

    2014-01-01

    Since 1987, the Spanish Armed Forces have deployed their troops in a multitude of conflicts and natural disasters worldwide. The Spanish Military Medical Corps has the ability to deploy Role 1, Role 2, and one Role 3 medical treatment facilities. It also has a Role 4 in operation, the "Gómez Ulla" Central Hospital of Defense, in Madrid. The aim of this study is to describe the type of Spanish casualties evacuated from different areas of operation to the Role 4 from 2008 to 2013. A retrospective, cross-sectional study was performed on a sample of 232 patients. Among these, 211 (91%) were noncombat casualties: 126 because of illness, 53 because of an accident, and 32 because of sports injuries. The remaining 21 (9%) were combat casualties: 11 from improvised explosive devices and 10 from gunfire. Afghanistan, followed by Lebanon, is the operational area where most evacuees originate. The authors consider it essential that the Spanish Armed Forces rely on a Role 4 medical treatment facility as part of their medical support to international operations. PMID:24402988

  20. 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. PMID:12585073

  1. 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

  2. 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

  3. Medical responsibility and air transport.

    PubMed

    Hédouin, V; Lallemand, M; Révuelta, E; Dreszer, M A; Gosset, D

    1998-01-01

    When a medical emergency occurs during a flight operated by a commercial airline, the assistance of a physician-passenger fortuitously present aboard may be requested. This physician becomes bound by both his professional and civil responsibilities. However, in the case of a serious problem, he would usually ignore the question of the jurisprudence of the country where the emergency occurs. In discussing this issue, this paper analyses different situations and risks that the physician may incur and points out various defects in the law not currently covered by existing international conventions. PMID:10396911

  4. 21 CFR 880.5045 - Medical recirculating air cleaner.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 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...

  5. 21 CFR 880.5045 - Medical recirculating air cleaner.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 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...

  6. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Medical ultraviolet air purifier. 880.6500 Section... 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...

  7. 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...

  8. Air medical transport of patients from offshore oil and gas facilities. Historical accident data and initial experience.

    PubMed

    Taylor, D H; Casta, R; Walker, V; Collier, F; Fromm, R E

    1993-01-01

    The offshore petroleum exploration and production industry (OSI) is isolated from traditional means of access to emergent health care and may benefit from the unique attributes of helicopter air medical transport. This study was undertaken to review the incidence of OSI-related incidents, injuries and deaths, and report the initial experience of a civilian hospital-based helicopter air transport program in the evacuation of offshore patients. It was learned that the mean annual incidence of major OSI accidents from 1980 to 1986 was 19.1 (+/- 7.0). Mean annual mortality and reported injury were 14.7 (+/- 7.6) and 36.7 (+/- 25.4) patients respectively. Fires and explosions were the most frequently reported events at 62 per year (+/- 11.5/year). Nine OSI patients were evacuated by helicopter during the study's eight-month pilot period (seven for trauma and two for medical illness). One of the nine patients had been exposed to a potentially hazardous substance, requiring changes in the air medical team's operations, aircraft and equipment. The study shows that the offshore petroleum environment is ideally suited for air medical transport, as injuries are common and medical illnesses are to be expected. However, air medical programs operating offshore must deal with additional regulatory requirements and develop operational procedures to ensure safety during these flights. PMID:10127859

  9. Management control of aeromedical evacuation systems.

    PubMed

    Barbash, G I; Ribak, J; Revach, M; Swedenburg, M G; Dolev, E

    1988-02-01

    Aeromedical evacuation has been extensively used by military forces for evacuation of wartime casualties, but has also proven useful in civilian disaster response. In contrast to the broad coverage of the clinical aspects of the aeromedical evacuation, the operational and management control issues have rarely been addressed. The sophisticated battlefield of the 1980s has had an impact also in air evacuation, adding to the factors to be considered before launching an evacuation mission. The professional control of aeromedical evacuation is, therefore, crucial to the efficient and smooth operation of this high-cost resource. In an attempt to shed light on some of the operational perspectives of military air evacuation, the Israeli experience in the management control of such systems is discussed. PMID:3345180

  10. Medical Problems Related to Air Travel

    PubMed Central

    Takahashi, George Y.

    1985-01-01

    Air travel has become the preferred method of transportation for many Canadians, some of whom would otherwise be unable to travel long distances. Airline medical departments will provide advice and assistance with prior notification. The pressurized cabin has a slightly hypoxic atmosphere, so cardiac and chronic pulmonary patients require individual evaluations before departure. Severely anemic patients and those with neurological disorders may need to take special precautions, as will those with conditions affected by pressure changes. Aside from a few contraindications, the majority of patients can enjoy the benefits of commercial air travel, with proper guidance from their family physician. PMID:21274124

  11. 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...

  12. 21 CFR 880.5045 - Medical recirculating air cleaner.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 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...

  13. 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...

  14. 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. PMID:25441528

  15. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... to ultraviolet radiation. (b) Classification. Class II (performance standards). ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Medical ultraviolet air purifier. 880.6500 Section... Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet...

  16. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... to ultraviolet radiation. (b) Classification. Class II (performance standards). ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Medical ultraviolet air purifier. 880.6500 Section... Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet...

  17. 21 CFR 880.6500 - Medical ultraviolet air purifier.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... to ultraviolet radiation. (b) Classification. Class II (performance standards). ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Medical ultraviolet air purifier. 880.6500 Section... Miscellaneous Devices § 880.6500 Medical ultraviolet air purifier. (a) Identification. A medical ultraviolet...

  18. 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...

  19. 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...

  20. 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...

  1. 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...

  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 876.4370 - Gastroenterology-urology evacuator.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Gastroenterology-urology evacuator. 876.4370... (CONTINUED) MEDICAL DEVICES GASTROENTEROLOGY-UROLOGY DEVICES Surgical Devices § 876.4370 Gastroenterology-urology evacuator. (a) Identification. A gastroenterology-urology evacuator is a device used to...

  4. 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... (CONTINUED) MEDICAL DEVICES GASTROENTEROLOGY-UROLOGY DEVICES Surgical Devices § 876.4370 Gastroenterology-urology evacuator. (a) Identification. A gastroenterology-urology evacuator is a device used to...

  5. 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 ...

  6. 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

  7. A literature review of air medical work hazards and pregnancy.

    PubMed

    Van Dyke, Patricia

    2010-01-01

    An increased percentage of miscarriages among coworkers at one air medical transport company in 2008 prompted a literature review of selected hazards relevant to the profession of rotor wing air medical flight crew. Because of a lack of known research specific to this population, relevant studies from 1990 to 2008 were chosen to investigate pregnancy risks associated with exposure to vibration, jet fuel, noise, altitude, and fatigue in other occupations. Findings were summarized and recommendations made for future research. PMID:20123310

  8. Emergent interfacility evacuation of critical care patients in combat.

    PubMed

    Franco, Yvonne E; De Lorenzo, Robert A; Salyer, Steven W

    2012-01-01

    During the Second Iraq War (Operation Iraqi Freedom), high-intensity, low-utilization medical and surgical services, such as neurosurgical care, were consolidated into a centralized location within the combat zone. This arrangement necessitated intra-theater air medical evacuation of critically ill or injured patients from outlying combat support hospitals (CSH) to another combat zone facility having the needed services. A case series is presented of intratheater transfer of neurosurgical patients in Iraq during 2005-06. Ninety-eight patients are included in the series, with typical transfer distances of 40 miles (approximately 20-25 minutes of flight time). All patients were transported with a CSH nurse in addition to the standard Army EMT-B flight medic. Seventy-six percent of cases were battle injury, 17% were non-battle injuries, and the balance were classified as non-injury mechanisms. Seventy-six percent of cases were head injuries, with the balance involving burns, stroke, and other injuries. At 30 days, 12% of the patients had died, and 9% remained hospitalized in a critical care setting. None of the patients died during evacuation. Intratheater and interfacility transfer of critical care patients in the combat theater often involves severely head-injured and other neurosurgical cases. Current Army staffing for helicopter transport in these case requires a nurse or other advanced personnel to supplement the standard EMT-B flight medic. PMID:22748416

  9. 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. PMID:25049187

  10. Mass casualty incident response and aeromedical evacuation in antarctica.

    PubMed

    Mills, Christopher N; Mills, Gregory H

    2011-02-01

    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

  11. 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

  12. [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;…

  13. 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. PMID:26299597

  14. Prevention of Medical Events During Air Travel: A Narrative Review.

    PubMed

    Naouri, Diane; Lapostolle, Frederic; Rondet, Claire; Ganansia, Olivier; Pateron, Dominique; Yordanov, Youri

    2016-09-01

    Prior to traveling, and when seeking medical pretravel advice, patients consult their personal physicians. Inflight medical issues are estimated to occur up to 350 times per day worldwide (1/14,000-40,000 passengers). Specific characteristics of the air cabin environment are associated with hypoxia and the expansion of trapped gases into body cavities, which can lead to harm. The most frequent medical events during air travel include abdominal pain; ear, nose, and throat pathologies; psychiatric disorders; and life-threatening events such as acute respiratory failure or cardiac arrest. Physicians need to be aware of the management of these conditions in this unusual setting. Chronic respiratory and cardiovascular diseases are common and are at increased risk of acute exacerbation. Physicians must be trained in these conditions and inform their patients about their prevention. PMID:27267286

  15. 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. PMID:16422459

  16. Image Guided Endoscopic Evacuation of Spontaneous Intracerebral Hemorrhage

    PubMed Central

    Miller, Chad M; Vespa, Paul; Saver, Jeffrey L; Kidwell, Chelsea S; Carmichael, Stanley T.; Alger, Jeffry; Frazee, John; Starkman, Sid; Liebeskind, David; Nenov, Valeriy; Elashoff, Robert; Martin, Neil

    2014-01-01

    Background Spontaneous intracerebral hemorrhage (ICH) is a devastating disease with high morbidity and mortality. ICH lacks an effective medical or surgical treatment despite the acknowledged pathophysiological benefits of achieved hemostasis and clot removal. Image guided stereotactic endoscopic hematoma evacuation is a promising minimally invasive approach designed to limit operative injury and maximize hematoma removal. Methods A single center randomized controlled trial was designed to assess the safety and efficacy of stereotactic hematoma evacuation compared to best medical management. Patients were randomized within 24 hours of hemorrhage in a 3:2 fashion to best medical management plus endoscopic hematoma evacuation or best medical management alone. Data was collected to assess efficacy and safety of hematoma evacuation and to identify procedural components requiring technical improvement. Results 10 patients have been enrolled and randomized to treatment. Six patients underwent endoscopic evacuation with a hematoma volume reduction of 80% +/−13 at 24 hours post procedure. The medical arm demonstrated a hematoma enlargement of 78% +/−142 during this same period. Rehemorrhage rates and deterioration rates were similar in the two groups. Mortality was 20% in the endoscopic group and 50% in the medical treatment cohort. The endoscopic technique was shown to be effective in identification and evacuation of hematomas while reduction in the number of endoscopic passes and maintenance of hemostasis require further study. Conclusion Image guided stereotactic endoscopic hematoma removal is a promising minimally invasive technique that is effective in immediate hematoma evacuation. This technique deserves further investigation to determine its role in ICH management. PMID:18424298

  17. Transparent evacuated insulation

    SciTech Connect

    Collins, R.E.; Fischer-Cripps, A.C.; Tang, J.Z. )

    1992-11-01

    Transparent evacuated insulation utilizes the same operating principles as the Dewar flask - gas conduction and convection are essentially eliminated by the evacuated space, and radiative heat transport is small because of internal low emittance coatings. These insulating structures consist of two flat sheets of glass with a hermetic edge seal. An array of support pillars is necessary to maintain the separation of the glass sheets under the influence of atmospheric pressure. The extensive literature on transparent evacuated insulation is reviewed. The design of these devices involves trade-offs between the heat flow through the pillars, and the mechanical stresses. A design methodology for determining the dimensions of the pillar array is developed. An analytic method is described for calculating the stresses and bending produced by a temperature difference across the structure. The results are in reasonable agreement with experimental measurements. The stresses within the structure are shown to be less than conventionally accepted levels over a wider range of operating conditions. Many samples of transparent evacuated insulation have been built and tested in which the heat transport through the evacuated space is due entirely to radiation, to the limit of resolution of the measuring device (0.2 W m{sup {minus}2}K{sup {minus}1}). No increase in heat transport has been observed over a period of 18 months. Much higher accuracy measurements have commenced. It appears likely that transparent evacuated insulation will achieve mid-plane insulating values of 0.6 W m{sup {minus}2}K{sup {minus}1}, and possibly somewhat lower.

  18. [Evacuation of patients from the North Sea].

    PubMed

    Freund, K G

    1989-06-10

    In 1986 and 1987 the department of orthopaedic surgery at the Central Hospital of Esbjerg dealt with 135 medical problems by radio-telephone contacts to persons at sea. Of these, 28% needed a chartered helicopter. This eguals one third of all chartered helicopter evacuations from Danish waters. 77% of the evacuations were from fishing boats and the rest from offshore structures or other kinds of ships. The mechanism of trauma and the diagnosis agreed with the findings in an earlier Danish publication. PMID:2749648

  19. 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. PMID:22128647

  20. Evacuation under limited visibility

    NASA Astrophysics Data System (ADS)

    Frank, Guillermo A.; Dorso, Claudio O.

    2015-06-01

    A multiplicity of situations can trigger off an evacuation of a room under panic conditions. For "normal" (with "normal" meaning absence of obstacles, perfect visibility, etc.) environmental conditions, the "faster is slower" effect dominates the dynamics of this process. It states that as the pedestrians desire to reach the exit increases, the clogging phenomena delays the time to get out of the room. But, environmental conditions are usually far from "normal." In this work, we consider that pedestrians have to find their way out under low visibility conditions. Some of them might switch to a herding-like behavior if they do not remember where the exit was. Others will just trust on their memory. Our investigation handles the herding and memory effects on the evacuation of a single exit room with no obstacles. We also include a section on how signaling devices affect the evacuation process. Unexpectedly, some low visibility situations may enhance the evacuation performance. This can be resumed as a second paradoxical result, since we demonstrated in an earlier investigation that "clever is not always better" G. A. Frank and C. O. Dorso, Physica A 390, 2135 (2011).

  1. 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. PMID:9819172

  2. [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. PMID:21413425

  3. Medical treatment at Louis Armstrong New Orleans International Airport after hurricane Katrina: the experience of disaster medical assistance teams WA-1 and OR-2.

    PubMed

    Sanford, Christopher; Jui, Jonathan; Miller, Helen C; Jobe, Kathleen A

    2007-07-01

    In the week following Hurricane Katrina, over 3000 patients were evacuated by air from a triage and medical treatment station at the Louis Armstrong New Orleans International Airport. This represents the largest air evacuation in history. Over 24,000 additional evacuees were transported from the airport to shelters. Disaster Medical Assistance Teams (DMATs) from several US states were deployed to the Louis Armstrong New Orleans International Airport to provide medical care to those evacuated from New Orleans. Despite warning from the US National Weather Service of catastrophic damage to New Orleans, adequate medical staffing was not attained at the airport triage station until 6 days after the hurricane struck. Organizational lapses, including inadequate medical and operational planning, understaffing of medical personnel, and failure to utilize Incident Command System, diminished the effectiveness of the Hurricane Katrina New Orleans Medical Operation. PMID:17574144

  4. Permanent internal pacemaker safety in air medical transport.

    PubMed

    Gordon, R S; O'Dell, K B

    1991-02-01

    Helicopter and fixed-wing air medical transportation provides an important role in the management of critically-ill patients. As the use of cardiac pacemakers continues to grow, knowledge of their expanding capabilities and sophistication is important. The environments of our "airborne intensive care units" are subject to many sources of electromagnetic and vibrational interference. Although pacemaker shielding mechanisms have become quite elaborate, further studies are needed to define their reliability in modern aircraft. Further, the possible effects of electromagnetic and vibrational interference upon inflight reprogramming require further study. PMID:10109075

  5. 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. PMID:25868416

  6. Primary Intracerebral Haematoma Evacuation: A Case Report

    PubMed Central

    Velnar, Tomaz; Bunc, Gorazd

    2016-01-01

    Spontaneous intracerebral hemorrhage is one of the most devastating types of stroke, leading to disability and high mortality rate. Besides blood pressure reduction and intensive medical and surgical treatment, immediate coagulopathy reversal is vital. On the other hand, the haemostatic disturbances may contribute to improve the recovery. We describe the evacuation of intracerebral hemorrhage with the insertion of external ventricular drainage in a patient suffering from deep hypertensive intracerebral haemorrhage and haematocephalus. PMID:27066398

  7. [Roles and functions of military flight nursing: aeromedical evacuation].

    PubMed

    Lee, Chun-Lan; Hsiao, Yun-Chien; Chen, Chao-Yen

    2012-06-01

    Evacuating the injured is an important part of disaster medicine. Aircraft provide timely access to distant and remote areas and, in an emergency, can evacuate sick or injured individuals in such areas quickly and safely for critical treatment elsewhere. Aeromedical evacuation (AE) comprises the two categories of fixed-wing ambulance service and helicopter emergency medical service (HEMS). Each aims to accomplish unique objectives. In Taiwan, the Second Taiwan Strait Crisis in 1958 established the unique role and functions of medical flight nursing. Significant knowledge and experience has been accumulated in the field since that time in such areas as the effects of high altitude environments on individuals and equipment; physiological, psychological, social and spiritual factors that affect the injured and / or response team members; and emergency care delivery techniques. All have been essential elements in the development and delivery of comprehensive medical flight nurse training. Medical flight nursing belongs in a special professional category, as nurses must master knowledge on general and special-case casualty evacuation procedures, relevant instruments and equipment, triage, in-flight medical care, and aircraft loading requirements related to transporting the sick and injured. The internationalization of medical care has opened the potential to expand medical flight nursing roles and functions into disaster nursing. Although military considerations continue to frame medical flight nursing training and preparation today, the authors feel that creating strategic alliances with disaster nursing specialists and organizations overseas is a future developmental direction for Taiwan's medical flight nursing sector worth formal consideration. PMID:22661029

  8. Effective leadership for crowd evacuation

    NASA Astrophysics Data System (ADS)

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

    2016-05-01

    Evacuation leaders (individuals guiding the crowd) can make crowd evacuation more efficient. Selecting their number and positions within the crowd is particularly important when the other evacuees are not familiar with the internal layout of the building. This paper investigates the effects of leadership on crowd evacuation in rooms with limited visibility range by an extended social force model. We find that, (i) For a large evacuees crowd, a small proportion of the evacuation leaders is already sufficient to guide the whole crowd efficiently, even if the visibility range of the room is very limited. And the smaller the crowd size, the larger the proportion of the leaders is needed to achieve a satisfactory evacuation guidance. (ii) The optimal proportion or number (i.e., the proportion or number that is necessary for guiding the crowd) of the leaders in an evacuees crowd to achieve a satisfactory guidance is related to the visibility range of the room and the distribution range of the evacuees crowd. (iii) Leadership is not always positive to the crowd evacuation. It may have a negative effect on crowd evacuation when the visibility range of the room and the size of the evacuees crowd are large enough. The findings provide a new insight into the effects of leadership on crowd evacuation.

  9. Canadian Evacuation and Nisei Identity.

    ERIC Educational Resources Information Center

    Makabe, Tomoko

    1980-01-01

    Japanese Canadians were interviewed to determine the effect of World War II evacuation on their ethnic identity. Older respondents deemphasized issues related to evacuation when discussing their ethnic identity. Younger Japanese Canadians are aware of this "cloud" as part of their ethnic heritage but are unaware of its exact origin. (MK)

  10. 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

  11. 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. PMID:24989110

  12. 14 CFR Appendix D to Part 121 - Criteria for Demonstration of Emergency Evacuation Procedures Under § 121.291

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR CARRIERS AND OPERATORS FOR COMPENSATION OR HIRE... assisting others inside the cabin during the demonstration. (20) The evacuation time period is...

  13. Chemical Agents: Facts about Evacuation

    MedlinePlus

    ... to evacuate You will hear from the local police, emergency coordinators, or government on the radio and/ ... school will put them, and you, at increased risk. The emergency shelter will have most supplies that ...

  14. [The principles of aviation support for rescue-evacuation operations in eliminating the consequences of disasters].

    PubMed

    Berezhnov, E S; Golovchits, V N

    1993-01-01

    Analysing practical results of an Air Force participation in liquidation of the earthquake consequences in Armenia, 1988, and after technological catastrophe in Bashkiria, 1989, the authors substantiate the role and significance of air transportation in the system of rescue and evacuation measures, define main tasks for aviation, propose methods for calculation of required number of aircraft and its types. The data cited in this article have formed a basis for the principles of air support during rescue and evacuation procedures. PMID:8484227

  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. PMID:23808204

  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. 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…

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

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... 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....

  19. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... 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....

  20. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... 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....

  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. Urban Emergency Evacuation Data Fusion Based on "ONE MAP"

    NASA Astrophysics Data System (ADS)

    Wen, B.; Sun, Q.; Chen, H.

    2013-07-01

    Urban emergency evacuation is a complicated systems engineering, which relates to many departments. How to fuse different scale, different format, different mathematical base spatial data effectively provided by such as police, fire protection, medical and health organization, traffic, emergency rescue and so on is a realistic matter that decision-makers are faced with. This paper analyses the characteristic of multisource spatial data in urban emergency evacuation and assorts it, brings forward the fusion strategy of multisource spatial data based on "one map", designs the frame of multisource spatial data fusion, makes an experiment in the end. The experiment indicates that the efficiency and level of urban emergency evacuation decision-making advances remarkably supported by multisource spatial data fusion.

  3. 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…

  4. 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).

  5. 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…

  6. Stationary surgical smoke evacuation systems.

    PubMed

    2001-03-01

    Two types of systems are available for evacuating the surgical smoke created by electrosurgery and laser surgery: portable and stationary surgical smoke evacuation systems. While portable systems dominate the market today, stationary systems are an alternative worth considering--even though they are still in their infancy, with fewer than 90 systems installed to date. Stationary systems represent a major commitment on the part of the healthcare facility. Several system components must be installed as part of the physical plant (for instance, within the walls), making the system a permanent fixture in the surgical suite. Installation of these systems is often carried out during building construction or major renovation--although the systems can be cost-effective even if no renovations are planned. For this Evaluation, we tested three stationary systems. All three are adequate to capture surgical smoke and evacuate it from the operating room. These systems are easy to use, are quietter than their portable counterparts, and require minimal user maintenance. They represent an excellent option for most hospitals actively evacuating surgical smoke. In this article, we discuss the factors to consider when selecting from among these systems. We also offer guidance on choosing between stationary systems and portable ones. PMID:11321758

  7. 14 CFR 25.803 - Emergency evacuation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... evacuation. (a) Each crew and passenger area must have emergency means to allow rapid evacuation in crash... must be shown by actual demonstration using the test criteria outlined in appendix J of this...

  8. 14 CFR 25.803 - Emergency evacuation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... evacuation. (a) Each crew and passenger area must have emergency means to allow rapid evacuation in crash... must be shown by actual demonstration using the test criteria outlined in appendix J of this...

  9. 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

  10. Reducing the oxygen concentration of gases delivered from anaesthetic machines unadapted for medical air

    PubMed Central

    Clutton, R. E.; Schoeffmann, G.; Chesnil, M.; Gregson, R.; Reed, F.; Lawson, H.; Eddleston, M.

    2014-01-01

    High fractional concentrations of inspired oxygen (FiO2) delivered over prolonged periods produce characteristic histological changes in the lungs and airway of exposed animals. Modern medical anaesthetic machines are adapted to deliver medical air (FiO2=0.21) for the purpose of reducing FiO2; anaesthetic machines designed for the veterinary market have not been so adapted. Two inexpensive modifications that allow medical air to be added to the gas flow from veterinary anaesthetic machines are described. The advantages and disadvantages of each modification are discussed. PMID:21862470

  11. [Medical Problems in Air Travel from a General Practitioner’s Perspective].

    PubMed

    Stutz, Andreas; Ensslin, Angela

    2016-07-01

    As travel by air increases, so does the number of passengers with chronic or acute medical issues. To evaluate fitness for air travel, it is necessary to consider the impact of the altered atmospheric surroundings in an airplane on the current illness to avoid a worsening of health conditions or even an emergency. As first medical contact person, the general practitioner will define supportive measures together with the patient and discuss these with the Medical Service of the airline for implementation. After a thorough evaluation, most patients will be classified fit to fly. Furthermore, a pre-travel consultation should address necessary vaccinations and information on infectious diseases. PMID:27381306

  12. 14 CFR 23.803 - Emergency evacuation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Emergency evacuation. 23.803 Section 23.803... Cargo Accommodations § 23.803 Emergency evacuation. (a) For commuter category airplanes, an evacuation.... The demonstration must be conducted under simulated night conditions using only the emergency exits...

  13. 14 CFR 25.803 - Emergency evacuation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Emergency evacuation. 25.803 Section 25.803... STANDARDS: TRANSPORT CATEGORY AIRPLANES Design and Construction Emergency Provisions § 25.803 Emergency evacuation. (a) Each crew and passenger area must have emergency means to allow rapid evacuation in...

  14. 14 CFR 29.803 - Emergency evacuation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Emergency evacuation. 29.803 Section 29.803... Emergency evacuation. (a) Each crew and passenger area must have means for rapid evacuation in a crash landing, with the landing gear (1) extended and (2) retracted, considering the possibility of fire....

  15. [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. PMID:25046924

  16. 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...

  17. True costs of air medical vs. ground ambulance systems.

    PubMed

    Bruhn, J D; Williams, K A; Aghababian, R

    1993-08-01

    The economic model created in this paper replaces the existing University of Massachusetts Medical Center's New England Life Flight (NELF) helicopter ambulance service with a ground ambulance system to investigate comparative costs. The model is based on a less than 30-minute response time to the patient, similar medical team staffing and equal service area. The annual budgetary cost of the replacement ground network is $3,804,000 while the helicopter ambulance costs are $1,686,500 (based on 1991 dollars). The cost per patient transported is $4,475 for the ground system and $2,811 for the helicopter system. The comparison finds that the commonly held notion that condemns helicopters as an excessively expensive technology for patient transport is incorrect. Future research to address intermediate alternatives using similar analytical technology assessment techniques is recommended. PMID:10127870

  18. Cold atmospheric pressure air plasma jet for medical applications

    NASA Astrophysics Data System (ADS)

    Kolb, J. F.; Mohamed, A.-A. H.; Price, R. O.; Swanson, R. J.; Bowman, A.; Chiavarini, R. L.; Stacey, M.; Schoenbach, K. H.

    2008-06-01

    By flowing atmospheric pressure air through a direct current powered microhollow cathode discharge, we were able to generate a 2cm long plasma jet. With increasing flow rate, the flow becomes turbulent and temperatures of the jet are reduced to values close to room temperature. Utilizing the jet, yeast grown on agar can be eradicated with a treatment of only a few seconds. Conversely, animal studies show no skin damage even with exposures ten times longer than needed for pathogen extermination. This cold plasma jet provides an effective mode of treatment for yeast infections of the skin.

  19. 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

  20. Cold atmospheric air plasma jet for medical applications

    NASA Astrophysics Data System (ADS)

    Kolb, Juergen F.; Price, Robert O.; Stacey, Michael; Swanson, R. James; Bowman, Angela; Chiavarini, Robert L.; Schoenbach, Karl H.

    2008-10-01

    By flowing ambient air through the discharge channel of a microhollow cathode geometry, we were able to sustain a stable 1.5-2 cm long afterglow plasma jet with dc voltages of only a few hundred volts. The temperature in this expelled afterglow plasma is close to room temperature. Emission spectra show atomic oxygen, hydroxyl ions and various nitrogen compounds. The low heavy-particle temperature allows us to use this exhaust stream on biological samples and tissues without thermal damage. The high levels of reactive species suggest an effective treatment for pathological skin conditions caused, in particular, by infectious agents. In first experiments, we have successfully tested the efficacy on Candida kefyr (a yeast), E.coli, and a matching E.coli strain-specific virus. All pathogens investigated responded well to the treatment. In the yeast case, complete eradication of the organism in the treated area could be achieved with an exposure of 90 seconds at a distance of 5 mm. A 10-fold increase of exposure, to 900 seconds caused no observable damage to murine integument.

  1. 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. PMID:25384488

  2. 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

    ... appropriately trained provider within 4 weeks or sooner, if required, and within 1-hour travel time from the beneficiary's residence. The geographic area that represents 1-hour travel time surrounding an MTF is referred... of the Secretary David Grant United States Air Force Medical Center Specialty Care...

  3. 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.

  4. 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.

  5. [Medical aspects of current flight safety concept of air forces of the Russian Federation].

    PubMed

    Blaginin, A A; Lizogub, I N

    2012-12-01

    Issues of medical supply of aviation operations, that is part of general system of flight safety are analyzed in this article. One of the main issues is development of the system of vocational preparation of medical personnel, taking part in organization and carrying flights. This issue consists of several themes: formation of united system of education from primary to post graduate; formation of modern training facility; assurance of high potential in academic and teaching staff and providing of good basic training and high learning motivation of applicants, who wants to become a air medical officer. Fundamental principles of developed concept of medical supply of flight safety are presented. It is shown that the essential condition of good implementation of the given concept is informaltion support of all its structures. PMID:23479904

  6. Nursing in the 8th Evacuation Hospital, 1942-1945.

    PubMed

    Brown, William J

    2015-01-01

    This article describes the experiences of Army nurses in the University of Virginia sponsored 8th Evacuation Hospital during World War II. In addition, it examines gender and role differences within the Army Medical Department, and how nurses' contributions helped shape the profession. This research used traditional historical methods of inquiry to include both primary and secondary sources of information. Primary sources include newspaper clippings, letters, citations, and photographs from the archival collections of the 8th Evacuation Hospital located in the University of Virginia Historical Collections and Services, Charlottesville, VA, and journal articles from that period. Secondary sources consisted of bibliographical and historical texts. Evidence suggests that advances in the chain-of-evacuation, antibiotics, dissemination of blood products, and nurses' expanded roles all contributed to increased survival of the wounded. Nurses' performance garnered an enduring respect from combatants who received care, as well as the medical officers and enlisted personnel with whom they worked on a daily basis. Collaboration, mutual respect, and coordinated teamwork were critical for mission success. Army nurses demonstrated that they had the mettle to go into a war zone and perform in an exemplary manner. PMID:26606414

  7. Tension pneumocephalus following evacuation of chronic subdural haematoma.

    PubMed

    Sharma, B S; Tewari, M K; Khosla, V K; Pathak, A; Kak, V K

    1989-01-01

    Five cases of a rare complication of tension pneumocephalus following evacuation of chronic subdural haematoma are described. This occurred in 8% of all cases of chronic subdural haematoma treated following installation of a CT scanner. The chronically compressed brain contributes to the ingress of this intracranial air. The increase in the brain bulk and gradual re-expansion of the brain, in the early postoperative period, competes with the trapped subdural air resulting in a rise in intracranial pressure leading to neurological deterioration. Twist drill craniostomy and aspiration, using a brain cannula with a three-way connector, has produced excellent results. PMID:2789723

  8. Endotracheal tube cuff pressure before, during, and after fixed-wing air medical retrieval.

    PubMed

    Brendt, Peter; Schnekenburger, Marc; Paxton, Karen; Brown, Anthony; Mendis, Kumara

    2013-01-01

    Abstract Background. Increased endotracheal tube (ETT) cuff pressure is associated with compromised tracheal mucosal perfusion and injuries. No published data are available for Australia on pressures in the fixed-wing air medical retrieval setting. Objective. After introduction of a cuff pressure manometer (Mallinckrodt, Hennef, Germany) at the Royal Flying Doctor Service (RFDS) Base in Dubbo, New South Wales (NSW), Australia, we assessed the prevalence of increased cuff pressures before, during, and after air medical retrieval. Methods. This was a retrospective audit in 35 ventilated patients during fixed-wing retrievals by the RFDS in NSW, Australia. Explicit chart review of ventilated patients was performed for cuff pressures and changes during medical retrievals with pressurized aircrafts. Pearson correlation was calculated to determine the relation of ascent and ETT cuff pressure change from ground to flight level. Results. The mean (± standard deviation) of the first ETT cuff pressure measurement on the ground was 44 ± 20 cmH2O. Prior to retrieval in 11 patients, the ETT cuff pressure was >30 cmH2O and in 11 patients >50 cmH2O. After ascent to cruising altitude, the cuff pressure was >30 cmH2O in 22 patients and >50 cmH2O in eight patients. The cuff pressure was reduced 1) in 72% of cases prior to take off and 2) in 85% of cases during flight, and 3) after landing, the cuff pressure increased in 85% of cases. The correlation between ascent in cabin altitude and ETT cuff pressure was r = 0.3901, p = 0.0205. Conclusions. The high prevalence of excessive cuff pressures during air medical retrieval can be avoided by the use of cuff pressure manometers. Key words: cuff pressure; air medical retrieval; prehospital. PMID:23252881

  9. 14 CFR 29.803 - Emergency evacuation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Emergency evacuation. 29.803 Section 29.803 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction Personnel and Cargo Accommodations § 29.803 Emergency evacuation. (a)...

  10. 14 CFR 25.803 - Emergency evacuation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Emergency evacuation. 25.803 Section 25.803 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Design and Construction Emergency Provisions § 25.803 Emergency evacuation. (a) Each crew...

  11. 14 CFR 29.803 - Emergency evacuation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Emergency evacuation. 29.803 Section 29.803 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Design and Construction Personnel and Cargo Accommodations § 29.803 Emergency evacuation. (a)...

  12. 14 CFR 25.803 - Emergency evacuation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Emergency evacuation. 25.803 Section 25.803 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Design and Construction Emergency Provisions § 25.803 Emergency evacuation. (a) Each crew...

  13. 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.

  14. Necessity of guides in pedestrian emergency evacuation

    NASA Astrophysics Data System (ADS)

    Yang, Xiaoxia; Dong, Hairong; Yao, Xiuming; Sun, Xubin; Wang, Qianling; Zhou, Min

    2016-01-01

    The role of guide who is in charge of leading pedestrians to evacuate in the case of emergency plays a critical role for the uninformed people. This paper first investigates the influence of mass behavior on evacuation dynamics and mainly focuses on the guided evacuation dynamics. In the extended crowd model proposed in this paper, individualistic behavior, herding behavior and environment influence are all considered for pedestrians who are not informed by the guide. According to the simulation results, herding behavior makes more pedestrians evacuate from the room in the same period of time. Besides, guided crowd demonstrates the same behavior of group dynamics which is characterized by gathering, conflicts and balance. Moreover, simulation results indicate guides with appropriate initial positions and quantity are more conducive to evacuation under a moderate initial density of pedestrians.

  15. A software utility for regional evacuation (SURE)

    SciTech Connect

    Venigalla, M.M. . Transportation Center); Rathi, A.K. )

    1992-01-01

    Regional evacuation is often a viable safeguard against natural catastrophes such as hurricanes and volcano eruptions, and man-made disasters such as toxic gas release into the atmosphere. Several computer programs exist for modeling regional evacuation on a given road network. As would be expected, these models are data intensive. In this paper, the development of a PC-based interactive computer model, Software Utility for Regional Evacuation (SURE), to create input to IDYNEV (for Interactive DYNamic EVacuation model) and analyze its output is discussed. The preprocessor module of SURE substantially reduces the time required to create input files to IDYNEV and the post-processor module summarizes the simulated results from the usually huge IDYNEV output files. The model also illustrates the evacuation network graphically and highlights problem links and intersections at selected intervals. SURE is being used extensively for evaualation studies under the US Army's Chemical Stockpile Emergency Preparedness (CSEP) program.

  16. A software utility for regional evacuation (SURE)

    SciTech Connect

    Venigalla, M.M.; Rathi, A.K.

    1992-09-01

    Regional evacuation is often a viable safeguard against natural catastrophes such as hurricanes and volcano eruptions, and man-made disasters such as toxic gas release into the atmosphere. Several computer programs exist for modeling regional evacuation on a given road network. As would be expected, these models are data intensive. In this paper, the development of a PC-based interactive computer model, Software Utility for Regional Evacuation (SURE), to create input to IDYNEV (for Interactive DYNamic EVacuation model) and analyze its output is discussed. The preprocessor module of SURE substantially reduces the time required to create input files to IDYNEV and the post-processor module summarizes the simulated results from the usually huge IDYNEV output files. The model also illustrates the evacuation network graphically and highlights problem links and intersections at selected intervals. SURE is being used extensively for evaualation studies under the US Army`s Chemical Stockpile Emergency Preparedness (CSEP) program.

  17. Statistical Analysis to Select Evacuation Route

    NASA Astrophysics Data System (ADS)

    Musyarof, Z.; Sutarto, D. Y.; Atika, D. R.; Fajriya Hakim, R. B.

    2015-06-01

    Each country should be responsible for the safety of people, especially responsible for the safety of people living in disaster-prone areas. One of those services is provides evacuation route for them. But all this time, the selection of evacuation route is seem does not well organized, it could be seen that when a disaster happen, there will be many accumulation of people on the steps of evacuation route. That condition is dangerous to people because hampers evacuation process. By some methods in Statistical analysis, author tries to give a suggestion how to prepare evacuation route which is organized and based on people habit. Those methods are association rules, sequential pattern mining, hierarchical cluster analysis and fuzzy logic.

  18. Spatial game in cellular automaton evacuation model

    NASA Astrophysics Data System (ADS)

    von Schantz, Anton; Ehtamo, Harri

    2015-11-01

    For numerical simulations of crowd dynamics in an evacuation we need a computationally light environment, such as the cellular automaton model (CA). By choosing the right model parameters, different types of crowd behavior and collective effects can be produced. But the CA does not answer why, when, and how these different behaviors and collective effects occur. In this article, we present a model, where we couple a spatial evacuation game to the CA. In the game, an agent chooses its strategy by observing its neighbors' strategies. The game matrix changes with the distance to the exit as the evacuation conditions develop. In the resulting model, an agent's strategy choice alters the parameters that govern its behavior in the CA. Thus, with our model, we are able to simulate how evacuation conditions affect the behavior of the crowd. Also, we show that some of the collective effects observed in evacuations are a result of the simple game the agents play.

  19. Comparing rural ground and air emergency medical services: a level I trauma center's experience.

    PubMed

    von Recklinghausen, Friedrich Maximilian

    2011-01-01

    We sought to compare differences in patients transported by ground and air emergency medical services directly from the scenes of their injuries to a rural level I trauma facility. Variables examined included age, gender, vital signs, Glasgow Coma Scale score, discharge location, length of stay, and survival metrics. Student t tests and odds ratios were used for analysis. Demographics and vital signs differed between trauma patients transported by air versus those transported by ground. Generally, length of stay was longer in air-transported patients, who also had poorer survival metrics with negligible risk of death. Significant differences exist in the markers of physiology such as vital signs, expected survival, and degree of injury. PMID:22157533

  20. 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.

  1. Aeromedical evacuation planning using geospatial decision-support.

    PubMed

    Bastian, Nathaniel D; Fulton, Lawrence V

    2014-02-01

    In this study, we proffer an algorithmic, geospatial-based decision-support methodology that assists military decision-makers in determining which aeromedical evacuation (MEDEVAC) assets to launch after receiving an injury location, given knowledge only of terrain, aircraft location, and aircraft capabilities. The objective is for military medical planners to use this decision-support tool (1) to improve real-time situational awareness by visualization of MEDEVAC coverage, showing which areas can be reached within established timelines; (2) to support medical planning by visualizing the impact of changes in the medical footprint to the MEDEVAC coverage; and (3) to support decision-making by providing a time-sorted list of MEDEVAC asset packages to select from, given the location of the patients. This same geospatial-based decision tool can be used for proper emplacement of evacuation assets such that the theater is covered within a truly representative 1-hour response time. We conclude with a discussion of applicability of this tool in medical force structure planning. PMID:24491614

  2. Experience Of A US Air Force Surgical And Critical Care Team Deployed In Support Of Special Operations Command Africa.

    PubMed

    Delmonaco, Brian L; Baker, Aaron; Clay, Jared; Kilbourn, James

    2016-01-01

    An eight-person team of conventional US Air Force (USAF) medical providers deployed to support US Special Operations Forces (SOF) in North and West Africa for the first time in November 2014. The predeployment training, operations while deployed, and lessons learned from the challenges of performing surgery and medical evacuations in the remote desert environment of Chad and Niger on the continent of Africa are described. The vast area of operations and far-forward posture of these teams requires cooperation between partner African nations, the French military, and SOF to make these medical teams effective providers of surgical and critical care in Africa. The continuous deployment of conventional USAF medical providers since 2014 in support of US Special Operations Command Africa is challenging and will benefit from more medical teams and effective air assets to provide casualty evacuation across the vast area of operations. PMID:27045506

  3. The analysis of in-air reverberation patterns from medical ultrasound transducers

    PubMed Central

    Quinn, T

    2014-01-01

    National guidelines for routine ultrasound quality assurance include the measurement of transducer sensitivity using the in-air reverberation pattern generated from a transducer operating in air. The in-air reverberation method has been compared with other well-known measures of transducer sensitivity, such as the Sonora FirstCall probe tester (Sonora Medical Systems Inc, Longmont, CO, USA) and phantom-based images. There is good agreement between the in-air reverberation images and the Sonora FirstCall probe data for individual crystal sensitivity. However, the in-air reverberation approach is cheaper and easier to implement for linear and curvilinear transducers. The methods used for measuring the in-air reverberation pattern and the influence of scanner parameters such as gain and output power have been investigated. In general, reliance on a visual assessment of reverberation depth can lead to inconsistencies in the measurement of reverberation depth, when taken over a period of several months. The value of scanner parameters, in particular scanner gain, is also important when trying to measure changes in reverberation depth due to changes in transducer performance. A more accurate assessment of changes in transducer sensitivity, using the in-air reverberation method, is found by measuring the peak pixel grey scale values within a chosen reverberation band in the image. This quantitative approach can be taken a step further by assessing changes within the whole in-air reverberation pattern, by applying a two-dimensional cross correlation between two reverberation images to assess changes in transducer performance. PMID:27433190

  4. 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.

  5. Inability to assess breath sounds during air medical transport by helicopter.

    PubMed

    Hunt, R C; Bryan, D M; Brinkley, V S; Whitley, T W; Benson, N H

    1991-04-17

    This study assessed the capabilities of a traditional and an amplified stethoscope used by flight nurses to assess breath sound during air medical transport in an MBB BO-105 helicopter. We developed a normal breath sound model using a prerecorded tape of breath sounds interspersed with segments without breath sounds; the recorder had been placed in the chest wall of a resuscitation training manikin. Flight nurses completed control listening sessions in a quiet environment and experimental sessions during flight using a traditional stethoscope for half of the sessions and an amplified stethoscope for the remaining half. In the quiet environment, flight nurses accurately reported the presence or absence of breath sounds in 110 (92%) of 120 trials. During helicopter flight, none of the flight nurses heard breath sounds during any of the recorded segments with either the traditional stethoscope or the amplified stethoscope. We conclude that flight nurses are unable to hear normal breath sounds using a traditional or amplified stethoscope during flight in a medically configured MBB BO-105 helicopter. Improved stethoscopes, innovative methods of listening, and reduction of aircraft noise are potential solutions to the problems of breath sound assessment during air medical transport. PMID:2008028

  6. 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.

  7. 46 CFR 199.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... from any projections of the vessel's structure or equipment. (4) The marine evacuation system's passage... 46 Shipping 7 2010-10-01 2010-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation...

  8. 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;...

  9. 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;...

  10. 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;...

  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. 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. PMID:22978739

  13. 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. PMID:26674604

  14. 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

  15. 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. PMID:22060035

  16. 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

  17. 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

  18. Novel association of rectal evacuation disorder and rumination syndrome: Diagnosis, comorbidities, and treatment

    PubMed Central

    Vijayvargiya, Priya; Iturrino, Johanna; Shin, Andrea; Vazquez-Roque, Maria; Katzka, David A; Snuggerud, Jill R; Seime, Richard J

    2014-01-01

    Background Patients with disorders of gastrointestinal function may undergo unnecessary treatment if misdiagnosed as motility disorders. Objective To report on clinical features, medical, surgical, and psychiatric comorbidities, and prior treatments of a patient cohort diagnosed concurrently with nonpsychogenic rumination syndrome and pelvic floor dysfunction (also termed rectal evacuation disorder). Methods From a consecutive series (1994–2013) of 438 outpatients with rectal evacuation disorders in the practice of a single gastroenterologist at a tertiary care centre, 57 adolescents or adults were diagnosed with concomitant rumination syndrome. All underwent formal psychological assessment or completed validated questionnaires. Results All 57 patients (95% female) fulfilled Rome III criteria for rumination syndrome; rectal evacuation disorder was confirmed by testing of anal sphincter pressures and rectal balloon evacuation. Prior to diagnosis, most patients underwent multiple medical and surgical treatments (gastrostomy, gastric fundoplication, other gastric surgery, ileostomy, colectomy) for their symptoms. Psychological comorbidity was identified in 93% of patients. Patients were managed predominantly with psychological and behavioural approaches: diaphragmatic breathing for rumination and biofeedback retraining for pelvic floor dysfunction. Conclusions Awareness of concomitant rectal evacuation disorder and rumination syndrome and prompt identification of psychological comorbidity are keys to instituting behavioural and psychological methods to avoid unnecessary treatment. PMID:24724013

  19. Modeled occupational exposures to gas-phase medical laser-generated air contaminants.

    PubMed

    Lippert, Julia F; Lacey, Steven E; Jones, Rachael M

    2014-01-01

    Exposure monitoring data indicate the potential for substantive exposure to laser-generated air contaminants (LGAC); however the diversity of medical lasers and their applications limit generalization from direct workplace monitoring. Emission rates of seven previously reported gas-phase constituents of medical laser-generated air contaminants (LGAC) were determined experimentally and used in a semi-empirical two-zone model to estimate a range of plausible occupational exposures to health care staff. Single-source emission rates were generated in an emission chamber as a one-compartment mass balance model at steady-state. Clinical facility parameters such as room size and ventilation rate were based on standard ventilation and environmental conditions required for a laser surgical facility in compliance with regulatory agencies. All input variables in the model including point source emission rates were varied over an appropriate distribution in a Monte Carlo simulation to generate a range of time-weighted average (TWA) concentrations in the near and far field zones of the room in a conservative approach inclusive of all contributing factors to inform future predictive models. The concentrations were assessed for risk and the highest values were shown to be at least three orders of magnitude lower than the relevant occupational exposure limits (OELs). Estimated values do not appear to present a significant exposure hazard within the conditions of our emission rate estimates. PMID:24762065

  20. 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.

  1. 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. PMID:20678603

  2. 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. PMID:22783605

  3. Pet Ownership and Evacuation Prior to Hurricane Irene

    PubMed Central

    Hunt, Melissa G.; Bogue, Kelsey; Rohrbaugh, Nick

    2012-01-01

    Simple Summary Ninety pet owners and 27 non-pet owners who lived in mandatory evacuation zones during the 2011 Hurricane Irene were surveyed about whether or not they evacuated and about their experiences during the hurricane. Although pet-ownership was not statistically associated with evacuation failure, many pet owners who chose not to evacuate still claimed that they did not evacuate because of difficulties with evacuating their pet. These findings suggest that more work needs to be done in order to make evacuating with a pet easier. Abstract Pet ownership has historically been one of the biggest risk factors for evacuation failure prior to natural disasters. The forced abandonment of pets during Hurricane Katrina in 2005 made national headlines and led to the passage of the Pet Evacuation and Transportation Standards Act (PETS, 2006) which mandated local authorities to plan for companion animal evacuation. Hurricane Irene hit the East Coast of the United States in 2011, providing an excellent opportunity to examine the impact of the PETS legislation on frequency and ease of evacuation among pet owners and non-pet owners. Ninety pet owners and 27 non-pet owners who lived in mandatory evacuation zones completed questionnaires assessing their experiences during the hurricane and symptoms of depression, PTSD, dissociative experiences, and acute stress. Pet ownership was not found to be a statistical risk factor for evacuation failure. However, many pet owners who failed to evacuate continue to cite pet related reasons. PMID:26487162

  4. 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 ...

  5. Evacuation modeling near a chemical stockpile site

    SciTech Connect

    Newsom, D.E.; Madore, M.A.; Jaske, R.T.

    1992-01-01

    Dynamic evacuation modeling was used as an aid in emergency response planning by Tooele County, Utah, location of the United States' largest stockpile of unitary chemical weapons. The use of traffic modeling was affected both by the characteristics of the hazard and the unique topography of the area. To address these constraints Argonne National Laboratory, the Federal Emergency Management Agency, and Tooele County created a set of evacuation modeling scenarios to be stored in the county's emergency management information system. For use in planning, the scenarios enable the county to map out effective traffic management strategies. For us in exercises or emergency response the scenarios enable the county to quickly access data to make and implement evacuation decisions.

  6. Evacuation modeling near a chemical stockpile site

    SciTech Connect

    Newsom, D.E.; Madore, M.A.; Jaske, R.T.

    1992-06-01

    Dynamic evacuation modeling was used as an aid in emergency response planning by Tooele County, Utah, location of the United States` largest stockpile of unitary chemical weapons. The use of traffic modeling was affected both by the characteristics of the hazard and the unique topography of the area. To address these constraints Argonne National Laboratory, the Federal Emergency Management Agency, and Tooele County created a set of evacuation modeling scenarios to be stored in the county`s emergency management information system. For use in planning, the scenarios enable the county to map out effective traffic management strategies. For us in exercises or emergency response the scenarios enable the county to quickly access data to make and implement evacuation decisions.

  7. 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.

  8. 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.

  9. 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.

  10. 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. PMID:24909363

  11. 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. PMID:10085824

  12. 30 CFR 75.1501 - Emergency evacuations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Mine Emergencies § 75.1501 Emergency evacuations. (a) For... by the mine operator to take charge during mine emergencies involving a fire, explosion, or gas...

  13. 30 CFR 75.1501 - Emergency evacuations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Mine Emergencies § 75.1501 Emergency evacuations. (a) For... by the mine operator to take charge during mine emergencies involving a fire, explosion, or gas...

  14. 30 CFR 75.1501 - Emergency evacuations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Mine Emergencies § 75.1501 Emergency evacuations. (a) For... by the mine operator to take charge during mine emergencies involving a fire, explosion, or gas...

  15. 30 CFR 75.1501 - Emergency evacuations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Mine Emergencies § 75.1501 Emergency evacuations. (a) For... by the mine operator to take charge during mine emergencies involving a fire, explosion, or gas...

  16. 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.

  17. [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. PMID:25555005

  18. 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.

  19. 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

  20. 30 CFR 56.4330 - Firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Firefighting, evacuation, and rescue procedures... Fire Prevention and Control Firefighting Procedures/alarms/drills § 56.4330 Firefighting, evacuation, and rescue procedures. (a) Mine operators shall establish emergency firefighting, evacuation,...

  1. 30 CFR 56.4330 - 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 Firefighting, evacuation, and rescue procedures... Fire Prevention and Control Firefighting Procedures/alarms/drills § 56.4330 Firefighting, evacuation, and rescue procedures. (a) Mine operators shall establish emergency firefighting, evacuation,...

  2. 46 CFR 108.545 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... projections of the unit's structure or equipment. (3) The marine evacuation system's passage and platform... 46 Shipping 4 2010-10-01 2010-10-01 false Marine evacuation system launching arrangements. 108.545... DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system...

  3. 46 CFR 133.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... projections of the OSV's structure or equipment. (4) The marine evacuation system's passage and platform, when... 46 Shipping 4 2010-10-01 2010-10-01 false Marine evacuation system launching arrangements. 133.145... LIFESAVING SYSTEMS Requirements for All OSVs § 133.145 Marine evacuation system launching arrangements....

  4. 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...

  5. 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)...

  6. 46 CFR 133.145 - Marine evacuation system launching arrangements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 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...

  7. 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...

  8. 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)...

  9. 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...

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

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 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 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)...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. [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. PMID:23769257

  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. 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

  20. A disaster evacuation planning tool (ADEPT)

    NASA Astrophysics Data System (ADS)

    Feeley, Terry; Ferguson, James; Hosch, Rebecca

    2010-04-01

    Natural disasters take hundreds of thousands of lives each year. They generate billions of dollars in financial losses annually. Some of these losses are inevitable due to the high population densities in areas at risk for earthquakes, tornados, hurricanes and other powerful forces in nature. However with improvements in weather forecasting, the emergence of better modeling and simulation tools, and the application of these tools to disaster preparation and recovery planning these losses in human life and infrastructure can be greatly mitigated. ADEPT is an application developed by Rite-Solutions that joins storm surge modeling with evacuation route planning. It can be used to train citizens and first responders in best disaster evacuation practices.

  1. Evacuation mapping: the utility of guidelines.

    PubMed

    Dymon, U J; Winter, N L

    1993-03-01

    Maps provided to the public for preventive and protective evacuations should be an integral part of emergency plans. The map design criteria contained in the United States Federal Emergency Management Agency (FEMA) guidelines for nuclear power plants were examined and compared with the content and design of evacuation maps found in the public information publications of thirteen United States nuclear power plants. Results indicated that the graphic and descriptive content of these maps varied considerably. Four characteristics related chiefly to the FEMA guidelines capture some of the findings from this study: 1) failure to comply with Nuclear Regulatory Commission (NRQ/FEMA suggestions; 2) failure to comply with FEMA guidelines for map elements; 3) weaknesses present in the FEMA guidelines themselves; and 4) significant omissions in those guidelines. PMID:20958754

  2. Traffic congestion and dispersion in Hurricane evacuation

    NASA Astrophysics Data System (ADS)

    Tanaka, Katsunori; Nagatani, Takashi; Hanaura, Hirotoshi

    2007-03-01

    We study the traffic congestion and dispersion of vehicles occurring on a single lane highway in Hurricane evacuation. The traffic congestion depends on both sensitivity and speed of the leading vehicle. When the leading vehicle moves with low speed, the vehicular traffic exhibits the stop and go-wave (oscillating congested traffic) for low sensitivity, while the traffic results in the homogeneous congested traffic for high sensitivity. The traffic dispersion is measured by the time difference between the leading and rear vehicles. The time difference fluctuates highly for the oscillating congestion traffic, while it keeps a constant value for the homogeneous congested traffic. The traffic states in Hurricane evacuation is connected to the phase diagram of conventional traffic.

  3. Hazardous materials events: evaluation of transport to health care facility and evacuation decisions.

    PubMed

    Burgess, J L; Kovalchick, D F; Harter, L; Kyes, K B; Lymp, J F; Brodkin, C A

    2001-03-01

    The study objective was to analyze hazardous materials event and victim factors associated with transportation of victims to a health care facility, and evacuation or shelter-in-place of nearby populations. A retrospective review was conducted on hazardous materials events in Washington State from 1993 to 1997. Bivariate and multiple logistic regression were used to identify risk factors for transportation, evacuation, and shelter-in-place. Over five years, 2,654 victims from 457 events were reported, with 1,859 (70%) transported to a health care facility. Evacuation occurred in 279 (61%) events and shelter-in-place in 14 (3%) events. After excluding 14 deaths, regression analysis indicated that victims with trauma (OR 5.87, 95% CI 1.41-24.5), thermal burns (6.90, 1.15-41.3), dizziness/other CNS symptoms (1.59, 1.00-2.54), and headache (1.54, 1.01-2.35) were most likely to be transported. Chemical releases inside buildings (2.09, 1.06-4.10, compared with transportation events), and involving 3-5 victims (2.86, 1.54-5.31, compared to 1 victim) or > or =6 victims (8.74, 4.01-19.0), were most likely to involve evacuation or shelter-in-place. Events involving sulfuric acid (0.15, 0.05-0.49) and sodium hydroxide (0.19, 0.04-0.94) were least likely to involve evacuation or shelter-in-place. Prehospital decisions to transport victims to a health care facility and evacuate or shelter-in-place nearby populations are associated with event and victim factors. Further research is needed to determine if these factors also predict need for medical care or removal from exposure, and to develop evidence-based prehospital care protocols for hazardous materials exposure victims. PMID:11239250

  4. Pet Ownership and Evacuation Prior to Hurricane Irene.

    PubMed

    Hunt, Melissa G; Bogue, Kelsey; Rohrbaugh, Nick

    2012-01-01

    Pet ownership has historically been one of the biggest risk factors for evacuation failure prior to natural disasters. The forced abandonment of pets during Hurricane Katrina in 2005 made national headlines and led to the passage of the Pet Evacuation and Transportation Standards Act (PETS, 2006) which mandated local authorities to plan for companion animal evacuation. Hurricane Irene hit the East Coast of the United States in 2011, providing an excellent opportunity to examine the impact of the PETS legislation on frequency and ease of evacuation among pet owners and non-pet owners. Ninety pet owners and 27 non-pet owners who lived in mandatory evacuation zones completed questionnaires assessing their experiences during the hurricane and symptoms of depression, PTSD, dissociative experiences, and acute stress. Pet ownership was not found to be a statistical risk factor for evacuation failure. However, many pet owners who failed to evacuate continue to cite pet related reasons. PMID:26487162

  5. 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. PMID:24991636

  6. 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

  7. Evacuation behavior and Three Mile Island.

    PubMed

    Cutter, S; Barnes, K

    1982-06-01

    The responses of the residents to the nuclear power plant arcident at Three Mile Island, Pennsylvania illustrate the factors influencing pre-impact coping responses of populations exposed to technological hazards. Confusion itnd ambiguous information influenced both the decision to evaluate and to remain in place. Proximity to the facility, stage in life cycle and the actions of friends and neighbors influenced the decision to evacuate. PMID:20958525

  8. Simulated Aeromedical Evacuation Exacerbates Experimental Brain Injury.

    PubMed

    Skovira, Jacob W; Kabadi, Shruti V; Wu, Junfang; Zhao, Zaorui; DuBose, Joseph; Rosenthal, Robert; Fiskum, Gary; Faden, Alan I

    2016-07-15

    Aeromedical evacuation, an important component in the care of many patients with traumatic brain injury (TBI), particularly in war zones, exposes them to prolonged periods of hypobaria. The effects of such exposure on pathophysiological changes and outcome after TBI are largely unexplored. The objective of this study was to investigate whether prolonged hypobaria in rats subjected to TBI alters behavioral and histological outcomes. Adult male Sprague-Dawley rats underwent fluid percussion induced injury at 1.5-1.9 atmospheres of pressure. The effects of hypobaric exposure (6 h duration; equivalent to 0.75 atmospheres) at 6, 24, and 72 h, or 7 days after TBI were evaluated with regard to sensorimotor, cognitive, and histological changes. Additional groups were evaluated to determine the effects of two hypobaric exposures after TBI, representing primary simulated aeromedical evacuation (6 h duration at 24 h after injury) and secondary evacuation (10 h duration at 72 h after injury), as well as the effects of 100% inspired oxygen concentrations during simulated evacuation. Hypobaric exposure up to 7 days after injury significantly worsened cognitive deficits, hippocampal neuronal loss, and microglial/astrocyte activation in comparison with injured controls not exposed to hypobaria. Hyperoxia during hypobaric exposure or two exposures to prolonged hypobaric conditions further exacerbated spatial memory deficits. These findings indicate that exposure to prolonged hypobaria up to 7 days after TBI, even while maintaining physiological oxygen concentration, worsens long-term cognitive function and neuroinflammation. Multiple exposures or use of 100% oxygen further exacerbates these pathophysiological effects. PMID:26593382

  9. 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).

  10. Pediatric issues in disaster management, part 2: evacuation centers and family separation/reunification.

    PubMed

    Mace, Sharon E; Sharieff, Ghazala; Bern, Andrew; Benjamin, Lee; Burbulys, Dave; Johnson, Ramon; Schreiber, Merritt

    2010-01-01

    Although children and infants are likely to be victims in a disaster and are more vulnerable in a disaster than adults, disaster planning and management has often overlooked the specific needs of pediatric patients. We discuss key components of disaster planning and management for pediatric patients including emergency medical services, hospital/facility issues, evacuation centers, family separation/reunification, children with special healthcare needs, mental health issues, and overcrowding/surge capacity. Specific policy recommendations and an appendix with detailed practical information and algorithms are included. The first part of this three part series on pediatric issues in disaster management addresses the emergency medical system from the field to the hospital and surge capacity including the impact of crowding. The second part addresses the appropriate set up and functioning of evacuation centers and family separation and reunification. The third part deals with special patient populations: the special healthcare needs patient and mental health issues. PMID:20701172

  11. 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.

  12. Operational dead air space testing of the chemically protected DEPloyable MEDical Systems (cp DEPMEDS). Final report, Aug-Oct 91

    SciTech Connect

    Seitzinger, A.; Richardson, T.

    1992-07-01

    This report documents the results and findings of dead air space tests on the chemically protected deployable medical systems (DEPMEDS) conducted at Fort Indiantown Gap, PA. The DEPMEDS are composed of various size overpressurized chemically protected shelters connected by viaducts. Designed by the U.S. Army Natick Research, Development and Engineering Center (NATICK), the shelters provide a clean air conditioned atmosphere to treat wounded personnel in a chemical warfare environment. NATICK requested the U.S. Army Chemical Research, Development and Engineering Center's support to identify any dead air spaces, because these spaces would be a potential chemical agent vapor accumulation location, and threaten the collective protection of the shelters. Initially, a smoke generator was utilized to observe the air flow patterns within the DEPMEDS, and suspect dead air space locations were identified. However, subsequent dissemination of sulfur hexafluoride into the ventilation system of the shelter indicated that no dead air spaces were present. This report includes a few suggestions to improve the air circulation of the DEPMEDS, namely elimination of the interior shelter liners and using doors between the viaducts connecting the various shelters. Sulfur, Ventilation kinetics, Shelters, Collective protection, Hexafluoride, Chemical agent simulants.

  13. A cross-sectional survey of patient needs in hospital evacuation.

    PubMed

    Rimstad, Rune; Holtan, Anders

    2015-01-01

    To aid development of contingency plans, a cross-sectional survey of inpatient needs in the event of a total hospital evacuation within a few hours was undertaken. The hospital is a part of a tertiary care facility with a mixed surgical and medical population and a relatively large load of emergency medicine. A doctor or nurse on each ward registered patients' physical mobility, special needs complicating transportation (intensive care, labor, isolation, etc), and the lowest acceptable level of care after evacuation. Of the 760 included patients, 57.8 percent could walk, 20.0 percent needed wheelchair, and 22.2 percent needed transport on stretcher. Special needs were registered for 18.2 percent of patients. Only 49.7 percent of patients needed to be evacuated to another hospital to continue care on an acceptable level, while 37.6 percent could be discharged to their own home, and 12.6 percent could be evacuated to a nursing home. Patients in psychiatric wards and high dependency units had distinctly different needs than patients in ordinary somatic wards. The differences between patients in surgical and nonsurgical wards were minor. Patient discharge seems to be a considerable capacity buffer in a hospital crisis situation. PMID:26312655

  14. A cross-sectional survey of patient needs in hospital evacuation.

    PubMed

    Rimstad, Rune; Holtan, Anders

    2015-01-01

    To aid development of contingency plans, a cross-sectional survey of inpatient needs in the event of a total hospital evacuation within a few hours was undertaken. The hospital is a part of a tertiary care facility with a mixed surgical and medical population and a relatively large load of emergency medicine. A doctor or nurse on each ward registered patients' physical mobility, special needs complicating transportation (intensive care, labor, isolation, etc), and the lowest acceptable level of care after evacuation. Of the 760 included patients, 57.8 percent could walk, 20.0 percent needed wheelchair, and 22.2 percent needed transport on stretcher. Special needs were registered for 18.2 percent of patients. Only 49.7 percent of patients needed to be evacuated to another hospital to continue care on an acceptable level, while 37.6 percent could be discharged to their own home, and 12.6 percent could be evacuated to a nursing home. Patients in psychiatric wards and high dependency units had distinctly different needs than patients in ordinary somatic wards. The differences between patients in surgical and nonsurgical wards were minor. Patient discharge seems to be a considerable capacity buffer in a hospital crisis situation. PMID:27149311

  15. 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

  16. Micrococcus cohnii sp. nov., isolated from the air in a medical practice.

    PubMed

    Rieser, Gernot; Scherer, Siegfried; Wenning, Mareike

    2013-01-01

    Three Gram-reaction-positive bacteria, isolated from the air in a medical practice (strains WS4601(T), WS4602) or a pharmaceutical clean room (strain WS4599), were characterized using a polyphasic approach. Phylogenetic analyses based on 16S rRNA and recA gene sequences of the three novel strains showed that they formed a distinct lineage within the genus Micrococcus, sharing 16S rRNA gene sequence similarities of 96.1-98.0 % with other species of this genus. Chemotaxonomic features also supported the classification of the three novel strains within the genus Micrococcus. The major cellular fatty acids of strain WS4601(T) were anteiso-C(15 : 0) and iso-C(15 : 0), the cell-wall peptidoglycan was of type A3α (L-Lys-L-Ala), and the predominant respiratory quinones were MK-7(H(2)) and MK-8(H(2)). The polar lipid profile contained diphosphatidylglycerol and phosphatidylglycerol, but no phosphatidylinositol. The G+C content of the genomic DNA was 70.4 mol%. Numerous physiological properties were found that clearly distinguished strains WS4599, WS4601(T) and WS4602 from established members of the genus Micrococcus. Based on the phenotypic and phylogenetic data, strains WS4599, WS4601(T) and WS4602 are considered to represent three different strains of a novel species of the genus Micrococcus, for which the name Micrococcus cohnii sp. nov. is proposed. The type strain is WS4601(T) (=DSM 23974(T)=LMG 26183(T)). PMID:22328614

  17. Contoured insulation window for evacuated solar collector

    SciTech Connect

    Coppola, F. T.; Lentz, W. P.; Vandewoestine, R. V.

    1980-02-05

    An insulating contoured window is provided for use with an enclosed chamber such as an evacuated flat plate solar heat collector with the contoured solar window being of minimum thickness and supported solely about its peripheral edge portions. The window is contoured in both its longitudinal and transverse directions, such that in its longitudinal direction the window is composed of a plurality of sinusoidal corrugations whereas in its transverse direction the peaks of such corrugations are contoured in the form of paraboloids so that the structure may withstand the forces generated thereon by the atmosphere.

  18. Can cooperation slow down emergency evacuations?

    NASA Astrophysics Data System (ADS)

    Cirillo, Emilio N. M.; Muntean, Adrian

    2012-09-01

    We study the motion of pedestrians through obscure corridors where the lack of visibility hides the precise position of the exits. Using a lattice model, we explore the effects of cooperation on the overall exit flux (evacuation rate). More precisely, we study the effect of the buddying threshold (of no exclusion per site) on the dynamics of the crowd. In some cases, we note that if the evacuees tend to cooperate and act altruistically, then their collective action tends to favor the occurrence of disasters.

  19. 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.

  20. 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.

  1. 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.

  2. 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. PMID:25062822

  3. 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.

  4. 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. PMID:25939116

  5. Evacuation assistants: An extended model for determining effective locations and optimal numbers

    NASA Astrophysics Data System (ADS)

    Wang, Xiaolu; Zheng, Xiaoping; Cheng, Yuan

    2012-03-01

    The present research presents an extended evacuation field model for simulating crowd emergency evacuation processes under the control of evacuation assistants. Furthermore, a communication field for describing the escape information transmission process and its effect on evacuees is introduced. The effective locations and optimal numbers of evacuation assistants as generated through the model are proposed in an effort to verify as well as enhance existing models. Results show the following. (1) Locating evacuation assistants near exits reduces the time delay for pre-evacuation. (2) There is an optimal number of evacuation assistants for achieving evacuation efficiency; having excessive numbers of evacuation assistants does not improve the evacuation efficiency, and they may result in evacuation time delay and hinder the evacuation efficiency. (3) As the number of evacuees increases, the number of evacuation assistants needed decreases.

  6. BILATERAL SUPERFICIAL CERVICAL BLOCKS AS THE PRIMARY ANESTHETIC FOR THE PATIENT UNDERGOING AN EVACUATION OF NECK HEMATOMA AFTER PARATHYROID SURGERY.

    PubMed

    Heller, Benjamin; Levine, Adam

    2015-10-01

    This is the case of an 80-year-old female who presented for evacuation of a neck hematoma on POD#3 after a parathyroidectomy. Her medical history included coronary artery disease with a drug-eluding stent, off aspirin for 2 weeks. She had a significant hematoma from the hyoid bone extending down to below the suprasternal notch. She reported hoarseness. The anesthesiology team provided regional anesthesia with bilateral superficial cervical blocks, supplemented with minimal sedation for patient compliance. The surgical team used no adjuvant local anesthetic. A deep exploration was performed and significant clot was evacuated. The patient went home safely from the PACU. PMID:26860031

  7. [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. PMID:14564951

  8. Protective air lock

    DOEpatents

    Evans, Herbert W.

    1976-03-30

    A device suitable for preventing escape and subsequent circulation of toxic gases comprising an enclosure which is sealed by a surrounding air lock, automatic means for partially evacuating said enclosure and said air lock and for ventilating said enclosure and means for disconnecting said enclosure ventilating means, whereby a relatively undisturbed atmosphere is created in said enclosure.

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

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Fire Protection § 77.1101 Escape and evacuation; plan. (a) Before September 30, 1971, each operator of... event of a fire. (b) All employees shall be instructed on current escape and evacuation plans, fire alarm signals, and applicable procedures to be followed in case of fire. (c) Plans for escape...

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

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Fire Protection § 77.1101 Escape and evacuation; plan. (a) Before September 30, 1971, each operator of... event of a fire. (b) All employees shall be instructed on current escape and evacuation plans, fire alarm signals, and applicable procedures to be followed in case of fire. (c) Plans for escape...

  11. 14 CFR 121.570 - Airplane evacuation capability.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 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, or... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Airplane evacuation capability....

  12. 30 CFR 57.4363 - Underground evacuation instruction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Underground evacuation instruction. 57.4363... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4363 Underground evacuation instruction....

  13. 14 CFR 125.189 - Demonstration of emergency evacuation procedures.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... CERTIFICATION AND OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD... the emergency evacuation procedures for each type and model of airplane with a seating of more than 44 passengers, that is used in its passenger-carrying operations, allow the evacuation of the full...

  14. 14 CFR 125.189 - Demonstration of emergency evacuation procedures.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... CERTIFICATION AND OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD... the emergency evacuation procedures for each type and model of airplane with a seating of more than 44 passengers, that is used in its passenger-carrying operations, allow the evacuation of the full...

  15. 14 CFR 125.189 - Demonstration of emergency evacuation procedures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... CERTIFICATION AND OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD... the emergency evacuation procedures for each type and model of airplane with a seating of more than 44 passengers, that is used in its passenger-carrying operations, allow the evacuation of the full...

  16. 14 CFR 125.189 - Demonstration of emergency evacuation procedures.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... CERTIFICATION AND OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD... the emergency evacuation procedures for each type and model of airplane with a seating of more than 44 passengers, that is used in its passenger-carrying operations, allow the evacuation of the full...

  17. 14 CFR 125.189 - Demonstration of emergency evacuation procedures.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... CERTIFICATION AND OPERATIONS: AIRPLANES HAVING A SEATING CAPACITY OF 20 OR MORE PASSENGERS OR A MAXIMUM PAYLOAD... the emergency evacuation procedures for each type and model of airplane with a seating of more than 44 passengers, that is used in its passenger-carrying operations, allow the evacuation of the full...

  18. 14 CFR 121.570 - Airplane evacuation capability.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 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,...

  19. 14 CFR 121.570 - Airplane evacuation capability.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 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,...

  20. 14 CFR 121.570 - Airplane evacuation capability.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 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,...

  1. 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. 

  2. 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,...

  3. 14 CFR 135.123 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Emergency and emergency evacuation duties. 135.123 Section 135.123 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Operations § 135.123 Emergency and emergency evacuation duties. (a) Each certificate holder...

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

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Emergency and emergency evacuation duties. 135.123 Section 135.123 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Operations § 135.123 Emergency and emergency evacuation duties. (a) Each certificate holder...

  5. 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.

  6. 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.

  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. Evacuation time of cryogenic pipes for superconducting power transmission

    NASA Astrophysics Data System (ADS)

    Watanabe, Hirofumi; Sun, Jian; Yamamoto, Norimasa; Hamabe, Makoto; Kawahara, Toshio; Yamaguchi, Satarou

    2013-11-01

    The vacuum insulation has been used for the thermal insulation of cryogenic pipes for the superconducting power transmission to reduce the heat leak from the environment at the room temperature to the low temperature parts. Since the cryogenic pipes, in particular, those for long distance power transmission, are considered to be thin long pipes, it might take a long time for evacuation. To estimate the evacuation time of the long cryogenic pipes, model calculations have been performed. According to the calculations, it is found that there is an optimum condition between the pumping speed, the diameter of the outer pipe and the length of the cryogenic pipe for efficient evacuation. It is also found that, if the outgassing is suppressed enough, the evacuation can be possible within 1 week even for the long cryogenic pipe with the length of 10 km. The reduction of outgassing is particularly important for the efficient evacuation.

  9. 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.

  10. TH-C-17A-09: Direct Visualization and Monitoring of Medical Radiation Beams in Air

    SciTech Connect

    Fahimian, B; Ceballos, A; Turkcan, S; Kapp, D; Pratx, G

    2014-06-15

    Purpose: Radiation therapy errors are rare but potentially catastrophic. Recent fatal incidents could have been avoided by utilizing real-time methods of monitoring delivery of radiation during treatment. However, few existing methods are practical enough to be used routinely. The study presents the first experimental demonstration of a novel non-perturbing method of monitoring radiation therapy through the phenomena of air scintillation. Methods: Monitoring of radiation delivery was devised by leveraging the phenomena of nitrogen excitation in air by ionizing radiation. The excitation induced weak luminescence in the 300–400 nm range, a process called air scintillation. An electron-multiplication charge-coupled device camera (f/0.95 lens; 440 nm shortpass) was set-up in a clinical treatment vault and was used to capture air scintillation images of kilovoltage and megavoltage beams. Monte Carlo simulations were performed to determine the correlation of radiation dose to air scintillation. Results: Megavoltage beams from a Varian Clinac 21EX and kilovoltage beams from an orthovoltage unit (50 kVp, 30 mA) were visualized with a relatively short exposure time (10 s). Cherenkov luminescence produced in a plastic transparent phantom did not interfere with detection of air scintillation. The image intensity displayed an inverse intensity falloff (r{sup 2} = 0.89) along the central axis and was proportional to dose rate (r{sup 2} = 0.9998). As beam energy increased, the divergence of the imaged beam decreased. Last, air scintillation was visualized during a simulated total skin irradiation electron treatment. Conclusion: Air scintillation can be clinically detected to monitor a radiation beam in an inexpensive and non-perturbing manner. This new method is advantageous in monitoring for gross delivery and uniquely capable of wide area in a single acquisition, such as the case for online verification of total body / skin / lymphoid irradiation treatments.

  11. Medical devices; ear, nose, and throat devices; classification of the transcutaneous air conduction hearing aid system. Final rule.

    PubMed

    2002-11-01

    The Food and Drug Administration (FDA) is classifying the transcutaneous air conduction hearing aid system (TACHAS) into class II (special controls). Elsewhere in this issue of the Federal Register, FDA is announcing the availability of a guidance document that will serve as the special control for the device. The agency is taking this action in response to a petition submitted under the Federal Food, Drug, and Cosmetic Act (the act) as amended by the Medical Device Amendments of 1976 (the amendments), the Safe Medical Devices Act of 1990, and the Food and Drug Administration Modernization Act of 1997 (FDAMA). The agency is classifying this device into class II (special controls) in order to provide a reasonable assurance of safety and effectiveness of the device. PMID:12422884

  12. 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.

  13. 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…

  14. 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

  15. 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...

  16. 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.

  17. [Methodological basis for modern stage of medical examination of the state aviation air crew].

    PubMed

    Chapliuk, A D; Vovkodav, V S; Churilov, Iu K; Klepikov, A N

    2014-10-01

    The main methodological framework to improve the system of medical examination of flight crews is the concept of occupational health. One of the important areas is the study of the epidemiology of professionally caused disadaptation functional disorders and subclinical disease in aircrew, their preclinical diagnosis and classification. Pointed to the need to improve organizational and practical principle of comprehensive and regular inspection of the body of the pilot, not only for diagnostic purposes, but also for the smooth conduct medical and rehabilitation measures. Proved the ways to achieve these goals. PMID:25532304

  18. 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.

  19. Resident perception of volcanic hazards and evacuation procedures

    NASA Astrophysics Data System (ADS)

    Bird, D. K.; Gisladottir, G.; Dominey-Howes, D.

    2009-02-01

    Katla volcano, located beneath the Mýrdalsjökull ice cap in southern Iceland, is capable of producing catastrophic jökulhlaup. The Icelandic Civil Protection (ICP), in conjunction with scientists, local police and emergency managers, developed mitigation strategies for possible jökulhlaup produced during future Katla eruptions. These strategies were tested during a full-scale evacuation exercise in March 2006. A positive public response during a volcanic crisis not only depends upon the public's knowledge of the evacuation plan but also their knowledge and perception of the possible hazards. To improve the effectiveness of residents' compliance with warning and evacuation messages it is important that emergency management officials understand how the public interpret their situation in relation to volcanic hazards and their potential response during a crisis and apply this information to the ongoing development of risk mitigation strategies. We adopted a mixed methods approach in order to gain a broad understanding of residents' knowledge and perception of the Katla volcano in general, jökulhlaup hazards specifically and the regional emergency evacuation plan. This entailed field observations during the major evacuation exercise, interviews with key emergency management officials and questionnaire survey interviews with local residents. Our survey shows that despite living within the hazard zone, many residents do not perceive that their homes could be affected by a jökulhlaup, and many participants who perceive that their homes are safe, stated that they would not evacuate if an evacuation warning was issued. Alarmingly, most participants did not receive an evacuation message during the exercise. However, the majority of participants who took part in the exercise were positive about its implementation. This assessment of resident knowledge and perception of volcanic hazards and the evacuation plan is the first of its kind in this region. Our data can be used

  20. Commentary on the Appropriate Radiation Level for Evacuations1

    PubMed Central

    Cuttler, Jerry M.

    2012-01-01

    This commentary reviews the international radiation protection policy that resulted in the evacuation of more than 90,000 residents from areas near the Fukushima Daiichi NPS and the enormous expenditures to protect them against a hypothetical risk of cancer. The basis for the precautionary measures is shown to be invalid; the radiation level chosen for evacuation is not conservative. The actions caused unnecessary fear and suffering. An appropriate level for evacuation is recommended. Radical changes to the ICRP recommendations are long overdue. PMID:23304099

  1. 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.

  2. Should computed chest tomography be recommended in the medical certification of professional divers? A report of three cases with pulmonary air cysts.

    PubMed

    Toklu, A S; Kiyan, E; Aktas, S; Cimsit, M

    2003-08-01

    Pulmonary barotrauma (PBT) is a recognised risk of compressed gas diving. Any reason that causes air trapping in the lung during ascent may cause PBT by increasing intrapulmonary pressure. Chest x ray examination is mandatory for medical certification of the professional divers in many countries, but pulmonary air trapping lesions such as an air cyst in the lungs cannot always be detected by plain chest x ray examination. Computed tomography (CT) is a reliable, but expensive measure for detecting pulmonary abnormalities in divers. Three cases with pulmonary air cysts are reported in which air cysts were invisible on the x ray pictures, but well defined by CT. It is impractical and not cost effective to perform CT for medical certification of all divers, but it can be an option to recommend CT once during the initial examination of the candidates for professional diving, especially if there is a history of predisposing factors, such as smoking or pulmonary infections. PMID:12883024

  3. 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. PMID:26630705

  4. Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report

    PubMed Central

    2010-01-01

    Introduction The causes of diffuse abdominal pain following pelvic surgery are numerous. We present a rare case of acute abdominal pain in a woman in the post-partum period. Case presentation A 25-year-old Caucasian woman with neurofibromatosis type 1 presented to our hospital with diffuse abdominal pain immediately after a cesarean section. The patient was acutely ill and toxic with a fever of 38.8°C, a pulse of 120 beats per minute and a distended abdomen with absent bowel sounds. A computed tomography scan showed air in the wall of the stomach and portal venous system. The patient was successfully treated with intravenous antibiotics, bowel rest and total parenteral nutrition. Conclusion It is rare for a case of emphysematous gastritis associated with portal venous air to be treated successfully without surgery. To the best of our knowledge, to date there has been no reported association of emphysematous gastritis with neurofibromatosis. PMID:20482823

  5. [Medical aspects of the environmental sanitation of workplaces in compressed air work in Japan].

    PubMed

    Mano, Y; Shibayama, M

    1987-01-01

    Actual follow-up investigations were made for a period of 5 yr and 10 months since February 1980 on 55 places of caisson and shield work. The maximum bottom pressure in caisson work was 3.6 kg/cm2 (4.6 ATA) and that of shield work was 1.6 kg/cm2. The number of exposures of workers was 23,737 in caisson work and 75,244 in shield work. The items of geomedical measurements were temperature (degrees C), humidity, dust, illumination, noise, oxygen, carbonic acid gas and others. In compressed air work, it is most important to prevent decompression sickness (bends) from the view of occupational health. The incidence of bends has decreased in recent years because of strict control by regulations. Environmental hygiene, however, has seldom been discussed in this field and little geomedical control has been made on compressed air work. In view of this situation, we have, therefore, studied, observed, and measured the hygienic factors of this work during the past five years. This investigation is without doubt the first of its kind in Japan and the areas covered most of the regions where compressed air works have been made in the past. From these results, it can be concluded as follows: The working temperature was controlled, but humidity was too high (nearly 90%). Illumination was insufficient. Dust was a problem, but high humidity played an important role in decreasing the volume. The environment was noisy. It is therefore natural that environmental studies should be continued and hygienic consideration be further emphasized in compressed air work. PMID:3613254

  6. Comprehensive emergency management: Evacuating threatened populations. Topical report

    SciTech Connect

    Perry, R.W.

    1983-01-01

    The structure of emergency management is outlined and emergency management tasks including mitigation and preparedness activities, are addressed. Four actors in the emergency management system are described: local governments, state governments, Federal government, and private organizations. Man-made and natural disasters are compared and human response to three emergency situations is described: (1) the nuclear reaction incident at Three Mile Island, (2) the May 18, 1980 eruption of Mt. St. Helens volcano, and (3) a riverine flood. Citizen response comparisons among these disaster events is focused on: (1) the source and credibility of evacuation warnings; and (2) citizen evacuation decisions. Information is supplied on the way citizens make decisions in emergencies, social-psychological responses to emergencies, the context of evacuation planning in hazard management, and strategies for enhancing citizen compliance with evacuation warnings.

  7. 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.

  8. NUMERICAL SIMULATION OF EVACUATION MOVEMENT IN COMPOUND UNDERGROUND SPACE

    NASA Astrophysics Data System (ADS)

    Sekine, Masato; Ohno, Ryoma

    Evacuation movement of persons from an inundated underground space was investigated in this study. Numerical simulation was conducted under the two conditions; (1) the persons were guided to evacuate in a recommended manner or (2) they escaped through the nearest stairs without guide. Simulation was also conducted in order to make clear the effect of evacuation announcement. It was confirmed that the guide was effective to make an orderly and safe evacuation movement. And the announcement was also effective to make persons escape more rapidly to a ground level in case that it was made at just the right time. This kind of computation must be needed before we make a plan of the announcement.

  9. Constructal design of pedestrian evacuation from an area

    NASA Astrophysics Data System (ADS)

    Lui, C. H.; Fong, N. K.; Lorente, S.; Bejan, A.; Chow, W. K.

    2013-01-01

    Pedestrian movement occurs in evolutionary patterns the effect of which is to facilitate the access of people into and out of living spaces (areas, volumes). In this paper, we rely on the philosophy of Constructal design as applied physics, in order to uncover two fundamental features of evolutionary design for pedestrian evacuation from rectangular areas (e.g., lecture halls with seated occupants). First, the paper shows analytically that the aspect ratio of the floor area can be selected such that the total evacuation time is minimal. Second, the shape of the floor area of each aisle can be tapered such that the total evacuation time is decreased further. These two architectural features are confirmed by means of extensive and systematic numerical simulations of pedestrian evacuation, by using two numerical packages (Simulex and FDS + Evac).

  10. 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.

  11. 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

  12. 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.

  13. 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

  14. 3D Building Evacuation Route Modelling and Visualization

    NASA Astrophysics Data System (ADS)

    Chan, W.; Armenakis, C.

    2014-11-01

    The most common building evacuation approach currently applied is to have evacuation routes planned prior to these emergency events. These routes are usually the shortest and most practical path from each building room to the closest exit. The problem with this approach is that it is not adaptive. It is not responsively configurable relative to the type, intensity, or location of the emergency risk. Moreover, it does not provide any information to the affected persons or to the emergency responders while not allowing for the review of simulated hazard scenarios and alternative evacuation routes. In this paper we address two main tasks. The first is the modelling of the spatial risk caused by a hazardous event leading to choosing the optimal evacuation route for a set of options. The second is to generate a 3D visual representation of the model output. A multicriteria decision making (MCDM) approach is used to model the risk aiming at finding the optimal evacuation route. This is achieved by using the analytical hierarchy process (AHP) on the criteria describing the different alternative evacuation routes. The best route is then chosen to be the alternative with the least cost. The 3D visual representation of the model displays the building, the surrounding environment, the evacuee's location, the hazard location, the risk areas and the optimal evacuation pathway to the target safety location. The work has been performed using ESRI's ArcGIS. Using the developed models, the user can input the location of the hazard and the location of the evacuee. The system then determines the optimum evacuation route and displays it in 3D.

  15. 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.

  16. Tsunami evacuation mathematical model for the city of Padang

    NASA Astrophysics Data System (ADS)

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

    2012-05-01

    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.

  17. A Cellular Automata occupant evacuation model considering gathering behavior

    NASA Astrophysics Data System (ADS)

    Zhao, Daoliang; Wang, Jinhui; Zhang, Xiaoliang; Wang, Xiaoqun

    2015-01-01

    A two-dimensional (2D) Cellular Automata (CA) random model is developed to simulate occupant evacuation considering gathering behavior. The movement process from random distribution to gathering state can be simulated based on the map of the position repulsive force. Evacuations with random distribution and gathering distribution are compared. Visual field means object area coverage considered by the individual in the current cell, representing by the radius of visual field, VR. The simulation results with VR = 1 and 2 have little difference while the simulation with VR = 3 can reasonably represent gathering process. When the occupant density is less than 0.64 people/m2, the time of gathering process increases very fast with the increase of density; when the density is larger than 1.28 people/m2, the time of gathering decreases with the increase of density. When the initial density is less than 1.44 people/m2, the evacuation times with random distribution are always less than those with gathering distribution. When the initial density is larger than 1.44 people/m2, the evacuation times with gathering or random distribution are almost the same. Our model can simulate the gathering and evacuation process with more than two rally points. The number and distribution of rally points can deeply affect the evacuation time.

  18. 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.

  19. 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.

  20. Intercontinental aeromedical evacuation of patients with traumatic brain injuries during Operations Iraqi Freedom and Enduring Freedom.

    PubMed

    Fang, Raymond; Dorlac, Gina R; Allan, Patrick F; Dorlac, Warren C

    2010-05-01

    Traumatic brain injury contributes significantly to military combat morbidity and mortality. No longer maintaining comprehensive medical care facilities throughout the world, the US military developed a worldwide trauma care system making the patient the moving part of the system. Life-saving interventions are performed early, and essential care is delivered at forward locations. Patients then proceed successively through increasingly capable levels of care culminating with arrival in the US. Proper patient selection and thorough mission preparation are crucial to the safe and successful intercontinental aeromedical evacuation of critical brain-injured patients during Operations Iraqi Freedom and Enduring Freedom. PMID:20568927

  1. 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. PMID:9327122

  2. AIRS: The Medical Imaging Software for Segmentation and Registration in SPECT/CT

    NASA Astrophysics Data System (ADS)

    Widita, R.; Kurniadi, R.; Haryanto, F.; Darma, Y.; Perkasa, Y. S.; Zasneda, S. S.

    2010-06-01

    We have been successfully developed a new software, Automated Image Registration and Segmentation (AIRS), to fuse the CT and SPECT images. It is designed to solve different registration and segmentation problems that arises in tomographic data sets. AIRS is addressed to obtain anatomic information to be applied to NanoSpect system which is imaging for nano-tissues or small animals. It will be demonstrated that the information obtained by SPECT/CT is more accurate in evaluating patients/objects than that obtained from either SPECT or CT alone. The registration methods developed here are for both two-dimensional and three-dimensional registration. We used normalized mutual information (NMI) which is amenable for images produced by different modalities and having unclear boundaries between tissues. The segmentation components used in this software is region growing algorithms which have proven to be an effective approach for image segmentation. The implementations of region growing developed here are connected threshold and neighborhood connected. Our method is designed to perform with clinically acceptable speed, using accelerated techniques (multiresolution).

  3. 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.

  4. 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

  5. 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

  6. 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

  7. 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.

  8. The impact of fatigue in air medical and other types of operations: a review of fatigue facts and potential countermeasures.

    PubMed

    Caldwell, J A

    2001-01-01

    Because of its effects on productivity and safety, fatigue is receiving increasing attention in a variety of settings, including aviation. Fatigue-related problems cost America an estimated $18 billion a year in terms of lost productivity, and fatigue-related drowsiness on the highways contributes to more than 1500 fatalities, 100,000 crashes, and 76,000 injuries annually. Furthermore, evidence is mounting that pilot and aircrew fatigue has been a causative factor in several aviation mishaps. Although substantial research has been conducted on the nature of fatigue and the effectiveness of various countermeasures, much of the relevant information may not be reaching those who need it most. The importance of obtaining adequate daily sleep and the efficacy of proper work/rest schedules, strategic napping, rest breaks, circadian-entrainment interventions, and other techniques should be emphasized in air medical training programs along with the more standard courses aimed at maintaining crew skills and improving flight safety. Once the facts are known, the aircrew's ability to control fatigue will enhance the productivity and safety of air ambulance operations. PMID:11182702

  9. 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.

  10. 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. PMID:26778051

  11. 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.

  12. The Effects of Evacuation on Nursing Home Residents With Dementia

    PubMed Central

    Brown, Lisa M.; Dosa, David M.; Thomas, Kali; Hyer, Kathryn; Feng, Zhanlian; Mor, Vincent

    2013-01-01

    Background In response to the hurricane-related deaths of nursing home residents, there has been a steady increase in the number of facilities that evacuate under storm threat. This study examined the effects of evacuation during Hurricane Gustav on residents who were cognitively impaired. Methods Nursing homes in counties located in the path of Hurricane Gustav were identified. The Minimum Data Set resident assessment files were merged with the Centers for Medicare enrollment file to determine date of death for residents in identified facilities. Difference-in-differences analyses were conducted adjusting for residents’ demographic characteristics and acuity. Results The dataset included 21,255 residents living in 119 at risk nursing homes over three years of observation. Relative to the two years before the storm, there was a 2.8 percent increase in death at 30 days and a 3.9 percent increase in death at 90 days for residents with severe dementia who evacuated for Hurricane Gustav, controlling for resident demographics and acuity. Conclusions The findings of this research reveal the deleterious effects of evacuation on residents with severe dementia. Interventions need to be developed and tested to determine the best methods for protecting this at risk population when there are no other options than to evacuate the facility. PMID:22930698

  13. 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.

  14. Information-Based Evacuation Experiment and its Cellular Automaton Simulation

    NASA Astrophysics Data System (ADS)

    Yang, Lizhong; Liu, Shaobo; Li, Jian; Zhu, Kongjin; Fang, Tingyong

    The evacuation process under emergency is studied by means of experiments and simulations, focusing on the influence of the environment information. A revised cellular automaton model in which environment information is considered as "static information" (building structure, spatial distance, etc.) and "dynamic information" (sounds of fire alarm, etc.) is introduced. Two scenarios, including evacuation with and without visibility in a classroom, are studied to investigate the different influence of the two kinds of information on human behavior. The experimental and simulation results demonstrate that: (1) to intensify the spatial distance information can reduce the evacuation time; (2) the spatial distance is not the only decisive factor especially in evacuation without visibility because the sound information, which is ignorable in evacuation with visibility, is playing a more important role under this condition; (3) the intensity of static information can reflect evacuees' familiarity of the environment; (4) the model can reproduce the experiments well, and the simulation method is useful for further study of the crowd movement simulation.

  15. Modeling and simulating for congestion pedestrian evacuation with panic

    NASA Astrophysics Data System (ADS)

    Wang, Jinhuan; Zhang, Lei; Shi, Qiongyu; Yang, Peng; Hu, Xiaoming

    2015-06-01

    A new multi-agent based congestion evacuation model incorporating panic behavior is proposed in this paper for simulating pedestrian evacuation in public places such as a stadium. Different from the existing results, pedestrians in this model are divided into four classes and each pedestrian's status can be either normal, being overtaken, or casualty. The direction of action for each individual is affected by competitive ability, distance to the exits as well as number and density of occupants within the view field of the agent. Our simulations exhibit that during the evacuation process: (1) The agents gather in front of the exits spontaneously and present arched shapes close to the exits. (2) Under the panic state the agents cohere closely and almost do not change the target exit. So other alternative exits are ignored. (3) For the case without obstacle, the casualties under panic increase greatly. But if there are obstacles (chairs), the congestion can be alleviated. Thus the casualties are reduced. (4) If certain exit is partly clogged, the evacuation becomes more efficient when adding a virtual leader. The overall simulation results show that the proposed model can reproduce the real evacuation process in a stadium quite well.

  16. 30 CFR 75.1501 - Emergency evacuations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... water inundation. (1) The responsible person shall have current knowledge of the assigned location and... water inundation. Only properly trained and equipped persons essential to respond to the mine emergency... firefighting equipment; (iv) Coordinating mine rescue personnel; (v) Establishing fresh air base;...

  17. 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.

  18. Minimally invasive evacuation of spontaneous intracerebral hemorrhage using sonothrombolysis

    PubMed Central

    Newell, David W.; Shah, M. Mohsin; Wilcox, Robert; Hansmann, Douglas R.; Melnychuk, Erik; Muschelli, John; Hanley, Daniel F.

    2013-01-01

    Object Catheter-based evacuation is a novel surgical approach for the treatment of brain hemorrhage. The object of this study was to evaluate the safety and efficacy of ultrasound in combination with recombinant tissue plasminogen activator (rt-PA) delivered through a microcatheter directly into spontaneous intraventricular (IVH) or intracerebral (ICH) hemorrhage in humans. Methods Thirty-three patients presenting to the Swedish Medical Center in Seattle, Washington, with ICH and IVH were screened between November 21, 2008, and July 13, 2009, for entry into this study. Entry criteria included the spontaneous onset of intracranial hemorrhage ≥ 25 ml and/or IVH producing ventricular obstruction. Nine patients (6 males and 3 females, with an average age of 63 years [range 38–83 years]) who met the entry criteria consented to participate and were entered into the trial. A ventricular drainage catheter and an ultrasound microcatheter were stereotactically delivered together, directly into the IVH or ICH. Recombinant tissue plasminogen activator and 24 hours of continuous ultrasound were delivered to the clot. Gravity drainage was performed. In patients with IVHs, 3 mg of rt-PA was injected; in patients with intraparenchymal hemorrhages, 0.9 mg of rt-PA was injected. The rt-PA was delivered in 3 doses over 24 hours. Results All patients had significant volume reductions in the treated hemorrhage. The mean percentage volume reduction after 24 hours of therapy, as determined on CT and compared with pretreatment stability scans, was 59 ± 5% (mean ± SEM) for ICH and 45.1 ± 13% for IVH (1 patient with ICH was excluded from analysis because of catheter breakage). There were no intracranial infections and no significant episodes of rebleeding according to clinical or CT assessment. One death occurred by 30 days after admission. Clinical improvements as determined by a decrease in the National Institutes of Health Stroke Scale score were demonstrated at 30 days after

  19. 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.

  20. Constructal design for pedestrian movement in living spaces: Evacuation configurations

    NASA Astrophysics Data System (ADS)

    Lui, C. H.; Fong, N. K.; Lorente, S.; Bejan, A.; Chow, W. K.

    2012-03-01

    Here we show that the configuration of an inhabited area controls the time required by all the pedestrians to vacate the space. From the minimization of the global evacuation time emerges the optimal configuration of the area. This is a fundamental principle for designing living spaces with efficient evacuation quality, and it is demonstrated here with several simple building blocks that can be used as components of more complex living structures: single walkway, corner, and T-shaped walkway. We show analytically and numerically that the ratio of the widths of the stem and branches of the T-shaped walkway has an optimal value that facilitates the evacuation of all the inhabitants. This result is fundamental, and is the crowd-dynamics equivalent of the Hess-Murray rule for the ratio of diameters in bifurcated ducts with fluid flow.

  1. The thermal resistance of flat powder-filled evacuated panels

    SciTech Connect

    Graves, R.S.; Yarbrough, D.W.; McElroy, D.L.

    1989-01-01

    The need to develop high thermal resistance insulations that do not use chlorofluorocarbons has resulted in renewed interest in evacuated powder-filled panel insulations. Evacuated panels containing small diameter milled perlite or silica particles have been studied using a linear heat flow measurement technique. Thermal resistivities (R-value for one-inch of thickness) as high as 19.3 ft/sup 2//center dot/h/center dot//degree/F/Btu-in. have been observed for silica panels. Thermal measurements completed for a commercially produced evacuated panel containing perlite have shown thermal resistivities from 9.0 to 18.1 ft/sup 2//center dot/h/center dot//degree/F/Btu-in. Thermal resistance measurements have been repeated to determine changes in thermal performance with time (aging). 8 refs., 7 figs., 3 tabs.

  2. Medical support of military operations in Iraq and Afghanistan.

    PubMed

    Korzeniewski, Krzysztof; Bochniak, Agnieszka

    2011-01-01

    The system of medical support in the territory of military operations in Iraq and Afghanistan is based on four levels of medical treatment. Level 4 is organized outside the war theatre, in the territories of the countries that are a part of the stabilization forces of international organizations (NATO). Both the tasks and the structure of medical support are adjusted to fit the requirements of the U.S. Forces. The same tasks and structure are also recognized by medical services of other NATO countries participating in military operations in Iraq and Afghanistan. Each subsequent level of medical support is progressively more highly specialized and capable of providing more advanced medical treatment in comparison to the preceding level. Medical evacuation is executed either by air or overland depending on the type of illness or injury as well as the tactical situation prevailing in the combat zone. The aim of this paper is to present the planning, challenges, and problems of medical assistance in the contemporary battlefield. PMID:21534227

  3. 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

  4. 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. PMID:27170110

  5. Quantitative comparison between crowd models for evacuation planning and evaluation

    NASA Astrophysics Data System (ADS)

    Viswanathan, Vaisagh; Lee, Chong Eu; Lees, Michael Harold; Cheong, Siew Ann; Sloot, Peter M. A.

    2014-02-01

    Crowd simulation is rapidly becoming a standard tool for evacuation planning and evaluation. However, the many crowd models in the literature are structurally different, and few have been rigorously calibrated against real-world egress data, especially in emergency situations. In this paper we describe a procedure to quantitatively compare different crowd models or between models and real-world data. We simulated three models: (1) the lattice gas model, (2) the social force model, and (3) the RVO2 model, and obtained the distributions of six observables: (1) evacuation time, (2) zoned evacuation time, (3) passage density, (4) total distance traveled, (5) inconvenience, and (6) flow rate. We then used the DISTATIS procedure to compute the compromise matrix of statistical distances between the three models. Projecting the three models onto the first two principal components of the compromise matrix, we find the lattice gas and RVO2 models are similar in terms of the evacuation time, passage density, and flow rates, whereas the social force and RVO2 models are similar in terms of the total distance traveled. Most importantly, we find that the zoned evacuation times of the three models to be very different from each other. Thus we propose to use this variable, if it can be measured, as the key test between different models, and also between models and the real world. Finally, we compared the model flow rates against the flow rate of an emergency evacuation during the May 2008 Sichuan earthquake, and found the social force model agrees best with this real data.

  6. 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

  7. Personalized alert notifications and evacuation routes in indoor environments.

    PubMed

    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

  8. Pre-Trauma Center Red Blood Cell Transfusion Is Associated with Improved Early Outcomes in Air Medical Trauma Patients

    PubMed Central

    Brown, Joshua B; Sperry, Jason L; Fombona, Anisleidy; Billiar, Timothy R; Peitzman, Andrew B; Guyette, Francis X

    2015-01-01

    Background Hemorrhage is the leading cause of survivable death in trauma. Resuscitation strategies including early red blood cell (RBC) transfusion have reduced this. Pre-trauma center (PTC) RBC transfusion is growing and preliminary evidence suggests improved outcomes. The study objective was to evaluate the association of PTC RBC transfusion with outcomes in air medical trauma patients. Study Design Retrospective cohort study of trauma patients transported by helicopter to a level-I trauma center, 2007—2012. Patients receiving PTC RBC transfusion were matched to control patients (receiving no PTC RBC transfusion during transport) in a 1:2 ratio using a propensity-score based on prehospital variables. Conditional logistic regression and mixed-effects linear regression were used to determine the association of PTC RBC transfusion with outcomes. Subgroup analysis was performed for scene transport patients. Results Two-hundred forty treatment patients were matched to 480 control patients receiving no PTC RBC transfusion. PTC RBC transfusion was associated with increased odds of 24-hour survival (adjusted odds ratio [AOR] 4.92; 95%CI 1.51, 16.04, p=0.01), lower odds of shock (AOR 0.28; 95%CI 0.09, 0.85, p=0.03), and lower 24-hour RBC requirement (Coef −3.6 RBC units; 95%CI −7.0, −0.2, p=0.04). Among matched scene patients, PTC RBC was also associated with increased odds of 24-hour survival (AOR 6.31; 95%CI 1.88, 21.14, p<0.01), lower odds of shock (AOR 0.24; 95%CI 0.07, 0.80, p=0.02), and lower 24-hour RBC requirement (Coef −4.5 RBC units; 95%CI −8.3, −0.7, p=0.02). Conclusions PTC RBC was associated with an increased probability of 24-hour survival, decreased risk of shock, and lower 24-hour RBC requirement. PTC RBC appears beneficial in severely injured air medical trauma patients and prospective study is warranted as PTC RBC transfusion becomes more readily available. PMID:25840537

  9. 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.

  10. 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.

  11. Reserve capacity and exit choosing in pedestrian evacuation dynamics

    NASA Astrophysics Data System (ADS)

    Zhao, Hui; Gao, Ziyou

    2010-03-01

    A modified cellular automata model is proposed to simulate the pedestrian evacuation behavior in a room with multiple exits by considering the reserve capacity of the exit. The main idea is motivated by the original concept of minority game, which means less congested exits may be preferentially chosen together with the floor fields. The model outperforms previous ones under the condition in which pedestrians are distributed heterogeneously. Simulation results show that wise exit choosing with the consideration of reserve capacity may reduce the evacuation time apparently, which is more realistic. Furthermore, the impacts of the room geometry and parameter settings are investigated extensively.

  12. 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.

  13. A pilot study to determine medical laser generated air contaminant emission rates for a simulated surgical procedure.

    PubMed

    Lippert, Julia F; Lacey, Steven E; Lopez, Ramon; Franke, John; Conroy, Lorraine; Breskey, John; Esmen, Nurtan; Liu, Li

    2014-01-01

    The U.S. Occupational Safety and Health Administration (OSHA) estimates that half a million health-care workers are exposed to laser surgical smoke each year. The purpose of this study was to establish a methodology to (1) estimate emission rates of laser-generated air contaminants (LGACs) using an emission chamber, and to (2) perform a screening study to differentiate the effects of three laser operational parameters. An emission chamber was designed, fabricated, and assessed for performance to estimate the emission rates of gases and particles associated with LGACs during a simulated surgical procedure. Two medical lasers (Holmium Yttrium Aluminum Garnet [Ho:YAG] and carbon dioxide [CO2]) were set to a range of plausible medical laser operational parameters in a simulated surgery to pyrolyze porcine skin generating plume in the emission chamber. Power, pulse repetition frequency (PRF), and beam diameter were evaluated to determine the effect of each operational parameter on emission rate using a fractional factorial design. The plume was sampled for particulate matter and seven gas phase combustion byproduct contaminants (benzene, ethylbenzene, toluene, formaldehyde, hydrogen cyanide, carbon dioxide, and carbon monoxide): the gas phase emission results are presented here. Most of the measured concentrations of gas phase contaminants were below their limit of detection (LOD), but detectable measurements enabled us to determine laser operation parameter influence on CO2 emissions. Confined to the experimental conditions of this screening study, results indicated that beam diameter was statistically significantly influential and power was marginally statistically significant to emission rates of CO2 when using the Ho:YAG laser but not with the carbon dioxide laser; PRF was not influential vis-a-vis emission rates of these gas phase contaminants. PMID:24498966

  14. Source term estimates of radioxenon released from the BaTek medical isotope production facility using external measured air concentrations.

    PubMed

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

    2015-10-01

    BATAN Teknologi (BaTek) operates an isotope production facility in Serpong, Indonesia that supplies (99m)Tc for use in medical procedures. Atmospheric releases of (133)Xe in the production process at BaTek are known to influence the measurements taken at the closest stations of the radionuclide network of the International Monitoring System (IMS). The purpose of the IMS is to detect evidence of nuclear explosions, including atmospheric releases of radionuclides. The major xenon isotopes released from BaTek are also 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 if a specific measurement result could have originated 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 1.84 × 10(13) Bq of (133)Xe. Concentrations of (133)Xe 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 1.88 × 10(13) Bq. The same optimization process yielded a release estimate of 1.70 × 10(13) Bq for a different week in 2012. The stack release value and the two optimized estimates are all within 10% of each other. Unpublished production data and the release estimate from June 2013 yield a rough annual release estimate of 8 × 10(14) Bq of (133)Xe in 2014. These multiple lines of evidence cross-validate the stack release estimates and the release estimates based on atmospheric samplers. PMID:26093852

  15. 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.

  16. 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.

  17. Vulvar myiasis following suction and evacuation for incomplete abortion.

    PubMed

    Singh, Anju; Goel, Bharti; Rani, Shikha

    2015-07-01

    Myiasis is caused by fly larva capable of penetrating healthy or necrotic tissue, usually in tropical and subtropical countries. The involvement of an exposed area is common; however it may very rarely involve the genital region. We present a rare case of vulvar myiasis which occurred after suction and evacuation performed for incomplete abortion. PMID:25740831

  18. 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. PMID:25902294

  19. 14 CFR Appendix J to Part 25 - Emergency Evacuation

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Emergency Evacuation J Appendix J to Part 25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... for descent from the wing to the ground. Safety equipment such as mats or inverted life rafts may...

  20. 14 CFR Appendix J to Part 25 - Emergency Evacuation

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Emergency Evacuation J Appendix J to Part 25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... for descent from the wing to the ground. Safety equipment such as mats or inverted life rafts may...

  1. 14 CFR Appendix J to Part 25 - Emergency Evacuation

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Emergency Evacuation J Appendix J to Part 25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... for descent from the wing to the ground. Safety equipment such as mats or inverted life rafts may...

  2. 14 CFR Appendix J to Part 25 - Emergency Evacuation

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Emergency Evacuation J Appendix J to Part 25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT... for descent from the wing to the ground. Safety equipment such as mats or inverted life rafts may...

  3. Digestive tract evacuation in northern squawfish (Ptychocheilus oregonensis)

    USGS Publications Warehouse

    Beyer, J.M.; Lucchetti, G.; Gray, G.

    1988-01-01

    Digestive tract evacuation in northern squawfish (Ptychocheilus oregonensis) (170–1900 g) was studied in fish allowed to feed voluntarily on salmon (4–70 g) at three water temperatures (10, 15, and 20 °C). Squawfish were sacrificed at 1- or 2-h intervals until evacuation approximated 90%. Amount of food evacuated for a given time interval increased approximately three times as the temperature was increased and as the prey weight was increased and two times as the predator weight was increased. The 90% emptying time (ET90) decreased by about two thirds as the temperature doubled and by about one half as the predator weight increased 10 times, but approximately doubled when the prey weight increased 4 times. Two-fish meals (17–20 g each, 35–39 g total) were evacuated more slowly than meals of one fish weighing 17–20 g, but at the same rate as meals of one fish weighing 35–40 g. Equations derived are easily applied to a wide range of water temperatures, prey weights, and predator weights.

  4. 14 CFR Appendix J to Part 25 - Emergency Evacuation

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... The following test criteria and procedures must be used for showing compliance with § 25.803: (a) The emergency evacuation must be conducted with exterior ambient light levels of no greater than 0.3 foot... exterior ambient light level may remain active or illuminated during the actual demonstration. There...

  5. 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…

  6. Combining building and behavior models for evacuation planning.

    PubMed

    Yanhui Wang; Liqiang Zhang; Jingtao Ma; Liu Liu; Dongqin You; Lixin Zhang

    2011-01-01

    To help users find optimal rescue and evacuation routes, this approach uses the extended hierarchical node relation model (EHI-NRM) to represent a building's internal structure. The approach also employs the improved cellular-automata model (ICA) to consider route-choice behavior, such as spatial reasoning and communication among evacuees. PMID:24808091

  7. 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).

  8. Continuous peripheral nerve block for battlefield anesthesia and evacuation.

    PubMed

    Buckenmaier, Chester C; McKnight, Geselle M; Winkley, James V; Bleckner, Lisa L; Shannon, Clarence; Klein, Stephen M; Lyons, Robert C; Chiles, John H

    2005-01-01

    Peripheral nerve and continuous peripheral nerve block (CPNB) have the potential to be valuable techniques in combat anesthesia. We describe the first successful application of CPNB in the pain management and surgical management of a combat casualty as he was evacuated from the Iraqi battlefield to the United States. PMID:15765463

  9. Bacteria Recovery from Genetically Featherless Broiler Carcasses after Forced Evacuation

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A study was conducted to determine the external microbiology of genetically featherless broiler carcasses after forced evacuation of clocal fecal material. Full-fed featherless broilers were shackled, stunned, suffocated, weighed and divided into three treatments groups (S, W and SW). Carcasses fr...

  10. A heterogeneous lattice gas model for simulating pedestrian evacuation

    NASA Astrophysics Data System (ADS)

    Guo, Xiwei; Chen, Jianqiao; Zheng, Yaochen; Wei, Junhong

    2012-02-01

    Based on the cellular automata method (CA model) and the mobile lattice gas model (MLG model), we have developed a heterogeneous lattice gas model for simulating pedestrian evacuation processes in an emergency. A local population density concept is introduced first. The update rule in the new model depends on the local population density and the exit crowded degree factor. The drift D, which is one of the key parameters influencing the evacuation process, is allowed to change according to the local population density of the pedestrians. Interactions including attraction, repulsion, and friction between every two pedestrians and those between a pedestrian and the building wall are described by a nonlinear function of the corresponding distance, and the repulsion forces increase sharply as the distances get small. A critical force of injury is introduced into the model, and its effects on the evacuation process are investigated. The model proposed has heterogeneous features as compared to the MLG model or the basic CA model. Numerical examples show that the model proposed can capture the basic features of pedestrian evacuation, such as clogging and arching phenomena.

  11. 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.

  12. 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.

  13. 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. PMID:25902292

  14. 30 CFR 57.11053 - Escape and evacuation plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Escape and evacuation plans. 57.11053 Section 57.11053 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Travelways and Escapeways Escapeways-Underground Only §...

  15. An experimental study of hopper evacuation effects on multitube cyclone performance

    SciTech Connect

    Tucker, A.R.; Carr, J.F.; Peters, J.E. )

    1989-12-01

    An experimental multitube cyclone facility was constructed and experiments conducted to investigate the influence of hopper evacuation on multitube cyclone performance. The effects of the amount of hopper evacuation and the location of hopper evacuation on individual cyclone tube velocities and particle collection efficiency were determined. Cyclone tube velocities increased with increasing hopper evacuation although hopper evacuation location had little effect on the velocities. Particle collection efficiencies were increased from 89.5% to approximately 95% with 14% hopper evacuation from a location near the center of the hopper. Other hopper evacuation locations were not as effective in increasing collection efficiency. These results suggest that, while the increased velocity in the cyclone tubes is an important effect in the improvement of multitube cyclone performance with hopper evacuation, other factors such as redistribution of gas flow within the hopper are also important.

  16. 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.

  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. Modelling of impact of fire on safe people evacuation in tunnel

    NASA Astrophysics Data System (ADS)

    Glasa, J.; Valasek, L.; Halada, L.; Weisenpacher, P.

    2014-03-01

    In this paper, the use of Fire Dynamics Simulator (FDS) and its evacuation module, Evac for modelling fire and people evacuation in a road tunnel is illustrated. For given fire scenario and traffic situation in the tunnel, behaviour of individual evacuees as well as groups of evacuees is analyzed in order to demonstrate the impact of fire on people evacuation. Some specific features of the use of FDS+Evac for simulation of people evacuation in case of tunnel fire are also discussed.

  19. Tranexamic Acid for Recurring Subdural Hematomas Following Surgical Evacuation: A Clinical Case Series.

    PubMed

    Stary, Joel M; Hutchins, Leslie; Vega, Rafael A

    2016-09-01

    Background Chronic subdural hematomas (SDHs) are commonly encountered in neurosurgery. Optimal management of SDHs remains a significant challenge. Current treatment options generally include supportive care or surgical intervention. A significant proportion of patients have surgery; however, the reoperation rate is considered high. There are also cases in which additional surgical procedures would carry significant morbidity, and as a result, there is a need for nonsurgical medical therapies. We describe the use of tranexamic acid (TXA) as a nonsurgical option for the treatment of recurrent SDHs following surgery. Methods Patients were identified as candidates for potential TXA therapy and followed prospectively. The decision to administer TXA was made on the basis of history, presentation, and prognosis after further surgical intervention. Data collected included patient imaging, treatment administered, and both radiologic and clinical outcomes. Results Three patients underwent surgical evacuation of a chronic SDH (two via burr hole washout and one via craniotomy). All patients had recurrence identified on subsequent imaging. Two patients had poorer predicted outcomes if additional surgical intervention was necessary, and one refused additional surgical intervention. TXA was administered, in the same dosing and scheduled course, to all patients. Complete resolution was observed on imaging, and in the case of the patient who was symptomatic, clinical improvement was also noted. Conclusion TXA may be considered for the treatment of recurrent SDHs following surgical evacuation in patients for whom additional surgery would add significant morbidity. PMID:27300772

  20. 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. PMID:26876459

  1. 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

  2. CLEAR (Calculates Logical Evacuation And Response): A Generic Transportation Network Model for the Calculation of Evacuation Time Estimates

    SciTech Connect

    Moeller, M. P.; Urbanik, II, T.; Desrosiers, A. E.

    1982-03-01

    This paper describes the methodology and application of the computer model CLEAR (Calculates Logical Evacuation And Response) which estimates the time required for a specific population density and distribution to evacuate an area using a specific transportation network. The CLEAR model simulates vehicle departure and movement on a transportation network according to the conditions and consequences of traffic flow. These include handling vehicles at intersecting road segments, calculating the velocity of travel on a road segment as a function of its vehicle density, and accounting for the delay of vehicles in traffic queues. The program also models the distribution of times required by individuals to prepare for an evacuation. In order to test its accuracy, the CLEAR model was used to estimate evacuatlon tlmes for the emergency planning zone surrounding the Beaver Valley Nuclear Power Plant. The Beaver Valley site was selected because evacuation time estimates had previously been prepared by the licensee, Duquesne Light, as well as by the Federal Emergency Management Agency and the Pennsylvania Emergency Management Agency. A lack of documentation prevented a detailed comparison of the estimates based on the CLEAR model and those obtained by Duquesne Light. However, the CLEAR model results compared favorably with the estimates prepared by the other two agencies.

  3. 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

  4. 30 CFR 75.1502 - Mine emergency evacuation and firefighting program of instruction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Mine emergency evacuation and firefighting... Emergencies § 75.1502 Mine emergency evacuation and firefighting program of instruction. Each operator of an underground coal mine shall adopt and follow a mine emergency evacuation and firefighting program...

  5. 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... information on the use of elevators during building evacuations. Some questions and possible answers to those... elevators has primarily focused on the technical aspects of ensuring safe and reliable evacuation for...

  6. 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... SERVICE REGULATIONS PAY ADMINISTRATION (GENERAL) Payments During Evacuation § 550.406 Work assignments... work considered necessary or required to be performed during the period of the evacuation...

  7. 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)...

  8. 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)...

  9. 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)...

  10. 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.

  11. 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,…

  12. 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. PMID:25354665

  13. Optical trapping and control of nanoparticles inside evacuated hollow core photonic crystal fibers

    NASA Astrophysics Data System (ADS)

    Grass, David; Fesel, Julian; Hofer, Sebastian G.; Kiesel, Nikolai; Aspelmeyer, Markus

    2016-05-01

    We demonstrate an optical conveyor belt for levitated nanoparticles over several centimeters inside both air-filled and evacuated hollow-core photonic crystal fibers (HCPCF). Detection of the transmitted light field allows three-dimensional read-out of the particle center-of-mass motion. An additional laser enables axial radiation pressure based feedback cooling over the full fiber length. We show that the particle dynamics is a sensitive local probe for characterizing the optical intensity profile inside the fiber as well as the pressure distribution along the fiber axis. In contrast to some theoretical predictions, we find a linear pressure dependence inside the HCPCF, extending over three orders of magnitude from 0.2 mbar to 100 mbar. A targeted application is the controlled delivery of nanoparticles from ambient pressure into medium vacuum.

  14. Performance of evacuated tubular solar collectors in a residential heating and cooling system

    NASA Astrophysics Data System (ADS)

    Duff, W. S.; Loef, G. O. G.

    1981-03-01

    Operation of CSU Solar House I during the heating season of 1978-1979 and during the 1979 cooling season is discussed. The systems comprised an experimental evacuated tubular solar collector, a nonfreezing aqueous collection medium, heat exchange to an insulated conventional vertical cylindrical storage tank and to a built up rectangular insulated storage tank, heating of circulating air by solar heated water and by electric auxiliary in an off peak heat storage unit, space cooling by lithium bromide absorption chiller, and service water heating by solar exchange and electric auxiliary. The system is compared with CSU Solar Houses I, II and III. The experimental collector provides solar heating and cooling with minimum operational problems. Improved performance, particularly for cooling, resulted from the use of a very well insulated heat storage tank. Day time electric auxiliary heating is avoided by use of off peak electric heat storage.

  15. 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.

  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. 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.

  18. 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.

  19. Variable Message Signs for road tunnel emergency evacuations.

    PubMed

    Ronchi, Enrico; Nilsson, Daniel; Modig, Henric; Walter, Anders Lindgren

    2016-01-01

    This paper investigates the design of Variable Message Signs (VMS) as a way-finding aid for road tunnel emergency evacuations. The use of the Theory of Affordances is suggested to provide recommendations on the design of VMS. A preliminary evaluation of 11 selected VMS systems was performed and 6 of them were further evaluated using an affordance-based within subject stated-preference questionnaire administered to a sample of 62 participants. Results are used to provide recommendations on the characteristics of the VMS systems, such as (1) size of the sign (large or small); (2) use of flashing lights; (3) colour scheme; (4) message coding (i.e., text, pictograms or a combination of them). The best performing VMS features for road tunnel emergency evacuation included the use of larger signs, flashing lights, the combination of emergency exit pictorial symbol in green in one panel and text in amber in the other panel. PMID:26360217

  20. 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.

  1. Experiment and modeling of paired effect on evacuation from a three-dimensional space

    NASA Astrophysics Data System (ADS)

    Jun, Hu; Huijun, Sun; Juan, Wei; Xiaodan, Chen; Lei, You; Musong, Gu

    2014-10-01

    A novel three-dimensional cellular automata evacuation model was proposed based on stairs factor for paired effect and variety velocities in pedestrian evacuation. In the model pedestrians' moving probability of target position at the next moment was defined based on distance profit and repulsive force profit, and evacuation strategy was elaborated in detail through analyzing variety velocities and repulsive phenomenon in moving process. At last, experiments with the simulation platform were conducted to study the relationships of evacuation time, average velocity and pedestrian velocity. The results showed that when the ratio of single pedestrian was higher in the system, the shortest route strategy was good for improving evacuation efficiency; in turn, if ratio of paired pedestrians was higher, it is good for improving evacuation efficiency to adopt strategy that avoided conflicts, and priority should be given to scattered evacuation.

  2. Agent-based modeling of a multi-room multi-floor building emergency evacuation

    NASA Astrophysics Data System (ADS)

    Ha, Vi; Lykotrafitis, George

    2012-04-01

    Panic during emergency building evacuation can cause crowd stampede, resulting in serious injuries and casualties. Agent-based methods have been successfully employed to investigate the collective human behavior during emergency evacuation in cases where the configurational space is extremely simple-usually one rectangular room-but not in evacuations of multi-room or multi-floor buildings. This implies that the effect of the complexity of building architecture on the collective behavior of the agents during evacuation has not been fully investigated. Here, we employ a system of self-moving particles whose motion is governed by the social-force model to investigate the effect of complex building architecture on the uncoordinated crowd motion during urgent evacuation. In particular, we study how the room door size, the size of the main exit, the desired speed and the friction coefficient affect the evacuation time and under what circumstances the evacuation efficiency improves.

  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. Intelligent Exit-Selection Behaviors during a Room Evacuation

    NASA Astrophysics Data System (ADS)

    Zarita, Zainuddin; Lim Eng, Aik

    2012-01-01

    A modified version of the existing cellular automata (CA) model is proposed to simulate an evacuation procedure in a classroom with and without obstacles. Based on the numerous literature on the implementation of CA in modeling evacuation motions, it is notable that most of the published studies do not take into account the pedestrian's ability to select the exit route in their models. To resolve these issues, we develop a CA model incorporating a probabilistic neural network for determining the decision-making ability of the pedestrians, and simulate an exit-selection phenomenon in the simulation. Intelligent exit-selection behavior is observed in our model. From the simulation results, it is observed that occupants tend to select the exit closest to them when the density is low, but if the density is high they will go to an alternative exit so as to avoid a long wait. This reflects the fact that occupants may not fully utilize multiple exits during evacuation. The improvement in our proposed model is valuable for further study and for upgrading the safety aspects of building designs.

  5. The science between tsunami science and evacuation decisions

    NASA Astrophysics Data System (ADS)

    McCaughey, J.; Dewi, P. R.; Mundzir, I.; Rosemary, R.; Safrina, L.; Daly, P.; Patt, A.

    2014-12-01

    The science of rare natural hazards provides us an opportunity that our ancestors lacked: the chance to learn what hazards we could face, and how reliable any particular precursor may or may not be. Connecting hazard science to societal learning is far too complex a challenge for our intuitions to be of much use. Instead, we need to use evidence - the science of science communication - to identify what actually works. As practitioners, we first worked with NGOs and local governments in coastal Sumatran communities to develop tsunami evacuation guidance that is consistent with the science of tsunamis and suitable for the communities that face the threat. This work identified important practical questions that social science can address: how do people decide whether to evacuate, and how do hazard knowledge and experience influence this? How acceptable are false alarms? What modes of communicating tsunami science and its uncertainties may lead to greater willingness to evacuate, and greater acceptance of false alarms? Which parts of the vast body of research on communication, risk perception, and decision-making might be significant in these contexts? We are beginning research at the household level that will address these questions and feed back into our continuing science-communication practice.

  6. Measuring and modeling behavioral decision dynamics in collective evacuation.

    PubMed

    Carlson, Jean M; Alderson, David L; Stromberg, Sean P; Bassett, Danielle S; Craparo, Emily M; Guiterrez-Villarreal, Francisco; Otani, Thomas

    2014-01-01

    Identifying and quantifying factors influencing human decision making remains an outstanding challenge, impacting the performance and predictability of social and technological systems. In many cases, system failures are traced to human factors including congestion, overload, miscommunication, and delays. Here we report results of a behavioral network science experiment, targeting decision making in a natural disaster. In a controlled laboratory setting, our results quantify several key factors influencing individual evacuation decision making in a controlled laboratory setting. The experiment includes tensions between broadcast and peer-to-peer information, and contrasts the effects of temporal urgency associated with the imminence of the disaster and the effects of limited shelter capacity for evacuees. Based on empirical measurements of the cumulative rate of evacuations as a function of the instantaneous disaster likelihood, we develop a quantitative model for decision making that captures remarkably well the main features of observed collective behavior across many different scenarios. Moreover, this model captures the sensitivity of individual- and population-level decision behaviors to external pressures, and systematic deviations from the model provide meaningful estimates of variability in the collective response. Identification of robust methods for quantifying human decisions in the face of risk has implications for policy in disasters and other threat scenarios, specifically the development and testing of robust strategies for training and control of evacuations that account for human behavior and network topologies. PMID:24520331

  7. Agent-Based Modeling and Simulation on Emergency Evacuation

    NASA Astrophysics Data System (ADS)

    Ren, Chuanjun; Yang, Chenghui; Jin, Shiyao

    Crowd stampedes and evacuation induced by panic caused by emergences often lead to fatalities as people are crushed, injured, trampled or even dead. Such phenomena may be triggered in life-threatening situations such as fires, explosions in crowded buildings. Emergency evacuation simulation has recently attracted the interest of a rapidly increasing number of scientists. This paper presents an Agent-Based Modeling and Simulation using Repast software to construct crowd evacuations for emergency response from an area under a fire. Various types of agents and different attributes of agents are designed in contrast to traditional modeling. The attributes that govern the characteristics of the people are studied and tested by iterative simulations. Simulations are also conducted to demonstrate the effect of various parameters of agents. Some interesting results were observed such as "faster is slower" and the ignorance of available exits. At last, simulation results suggest practical ways of minimizing the harmful consequences of such events and the existence of an optimal escape strategy.

  8. 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.

  9. Evacuation of Pedestrians with Two Motion Modes for Panic System.

    PubMed

    Zou, You; Xie, Jiarong; Wang, Binghong

    2016-01-01

    In this paper, we have captured an underlying mechanism of emergence of collective panic in pedestrian evacuations by using a modification of the lattice-gas model. We classify the motion of pedestrians into two modes according to their moods. One is gentle (mode I), the other is flustered (mode II). First, to research the cause for crowd, we fix the motion modes of pedestrians and increase the proportion of pedestrians with motion mode II (ρII). The simulation results show that the pedestrians with motion mode II are lack of evacuation efficiency and cause more casualties. Further, we use the SIS (susceptible-infective-susceptible) model to describe the spreading of the panic mood. The system can be in the high-mix state when the infection probability λ is greater than a fuzzy threshold. In addition, the distances S from wounded people to the exit are researched, the number of wounded people gets maximum at the internal S = 5∼10, which is independent of ρII and λ. This research can help us to understand and prevent the emergence of collective panic and reduce wounds in the real evacuation. PMID:27055024

  10. Measuring and Modeling Behavioral Decision Dynamics in Collective Evacuation

    PubMed Central

    Carlson, Jean M.; Alderson, David L.; Stromberg, Sean P.; Bassett, Danielle S.; Craparo, Emily M.; Guiterrez-Villarreal, Francisco; Otani, Thomas

    2014-01-01

    Identifying and quantifying factors influencing human decision making remains an outstanding challenge, impacting the performance and predictability of social and technological systems. In many cases, system failures are traced to human factors including congestion, overload, miscommunication, and delays. Here we report results of a behavioral network science experiment, targeting decision making in a natural disaster. In a controlled laboratory setting, our results quantify several key factors influencing individual evacuation decision making in a controlled laboratory setting. The experiment includes tensions between broadcast and peer-to-peer information, and contrasts the effects of temporal urgency associated with the imminence of the disaster and the effects of limited shelter capacity for evacuees. Based on empirical measurements of the cumulative rate of evacuations as a function of the instantaneous disaster likelihood, we develop a quantitative model for decision making that captures remarkably well the main features of observed collective behavior across many different scenarios. Moreover, this model captures the sensitivity of individual- and population-level decision behaviors to external pressures, and systematic deviations from the model provide meaningful estimates of variability in the collective response. Identification of robust methods for quantifying human decisions in the face of risk has implications for policy in disasters and other threat scenarios, specifically the development and testing of robust strategies for training and control of evacuations that account for human behavior and network topologies. PMID:24520331

  11. Evacuation of Pedestrians with Two Motion Modes for Panic System

    PubMed Central

    Zou, You; Xie, Jiarong; Wang, Binghong

    2016-01-01

    In this paper, we have captured an underlying mechanism of emergence of collective panic in pedestrian evacuations by using a modification of the lattice-gas model. We classify the motion of pedestrians into two modes according to their moods. One is gentle (mode I), the other is flustered (mode II). First, to research the cause for crowd, we fix the motion modes of pedestrians and increase the proportion of pedestrians with motion mode II (ρII). The simulation results show that the pedestrians with motion mode II are lack of evacuation efficiency and cause more casualties. Further, we use the SIS (susceptible-infective-susceptible) model to describe the spreading of the panic mood. The system can be in the high-mix state when the infection probability λ is greater than a fuzzy threshold. In addition, the distances S from wounded people to the exit are researched, the number of wounded people gets maximum at the internal S = 5 ∼ 10, which is independent of ρII and λ. This research can help us to understand and prevent the emergence of collective panic and reduce wounds in the real evacuation. PMID:27055024

  12. Coastal evacuations by fish during extreme weather events.

    PubMed

    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

  13. 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.

  14. 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.

  15. 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.

  16. Needs and workflow assessment prior to implementation of a digital pathology infrastructure for the US Air Force Medical Service

    PubMed Central

    Ho, Jonhan; Aridor, Orly; Glinski, David W.; Saylor, Christopher D.; Pelletier, Joseph P.; Selby, Dale M.; Davis, Steven W.; Lancia, Nicholas; Gerlach, Christopher B.; Newberry, Jonathan; Anthony, Leslie; Pantanowitz, Liron; Parwani, Anil V.

    2013-01-01

    Background: Advances in digital pathology are accelerating integration of this technology into anatomic pathology (AP). To optimize implementation and adoption of digital pathology systems within a large healthcare organization, initial assessment of both end user (pathologist) needs and organizational infrastructure are required. Contextual inquiry is a qualitative, user-centered tool for collecting, interpreting, and aggregating such detailed data about work practices that can be employed to help identify specific needs and requirements. Aim: Using contextual inquiry, the objective of this study was to identify the unique work practices and requirements in AP for the United States (US) Air Force Medical Service (AFMS) that had to be targeted in order to support their transition to digital pathology. Subjects and Methods: A pathology-centered observer team conducted 1.5 h interviews with a total of 24 AFMS pathologists and histology lab personnel at three large regional centers and one smaller peripheral AFMS pathology center using contextual inquiry guidelines. Findings were documented as notes and arranged into a hierarchal organization of common themes based on user-provided data, defined as an affinity diagram. These data were also organized into consolidated graphic models that characterized AFMS pathology work practices, structure, and requirements. Results: Over 1,200 recorded notes were grouped into an affinity diagram composed of 27 third-level, 10 second-level, and five main-level (workflow and workload distribution, quality, communication, military culture, and technology) categories. When combined with workflow and cultural models, the findings revealed that AFMS pathologists had needs that were unique to their military setting, when compared to civilian pathologists. These unique needs included having to serve a globally distributed patient population, transient staff, but a uniform information technology (IT) structure. Conclusions: The contextual

  17. 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

  18. 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

  19. 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

  20. 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

    ... first FEDERAL REGISTER issue of each #0;week. #0; #0; #0; #0;#0;Federal Register / Vol. 76, No. 115... the Wireless Air-Conduction Hearing Aid AGENCY: Food and Drug Administration, HHS. ACTION: Final rule. SUMMARY: The Food and Drug Administration (FDA) is classifying the wireless air-conduction hearing...

  1. Modeling pedestrian evacuation with guiders based on a multi-grid model

    NASA Astrophysics Data System (ADS)

    Cao, Shuchao; Song, Weiguo; Lv, Wei

    2016-02-01

    Pedestrian evacuation with guidance is investigated by a multi-grid model in this paper. The effects of guider type, guider number, guider distribution and guidance strategy on evacuation are discussed. From the analysis of simulation results, it is found that the identified guiders are more beneficial to evacuation because they can be distinguished easily by pedestrians during evacuation; The optimal guider number exists in view of the human cost and can be obtained in our model; The uniform distribution of guiders covers more area in the room and makes evacuation efficient; Evacuation guidance is more effective when the speed of guider is about 75% of herding pedestrian's speed in our simulation scenario; The performance of evacuation guidance strategy considering both distance and occupant number is the best when compared to other strategies; The coordination and cooperation between guiders are very important and necessary to facilitate the evacuation. The study may be useful for understanding the importance of guidance in evacuation and developing efficient evacuation strategy for management under emergency.

  2. 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.

  3. 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

  4. 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

  5. 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

  6. 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

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

    PubMed

    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

  8. 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

  9. Development of contralateral extradural hematomas after evacuation of primary one

    PubMed Central

    Senapati, Satya Bhusan; Panigrahi, Souvagya; Mishra, Sudhansu Sekhar

    2016-01-01

    The occurrence of bilateral extradural hematomas (EDH) is an uncommon consequence of closed head injuries. Incidence of bilateral EDH has been reported in various studies ranging from 2 to 25%. Bilateral EDH may develop simultaneously or second EDH develops few hours after first one. Development of second EDH after evacuation of primary one is rarely seen. We are reporting one such case. Awareness of this entity is required to detect such cases as timely intervention gives an excellent result like an acute EDH. PMID:27366279

  10. Cryocooler for Air Liquefaction Onboard Large Aircraft

    NASA Astrophysics Data System (ADS)

    Breedlove, J. J.; Magari, P. J.; Miller, G. W.

    2008-03-01

    Creare has developed a turbo-Brayton cryocooler for the Air Force that is designed to produce approximately 1 kW of refrigeration at 95 K. The cryocooler is intended to provide cryogenic cooling for an air separation system being developed to produce and store liquid oxygen and liquid nitrogen onboard large aircraft. The oxygen will be used for high-altitude breathing and medical evacuation operations, while the nitrogen will be used to inert the ullage space inside the fuel tanks. The cryocooler utilizes gas bearings in the turbomachines for long life without maintenance, which is a critical requirement for this application. The mass of a flight version of this cryocooler is expected to be around 270 kg, while the input power is expected to be 21 to 25 kW. This paper describes the design and testing of the technology demonstration cryocooler that was constructed to establish the feasibility of the approach. In the future, the cryocooler will be integrated and tested with a distillation column subsystem. Subsequent testing may also be performed in-flight on an Air Force transport aircraft.

  11. Georgia hospital hit by F3 tornado--all patients evacuated through the ED.

    PubMed

    2007-04-01

    When an F3 tornado severely damaged a hospital in Americus, GA, all patients had to be evacuated through the emergency department. Fifty-three patients were evacuated by area ambulances and a school bus to other hospitals in the region. The hospital advises others to have an internal evacuation plan as well as two-way radios, a megaphone to direct staff and volunteers, and additional security. A temporary treatment area was set up at a local church. PMID:17438990

  12. Menstrual disorder after medical termination of pregnancy.

    PubMed

    Mitra, J; Mondal, A; Khara, B N; Chandra De, R

    1984-01-01

    This study evaluated changes in menstrual cycle function and gynecologic abnormalities following medical termination of pregnancy. Of the 500 abortions, 90 by dilation and evacuation, 120 by intraamniotic hypertonic saline infusion, 210 by prostaglandin, and 180 by extraovular ethacridine lactate. Each case was followed for 1 year after the abortion procedure. All cases were 24-26 years of age. The menstrual cycle was considered to be irregular if the cycle was deferred by more than 7 days, with the irregularity persisting for more than 3 cycles. Changes in menstrual cycle function were considered significant if the duration of flow altered by more than or less than 1 day after abortion than that of the previous cycle. Both the dilatation and evacuation and intraamniotic hypertonic saline infusion procedures were associated with significant changes from regular to irregular cycles. This change occurred in 26.6% of women having the former procedure and 42.5% of those undergoing the latter procedure. Increased menstrual flow was noted in 26.6% of women undergoing dilatation and evacuation and in 26.5% of those receiving suction evacuation. Saline infusion abortion was followed by an absence of menstruation in 3 cases. The durationof the menstrual flow was significantly increased in 29.5% of women undergoing suction evacuation and in 23.4% of those receiving dilatation and evacuation. A high increase in the severity of dysmenorrhea was reported by 20% of cases receiving the menstrual regulation procedure and 50% of those undergoing saline infusion. However, a decrease in dysmenorrhea severity was noted for dilatation and evacuation (50%) and prostaglandin abortion (37.5%,. The incidence of gynecologic abnormalities noted at follow-up visits, most of which were related to infection, was highest among women who underwent both the dilatation and evacuation and saline infusion procedures. PMID:6747323

  13. 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.

  14. The national disaster medical system: past, present, and suggestions for the future.

    PubMed

    Franco, Crystal; Toner, Eric; Waldhorn, Richard; Inglesby, Thomas V; O'Toole, Tara

    2007-12-01

    This article reviews the history and structure of the National Disaster Medical System (NDMS), with an emphasis on its definitive care component. NDMS's capacity to handle very large mass casualty events, such as those included in the National Planning Scenarios, is examined. Following Hurricane Katrina, Congress called for a reevaluation of NDMS. In that context, we make three key suggestions to improve NDMS's capacity to respond to large mass casualty disasters: (1) increase the level of engagement by the private (i.e., nonfederal) healthcare system in preparedness and response efforts; (2) increase the reliance on regional hospital collaborative networks as part of the backbone of the NDMS system; and (3) develop additional, alternative patient transportation systems, linked to the overall NDMS patient tracking effort, to decrease the sole reliance on DoD long-haul air transport in medical evacuation. PMID:18052820

  15. Some properties of the floor field cellular automata evacuation model

    NASA Astrophysics Data System (ADS)

    Gwizdałła, Tomasz M.

    2015-02-01

    We study the process of evacuation of pedestrians from the room with the given arrangement of doors and obstacles by using the cellular automata technique. The technique which became quite popular is characterized by the discretization of time as well as space. For such a discretized space we use so-called floor field model which generally corresponds to the description of every cell by some monotonic function of distance between this cell and the closest exit. We study several types of effects. We start from some general features of model like the kind of a neighborhood or the factors disrupting the motion. Then we analyze the influence of asymmetry and size on the evacuation time. Finally we show characteristics concerning different arrangements of exits and include a particular approach to the proxemics effects. The scaling analyses help us to distinguish these cases which just reflect the geometry of the system and those which depend also on the simulation properties. All calculations are performed for a wide range of initial densities corresponding to different occupation rates as described by the typical crowd counting techniques.

  16. 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.

  17. IMPACT OF AIR POLLUTION ON THE CONSUMPTION OF MEDICAL SERVICES COSTS OF HOSPITALIZATION IN THE PORTLAND METROPOLITAN AREA

    EPA Science Inventory

    The study was undertaken to ascertain the possibility of measuring from available data the impact of air pollution on the consumption of inpatient services which patients consume per hospital stay. The study area was the Portland, Oregon metropolitan area, and the period of study...

  18. 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.

  19. [The aftermath of the fascist air attacks on military ambulance trains and mobile units].

    PubMed

    Ponomarenko, V N; Gorenkov, V M

    1995-05-01

    The article summarizes the archive data concerning the results of the bombing attacks and machine-gun fire of fascist aviation against hospital trains and sanitary trains (HT & ST). During the war period 349 HT & ST have suffered air attacks (including 95 organic HT, 111 temporary HT, and 143 ST). In the result of these attacks the losses among the medical personnel of HT & ST were 1682 wounded and 833 killed. As for sick and wounded who were being evacuated by these HT & ST 3040 of them were repeatedly wounded, 2017 were killed or burned by fire in railway medical carriages. These data testifies the flagrant transgression by fascists of international agreements on the neutrality of sanitary transport and its personnel. PMID:7645285

  20. 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

  1. 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

  2. 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

  3. Thermal resistance of perlite-based evacuated insulations for refrigerators

    SciTech Connect

    Yarbrough, D.W.; Graves, R.S.; Weaver, F.J.; McElroy, D.L.

    1986-09-01

    The thermal resistances of two side panels which were cut from imported refrigerators and of a single, newly manufactured evacuated packet were measured using a linear heat flow technique. The panels were composites of foamed-in-place urethane surrounding perlite-filled evacuated packets. One panel contained an apparently punctured packet and was found to have a thermal resistance at 300 K in the range 0.617 to 0.950 m/sup 2/ x K/W for 2.54 cm (3.5 to 5.4 ft/sup 2/ x h x /sup 0/F/Btu for 1.0 in.). A second apparently undamaged packet had thermal resistances in the range 1.66 to 2.45 m/sup 2/ x K/W for 2.54 cm (9.4 to 13.9 ft/sup 2/ x h x /sup 0/F/Btu for 1.0 in.). The internal pressure of the undamaged packet was calculated to be in the range 100 to 1000 Pa by comparing packet thermal properties with apparent thermal conductivities, k/sub a/, obtained as a function of pressure for the perlite removed from the damaged packet. The thermal resistance for the single evacuated packet was determined by framing the packet with polyisocyanurate of known k/sub a/ and measuring heat flow across the assembly. This yielded a thermal resistance of 18.1 ft/sup 2/ x h x /sup 0/F/Btu for 1.0 in. The k/sub a/ values of two domestic perlites and the perlite removed from the punctured refrigerator packet were measured at 300 K and pressures from atmospheric down to about 5 Pa using a radial heat flow technique. Near 1 atm the k/sub a/ of fine domestic perlite at a density of 246 kg/m/sup 3/ was 5% above that of the foreign perlite at 225 kg/m/sup 3/, but the domestic product had a k/sub a/ up to 45% greater than that of the foreign product under vacuum. The mean particle diameter of the imported perlite was near 13 ..mu..m, while the mean particle diameter of the domestic product was near 21 ..mu..m.

  4. Mountaineering medical events and trauma on Denali, 1992-2011.

    PubMed

    McIntosh, Scott E; Campbell, Aaron; Weber, David; Dow, Jennifer; Joy, Elizabeth; Grissom, Colin K

    2012-12-01

    Denali (Mt. McKinley) is the tallest mountain in North America and a popular climbing destination for high altitude mountaineering expeditions. National Park Service (NPS) personnel care for and manage medical incidences and traumatic injuries for mountaineers each year. We retrospectively examined NPS medical reports from the climbing seasons of 1992-2011. Medical complaints, diagnoses, treatment, provider training, and overall numbers of injuries and illness were analyzed. Fatalities were included only if they were cared for by NPS medical personnel prior to death. Of the 24,079 climbers on Denali during this period, 831 (3.5%) required medical assistance from the NPS. There were 819 diagnoses; 502 were due to medical illness and 317 were traumatic injuries. Patient encounters occurred most frequently (71%) at the 4328 m camp. Frostbite was the most common individual diagnosis (18.1%), while altitude-related syndromes were the most common illness category (29%). Most patients (84%) were treated and released to descend without additional intervention, whereas 11% needed air evacuation, and 4% needed another type of NPS assistance to descend. The only fatality in this series was caused by traumatic brain injury due to a climbing fall. A broad variety of medical complaints were evaluated and treated by NPS personnel, most commonly altitude related problems and frostbite. The results of the study will enhance the awareness of potential illness and injuries encountered by medical providers participating in high altitude mountaineering expeditions. Additionally, providers responsible for evaluating mountaineers prior to their expeditions can educate them on the spectrum of physical and environmental conditions that increase the chances of illness or injury. This ideally will decrease the incidence of morbidity on both Denali and other high altitude mountaineering destinations. PMID:23270445

  5. 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

  6. 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. PMID:21874953

  7. 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.

  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 firefighting, evacuation, and rescue procedures. (a) Mine operators shall establish emergency...

  9. 30 CFR 57.4330 - Surface firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Surface firefighting, evacuation, and rescue... NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4330 Surface firefighting, evacuation, and rescue procedures. (a) Mine operators shall establish emergency...

  10. 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.

  11. 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.

  12. 76 FR 17838 - Proposed Information Collection; Comment Request; Usage of Elevators for Occupant Evacuation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... Elevators for Occupant Evacuation Questionnaire AGENCY: National Institute of Standards and Technology (NIST...@nist.gov , 301-975- 2309. SUPPLEMENTARY INFORMATION: I. Abstract NIST's research on elevators has... Association provide requirements for the use of elevators for both occupant evacuation and fire fighter...

  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. 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.

  15. 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.

  16. The visualization of surgical smoke produced by energy delivery devices: significance and effectiveness of evacuation systems

    NASA Astrophysics Data System (ADS)

    de Boorder, Tjeerd; Verdaasdonk, Rudolf; Klaessens, John

    2007-02-01

    Devices delivering energy to biological tissues (eg lasers, RF and ultrasound) can induce surgical smoke consisting of particles, vapor, gasses and aerosols. Besides interfering with the view of the surgeon, the smoke is a risk for the health of both the users and patients. In literature, it has been shown that surgical smoke can contain carcinogenic and harmful biological agents. However, the impact on health of the users and patients is widely debated. The use of smoke evacuation systems in the OR is usually governed by economical reason instead of safety issues. A special image enhancement technique is used to study the behavior of smoke and aerosols and the effectiveness of smoke evacuation systems. A back scatter illumination technique using 1 μs light flashes at video rate was applied to image the smoke production of various surgical devices without and with smoke evacuation while ablating biological tissues. The effectiveness of various smoke evacuation devices and strategies were compared. The ablative thermal devices produced smoke but also aerosols. If the thermal energy was delivered in high peak pulses, the presence of aerosols was more significant. Ultrasound based devices produce mainly aerosols. The distance to the target, the opening of the evacuation nozzle and the dimension of aerosols were leading for the effectiveness of the smoke evacuation. The smoke visualization technique has proven an effective tool for study the effectiveness of smoke and aerosols evacuation. The results can contribute to the necessity to use evacuation systems in the OR.

  17. An accessibility graph-based model to optimize tsunami evacuation sites and routes in Martinique, France

    NASA Astrophysics Data System (ADS)

    Péroche, M.; Leone, F.; Gutton, R.

    2014-01-01

    The risk of tsunami threatens the whole Caribbean coastline especially the Lesser Antilles. The first available models of tsunami propagation estimate that the travel time from the closest seismic sources would only take few minutes to impact the Martinique Island. Considering this threat, the most effective measure is a planned and organized evacuation of the coastal population. This requires an efficient regional warning system, estimation of the maximum expected tsunami flood height, preparation of the population to evacuate, and drawing up of local and regional emergency plans. In order to produce an efficient evacuation plan, we have to assess the number of people at risk, the potential evacuation routes, the safe areas and the available time to evacuate. However, this essential information is still lacking in the French West Indies emergency plans. This paper proposes a model of tsunami evacuation sites accessibility for Martinique directly addressed to decision makers. It is based on a population database at a local scale, the development of connected graphs of roads, the identification of potential safe areas and the velocity setting for pedestrians. Evacuation routes are calculated using the Dijkstra's algorithm which gives the shortest path between areas at risk and designated evacuation sites. The first results allow us to map the theoretical times and routes to keep the exposed population safe and to compare these results with a tsunami travel time scenario.

  18. 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.

  19. 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.

  20. 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.

  1. Main Vacuum Technical Issues of Evacuated Tube Transportation

    NASA Astrophysics Data System (ADS)

    Zhang, Y. P.; Li, S. S.; Wang, M. X.

    In the future, Evacuated Tube Transportation (ETT) would be built and faster than jets. ETT tube with diameter 2∼4m and length over 1000 km will be the largest scale vacuum equipment on earth. This paper listed some main vacuum technical issues to be solved in ETT as follow. How to build ultra-large-scale vacuum chamber like ETT tube with low cost and high reliability? How to pump gas out off the ETT tube in short time? How to release heat or reduce temperature in the vacuum tube? Hot to avoid vacuum electricity discharge? How to manufacture vehicles with airproof shells and equip the life support system? How to detect leakage and find leakage position efficiently and fast as possible? Some relative solutions and suggestions are put up.

  2. Evacuated Window Glazing Research and Development: A Progress Report

    SciTech Connect

    Benson, D. K.; Tracy, C. E.; Jorgensen, G. J.

    1984-12-01

    This document summarizes progress during a nine-month period of an ongoing, exploratory research talk. The objective of the research is to evaluate the technical feasibility of a highly insulating, evacuated glazing for windows and other building apertures. Research includes engineering design and analysis of the glazing structure, materials development for its components, and the development of fabrication processes that could be used in the practical, mass production of such a glazing system. The targeted design performance goals are 70 percent solar weighted transmittance with less than 0.5 W/m2 K conductance (insulating R value greater than 12 F ft2 h/Btu) with an acceptable view quality.

  3. 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.

  4. Severe Hemoperitoneum after Patient Self-Induced Fecal Evacuation

    PubMed Central

    Gianesini, S.; Lanzara, S.; Stano, R.; Santini, S.; De Troia, A.; Gennari, S.; Vasquez, G.

    2011-01-01

    An increasing incidence of rectal injuries following patient self-induced harmful acts, aimed to sexual or laxatives porpouses, is a fact reported in literature (El-Ashaal et al., 2008). We herein report a case of severe hemoperitoneum related to a middle and upper rectal third seromuscolar tear caused by a self-induced fecal evacuation by means of an arrow with a covered cork tip. An urgent intestinal diversion by means of a Hartmann's operation was performed. The clinical case is presented in relation to the literature debate, regarding the issue of primary repair or resection and anastomosis versus fecal diversion for penetrating rectal injuries (Fabian, 2002; Cleary et al., 2006; Office of the Surgeon General, 1943; Busic et al., 2002). In conclusion, the importance of avoiding an anastomotic breakdown in a patient undergoing a hemorrhagic shock is highlighted. PMID:21876699

  5. Severe hemoperitoneum after patient self-induced fecal evacuation.

    PubMed

    Gianesini, S; Lanzara, S; Stano, R; Santini, S; De Troia, A; Gennari, S; Vasquez, G

    2011-01-01

    An increasing incidence of rectal injuries following patient self-induced harmful acts, aimed to sexual or laxatives porpouses, is a fact reported in literature (El-Ashaal et al., 2008). We herein report a case of severe hemoperitoneum related to a middle and upper rectal third seromuscolar tear caused by a self-induced fecal evacuation by means of an arrow with a covered cork tip. An urgent intestinal diversion by means of a Hartmann's operation was performed. The clinical case is presented in relation to the literature debate, regarding the issue of primary repair or resection and anastomosis versus fecal diversion for penetrating rectal injuries (Fabian, 2002; Cleary et al., 2006; Office of the Surgeon General, 1943; Busic et al., 2002). In conclusion, the importance of avoiding an anastomotic breakdown in a patient undergoing a hemorrhagic shock is highlighted. PMID:21876699

  6. 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.

  7. Evacuation of Passive Integrated Transponder (PIT) Tags from Northern Pikeminnow Consuming Tagged Juvenile Chinook Salmon

    USGS Publications Warehouse

    Petersen, J.H.; Barfoot, C.A.

    2003-01-01

    Prey fish implanted with passive integrated transponder (PIT) tags can be used in predation studies if the timing of tag evacuation from the predators is understood. Laboratory experiments were conducted to determine how PIT tags in juvenile Chinook salmon Oncorhynchus tshawytscha that were consumed by northern pikeminnow Ptychocheilus oregonensis were evacuated in relation to various parameters. The rate of evacuation was directly related to temperature, while predator size and the number of prey consumed had less effect on the timing of tag evacuation. A power model was fitted to predict the proportion of tags expected to be evacuated at different intervals after ingestion. These results could be used in planning field or laboratory predation experiments with PIT-tagged prey fish.

  8. Occupants’ behavior of going with the crowd based on cellular automata occupant evacuation model

    NASA Astrophysics Data System (ADS)

    Zhao, Daoliang; Yang, Lizhong; Li, Jian

    2008-06-01

    Occupant behavior which is very complex affects evacuation efficiency and route choice a lot. The psychology and behavior of going with the crowd is very common in daily life and also in occupant evacuation. In this paper, a two-dimensional Cellular Automata model is applied to simulate the process of evacuation considering the psychology of going with the crowd with different room structure or occupant density. The psychology of going with the crowd (the abbreviation is GWC) is classified into directional GWC ( DGWC) and spatial GWC ( SGWC). The influence of two such kinds of psychology on occupant evacuation is discussed in order to provide some useful guidance on the emergency management of evacuation.

  9. 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.

  10. 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.

  11. Catastrophic disasters and the design of disaster medical care systems.

    PubMed

    Mahoney, L E; Reutershan, T P

    1987-09-01

    The National Disaster Medical System (NDMS) is aimed at medical care needs resulting from catastrophic earthquakes, which may cause thousands of deaths and injuries. Other geophysical events may cause great mortality, but leave few injured survivors. Weather incidents, technological disasters, and common mass casualty incidents cause much less mortality and morbidity. Catastrophic disasters overwhelm the local medical care system. Supplemental care is provided by disaster relief forces; this care should be adapted to prevalent types of injuries. Most care should be provided at the disaster scene through supplemental medical facilities, while some can be provided by evacuating patients to distant hospitals. Medical response teams capable of stabilizing, sorting, and holding victims should staff supplemental medical facilities. The NDMS program includes hospital facilities, evacuation assets, and medical response teams. The structure and capabilities of these elements are determined by the medical care needs of the catastrophic disaster situation. PMID:3631673

  12. 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.

  13. 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.

  14. 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.

  15. 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."

  16. Analyzing the future of army aeromedical evacuation units and equipment: a mixed methods, requirements-based approach.

    PubMed

    Bastian, Nathaniel D; Brown, David; Fulton, Lawrence V; Mitchell, Robert; Pollard, Wayne; Robinson, Mark; Wilson, Ronald

    2013-03-01

    We utilize a mixed methods approach to provide three new, separate analyses as part of the development of the next aeromedical evacuation (MEDEVAC) platform of the Future of Vertical Lift (FVL) program. The research questions follow: RQ1) What are the optimal capabilities of a FVL MEDEVAC platform given an Afghanistan-like scenario and parameters associated with the treatment/ground evacuation capabilities in that theater?; RQ2) What are the MEDEVAC trade-off considerations associated with different aircraft engines operating under variable conditions?; RQ3) How does the additional weight of weaponizing the current MEDEVAC fleet affect range, coverage radius, and response time? We address RQ1 using discrete-event simulation based partially on qualitative assessments from the field, while RQ2 and RQ3 are based on deterministic analysis. Our results confirm previous findings that travel speeds in excess of 250 knots and ranges in excess of 300 nautical miles are advisable for the FVL platform design, thereby reducing the medical footprint in stability operations. We recommend a specific course of action regarding a potential engine bridging strategy based on deterministic analysis of endurance and altitude, and we suggest that the weaponization of the FVL MEDEVAC aircraft will have an adverse effect on coverage capability. PMID:23707120

  17. [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. PMID:8659162

  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. New AIRS: The medical imaging software for segmentation and registration of elastic organs in SPECT/CT

    NASA Astrophysics Data System (ADS)

    Widita, R.; Kurniadi, R.; Darma, Y.; Perkasa, Y. S.; Trianti, N.

    2012-06-01

    We have been successfully improved our software, Automated Image Registration and Segmentation (AIRS), to fuse the CT and SPECT images of elastic organs. Segmentation and registration of elastic organs presents many challenges. Many artifacts can arise in SPECT/CT scans. Also, different organs and tissues have very similar gray levels, which consign thresholding to limited utility. We have been developed a new software to solve different registration and segmentation problems that arises in tomographic data sets. It will be demonstrated that the information obtained by SPECT/CT is more accurate in evaluating patients/objects than that obtained from either SPECT or CT alone. We used multi-modality registration which is amenable for images produced by different modalities and having unclear boundaries between tissues. The segmentation components used in this software is region growing algorithms which have proven to be an effective approach for image segmentation. Our method is designed to perform with clinically acceptable speed, using accelerated techniques (multiresolution).

  20. 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

  1. 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.

  2. Disentangling the Impact of Social Groups on Response Times and Movement Dynamics in Evacuations

    PubMed Central

    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. PMID:25785603

  3. [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. PMID:18389189

  4. A Participatory Agent-Based Simulation for Indoor Evacuation Supported by Google Glass.

    PubMed

    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

  5. 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

  6. Analysis of gas heat conduction in evacuated tube solar collectors

    SciTech Connect

    Beikircher, T.; Spirkl, W.

    1996-08-01

    The authors investigated the gas heat conduction in two types of evacuated tubular solar collectors for a wide range of Knudsen numbers. For tube-in-tube collectors, they generalized a solution of the gas kinetic Boltzmann equation, which has been obtained by the four-momentum method, to polyatomic gases. The resulting equation coincides with Sherman`s interpolation formula. For a plate-in-tube collector, they measured the stationary heat loss for gas pressures varying between 10{sup {minus}2} and 10{sup 4} Pa. The accuracy of an earlier experiment was improved. For analysis they applied the temperature jump method: a heat conduction equation with boundary conditions of the third kind involving the temperature gradient and the pressure was numerically solved. The results with the temperature jump method agree with the experimental values nearly within the error bands. They also applied Sherman`s interpolation formula and found, as expected, that the heat conduction as function of the pressure is too steep. For both types of collectors, the influence of geometric parameters was theoretically studied.

  7. Analysis of gas heat conduction in evacuated tube solar collectors

    SciTech Connect

    Beikircher, T.; Spirkl, W.

    1996-12-31

    The authors investigated the gas heat conduction in two types of evacuated tubular solar collectors for a wide range of Knudsen numbers. For tube-in-tube collectors, they generalized a solution of the gas kinetic Boltzmann equation, which has been obtained by the 4-momentum method, to polyatomic gases. The resulting equation coincides with Sherman`s interpolation formula. For a plate-in-tube collector, they measured the stationary heat loss for gas pressures varying between 10{sup {minus}2} and 10{sup 4} Pa. The accuracy of an earlier experiment was improved. For analysis the authors applied the temperature jump method: a heat conduction equation with boundary conditions of the third kind involving the temperature gradient and the pressure was numerically solved. The results with the temperature jump method agree with the experimental values nearly within the error bands. They also applied Sherman`s interpolation formula and found, as expected, that the heat conduction as function of the pressure is too steep. For both types of collectors, the influence of geometric parameters was theoretically studied.

  8. BIM based virtual environment for fire emergency evacuation.

    PubMed

    Wang, Bin; Li, Haijiang; Rezgui, Yacine; Bradley, Alex; 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

  9. Gas heat conduction in an evacuated tube solar collector

    SciTech Connect

    Beikircher, T.; Goldemund, G.; Benz, N.

    1996-10-01

    We investigated experimentally the pressure dependency of the gas heat conduction in an evacuated plate-in-tube solar collector. A stationary heat loss experiment was built up with an electrically heated real-size collector model. The gas pressure was varied from 10{sup -3} to 10{sup 4} Pa, the temperatures of the absorber and the casing were held at 150{degree}C (electrical heaters) and 30{degree}C (water cooling), respectively. Losses by radiation and solid conduction were determined experimentally at pressures below 0.1 Pa. At higher pressures these background losses were subtracted from the total heat losses, to receive the heat losses by gas heat conduction. The experimental results were compared with approximate theoretical models. The onset of convection is in agreement with the usual theories for parallel plates taking the largest distance between the absorber and the gas tube as the plate distance. As a first approximation the pressure dependency of the gas heat conduction is described by the usual theory for parallel plates, taking the smallest distance between the absorber and the glass tube as the plate distance. 11 refs., 3 figs.

  10. 14 CFR 121.397 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... TRANSPORTATION (CONTINUED) AIR CARRIERS AND OPERATORS FOR COMPENSATION OR HIRE: CERTIFICATION AND OPERATIONS... inability to reach the passenger cabin because of shifting cargo in combination cargo-passenger...

  11. 14 CFR 135.123 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... TRANSPORTATION (CONTINUED) AIR CARRIERS AND OPERATORS FOR COMPENSATION OR HIRE: CERTIFICATION AND OPERATIONS... passenger cabin because of shifting cargo in combination cargo-passenger aircraft. (b) The...

  12. 14 CFR 125.271 - Emergency and emergency evacuation duties.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... TRANSPORTATION (CONTINUED) AIR CARRIERS AND OPERATORS FOR COMPENSATION OR HIRE: CERTIFICATION AND OPERATIONS... or their inability to reach the passenger cabin because of shifting cargo in combination...

  13. Recent Advances in Agent-Based Tsunami Evacuation Simulations: Case Studies in Indonesia, Thailand, Japan and Peru

    NASA Astrophysics Data System (ADS)

    Mas, Erick; Koshimura, Shunichi; Imamura, Fumihiko; Suppasri, Anawat; Muhari, Abdul; Adriano, Bruno

    2015-12-01

    As confirmed by the extreme tsunami events over the last decade (the 2004 Indian Ocean, 2010 Chile and 2011 Japan tsunami events), mitigation measures and effective evacuation planning are needed to reduce disaster risks. Modeling tsunami evacuations is an alternative means to analyze evacuation plans and possible scenarios of evacuees' behaviors. In this paper, practical applications of an agent-based tsunami evacuation model are presented to demonstrate the contributions that agent-based modeling has added to tsunami evacuation simulations and tsunami mitigation efforts. A brief review of previous agent-based evacuation models in the literature is given to highlight recent progress in agent-based methods. Finally, challenges are noted for bridging gaps between geoscience and social science within the agent-based approach for modeling tsunami evacuations.

  14. Time needed to evacuate the Netherlands in the event of large-scale flooding: strategies and consequences.

    PubMed

    Kolen, Bas; Helsloot, Ira

    2012-10-01

    On 30 May 2008, the Government of the Netherlands informed the national parliament about the effectiveness of preventive evacuation of coastal and river areas in case of flooding. Analysis of a case study showed that it is impossible to evacuate coastal areas preventively within a 48-hour time span preceding a worst credible scenario flood caused by a storm surge. This fact illustrates the need for alternative evacuation strategies, such as vertical evacuation (evacuating to safe havens, inside the flood zone) or shelter-in-place (hiding), to reduce loss of life and the impact of the evacuation. This paper defines these strategies and demonstrates, by returning to the case study used by the Dutch government, that they require different measures, methods of approach, and crisis management processes. In addition, it addresses the need for flexible and scalable preparation so that after detecting and understanding the threat, authorities and citizens can make decisions about different evacuation strategies. PMID:22356553

  15. 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. PMID:27081887

  16. Frequency measurement of refraction index of air for high-resolution laser interferometry

    NASA Astrophysics Data System (ADS)

    Cip, Ondrej; Petru, Frantisek; Matousek, Vit; Lazar, Josef

    2004-08-01

    In the work, we present a method for direct measurement of the refraction index of air. We designed two coupled glass cells (one evacuated and the other filled by atmospheric air) inserted to plan-parallel Fabry-Perot resonator (F. P. resonator). Two tunable single-frequency lasers pass laser beams through the evacuated and aired cell simultaneously. Two F.-P. resonators are built up by this way: one of them in evacuated cell and the other in the open air cell. If both lasers are tuned along the resonant modes of F.-P. resonators, an optical frequency difference between two adjacent modes can be identified for each resonator. The evacuated one will have another mode-to-mode difference than the aired resonator. With knowledge of these values we can determine the index of refraction very fast. We verified the method with using Michelson interferometer based technique where a glass cell placed to the measurement arm of the interferometer is evacuated by an oil pump. In this case Michelson interferometer monitors changes of the optical path caused by the process of evacuation. Experimental results achieved by the method will be presented.

  17. Functional Status after Blast-Plus-Impact Complex Concussive Traumatic Brain Injury in Evacuated United States Military Personnel

    PubMed Central

    MacDonald, Christine L.; Johnson, Ann M.; Nelson, Elliot C.; Werner, Nicole J.; Fang, Raymond; Flaherty, Stephen F.

    2014-01-01

    Abstract 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. PMID:24367929

  18. 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.

  19. Inertia effects on strategy updating in emergency evacuation from a room with multiple exits

    NASA Astrophysics Data System (ADS)

    Zhao, Yang; Li, Yuanzhen

    2014-03-01

    The inertia effects on strategy updating in emergency evacuation from a room with multiple exits is studied using the modified floor field model. Game theory is adopted to deal with conflict resolving process of evacuees and inertia effects are introduced in both exit choosing and conflict resolving process. From simulation results, the influences of inertia effects on the evacuation times and cooperation frequencies have been discussed. Interestingly, it can be found that inertia effects in exit choosing may lead more evacuation times, while inertia effects in conflict resolving may lead more evacuation times and higher cooperation frequencies. This study provides a new perspective to understand how the inertia of changing status quo acts on the strategy evolution in emergency circumstances.

  20. MEASUREMENT OF VOLATILE ORGANIC COMPOUNDS IN EXHALED BREATH AS COLLECTED IN EVACUATED ELECTROPOLISHED CANISTERS

    EPA Science Inventory

    A set of three complementary analytical methods were developed specifically for exhaled breath as collected in evacuated stainless steel canisters using gas chromatography - mass spectrometry detection. The first is a screening method to quantify the carbon dioxide component (gen...

  1. 78 FR 14592 - Proposed Extension of Existing Information Collection; Emergency Mine Evacuation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Mine Safety and Health Administration Proposed Extension of Existing Information Collection; Emergency Mine Evacuation AGENCY: Mine Safety and Health Administration, Labor. ACTION: Request for public comments....

  2. 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. PMID:26359666

  3. 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

  4. Debris-Flow Deposition, Valley Storage, and Fluvial Evacuation in Headwater Valleys

    NASA Astrophysics Data System (ADS)

    Lancaster, S. T.; Casebeer, N. E.

    2006-12-01

    Sediment from landscape disturbance often winds up in temporary storage, to be evacuated over longer time spans. In steeplands, there are few constraints on the rate at which sediment stored in valleys is released. We hypothesize that sediment in reaches characterized by debris-flow deposition and evacuation has a distribution of residence times that is distinguishable from those of sediment that is primarily released by fluvial processes. We use field surveys and extensive radiocarbon dating to assess the distribution of deposit ages in two mainstem reaches of a 2.23-km2 watershed in the Oregon Coast Range. In the downstream reach, fluvial deposits are impounded by encroaching debris fans, debris-flow, fine fluvial, and coarse fluvial deposits comprise roughly equal parts of valley storage, and deposits must be evacuated by fluvial erosion. Evacuation times are exponentially distributed with a sample mean of 1.22×103 14C yrs, a distribution indicating uniform probability of evacuation from storage. In the upstream reach, valley-spanning debris jams impound debris-flow deposits comprising >95% of valley storage, which is routinely scoured by debris flows. Evacuation times >100 14C yrs have a power law distribution with a sample mean of 4.43×102 14C yrs, a distribution indicating preferential evacuation of younger deposits and retention of older deposits. In both reaches most sediment is evacuated within short times (<500 14C yrs), but significant volumes remain for millennia. Less than half of basin-wide denudation passes through these "reservoirs," but the latter are still significant buffers between hillslope disturbance and downstream aquatic habitat.

  5. Analysis of Safety Requirements for Large Offshore Units Evacuation Systems. LSA safety function

    NASA Astrophysics Data System (ADS)

    Abramowicz-Gerigk, Teresa; Burciu, Zbigniew

    2012-12-01

    The paper presents the problems related to the effectiveness of evacuation systems for large offshore installations. The analysis of safety requirements related to the complex evacuation, escape and rescue (EER) system elements has been carried out on the basis of the reports from the accidents of offshore drilling and production platforms. The safety function developed for life saving appliances (LSA) - the 6, 10 and 20 persons liferafts is presented as an example of a method for life saving appliances safety assessment.

  6. 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.

  7. 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.

  8. Effect of particulate matter air pollution on hospital admissions and medical visits for lung and heart disease in two southeast Idaho cities.

    PubMed

    Ulirsch, Gregory V; Ball, Louise M; Kaye, Wendy; Shy, Carl M; Lee, Carolyn V; Crawford-Brown, Douglas; Symons, Michael; Holloway, Tracey

    2007-08-01

    Few, if any, published time series studies have evaluated the effects of particulate matter air exposures by combining hospital admissions with medical visit data for smaller populations. We investigated the relationship between daily particulate matter (<10 microm in aerometric diameter or PM10) exposures with admissions and medical visits (emergency room, urgent care, and family practice) for respiratory and cardiovascular disease in Pocatello and Chubbuck, Idaho (population about 60,000), from November 1994 through March 2000. Within generalized linear models, time, weather, influenza, and day-of-week effects were controlled. In single-pollutant models, respiratory disease admissions and visits increased (7.1-15.4% per 50 microg/m3 PM10) for each age group analyzed, with the highest increases in two groups, children and especially the elderly. Statistical analyses suggest that the results probably did not occur by chance. Sensitivity analyses did not provide strong evidence that the respiratory disease effect estimates were sensitive to reasonable changes in the final degrees of freedom choice for time and weather effects. No strong evidence of confounding by NO2 and SO2 was found from results of multi-pollutant models. Ozone and carbon monoxide data were not available to include multi-pollutant models, but evidence suggests that they were not a problem. Unexpectedly, evidence of an association between PM10 with cardiovascular disease was not found, possibly due to the lifestyles of the mostly Mormon study population. Successful time series analyses can be performed on smaller populations if diverse, centralized databases are available. Hospitals that offer urgent or other primary care services may be a rich source of data for researchers. Using data that potentially represented a wide-range of disease severity, the findings provide evidence that evaluating only hospital admissions or emergency room visit effects may underestimate the overall morbidity due to

  9. 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.

  10. Agent-based simulation of building evacuation using a grid graph-based model

    NASA Astrophysics Data System (ADS)

    Tan, L.; Lin, H.; Hu, M.; Che, W.

    2014-02-01

    Shifting from macroscope models to microscope models, the agent-based approach has been widely used to model crowd evacuation as more attentions are paid on individualized behaviour. Since indoor evacuation behaviour is closely related to spatial features of the building, effective representation of indoor space is essential for the simulation of building evacuation. The traditional cell-based representation has limitations in reflecting spatial structure and is not suitable for topology analysis. Aiming at incorporating powerful topology analysis functions of GIS to facilitate agent-based simulation of building evacuation, we used a grid graph-based model in this study to represent the indoor space. Such model allows us to establish an evacuation network at a micro level. Potential escape routes from each node thus could be analysed through GIS functions of network analysis considering both the spatial structure and route capacity. This would better support agent-based modelling of evacuees' behaviour including route choice and local movements. As a case study, we conducted a simulation of emergency evacuation from the second floor of an official building using Agent Analyst as the simulation platform. The results demonstrate the feasibility of the proposed method, as well as the potential of GIS in visualizing and analysing simulation results.

  11. 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

  12. Social Factors as Modifiers of Hurricane Irene Evacuation Behavior in Beaufort County, NC

    PubMed Central

    Ricchetti-Masterson, Kristen; Horney, Jennifer

    2013-01-01

    Encouraging residents in high-risk areas to evacuate before a hurricane makes landfall is one of the few ways to reduce hurricane-related morbidity and mortality. However, demographic factors associated with evacuation in at-risk groups have not been consistent across studies. To determine if social factors (social control, social cohesion, and social capital) modified the relationship between demographic groups and failure to evacuate from Hurricane Irene, the authors conducted a cross-sectional stratified two-stage cluster sample among residents of Beaufort County, NC. Of 226 attempted rapid response interviews, 205 were completed (response rate = 90.7%). Data were analyzed using generalized linear modeling, which produced crude risk differences to estimate the association between failure to evacuate from Hurricane Irene and a number of demographic and social factors; effect measure modification (EMM) was assessed on the additive scale through stratified analyses of key social factors. There were no significant associations between demographic or social factors and evacuation in the bivariate analysis. However, EMM was present for households with high social capital or social cohesion among special needs residents, those over age 65, males, and non-whites. In Beaufort County, NC, future hazard mitigation plans should include evacuation messages tailored for households with high social capital or social cohesion. PMID:23788200

  13. Draining of the SUNPAK/sup TM/ evacuated tubular collector

    SciTech Connect

    Pei, Y.K.

    1980-05-01

    A program has been completed which demonstrates the capability of draining the present liquid series flow SUNPAK/sup TM/ evacuated tubular collector. The benefits which are derived include the avoidance of potential problems associated with liquid boil-out during system failure and the avoidance of collector freeze up. Additional benefits derived from a fully drained collector are the avoidance of significant heat losses during overnight periods, safe access to the collector for maintenance at any time and ability to dissipate excess heat through dry stagnation of the collector during shut down periods. A simple modification to the series flow SUNPAK/sup TM/ collector module arrangement was developed and demonstrated through the full scale testing of a two bank-six module arrangement. The necessary changes can be implemented at a minimum expenditure of time and cost. The extensive field service experience which has been accumulated with the liquid series flow SUNPAK/sup TM/ collector is directly applicable to the drainable configuration. The program included the investigation of an alternate approach to the series flow SUNPAK/sup TM/ solution. The intra module parallel flow concept was demonstrated through the proof of concept phase of effort. The solution investigated incorporated a batch flow rather than a continuous flow mode of the cooling fluid. The solution required an extensive design modification of the existing SUNPAK/sup TM/ collector manifold. During the redesign effort, other desired mechanical features of the manifold were incorporated to improve the physical characteristics, to improve safety and reliability and to reduce the potential cost of future SUNPAK/sup TM/ collector arrays.

  14. Energy performance of evacuated glazings in residential buildings

    SciTech Connect

    Sullivan, R.; Beck, F.; arasteh, D.; Selkowitz, S.

    1995-09-01

    This paper presents the results of a study investigating the energy performance of evacuated glazings or glazings which maintain a vacuum between two panes of glass. Their performance is determined by comparing results to prototype highly insulated superwindows as well as a more conventional. insulating glass unit with a low-E coating and argon gas fill. We used the DOE2.1E energy analysis simulation program to analyze the annual and hourly heating energy use due to the windows of a prototypical single-story house located in Madison, Wisconsin. Cooling energy performance was also investigated. Our results show that for highly insulating windows, the solar heat gain coefficient is as important as the window`s U-factor in determining heating performance for window orientations facing west-south-east. For other orientations in which there is not much direct solar radiation, the window`s U-factor primarily governs performance. The vacuum glazings had lower heating requirements than the superwindows for most window orientations. The conventional low-E window outperformed the superwindows for southwest-south-southeast orientations These performance differences are directly related to the solar heat gain coefficients of the various windows analyzed. The cooling performance of the windows was inversely related to the heating performance. The lower solar heat gain coefficients of the superwindows resulted in the best cooling performance. However, we were able to mitigate the cooling differences of the windows by using an interior shading device that reduced the amount of solar gain at appropriate times.

  15. Energy performance of evacuated glazings in residential buildings

    SciTech Connect

    Sullivan, R.; Beck, F.; Arasteh, D.; Selkowitz, S.

    1996-10-01

    This paper presents the results of a study investigating the energy performance of evacuated glazings or glazings which maintain a vacuum between two panes of glass. Their performance is determined by comparing results to prototype highly insulated superwindows as well as a more conventional insulating glass unit with a low-E coating and argon gas fill. The authors used the DOE-2.1E energy analysis simulation program to analyze the annual and hourly heating energy use due to the windows of a prototypical single-story house located in Madison, Wisconsin. Cooling energy performance was also investigated. The results show that for highly insulating windows, the solar heat gain coefficient is as important as the window`s U-factor in determining heating performance for window orientations facing west-south-east. For other orientations in which there is not much direct solar radiation, the window`s U-factor primarily governs performance. The vacuum glazings had lower heating requirements than the superwindows for most window orientations. The conventional low-E window outperformed the superwindows for southwest-south-southeast orientations. These performance differences are directly related to the solar heat gain coefficients of the various windows analyzed. The cooling performance of the windows was inversely related to the heating performance. The lower solar heat gain coefficients of the superwindows resulted in the best cooling performance. However, the authors were able to mitigate the cooling differences of the windows by using an interior shading device that reduced the amount of solar gain at appropriate times.

  16. True-Depth: a new type of true 3D volumetric display system suitable for CAD, medical imaging, and air-traffic control

    NASA Astrophysics Data System (ADS)

    Dolgoff, Eugene

    1998-04-01

    Floating Images, Inc. is developing a new type of volumetric monitor capable of producing a high-density set of points in 3D space. Since the points of light actually exist in space, the resulting image can be viewed with continuous parallax, both vertically and horizontally, with no headache or eyestrain. These 'real' points in space are always viewed with a perfect match between accommodation and convergence. All scanned points appear to the viewer simultaneously, making this display especially suitable for CAD, medical imaging, air-traffic control, and various military applications. This system has the potential to display imagery so accurately that a ruler could be placed within the aerial image to provide precise measurement in any direction. A special virtual imaging arrangement allows the user to superimpose 3D images on a solid object, making the object look transparent. This is particularly useful for minimally invasive surgery in which the internal structure of a patient is visible to a surgeon in 3D. Surgical procedures can be carried out through the smallest possible hole while the surgeon watches the procedure from outside the body as if the patient were transparent. Unlike other attempts to produce volumetric imaging, this system uses no massive rotating screen or any screen at all, eliminating down time due to breakage and possible danger due to potential mechanical failure. Additionally, it is also capable of displaying very large images.

  17. 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.

  18. 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.

  19. [Analysis of the use of field medical units in the armies of NATO and Russian Armed Forces].

    PubMed

    Korniushko, I G; Iakovlev, S V; Murashev, I V; Sidorov, V A; Medvedev, V R; Matveev, A G

    2011-12-01

    An analysis of medical services of NATO and the Medical Service of the Armed Forces of the Russian Federation of modern technology deployment stages of medical evacuation (tents, inflatable structures, shelters, containers, medical armored vehicles, cars, etc.) is presented. Examples of their usage in isolated employment, usage in the group as a mobile medical stations and field hospitals in various conditions, the prospects and directions of development of technical means deployment of medical service are given. PMID:22448495

  20. Displacement of the underserved: medical needs of Hurricane Katrina evacuees in West Virginia.

    PubMed

    Ridenour, Marilyn L; Cummings, Kristin J; Sinclair, Julie R; Bixler, Danae

    2007-05-01

    On August 29, 2005 Hurricane Katrina struck Louisiana, Mississippi, and Alabama. During the aftermath of the storm, hurricane victims were evacuated to over 1,000 evacuation centers in 27 states. Three-hundred and twenty-three evacuees from 220 households were provided housing, food, and medical care at an evacuation center in West Virginia. A needs assessment followed to identify current needs of the evacuees. One-hundred and sixty-four evacuees were interviewed. Twenty-five percent reported an acute illness, while 46% reported having at least one chronic medical condition. The greatest need reported was for dental care (57%), followed by eyeglasses (34%), dentures (28%), and medical services (25%). Two weeks after the hurricane, the basic needs of food, shelter, and hygiene were met. The assessment identified and led to a successful response regarding the ongoing need for durable medical equipment (dentures and eyeglasses), as well as dental care. PMID:17483565

  1. Early waning and evacuation from Tsunami, volcano, flood and other hazards

    NASA Astrophysics Data System (ADS)

    Sugimoto, M.

    2012-12-01

    In reconsideration of the great sacrifice among the people, evacuation calls for evacuation through Japan Meteorological Agency (JMA), local governments and Medias have been drastically changed after the 2011 Tohoku tsunami in Japan. One of example is that JMA changed from forecasted concrete figure of tsunami height to one of 3 levels of tsunami height. A data shows the border between life and death is just 2 minutes of earlier evacuation in case of the 2011 tsunami. It shows how importance for communities to prompt early evacuation for survivals. However, the 2011 Tohoku tsunami revealed there is no reliable trigger to prompt early evacuation to people in case of blackout under disasters, excluding effective education. The warning call was still complicated situations in Japan in July 2012. The 2012 Northern Kyusyu downpours was at worst around 110 millimeters an hour and casualties 30 in Japan. JMA learned from the last tsunami. In this time JMA informed to local governments as a waning call "Unexpected severe rains" to local governments. However, local governments did not notice the call from JMA in the same as usual informed way. One of the local government said "We were very busy for preparing for staffs. We looked at the necessary information of the water levels of rivers and flood prevention under emergent situation" (NHK 2012). This case shows JMA's evacuation calls from upstream to midstream of local government and downstream of communities started, however upstream calls have not engaged with midstream and communities yet. Calls of early warning from upstream is still a self-centered idea for both midstream and downstream. Finally JMA could not convey a crisis mentality to local government. The head of Oarai town independently decided to use the different warning call "Order townspersons to evacuate immediately" in Ibaraki prefecture, Japan from the other municipalities in 2011 though there was not such a manuals calls in Japan. This risk communication

  2. 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

  3. Influences of exit and stair conditions on human evacuation in a dormitory

    NASA Astrophysics Data System (ADS)

    Lei, Wenjun; Li, Angui; Gao, Ran; Wang, Xiaowei

    2012-12-01

    Evacuation processes of students are investigated by experiment and simulation. The experiment is performed for students evacuating from a dormitory with an exit and stairs. FDS+Evac is proposed to simulate the exit and stair dynamics of occupant evacuation. Concerning the exit and stair widths, we put forward some useful standpoints. Good agreement is achieved between the predicted results and experimental results. With the increase of exit width, a significant stratification phenomenon will be found in flow rate. Stratification phenomenon is that two different stable flow rates will emerge during the evacuation. And the flow rate curve looks like a ladder. The larger the exit width, the earlier the stratification phenomenon appears. When exit width is more than 2.0 m, the flow rate of each exit width is divided into two stable stages, and the evacuation times show almost no change. The judgment that the existence of stairs causes flow stratification is reasonable. By changing the width of the stairs, we proved that judgment. The smaller the width of BC, the earlier the stratification appears. We found that scenario 5 is the most adverse circumstance. Those results are helpful in performance-based design of buildings.

  4. Stress intensity, stress concentration and fatigue crack growth along evacuators of pressurized, autofrettaged tubes

    SciTech Connect

    Parker, A.P.; Underwood, J.H.

    1995-11-01

    The geometry analyzed consists of a thick-walled cylinder having a small diameter evacuator hole penetrating radially through the wall. The loading involves pressure acting on the ID of the tube and all or part of this pressure acting on the evacuator hole. In addition the tube may be fully or partially autofrettaged. Total hoop stress concentrations are determined for a range of radial locations along the evacuator, as are stress intensity factors along a crack emanating from the evacuator hole. Fatigue crack growth rates, and hence crack profiles, are predicted at each of the radial locations. These predictions indicate that the critical location for the crack in a non-autofrettaged tube is at the ID whereas in a fully autofrettaged tube it is located approximately half way through the wall thickness. Taking account of the influence of stress ratio, minimum value of direct stress/maximum value of direct stress has a significantly influence on crack shape in autofrettaged tubes, but a limited effect upon lifetime. The effect upon fatigue lifetime of axial residual stresses due to the autofrettage process is described and it is demonstrated that an insignificant reduction in lifetime results from the presence of such stresses. Finally the predicted profiles are compared with experimental observations of fatigue cracked evacuators and a limited comparison of predicted and actual lifetimes is presented. Agreement is considered good.

  5. Stress concentration, stress intensity, and fatigue crack growth along evacuators of pressurized, autofrettaged tubes

    NASA Astrophysics Data System (ADS)

    Parker, A. P.; Underwood, J. H.

    1994-12-01

    A stress analysis has been conducted on a pressurized, fully or partially autofrettaged cylinder with a small diameter evacuator hole penetrating radially through the wall. Pressure was applied on the inside diameter (ID) of the tube, and all or part of this pressure was applied on the evacuator hole surfaces. Total hoop stress concentrations have been determined for a range of radial locations along the evacuator and stress intensity factors have been determined along a crack emanating from the evacuator hole. Fatigue crack growth rates. and hence crack profiles, were predicted at each of the radial locations. These predictions indicate that the critical location for the crack in a non-autofrettaged tube is at the ID, whereas in a fully autofrettaged tube, it is located approximately halfway through the wall thickness. Stress ratio has a significant influence on crack shape in autofrettaged tubes, however, it has a limited effect upon lifetime. The effect of axial residual stresses upon fatigue lifetime due to the autofrettage process has been described and an insignificant reduction in lifetime was a result of such stresses. Finally, the predicted profiles are compared with experimental observations of fatigue crack evacuators, and a limited comparison of predicted and actual lifetimes is presented. Good agreement has been observed in both comparisons.

  6. 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.

  7. Environment of care: vertical evacuation concerns for acutely ill patients and others with restricted mobility.

    PubMed

    Tzeng, Huey-Ming; Yin, Chang-Yi

    2014-01-01

    This perspective paper was intended to raise awareness and the urgency of needing additional evacuation-related, hospital building design policies. We addressed the challenges to maintain the integrity of exits and inadequate hospital design considerations for individuals with restricted mobility. Hospitals are occupied by people who may have restricted mobility and visitors who are likely unfamiliar with their surroundings. A hospital fire threatens all people in the building, but especially patients in the intensive care unit who are frail and have limited mobility. Evacuating immobile patients is complex, involving horizontal and vertical evacuation approaches. Hospital design must consider the needs of individuals with restricted mobility, who are the most vulnerable in case of a hospital fire. Consequently, we urge that acutely ill patients and others with restricted mobility should occupy units located on the ground floor or Level 2. In addition, when configuring the physical environment of hospitals, providing step-free ground floor access (indoor or outdoor ramps) and evacuation aids for vertical evacuation is crucial. Step-free ground floor access between Level 2 and the ground floor should be wide enough to allow transporting patients on their beds. A standard revision to include these recommendations is desperately needed. PMID:24404945

  8. Disaster evacuation for persons with special needs: a content analysis of information on YouTube.

    PubMed

    Owens, Jacqueline K; Warner Stidham, Andrea; Owens, Elizabeth L

    2013-11-01

    Disaster preparedness is more complex for persons with chronic illness, who may require specific planning to address unique needs. Research suggests that advance preparation and evacuation during a disaster leads to better health outcomes. Individuals access, and rely on, health information via online sources. The purpose of this descriptive qualitative study was to examine information that persons who may have special needs receive from an Internet based free sharing source, YouTube, related to disaster evacuation procedures. A content analysis of 51 clips using the Health Literacy Skills Framework revealed themes related to quality and region. Findings suggested concerns such as errors, minimal information about management of conditions during evacuation, and lack of diversity. PMID:24238086

  9. Analysis of heat-pipe absorbers in evacuated-tube solar collectors

    NASA Astrophysics Data System (ADS)

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

    1986-02-01

    Heat transfer in evacuated-tube solar collectors with heat-pipe absorbers is compared with that for similar collectors with flow-through absorbers. In systems that produce hot water or other heated fluids, the heat-pipe absorber suffers a heat transfer penalty compared with the flow-through absorber, but in many cases the penalty can be minimized by proper design at the heat-pipe condenser and system manifold. The heat transfer penalty decreases with decreasing collector heat loss coefficient, suggesting that evacuated tubes with optical concentration are more appropriate for use with heat pipes than evacuated or nonevacuated flat-plate collectors. When the solar collector is used to drive an absorption chiller, the heat-pipe absorber has better heat transfer characteristics than the flow-through absorbers.

  10. Pollinators and Other Flying Insects inside and outside the Fukushima Evacuation Zone

    PubMed Central

    Yoshioka, Akira; Mishima, Yoshio; Fukasawa, Keita

    2015-01-01

    Following the accident at the Fukushima Daiichi nuclear power plants in 2011, a large evacuation zone was imposed in an area where residents had historically managed forests and farmlands. Thus, the human activities that had maintained biodiversity and ecosystem services in the zone were discontinued. Such change can affect insects, a biodiversity component that is relatively tolerant to radiation exposure. In this study, we investigated flying insects, including pollinators, important ecosystem providers inside and outside the zone, using Malaise traps. The results showed that the number of individuals of Xylocopa appendiculata, the largest Apidae species in the region, was significantly lower inside the evacuation zone than outside it, whereas those of other insects were not lower significantly. Although we suggest that flying insects and their ecosystem services (i.e., benefits from them such as pollination) 3 years after the disaster were not critically impacted, it is important to monitor the long-term effects of the evacuation in the future. PMID:26561045

  11. Pollinators and Other Flying Insects inside and outside the Fukushima Evacuation Zone.

    PubMed

    Yoshioka, Akira; Mishima, Yoshio; Fukasawa, Keita

    2015-01-01

    Following the accident at the Fukushima Daiichi nuclear power plants in 2011, a large evacuation zone was imposed in an area where residents had historically managed forests and farmlands. Thus, the human activities that had maintained biodiversity and ecosystem services in the zone were discontinued. Such change can affect insects, a biodiversity component that is relatively tolerant to radiation exposure. In this study, we investigated flying insects, including pollinators, important ecosystem providers inside and outside the zone, using Malaise traps. The results showed that the number of individuals of Xylocopa appendiculata, the largest Apidae species in the region, was significantly lower inside the evacuation zone than outside it, whereas those of other insects were not lower significantly. Although we suggest that flying insects and their ecosystem services (i.e., benefits from them such as pollination) 3 years after the disaster were not critically impacted, it is important to monitor the long-term effects of the evacuation in the future. PMID:26561045

  12. A method for defining down-wind evacuation areas for transportation accidents involving toxic propellant spills

    NASA Technical Reports Server (NTRS)

    Siewert, R. D.

    1972-01-01

    Evacuation areas for accidental spills of toxic propellants along rail and highway shipping routes are defined to help local authorities reduce risks to people from excessive vapor concentrations. These criteria along with other emergency information are shown in propellant spill cards. The evacuation areas are based on current best estimates of propellant evaporation rates from various areas of spill puddles. These rates are used together with a continuous point-source, bi-normal model of plume dispersion. The rate at which the toxic plume disperses is based on a neutral atmospheric condition. This condition, which results in slow plume dispersion, represents the widest range of weather parameters which could occur during the day and nighttime periods. Evacuation areas are defined by the ground level boundaries of the plume within which the concentrations exceed the toxic Threshold Limit Value (TLV) or in some cases the Emergency Exposure Limit (EEL).

  13. Mother Nature versus human nature: public compliance with evacuation and quarantine.

    PubMed

    Manuell, Mary-Elise; Cukor, Jeffrey

    2011-04-01

    Effectively controlling the spread of contagious illnesses has become a critical focus of disaster planning. It is likely that quarantine will be a key part of the overall public health strategy utilised during a pandemic, an act of bioterrorism or other emergencies involving contagious agents. While the United States lacks recent experience of large-scale quarantines, it has considerable accumulated experience of large-scale evacuations. Risk perception, life circumstance, work-related issues, and the opinions of influential family, friends and credible public spokespersons all play a role in determining compliance with an evacuation order. Although the comparison is not reported elsewhere to our knowledge, this review of the principal factors affecting compliance with evacuations demonstrates many similarities with those likely to occur during a quarantine. Accurate identification and understanding of barriers to compliance allows for improved planning to protect the public more effectively. PMID:21073672

  14. How to evacuate a psychiatric hospital: a Hurricane Katrina success story.

    PubMed

    Thomas, Joan; Lackey, Nancy

    2008-01-01

    This article describes the successful evacuation of an entire psychiatric hospital from New Orleans, Louisiana, to Memphis, Tennessee, on a weekend night. The destination site was 400 miles away and buses were used for transport. The evacuation occurred shortly before Hurricane Katrina struck New Orleans and included 73 adult, adolescent, and child acute psychiatric patients. Thirty-five staff members also participated in the evacuation with their families and pets. This report is significant because little is known about how to implement a disaster plan that involves the transport of an entire psychiatric hospital-patients, nurses, physicians, staff, and family members--to another city. The knowledge gained can also benefit psychiatric nurses and their organizations when establishing or modifying their disaster plans. PMID:18251350

  15. ABM and GIS-based multi-scenarios volcanic evacuation modelling of Merapi

    NASA Astrophysics Data System (ADS)

    Jumadi, Carver, Steve; Quincey, Duncan

    2016-05-01

    Conducting effective evacuation is one of the successful keys to deal with such crisis. Therefore, a plan that considers the probability of the spatial extent of the hazard occurrences is needed. Likewise, the evacuation plan in Merapi is already prepared before the eruption on 2010. However, the plan could not be performed because the eruption magnitude was bigger than it was predicted. In this condition, the extent of the hazardous area was increased larger than the prepared hazard model. Managing such unpredicted situation need adequate information that flexible and adaptable to the current situation. Therefore, we applied an Agent-based Model (ABM) and Geographic Information System (GIS) using multi-scenarios hazard model to support the evacuation management. The methodology and the case study in Merapi is provided.

  16. Influence of the exits' configuration on evacuation process in a room without obstacle

    NASA Astrophysics Data System (ADS)

    Huan-Huan, Tian; Li-Yun, Dong; Yu, Xue

    2015-02-01

    The floor field model is the most popular cellular automata (CA) model which is used to simulate the pedestrian's behaviors. In the floor field model, the interaction between pedestrians is expressed by the dynamical field. In this paper, we proposed an improved and simple method to calculate the floor field. In our method, the pedestrians are treated as the movable obstacles which will increase the value of the floor field. The additional value is interpreted as the blocking effect of preceding pedestrians. And then, the influence of the exits' configuration on evacuation process in a room without obstacle is simulated. The evacuation time for different widths and positions of the exits is investigated. In the case of single exit, there is a power law relationship between the evacuation time (T) and the exit width (Dw) with a negative exponent when Dw ≤ 6. Mean flow rates and the using efficiency of each exit cell obtained by our model are higher than other models. The simulation results indicate that pedestrians do not choose the shortest path but a faster path in our model. For the case of two exits, the relationships between the location of the exits and evacuation time are discussed. When the total width of two exits is small (i.e. Dw = 2), the main factor affecting the total evacuation time T is the exits' capacity. If the total width of two exits is large (i.e. Dw = 12), the moving distance of pedestrians to exits is the main factor affecting the evacuation time, and the corresponding phase diagrams are given.

  17. Pedestrian flow-path modeling to support tsunami evacuation and disaster relief planning in the U.S. Pacific Northwest

    USGS Publications Warehouse

    Wood, Nathan J.; Jones, Jeanne M.; Schmidtlein, Mathew; Schelling, John; Frazier, T.

    2016-01-01

    Successful evacuations are critical to saving lives from future tsunamis. Pedestrian-evacuation modeling related to tsunami hazards primarily has focused on identifying areas and the number of people in these areas where successful evacuations are unlikely. Less attention has been paid to identifying evacuation pathways and population demand at assembly areas for at-risk individuals that may have sufficient time to evacuate. We use the neighboring coastal communities of Hoquiam, Aberdeen, and Cosmopolis (Washington, USA) and the local tsunami threat posed by Cascadia subduction zone earthquakes as a case study to explore the use of geospatial, least-cost-distance evacuation modeling for supporting evacuation outreach, response, and relief planning. We demonstrate an approach that uses geospatial evacuation modeling to (a) map the minimum pedestrian travel speeds to safety, the most efficient paths, and collective evacuation basins, (b) estimate the total number and demographic description of evacuees at predetermined assembly areas, and (c) determine which paths may be compromised due to earthquake-induced ground failure. Results suggest a wide range in the magnitude and type of evacuees at predetermined assembly areas and highlight parts of the communities with no readily accessible assembly area. Earthquake-induced ground failures could obstruct access to some assembly areas, cause evacuees to reroute to get to other assembly areas, and isolate some evacuees from relief personnel. Evacuation-modeling methods and results discussed here have implications and application to tsunami-evacuation outreach, training, response procedures, mitigation, and long-term land use planning to increase community resilience.

  18. Assessing the vulnerability of the evacuation emergency plan: the case of the El Hierro, Canary Island, Spain

    NASA Astrophysics Data System (ADS)

    Marrero, J. M.; Garcia, A.; Llinares, A.; Lopez, P.; Ortinz, R.

    2012-04-01

    On July 17, 2011 an unrest was detected in the El Hierro island. A serretian submarine eruption started on October 10th in the southern area of the island, two miles away from La Restinga village. The analysis and interpretation of seismic and deformation data show a large volume of intruded magma. These data also show a high probability of a new vent opening. One of the most complex volcanic hazard scenarios is a new open vent in the El Golfo Valley, in the north slope of the island, where more than 5,000 people live. In this area there are only two possible terrestrial evacuation routes: 1) HI-1 road NE direction, the fastest but most vulnerable one, very near a 1,000 meters height cliff and through a 2 km tunnel with a structural deficiency that had to be closed during high energy periods of seismic activity; and 2) HI-1 road SW direction, a mountain road with many curves, frequent small landslides and fog. The Emergency Plan of the island takes into account the entire evacuation of El Golfo Valley in case of eruption. This process will be carried out by means of an assisted evacuation. The evacuees will be transported to a temporally regrouping shelter outside the valley to organize the transport to Tenerife Island. Only those people who have a second residence or relatives outside the affected area will be able to remain in the island. The evacuation time estimated by authorities for the entire evacuation of El Golfo Valley is of about 4 hours. This is extremely low considering: the complexity of the area; the number of evacuees; the lack of preparedness by the population; and adverse weather conditions. To evaluate the Evacuation Plan vulnerability, a series of evacuation scenarios have been simulated: self-evacuation; assisted evacuation; both terrestrial evacuation routes. The warning time, the response time by the population and the evacuation time have been taken into account.

  19. Pedestrian evacuation in view and hearing limited condition: The impact of communication and memory

    NASA Astrophysics Data System (ADS)

    Xue, Shuqi; Jia, Bin; Jiang, Rui; Shan, Jingjing

    2016-09-01

    This paper studies pedestrian evacuation in view and hearing limited condition based on the social force approach. It is assumed that there are two types of pedestrians: Informed individuals know the exit location whereas uninformed individuals do not. The uninformed individuals can communicate with the informed ones within their perceptual fields, thus learning to know and memorize the exit location. We consider cases with and without communication/memory. The simulations show communication and memory are able to enhance the evacuation efficiency. We also investigate the impact of communication on the efficiency of an emergency exit.

  20. Thermal conductivity of evacuated perlite at low temperatures as a function of load and load history

    NASA Technical Reports Server (NTRS)

    Dube, W. P.; Sparks, L. L.; Slifka, A. J.

    1991-01-01

    Perlite, a powdered insulation, is commonly used in large cryogenic storage dewars. When these dewars are thermally cycled, the perlite in the evacuated space between the inner and outer vessels of the dewar experiences a changing mechanical load due to thermal expansion and contraction of the inner vessel. Thermal conductivity data were obtained using a boil-off calorimeter. The apparent thermal conductivity of evacuated perlite increases strongly with applied load. Hysteretic behavior of the conductivity was observed when perlite was subjected to cyclic mechanical loading.