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Sample records for emergency rescue capacity

  1. EMERGENCY VICTIM CARE AND RESCUE, INSTRUCTOR'S MANUAL.

    ERIC Educational Resources Information Center

    MORANDO, ROCCO V.; STOVER, WILBUR F.

    DEVELOPED AT THE STATE LEVEL BY SQUADMEN AND TRADE AND INDUSTRIAL PERSONNEL, THIS MANUAL IS FOR USE BY A QUALIFIED SQUADMAN IN TEACHING FULL-TIME AND VOLUNTEER EMERGENCY AND RESCUE WORKERS IN AN EMERGENCY SQUAD STATION OR TRAINING CENTER. TEACHING GUIDES ARE PROVIDED FOR A 30-HOUR COURSE ON EMERGENCY VICTIM CARE AND A 20-HOUR COURSE ON VICTIM…

  2. Emergency Medical Rescue in a Radiation Environment

    SciTech Connect

    Briesmeister, L.; Ellington, Y.; Hollis, R.; Kunzman, J.; McNaughton, M.; Ramsey, G.; Somers, B.; Turner, A.; Finn, J.

    1999-09-14

    Previous experience with emergency medical rescues in the presence of radiation or contamination indicates that the training provided to emergency responders is not always appropriate. A new course developed at Los Alamos includes specific procedures for emergency response in a variety of radiological conditions.

  3. [Medical emergencies and sea rescue].

    PubMed

    Lefebvre, Fabien; Albert, Christophe; Gunepin, David; Pondaven, Eric; Querellou, Emgan

    2013-01-01

    Military nurses and doctors are on permanent standby to respond to any medical emergency which may arise at sea. This atypical form of practice is part of a specific organisation, in order to provide optimal, high-quality care in the most remote places of the oceans.

  4. Medical emergency rescue in disaster: the international emergency response to the Haiyan typhoon in Philippines.

    PubMed

    Ling, Feng; Ye, Zhen; Cai, Wenwei; Lu, Ye; Xia, Shichang; Chen, Zhiping; Chen, Enfu; Wang, Xiaofeng; Wang, Zhen; Lv, Huakun; Gong, Zhenyu

    2014-12-01

    Following Typhoon Haiyan, the World Health Organization (WHO) has been supporting the Government of the Philippines in coordinating the incoming relief supplies from more than 30 international humanitarian health organizations. During the 10 days in Abuyong, Philippines, the Chinese medical rescue team consisting of 50 experts specialized in clinical medicine and disease prevention and control action was taken including, medical treatment, environmental disinfection and health education. A total of 1,831 cases and 2,144 outpatients were treated, blood tests, B-ultrasound, electrocardiogram (ECG) and other laboratory examinations were carried out for more than 615 patients; a cumulative 90,000 square meters in external environment were disinfected, and more than 500 health education materials were handed out. Besides, measures of purifying drinking water, and rebuilding the local hospital have also been carried out. The international emergency response to the Haiyan typhoon in Philippines contributed to reconstruct the local disaster health system by the activities from international medical emergency rescue. To improve the capacity of international medical emergency rescue in disaster, the special project of foreign medical emergency rescue should be set in countries' medical emergency rescue, and disaster emergency medical rescue should be reserved as a conventional capacity.

  5. Big Data Cognition for City Emergency Rescue

    NASA Astrophysics Data System (ADS)

    Zhang, Xin; Chen, Yongxin; Wang, Weisheng

    2016-11-01

    There are many kinds of data produced in the city daily life, which operates as an elementary component of the citizen life support system. The city unexpected incidents occurs in a seemingly unpredictable patterns. With the Big Data analysis the emergency rescue can be carried out efficiently. In this paper, the Big Data cognition for city emergency rescue is studied from four perspectives. From the data volume perspective, the spatial data analysis technology is divided into two parts, the indoor data and the outdoor data. From the data velocity perspective, the big data is collected from the eyes in the sky and objects on-the-ground networks, together with demographic data. From the data variety analysis perspective, the population distribution data, the socio-economic data and model estimates are included. From the data value mining perspective, the crime model estimates are studied. In the end, the application in the big public venues emergency rescue is introduced, which is located in Urumqi, Xinjiang, China.

  6. Physical capacity of rescue personnel in the mining industry

    PubMed Central

    Stewart, Ian B; McDonald, Michael D; Hunt, Andrew P; Parker, Tony W

    2008-01-01

    Background The mining industry has one of the highest occupational rates of serious injury and fatality. Mine staff involved with rescue operations are often required to respond to physically challenging situations. This paper describes the physical attributes of mining rescue personnel. Methods 91 rescue personnel (34 ± 8.6 yrs, 1.79 ± 0.07 m, 90 ± 15.0 kg) participating in the Queensland Mines Rescue Challenge completed a series of health-related and rescue-related fitness tasks. Health-related tasks comprised measurements of aerobic capacity (VO2max), abdominal endurance, abdominal strength, flexibility, lower back strength, leg strength, elbow flexion strength, shoulder strength, lower back endurance, and leg endurance. Rescue-related tasks comprised an incremental carry (IC), coal shovel (CS), and a hose drag (HD), completed in this order. Results Cardiovascular (VO2max) and muscular endurance was average or below average compared with the general population. Isometric strength did not decline with age. The rescue-related tasks were all extremely demanding with heart rate responses averaging greater than 88% of age predicted maximal heart rates. Heart rate recovery responses were more discriminating than heart rates recorded during the tasks, indicating the hose drag as the most physically demanding of the tasks. Conclusion Relying on actual rescues or mining related work to provide adequate training is generally insufficient to maintain, let alone increase, physical fitness. It is therefore recommended that standards of required physical fitness be developed and mines rescue personnel undergo regularly training (and assessment) in order to maintain these standards. PMID:18847510

  7. [Medical rescue of China National Earthquake Disaster Emergency Search and Rescue Team in Lushan earthquake].

    PubMed

    Liu, Ya-hua; Yang, Hui-ning; Liu, Hui-liang; Wang, Fan; Hu, Li-bin; Zheng, Jing-chen

    2013-05-01

    To summarize and analyze the medical mission of China National Earthquake Disaster Emergency Search and Rescue Team (CNESAR) in Lushan earthquake, to promote the medical rescue effectiveness incorporated with search and rescue. Retrospective analysis of medical work data by CNESAR from April 21th, 2013 to April 27th during Lushan earthquake rescue, including the medical staff dispatch and the wounded case been treated. The reasonable medical corps was composed by 22 members, including 2 administrators, 11 doctors [covering emergency medicine, orthopedics (joints and limbs, spinal), obstetrics and gynecology, gastroenterology, cardiology, ophthalmology, anesthesiology, medical rescue, health epidemic prevention, clinical laboratory of 11 specialties], 1 ultrasound technician, 5 nurses, 1 pharmacist, 1 medical instrument engineer and 1 office worker for propaganda. There were two members having psychological consultants qualifications. The medical work were carried out in seven aspects, including medical care assurance for the CNESAR members, first aid cooperation with search and rescue on site, clinical work in refugees' camp, medical round service for scattered village people, evacuation for the wounded, mental intervention, and the sanitary and anti-epidemic work. The medical work covered 24 small towns, and medical staff established 3 medical clinics at Taiping Town, Shuangshi Town of Lushan County and Baoxing County. Medical rescue, mental intervention for the old and kids, and sanitary and anti-epidemic were performed at the above sites. The medical corps had successful evacuated 2 severe wounded patients and treated the wounded over thousands. Most of the wounded were soft tissue injuries, external injury, respiratory tract infections, diarrhea, and heat stroke. Compared with the rescue action in 2008 Wenchuan earthquake, the aggregation and departure of rescue team in Lushan earthquake, the traffic control order in disaster area, the self-aid and buddy aid

  8. EMERGENCY VICTIM CARE AND RESCUE, TEXTBOOK FOR SQUADMEN.

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus. Trade and Industrial Education Service.

    DESIGNED FOR TRAINING EMERGENCY SQUAD PERSONNEL IN RESCUE PROCEDURES AND VICTIM CARE BEYOND BASIC FIRST AID, THIS TEXTBOOK WAS DEVELOPED BY A COMMITTEE OF SQUADMEN, DOCTORS, NURSES, FIREMEN, AND STATE TRADE AND INDUSTRIAL PERSONNEL TO BE USED IN ADULT TRAINING CLASSES OF FULL-TIME OR VOLUNTEER SQUADMEN. THE INSTRUCTIONAL MATERIAL INCLUDES 26…

  9. Emergency medicine and air rescue in India: future perspectives.

    PubMed

    Sachdev, K S

    2000-01-26

    76.7% of Indian population lives in rural areas. About 160,000 primary health care centres and subcentres, established all over the country, are responsible for the emergency care in the countryside. A centre, manned by a qualified doctor, a nurse/midwife and paramedics, with basic equipment and facilities has to manage all types of medical emergencies in a population of 3000 - 5000. A patient who survives this emergency care has to be transferred to higher secondary / tertiary centre. In metropolitan areas there are larger hospitals some of them having well equipped casualty departments supervised by specialists, but the number of patients are so large that the management of emergency goes often haywire. Patient transport system is very inadequate. The ambulances are scarce and mostly not well equipped. Air rescue which is the most desired, because of the distances and road conditions, is only in a rudimentary state. Existing infrastructure more than 400 airports, airstrips and many helipads, well qualified flying personnel and well maintained small and large aircrafts is sufficient to have a well functioning Air Rescue system. But it is prohibitively expensive. Most individuals are neither able to afford Air Rescue on their own cost nor they are insured. With the growth of economy and ever increasing awareness of medical facilities, the demand of better standards of emergency medicine is going up. In next 20 years a different scenario is expected. Availability of information technology, privatization of insurance system and medical facilities and better transport system and roads in the coming years will facilitate a well functioning emergency medicine and air rescue in India.

  10. A ground moving target emergency tracking method for catastrophe rescue

    NASA Astrophysics Data System (ADS)

    Zhou, X.; Li, D.; Li, G.

    2014-11-01

    In recent years, great disasters happen now and then. Disaster management test the emergency operation ability of the government and society all over the world. Immediately after the occurrence of a great disaster (e.g., earthquake), a massive nationwide rescue and relief operation need to be kicked off instantly. In order to improve the organizations efficiency of the emergency rescue, the organizers need to take charge of the information of the rescuer teams, including the real time location, the equipment with the team, the technical skills of the rescuers, and so on. One of the key factors for the success of emergency operations is the real time location of the rescuers dynamically. Real time tracking methods are used to track the professional rescuer teams now. But volunteers' participation play more and more important roles in great disasters. However, real time tracking of the volunteers will cause many problems, e.g., privacy leakage, expensive data consumption, etc. These problems may reduce the enthusiasm of volunteers' participation for catastrophe rescue. In fact, the great disaster is just small probability event, it is not necessary to track the volunteers (even rescuer teams) every time every day. In order to solve this problem, a ground moving target emergency tracking method for catastrophe rescue is presented in this paper. In this method, the handheld devices using GPS technology to provide the location of the users, e.g., smart phone, is used as the positioning equipment; an emergency tracking information database including the ID of the ground moving target (including the rescuer teams and volunteers), the communication number of the handheld devices with the moving target, and the usually living region, etc., is built in advance by registration; when catastrophe happens, the ground moving targets that living close to the disaster area will be filtered by the usually living region; then the activation short message will be sent to the selected

  11. Rapamycin Rescues the Poor Developmental Capacity of Aged Porcine Oocytes

    PubMed Central

    Lee, Seung Eun; Kim, Eun Young; Choi, Hyun Yong; Moon, Jeremiah Jiman; Park, Min Jee; Lee, Jun Beom; Jeong, Chang Jin; Park, Se Pill

    2014-01-01

    Unfertilized oocytes age inevitably after ovulation, which limits their fertilizable life span and embryonic development. Rapamycin affects mammalian target of rapamycin (mTOR) expression and cytoskeleton reorganization during oocyte meiotic maturation. The goal of this study was to examine the effects of rapamycin treatment on aged porcine oocytes and their in vitro development. Rapamycin treatment of aged oocytes for 24 h (68 h in vitro maturation [IVM]; 44 h+10 μM rapamycin/24 h, 47.52±5.68) or control oocytes (44 h IVM; 42.14±4.40) significantly increased the development rate and total cell number compared with untreated aged oocytes (68 h IVM, 22.04±5.68) (p<0.05). Rapamycin treatment of aged IVM oocytes for 24 h also rescued aberrant spindle organization and chromosomal misalignment, blocked the decrease in the level of phosphorylated-p44/42 mitogen-activated protein kinase (MAPK), and increased the mRNA expression of cytoplasmic maturation factor genes (MOS, BMP15, GDF9, and CCNB1) compared with untreated, 24 h-aged IVM oocytes (p<0.05). Furthermore, rapamycin treatment of aged oocytes decreased reactive oxygen species (ROS) activity and DNA fragmentation (p<0.05), and downregulated the mRNA expression of mTOR compared with control or untreated aged oocytes. By contrast, rapamycin treatment of aged oocytes increased mitochondrial localization (p<0.05) and upregulated the mRNA expression of autophagy (BECN1, ATG7, MAP1LC3B, ATG12, GABARAP, and GABARAPL1), anti-apoptosis (BCL2L1 and BIRC5; p<0.05), and development (NANOG and SOX2; p<0.05) genes, but it did not affect the mRNA expression of pro-apoptosis genes (FAS and CASP3) compared with the control. This study demonstrates that rapamycin treatment can rescue the poor developmental capacity of aged porcine oocytes. PMID:25049998

  12. Rescue model for the bystanders' intervention in emergencies

    NASA Astrophysics Data System (ADS)

    Jo, H.-H.; Jung, W.-S.; Moon, H.-T.

    2006-01-01

    To investigate the effect of social interaction on the bystanders' intervention in emergency situations we introduce a rescue model which includes the effects of the victim's acquaintance with bystanders and those among bystanders. This model reproduces the surprising experimental result that the helping rate tends to decrease although the number of bystanders k increases. The model also shows that given the coupling effect among bystanders, for a certain range of small k the helping rate increases according to k and that coupling effect plays both positive and negative roles in emergencies.

  13. 33 CFR 127.1505 - Emergency response and rescue.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED... and rescue pending the arrival of resources for firefighting or pollution control. Response and rescue...

  14. 33 CFR 127.1505 - Emergency response and rescue.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED... and rescue pending the arrival of resources for firefighting or pollution control. Response and rescue...

  15. Emergent biosynthetic capacity in simple microbial communities.

    PubMed

    Chiu, Hsuan-Chao; Levy, Roie; Borenstein, Elhanan

    2014-07-01

    Microbes have an astonishing capacity to transform their environments. Yet, the metabolic capacity of a single species is limited and the vast majority of microorganisms form complex communities and join forces to exhibit capabilities far exceeding those achieved by any single species. Such enhanced metabolic capacities represent a promising route to many medical, environmental, and industrial applications and call for the development of a predictive, systems-level understanding of synergistic microbial capacity. Here we present a comprehensive computational framework, integrating high-quality metabolic models of multiple species, temporal dynamics, and flux variability analysis, to study the metabolic capacity and dynamics of simple two-species microbial ecosystems. We specifically focus on detecting emergent biosynthetic capacity--instances in which a community growing on some medium produces and secretes metabolites that are not secreted by any member species when growing in isolation on that same medium. Using this framework to model a large collection of two-species communities on multiple media, we demonstrate that emergent biosynthetic capacity is highly prevalent. We identify commonly observed emergent metabolites and metabolic reprogramming patterns, characterizing typical mechanisms of emergent capacity. We further find that emergent secretion tends to occur in two waves, the first as soon as the two organisms are introduced, and the second when the medium is depleted and nutrients become limited. Finally, aiming to identify global community determinants of emergent capacity, we find a marked association between the level of emergent biosynthetic capacity and the functional/phylogenetic distance between community members. Specifically, we demonstrate a "Goldilocks" principle, where high levels of emergent capacity are observed when the species comprising the community are functionally neither too close, nor too distant. Taken together, our results

  16. Emergent Biosynthetic Capacity in Simple Microbial Communities

    PubMed Central

    Chiu, Hsuan-Chao; Levy, Roie; Borenstein, Elhanan

    2014-01-01

    Microbes have an astonishing capacity to transform their environments. Yet, the metabolic capacity of a single species is limited and the vast majority of microorganisms form complex communities and join forces to exhibit capabilities far exceeding those achieved by any single species. Such enhanced metabolic capacities represent a promising route to many medical, environmental, and industrial applications and call for the development of a predictive, systems-level understanding of synergistic microbial capacity. Here we present a comprehensive computational framework, integrating high-quality metabolic models of multiple species, temporal dynamics, and flux variability analysis, to study the metabolic capacity and dynamics of simple two-species microbial ecosystems. We specifically focus on detecting emergent biosynthetic capacity – instances in which a community growing on some medium produces and secretes metabolites that are not secreted by any member species when growing in isolation on that same medium. Using this framework to model a large collection of two-species communities on multiple media, we demonstrate that emergent biosynthetic capacity is highly prevalent. We identify commonly observed emergent metabolites and metabolic reprogramming patterns, characterizing typical mechanisms of emergent capacity. We further find that emergent secretion tends to occur in two waves, the first as soon as the two organisms are introduced, and the second when the medium is depleted and nutrients become limited. Finally, aiming to identify global community determinants of emergent capacity, we find a marked association between the level of emergent biosynthetic capacity and the functional/phylogenetic distance between community members. Specifically, we demonstrate a “Goldilocks” principle, where high levels of emergent capacity are observed when the species comprising the community are functionally neither too close, nor too distant. Taken together, our results

  17. Dialysis Access Hemorrhage: Access Rescue from a Surgical Emergency.

    PubMed

    Inui, Tazo; Boulom, Valy; Bandyk, Dennis; Lane, John S; Owens, Erik; Barleben, Andrew

    2017-07-01

    Hemorrhage from a dialysis access can be a life-threatening condition. This study details our experience using access rescue strategies, including in situ graft replacement, primary repair, or conversion to an autogenous fistula, coupled with treatment of central vein occlusion to maintain access usage in patients presenting with conduit hemorrhage. During a 3-year period (2012-2014), 26 patients (14 women, 12 men) on chronic hemodialysis were treated for access conduit bleeding (n = 18) or life-threatening hemorrhage (n = 8), located in the upper extremity (n = 23) or thigh (n = 3). All patients had developed bleeding from a skin eschar/ulcer over a bovine (n = 9) or polytetrafluoroethylene (n = 9) bridge graft, or aneurysmal autogenous fistula (n = 8). A retrospective review of outcome relative to clinical signs, etiology of conduit bleeding (infection, wall erosion), and the type of rescue procedure(s) was performed. Duplex ultrasound testing was used to guide therapy based on the presence of aneurysmal degeneration, perigraft fluid, or access flow pattern indicative of venous outflow obstruction. One-half of the patients were taken emergently to the operating room for hemorrhage control or impending rupture of an infected false aneurysm, the remaining repaired on an urgent basis. In 18 patients, emergency room personnel attempted control of access site bleeding by suturing (n = 14) or tourniquet (n = 4). Dialysis access salvage was achieved in 22 (85%) of 26 patients by in situ conduit replacement using a rifampin-soaked polytetrafluoroethylene conduit (n = 19) or primary repair (n = 3). Two patients with sepsis and ruptured, infected false aneurysm were treated by ligation, and 2 patients with nonsalvable access had conversion to an autogenous fistula. One-third of rescued accesses (n = 7) had staged endovascular treatment of central vein stenosis. One patient died within 30 days. All dialysis access revisions remained patent and used

  18. [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.

  19. National Training Course. Emergency Medical Technician. Paramedic. Instructor's Lesson Plans. Module XIV. Rescue Techniques.

    ERIC Educational Resources Information Center

    National Highway Traffic Safety Administration (DOT), Washington, DC.

    This instructor's lesson plan guide, one of fifteen modules designed for use in the training of emergency medical technicians (EMTs), focuses on the area of rescue techniques. Basic skills necessary for gaining access to, rescuing, and transporting a patient are listed along with suggestions for adapting training to the local situation. Fourteen…

  20. [Emergency rescue XXL. Morbidly obese patient in the emergency medical service].

    PubMed

    Wissuwa, H; Puchstein, C

    2011-01-01

    Obesity in Germany is becoming more and more prevalent. Significantly overweight patients (>200 kg) pose an increasing and difficult challenge for emergency medical services, emergency doctors and the hospitals responsible for further treatment. The anatomic and physiological characteristics of patients with extreme obesity must be taken into consideration, particularly the airway, breathing, circulation, disability, exposure and environment of the patient. Furthermore special preparations for medical supplies, concepts and strategies for transport and further treatment in hospital are required. Suitable equipment and coordinated processes are essential for both the safety of the persons involved and the patient's dignity. It is, however, a fact that many organizations and hospitals are poorly prepared for this challenge as the complete infrastructure of a hospital has to be adapted. Emergency transport in a bed should be avoided. Neighboring rescue services must be alarmed at an early stage if the commune concerned does not have adequate means of its own. Politics should guarantee cost-covering remuneration for hospitals and rescue services.

  1. 33 CFR 127.1505 - Emergency response and rescue.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... may be performed by facility personnel or by an off-site organization. (1) If response and rescue are... organization, the organization must enter into a written agreement with the facility indicating the services it will perform and the time within which it will perform them to injured or trapped personnel. (b) ...

  2. Retrospective on the construction and practice of a state-level emergency medical rescue team.

    PubMed

    Lei, Zhang; Haitao, Guo; Xin, Wang; Yundou, Wang

    2014-10-01

    For the past few years, disasters like earthquakes, landslides, mudslides, tsunamis, and traffic accidents have occurred with an ever-growing frequency, coverage, and intensity greatly beyond the expectation of the public. In order to respond effectively to disasters and to reduce casualties and property damage, countries around the world have invested more efforts in the theoretical study of emergency medicine and the construction of emergency medical rescue forces. Consequently, emergency medical rescue teams of all scales and types have come into being and have played significant roles in disaster response work. As the only state-level emergency medical rescue force from the Chinese People's Armed Police Forces, the force described here has developed, through continuous learning and practice, a characteristic mode in terms of grouping methods, equipment system construction, and training.

  3. The earthquake disaster risk characteristic and the problem in the earthquake emergency rescue of mountainous southwestern Sichuan

    NASA Astrophysics Data System (ADS)

    Yuan, S.; Xin, C.; Ying, Z.

    2016-12-01

    In recent years, earthquake disaster occurred frequently in Chinese mainland, the secondary disaster which have been caused by it is more serious in mountainous region. Because of the influence of terrain and geological conditions, the difficulty of earthquake emergency rescue work greatly increased, rescue force is also urged. Yet, it has been studied less on earthquake emergency rescue in mountainous region, the research in existing equipment whether can meet the actual needs of local earthquake emergency rescue is poorly. This paper intends to discuss and solve these problems. Through the mountainous regions Ganzi and Liangshan states in Sichuan field research, we investigated the process of earthquake emergency response and the projects for rescue force after an earthquake, and we also collected and collated local rescue force based data. By consulting experts and statistical analyzing the basic data, there are mainly two problems: The first is about local rescue force, they are poorly equipped and lack in the knowledge of medical help or identify architectural structure. There are no countries to establish a sound financial investment protection mechanism. Also, rescue equipment's updates and maintenance; The second problem is in earthquake emergency rescue progress. In the complicated geologic structure of mountainous regions, traffic and communication may be interrupted by landslides and mud-rock flows after earthquake. The outside rescue force may not arrive in time, rescue equipment was transported by manpower. Because of unknown earthquake disaster information, the local rescue force was deployed unreasonable. From the above, the local government worker should analyze the characteristics of the earthquake disaster in mountainous regions, and research how to improve their earthquake emergency rescue ability. We think they can do that by strengthening and regulating the rescue force structure, enhancing the skills and knowledge, training rescue workers

  4. Collaboration between Extension and Industry: Coordination and Assessment of Technical Large Animal Emergency Rescue Training

    ERIC Educational Resources Information Center

    Porr, C. A. Shea; Shultz, Alyx M.; Gimenez, Rebecca; Splan, Rebecca K.

    2016-01-01

    Rescuing large animals from emergency situations can be fraught with dangers not only to the animals but also to the rescuers. People involved at the scene of such an emergency are most likely to include first responders, horse owners, and veterinarians. These groups need to be aware of how they can best work together to effect a safe and…

  5. Collaboration between Extension and Industry: Coordination and Assessment of Technical Large Animal Emergency Rescue Training

    ERIC Educational Resources Information Center

    Porr, C. A. Shea; Shultz, Alyx M.; Gimenez, Rebecca; Splan, Rebecca K.

    2016-01-01

    Rescuing large animals from emergency situations can be fraught with dangers not only to the animals but also to the rescuers. People involved at the scene of such an emergency are most likely to include first responders, horse owners, and veterinarians. These groups need to be aware of how they can best work together to effect a safe and…

  6. Intralipid Emulsion Rescue Therapy: Emerging Therapeutic Indications in Medical Practice.

    PubMed

    Muller, Sam H; Diaz, James H; Kaye, Alan David

    2016-01-01

    Intralipid emulsion therapy is well-established for the treatment of local-anesthetic systemic toxicities. In recent years, its role has expanded as an important therapeutic agent in the reversal of other types of drug overdoses, including certain types of antipsychotics, antidepressants, antiarrhythmics, and calcium channel blockers. A literature review identified thirty-one case reports including forty-nine separate drug overdose cases involving ten separate drug classes which were successfully reversed with Intralipid. The present clinical case study describes an elderly unresponsive woman refractory to conventional treatments after ingesting a potentially lethal amount of 5.6 grams of diltiazem in a suicide attempt. After treatment with Intralipid over a twenty-four hour period, the patient's hemodynamic and metabolic derangements were corrected and stabilized completely. Intralipid emulsion rescue therapy provides another potential strategy for the reversal of many drug toxicities, most likely by providing a lipid layer safety net for drug overdose by passive diffusion. Clinicians are urged to embrace an expanded role of Intralipid emulsion rescue therapy, not only for local anesthetic drug toxicities, but also for other lipophilic drug overdoses.

  7. Geriatric rescue after surgery (GRAS) score to predict failure-to-rescue in geriatric emergency general surgery patients.

    PubMed

    Khan, Muhammad; Azim, Asad; O'Keeffe, Terence; Jehan, Faisal; Kulvatunyou, Narong; Santino, Chelsey; Tang, Andrew; Vercruysse, Gary; Gries, Lynn; Joseph, Bellal

    2017-08-15

    Geriatric-patients(GP) undergoing emergency-general-surgery(EGS) are vulnerable to develop adverse-outcomes. Impact of patient-level-factors on Failure-to-Rescue(FTR) in EGS-GP remains unclear. Aim of our study was to determine factors associated with FTR(death from major-complication) and devise simple-bedside-score that predicts FTR in EGS-GP. 3-year(2013-15) analysis of patients, age≥65y on acute-care-surgery-service and underwent EGS. Regression analysis used to analyze factors associated with FTR and natural-logarithm of significant odds-ratio used to calculate estimated-weights for each factor. Geriatric-Rescue-After-Surgery(GRAS)-score calculated for each-patient. AUROC used to assess model discrimination. 725 EGS-patients analyzed. 44.6%(n = 324) had major-complications. The FTR-rate was 11.5%. Overall-mortality rate was 15.3%. On regression, significant-factors with their estimated-weights were:Age≥80y(2), Chronic-Obstructive-Pulmonary-Disease(COPD)(1), Chronic-renal-failure(CRF)(2), Congestive-heart-failure(CHF)(1), Albumin<3.5(1) and ASA score>3(2). AUROC of score was 0.787. GRAS-score is first score based on preoperative assessment that can reliably predict FTR in EGS-GP. Preoperative identification of patients at increased-risk of FTR can help in risk-stratification and timely-mobilization of resources for successful rescue of these patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Immobilization and splinting in mountain rescue. Official Recommendations of the International Commission for Mountain Emergency Medicine, ICAR MEDCOM, Intended for Mountain Rescue First Responders, Physicians, and Rescue Organizations.

    PubMed

    Ellerton, John; Tomazin, Iztok; Brugger, Hermann; Paal, Peter

    2009-01-01

    Immobilization and splinting of fractures are essential to reduce morbidity and mortality in mountain rescue. Therefore, members of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM) debated the results of a literature review carried out by the authors. Focusing on common immobilization and splinting techniques relevant to mountain rescue, a consensus document was formulated. Pain relief of appropriate speed of onset and strength should be available on scene. Spinal immobilization is recommended for all casualties that have sustained head or spine injury. The preferred method is a vacuum mattress with an appropriately sized rigid cervical collar. In such casualties, only those in an unsafe environment or with time-critical injuries should be evacuated before spinal immobilization is performed. In some casualties, the cervical spine may be cleared and a cervical collar may be omitted. In the presence of hemodynamic instability and where there is a suspicion of a fractured pelvis, an external compression splint should be applied. Splinting of a femoral shaft fracture is important to limit pain and life-threatening blood loss. If time allows, extremity fractures should be adequately splinted and, if the practitioner is skilled, a displaced fracture or joint dislocation should be reduced on scene with the use of appropriate analgesia.

  9. Dynamics of evolutionary rescue in changing environments and the emergence of antibiotic resistance.

    PubMed

    Wu, Yue; Saddler, Clare A; Valckenborgh, Frank; Tanaka, Mark M

    2014-01-07

    Populations can go extinct when their environments deteriorate, but evolutionary rescue occurs when a shrinking population adapts to the new environmental conditions. The emergence of resistance from a drug sensitive bacterial population under treatment can be regarded as an instance of evolutionary rescue. Understanding evolutionary rescue in a particular context such as drug resistance requires knowledge of how the environment changes and how selection coefficients change as a result. In this study, we propose a model for evolutionary rescue under three different scenarios of environmental change: abrupt change, periodic fluctuation and gradual decay. The model makes use of the notion of reaction norms to describe fitness values that depend on both genotype and environmental state. We find that although drug sensitive bacterial populations may be large, allowing them to generate resistant mutants frequently, a harsh abrupt change due to the drug usually drives them extinct. Evolutionary rescue occurs far more frequently under the milder forms of environmental change we investigated. Rescue is favoured when the absolute fitnesses of individuals remain sufficiently high over the range of environment qualities experienced by the population. The minimum environment quality, which is inversely related to drug dose in the antibiotic context, is thus an important factor. Interestingly, in the periodic fluctuation model, the inter-dose period is less influential in promoting rescue through resistance unless the minimum environment quality is in a particular range. We also investigated fitness trade-offs across environments including the case of a resistant allele not subject to any trade-off (a "superbug"). This fitness trade-off affects the probability of rescue in decaying environments, but surprisingly has only a weak effect in the periodic fluctuation scenario. Finally, we use the model to show how niche construction, whereby organisms are the source of environmental

  10. Evolutionary rescue: an emerging focus at the intersection between ecology and evolution

    PubMed Central

    Gonzalez, Andrew; Ronce, Ophélie; Ferriere, Regis; Hochberg, Michael E.

    2013-01-01

    There is concern that the rate of environmental change is now exceeding the capacity of many populations to adapt. Mitigation of biodiversity loss requires science that integrates both ecological and evolutionary responses of populations and communities to rapid environmental change, and can identify the conditions that allow the recovery of declining populations. This special issue focuses on evolutionary rescue (ER), the idea that evolution might occur sufficiently fast to arrest population decline and allow population recovery before extinction ensues. ER emphasizes a shift to a perspective on evolutionary dynamics that focuses on short time-scales, genetic variants of large effects and absolute rather than relative fitness. The contributions in this issue reflect the state of field; the articles address the latest conceptual developments, and report novel theoretical and experimental results. The examples in this issue demonstrate that this burgeoning area of research can inform problems of direct practical concern, such as the conservation of biodiversity, adaptation to climate change and the emergence of infectious disease. The continued development of research on ER will be necessary if we are to understand the extent to which anthropogenic global change will reduce the Earth's biodiversity. PMID:23209175

  11. Evolutionary rescue: an emerging focus at the intersection between ecology and evolution.

    PubMed

    Gonzalez, Andrew; Ronce, Ophélie; Ferriere, Regis; Hochberg, Michael E

    2013-01-19

    There is concern that the rate of environmental change is now exceeding the capacity of many populations to adapt. Mitigation of biodiversity loss requires science that integrates both ecological and evolutionary responses of populations and communities to rapid environmental change, and can identify the conditions that allow the recovery of declining populations. This special issue focuses on evolutionary rescue (ER), the idea that evolution might occur sufficiently fast to arrest population decline and allow population recovery before extinction ensues. ER emphasizes a shift to a perspective on evolutionary dynamics that focuses on short time-scales, genetic variants of large effects and absolute rather than relative fitness. The contributions in this issue reflect the state of field; the articles address the latest conceptual developments, and report novel theoretical and experimental results. The examples in this issue demonstrate that this burgeoning area of research can inform problems of direct practical concern, such as the conservation of biodiversity, adaptation to climate change and the emergence of infectious disease. The continued development of research on ER will be necessary if we are to understand the extent to which anthropogenic global change will reduce the Earth's biodiversity.

  12. 42 CFR 84.3 - Respirators for mine rescue or other emergency use in mines.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Respirators for mine rescue or other emergency use in mines. 84.3 Section 84.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES APPROVAL OF RESPIRATORY...

  13. 42 CFR 84.3 - Respirators for mine rescue or other emergency use in mines.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Respirators for mine rescue or other emergency use in mines. 84.3 Section 84.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES APPROVAL OF RESPIRATORY...

  14. 42 CFR 84.3 - Respirators for mine rescue or other emergency use in mines.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Respirators for mine rescue or other emergency use in mines. 84.3 Section 84.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES APPROVAL OF RESPIRATORY...

  15. 42 CFR 84.3 - Respirators for mine rescue or other emergency use in mines.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Respirators for mine rescue or other emergency use in mines. 84.3 Section 84.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES APPROVAL OF RESPIRATORY...

  16. 42 CFR 84.3 - Respirators for mine rescue or other emergency use in mines.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Respirators for mine rescue or other emergency use in mines. 84.3 Section 84.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES APPROVAL OF RESPIRATORY...

  17. 40 CFR 1054.660 - What are the provisions for exempting emergency rescue equipment?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... provisions of this section. We may require you to notify us annually or to send us annual reports describing... the equipment manufacturer. You must permanently label engines with the following statement: “EMERGENCY RESCUE EQUIPMENT—EXEMPT FROM EMISSION STANDARDS UNDER 40 CFR 1054.660.” Failure to properly label...

  18. 40 CFR 1054.660 - What are the provisions for exempting emergency rescue equipment?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... provisions of this section. We may require you to notify us annually or to send us annual reports describing... the equipment manufacturer. You must permanently label engines with the following statement: “EMERGENCY RESCUE EQUIPMENT—EXEMPT FROM EMISSION STANDARDS UNDER 40 CFR 1054.660.” Failure to properly label...

  19. The Rescue911 Emergency Response Information System (ERIS): A Systems Development Project Case

    ERIC Educational Resources Information Center

    Cohen, Jason F.; Thiel, Franz H.

    2010-01-01

    This teaching case presents a systems development project useful for courses in object-oriented analysis and design. The case has a strong focus on the business, methodology, modeling and implementation aspects of systems development. The case is centered on a fictitious ambulance and emergency services company (Rescue911). The case describes that…

  20. The Rescue911 Emergency Response Information System (ERIS): A Systems Development Project Case

    ERIC Educational Resources Information Center

    Cohen, Jason F.; Thiel, Franz H.

    2010-01-01

    This teaching case presents a systems development project useful for courses in object-oriented analysis and design. The case has a strong focus on the business, methodology, modeling and implementation aspects of systems development. The case is centered on a fictitious ambulance and emergency services company (Rescue911). The case describes that…

  1. [Prehospital trauma care training course. Integration of emergency physician and rescue services].

    PubMed

    Kopschina, C; Stangl, R

    2008-08-01

    With the emergence of a trauma network in the metropolitan area of Nuremberg, Germany, the question arose whether prehospital trauma management and emergency department management could be better integrated. A training scheme was designed for prehospital trauma care by the rescue services of the Workers' Samaritan Federation Germany (ASB), the Bavarian Red Cross, Maltese Ambulance, St. Johns Ambulance, representatives of the emergency physicians, and physicians of Rummelsberg Hospital. A detailed search of the international literature was done for all subjects regarding prehospital trauma management, and the American training systems (ITLS, PHTLS) were studied. The review was followed by a critical evaluation of the reality of on site-care, and the German and American systems were compared. A 2-day course with 6 sessions (accident place and kinetics, trauma investigation, pathologies, resuscitation, practical training, and evaluation) was developed, adapted from the Advanced Trauma Life Support (ATLS) algorithm. Special attention was given to the integration and position of the emergency physician in Germany, as well as to the defined authority of the rescue services. Conversion into practice was facilitated by teamwork. The course is free of charge to all rescue services and members of the concept group. With a qualified prehospital system that works smoothly with the ATLS concepts, improved prehospital care for trauma patients seems possible.

  2. Coming to a stranger's rescue: physician involvement at the scene of an emergency.

    PubMed

    Robischon, T

    1982-01-01

    On a Saturday evening last November, two well-known Los Angeles physicians who came to the aid of a cardiac-arrest victim in a Palm Springs hotel were arrested for interfering with an emergency medical rescue and resisting arrest. The incident triggered a shock wave that was felt throughout the California medical community and far beyond. Just what is the relationship between physicians and paramedics in such a situation? Who is authorized to take charge, and who is most qualified?

  3. Job task characteristics of Australian emergency services volunteers during search and rescue operations.

    PubMed

    Silk, Aaron; Lenton, Gavin; Savage, Robbie; Aisbett, Brad

    2017-07-28

    Search and rescue operations are necessary in locating, assisting and recovering individuals lost or in distress. In Australia, land-based search and rescue roles require a range of physically demanding tasks undertaken in dynamic and challenging environments. The aim of the current research was to identify and characterise the physically demanding tasks inherent to search and rescue operation personnel within Australia. These aims were met through a subjective job task analysis approach. In total, 11 criterion tasks were identified by personnel. These tasks were the most physically demanding, frequently occurring and operationally important tasks to these specialist roles. Muscular strength was the dominant fitness component for 7 of the 11 tasks. In addition to the discrete criterion tasks, an operational scenario was established. With the tasks and operational scenario identified, objective task analysis procedures can be undertaken so that practitioners can implement evidence-based strategies, such as physical selection procedures and task-based physical training programs, commensurate with the physical demands of search and rescue job roles. Practitioner Summary: The identification of physically demanding tasks amongst specialist emergency service roles predicates health and safety strategies which can be incorporated into organisations. Knowledge of physical task parameters allows employers to mitigate injury risk through the implementation of strategies modelled on the precise physical demands of the role.

  4. The benefits of emergency rescue and reanalysis data in decadal storm damage assessment studies

    NASA Astrophysics Data System (ADS)

    Jokinen, P.; Vajda, A.; Gregow, H.

    2015-06-01

    Studying changes in storm-induced forest damage in Finland has not been possible previously due to the lack of continuous, long series of impact data. We overcome this by combining emergency rescue data from the Finnish rescue services "PRONTO" (2011-) with ERA-Interim reanalysis data of wind gusts and soil temperatures to define exceedance thresholds for potential forest damage days. These thresholds were applied as a proxy for the period 1979-2013 in order to study the spatial and decadal characteristics of forest damage in Finland due to windstorms. The results indicated that the area most impacted by potential forest damage was the south-western part of Finland along the coast, with 1-10 damaging storm cases per year. A decadal examination highlighted a lull period in the number of potential forest damage days during the 1990s compared to the 1980s and 2000s, albeit no trend was evident. The inclusion of emergency rescue data allowed us for the first time to estimate the spatial distribution and decadal variations of potential forest damage days due to windstorms in Finland. The results achieved will encourage further development of thresholds for potential forest damage by including additional data sources and applying them to future climate scenarios.

  5. The emergence of the rescue effect from explicit within- and between-patch dynamics in a metapopulation

    PubMed Central

    Eriksson, Anders; Elías-Wolff, Federico; Mehlig, Bernhard; Manica, Andrea

    2014-01-01

    Immigration can rescue local populations from extinction, helping to stabilize a metapopulation. Local population dynamics is important for determining the strength of this rescue effect, but the mechanistic link between local demographic parameters and the rescue effect at the metapopulation level has received very little attention by modellers. We develop an analytical framework that allows us to describe the emergence of the rescue effect from interacting local stochastic dynamics. We show this framework to be applicable to a wide range of spatial scales, providing a powerful and convenient alternative to individual-based models for making predictions concerning the fate of metapopulations. We show that the rescue effect plays an important role in minimizing the increase in local extinction probability associated with high demographic stochasticity, but its role is more limited in the case of high local environmental stochasticity of recruitment or survival. While most models postulate the rescue effect, our framework provides an explicit mechanistic link between local dynamics and the emergence of the rescue effect, and more generally the stability of the whole metapopulation. PMID:24523274

  6. Exploration of key stakeholders' preferences for pre-hospital physiologic monitoring by emergency rescue services.

    PubMed

    Mort, Alasdair J; Rushworth, Gordon F

    2013-12-01

    To gather preferences for novel pre-hospital physiologic monitoring technologies from emergency rescue services. Qualitative semi-structured interviews and focus groups were conducted with three groups from UK Search and Rescue (SAR); (1) Extractors (e.g. SAR teams), (2) Transporters (personnel primarily responsible for casualty transport), and (3) Treaters (e.g. Emergency Department doctors). Three themes were defined; SAR casualty management, novel physiologic monitor potential, and physiologic monitor physical properties. Some SAR groups already employed physiologic monitoring but there was no consensus on which monitor(s) to carry or what to monitor and how frequently. Existing monitors also tended to be bulky and heavy and could be unreliable in an unstable environment or if the casualty was cold. Those performing monitoring tended to have only basic first-aid training, and their workload was often high particularly if there was more than one casualty. The potential benefits of employing a novel monitor were strategic and clinical; an opportunity for transmitting data off-scene in order to facilitate monitoring or generate advice (i.e. telemedicine) was also voiced. A range of more intuitive, physical properties was also raised (e.g. small/compact, lightweight). SAR-specific technology should be simple to operate by those with less medical training, which means that clinical data interpretation and presentation should be carefully considered. It would be beneficial if novel monitors carried out a majority of the interpretation, allowing rescuers to proceed with their priority task of removing the casualty to safety.

  7. Ex vivo culture rescues hematopoietic stem cells with long-term repopulating capacity following harvest from lethally irradiated mice.

    PubMed

    Chute, John P; Fung, Jennifer; Muramoto, Garrett; Erwin, Robert

    2004-03-01

    High-dose ionizing radiation can cause lethal myeloablation in exposed individuals. We examined whether ex vivo culture could rescue hematopoietic stem cells with repopulating capacity following harvest from lethally irradiated animals. We exposed B6.SJL mice to 1050 cGy, harvested their irradiated bone marrow (BM), and examined whether ex vivo culture of the irradiated BM mononuclear cells (MNC) with porcine microvascular endothelial cells (PMVEC) or cytokines alone could rescue hematopoietic cells with in vitro colony-forming activity, in vivo radioprotective capacity, and long-term repopulating potential. PMVEC coculture supported the recovery of fourfold and 80-fold greater numbers of total cells and colony-forming cells (CFC) compared to cyokines alone following 1050 cGy irradiation. All control mice irradiated with 1050 cGy died by day 30, as did mice transplanted with 1050 cGy-irradiated BM MNC. In contrast, transplantation of 1050 cGy-irradiated/PMVEC-cultured BM was fully radioprotective in 12 of 16 recipient mice (75%) exposed to 1050 cGy. Six of the 12 CD45.2+ mice (50%) transplanted with 1050 cGy-irradiated/PMVEC-cultured cells showed long-term (>6 months) multilineage repopulation derived from irradiated donor CD45.1+ cells. Surprisingly, transplantation of identical doses of 1050 cGy-irradiated/cytokine-cultured BM was also radioprotective in 50% of irradiated recipient mice and 50% of these mice demonstrated donor-derived repopulation. Fully functional BM stem and progenitor cells can be rescued following harvest from lethally irradiated animals via ex vivo culture with PMVEC or cytokines alone. This method can serve as a model for the rapid ex vivo rescue and transplantation of autologous BM progenitors in the treatment of victims of radiation injury.

  8. [Rescue helicopter service in Bodö--advanced emergency service or alternative transportation?].

    PubMed

    Ulvik, Atle; Rannestad, Bård Stian; Carlsen, Anders Wetting; Nielsen, Erik Waage

    2002-01-10

    An increase in fatal accidents in helicopter ambulance missions in Norway has put focus on the guidelines for use. Ambulance records from the physician-staffed SeaKing rescue helicopter in Bodø, Northern Norway, from 1988 to 1998 were analysed retrospectively. 2,498 ambulance missions carried 2,590 patients. Median time to lift-off was 29 minutes, and one-way median flying time was 26 minutes. Four local communities with a total of 12,000 residents (6.3% of the population served by the helicopter) ordered 70% of the missions. 35% of the patients suffered from cardiovascular disease, 12% were in labour, 3.2% were seriously traumatized, while 20% had minor injuries. A total of 107 patients (4%) received advanced pre-hospital emergency treatment. Thirty-eight (1.5%) were intubated and received cardiopulmonary resuscitation, of whom two survived to discharge. Over a period of 11 years, 53 patients were intubated by the anaesthesiologist. Oxygen or intravenous lines as the only treatment effort were given to 72%. It takes about an hour to reach remote locations by rescue helicopter. A substantial amount of the transports could have been carried out by ground ambulance without loss of health benefit. We question the need for an on-board anaesthesiologist.

  9. Search and rescue trends and the emergency medical service workload in Utah's National Parks.

    PubMed

    Heggie, Travis W; Heggie, Tracey M

    2008-01-01

    To identify the emergency medical service (EMS) workload and trends associated with search and rescue (SAR) operations in Utah's National Park Service (NPS) units. Data for this study were collected from the Annual Emergency Medical Services Report and the Annual Search and Rescue Report for National Park Service units in Utah from 2001-2005. There were 4762 EMS incidents reported between 2001 and 2005, including 79 fatalities (50 traumatic; 29 nontraumatic). The most common EMS transportation method was ground (1505) and helicopter (553) transport. The heaviest trauma, medical, and cardiac workload was at Glen Canyon National Recreation Area (GLCA) and the heaviest first aid workload was at Zion National Park (ZION). There were 1190 SAR operations between 2001 and 2005 involving 67 fatalities, 623 ill or injured visitors, 1813 non-ill or non-injured visitors, and 92 saves. GLCA and ZION accounted for 47% and 21% of all SAR operations. The total cost of SAR operations was $1 363 920. SAR operations most commonly occurred on weekends, involved male visitors (59%), visitors aged 20-29 years (23%), and 40-49 years (20%), and visitors participating in day hiking (221), motorized boating (196), and canyoneering (98) activities. Most SAR operations were in lake (226), desert (147), and canyon (140) environments and were resolved within 24 hours. GLCA and ZION experienced heavy use of EMS resources that should be noted by EMS administrators and planners. GLCA and ZION also reported the most SAR operations. The development of techniques to prevent the need for SAR at GLCA and ZION would likely have the most potential to reduce the financial impact of SAR incidents and morbidity and mortality to visitors.

  10. Opioid education and nasal naloxone rescue kits in the emergency department.

    PubMed

    Dwyer, Kristin; Walley, Alexander Y; Langlois, Breanne K; Mitchell, Patricia M; Nelson, Kerrie P; Cromwell, John; Bernstein, Edward

    2015-05-01

    Emergency departments (EDs) may be high-yield venues to address opioid deaths with education on both overdose prevention and appropriate actions in a witnessed overdose. In addition, the ED has the potential to equip patients with nasal naloxone kits as part of this effort. We evaluated the feasibility of an ED-based overdose prevention program and described the overdose risk knowledge, opioid use, overdoses, and overdose responses among participants who received overdose education and naloxone rescue kits (OEN) and participants who received overdose education only (OE). Program participants were surveyed by telephone after their ED visit about their substance use, overdose risk knowledge, history of witnessed and personal overdoses, and actions in a witnessed overdose including use of naloxone. A total of 415 ED patients received OE or OEN between January 1, 2011 and February 28, 2012. Among those, 51 (12%) completed the survey; 37 (73%) of those received a naloxone kit, and 14 (27%) received OE only. Past 30-day opioid use was reported by 35% OEN and 36% OE, and an overdose was reported by 19% OEN and 29% OE. Among 53% (27/51) of participants who witnessed another individual experiencing an overdose, 95% OEN and 88% OE stayed with victim, 74% OEN and 38% OE called 911, 26% OEN and 25% OE performed rescue breathing, and 32% OEN (n=6) used a naloxone kit to reverse the overdose. We did not detect statistically significant differences between OEN and OE-only groups in opioid use, overdose or response to a witnessed overdose. This is the first study to demonstrate the feasibility of ED-based opioid overdose prevention education and naloxone distribution to trained laypersons, patients and their social network. The program reached a high-risk population that commonly witnessed overdoses and that called for help and used naloxone, when available, to rescue people. While the study was retrospective with a low response rate, it provides preliminary data for larger

  11. 46 CFR 64.63 - Minimum emergency venting capacity.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Minimum emergency venting capacity. 64.63 Section 64.63 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.63...

  12. 46 CFR 64.63 - Minimum emergency venting capacity.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Minimum emergency venting capacity. 64.63 Section 64.63 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.63...

  13. 46 CFR 64.63 - Minimum emergency venting capacity.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Minimum emergency venting capacity. 64.63 Section 64.63 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.63...

  14. 46 CFR 64.63 - Minimum emergency venting capacity.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Minimum emergency venting capacity. 64.63 Section 64.63 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.63...

  15. 46 CFR 64.63 - Minimum emergency venting capacity.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Minimum emergency venting capacity. 64.63 Section 64.63 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.63...

  16. Helicopter emergency medical services accident rates in different international air rescue systems

    PubMed Central

    Hinkelbein, J; Schwalbe, M; Genzwuerker, HV

    2010-01-01

    Aim Each year approximately two to four helicopter emergency medical services (HEMS) crashes occur in Germany. The aim of the present study was to compare crash rates and fatal crash rates in Germany to rates in other countries. Materials and methods A MEDLINE search from 1970 to 2009 was performed using combinations of the keywords “HEMS”, “rescue helicopter”, “accident”, “accident rate”, “crash”, and “crash rate”. The search was supplemented by additional published data. Data were compared on the basis of 10,000 missions and 100,000 helicopter flying hours. These data were allocated to specific time frames for analyis. Results Eleven relevant studies were identified. Five studies (three from Germany, one from the US, one from Australia) analyzing HEMS accidents on the basis of 10,000 missions were identified. Crash rates per 10,000 missions ranged between 0.4 and 3.05 and fatal crash rates between 0.04 and 2.12. In addition, nine studies (six from the US, two from Germany, one from Australia) used 100,000 flying hours as a denominator. Here, crash rates ranged between 1.7 and 13.4 and fatal crash rates between 0.91 and 4.7. Conclusions Data and accident rates were inhomogeneous and differed significantly. Data analysis was impeded by publication of mean data, use of different time frames, and differences in HEMS systems. PMID:27147837

  17. Ambulance times of Ankara emergency aid and rescue services' ambulance system.

    PubMed

    Altintaş, K H; Bilir, N

    2001-03-01

    The aim of this study was to determine various times related to the ambulance activities of Ankara Emergency Aid and Rescue Services (EARS) and if necessary contribute to the improvement of them. A descriptive study was planned to determine various times related to the ambulance activities of Ankara EARS. The data was collected by one of the researchers. The study was conducted between 1 October 1995 and 30 September 1996. The variables of the study were: delay time, response time, time at the scene (scene time), round trip time, transport time and total run time of Ankara EARS ambulance activities. Ankara EARS Emergency Call Registry Forms (5638 forms) were evaluated for the above stated variables. The computer program EPI-INFO 5.0 was used in the study. The median response time of Ankara EARS was found to be 9 minutes. In the research year, the median delay time was 2 minutes. Median arrival to patient contact time of Ankara EARS was 2 minutes. Median time at the scene was 7 minutes. Median round trip time of the system was 44 minutes. The median time to arrive at the scene from the ambulance station was 8 minutes. The median transport time was 10 minutes. The median total run time was 30 minutes. As the median response time was found to be 9 minutes it is concluded that there should be more ambulance vehicles to improve this time of Ankara EARS. Due to financial problems, times were recorded manually by the ambulance crew and dispatchers of Ankara EARS. If digital and electronic recording systems are used, these times might be more precise.

  18. WASP and electricity capacity expansion planning for emerging countries

    SciTech Connect

    Allentuck, J

    1980-11-01

    The WIEN Automatic System Planning Package (WASP) is typical of electrical generation capacity expansion planning models in general use today. It was developed by the Tennessee Valley Authority (TVA) for the International Atomic Energy Agency (IAEA) hence the name WIEN. It is available without charge to member states. Assistance in its use is available from IAEA staff and in addition it is well documented. The user of WASP should be aware of its uses and limitations especially, though not exclusively, in its application to emerging countries. This paper presents an overview of capacity expansion planning and its place in the economic planning process with reference to the emerging countries; describes in a general way the use of WASP; cautions care in the interpretation of WASP results; and suggests the way in which WASP can be used to assess innovative electric generating technologies.

  19. Dental follicle cells rescue the regenerative capacity of periodontal ligament stem cells in an inflammatory microenvironment.

    PubMed

    Liu, Jia; Wang, Liying; Liu, Wenjia; Li, Qiang; Jin, Zuolin; Jin, Yan

    2014-01-01

    Periodontal ligament stem cells (PDLSCs) are one of the best candidates for periodontal regeneration. Their function could be impaired in periodontitis microenvironment. Dental follicle cells (DFCs), serving as precursor cells and mesenchymal stem cells, have intimate connection with PDLSCs. However, it is still unknown whether DFCs could provide a favorable microenvironment to improve the proliferation and differentiation capacity of PDLSCs from healthy subjects (HPDLSCs) and patients diagnosed with periodontitis (PPDLSCs). HPDLSCs, PPDLSCs and DFCs were harvested and identified using microscopic and flow cytometric analysis. Then, the coculture systems of DFCs/HPDLSCs and DFCs/PPDLSCs were established with 0.4 µm transwell, in which all the detection indexs were obtained from HPDLSCs and PPDLSCs. The expression of stemness-associated genes was detected by real-time PCR, and the proliferation ability was assessed using colony formation and cell cycle assays. The osteogenic differentiation capacity was evaluated by real-time PCR, western blot, ALP activity, Alizarin Red S staining and calcium level analysis, while the adipogenic differentiation capacity was determined by real-time PCR and Oil Red O staining. The cell sheet formation in vitro was observed by HE staining and SEM, and the implantation effect in vivo was evaluated using HE staining and Masson's trichrome staining. PPDLSCs had a greater proliferation capability but lower osteogenic and adipogenic potential than HPDLSCs. DFCs enhanced the proliferation and osteogenic/adipogenic differentiation of HPDLSCs and PPDLSCs to different degrees. Moreover, coculture with DFCs increased cell layers and extracellular matrix of HPDLSCs/PPDLSCs cell sheets in vitro and improved periodontal regeneration by HPDLSCs/PPDLSCs in vivo. Our data suggest that the function of PPDLSCs could be damaged in the periodontitis microenvironment. DFCs appear to enhance the self-renewal and multi-differentiation capacity of both

  20. Ten years of helicopter emergency medical services in Germany: do we still need the helicopter rescue in multiple traumatised patients?

    PubMed

    Andruszkow, Hagen; Hildebrand, Frank; Lefering, Rolf; Pape, Hans-Christoph; Hoffmann, Reinhard; Schweigkofler, Uwe

    2014-10-01

    Helicopter emergency medical service (HEMS) has been established in the preclinical treatment of multiple traumatised patients despite an ongoing controversy towards the potential benefit. Celebrating the 20th anniversary of TraumaRegister DGU(®) of the German Trauma Society (DGU) the presented study intended to provide an overview of HEMS rescue in Germany over the last 10 years analysing the potential beneficial impact of a nationwide helicopter rescue in multiple traumatised patients. We analysed TraumaRegister DGU(®) including multiple traumatised patients (ISS ≥ 16) between 2002 and 2012. In-hospital mortality was defined as main outcome. An adjusted, multivariate regression with 13 confounders was performed to evaluate the potential survival benefit. 42,788 patients were included in the present study. 14,275 (33.4%) patients were rescued by HEMS and 28,513 (66.6%) by GEMS. Overall, 66.8% (n=28,569) patients were transported to a level I trauma centre and 28.2% (n=12,052) to a level II trauma centre. Patients rescued by HEMS sustained a higher injury severity compared to GEMS (ISS HEMS: 29.5 ± 12.6 vs. 27.5 ± 11.8). Helicopter rescue teams performed more on-scene interventions, and mission times were increased in HEMS rescue (HEMS: 77.2 ± 28.7 min. vs. GEMS: 60.9 ± 26.9 min.). Linear regression analysis revealed that the frequency of HEMS rescue has decreased significantly between 2002 and 2012. In case of transportation to level I trauma centres a decrease of 1.7% per year was noted (p<0.001) while a decline of 1.6% per year (p<0.001) was measured for level II trauma centre admissions. According to multivariate logistic regression HEMS was proven a positive independent survival predictor between 2002 and 2012 (OR 0.863; 95%-CI 0.800-0.930; Nagelkerkes-R(2) 0.539) with only little differences between each year. This study was able to prove an independent survival benefit of HEMS in multiple traumatised patients during the last 10 years. Despite this

  1. Establishing a successful pre-hospital emergency service in a developing country: experience from Rescue 1122 service in Pakistan.

    PubMed

    Waseem, Hunniya; Naseer, Rizwan; Razzak, Junaid Abdul

    2011-06-01

    As in many other developing countries, emergency medical services, especially pre-hospital emergency care, has long been neglected in Pakistan. Consequently, patients are brought to the emergency departments by relatives or bystanders in private cars, taxis or any other readily available mode of transportation. Ambulances, where they exist, have barely a stretcher and arrangements for oxygen supply. Modern emergency services are considered too costly for many countries. A model of pre-hospital emergency services, called Rescue 1122 and established in Punjab province of Pakistan, is presented. The system is supported by government funding and provides a quality service. The article describes the process of establishment of the service, the organisational structure, the scope of services and the role it is currently playing in the healthcare of the region it serves.

  2. [Resources and capacity of emergency trauma care services in Peru].

    PubMed

    Rosales-Mayor, Edmundo; Miranda, J Jaime; Lema, Claudia; López, Luis; Paca-Palao, Ada; Luna, Diego; Huicho, Luis

    2011-09-01

    The objectives of this study were to evaluate the resources and capacity of emergency trauma care services in three Peruvian cities using the WHO report Guidelines for Essential Trauma Care. This was a cross-sectional study in eight public and private healthcare facilities in Lima, Ayacucho, and Pucallpa. Semi-structured questionnaires were applied to the heads of emergency departments with managerial responsibility for resources and capabilities. Considering the profiles and volume of care in each emergency service, most respondents in all three cities classified their currently available resources as inadequate. Comparison of the health facilities showed a shortage in public services and in the provinces (Ayacucho and Pucallpa). There was a widespread perception that both human and physical resources were insufficient, especially in public healthcare facilities and in the provinces.

  3. Emergency portacaval shunt versus rescue portacaval shunt in a randomized controlled trial of emergency treatment of acutely bleeding esophageal varices in cirrhosis--part 3.

    PubMed

    Orloff, Marshall J; Isenberg, Jon I; Wheeler, Henry O; Haynes, Kevin S; Jinich-Brook, Horacio; Rapier, Roderick; Vaida, Florin; Hye, Robert J

    2010-11-01

    Emergency treatment of bleeding esophageal varices in cirrhosis is of singular importance because of the high mortality rate. Emergency portacaval shunt is rarely used today because of the belief, unsubstantiated by long-term randomized trials, that it causes frequent portal-systemic encephalopathy and liver failure. Consequently, portacaval shunt has been relegated solely to salvage therapy when endoscopic and pharmacologic therapies have failed. Is the regimen of endoscopic sclerotherapy with rescue portacaval shunt for failure to control bleeding varices superior to emergency portacaval shunt? A unique opportunity to answer this question was provided by a randomized controlled trial of endoscopic sclerotherapy versus emergency portacaval shunt conducted from 1988 to 2005. Unselected consecutive cirrhotic patients with acute bleeding esophageal varices were randomized to endoscopic sclerotherapy (n = 106) or emergency portacaval shunt (n = 105). Diagnostic workup was completed and treatment was initiated within 8 h. Failure of endoscopic sclerotherapy was defined by strict criteria and treated by rescue portacaval shunt (n = 50) whenever possible. Ninety-six percent of patients had more than 10 years of follow-up or until death. Comparison of emergency portacaval shunt and endoscopic sclerotherapy followed by rescue portacaval shunt showed the following differences in measurements of outcomes: (1) survival after 5 years (72% versus 22%), 10 years (46% versus 16%), and 15 years (46% versus 0%); (2) median post-shunt survival (6.18 versus 1.99 years); (3) mean requirements of packed red blood cell units (17.85 versus 27.80); (4) incidence of recurrent portal-systemic encephalopathy (15% versus 43%); (5) 5-year change in Child's class showing improvement (59% versus 19%) or worsening (8% versus 44%); (6) mean quality of life points in which lower is better (13.89 versus 27.89); and (7) mean cost of care per year ($39,200 versus $216,700). These differences were

  4. 49 CFR Figure 1b to Subpart B of... - Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access Windows-§§ 238.113 and 238.114 1B Figure 1B to Subpart B of... of Emergency Window Exits and Location of Rescue Access Windows—§§ 238.113 and 238.114 ER01FE08.003...

  5. 49 CFR Figure 1b to Subpart B of... - Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access Windows-§§ 238.113 and 238.114 1B Figure 1B to Subpart B of... of Emergency Window Exits and Location of Rescue Access Windows—§§ 238.113 and 238.114...

  6. 49 CFR Figure 1b to Subpart B of... - Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access Windows-§§ 238.113 and 238.114 1B Figure 1B to Subpart B of... of Emergency Window Exits and Location of Rescue Access Windows—§§ 238.113 and 238.114 ER01FE08.003...

  7. 49 CFR Figure 1b to Subpart B of... - Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access Windows-§§ 238.113 and 238.114 1B Figure 1B to Subpart B of... of Emergency Window Exits and Location of Rescue Access Windows—§§ 238.113 and 238.114 ER01FE08.003...

  8. 49 CFR Figure 1b to Subpart B of... - Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Example of Location and Staggering of Emergency Window Exits and Location of Rescue Access Windows-§§ 238.113 and 238.114 1B Figure 1B to Subpart B of... of Emergency Window Exits and Location of Rescue Access Windows—§§ 238.113 and 238.114 ER01FE08.003...

  9. A Cloud Robotics Based Service for Managing RPAS in Emergency, Rescue and Hazardous Scenarios

    NASA Astrophysics Data System (ADS)

    Silvagni, Mario; Chiaberge, Marcello; Sanguedolce, Claudio; Dara, Gianluca

    2016-04-01

    Cloud robotics and cloud services are revolutionizing not only the ICT world but also the robotics industry, giving robots more computing capabilities, storage and connection bandwidth while opening new scenarios that blend the physical to the digital world. In this vision, new IT architectures are required to manage robots, retrieve data from them and create services to interact with users. Among all the robots this work is mainly focused on flying robots, better known as drones, UAV (Unmanned Aerial Vehicle) or RPAS (Remotely Piloted Aircraft Systems). The cloud robotics approach shifts the concept of having a single local "intelligence" for every single UAV, as a unique device that carries out onboard all the computation and storage processes, to a more powerful "centralized brain" located in the cloud. This breakthrough opens new scenarios where UAVs are agents, relying on remote servers for most of their computational load and data storage, creating a network of devices where they can share knowledge and information. Many applications, using UAVs, are growing as interesting and suitable devices for environment monitoring. Many services can be build fetching data from UAVs, such as telemetry, video streaming, pictures or sensors data; once. These services, part of the IT architecture, can be accessed via web by other devices or shared with other UAVs. As test cases of the proposed architecture, two examples are reported. In the first one a search and rescue or emergency management, where UAVs are required for monitoring intervention, is shown. In case of emergency or aggression, the user requests the emergency service from the IT architecture, providing GPS coordinates and an identification number. The IT architecture uses a UAV (choosing among the available one according to distance, service status, etc.) to reach him/her for monitoring and support operations. In the meantime, an officer will use the service to see the current position of the UAV, its

  10. Capacity building in cardiac surgery in emerging countries: an overview.

    PubMed

    Velebit, V

    2008-01-01

    Cardiac surgery in the developed world is advancing rapidly towards extremely expensive and time-consuming technologies such as robotic surgery, whereas, at the same time, access to life saving treatment by simple cardiac surgery is denied to many patients in the emerging world. This widening gap of access to technologies in distinct parts of the world has been eloquently described by one of the foremost US cardiac surgeons, Dr James Cox, in his presidential address to the American Association of Thoracic Surgery in San Diego in May 2001. Dr Cox demonstrated the startling figures shown in the table below and pleaded for involvement of surgeons from the developed world in capacity building in the emerging countries.

  11. Efficient post-disaster patient transportation and transfer: experiences and lessons learned in emergency medical rescue in Aceh after the 2004 Asian tsunami.

    PubMed

    Li, Xiang-Hui; Zheng, Jing-Chen

    2014-08-01

    This descriptive study aimed to present experiences and lessons learned in emergency medical rescue after the 2004 Asian tsunami in terms of transportation and transfer of patients and coordination of medical rescue forces. After the tsunami, numerous rescue institutions and international organizations rushed to Aceh province to aid in the rescue work. To coordinate various aspects of medical rescue efforts, an airport-based joint patient transfer center was developed. Within the framework of the joint transport center, rescue teams, militaries, and international institutions worked together to jointly triage, rapidly treat, and transfer patients. As members of the Chinese International Search and Rescue team, we were involved in the rescue efforts in the joint patient transfer center, and treated and transferred a total of 217 injured patients, the majority of whom were triaged as level II, followed by level III, and level I. The top three diseases were trauma/wound infection, respiratory system disease, and digestive system disease. The airport-based joint patient transfer center provided an efficient mechanism for successfully coordinating various aspects of the medical rescue efforts to transfer patients. Large-scale air transport, available health resources, and effective triage criteria also played an essential role in patient transportation and transfer.

  12. Hospital emergency surge capacity: an empiric New York statewide study.

    PubMed

    Kanter, Robert K; Moran, John R

    2007-09-01

    National policy for emergency preparedness calls for hospitals to accommodate surges of 500 new patients per million population in a disaster, but published studies have not evaluated the ability of existing resources to meet these goals. We describe typical statewide and regional hospital occupancy and patterns of variation in occupancy and estimate the ability of hospitals to accommodate new inpatients. Daily hospital occupancy for each hospital was calculated according to admission date and length of stay for each patient during the study period. Occupancy was expressed as the count of occupied beds. Peak hospital capacity was defined as the 95th percentile highest occupancy at each facility. Data obtained from the New York Statewide Planning and Research Cooperative System were analyzed for 1996 to 2002. Patients were classified as children (0 to 14 years, excluding newborns) or adults. Vacant hospital beds per million age-specific population were determined as the difference between peak capacity and average occupancy. In New York State, 242 hospitals cared for a peak capacity of 2,707 children and 46,613 adults. Occupancy averaged 60% of the peak for children and 82% for adults, allowing an average statewide capacity for a surge of 268 new pediatric and 555 adult patients for each million age-specific population. After the September 11, 2001, attacks, in the New York City region, a discretionary modification of admissions and discharges resulted in an 11% reduction from the expected occupancy for children and adults. Typically, there are not enough vacant hospital beds available to serve 500 children per million population. Modified standards of hospital care to expand capacity may be necessary to serve children in a mass-casualty event.

  13. Capacity building in emerging space nations: Experiences, challenges and benefits

    NASA Astrophysics Data System (ADS)

    Jason, Susan; da Silva Curiel, Alex; Liddle, Doug; Chizea, Francis; Leloglu, Ugur Murat; Helvaci, Mustafa; Bekhti, Mohammed; Benachir, Djouad; Boland, Lee; Gomes, Luis; Sweeting, Martin

    2010-09-01

    This paper focuses on ways in which space is being used to build capacity in science and technology in order to: Offer increasing support for national and global solutions to current and emerging problems including: how to improve food security; resource management; understanding the impacts of climate change and how to deal with them; improving disaster mitigation, management and response. Support sustainable economic development. We present some of the experiences, lessons learned and benefits gained in capacity building projects undertaken by Surrey Satellite Technology Ltd. and our partners from developing and mature space nations. We focus on the Turkish, Algerian and Nigerian know-how and technology transfer programmes which form part of the first Disaster Monitoring Constellation (DMC) in orbit. From the lessons learned on Surrey's know-how and technology transfer partnership programmes, it is clear that space technology needs to be implemented responsibly as part of a long-term capacity building plan to be a sustainable one. It needs to be supported with appropriate policy and legal frameworks, institutional development, including community participation, human resources development and strengthening of managerial systems. In taking this on board, DMC has resulted in a strong international partnership combining national objectives, humanitarian aid and commerce. The benefits include: Ownership of space-based and supporting ground assets with low capital expenditure that is in line with national budgets of developing nations. Ownership of data and control over data acquisition. More for the money via collaborative consortium. Space related capacity building in organisations and nations with the goal of sustainable development. Opportunities for international collaboration, including disaster management and relief.

  14. [Discussion about health assessment and epidemic prevention mode for China National Earthquake Disaster Emergency Search and Rescue Team in Lushan earthquake].

    PubMed

    Yang, Hui-ning; Liu, Ya-hua; Liu, Hui-liang; Wang, Fan; Hu, Li-bin; Zheng, Jing-chen

    2013-05-01

    To discuss health assessment and epidemic prevention in earthquake rescue, to establish emergency health and epidemic prevention mode for the national earthquake emergency medical rescue team scientifically, and to provide references and consultations for emergency hygiene and epidemic prevention measures in disaster medicine. China National Earthquake Disaster Emergency Search and Rescue Team gathered and evaluated environment, food, drinking water and other health related information around more than 2000 earthquake victims in Baoxing County, Shuangshi Town and Qingren Township from 20th April 2013 to 27th by using methods such as field epidemiological investigations. The national earthquake emergency medical rescue team spread comprehensive evaluation focusing on the local epidemics, find out the starting point of epidemic prevention, and then built reporting system in disaster area. The team also formulated the emergency detection system of food and drinking water and carried out health education. After the golden 72 hours, by comprehensive evaluation the establishment of early response in disaster area and spreading epidemic prevention, this team achieved the full coverage of three in the earthquake area, the resettlement of residents and families in that area and gradually formed a disaster medical rescue hygiene and epidemic prevention mode.

  15. Rescue and emergency management of a man-made disaster: lesson learnt from a collapse factory building, Bangladesh.

    PubMed

    Biswas, Animesh; Rahman, Aminur; Mashreky, Saidur Rahman; Humaira, Tasnuva; Dalal, Koustuv

    2015-01-01

    A tragic disaster occurred on April 24, 2013, in Bangladesh, when a nine storied building in a suburban area collapsed and killed 1115 people and injured many more. The study describes the process of rescue operation and emergency management services provided in the event. Data were collected using qualitative methods including in-depth interviews and a focus group discussion with the involved medical students, doctors, volunteers, and local people. Immediately after the disaster, rescue teams came to the place from Bangladesh Armed Forces, Bangladesh Navy, Bangladesh Air Force, and Dhaka Metropolitan and local Police and doctors, medical students, and nurses from nearby medical college hospitals and private hospitals and students from colleges and universities including local civil people. Doctors and medical students provided 24-hour services at the disaster place and in hospitals. Minor injured patients were treated at health camps and major injured patients were immediately carried to nearby hospital. Despite the limitations of a low resource setting, Bangladesh faced a tremendous challenge to manage the man-made disaster and experienced enormous support from different sectors of society to manage the disaster carefully and saved thousands of lives. This effort could help to develop a standard emergency management system applicable to Bangladesh and other counties with similar settings.

  16. Rescue and Emergency Management of a Man-Made Disaster: Lesson Learnt from a Collapse Factory Building, Bangladesh

    PubMed Central

    Biswas, Animesh; Mashreky, Saidur Rahman; Humaira, Tasnuva; Dalal, Koustuv

    2015-01-01

    A tragic disaster occurred on April 24, 2013, in Bangladesh, when a nine storied building in a suburban area collapsed and killed 1115 people and injured many more. The study describes the process of rescue operation and emergency management services provided in the event. Data were collected using qualitative methods including in-depth interviews and a focus group discussion with the involved medical students, doctors, volunteers, and local people. Immediately after the disaster, rescue teams came to the place from Bangladesh Armed Forces, Bangladesh Navy, Bangladesh Air Force, and Dhaka Metropolitan and local Police and doctors, medical students, and nurses from nearby medical college hospitals and private hospitals and students from colleges and universities including local civil people. Doctors and medical students provided 24-hour services at the disaster place and in hospitals. Minor injured patients were treated at health camps and major injured patients were immediately carried to nearby hospital. Despite the limitations of a low resource setting, Bangladesh faced a tremendous challenge to manage the man-made disaster and experienced enormous support from different sectors of society to manage the disaster carefully and saved thousands of lives. This effort could help to develop a standard emergency management system applicable to Bangladesh and other counties with similar settings. PMID:25954767

  17. Helicopter emergency medical rescue for the traumatized: experience in the metropolitan region of Campinas, Brazil.

    PubMed

    Cardoso, Ricardo Galesso; Francischini, Carina Fontana; Ribera, Jorge Michel; Vanzetto, Ricardo; Fraga, Gustavo Pereira

    2014-01-01

    To analyze the profile of patients served by the air medical rescue system in the Metropolitan Region of Campinas, evaluating: triage and mobilization criteria; response time; on-site care and transport time; invasive procedures performed in the Pre-Hospital Care (PHC); severity of patients; morbidity and mortality. We conducted a prospective, descriptive study in which we analyzed medical records of patients rescued between July 2010 and December 2012. During this period, 242 victims were taken to the HC-Unicamp. Of the 242 patients, 22 were excluded from the study. of the 220 cases evaluated, 173 (78.6%) were male, with a mean age of 32 years. Blunt trauma was the most prevalent (207 cases - 94.1%), motorcycle accidents being the most common mechanisms of injury (66 cases - 30%), followed by motor vehicle collisions (51 cases - 23.2%). The average response time was 10 ± 4 minutes and the averaged total pre-hospital time was 42 ± 11 minutes. The mean values of the trauma indices were: RTS = 6.2 ± 2.2; ISS = 19.2 ± 12.6; and TRISS = 0.78 ± 0.3. Tracheal intubation in the pre-hospital environment was performed in 77 cases (35%); 43 patients (19.5%) had RTS of 7.84 and ISSd"9, being classified as over-triaged. Of all patients admitted, the mortality was 15.9% (35 cases). studies of air medical rescue in Brazil are required due to the investments made in the pre-hospital care in a country without an organized trauma system. The high rate of over-triage found highlights the need to improve the triage and mobilization criteria.

  18. Medical considerations in the use of helicopters in mountain rescue.

    PubMed

    Tomazin, Iztok; Kovacs, Tim

    2003-01-01

    The outcome of patient care can be dramatically improved by bringing rapid rescue and medical care to the mountain rescue scene and by rapid transport to a medical facility. The use of a helicopter for these purposes is common. It is necessary when it has clear advantages for victims in comparison with ground rescue and transport. Helicopters should work within the existing emergency medical system and must be staffed by appropriate mountain rescue and medically trained personnel. Activation time should be as short as possible. Activation of a helicopter for a mountain rescue should primarily include indication and assessment of flight and safety conditions. No other mediators or delaying factors should be permitted. The main safety criteria are appropriate mountain rescue and flight training, competence of air and ground crews, radio communication between the air and ground crews, and mission briefing before the rescue. Criteria for a helicopter used for mountain rescue are proper medical and rescue equipment, load capacity, adequate space, and others. There are two main groups of indications for use of a helicopter for mountain rescue: the patient's condition and the circumstances at the site of the accident. All persons responsible for the activation of the helicopter rescue operation should be aware of specific problems in the mountains or wilderness.

  19. [Potential and effectiveness of a telemedical rescue assistance system. Prospective observational study on implementation in emergency medicine].

    PubMed

    Brokmann, J C; Rossaint, R; Bergrath, S; Valentin, B; Beckers, S K; Hirsch, F; Jeschke, S; Czaplik, M

    2015-06-01

    The demographic change and an increasing multimorbidity of patients represent increasing challenges for the adequate prehospital treatment of emergency patients. The incorporation of supplementary telemedical concepts and systems can lead to an improved guideline-conform treatment. Beneficial evidence of telemedical procedures is only known for isolated disease patterns; however, no mobile telemedical concept exists which is suitable for use in the wide variety of different clinical situations. This article presents a newly developed and evaluated total telemedical concept (TemRas) that encompasses organizational, medical and technical components. The use of intelligent and robust communication technology and the implementation of this add-on system allows the telemedical support of the rescue service for all emergencies. After development of the telemedical rescue assistance system, which includes organizational, medical and technical components, a telemedical centre and six ambulances in five different districts in North-Rhine Westphalia were equipped with this new tool. During the evaluation phase of 1 year in the routine emergency medical service the rate of complications as well as differences between urban and rural areas were analyzed with respect to different target parameters. Between August 2012 and July 2013 a total of 401 teleconsultations were performed during emergency missions and 24 during secondary interhospital transfers. No complications due to teleconsultation were observed. The mean duration (±SD) of teleconsultations was longer in rural areas than in urban areas with 28.6±12.0 min vs. 25.5±11.1 min (p < 0.0001). In 63.2% of these missions administration of medications was delegated to the ambulance personnel (52.0% urban vs. 73.6% rural, p < 0.0001). The severity of ailments corresponded to scores of III and VI in the National Advisory Committee for Aeronautics (NACA) classification. Emergency medical care of patients with

  20. Family Child Care Homes Need Health and Safety Training and an Emergency Rescue System.

    ERIC Educational Resources Information Center

    Shallcross, Mary Ann

    1999-01-01

    Argues that current training in child safety, health, and emergency response are not adequate for family childcare providers. Concludes that preventing sudden infant death syndrome (SIDS), preventing injury, providing safe outdoor play areas, controlling the spread of illness, and being prepared for emergencies must be of major concern and ongoing…

  1. Epidemiological evaluation of cats rescued at a secondary emergency animal shelter in Miharu, Fukushima, after the Great East Japan Earthquakes.

    PubMed

    Tanaka, Aki; Martinez-Lopez, Beatriz; Kass, Philip

    2017-03-01

    The aims of this research were to report characteristics of rescued cats at a secondary emergency animal shelter in Fukushima prefecture, Japan, and evaluate how adoptability, stress level, upper respiratory infection (URI) syndrome incidence, and URI pathogen prevalence were associated with the cat's shelter intake source and shelter characteristics. All cats admitted to the Miharu shelter, Fukushima Prefecture from 2012 to 2014 were included in the study. The results demonstrate that in situ corticosteroid and antibiotic use were associated with cats subsequently developing upper respiratory infections (URI). Disease and cat behavior were unassociated with adoption. Cats in group housing had lower stress metrics than cats individually housed. Prevalences of URI pathogens exceeded 80%, but symptomatic cats were uncommon. Environmental enrichment and stress reduction strategies are important in controlling URI and reducing the need for corticosteroids and antibiotics in shelters. Preemptive protocols are important in preventing shelter admission of cats during disasters.

  2. Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: Four case scenarios.

    PubMed

    Jones, Angela; Johnstone, Megan-Jane

    2017-07-01

    Failure to identify and respond to clinical deterioration is an important measure of patient safety, hospital performance and quality of care. Although studies have identified the role of patient, system and human factors in failure to rescue events, the role of 'inattentional blindness' as a possible contributing factor has been overlooked. To explore the nature and possible patient safety implications of inattentional blindness in critical care, emergency and perioperative nursing contexts. Analysis of four case scenarios drawn from a naturalistic inquiry investigating how nurses identify and manage gaps (discontinuities) in care. Data were collected via in-depth interviews from a purposeful sample of 71 nurses, of which 20 were critical care nurses, 19 were emergency nurses and 16 were perioperative nurses. Case scenarios were identified, selected and analysed using inattentional blindness as an interpretive frame. The four case scenarios presented here suggest that failures to recognise and act upon patient observations suggestive of clinical deterioration could be explained by inattentional blindness. In all but one of the cases reported, vital signs were measured and recorded on a regular basis. However, teams of nurses and doctors failed to 'see' the early signs of clinical deterioration. The high-stress, high-complexity nature of the clinical settings in which these cases occurred coupled with high cognitive workload, noise and frequent interruptions create the conditions for inattentional blindness. The case scenarios considered in this report raise the possibility that inattentional blindness is a salient but overlooked human factor in failure to rescue events across the critical care spectrum. Further comparative cross-disciplinary research is warranted to enable a better understanding of the nature and possible patient safety implications of inattentional blindness in critical care nursing contexts. Copyright © 2016 Australian College of Critical Care

  3. Rescue of the remnants: the British emergency medical relief operation in Belsen Camp 1945.

    PubMed

    Trepman, E

    2001-10-01

    The British Army liberated the German concentration camp at Belsen on April 15, 1945. The thousands of inmates (estimates range from 60,000 to 78,900 inmates), mostly Jews from eastern Europe, were dying at a rate of 500-600 per day from disease, and many more were being killed by the German guards and co-workers. Diseases prevalent included typhus, tuberculosis, nutritional and infective diarrhoea, severe malnutrition and starvation, and others. Despite huge obstacles including the ongoing war effort, shortages of supplies, and limited numbers of workers, a relief operation was rapidly organized to control the typhus epidemic and salvage as many inmates as possible. The 10,000 emaciated corpses which had been lying all over the camp were collected and buried in mass graves. Inmates were disinfected with D.D.T., scrubbed in a "human laundry," and evacuated from the typhus-ridden Horror Camp (Camp 1) to a hospital organized in the barracks of the Panzer Training School (Camp 2). Feeding of the inmates was carefully regulated, and some basic medical treatment organized. The relief operation was performed by British Army units, detachments of the British Red Cross, British and Belgian medical students, and other volunteers including those from among the less debilitated inmates. Although 13,000 inmates died after the liberation despite the relief operation, thousands of others were rescued.

  4. Search and rescue emergency locating transmitter detection/location procedure via TIROS satellite

    NASA Technical Reports Server (NTRS)

    Wren, P. E.; Davisson, L. D.

    1980-01-01

    A procedure is described which works effectively to detect and locate emergency locating transmitters (ELTs) and emergency position indicating radio beacons (EPIRBs) in a multisignal environment. Using data generated from several manufactured ELTs with diverse superimposed Doppler curves, as many as 9 simultaneous ELTs can be detected and located at a variety of signal strengths. It is noted that average position errors of 10 km are attainable today at signal power to noise spectral density ratios as low as 17 dB-Hz.

  5. Enhanced Rescue Lift Capability

    NASA Technical Reports Server (NTRS)

    Young, Larry A.

    2007-01-01

    The evolving and ever-increasing demands of emergency response and disaster relief support provided by rotorcraft dictate, among other things, the development of enhanced rescue lift capability for these platforms. This preliminary analysis is first-order in nature but provides considerable insight into some of the challenges inherent in trying to effect rescue using a unique form of robotic rescue device deployed and operated from rotary-wing aerial platforms.

  6. Medical standards for mountain rescue operations using helicopters: official consensus recommendations of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).

    PubMed

    Tomazin, Iztok; Ellerton, John; Reisten, Oliver; Soteras, Inigo; Avbelj, Miha

    2011-01-01

    The purpose of this article is to establish medical recommendations for safe and effective Helicopter Emergency Medical Systems (HEMS) in countries with a dedicated mountain rescue service. A nonsystematic search was undertaken and a consensus among members of International Commission for Mountain Emergency Medicine (ICAR Medcom) was reached. For the severely injured or ill patient, survival depends on approach time and quality of medical treatment by high-level providers. Helicopters can provide significant shortening of the times involved in mountain rescue. Safety is of utmost importance and everything possible should be done to minimize risk. Even in the mountainous environment, the patient should be reached as quickly as possible (optimally<20 min) and provided with on-site and en-route medical treatment according to international standards. The HEMS unit should be integrated into the Emergency Medical System of the region. All dispatchers should be aware of the specific problems encountered in mountainous areas. The nearest qualified HEMS team to the incident site, regardless of administrative boundaries, should be dispatched. The 'air rescue optimal crew' concept with its flexibility and adaptability of crewmembers ensures that all HEMS tasks can be performed. The helicopter and all equipment should be appropriate for the conditions and specific for mountain related emergencies. These recommendations, agreed by ICAR Medcom, establish recommendations for safe and effective HEMS in mountain rescue.

  7. Visualising emergency department capacity in an 'Emergency Department Capacity Clock': A novel tool to assess and communicate overcrowding and access block.

    PubMed

    Dar, Ohad; Loubser, Jacques

    2017-10-01

    Hospital-wide engagement is required to alleviate the problem of ED crowding and its associated adverse effects. To this end, the article describes a novel visualisation termed 'the ED Capacity Clock', which can be formatted using business intelligence software. This radial diagram represents ED capacity and its consumption in a format that can be understood intuitively and at a glance. The ED Capacity Clock is designed to promote common understanding and discussion between relevant hospital services and also acts as an auditing tool to monitor processes implemented to alleviate ED crowding. © 2017 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  8. Rescue Manual. Module 2.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The second of 10 modules contains 5 chapters: (1) patient care and handling techniques; (2) rescue carries and drags; (3) emergency vehicle operations; (4) self-contained breathing apparatus; and (5) protective clothing. Key points, an…

  9. [Postpartum hemorrhage and pregnancy induced hypertension during emergency lower segment cesarean section: dexmedetomidine to our rescue].

    PubMed

    Hariharan, Uma

    Dexmedetomidine is a highly selective α-2 agonist which has recently revolutionized our anesthesia and intensive care practice. An obstetric patient presented for emergency cesarean delivery under general anesthesia, with pre-eclampsia and postpartum hemorrhage. In carefully selected cases with refractory hypertension and postpartum hemorrhage, dexmedetomidine can be used for improving overall patient outcome. It was beneficial in controlling both the blood pressure and uterine bleeding during cesarean section in our patient. Copyright © 2015 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  10. Fluid management in traumatic shock: a practical approach for mountain rescue. Official recommendations of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).

    PubMed

    Sumann, Günther; Paal, Peter; Mair, Peter; Ellerton, John; Dahlberg, Tore; Zen-Ruffinen, Gregoire; Zafren, Ken; Brugger, Hermann

    2009-01-01

    Sumann, Günther, Peter Paal, Peter Mair, John Ellerton, Tore Dahlberg, Gregoire Zen-Ruffinen, Ken Zafren, and Hermann Brugger. Fluid management in traumatic shock: a practical approach for mountain rescue. High Alt. Med. Biol. 10:71-75, 2009.-The management of severe injuries leading to traumatic shock in mountains and remote areas is a great challenge for emergency physicians and rescuers. Traumatic brain injury may further aggravate outcome. A mountain rescue mission may face severe limitations from the terrain and required rescue technique. The mission may be characterized by a prolonged prehospital care time, where urban traumatic shock protocols may not apply. Yet optimal treatment is of utmost importance. The aim of this study is to establish scientifically supported recommendations for fluid management that are feasible for the physician or paramedic attending such an emergency. A nonsystematic literature search was performed; the results and recommendations were discussed among the authors and accepted by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). Diagnostic and therapeutic strategies are discussed, as well as limitations on therapy in mountain rescue. An algorithm for fluid resuscitation, derived from the recommendations, is presented in Fig. 1. Focused on the key criterion of traumatic brain injury, different levels of blood pressure are presented as a goal of therapy, and the practical means for achieving these are given.

  11. Integrating disaster preparedness and surge capacity in emergency facility planning.

    PubMed

    Zilm, Frank; Berry, Robert; Pietrzak, Michael P; Paratore, Amy

    2008-01-01

    The ability to adapt and utilize emergency facilities is a critical element in responding to surges resulting from man-made and natural events. The current stresses on emergency services throughout the country find few adequately prepared to effectively absorb a sudden increase in patients along with some of the potential special requirements, such as quarantining of epidemic patients and mass decontamination. This article reviews major findings of the federally funded ER One project, a research initiative that has described a number of facility strategies, which should be considered in planning new emergency facilities. An early case study in the application of these principles at the recently completed Tampa General Hospital emergency service is provided, illustrating how, when integrated into the early planning and design, many of the ER One recommendations can be implemented at modest capital cost increases.

  12. Emerging roles for riboflavin in functional rescue of mitochondrial β-oxidation flavoenzymes.

    PubMed

    Henriques, Bárbara J; Olsen, Rikke K; Bross, Peter; Gomes, Cláudio M

    2010-01-01

    Riboflavin, commonly known as vitamin B2, is the precursor of flavin cofactors. It is present in our typical diet, and inside the cells it is metabolized to FMN and FAD. As a result of their rather unique and flexible chemical properties these flavins are among the most important redox cofactors present in a large series of different enzymes. A problem in riboflavin metabolism or a low intake of this vitamin will have consequences on the level of FAD and FMN in the cell, resulting in disorders associated with riboflavin deficiency. In a few number of cases, riboflavin deficiency is associated with impaired oxidative folding, cell damage and impaired heme biosynthesis. More relevant are several studies referring reduced activity of enzymes such as dehydrogenases involved in oxidative reactions, respiratory complexes and enzymes from the fatty acid β-oxidation pathway. The role of this vitamin in mitochondrial metabolism, and in particular in fatty acid oxidation, will be discussed in this review. The basic aspects concerning riboflavin and flavin metabolism and deficiency will be addressed, as well as an overview of the role of the different flavoenzymes and flavin chemistry in fatty acid β-oxidation, merging clinical, cellular and biochemical perspectives. A number of recent studies shedding new light on the cellular processes and biological effects of riboflavin supplementation in metabolic disease will also be overviewed. Overall, a deeper understanding of these emerging roles of riboflavin intake is essential to design better therapies.

  13. Capacities for School Leadership: Emerging Trends in the Literature....

    ERIC Educational Resources Information Center

    Mullen, Carol A.; Gordon, Stephen P.; Greenlee, Bobbie J.; Anderson, Robert H.

    2002-01-01

    Review of literature on school leadership organized for the most part around the following topics: Building leadership capacity (organizational, managerial coordination, mentoring, collaborative, democratic, ethical, expanded view of schooling); redefining school leadership, for example, by fostering teacher development; and reforming principal…

  14. Capacities for School Leadership: Emerging Trends in the Literature....

    ERIC Educational Resources Information Center

    Mullen, Carol A.; Gordon, Stephen P.; Greenlee, Bobbie J.; Anderson, Robert H.

    2002-01-01

    Review of literature on school leadership organized for the most part around the following topics: Building leadership capacity (organizational, managerial coordination, mentoring, collaborative, democratic, ethical, expanded view of schooling); redefining school leadership, for example, by fostering teacher development; and reforming principal…

  15. Rescuing the duty to rescue.

    PubMed

    Rulli, Tina; Millum, Joseph

    2016-04-01

    Clinicians and health researchers frequently encounter opportunities to rescue people. Rescue cases can generate a moral duty to aid those in peril. As such, bioethicists have leveraged a duty to rescue for a variety of purposes. Yet, despite its broad application, the duty to rescue is underanalysed. In this paper, we assess the state of theorising about the duty to rescue. There are large gaps in bioethicists' understanding of the force, scope and justification of the two most cited duties to rescue--the individual duty of easy rescue and the institutional rule of rescue. We argue that the duty of easy rescue faces unresolved challenges regarding its force and scope, and the rule of rescue is indefensible. If the duty to rescue is to help solve ethical problems, these theoretical gaps must be addressed. We identify two further conceptions of the duty to rescue that have received less attention--an institutional duty of easy rescue and the professional duty to rescue. Both provide guidance in addressing force and scope concerns and, thereby, traction in answering the outstanding problems with the duty to rescue. We conclude by proposing research priorities for developing accounts of duties to rescue in bioethics. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  16. Health Departments’ Engagement in Emergency Preparedness Activities: The Influence of Health Informatics Capacity

    PubMed Central

    Shah, Gulzar H.; Newell, Bobbie; Whitworth, Ruth E.

    2016-01-01

    Background: Local health departments (LHDs) operate in a complex and dynamic public health landscape, with changing demands on their emergency response capacities. Informatics capacities might play an instrumental role in aiding LHDs emergency preparedness. This study aimed to explore the extent to which LHDs’ informatics capacities are associated with their activity level in emergency preparedness and to identify which health informatics capacities are associated with improved emergency preparedness. Methods: We used the 2013 National Profile of LHDs study to perform Poisson regression of emergency preparedness activities. Results: Only 38.3% of LHDs participated in full-scale exercises or drills for an emergency in the 12 months period prior to the survey, but a much larger proportion provided emergency preparedness training to staff (84.3%), and/or participated in tabletop exercises (76.4%). Our multivariable analysis showed that after adjusting for several resource-related LHD characteristics, LHDs with more of the 6 information systems still tend to have slightly more preparedness activities. In addition, having a designated emergency preparedness coordinator, and having one or more emergency preparedness staff were among the most significant factors associated with LHDs performing more emergency preparedness activities. Conclusion: LHDs might want to utilize better health information systems and information technology tools to improve their activity level in emergency preparedness, through improved information dissemination, and evidence collection. PMID:27694648

  17. Health Departments' Engagement in Emergency Preparedness Activities: The Influence of Health Informatics Capacity.

    PubMed

    Shah, Gulzar H; Newell, Bobbie; Whitworth, Ruth E

    2016-04-30

    Local health departments (LHDs) operate in a complex and dynamic public health landscape, with changing demands on their emergency response capacities. Informatics capacities might play an instrumental role in aiding LHDs emergency preparedness. This study aimed to explore the extent to which LHDs' informatics capacities are associated with their activity level in emergency preparedness and to identify which health informatics capacities are associated with improved emergency preparedness. We used the 2013 National Profile of LHDs study to perform Poisson regression of emergency preparedness activities. Only 38.3% of LHDs participated in full-scale exercises or drills for an emergency in the 12 months period prior to the survey, but a much larger proportion provided emergency preparedness training to staff (84.3%), and/or participated in tabletop exercises (76.4%). Our multivariable analysis showed that after adjusting for several resource-related LHD characteristics, LHDs with more of the 6 information systems still tend to have slightly more preparedness activities. In addition, having a designated emergency preparedness coordinator, and having one or more emergency preparedness staff were among the most significant factors associated with LHDs performing more emergency preparedness activities. LHDs might want to utilize better health information systems and information technology tools to improve their activity level in emergency preparedness, through improved information dissemination, and evidence collection.

  18. Emergency, anaesthetic and essential surgical capacity in the Gambia.

    PubMed

    Iddriss, Adam; Shivute, Nestor; Bickler, Stephen; Cole-Ceesay, Ramou; Jargo, Bakary; Abdullah, Fizan; Cherian, Meena

    2011-08-01

    To assess the resources for essential and emergency surgical care in the Gambia. The World Health Organization's Tool for Situation Analysis to Assess Emergency and Essential Surgical Care was distributed to health-care managers in facilities throughout the country. The survey was completed by 65 health facilities - one tertiary referral hospital, 7 district/general hospitals, 46 health centres and 11 private health facilities - and included 110 questions divided into four sections: (i) infrastructure, type of facility, population served and material resources; (ii) human resources; (iii) management of emergency and other surgical interventions; (iv) emergency equipment and supplies for resuscitation. Questionnaire data were complemented by interviews with health facility staff, Ministry of Health officials and representatives of nongovernmental organizations. Important deficits were identified in infrastructure, human resources, availability of essential supplies and ability to perform trauma, obstetric and general surgical procedures. Of the 18 facilities expected to perform surgical procedures, 50.0% had interruptions in water supply and 55.6% in electricity. Only 38.9% of facilities had a surgeon and only 16.7% had a physician anaesthetist. All facilities had limited ability to perform basic trauma and general surgical procedures. Of public facilities, 54.5% could not perform laparotomy and 58.3% could not repair a hernia. Only 25.0% of them could manage an open fracture and 41.7% could perform an emergency procedure for an obstructed airway. The present survey of health-care facilities in the Gambia suggests that major gaps exist in the physical and human resources needed to carry out basic life-saving surgical interventions.

  19. Emergency, anaesthetic and essential surgical capacity in the Gambia

    PubMed Central

    Shivute, Nestor; Bickler, Stephen; Cole-Ceesay, Ramou; Jargo, Bakary; Abdullah, Fizan; Cherian, Meena

    2011-01-01

    Abstract Objective To assess the resources for essential and emergency surgical care in the Gambia. Methods The World Health Organization’s Tool for Situation Analysis to Assess Emergency and Essential Surgical Care was distributed to health-care managers in facilities throughout the country. The survey was completed by 65 health facilities – one tertiary referral hospital, 7 district/general hospitals, 46 health centres and 11 private health facilities – and included 110 questions divided into four sections: (i) infrastructure, type of facility, population served and material resources; (ii) human resources; (iii) management of emergency and other surgical interventions; (iv) emergency equipment and supplies for resuscitation. Questionnaire data were complemented by interviews with health facility staff, Ministry of Health officials and representatives of nongovernmental organizations. Findings Important deficits were identified in infrastructure, human resources, availability of essential supplies and ability to perform trauma, obstetric and general surgical procedures. Of the 18 facilities expected to perform surgical procedures, 50.0% had interruptions in water supply and 55.6% in electricity. Only 38.9% of facilities had a surgeon and only 16.7% had a physician anaesthetist. All facilities had limited ability to perform basic trauma and general surgical procedures. Of public facilities, 54.5% could not perform laparotomy and 58.3% could not repair a hernia. Only 25.0% of them could manage an open fracture and 41.7% could perform an emergency procedure for an obstructed airway. Conclusion The present survey of health-care facilities in the Gambia suggests that major gaps exist in the physical and human resources needed to carry out basic life-saving surgical interventions. PMID:21836755

  20. Emergency rescue endovascular stent grafting of ascending aorta to relieve life-threatening coronary obstruction in a case of acute aortic dissection.

    PubMed

    Tauchi, Yuuya; Tanioka, Hideki; Kondoh, Haruhiko; Satoh, Hisashi; Matsuda, Hikaru

    2014-12-01

    Myocardial ischemia associated with acute aortic dissection is frequently a fatal complication, and the emergent management still remains a challenge. We report a patient with life-threatening myocardial ischemia due to acute aortic dissection managed by rescue stent grafting of the ascending aorta. Coronary blood flow improved immediately with this endovascular procedure, hemodynamic status was ameliorated dramatically, followed by uneventful open repair. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  1. Estimates of emergency operating capacity in US manufacturing and nonmanufacturing industries - Volume 1: Concepts and Methodology

    SciTech Connect

    Belzer, D.B. ); Serot, D.E. ); Kellogg, M.A. )

    1991-03-01

    Development of integrated mobilization preparedness policies requires planning estimates of available productive capacity during national emergency conditions. Such estimates must be developed in a manner to allow evaluation of current trends in capacity and the consideration of uncertainties in various data inputs and in engineering assumptions. This study developed estimates of emergency operating capacity (EOC) for 446 manufacturing industries at the 4-digit Standard Industrial Classification (SIC) level of aggregation and for 24 key nonmanufacturing sectors. This volume lays out the general concepts and methods used to develop the emergency operating estimates. The historical analysis of capacity extends from 1974 through 1986. Some nonmanufacturing industries are included. In addition to mining and utilities, key industries in transportation, communication, and services were analyzed. Physical capacity and efficiency of production were measured. 3 refs., 2 figs., 12 tabs. (JF)

  2. [Structure, organization and capacity problems in emergency medical services, emergency admission and intensive care units].

    PubMed

    Dick, W

    1994-01-01

    Emergency medicine is subjected worldwide to financial stringencies and organizational evaluations of cost-effectiveness. The various links in the chain of survival are affected differently. Bystander assistance or bystander CPR is available in only 30% of the emergencies, response intervals--if at all required by legislation--are observed to only a limited degree or are too extended for survival in cardiac arrest. A single emergency telephone number is lacking. Too many different phone numbers for emergency reporting result in confusion and delays. Organizational realities are not fully overcome and impair efficiency. The position of the emergency physician in the EMS System is inadequately defined, the qualification of too many emergency physicians are unsatisfactory. In spite of this, emergency physicians are frequently forced to answer out-of-hospital emergency calls. Conflicts between emergency physicians and EMTs may be overcome by providing both groups with comparable qualifications as well as by providing an explicit definition of emergency competence. A further source of conflict occurs at the juncture of prehospital and inhospital emergency care in the emergency department. Deficiencies on either side play a decisive role. At least in principle there are solutions to the deficiencies in the EMSS and in intensive care medicine. They are among others: Adequate financial compensation of emergency personnel, availability of sufficient numbers of highly qualified personnel, availability of a central receiving area with an adjacent emergency ward, constant information flow to the dispatch center on the number of available emergency beds, maintaining 5% of all beds as emergency beds, establishing intermediate care facilities. Efficiency of emergency physician activities can be demonstrated in polytraumatized patients or in patients with ventricular fibrillation or acute myocardial infarction, in patients with acute myocardial insufficiency and other emergency

  3. From Agricultural Extension to Capacity Development: Exploring the Foundations of an Emergent Form of Practice

    ERIC Educational Resources Information Center

    Lauzon, Al

    2013-01-01

    This essay argues that capacity development is a response to changes in the organization and practice of agricultural extension as these changes have excluded small resource farmers. In this essay I trace the changes in the organization of agricultural extension through to the emergence of the concept and practice of capacity development. The idea…

  4. From Agricultural Extension to Capacity Development: Exploring the Foundations of an Emergent Form of Practice

    ERIC Educational Resources Information Center

    Lauzon, Al

    2013-01-01

    This essay argues that capacity development is a response to changes in the organization and practice of agricultural extension as these changes have excluded small resource farmers. In this essay I trace the changes in the organization of agricultural extension through to the emergence of the concept and practice of capacity development. The idea…

  5. Emergency Preparedness and Role Clarity among Rescue Workers during the Terror Attacks in Norway July 22, 2011

    PubMed Central

    Pedersen, May Janne Botha; Gjerland, Astrid; Rund, Bjørn Rishovd; Ekeberg, Øivind; Skogstad, Laila

    2016-01-01

    Background Few studies address preparedness and role clarity in rescue workers after a disaster. On July 22, 2011, Norway was struck by two terror attacks; 77 people were killed and many injured. Healthcare providers, police officers and firefighters worked under demanding conditions. The aims of this study were to examine the level of preparedness, exposure and role clarity. In addition, the relationship between demographic variables, preparedness and exposure and a) role clarity during the rescue operations and; b) achieved mastering for future disaster operations. Methods In this cross-sectional study, healthcare providers (n = 859), police officers (n = 252) and firefighters (n = 102) returned a questionnaire approximately 10 months after the terror attacks. Results The rescue personnel were trained and experienced, and the majority knew their professional role (healthcare providers M = 4.1 vs. police officers: M = 3.9 vs. firefighters: M = 4.2, p < .001, [scale 1–5]). The police officers reported significantly more lack of control (p < .001). In the multivariable analysis, being female (OR 1.4, p < .05), having more years of work experience (OR 2.3, p = < .001), previous training (OR 1.6, p < .05) and the experience of an event with > 5 fatalities (OR 1.6, p < .05) were all associated with role clarity, together with a feeling of control, not being obstructed in work and perceiving the rescue work as a success. Moreover, independent predictors of being more prepared for future operations were arousal during the operation (OR 2.0, p < .001) and perceiving the rescue work as a success (OR 1.5, p < .001). Conclusion Most of the rescue workers were experienced and knew their professional role. Training and everyday-work-experience must be a focal point when preparing rescue workers for disaster. PMID:27280520

  6. Emergency Preparedness and Role Clarity among Rescue Workers during the Terror Attacks in Norway July 22, 2011.

    PubMed

    Pedersen, May Janne Botha; Gjerland, Astrid; Rund, Bjørn Rishovd; Ekeberg, Øivind; Skogstad, Laila

    2016-01-01

    Few studies address preparedness and role clarity in rescue workers after a disaster. On July 22, 2011, Norway was struck by two terror attacks; 77 people were killed and many injured. Healthcare providers, police officers and firefighters worked under demanding conditions. The aims of this study were to examine the level of preparedness, exposure and role clarity. In addition, the relationship between demographic variables, preparedness and exposure and a) role clarity during the rescue operations and; b) achieved mastering for future disaster operations. In this cross-sectional study, healthcare providers (n = 859), police officers (n = 252) and firefighters (n = 102) returned a questionnaire approximately 10 months after the terror attacks. The rescue personnel were trained and experienced, and the majority knew their professional role (healthcare providers M = 4.1 vs. police officers: M = 3.9 vs. firefighters: M = 4.2, p < .001, [scale 1-5]). The police officers reported significantly more lack of control (p < .001). In the multivariable analysis, being female (OR 1.4, p < .05), having more years of work experience (OR 2.3, p = < .001), previous training (OR 1.6, p < .05) and the experience of an event with > 5 fatalities (OR 1.6, p < .05) were all associated with role clarity, together with a feeling of control, not being obstructed in work and perceiving the rescue work as a success. Moreover, independent predictors of being more prepared for future operations were arousal during the operation (OR 2.0, p < .001) and perceiving the rescue work as a success (OR 1.5, p < .001). Most of the rescue workers were experienced and knew their professional role. Training and everyday-work-experience must be a focal point when preparing rescue workers for disaster.

  7. Estimates of emergency operating capacity in US manufacturing and nonmanufacturing industries

    SciTech Connect

    Belzer, D.B. ); Serot, D.E. ); Kellogg, M.A. )

    1991-03-01

    Development of integrated mobilization preparedness policies requires planning estimates of available productive capacity during national emergency conditions. Such estimates must be developed in a manner that allows evaluation of current trends in capacity and the consideration of uncertainties in various data inputs and in engineering assumptions. This study, conducted by Pacific Northwest Laboratory (PNL), developed estimates of emergency operating capacity (EOC) for 446 manufacturing industries at the 4-digit Standard Industrial Classification (SIC) level of aggregation and for 24 key non-manufacturing sectors. This volume presents tabular and graphical results of the historical analysis and projections for each SIC industry. (JF)

  8. Strategic emergency department design: An approach to capacity planning in healthcare provision in overcrowded emergency rooms.

    PubMed

    Exadaktylos, Aristomenis K; Evangelopoulos, Dimitrios S; Wullschleger, Marcel; Bürki, Leo; Zimmermann, Heinz

    2008-11-17

    Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor.This paper explores the possibilities offered by dynamic simulation tools to improve patient pathways using the emergency department of a busy university teaching hospital in Switzerland as an example.

  9. Capacity Model and Constraints Analysis for Integrated Remote Wireless Sensor and Satellite Network in Emergency Scenarios.

    PubMed

    Zhang, Wei; Zhang, Gengxin; Dong, Feihong; Xie, Zhidong; Bian, Dongming

    2015-11-17

    This article investigates the capacity problem of an integrated remote wireless sensor and satellite network (IWSSN) in emergency scenarios. We formulate a general model to evaluate the remote sensor and satellite network capacity. Compared to most existing works for ground networks, the proposed model is time varying and space oriented. To capture the characteristics of a practical network, we sift through major capacity-impacting constraints and analyze the influence of these constraints. Specifically, we combine the geometric satellite orbit model and satellite tool kit (STK) engineering software to quantify the trends of the capacity constraints. Our objective in analyzing these trends is to provide insights and design guidelines for optimizing the integrated remote wireless sensor and satellite network schedules. Simulation results validate the theoretical analysis of capacity trends and show the optimization opportunities of the IWSSN.

  10. Capacity Model and Constraints Analysis for Integrated Remote Wireless Sensor and Satellite Network in Emergency Scenarios

    PubMed Central

    Zhang, Wei; Zhang, Gengxin; Dong, Feihong; Xie, Zhidong; Bian, Dongming

    2015-01-01

    This article investigates the capacity problem of an integrated remote wireless sensor and satellite network (IWSSN) in emergency scenarios. We formulate a general model to evaluate the remote sensor and satellite network capacity. Compared to most existing works for ground networks, the proposed model is time varying and space oriented. To capture the characteristics of a practical network, we sift through major capacity-impacting constraints and analyze the influence of these constraints. Specifically, we combine the geometric satellite orbit model and satellite tool kit (STK) engineering software to quantify the trends of the capacity constraints. Our objective in analyzing these trends is to provide insights and design guidelines for optimizing the integrated remote wireless sensor and satellite network schedules. Simulation results validate the theoretical analysis of capacity trends and show the optimization opportunities of the IWSSN. PMID:26593919

  11. Mountain rescue stretchers: usability trial.

    PubMed

    Hignett, Sue; Willmott, Joseph Wayne; Clemes, Stacy

    2009-01-01

    In the UK mountain rescues are carried out by highly trained volunteers in all weather conditions and at any time of the day/night. They interface with other services when they hand over the casualty to either land or air ambulances. The design of the stretcher is important to the safety of both the volunteers and casualties. This paper reports a usability trial to evaluate the features of mountain rescue stretchers and identify characteristics for future design. Two mountain rescue teams in the English Lake District participated in a five week field experiment. Data were collected using postural analysis with Rapid Entire Body Analysis, Body Part Discomfort Surveys, Rated Perceived Exertion and focus groups to compare the performance of four stretchers: Split Thomas, Ferno Titan, MacInnes mark 6 and MacInnes mark 7. None of the stretchers had an overall advantage, with benefits for some features counterbalanced by disadvantages resulting from others. All the stretchers produced shoulder discomfort with the Split Thomas and MacInnes 6 lowering the postural risks through the use of skids/wheel in the carrying phase. The key design features for future MR stretchers include: reduced unloaded weight (e.g. light weight materials and mesh platforms); undercarriage system to reduce the carrying load; adjustable handles at the front and back positions; flexible carrying system with an optional harness attachment; ease of assembly in adverse environmental conditions; large carrying capacity. It is suggested that military emergency evacuation should be considered in addition to mountain rescue tasks to identify a larger commercial market for development.

  12. Space Rescue

    NASA Technical Reports Server (NTRS)

    Muratore, John F.

    2007-01-01

    Space Rescue has been a topic of speculation for a wide community of people for decades. Astronauts, aerospace engineers, diplomats, medical and rescue professionals, inventors and science fiction writers have all speculated on this problem. Martin Caidin's 1964 novel Marooned dealt with the problems of rescuing a crew stranded in low earth orbit. Legend at the Johnson Space Center says that Caidin's portrayal of a Russian attempt to save the American crew played a pivotal role in convincing the Russians to join the real joint Apollo-Soyuz mission. Space Rescue has been a staple in science fiction television and movies portrayed in programs such as Star Trek, Stargate-SG1 and Space 1999 and movies such as Mission To Mars and Red Planet. As dramatic and as difficult as rescue appears in fictional accounts, in the real world it has even greater drama and greater difficulty. Space rescue is still in its infancy as a discipline and the purpose of this chapter is to describe the issues associated with space rescue and the work done so far in this field. For the purposes of this chapter, the term space rescue will refer to any system which allows for rescue or escape of personnel from situations which endanger human life in a spaceflight operation. This will span the period from crew ingress prior to flight through crew egress postlanding. For the purposes of this chapter, the term primary system will refer to the spacecraft system that a crew is either attempting to escape from or from which an attempt is being made to rescue the crew.

  13. [Implementation of modern rescue medicine].

    PubMed

    Hou, S K; Fan, H J; Ding, H; Dong, W L

    2016-01-01

    Catastrophic disasters occur frequently in recent years, resulting in a large number of casualties. Thus, more and more scholars begin to focus on a newly emerged displine-rescue medicine. This paper introduces the status quo of rescue medicine and expounds the practical experience related to rescue medicine as practiced by author's unit, in order to provide a reference for the establishment of the discipline and its future development.

  14. Comparison of reproductive capacity among univoltine, semivoltine, and re-emerged parent spruce beetles (Coleoptera: Scolytidae)

    Treesearch

    E. Matthew Hansen; Barbara J. Bentz

    2003-01-01

    New spruce beetle, Dendroctonus rufipennis (Kirby), adults of univoltine and semivoltine life cycles, as well as re-emerged parent beetles, were laboratory-tested for differences in reproductive capacity and brood characteristics. Parameters measured from the three groups include dry weight, lipid content, and egg production. Brood characteristics measured include egg...

  15. Electronic search and rescue aids

    NASA Technical Reports Server (NTRS)

    Trudell, B. J.

    1980-01-01

    There are two elements to the basic electronic search and rescue problem: a means for immediately alerting potential rescuers and an effective method to guide the rescue forces to the scene of the emergency. An Emergency Locator Transmitter (ELT) used by aircraft or an Emergency Position Indicating Radio Beacon (EPIRB) used by maritime vessels has the capability of providing for both an immediate alert and a homing signal to assist rescue forces in locating the site of the distress. This paper describes the development of ELT/EPIRB systems. Emphasis is placed on the SARSAT project, the COSPAS/SARSAT project, and an experimental 406 MHz ELT/EPIRB system.

  16. Electronic search and rescue aids

    NASA Technical Reports Server (NTRS)

    Trudell, B. J.

    1980-01-01

    There are two elements to the basic electronic search and rescue problem: a means for immediately alerting potential rescuers and an effective method to guide the rescue forces to the scene of the emergency. An Emergency Locator Transmitter (ELT) used by aircraft or an Emergency Position Indicating Radio Beacon (EPIRB) used by maritime vessels has the capability of providing for both an immediate alert and a homing signal to assist rescue forces in locating the site of the distress. This paper describes the development of ELT/EPIRB systems. Emphasis is placed on the SARSAT project, the COSPAS/SARSAT project, and an experimental 406 MHz ELT/EPIRB system.

  17. A Full-Capacity Protocol Allows for Increased Emergency Patient Volume and Hospital Admissions.

    PubMed

    Willard, Erin; Carlton, Elizabeth F; Moffat, Lindsay; Barth, Bradley E

    2017-09-01

    Our hospital was encountering problems with ED crowding. We sought to determine the impact of implementing a full-capacity protocol to respond to anticipated or actual crowding conditions. Our full-capacity protocol is based on collaboration among multiple hospital units. We completed a quality improvement initiative using a pre/post analysis of all ED patient encounters after implementing a full-capacity protocol with a corresponding period from the prior year. The principal outcomes measured were patient volume, admission rate, patient left without being seen (LWBS) rate, length of stay, and ambulance diversion hours. In the post-full-capacity protocol period, a 7.4% increase in emergency patient encounters (P < .001) and an 11.9% increase in admissions (P < .001) were noted compared with the corresponding period in 2013. Also noted in the study period were a 10.2% decrease in LWBS rate (P = .29), an increase in length of stay of 34 minutes (P < .001), and a 92% decrease in ambulance diversion hours (111 fewer hours, P < .001). The collaborative full-capacity protocol was effective in reducing LWBS and ambulance diversion, while accommodating a significant increase in ED volume and increased hospital admission rates at our institution. Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  18. Addressing challenges for future strategic-level emergency management: reframing, networking, and capacity-building.

    PubMed

    Bosomworth, Karyn; Owen, Christine; Curnin, Steven

    2017-04-01

    The mounting frequency and intensity of natural hazards, alongside growing interdependencies between social-technical and ecological systems, are placing increased pressure on emergency management. This is particularly true at the strategic level of emergency management, which involves planning for and managing non-routine, high-consequence events. Drawing on the literature, a survey, and interviews and workshops with Australia's senior emergency managers, this paper presents an analysis of five core challenges that these pressures are creating for strategic-level emergency management. It argues that emphasising 'emergency management' as a primary adaptation strategy is a retrograde step that ignores the importance of addressing socio-political drivers of vulnerabilities. Three key suggestions are presented that could assist the country's strategic-level emergency management in tackling these challenges: (i) reframe emergency management as a component of disaster risk reduction rather than them being one and the same; (ii) adopt a network governance approach; and (iii) further develop the capacities of strategic-level emergency managers.

  19. Estimates of emergency operating capacity in U.S. manufacturing industries: 1994--2005

    SciTech Connect

    Belzer, D.B.

    1997-02-01

    To develop integrated policies for mobilization preparedness, planners require estimates and projections of available productive capacity during national emergency conditions. This report develops projections of national emergency operating capacity (EOC) for 458 US manufacturing industries at the 4-digit Standard Industrial Classification (SIC) level. These measures are intended for use in planning models that are designed to predict the demands for detailed industry sectors that would occur under conditions such as a military mobilization or a major national disaster. This report is part of an ongoing series of studies prepared by the Pacific Northwest National Laboratory to support mobilization planning studies of the Federal Emergency Planning Agency/US Department of Defense (FEMA/DOD). Earlier sets of EOC estimates were developed in 1985 and 1991. This study presents estimates of EOC through 2005. As in the 1991 study, projections of capacity were based upon extrapolations of equipment capital stocks. The methodology uses time series regression models based on industry data to obtain a response function of industry capital stock to levels of industrial output. The distributed lag coefficients of these response function are then used with projected outputs to extrapolate the 1994 level of EOC. Projections of industrial outputs were taken from the intermediate-term forecast of the US economy prepared by INFORUM (Interindustry Forecasting Model, University of Maryland) in the spring of 1996.

  20. Development of a ratio of emergent to total hernia repairs as a surgical capacity metric.

    PubMed

    Samuel, Jonathan C; Tyson, Anna F; Mabedi, Charles; Mulima, Gift; Cairns, Bruce A; Varela, Carlos; Charles, Anthony G

    2014-01-01

    Non-communicable diseases including surgical conditions are gaining attention in developing countries. Despite this there are few metrics for surgical capacity. We hypothesized that (a) the ratio of emergent to total hernia repairs (E/TH) would correlate with per capita health care expenditures for any given country, and (b) the E/TH is easy to obtain in resource-poor settings. We performed a systematic review to identify the E/TH for as many countries as possible (Prospero registry CRD42013004645). We screened 1285 English language publications since 1990; 23 met inclusion criteria. Primary data was also collected from Kamuzu Central Hospital (KCH) in Lilongwe, Malawi. A total of 13 countries were represented. Regression analysis was used to determine the correlation between per capita health care spending and the E/TH. There is a strong correlation between the log values of the ratio emergent to total groin hernias and the per capita health care spending that is robust across country income levels (R(2) = 0.823). Primary data from KCH was easily obtained and demonstrated a similar correlation. The ratio of emergent to total groin hernias is a potential measure of surgical capacity using data that is easily attainable. Further studies should validate this metric against other accepted health care capacity indicators. Systematic review registered with Prospero (CRD42013004645). Copyright © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  1. Vaccinology capacity building in Europe for innovative platforms serving emerging markets.

    PubMed

    Hendriks, Jan; Holleman, Marit; Hamidi, Ahd; Beurret, Michel; Boog, Claire

    2013-04-01

    The 2012 Terrapinn World Vaccine Congress held from 16 to 18 October in Lyon addressed in a dedicated session the transfer of innovative vaccine technologies from Europe to emerging markets. Past and recent transfers and experiences from Europe's public domain were summarized by the Netherlands' National Institute for Public Health and the Environment (RIVM) in Bilthoven. The role of capacity building through training courses for developing country partners was highlighted in several recent technology transfer programs developed in collaboration with the World Health Organisation (WHO). In another stream of the Congress, a case of human vaccine technology transfer from Europe's private sector to an emerging economy recipient in India was presented. The continuing globalization of vaccinology is further illustrated by the recent acquisition in 2012 of the Netherlands' public vaccine manufacturing capacity in Bilthoven by the Serum Institute of India Ltd, an emerging vaccine manufacturer. In a parallel development, the Netherlands' government decided to transform RIVM's vaccinology research and development capacity into a new not-for-profit entity: "the Institute for Translational Vaccinology" (see citation 1 in Note section for web address). Under a public private partnership structure, InTraVacc's mission will include the fostering of global health through international partnerships in innovative vaccinology. Projected activities will include training courses and curricula, capitalizing on various currently established platform technologies and the legacy of previous "producer -producer" collaborations between the RIVM and emerging manufacturers over the past 40 y. It is suggested to consider this as a basis for a common initiative from Europe to develop and implement a practical vaccinology course for emerging countries with particular focus to the African region.

  2. Vaccinology capacity building in Europe for innovative platforms serving emerging markets

    PubMed Central

    Hendriks, Jan; Holleman, Marit; Hamidi, Ahd; Beurret, Michel; Boog, Claire

    2013-01-01

    The 2012 Terrapinn World Vaccine Congress held from 16 to 18 October in Lyon addressed in a dedicated session the transfer of innovative vaccine technologies from Europe to emerging markets. Past and recent transfers and experiences from Europe’s public domain were summarized by the Netherlands’ National Institute for Public Health and the Environment (RIVM) in Bilthoven. The role of capacity building through training courses for developing country partners was highlighted in several recent technology transfer programs developed in collaboration with the World Health Organisation (WHO). In another stream of the Congress, a case of human vaccine technology transfer from Europe’s private sector to an emerging economy recipient in India was presented. The continuing globalization of vaccinology is further illustrated by the recent acquisition in 2012 of the Netherlands’ public vaccine manufacturing capacity in Bilthoven by the Serum Institute of India Ltd, an emerging vaccine manufacturer. In a parallel development, the Netherlands’ government decided to transform RIVM’s vaccinology research and development capacity into a new not-for-profit entity: “the Institute for Translational Vaccinology” (see citation 1 in Note section for web address).1 Under a public private partnership structure, InTraVacc’s mission will include the fostering of global health through international partnerships in innovative vaccinology. Projected activities will include training courses and curricula, capitalizing on various currently established platform technologies and the legacy of previous “producer -producer” collaborations between the RIVM and emerging manufacturers over the past 40 y. It is suggested to consider this as a basis for a common initiative from Europe to develop and implement a practical vaccinology course for emerging countries with particular focus to the African region. PMID:23563518

  3. Can two dots form a Gestalt? Measuring emergent features with the capacity coefficient.

    PubMed

    Hawkins, Robert X D; Houpt, Joseph W; Eidels, Ami; Townsend, James T

    2016-09-01

    While there is widespread agreement among vision researchers on the importance of some local aspects of visual stimuli, such as hue and intensity, there is no general consensus on a full set of basic sources of information used in perceptual tasks or how they are processed. Gestalt theories place particular value on emergent features, which are based on the higher-order relationships among elements of a stimulus rather than local properties. Thus, arbitrating between different accounts of features is an important step in arbitrating between local and Gestalt theories of perception in general. In this paper, we present the capacity coefficient from Systems Factorial Technology (SFT) as a quantitative approach for formalizing and rigorously testing predictions made by local and Gestalt theories of features. As a simple, easily controlled domain for testing this approach, we focus on the local feature of location and the emergent features of Orientation and Proximity in a pair of dots. We introduce a redundant-target change detection task to compare our capacity measure on (1) trials where the configuration of the dots changed along with their location against (2) trials where the amount of local location change was exactly the same, but there was no change in the configuration. Our results, in conjunction with our modeling tools, favor the Gestalt account of emergent features. We conclude by suggesting several candidate information-processing models that incorporate emergent features, which follow from our approach. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Modulating Astrocyte Transition after Stroke to Promote Brain Rescue and Functional Recovery: Emerging Targets Include Rho Kinase.

    PubMed

    Abeysinghe, Hima Charika S; Phillips, Ellie L; Chin-Cheng, Heung; Beart, Philip M; Roulston, Carli L

    2016-02-26

    Stroke is a common and serious condition, with few therapies. Whilst previous focus has been directed towards biochemical events within neurons, none have successfully prevented the progression of injury that occurs in the acute phase. New targeted treatments that promote recovery after stroke might be a better strategy and are desperately needed for the majority of stroke survivors. Cells comprising the neurovascular unit, including blood vessels and astrocytes, present an alternative target for supporting brain rescue and recovery in the late phase of stroke, since alteration in the unit also occurs in regions outside of the lesion. One of the major changes in the unit involves extensive morphological transition of astrocytes resulting in altered energy metabolism, decreased glutamate reuptake and recycling, and retraction of astrocyte end feed from both blood vessels and neurons. Whilst globally inhibiting transitional change in astrocytes after stroke is reported to result in further damage and functional loss, we discuss the available evidence to suggest that the transitional activation of astrocytes after stroke can be modulated for improved outcomes. In particular, we review the role of Rho-kinase (ROCK) in reactive gliosis and show that inhibiting ROCK after stroke results in reduced scar formation and improved functional recovery.

  5. Improving Capacity Management in the Emergency Department: A Review of the Literature, 2000-2012.

    PubMed

    McCaughey, Deirdre; Erwin, Cathleen O; DelliFraine, Jami L

    2015-01-01

    Capacity management (CM) is a critical component of maintaining and improving healthcare quality and patient safety. One particular area for concern has been the emergency department and the growing issues of patient overcrowding, boarding, and ambulance diversion, which can result in poor patient care and less efficient operations. This study provides a review of the current and most relevant academic literature on capacity management directly related to hospital emergency departments, identifies strengths and weaknesses of the approaches discussed in the literature, and provides practical recommendations for health services administrators implementing CM in their organizations. An extensive literature search was conducted using several search engines and scholarly databases. Articles were identified based on a combination of keywords and then were reviewed and selected for inclusion in the study in adherence to specified criteria. The CM literature includes a great divergence of themes, topics, and definitions. Twenty-two articles were selected for their relevance to emergency department CM with a focus on operations management concepts. A categorization scheme was used, resulting in four thematic groups of articles: problems, solutions, outcomes, and metrics. Healthcare managers wishing to implement solutions to CM problems have a wide variety of operations literature to draw on that can address scheduling and patient throughput, but there are also a number of studies that consider electronic and technological solutions to CM problems. All of these solutions have the potential to positively influence the quality of patient care, including satisfaction.

  6. Emergency department surge capacity: recommendations of the Australasian Surge Strategy Working Group.

    PubMed

    Bradt, David A; Aitken, Peter; Fitzgerald, Gerry; Swift, Roger; O'Reilly, Gerard; Bartley, Bruce

    2009-12-01

    For more than a decade, emergency medicine (EM) organizations have produced guidelines, training, and leadership for disaster management. However, to date there have been limited guidelines for emergency physicians (EPs) needing to provide a rapid response to a surge in demand. The aim of this project was to identify strategies that may guide surge management in the emergency department (ED). A working group of individuals experienced in disaster medicine from the Australasian College for Emergency Medicine Disaster Medicine Subcommittee (the Australasian Surge Strategy Working Group) was established to undertake this work. The Working Group used a modified Delphi technique to examine response actions in surge situations and identified underlying assumptions from disaster epidemiology and clinical practice. The group then characterized surge strategies from their corpus of experience; examined them through available relevant published literature; and collated these within domains of space, staff, supplies, and system operations. These recommendations detail 22 potential actions available to an EP working in the context of surge, along with detailed guidance on surge recognition, triage, patient flow through the ED, and clinical goals and practices. The article also identifies areas that merit future research, including the measurement of surge capacity, constraints to strategy implementation, validation of surge strategies, and measurement of strategy impacts on throughput, cost, and quality of care.

  7. Heavy Rescue - Course Outline.

    DTIC Science & Technology

    1980-11-01

    used during heavy rescue operations . Methods and procedures for utilizing heavy rescue equipment. 4 Methods of developing improvised rescue equipment...utilizing available materials. A simulated exercise utilizing various rescue operations and techniques. Methods and procedures for the maintenance and...HEAVY RESCUE CONSIDERATIONS LEVEL I PERFORMANCE GOALS: 1 Hour GIVEN: 1. Summary of blocked access considerations during heavy rescue operations 2

  8. Lunar mission safety and rescue: Escape/rescue analysis and plan

    NASA Technical Reports Server (NTRS)

    1971-01-01

    The results are presented of the technical analysis of escape/rescue/survival situations, crew survival techniques, alternate escape/rescue approaches and vehicles, and the advantages and disadvantages of each for advanced lunar exploration. Candidate escape/rescue guidelines are proposed and elements of a rescue plan developed. The areas of discussions include the following: lunar arrival/departure operations, lunar orbiter operations, lunar surface operations, lunar surface base escape/rescue analysis, lander tug location operations, portable airlock, emergency pressure suit, and the effects of no orbiting lunar station, no lunar surface base, and no foreign lunar orbit/surface operations on the escape/rescue plan.

  9. Succinylcholine for Emergency Airway Rescue in Class B Ambulatory Facilities: The Society for Ambulatory Anesthesia Position Statement.

    PubMed

    Joshi, Girish P; Desai, Meena S; Gayer, Steven; Vila, Hector

    2017-05-01

    Procedures in class B ambulatory facilities are performed exclusively with oral or IV sedative-hypnotics and/or analgesics. These facilities typically do not stock dantrolene because no known triggers of malignant hyperthermia (ie, inhaled anesthetics and succinylcholine) are available. This article argues that, in the absence of succinylcholine, the morbidity and mortality from laryngospasm can be significant, indeed, higher than the unlikely scenario of succinylcholine-triggered malignant hyperthermia. The Society for Ambulatory Anesthesia (SAMBA) position statement for the use of succinylcholine for emergency airway management is presented.

  10. Prince Edward Island: building capacity--the implementation of a critical care/emergency program.

    PubMed

    Cotton, Judith

    2012-03-01

    Like other Canadian provinces, Prince Edward Island has a shortage of experienced nurses, especially in critical and emergency care. To increase the numbers of competent nurses, a PEI-based nursing course in these areas was identified as key to building capacity. This Research to Action pilot program successfully involved nurses in PEI-based emergency and critical care courses developed by the Nova Scotia Registered Nurses Professional Development Centre and funded by Human Resources and Skills Development Canada. The programs were offered on a full-time basis, lasted 14 weeks and included classroom and simulation laboratory time, along with a strong clinical component.Sixteen RNs graduated from the courses and became Advanced Cardiovascular Life Support (ACLS) certified. An additional 12 RNs were trained as preceptors. Feedback from participants indicates greater job satisfaction and increased confidence in providing patient assessments and care. Based on the program's success, the RTA partners proposed the establishment of an ongoing, PEI-based critical care and emergency nursing program utilizing 80/20 staffing models and mentorship. Their proposal was approved, with courses set to resume in January, 2012.

  11. Rescue Equipment

    NASA Technical Reports Server (NTRS)

    1995-01-01

    The Lifeshear cutter, a rescue tool for freeing accident victims from wreckage, was developed under the Clinton Administration's Technology Reinvestment Program. Prior cutting equipment was cumbersome and expensive; the new cutter is 50 percent lighter and 70 percent cheaper. The cutter is pyrotechnically-actuated, using a miniature version of the power cartridges used for separation devices on the Space Shuttle and other NASA spacecraft. Hi-Shear Technology Corporation developed the cutter with the Jet Propulsion Laboratory and input from the City of Torrance (California) Fire Department.

  12. Stress during simulated emergency transportation in a rescue helicopter: cross-correlation between stress hormones, vital functions and subjective well-being.

    PubMed

    Witzel, K; Elzer, M; Koch, Horst J

    2009-06-01

    Vital functions and stress hormone levels during simulated emergency helicopter transport in healthy volunteers. Twenty-three volunteers were subjected to a simulated 15 minute rescue helicopter transport. We determined vital functions, ACTH, cortisol and prolactin during the flight and filled in a standardized questionnaire before and after the flight. Data were analysed descriptively, by means of cross tabulation, Spearman rank correlation and cross-correlation technique. During take-off we recorded a significant increase of vital parameters such as heart rate. Prolactin concentration rose slightly after the start. Maximum cortisol and ACTH levels were found before take-off and then they decreased gradually. As expected, ACTH and cortisol cross-correlated significantly without any relevant time lag. Test items showed a feeling of fear and concern before take off. After the flight the volunteers reported having less stress than expected. Particularly, diastolic blood pressure and prolactin levels were markedly associated with questionnaire items such as behaviour of the staff or nausea. Heart rate significantly correlated with anxiety scores. Helicopter transportation induced a marked stress reaction in healthy volunteers, which speaks in favour of smooth transports in modern helicopters and adequate behaviour towards the patient of the staff.

  13. Physiological effects of stress related to helicopter travel in Federal Emergency Management Agency search-and-rescue canines.

    PubMed

    Perry, E; Gulson, N; Liu Cross, T-W; Swanson, K S

    2017-01-01

    Working canines are deployed by the Federal Emergency Management Agency (FEMA), as part of a National Disaster Response Plan. Stress associated with helicopter flight and the resulting physical effects on the dog are unknown. Our objective was to test the hypotheses that (1) helicopter travel affects the physiology and faecal microbiota of working canines, but that (2) physiological consequences of helicopter travel will not negatively affect their work performance. A total of nine FEMA canines were loaded onto helicopters and flown for 30 min in July 2015. Rectal temperature, behavioural stress indicators and saliva swabs (for cortisol) were collected at baseline, loading, mid-flight and post-flight. After flight, canines completed a standardised search exercise to monitor work performance. Faecal samples were collected for microbial DNA extraction and Illumina sequencing. All canines were on a standardised diet (CANIDAE(®) Grain Free PURE Land(®)) for 3 weeks prior to the study. Visible indicators of stress were observed at loading and at mid-flight and corresponded with an increase (P < 0·05) in salivary cortisol from 5·4 µg/l (baseline) to 6·4 µg/l (loading). Additionally, rectal temperature increased (P < 0·05) from 38·61°C (baseline) to 39·33°C (mid-flight) and 39·72°C (post-flight). Helicopter travel did not affect search performance (P > 0·05). We found that α- and β-diversity measures of faecal microbiota were not affected (P > 0·05). Our data suggest that although helicopter travel may cause physiological changes that have been associated with stress in working dogs, it does not make an impact on their search performance or the stability of faecal microbiota.

  14. Rescue Manual. Module 9.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The ninth of 10 modules contains 7 chapters: (1) ice characteristics; (2) river characteristics and tactics for rescue; (3) water rescue techniques; (4) water rescue/recovery operations; (5) dive operations; (6) water rescue equipment; and…

  15. Rescue Manual. Module 8.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The eighth of 10 modules contains 6 chapters: (1) trench rescue; (2) shoring and tunneling techniques; (3) farm accident rescue; (4) wilderness search and rescue; (5) aircraft rescue; and (6) helicopter information. Key points, an…

  16. Photoreceptor rescue.

    PubMed

    Luthert, P J; Chong, N H

    1998-01-01

    Photoreceptor cell death is the final, irreversible event in many blinding diseases including retinitis pigmentosa, age-related macular disease and retinal detachment. This paper examines the potential strategies for preventing photoreceptor cell death in the context of current understanding of the mechanisms of cell death. There is evidence to suggest that photoreceptor cells are inherently vulnerable, apoptosis is the final common pathway of photoreceptor cell loss, and other retinal cells play an important role in the survival of rods and cones. Furthermore, the rationale of using neurotrophic factors as therapeutic agents in retinal degeneration is discussed in detail. Photoreceptor rescue by manipulation of genes involved in apoptosis and some pharmacological agents is also described.

  17. A national survey on health department capacity for community engagement in emergency preparedness.

    PubMed

    Schoch-Spana, Monica; Selck, Frederic W; Goldberg, Lisa A

    2015-01-01

    Limited systematic knowledge exists about how public health practitioners and policy makers can best strengthen community engagement in public health emergency preparedness ("CE-PHEP"), a top priority for US national health security. To investigate local health department (LHD) adoption of federally recommended participatory approaches to PHEP and to identify LHD organizational characteristics associated with more intense CE-PHEP. National survey in 2012 of LHDs using a self-administered Web-based questionnaire regarding LHD practices and resources for CE-PHEP ("The Community Engagement for Public Health Emergency Preparedness Survey"). Differences in survey responses were examined, and a multivariate analysis was used to test whether LHD organizational characteristics were associated with differences in CE-PHEP intensity. A randomized sample of 754 LHDs drawn from the 2565 LHDs that had been invited to participate in the 2010 National Profile of LHDs. Sample selection was stratified by the size of population served and geographic location. Emergency preparedness coordinators reporting on their respective LHDs. CE-PHEP intensity as measured with a scoring system that rated specific CE-PHEP practices by LHD according to the relative degrees of public participation and community capacity they represented. Survey response rate was 61%. The most common reported CE-PHEP activity was disseminating personal preparedness materials (90%); the least common was convening public forums on PHEP planning (22%). LHD characteristics most strongly associated with more intense CE-PHEP were having a formal CE-PHEP policy, allocating funds for CE-PHEP, having strong support from community-based organizations, and employing a coordinator with prior CE experience. Promising ways to engage community partners more fully in the PHEP enterprise are institutionalizing CE-PHEP objectives, employing sufficient and skilled staff, leveraging current community-based organization support, and

  18. Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department

    PubMed Central

    White, Benjamin A.; Chang, Yuchiao; Grabowski, Beth G.; Brown, David F.M.

    2014-01-01

    Introduction While emergency department (ED) crowding has myriad causes and negative downstream effects, applying systems engineering science and targeting throughput remains a potential solution to increase functional capacity. However, the most effective techniques for broad application in the ED remain unclear. We examined the hypothesis that Lean-based reorganization of Fast Track process flow would improve length of stay (LOS), percent of patients discharged within one hour, and room use, without added expense. Methods This study was a prospective, controlled, before-and-after analysis of Fast Track process improvements in a Level 1 tertiary care academic medical center with >95,000 annual patient visits. We included all adult patients seen during the study periods of 6/2010–10/2010 and 6/2011–10/2011, and data were collected from an electronic tracking system. We used concurrent patients seen in another care area used as a control group. The intervention consisted of a simple reorganization of patient flow through existing rooms, based in systems engineering science and modeling, including queuing theory, demand-capacity matching, and Lean methodologies. No modifications to staffing or physical space were made. Primary outcomes included LOS of discharged patients, percent of patients discharged within one hour, and time in exam room. We compared LOS and exam room time using Wilcoxon rank sum tests, and chi-square tests for percent of patients discharged within one hour. Results Following the intervention, median LOS among discharged patients was reduced by 15 minutes (158 to 143 min, 95%CI 12 to 19 min, p<0.0001). The number of patients discharged in <1 hr increased by 2.8% (from 6.9% to 9.7%, 95%CI 2.1% to 3.5%, p<0.0001), and median exam room time decreased by 34 minutes (90 to 56 min, 95%CI 31 to 38 min, p<0.0001). In comparison, the control group had no change in LOS (265 to 267 min) or proportion of patients discharged in <1 hr (2.9% to 2.9%), and an

  19. Using lean-based systems engineering to increase capacity in the emergency department.

    PubMed

    White, Benjamin A; Chang, Yuchiao; Grabowski, Beth G; Brown, David F M

    2014-11-01

    While emergency department (ED) crowding has myriad causes and negative downstream effects, applying systems engineering science and targeting throughput remains a potential solution to increase functional capacity. However, the most effective techniques for broad application in the ED remain unclear. We examined the hypothesis that Lean-based reorganization of Fast Track process flow would improve length of stay (LOS), percent of patients discharged within one hour, and room use, without added expense. This study was a prospective, controlled, before-and-after analysis of Fast Track process improvements in a Level 1 tertiary care academic medical center with >95,000 annual patient visits. We included all adult patients seen during the study periods of 6/2010-10/2010 and 6/2011-10/2011, and data were collected from an electronic tracking system. We used concurrent patients seen in another care area used as a control group. The intervention consisted of a simple reorganization of patient flow through existing rooms, based in systems engineering science and modeling, including queuing theory, demand-capacity matching, and Lean methodologies. No modifications to staffing or physical space were made. Primary outcomes included LOS of discharged patients, percent of patients discharged within one hour, and time in exam room. We compared LOS and exam room time using Wilcoxon rank sum tests, and chi-square tests for percent of patients discharged within one hour. Following the intervention, median LOS among discharged patients was reduced by 15 minutes (158 to 143 min, 95%CI 12 to 19 min, p<0.0001). The number of patients discharged in <1 hr increased by 2.8% (from 6.9% to 9.7%, 95%CI 2.1% to 3.5%, p<0.0001), and median exam room time decreased by 34 minutes (90 to 56 min, 95%CI 31 to 38 min, p<0.0001). In comparison, the control group had no change in LOS (265 to 267 min) or proportion of patients discharged in <1 hr (2.9% to 2.9%), and an increase in exam room time (28

  20. Community rescue in experimental metacommunities

    PubMed Central

    Low-Décarie, Etienne; Kolber, Marcus; Homme, Paige; Lofano, Andrea; Dumbrell, Alex; Gonzalez, Andrew; Bell, Graham

    2015-01-01

    The conditions that allow biodiversity to recover following severe environmental degradation are poorly understood. We studied community rescue, the recovery of a viable community through the evolutionary rescue of many populations within an evolving community, in metacommunities of soil microbes adapting to a herbicide. The metacommunities occupied a landscape of crossed spatial gradients of the herbicide (Dalapon) and a resource (glucose), whereas their constituent communities were either isolated or connected by dispersal. The spread of adapted communities across the landscape and the persistence of communities when that landscape was degraded were strongly promoted by dispersal, and the capacity to adapt to lethal stress was also related to community size and initial diversity. After abrupt and lethal stress, community rescue was most frequent in communities that had previously experienced sublethal levels of stress and had been connected by dispersal. Community rescue occurred through the evolutionary rescue of both initially common taxa, which remained common, and of initially rare taxa, which grew to dominate the evolved community. Community rescue may allow productivity and biodiversity to recover from severe environmental degradation. PMID:26578777

  1. Incident Management Systems and Building Emergency Management Capacity during the 2014-2016 Ebola Epidemic - Liberia, Sierra Leone, and Guinea.

    PubMed

    Brooks, Jennifer C; Pinto, Meredith; Gill, Adrienne; Hills, Katherine E; Murthy, Shivani; Podgornik, Michelle N; Hernandez, Luis F; Rose, Dale A; Angulo, Frederick J; Rzeszotarski, Peter

    2016-07-08

    Establishing a functional incident management system (IMS) is important in the management of public health emergencies. In response to the 2014-2016 Ebola virus disease (Ebola) epidemic in West Africa, CDC established the Emergency Management Development Team (EMDT) to coordinate technical assistance for developing emergency management capacity in Guinea, Liberia, and Sierra Leone. EMDT staff, deployed staff, and partners supported each country to develop response goals and objectives, identify gaps in response capabilities, and determine strategies for coordinating response activities. To monitor key programmatic milestones and assess changes in emergency management and response capacities over time, EMDT implemented three data collection methods in country: coordination calls, weekly written situation reports, and an emergency management dashboard tool. On the basis of the information collected, EMDT observed improvements in emergency management capacity over time in all three countries. The collaborations in each country yielded IMS structures that streamlined response and laid the foundation for long-term emergency management programs.The activities summarized in this report would not have been possible without collaboration with many U.S and international partners (http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/partners.html).

  2. [Importance of helicopter rescue].

    PubMed

    Hofer, G; Voelckel, W G

    2014-03-01

    Helicopter emergency medical service (HEMS) have become a main part of prehospital emergency medical services over the last 40 years. Recently, an ongoing discussion about financial shortage and personal shortcomings question the role of cost-intensive air rescue. Thus, the value of HEMS must be examined and discussed appropriately. Since the number of physician-staffed ground ambulances may decrease due to the limited availability of qualified physicians, HEMS may fill the gap. In addition patient transfer to specialized hospitals will require an increasing number of air transports in order to minimize prehospital time. The higher risk ratio for HEMS missions when compared with ground rescue requires a rigorous quality management system. When it comes to missions in remote and exposed areas, the scope of medical treatment must be adjusted to the individual situation. Medical competence is key in order to balance guideline compliant or maximal care versus optimal care characterized as a mission-specific, individualized emergency care concept. Although, medical decision making and treatment is typically based on the best scientific evidence, personal skills, competence, and the mission scenario will determine the scope of interventions suitable to improve outcome. Thus, the profile of requirements for the HEMS medical crew is high.

  3. Optimizing cardiology capacity to reduce emergency department boarding: a systems engineering approach.

    PubMed

    Levin, Scott R; Dittus, Robert; Aronsky, Dominik; Weinger, Matthew B; Han, Jin; Boord, Jeffrey; France, Daniel

    2008-12-01

    Patient safety and emergency department (ED) functionality are compromised when inefficient coordination between hospital departments impedes ED patients' access to inpatient cardiac care. The objective of this study was to determine how bed demand from competing cardiology admission sources affects ED patients' access to inpatient cardiac care. A stochastic discrete event simulation of hospital patient flow predicted ED patient boarding time, defined as the time interval between cardiology admission request to inpatient bed placement, as the primary outcome measure. The simulation was built and tested from 1 year of patient flow data and was used to examine prospective strategies to reduce cardiology patient boarding time. Boarding time for the 1,591 ED patients who were admitted to the cardiac telemetry unit averaged 5.3 hours (median 3.1, interquartile range 1.5-6.9). Demographic and clinical patient characteristics were not significant predictors of boarding time. Measurements of bed demand from competing admission sources significantly predicted boarding time, with catheterization laboratory demand levels being the most influential. Hospital policy required that a telemetry bed be held for each electively scheduled catheterization patient, yet the analysis revealed that 70.4% (95% CI 51.2-92.5) of these patients did not transfer to a telemetry bed and were discharged home each day. Results of simulation-based analyses showed that moving one afternoon scheduled elective catheterization case to before noon resulted in a 20-minute reduction in average boarding time compared to a 9-minute reduction achieved by increasing capacity by one additional telemetry bed. Scheduling and bed management practices based on measured patient transfer patterns can reduce inpatient bed blocking, optimize hospital capacity, and improve ED patient access.

  4. Emergency Medical Services Capacity for Prehospital Stroke Care in North Carolina

    PubMed Central

    Brice, Jane H.; Evenson, Kelly R.; Rose, Kathryn M.; Suchindran, Chirayath M.; Rosamond, Wayne D.

    2013-01-01

    Introduction Prior assessments of emergency medical services (EMS) stroke capacity found deficiencies in education and training, use of protocols and screening tools, and planning for the transport of patients. A 2001 survey of North Carolina EMS providers found many EMS systems lacked basic stroke services. Recent statewide efforts have sought to standardize and improve prehospital stroke care. The objective of this study was to assess EMS stroke care capacity in North Carolina and evaluate statewide changes since 2001. Methods In June 2012, we conducted a web-based survey on stroke education and training and stroke care practices and policies among all EMS systems in North Carolina. We used the McNemar test to assess changes from 2001 to 2012. Results Of 100 EMS systems in North Carolina, 98 responded to our survey. Most systems reported providing stroke education and training (95%) to EMS personnel, using a validated stroke scale or screening tool (96%), and having a hospital prenotification policy (98%). Many were suboptimal in covering basic stroke educational topics (71%), always communicating stroke screen results to the destination hospital (46%), and always using a written destination plan (49%). Among 70 EMS systems for which we had data for 2001 and 2012, we observed significant improvements in education on stroke scales or screening tools (61% to 93%, P < .001) and use of validated stroke scales or screening tools (23% to 96%, P < .001). Conclusion Major improvements in EMS stroke care, especially in prehospital stroke screening, have occurred in North Carolina in the past decade, whereas other practices and policies, including use of destination plans, remain in need of improvement. PMID:24007677

  5. Rotorcraft and Enabling Robotic Rescue

    NASA Technical Reports Server (NTRS)

    Young, Larry A.

    2010-01-01

    This paper examines some of the issues underlying potential robotic rescue devices (RRD) in the context where autonomous or manned rotorcraft deployment of such robotic systems is a crucial attribute for their success in supporting future disaster relief and emergency response (DRER) missions. As a part of this discussion, work related to proof-of-concept prototyping of two notional RRD systems is summarized.

  6. Rescue Manual. Module 6.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The sixth of 10 modules contains 4 chapters: (1) industrial rescue; (2) rescue from a confined space; (3) extrication from heavy equipment; and (4) rescue operations involving elevators. Key points, an introduction, and conclusion accompany…

  7. Emerging viral threats in Gabon: health capacities and response to the risk of emerging zoonotic diseases in Central Africa.

    PubMed

    Bourgarel, M; Wauquier, N; Gonzalez, J-P

    2010-01-01

    Emerging infectious diseases (EID) are currently the major threat to public health worldwide and most EID events have involved zoonotic infectious agents. Central Africa in general and Gabon in particular are privileged areas for the emergence of zoonotic EIDs. Indeed, human incursions in Gabonese forests for exploitation purposes lead to intensified contacts between humans and wildlife thus generating an increased risk of emergence of zoonotic diseases. In Gabon, 51 endemic or potential endemic viral infectious diseases have been reported. Among them, 22 are of zoonotic origin and involve 12 families of viruses. The most notorious are dengue, yellow fever, ebola, marburg, Rift Valley fever and chikungunya viruses. Potential EID due to wildlife in Gabon are thereby plentiful and need to be inventoried. The Gabonese Public Health system covers geographically most of the country allowing a good access to sanitary information and efficient monitoring of emerging diseases. However, access to treatment and prevention is better in urban areas where medical structures are more developed and financial means are concentrated even though the population is equally distributed between urban and rural areas. In spite of this, Gabon could be a good field for investigating the emergence or re-emergence of zoonotic EID. Indeed Gabonese health research structures such as CIRMF, advantageously located, offer high quality researchers and facilities that study pathogens and wildlife ecology, aiming toward a better understanding of the contact and transmission mechanisms of new pathogens from wildlife to human, the emergence of zoonotic EID and the breaking of species barriers by pathogens.

  8. Emerging viral threats in Gabon: health capacities and response to the risk of emerging zoonotic diseases in Central Africa

    PubMed Central

    Bourgarel, M; Wauquier, N; Gonzalez, J-P

    2010-01-01

    Emerging infectious diseases (EID) are currently the major threat to public health worldwide and most EID events have involved zoonotic infectious agents. Central Africa in general and Gabon in particular are privileged areas for the emergence of zoonotic EIDs. Indeed, human incursions in Gabonese forests for exploitation purposes lead to intensified contacts between humans and wildlife thus generating an increased risk of emergence of zoonotic diseases. In Gabon, 51 endemic or potential endemic viral infectious diseases have been reported. Among them, 22 are of zoonotic origin and involve 12 families of viruses. The most notorious are dengue, yellow fever, ebola, marburg, Rift Valley fever and chikungunya viruses. Potential EID due to wildlife in Gabon are thereby plentiful and need to be inventoried. The Gabonese Public Health system covers geographically most of the country allowing a good access to sanitary information and efficient monitoring of emerging diseases. However, access to treatment and prevention is better in urban areas where medical structures are more developed and financial means are concentrated even though the population is equally distributed between urban and rural areas. In spite of this, Gabon could be a good field for investigating the emergence or re-emergence of zoonotic EID. Indeed Gabonese health research structures such as CIRMF, advantageously located, offer high quality researchers and facilities that study pathogens and wildlife ecology, aiming toward a better understanding of the contact and transmission mechanisms of new pathogens from wildlife to human, the emergence of zoonotic EID and the breaking of species barriers by pathogens. PMID:22460397

  9. Fire and Rescue Technology. Resources in Technology.

    ERIC Educational Resources Information Center

    Valesey, Brigitte G.

    1997-01-01

    Provides occupational information about fire and rescue operations personnel, such as fire science, fire protection engineering, emergency medical technicians, and firefighters. Provides information about organizations in these fields. (JOW)

  10. NASA's Search-and-Rescue Technology

    NASA Image and Video Library

    This animation depicts the next-generation search and rescue system, the DASS. Under this system, instruments used to relay emergency beacon signals will be installed on GPS satellites. When one em...

  11. Fire and Rescue Technology. Resources in Technology.

    ERIC Educational Resources Information Center

    Valesey, Brigitte G.

    1997-01-01

    Provides occupational information about fire and rescue operations personnel, such as fire science, fire protection engineering, emergency medical technicians, and firefighters. Provides information about organizations in these fields. (JOW)

  12. Reduced Need for Rescue Antiemetics and Improved Capacity to Eat in Patients Receiving Acupuncture Compared to Patients Receiving Sham Acupuncture or Standard Care during Radiotherapy

    PubMed Central

    Steineck, Gunnar; Börjeson, Sussanne

    2017-01-01

    Objective. To evaluate if consumption of emesis-related care and eating capacity differed between patients receiving verum acupuncture, sham acupuncture, or standard care only during radiotherapy. Methods. Patients were randomized to verum (n = 100) or sham (n = 100) acupuncture (telescopic blunt sham needle) (median 12 sessions) and registered daily their consumption of antiemetics and eating capacity. A standard care group (n = 62) received standard care only and delivered these data once. Results. More patients in the verum (n = 73 of 89 patients still undergoing radiotherapy; 82%, Relative Risk (RR) 1.23, 95% Confidence Interval (CI) 1.01–1.50) and the sham acupuncture group (n = 79 of 95; 83%, RR 1.24, CI 1.03–1.52) did not need any antiemetic medications, as compared to the standard care group (n = 42 out of 63; 67%) after receiving 27 Gray dose of radiotherapy. More patients in the verum (n = 50 of 89; 56%, RR 1.78, CI 1.31–2.42) and the sham acupuncture group (n = 58 of 94 answering patients; 62%, RR 1.83, CI 1.20–2.80) were capable of eating as usual, compared to the standard care group (n = 20 of 63; 39%). Conclusion. Patients receiving acupuncture had lower consumption of antiemetics and better eating capacity than patients receiving standard antiemetic care, plausible by nonspecific effects of the extra care during acupuncture. PMID:28270851

  13. 46 CFR 131.855 - Lifeboats and rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Lifeboats and rescue boats. 131.855 Section 131.855... Markings for Fire Equipment and Emergency Equipment § 131.855 Lifeboats and rescue boats. (a) The following must be plainly marked or painted on each side of the bow of each lifeboat and rescue boat in block...

  14. 46 CFR 131.855 - Lifeboats and rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Lifeboats and rescue boats. 131.855 Section 131.855... Markings for Fire Equipment and Emergency Equipment § 131.855 Lifeboats and rescue boats. (a) The following must be plainly marked or painted on each side of the bow of each lifeboat and rescue boat in block...

  15. 46 CFR 131.855 - Lifeboats and rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Lifeboats and rescue boats. 131.855 Section 131.855... Markings for Fire Equipment and Emergency Equipment § 131.855 Lifeboats and rescue boats. (a) The following must be plainly marked or painted on each side of the bow of each lifeboat and rescue boat in block...

  16. 46 CFR 131.855 - Lifeboats and rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Lifeboats and rescue boats. 131.855 Section 131.855... Markings for Fire Equipment and Emergency Equipment § 131.855 Lifeboats and rescue boats. (a) The following must be plainly marked or painted on each side of the bow of each lifeboat and rescue boat in block...

  17. 46 CFR 131.855 - Lifeboats and rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Lifeboats and rescue boats. 131.855 Section 131.855... Markings for Fire Equipment and Emergency Equipment § 131.855 Lifeboats and rescue boats. (a) The following must be plainly marked or painted on each side of the bow of each lifeboat and rescue boat in block...

  18. Space safety and rescue 1984-1985

    NASA Astrophysics Data System (ADS)

    Heath, G. W.

    The present conference on spacecraft crew safety and rescue technologies and operations considers safety aspects of Space Shuttle ground processing, the Inmarsat and COSPAS/SARSAT emergency location satellite systems, emergency location and rescue communications using Geosat, the use of the Manned Maneuvering Unit for on-orbit rescue operations, NASA Space Station safety design and operational considerations, and the medico-legal implications of space station operation. Also discussed are the operational and environmental aspects of EPIRBS, mobile satellites for safety and disaster response, Inmarsat's role in the Future Global Maritime Distress and Safety System, and test results of the L-band satellite's EPIRB system.

  19. Partnering for Vaccine Emerging Markets--Berlin, June 10-11, 2013: balancing vaccine quality, capacity, and cost-of-goods in emerging markets.

    PubMed

    Onraedt, Annelies

    2013-09-01

    Phacilitates 1st Partnering event for Vaccine Emerging Markets brought together approximately 100 attendees from developed and developing world vaccine manufacturers, leading non-profit organizations and industry suppliers. The goal was to discuss the vaccine needs in the developing world and how these needs can be met by leveraging collaboration and partnership models, by improving access to existing, new and next generation vaccines, by using novel technologies to drive competitive advantage and economics of vaccine manufacturing and by investing in localized capacity, including capacity for pandemic vaccines. The present article summarizes insights out of 30 oral contributions on how quality and capacity requirements can be balanced with cost by using novel manufacturing technologies and operating models.

  20. Rescue Manual. Module 1.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The first of 10 modules contains 9 chapters: (1) introduction; (2) occupational stresses in rescue operations; (3) size-up; (4) critique; (5) reports and recordkeeping; (6) tools and equipment for rescue operations; (7) planning for…

  1. Rescue Manual. Module 4.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The fourth of 10 modules contains 8 chapters: (1) construction and characteristics of rescue rope; (2) knots, bends, and hitches; (3) critical angles; (4) raising systems; (5) rigging; (6) using the brake-bar rack for rope rescue; (7) rope…

  2. Rescue Manual. Module 3.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The third of 10 modules contains 4 chapters: (1) forcible entry; (2) structure search and rescue; (3) rescue operations involving electricity; and (4) cutting torches. Key points, an introduction, and conclusion accompany substantive…

  3. Rescue Skills and Techniques.

    ERIC Educational Resources Information Center

    Defense Civil Preparedness Agency (DOD), Washington, DC.

    The guide has been prepared for use as a textbook in rescue training courses at DCPA (Defense Civil Preparedness Agency) approved training schools and is to be used in rescue training programs of State and local governments. The document explains the various types of rescue missions, command structure, the personnel of the operating unit,…

  4. Assessment of disaster preparedness among emergency departments in Italian hospitals: a cautious warning for disaster risk reduction and management capacity.

    PubMed

    Paganini, Matteo; Borrelli, Francesco; Cattani, Jonathan; Ragazzoni, Luca; Djalali, Ahmadreza; Carenzo, Luca; Della Corte, Francesco; Burkle, Frederick M Jr; Ingrassia, Pier Luigi

    2016-08-15

    Since the 1990s, Italian hospitals are required to comply with emergency disaster plans known as Emergency Plan for Massive Influx of Casualties. While various studies reveal that hospitals overall suffer from an insufficient preparedness level, the aim of this study was to better determine the preparedness level of Emergency Departments of Italian hospitals by assessing the knowledge-base of emergency physicians regarding basic disaster planning and procedures. A prospective observational study utilized a convenience sample of Italian Emergency Departments identified from the Italian Ministry of Health website. Anonymous telephone interviews were conducted of medical consultants in charge at the time in the respective Emergency Departments, and were structured in 3 parts: (1) general data and demographics, (2) the current disaster plan and (3) protocols and actions of the disaster plan. Eighty-five Emergency Departments met inclusion criteria, and 69 (81 %) agreed to undergo the interview. Only 45 % of participants declared to know what an Emergency Plan for Massive Influx of Casualties is, 41 % believed to know who has the authority to activate the plan, 38 % knew who is in charge of intra-hospital operations. In Part 3 physicians revealed a worrisome inconsistency in critical content knowledge of their answers. Results demonstrate a poor knowledge-base of basic hospital disaster planning concepts by Italian Emergency Department physicians-on-duty. These findings should alert authorities to enhance staff disaster preparedness education, training and follow-up to ensure that these plans are known to all who have responsibility for disaster risk reduction and management capacity.

  5. Building Capacity for Community Disaster Preparedness: A Call for Collaboration Between Public Environmental Health and Emergency Preparedness and Response Programs

    PubMed Central

    Gamboa-Maldonado, Thelma; Marshak, Helen Hopp; Sinclair, Ryan; Montgomery, Susanne; Dyjack, David T.

    2015-01-01

    Partnerships among local public environmental health (EH), emergency preparedness and response (EPR) programs, and the communities they serve have great potential to build community environmental health emergency preparedness (EHEP) capacity. In the study described in this article, the beliefs and organizational practices pertaining to community EHEP outreach and capacity were explored through key informant (KI) interviews (N = 14) with a sample of governmental EH and EPR administrators and top-level managers from Riverside and San Bernardino counties in Southern California. The results indicate that KIs were highly confident in their workforces’ efficacy, ability, willingness, and motivation to directly engage local communities in EHEP. Best practices to combat organizational and systematic barriers to community EHEP outreach were identified. Based on the authors’ results, training in participatory methods is needed to bridge technical knowledge in emergency management to daily practice. The lessons learned will form the basis of future interventions aimed to prepare EH and EPR professions to implement community-focused emergency preparedness strategies. PMID:22984732

  6. Effective Visual Working Memory Capacity: An Emergent Effect from the Neural Dynamics in an Attractor Network

    PubMed Central

    Dempere-Marco, Laura; Melcher, David P.; Deco, Gustavo

    2012-01-01

    The study of working memory capacity is of outmost importance in cognitive psychology as working memory is at the basis of general cognitive function. Although the working memory capacity limit has been thoroughly studied, its origin still remains a matter of strong debate. Only recently has the role of visual saliency in modulating working memory storage capacity been assessed experimentally and proved to provide valuable insights into working memory function. In the computational arena, attractor networks have successfully accounted for psychophysical and neurophysiological data in numerous working memory tasks given their ability to produce a sustained elevated firing rate during a delay period. Here we investigate the mechanisms underlying working memory capacity by means of a biophysically-realistic attractor network with spiking neurons while accounting for two recent experimental observations: 1) the presence of a visually salient item reduces the number of items that can be held in working memory, and 2) visually salient items are commonly kept in memory at the cost of not keeping as many non-salient items. Our model suggests that working memory capacity is determined by two fundamental processes: encoding of visual items into working memory and maintenance of the encoded items upon their removal from the visual display. While maintenance critically depends on the constraints that lateral inhibition imposes to the mnemonic activity, encoding is limited by the ability of the stimulated neural assemblies to reach a sufficiently high level of excitation, a process governed by the dynamics of competition and cooperation among neuronal pools. Encoding is therefore contingent upon the visual working memory task and has led us to introduce the concept of effective working memory capacity (eWMC) in contrast to the maximal upper capacity limit only reached under ideal conditions. PMID:22952608

  7. Ready for the Future: Assessing the Collaborative Capacity of State Emergency Management Agencies

    DTIC Science & Technology

    2013-03-01

    Domestic Violence, Drugs, Gangs, Sexual Assault], Public Safety & Victim Services; Regional Response, Recovery Colorado: Division of Emergency...Functional Needs Preparedness Planning, Business & Industry Preparedness Planning, Citizen Corps, CERT & Teen CERT, Disaster Public Assistance, Disaster

  8. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team removes a crew member from a mock Shuttle. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters later are used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise concluded with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  9. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    In the simulated rescue mission, the KSC response team takes part in the unlikely scenario of a Shuttle mishap at the Shuttle Landing Facility. The Mode 7 simulation of an astronaut rescue exercised all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters later are used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise concluded with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.'

  10. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility, the KSC response team removes a Shuttle 'crew' member from the mock orbiter. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters later are used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise concluded with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  11. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility, the KSC response team removes a Shuttle 'crew' member from the mock orbiter. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters later are used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise concluded with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  12. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team removes a crew member from a mock Shuttle. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters later are used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise concluded with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  13. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    In the simulated rescue mission, the KSC response team takes part in the unlikely scenario of a Shuttle mishap at the Shuttle Landing Facility. The Mode 7 simulation of an astronaut rescue exercised all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters later are used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise concluded with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.'

  14. The use of extrication devices in crevasse accidents: official statement of the International Commission for Mountain Emergency Medicine and the Terrestrial Rescue Commission of the International Commission for Alpine Rescue intended for physicians, paramedics, and mountain rescuers.

    PubMed

    Winterberger, Eveline; Jacomet, Hans; Zafren, Ken; Ruffinen, Grégoire Zen; Jelk, Bruno

    2008-01-01

    Injured patients in crevasses who are suspected of having sustained spinal injuries should ideally be extricated after being immobilized in a horizontal position on a stretcher and having a cervical collar applied. Sometimes, however, horizontal stabilization is not possible, because the crevasse is too narrow, and the patient needs to be stabilized in a vertical position. In such cases an extrication device can be a useful adjunct. The Kendrick Extrication Device stabilizes the position of the body and maintains firm support of the head, neck, and torso. Therefore, the International Commission for Mountain Emergency Medicine supports the use of this device in narrow crevasses, if horizontal evacuation is not possible.

  15. An introduction to mountain search and rescue.

    PubMed

    Johnson, Lanny

    2004-05-01

    Alpine search and rescue teams must perform each incident response safely. To do so requires experience, organizational skills, technical training, and ability. In addition, teams should interface with emergency medical control advisors who are familiar with local terrain, mountain rescue operations, and the evacuation techniques employed. To facilitate safety and organization, each mission can be divided into four linked stages: location, reach, stabilize, and evacuate.

  16. Issues in intelligent robots for search and rescue

    NASA Astrophysics Data System (ADS)

    Casper, Jennifer L.; Micire, Mark; Murphy, Robin R.

    2000-07-01

    Since the 1995 Oklahoma City bombing and Kobe, Japan, earthquake, robotics researchers have been considering search and rescue as a humanitarian research domain. The recent devastation in Turkey and Taiwan, compounded with the new Robocup Rescue and AAAI Urban Search and Rescue robot competition, may encourage more research. However, roboticists generally go not have access to domain experts: the emergency workers or first providers. This paper shares our understanding of urban search and rescue, based on our active research in this area and training sessions with rescue workers from the Hillsborough County (Florida) Fire Departments. The paper is intended to be a stepping stone for roboticists entering the field.

  17. Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study

    PubMed Central

    Küçükkartallar, Tevfik; Çakır, Murat; Tekin, Ahmet; Balasar, Mehmet; Kartal, Adil; Köksal, Hande; Erengül, Bülent; Türk, Emin

    2016-01-01

    Objective Although the number of surgical emergencies continues to increase, comprehensive data on emergency surgical admissions are scarce. The aim of this multicenter study was to evaluate the causes, management, and outcomes of the general surgical emergencies in the city of Konya, Turkey. Material and Methods The relevant details of the cases admitted and considered to be general surgical emergencies in Konya over a nine-year period (January 2003–January 2012) were analyzed. All demographic data were analyzed statistically. Results The study group comprised 21954 cases from 4 hospitals in Konya: 7154 from Konya Numune Hospital, 6,654 from Konya Education and Research Hospital, 6,400 from Necmettin Erbakan University Meram Medical Faculty, and 1,390 from Başkent University Konya Education and Research Hospital. Their mean age was 59.6 years, and the average hospitalization time was 3.3 days. The diagnoses of the admitted patients were as follows: acute appendicitis (59.57%), bowel obstruction (11.12%), trauma (7.97%), strangulated inguinal hernia (5.46%), acute cholecystitis (4.87%), peptic ulcer perforation (4.09%), mesenteric ischemia (2.73%), necrotizing fasciitis (2.73%), gastrointestinal system bleeding (1.79%), and others (1.1%). Conclusion The findings of the study indicate a steady increase in surgical admissions to emergency units. Non-traumatic acute abdomen was the most common reason for general surgical emergencies. Although the number of elderly patients increased, the hospital stay and mortality rates decreased over the study period. PMID:28149121

  18. Emergency and urgent care capacity in a resource-limited setting: an assessment of health facilities in western Kenya

    PubMed Central

    Burke, Thomas F; Hines, Rosemary; Ahn, Roy; Walters, Michelle; Young, David; Anderson, Rachel Eleanor; Tom, Sabrina M; Clark, Rachel; Obita, Walter; Nelson, Brett D

    2014-01-01

    Objective Injuries, trauma and non-communicable diseases are responsible for a rising proportion of death and disability in low-income and middle-income countries. Delivering effective emergency and urgent healthcare for these and other conditions in resource-limited settings is challenging. In this study, we sought to examine and characterise emergency and urgent care capacity in a resource-limited setting. Methods We conducted an assessment within all 30 primary and secondary hospitals and within a stratified random sampling of 30 dispensaries and health centres in western Kenya. The key informants were the most senior facility healthcare provider and manager available. Emergency physician researchers utilised a semistructured assessment tool, and data were analysed using descriptive statistics and thematic coding. Results No lower level facilities and 30% of higher level facilities reported having a defined, organised approach to trauma. 43% of higher level facilities had access to an anaesthetist. The majority of lower level facilities had suture and wound care supplies and gloves but typically lacked other basic trauma supplies. For cardiac care, 50% of higher level facilities had morphine, but a minority had functioning ECG, sublingual nitroglycerine or a defibrillator. Only 20% of lower level facilities had glucometers, and only 33% of higher level facilities could care for diabetic emergencies. No facilities had sepsis clinical guidelines. Conclusions Large gaps in essential emergency care capabilities were identified at all facility levels in western Kenya. There are great opportunities for a universally deployed basic emergency care package, an advanced emergency care package and facility designation scheme, and a reliable prehospital care transportation and communications system in resource-limited settings. PMID:25260371

  19. Civic Capacity in Educational Reform Efforts: Emerging and Established Regimes in Rust Belt Cities

    ERIC Educational Resources Information Center

    Mitra, Dana L.; Frick, William C.

    2011-01-01

    Using urban regime theory, the article examines two Rust Belt cities that tried to break the cycle of social reproduction in their communities by reforming their schools. The article contributes to the development of urban regime theory by comparing an "emerging" regime to an "established" regime. The comparison highlights the interdependent…

  20. Civic Capacity in Educational Reform Efforts: Emerging and Established Regimes in Rust Belt Cities

    ERIC Educational Resources Information Center

    Mitra, Dana L.; Frick, William C.

    2011-01-01

    Using urban regime theory, the article examines two Rust Belt cities that tried to break the cycle of social reproduction in their communities by reforming their schools. The article contributes to the development of urban regime theory by comparing an "emerging" regime to an "established" regime. The comparison highlights the interdependent…

  1. Building Leadership Capacity: An Evaluation of the University of Cape Town's Emerging Student Leaders Programme

    ERIC Educational Resources Information Center

    Mukoza, Stella Kyobula; Goodman, Suki

    2013-01-01

    Universities worldwide are becoming increasingly interested in the importance of emerging co-curricula that focus on developing graduate attributes beyond specific academic disciplines. This is being influenced by industry demands for graduates with behavioural and cognitive skills aligned to the work they will do in their early careers. This…

  2. Effects of environmental conditions on point-of-care cardiac biomarker test performance during a simulated rescue: implications for emergency and disaster response.

    PubMed

    Louie, Richard F; Ferguson, William J; Curtis, Corbin M; Vy, John H; Tang, Chloe S; Kost, Gerald J

    2013-01-01

    To characterize the effects of environmental stress on point-of-care (POC) cardiac biomarker testing during a simulated rescue. Multiplex test cassettes for cardiac troponin I (cTnI), brain natriuretic peptide (BNP), CK-MB, myoglobin, and D-dimer were exposed to environmental stresses simulating a 24-hour rescue from Hawaii to the Marshall Islands and back. We used Tenney environmental chambers (T2RC and BTRC) to simulate flight conditions (20°C, 10 percent relative humidity) and ground conditions (22.3-33.9°C, 73-77 percent). We obtained paired measurements using stressed versus control (room temperature) cassettes at seven time points (T1-7 with T1,2,6,7 during flight and T3-5 on ground). We analyzed paired differences (stressed minus control) with Wilcoxon signed rank test. We assessed the impact on decision-making at clinical thresholds. cTnI results from stressed test cassettes (n = 10) at T4 (p < 0.05), T5 (p < 0.01), and T7 (p < 0.05) differed significantly from control, when testing samples with median cTnI concentration of 90 ng/L. During the ground rescue, 36.7 percent (11/30) of cTnI measurements from stressed cassettes generated significantly lowered results. At T5, 20 percent (2/10) of cTnI results were highly discrepant-stressed cassettes reported normal results, when control results were >100 ng/L. With sample median concentration of 108 pg/mL, BNP results from stressed test cassettes differed significantly from controls (p < 0.05). Despite modest, short-term temperature elevation, environmental stresses led to erroneous results. False negative cTnI and BNP results potentially could miss acute myocardial infarction and congestive heart failure, confounded treatment, and increased mortality and morbidity. Therefore, rescuers should protect POC reagents from temperature extremes.

  3. Crisis and emergency risk communication in a pandemic: a model for building capacity and resilience of minority communities.

    PubMed

    Crouse Quinn, Sandra

    2008-10-01

    As public health agencies prepare for pandemic influenza, it is evident from our experience with Hurricane Katrina that these events will occur in the same social, historical, and cultural milieu in which marked distrust of government and health disparities already exist. This article grapples with the challenges of crisis and emergency risk communication with special populations during a pandemic. Recognizing that targeting messages to specific groups poses significant difficulties at that time, this article proposes a model of community engagement, disaster risk education, and crisis and emergency risk communication to prepare minority communities and government agencies to work effectively in a pandemic, build the capacity of each to respond, and strengthen the trust that is critical at such moments. Examples of such engagement and potential strategies to enhance trust include tools familiar to many health educators.

  4. Assuring community emergency care capacity with collaborative Internet tools: the Milwaukee experience.

    PubMed

    Barthell, Edward N; Foldy, Seth L; Pemble, Kim R; Felton, Christopher W; Greischar, Patrick J; Pirrallo, Ronald G; Bazan, William J

    2003-01-01

    Hospital overcrowding and diversion of ambulances from emergency departments are being recognized as increasing problems in the health care system. This article, a descriptive narrative, examines the various factors contributing to the problem and describes how collaborative approaches to public health issues can be applied. It describes Milwaukee's experience with a collaborative approach. The use of a technological tool to assist with tracking and reporting on ambulance diversion and emergency department overload is explained, and data are provided to show the impact of various methods to blunt the impact of the flu season on diversion frequency. The article encourages use of similar collaborative approaches and Internet-based technology to address other public health problems.

  5. The Surge Capacity for People in Emergencies (SCOPE) study in Australasian hospitals.

    PubMed

    Traub, Matthias; Bradt, David A; Joseph, Anthony P

    2007-04-16

    To measure physical assets in Australasian hospitals required for the management of mass casualties as a result of terrorism or natural disasters. A cross-sectional survey of Australian and New Zealand hospitals. All emergency department directors of Australasian College for Emergency Medicine (ACEM)-accredited hospitals, as well as private and non-ACEM accredited emergency departments staffed by ACEM Fellows in metropolitan Sydney. Numbers of operating theatres, intensive care unit (ICU) beds and x-ray machines; state of preparedness using benchmarks defined by the Centers for Disease Control and Prevention in the United States. We found that 61%-82% of critically injured patients would not have immediate access to operative care, 34%-70% would have delayed access to an ICU bed, and 42% of the less critically injured would have delayed access to x-ray facilities. Our study demonstrates that physical assets in Australasian public hospitals do not meet US hospital preparedness benchmarks for mass casualty incidents. We recommend national agreement on disaster preparedness benchmarks and periodic publication of hospital performance indicators to enhance disaster preparedness.

  6. Long-term capacity-building in public health emergency preparedness in Thailand--short report.

    PubMed

    Limpakarnjanarat, K; Linkins, R W; Emerson, E; Aldis, W L; Jiraphongsa, C; Ungchusak, K

    2007-01-01

    Thailand's long-term commitment to public health workforce capacity-building and its health infrastructure were key components in its successful response to the December 26, 2004 tsunami disaster. Surveillance and Rapid Response Teams, comprising fellows and staff from the Field Epidemiology Training Programme of Thailand, in collaboration with staff from the Thailand Ministry of Public Health---U.S Centers for Disease Control and Prevention and the World Health Organization, enabled a rapid and an effective public health response. Active surveillance, outbreak response and control, rapid health assessments, and mental health surveys provided critical information on the public health priorities and medical needs of the impacted populations. Environmental assessments of temporary morgues led to health safety and infection-control recommendations, and computerised surveillance systems assisted in victim tracking and identification. Thailand's experience demonstrates the importance of a prepared public health sector in mitigating the impact of disasters, and supports the recommendation of the Fifty-Eighth World Health Assembly for Member States to develop preparedness plans that include building capacity to respond to health-related crises.

  7. 'We didn't know anything, it was a mess!' Emergent structures and the effectiveness of a rescue operation multi-team system.

    PubMed

    Fleştea, Alina Maria; Fodor, Oana Cătălina; Curşeu, Petru Lucian; Miclea, Mircea

    2017-01-01

    Multi-team systems (MTS) are used to tackle unpredictable events and to respond effectively to fast-changing environmental contingencies. Their effectiveness is influenced by within as well as between team processes (i.e. communication, coordination) and emergent phenomena (i.e. situational awareness). The present case study explores the way in which the emergent structures and the involvement of bystanders intertwine with the dynamics of processes and emergent states both within and between the component teams. Our findings show that inefficient transition process and the ambiguous leadership generated poor coordination and hindered the development of emergent phenomena within the whole system. Emergent structures and bystanders substituted leadership functions and provided a pool of critical resources for the MTS. Their involvement fostered the emergence of situational awareness and facilitated contingency planning processes. However, bystander involvement impaired the emergence of cross-understandings and interfered with coordination processes between the component teams. Practitioner Summary: Based on a real emergency situation, the present research provides important theoretical and practical insights about the role of bystander involvement in the dynamics of multi-team systems composed to tackle complex tasks and respond to fast changing and unpredictable environmental contingencies.

  8. A new approach to road accident rescue.

    PubMed

    Morales, Alejandro; González-Aguilera, Diego; López, Alfonso I; Gutiérrez, Miguel A

    2016-01-01

    This article develops and validates a new methodology and tool for rescue assistance in traffic accidents, with the aim of improving its efficiency and safety in the evacuation of people, reducing the number of victims in road accidents. Different tests supported by professionals and experts have been designed under different circumstances and with different categories of damaged vehicles coming from real accidents and simulated trapped victims in order to calibrate and refine the proposed methodology and tool. To validate this new approach, a tool called App_Rescue has been developed. This tool is based on the use of a computer system that allows an efficient access to the technical information of the vehicle and sanitary information of the common passengers. The time spent during rescue using the standard protocol and the proposed method was compared. This rescue assistance system allows us to make vital information accessible in posttrauma care services, improving the effectiveness of interventions by the emergency services, reducing the rescue time and therefore minimizing the consequences involved and the number of victims. This could often mean saving lives. In the different simulated rescue operations, the rescue time has been reduced an average of 14%.

  9. The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China

    PubMed Central

    2012-01-01

    Background Primary care medical staffs’ knowledge, attitude and behavior about health emergency and the response capacity are directly related to the control and prevention of public health emergencies. Therefore, it is of great significance for improving primary care to gain in-depth knowledge about knowledge, attitude and behavior and the response capacity of primary care medical staffs. The main objective of this study is to explore knowledge, attitude and behavior, and the response capacity of primary care medical staffs of Guangdong Province, China. Methods Stratified clustered sample method was used in the anonymous questionnaire investigation about knowledge, attitude and behavior, and the response capacity of 3410 primary care medical staffs in 15 cities of Guangdong Province, China from July, 2010 to October 2010. The emergency response capacity was evaluated by 33 questions. The highest score of the response capacity was 100 points (full score), score of 70 was a standard. Results 62.4% primary care medical staffs believed that public health emergencies would happen. Influenza (3.86 ± 0.88), food poisoning (3.35 ± 0.75), and environmental pollution events (3.23 ± 0.80) (the total score was 5) were considered most likely to occur. Among the 7 public health emergency skills, the highest self-assessment score is “public health emergency prevention skills” (2.90 ± 0.68), the lowest is “public health emergency risk management (the total score was 5)” (1.81 ± 0.40). Attitude evaluation showed 66.1% of the medical staffs believed that the community awareness of risk management were ordinary. Evaluation of response capacity of health emergency showed that the score of primary care medical staffs was 67.23 ± 10.61, and the response capacity of senior physicians, public health physicians and physicians with relatively long-term practice were significantly better (P <0.05). Multiple linear stepwise regression analysis showed

  10. The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China.

    PubMed

    Zhiheng, Zhou; Caixia, Wang; Jiaji, Wang; Huajie, Yang; Chao, Wang; Wannian, Liang

    2012-09-25

    Primary care medical staffs' knowledge, attitude and behavior about health emergency and the response capacity are directly related to the control and prevention of public health emergencies. Therefore, it is of great significance for improving primary care to gain in-depth knowledge about knowledge, attitude and behavior and the response capacity of primary care medical staffs. The main objective of this study is to explore knowledge, attitude and behavior, and the response capacity of primary care medical staffs of Guangdong Province, China. Stratified clustered sample method was used in the anonymous questionnaire investigation about knowledge, attitude and behavior, and the response capacity of 3410 primary care medical staffs in 15 cities of Guangdong Province, China from July, 2010 to October 2010. The emergency response capacity was evaluated by 33 questions. The highest score of the response capacity was 100 points (full score), score of 70 was a standard. 62.4% primary care medical staffs believed that public health emergencies would happen. Influenza (3.86 ± 0.88), food poisoning (3.35 ± 0.75), and environmental pollution events (3.23 ± 0.80) (the total score was 5) were considered most likely to occur. Among the 7 public health emergency skills, the highest self-assessment score is "public health emergency prevention skills" (2.90 ± 0.68), the lowest is "public health emergency risk management (the total score was 5)" (1.81 ± 0.40). Attitude evaluation showed 66.1% of the medical staffs believed that the community awareness of risk management were ordinary. Evaluation of response capacity of health emergency showed that the score of primary care medical staffs was 67.23 ± 10.61, and the response capacity of senior physicians, public health physicians and physicians with relatively long-term practice were significantly better (P <0.05). Multiple linear stepwise regression analysis showed gender, title, position, type of work, work experience and

  11. Influenza surveillance in animals: what is our capacity to detect emerging influenza viruses with zoonotic potential?

    PubMed

    VON Dobschuetz, S; DE Nardi, M; Harris, K A; Munoz, O; Breed, A C; Wieland, B; Dauphin, G; Lubroth, J; Stärk, K D C

    2015-07-01

    A survey of national animal influenza surveillance programmes was conducted to assess the current capacity to detect influenza viruses with zoonotic potential in animals (i.e. those influenza viruses that can be naturally transmitted between animals and humans) at regional and global levels. Information on 587 animal influenza surveillance system components was collected for 99 countries from Chief Veterinary Officers (CVOs) (n = 94) and published literature. Less than 1% (n = 4) of these components were specifically aimed at detecting influenza viruses with pandemic potential in animals (i.e. those influenza viruses that are capable of causing epidemic spread in human populations over large geographical regions or worldwide), which would have zoonotic potential as a prerequisite. Those countries that sought to detect influenza viruses with pandemic potential searched for such viruses exclusively in domestic pigs. This work shows the global need for increasing surveillance that targets potentially zoonotic influenza viruses in relevant animal species.

  12. Post-disaster medical rescue strategy in tropical regions

    PubMed Central

    Li, Xiang-hui; Hou, Shi-ke; Zheng, Jing-chen; Fan, Hao-jun; Song, Jian-qi

    2012-01-01

    BACKGROUND: Earthquakes, floods, droughts, storms, mudslides, landslides, and forest wild fires are serious threats to human lives and properties. The present study aimed to study the environmental characteristics and pathogenic traits, recapitulate experiences, and augment applications of medical reliefs in tropical regions. METHODS: Analysis was made on work and projects of emergency medical rescue, based on information and data collected from 3 emergency medical rescue missions of China International Search and Rescue Team to overseas earthquakes and tsunamis aftermaths in tropical disaster regions — Indonesia-Aceh, Indonesia-Yogyakarta, and Haiti-Port au Prince. RESULTS: Shock, infection and heat stroke were frequently encountered in addition to outbreaks of infectious diseases, skin diseases, and diarrhea during post-disaster emergency medical rescue in tropical regions. CONCLUSIONS: High temperature, high humidity, and proliferation of microorganisms and parasites are the characteristics of tropical climate that impose strict requirements on the preparation of rescue work including selective team members suitable for a particular rescue mission and the provisioning of medical equipment and life support materials. The overseas rescue mission itself needs a scientific, efficient, simple workflow for providing efficient emergency medical assistance. Since shock and infection are major tasks in post-disaster treatment of severely injured victims in tropical regions, the prevention and diagnosis of hyperthermia, insect-borne infectious diseases, tropic skin diseases, infectious diarrhea, and pest harms of disaster victims and rescue team staff should be emphasized during the rescue operations. PMID:25215034

  13. Post-disaster medical rescue strategy in tropical regions.

    PubMed

    Li, Xiang-Hui; Hou, Shi-Ke; Zheng, Jing-Chen; Fan, Hao-Jun; Song, Jian-Qi

    2012-01-01

    Earthquakes, floods, droughts, storms, mudslides, landslides, and forest wild fires are serious threats to human lives and properties. The present study aimed to study the environmental characteristics and pathogenic traits, recapitulate experiences, and augment applications of medical reliefs in tropical regions. Analysis was made on work and projects of emergency medical rescue, based on information and data collected from 3 emergency medical rescue missions of China International Search and Rescue Team to overseas earthquakes and tsunamis aftermaths in tropical disaster regions - Indonesia-Aceh, Indonesia-Yogyakarta, and Haiti-Port au Prince. Shock, infection and heat stroke were frequently encountered in addition to outbreaks of infectious diseases, skin diseases, and diarrhea during post-disaster emergency medical rescue in tropical regions. High temperature, high humidity, and proliferation of microorganisms and parasites are the characteristics of tropical climate that impose strict requirements on the preparation of rescue work including selective team members suitable for a particular rescue mission and the provisioning of medical equipment and life support materials. The overseas rescue mission itself needs a scientific, efficient, simple workflow for providing efficient emergency medical assistance. Since shock and infection are major tasks in post-disaster treatment of severely injured victims in tropical regions, the prevention and diagnosis of hyperthermia, insect-borne infectious diseases, tropic skin diseases, infectious diarrhea, and pest harms of disaster victims and rescue team staff should be emphasized during the rescue operations.

  14. Enhancing capacity for intern training in the emergency department: the MoLIE project.

    PubMed

    Brazil, Victoria A; Greenslade, Jaimi H; Brown, Anthony F

    2011-02-21

    To evaluate an intern educational project, the More Learning for Interns in Emergency (MoLIE) project, designed to increase intern placements in the emergency department (ED). The study was conducted in the ED of the Royal Brisbane and Women's Hospital, Queensland, in 2008. As well as the usual direct contact with patients, interns had 8 hours per week of "off the floor" structured learning time supervised by consultants. This allowed for an increased number of interns to complete a term in the ED over a 1-year period. The study was evaluated by an intern exit feedback survey and a senior staff survey. Numbers of intern placements in the ED; intern satisfaction with the project; senior medical staff satisfaction with interns' skills and performance assessments. The number of interns completing a term in the ED increased from 65 in 2007 to 90 in 2008. Overall, the 90 interns surveyed were highly satisfied with their training. Most agreed or strongly agreed that the sessions were relevant and covered the right mix of clinical and professional issues. Most of the 12 senior staff surveyed felt that the participating interns performed slightly or much better than interns in previous years, and that their experience as supervisors and overall patient care were improved. The project successfully combined increased intern numbers with educational outcomes that were well perceived by interns and senior staff, without adversely affecting service delivery or supervision workload in the ED.

  15. Factors influencing mine rescue team behaviors.

    PubMed

    Jansky, Jacqueline H; Kowalski-Trakofler, K M; Brnich, M J; Vaught, C

    2016-01-01

    A focus group study of the first moments in an underground mine emergency response was conducted by the National Institute for Occupational Safety and Health (NIOSH), Office for Mine Safety and Health Research. Participants in the study included mine rescue team members, team trainers, mine officials, state mining personnel, and individual mine managers. A subset of the data consists of responses from participants with mine rescue backgrounds. These responses were noticeably different from those given by on-site emergency personnel who were at the mine and involved with decisions made during the first moments of an event. As a result, mine rescue team behavior data were separated in the analysis and are reported in this article. By considering the responses from mine rescue team members and trainers, it was possible to sort the data and identify seven key areas of importance to them. On the basis of the responses from the focus group participants with a mine rescue background, the authors concluded that accurate and complete information and a unity of purpose among all command center personnel are two of the key conditions needed for an effective mine rescue operation.

  16. Evaluation of two oxygen face masks with special regard to inspiratory oxygen fraction (FiO2) for emergency use in rescue helicopters.

    PubMed

    Hinkelbein, Jochen; Glaser, Eckard

    2008-01-01

    Effective oxygenation during acute respiratory insufficiency depends on the inspiratory oxygen fraction (FiO(2)) and the oxygen face mask used. Recent studies demonstrated significant advantages of the Hi-Ox80 mask as compared with a basic mask. The aim of this study was to measure FiO(2) in the laryngopharynx of patients and to apply these data to the setting in rescue helicopters. In spontaneously breathing patients, FiO(2) was measured with an O(2)-sensor (Draeger Medical, Luebeck, Germany) in the laryngopharynx, depending on the adjusted oxygen flow. Flow increments of 1 up to 12 L/min were analyzed using a basic oxygen mask (Intersurgical Ltd., Berkshire, UK) and a Hi-Ox80 mask (Viasys Healthcare GmbH, Hoechberg, Germany) in a randomized order on the same patient. Data were applied to the special helicopter environment and analyzed with respect to oxygen delivery per minute and resulting equipment benefits. Statistika (StatSoft GmbH, Hamburg, Germany) and t-test were used for statistical analysis. P rescue helicopter with standard oxygen flows, it demonstrated 3.24 times longer oxygen availability because of a reduced required oxygen flow and therefore a potential calculated weight reduction. The Hi-Ox80 mask allows more effective use of the administered oxygen flow. Efficiency of the new mask is greater; hence, similar flow adjustment produces a significantly higher FiO(2). Thus, oxygen, cost, and weight savings are feasible.

  17. Emergent Application on Smart Phone for Deaf, Language Dysfunction and Foreigners: -  Communication method to perform swift rescue report by refined icons with GPS technology.

    PubMed

    Hosono, Naotsune; Inoue, Hiromitsu; Nakanishi, Miwa; Tomita, Yutaka

    2015-01-01

    This paper discusses the efficiency of the Emergent Application on Smart Phones (EASP). In an initial survey, hearing impaired people are asked to explain their difficulties in an emergency situation. With this survey as background, an application with five steps is implemented on Smart Phone touch panels using outcome icons and pictograms to communicate to a call centre in the fire brigade. The evaluation results with EASP application by deaf people found that it was about five times quicker to report an emergency using this tool, than it by using text message input.

  18. To direct the Administrator of the Federal Emergency Management Agency to designate New Jersey Task Force 1 as part of the National Urban Search and Rescue System.

    THOMAS, 113th Congress

    Rep. Frelinghuysen, Rodney P. [R-NJ-11

    2013-05-22

    05/23/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  19. To direct the Administrator of the Federal Emergency Management Agency to designate New Jersey Task Force 1 as part of the National Urban Search and Rescue System.

    THOMAS, 113th Congress

    Rep. Frelinghuysen, Rodney P. [R-NJ-11

    2013-05-22

    House - 05/23/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  20. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    In the woods next to the Shuttle Landing Facility (SLF), the KSC response team takes part in training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters later are used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise concluded with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  1. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices carrying an injured crew member to an Air Force HH-60 helicopter for transport to a local hospital. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to reach the site, drop emergency equipment and later remove the 'crew' five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  2. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices carrying an injured crew member to an Air Force HH-60 helicopter for transport to a local hospital. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to reach the site, drop emergency equipment and later remove the 'crew' five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  3. The role of the International Space University in building capacity in emerging space nations.

    NASA Astrophysics Data System (ADS)

    Richards, Robert

    The International Space University provides graduate-level training to the future leaders of the emerging global space community at its Central Campus in Strasbourg, France, and at locations around the world. In its two-month Summer Session and one-year Masters program, ISU offers its students a unique Core Curriculum covering all disciplines related to space programs and enterprises - space science, space engineering, systems engineering, space policy and law, business and management, and space and society. Both programs also involve an intense student research Team Project providing international graduate students and young space professionals the opportunity to solve complex problems by working together in an intercultural environment. Since its founding in 1987, ISU has graduated more than 2500 students from 96 countries. Together with hundreds of ISU faculty and lecturers from around the world, ISU alumni comprise an extremely effective network of space professionals and leaders that actively facilitates individual career growth, professional activities and international space cooperation.

  4. Ambulance helicopter contribution to search and rescue in North Norway.

    PubMed

    Glomseth, Ragnar; Gulbrandsen, Fritz I; Fredriksen, Knut

    2016-09-13

    Search and rescue (SAR) operations constitute a significant proportion of Norwegian ambulance helicopter missions, and they may limit the service's capacity for medical operations. We compared the relative contribution of the different helicopter resources using a common definition of SAR-operation in order to investigate how the SAR workload had changed over the last years. We searched the mission databases at the relevant SAR and helicopter emergency medical service (HEMS) bases and the Joint Rescue Coordination Centre (North) for helicopter-supported SAR operations within the potential operation area of the Tromsø HEMS base in 2000-2010. We defined SAR operations as missions over land or sea within 10 nautical miles from the coast with an initial search phase, missions with use of rescue hoist or static rope, and avalanche operations. There were 769 requests in 639 different SAR operations, and 600 missions were completed. The number increased during the study period, from 46 in 2000 to 77 in 2010. The Tromsø HEMS contributed with the highest number of missions and experienced the largest increase, from 10 % of the operations in 2000 to 50 % in 2010. Simple terrain and sea operations dominated, and avalanches accounted for as many as 12 % of all missions. The helicopter crews used static rope or rescue hoist in 141 operations. We have described all helicopter supported SAR operations in our area by combining databases. The Tromsø HEMS service had taken over one half of the missions by 2010. Increased availability for SAR work is one potential explanation. The number of SAR missions increased during 2000-2010, and the Tromsø HEMS experienced the greatest increase in workload.

  5. Revisiting emergency anti-apoptotic cytokinotherapy: erythropoietin synergizes with stem cell factor, FLT-3 ligand, trombopoietin and interleukin-3 to rescue lethally-irradiated mice.

    PubMed

    Drouet, Michel; Grenier, Nancy; Hérodin, Francis

    2012-06-01

    We have re-evaluated the benefit of using erythropoietin (Epo) as a pleiotropic cytokine to counteract hematological and extra-hematological toxicity following lethal irradiation. B6D2F1 mice were exposed to a dose of 9 Gy gamma radiation resulting in 90% mortality at 30 days, and then injected with stem cell factor, FLT-3 ligand, thrombopoietin and interleukin-3 [i.e. SFT3] at two and 24 hours with or without Epo (1,000 IU/kg) at 2 hours and day 8. As controls, two groups of irradiated mice were given only Epo or Phosphate-buffered saline. Epo synergized with SFT3 to rescue lethally-irradiated mice from radiation-induced death (survival: 60%, 95% and 5% respectively for SFT3, SFT3+Epo and controls at 30 days, p<0.05), whereas Epo alone exhibited no protective effect. Hematopoietic parameters did not differ significantly between SFT3 and SFT3+Epo groups during the animal death period. Some beneficial effects on gastro-intestinal toxicity were noticed following administration of Epo, although lung, liver and kidney were not protected. Further studies are necessary to understand fully the mechanisms involved in these effects of Epo in order to optimize treatment with cytokines following high-dose irradiation.

  6. BlueSky Cloud - rapid infrastructure capacity using Amazon's Cloud for wildfire emergency response

    NASA Astrophysics Data System (ADS)

    Haderman, M.; Larkin, N. K.; Beach, M.; Cavallaro, A. M.; Stilley, J. C.; DeWinter, J. L.; Craig, K. J.; Raffuse, S. M.

    2013-12-01

    During peak fire season in the United States, many large wildfires often burn simultaneously across the country. Smoke from these fires can produce air quality emergencies. It is vital that incident commanders, air quality agencies, and public health officials have smoke impact information at their fingertips for evaluating where fires and smoke are and where the smoke will go next. To address the need for this kind of information, the U.S. Forest Service AirFire Team created the BlueSky Framework, a modeling system that predicts concentrations of particle pollution from wildfires. During emergency response, decision makers use BlueSky predictions to make public outreach and evacuation decisions. The models used in BlueSky predictions are computationally intensive, and the peak fire season requires significantly more computer resources than off-peak times. Purchasing enough hardware to run the number of BlueSky Framework runs that are needed during fire season is expensive and leaves idle servers running the majority of the year. The AirFire Team and STI developed BlueSky Cloud to take advantage of Amazon's virtual servers hosted in the cloud. With BlueSky Cloud, as demand increases and decreases, servers can be easily spun up and spun down at a minimal cost. Moving standard BlueSky Framework runs into the Amazon Cloud made it possible for the AirFire Team to rapidly increase the number of BlueSky Framework instances that could be run simultaneously without the costs associated with purchasing and managing servers. In this presentation, we provide an overview of the features of BlueSky Cloud, describe how the system uses Amazon Cloud, and discuss the costs and benefits of moving from privately hosted servers to a cloud-based infrastructure.

  7. Rescue Manual. Module 10.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The 10th of 10 modules contains a 16-page glossary of rescue terms and 3 appendices: (1) 4 computer programs and 32 other technical assistance materials available for hazardous materials; (2) hazardous materials resources--60 phone numbers,…

  8. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan

    PubMed Central

    Li, Xingming; Huang, Jianshi; Zhang, Hui

    2008-01-01

    Background Hospital preparedness is critical for the early detection and management of public health emergency (PHE). Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diagnosis and management; staff training; and risk communication were collected and analyzed. Results Valid responses were received from 318 (79.5%) of the 400 hospitals surveyed. Of the valid responses, 264 (85.2%) hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity(See in appendix). Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institution's PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5N1 avian flu and SARS. Staff training or drill programs were reported in 94.5% of the institutions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their medical staff to assess PHE-related stress. All of the above capacities related to

  9. Adaptive mobility for rescue robots

    NASA Astrophysics Data System (ADS)

    Blitch, John G.

    2003-09-01

    It has often been observed that the most daunting aspect of any crisis response is managing the "unknown unknowns" that inevitably plague incident commanders and emergency personnel at all levels responsible for life and death decisions on a minute by minute basis. In structural collapse situations, for example, rescue crews rarely have even a coarse picture of the number or disposition of people or material scattered amongst the twisted beams and piles of concrete that typically entomb would-be survivors. How can the incident commander decide which beam to lift or even which section of the building to search first in the absence of information of what lies beneath. Even the slightest tug on a concrete slab can collapse potential life harboring void spaces below killing potential survivors in the process. In deploying mobile robots to assist in rescue operations we combined the traditional advantages of machine immunity to fatigue, hazardous materials and environmental controls, with the mechanical design freedom that allowed small platforms to penetrate deep into rubble to expand both situational awareness and operational influence of rescue services at the World Trade Center and mountainous snow-bound caves in Afghanistan. We learned a great deal from these experiences with regard to robot emloyment and design. This paper endeavors to share a few of our more prominent lessons learned regarding portable robot mobility as a means to manage user expectations and stimulate more innovative and adaptive design.

  10. KENNEDY SPACE CENTER, FLA. - Emergency crew members prepare to rescue another “astronaut” from inside the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members prepare to rescue another “astronaut” from inside the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  11. [Evaluation of the capacity of personal protection on poison emergency items in Chinese disease control and prevention institutes].

    PubMed

    Xie, Li-jing; Zhou, Jing; Meng, Cong-shen; Zhang, Shou-lin; Zhang, Hong-shun; Jiang, Shao-feng; Wang, Ming-liang; Sun, Cheng-ye

    2009-02-01

    To analyze the capacity of personal protection on poison emergency items in Chinese disease control and prevention institutes. Evaluation analysis based on data obtained from investigating personal protection equipments and professional knowledge quizzing about personal protection in poisoning control of 57 different level centers for disease control and prevention selected from China by a multi-stage stratified sampling. All 80.70% of the institutes possessed the protection equipments, provincial, municipal, county level institutes were 100.00%, 95.24%, 66.67%, respectively, with significant statistical difference (H = 7.94, P < 0.05). The average level of the type of individual protective equipments in disease control and prevention institutes was (5.42 +/- 4.00) kinds, the average points in category of provincial, municipal, county level institutes were (11.33 +/- 3.67), (6.52 +/- 3.16), (3.47 +/- 3.10) kinds, being statistically significant (F = 17.30, P < 0.05); type difference counts of disease control and prevention institutes in economic development, secondary, less-developed regions were (6.41 +/- 4.03), (3.55 +/- 3.35), (6.45 +/- 4.07) kinds, with statistical significance (F = 3.70, P < 0.05). Protection equipments chiefly possessed were latex gloves, gauze masks and C-protective clothing. Protective clothing and respiratory protective equipments were insufficient evidently. The average points in testing personal protection basic knowledge were (71.39 +/- 12.52) points; there were no differences between different institutes with different economic regions, levels, technical posts and title degrees. Certain advances have been achieved in recent years in personal protection capacity of institutes for disease control and prevention, but far from the actual demands, and maybe no enough effective response on emergency occurred.

  12. [Air rescue: current significance and practical issues].

    PubMed

    Schellhaaß, A; Popp, E

    2014-12-01

    Germany has a nationwide and powerful helicopter emergency medical services system (HEMS), which executes primary rescue missions and interhospital transfer of intensive care patients. In recent years the range of HEMS missions has become modified due to demographic changes and structural changes in the healthcare system. Furthermore, the number of HEMS missions is steadily increasing. If reasonably used air rescue contributes to desired reductions in overall preclinical time. Moreover, it facilitates prompt transport of patients to a hospital suitable for definitive medical care and treatment can be initiated earlier which is a particular advantage for severely injured and critically ill patients. Because of complex challenges during air rescue missions the qualifications of the HEMS personnel have to be considerably higher in comparison with ground based emergency medical services.

  13. Emergency Medical Services

    MedlinePlus

    ... need help right away, you should use emergency medical services. These services use specially trained people and ... emergencies, you need help where you are. Emergency medical technicians, or EMTs, do specific rescue jobs. They ...

  14. 49 CFR 238.114 - Rescue access windows.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... suitable, alternate arrangement for rescue access is provided. (iii) For passenger cars ordered prior to... passenger train emergency. (c) Dimensions. Each rescue access window in a passenger car, including a... 1, 2011, shall have an unobstructed opening with minimum dimensions of 26 inches horizontally by 24...

  15. 49 CFR 238.114 - Rescue access windows.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... suitable, alternate arrangement for rescue access is provided. (iii) For passenger cars ordered prior to... passenger train emergency. (c) Dimensions. Each rescue access window in a passenger car, including a... 1, 2011, shall have an unobstructed opening with minimum dimensions of 26 inches horizontally by 24...

  16. 49 CFR 238.114 - Rescue access windows.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... suitable, alternate arrangement for rescue access is provided. (iii) For passenger cars ordered prior to... passenger train emergency. (c) Dimensions. Each rescue access window in a passenger car, including a... 1, 2011, shall have an unobstructed opening with minimum dimensions of 26 inches horizontally by 24...

  17. 49 CFR 238.114 - Rescue access windows.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... suitable, alternate arrangement for rescue access is provided. (iii) For passenger cars ordered prior to... passenger train emergency. (c) Dimensions. Each rescue access window in a passenger car, including a... 1, 2011, shall have an unobstructed opening with minimum dimensions of 26 inches horizontally by 24...

  18. Psychiatric emergency "surge capacity" following acts of terrorism and mass violence with high media impact: what is required?

    PubMed

    Claassen, Cindy; Kashner, T Michael; Kashner, Tetyana K; Xuan, Lei; Larkin, Gregory L

    2011-01-01

    Adequate preparedness for acts of terrorism and mass violence requires a thorough understanding of the postdisaster mental health needs of all exposed groups, including those watching such events from a distance. This study examined emergency psychiatric treatment-seeking patterns following media exposure to four national terrorist or mass casualty events. An event was selected for study if (a) it precipitated local front-page headlines for >5 consecutive days and (b) emergency service psychiatrists identified it as specifically precipitating help-seeking in the study hospital. Four events qualified: the Oklahoma City bombing (1995), the Columbine High School (1999) and Wedgewood Baptist Church (1999) shootings and the terrorist attacks of September 11, 2001. Time-series analyses were used to correct for autocorrelation in visit patterns during the postdisaster week, and equivalent time periods from years before and after each event were used as control years. Overall, disaster week census did not differ significantly from predisaster weeks, although 3-day nonsignificant decreases in visit rate were observed following each disaster. Treatment-seeking for anxiety-related issues showed a nonsignificant increase following each disaster, which became significant in the "all disaster" model (t=5.17; P=.006). Intensity of media coverage did not impact rate of help-seeking in any analysis. Although these sentinel US disasters varied in scope, method, geographic proximity to the study site, perpetrator characteristics, public response, sequelae and degree of media coverage, the extent to which they impacted emergency department treatment-seeking was minimal. Geographically distant mass violence and disaster events of the type and scope studied here may require only minimal mental health "surge capacity" in the days following the event. Copyright © 2011 Elsevier Inc. All rights reserved.

  19. Countries renew rescue agreement

    NASA Astrophysics Data System (ADS)

    Bush, Susan M.

    To insure long-term continuity for the international satellite search and rescue system, COSPAS/SARSAT, an intergovernmental agreement binding the four sponsoring nations to cooperate was signed July 1 in Paris. According to Russell Vollmers of the National Oceanic and Atmospheric Administration, the agreement is binding for 15 years, with an automatic extension.The system marked the fifth anniversary of its first rescue last year, when on September 10, 1982, three persons were rescued. Begun in the 1970s by NASA as an experiment, COSPAS/SARSAT (a Russian-English acronym) is now a cooperative project among the United States, Canada, France, and the Soviet Union. Its goal is to reduce the time required to rescue air and maritime distress victims and also to locate victims who otherwise may not be found, thus using the satellite system as a life-saving device.

  20. Mine rescue capsule dynamics modeling and stress analysis

    NASA Astrophysics Data System (ADS)

    Yang, Shuyi; Li, Jingjing; Sun, Yaobin

    2013-10-01

    Mine rescue capsule is used for emergency mine shelter. It should meet the impact of anti- explosion, water pressure of anti-static load, fire prevention and good air tightness performance. At present, mine rescue capsule design is mainly based on traditional experience design of sealed pressure vessels. In-depth theoretical analysis on structure and mechanical calculation for rescue capsule is lack. The structure deformation and distribution of equivalent stress were investigated under different explosion pressure conditions based on the elastic-plastic finite element theory and software ANSYS. The results provide certain design basis for the mine rescue capsule structural design.

  1. Ophthalmic referrals from emergency wards-a study of cases referred for urgent eye care (The R.E.S.C.U.E Study).

    PubMed

    Alangh, Manreet; Chaudhary, Varun; McLaughlin, Christopher; Chan, Brian; Mullen, Sarah J; Barbosa, Joshua

    2016-06-01

    To characterize emergency department (ED) referrals in order to identify the most common pathologies, compare accuracy of diagnosis, and measure correlation of visual acuity (VA) and intraocular pressure (IOP) measurements between the ED and ophthalmology setting. Retrospective chart review of consecutive patients referred for an ocular emergency after hours to a tertiary care emergency eye clinic in Hamilton, Ontario, between February 17, 2015, and May 3, 2015 (n = 288). Variables extracted from the patients' charts included date of referral, age, sex, eye(s) under examination, VA at the time of referral, IOP at the time of the referral, site of referral, the referring physician's provisional diagnosis, VA at the time of the ophthalmologist consultation, IOP at the time of the ophthalmologist consultation, number of days between referral and ophthalmic consultation, and the ophthalmologist's diagnosis. Agreement between ED provisional diagnosis and ophthalmology was good at 79.4% when classified according to anatomic location of pathology. A strong correlation was found between VA measurements in the ED and ophthalmology setting (p < 0.001). IOP measurement was infrequently checked in ED and a significant difference existed between ER physician and ophthalmologist measurements (p = 0.010) where ophthalmology reported lower IOP. The 5 highest volume diagnoses in descending order were posterior vitreous detachment/vitreous syneresis, corneal abrasion, keratitis, anterior uveitis, and retinal tear/detachment. Visual acuity measurements in ED are reliable. IOP is infrequently checked in the ED and more unreliable when measured over 20 mm Hg. Copyright © 2016 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

  2. The Src-Family Kinase Inhibitor PP2 Rescues Inducible Differentiation Events in Emergent Retinoic Acid-Resistant Myeloblastic Leukemia Cells

    PubMed Central

    Jensen, Holly A.; Styskal, Lauren E.; Tasseff, Ryan; Bunaciu, Rodica P.; Congleton, Johanna; Varner, Jeffrey D.; Yen, Andrew

    2013-01-01

    Retinoic acid is an embryonic morphogen and dietary factor that demonstrates chemotherapeutic efficacy in inducing maturation in leukemia cells. Using HL60 model human myeloid leukemia cells, where all-trans retinoic acid (RA) induces granulocytic differentiation, we developed two emergent RA-resistant HL60 cell lines which are characterized by loss of RA-inducible G1/G0 arrest, CD11b expression, inducible oxidative metabolism and p47phox expression. However, RA-treated RA-resistant HL60 continue to exhibit sustained MEK/ERK activation, and one of the two sequentially emergent resistant lines retains RA-inducible CD38 expression. Other signaling events that define the wild-type (WT) response are compromised, including c-Raf phosphorylation and increased expression of c-Cbl, Vav1, and the Src-family kinases (SFKs) Lyn and Fgr. As shown previously in WT HL60 cells, we found that the SFK inhibitor PP2 significantly increases G1/G0 cell cycle arrest, CD38 and CD11b expression, c-Raf phosphorylation and expression of the aforementioned regulators in RA-resistant HL60. The resistant cells were potentially incapable of developing inducible oxidative metabolism. These results motivate the concept that RA resistance can occur in steps, wherein growth arrest and other differentiation events may be recovered in both emergent lines. Investigating the mechanistic anomalies in resistant cell lines is of therapeutic significance and helps to mechanistically understand the response to retinoic acid’s biological effects in WT HL60 cells. PMID:23554907

  3. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices lifting an injured crew member to an Air Force HH-60 helicopter for transport to a local hospital. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to reach and prepare the 'crew' five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker -- for preliminary triage. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  4. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices lifting an injured crew member to an Air Force HH-60 helicopter for transport to a local hospital. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to reach and prepare the 'crew' five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker -- for preliminary triage. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

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

    PubMed Central

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

    2014-01-01

    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

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

    PubMed

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

    2014-12-01

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

  7. Space rescue operations in the early 1980's.

    NASA Technical Reports Server (NTRS)

    Wild, J. W.; Schaefer, H.

    1972-01-01

    Discussion of planning requirements for space rescue missions in connection with an emergency situation involving a manned satellite with a small crew. A space rescue mission may be divided basically into three major operational phases including the response time phase, the phase concerned with the rescue operations, and the final phase which begins with the casting-off operation from the rendezvous position with the distressed vehicle. The types of possible emergency situations are discussed together with the space rescue equipment, a pressurized emergency module, an unpressurized emergency module, a portable airlock, an attachable docking fixture, a fluid jet type detumble system, a stick-on rocket type detumble system, and an antitumbling space vehicle.

  8. 30 CFR 57.4362 - Underground rescue and firefighting operations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4362 Underground rescue and firefighting operations. Following evacuation of a mine in a fire emergency, only persons wearing and trained...

  9. 30 CFR 57.4362 - Underground rescue and firefighting operations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4362 Underground rescue and firefighting operations. Following evacuation of a mine in a fire emergency, only persons wearing and trained...

  10. 30 CFR 57.4362 - Underground rescue and firefighting operations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4362 Underground rescue and firefighting operations. Following evacuation of a mine in a fire emergency, only persons wearing and trained...

  11. Exercise leads to the re-emergence of the cholinergic/nestin neuronal phenotype within the medial septum/diagonal band and subsequent rescue of both hippocampal ACh efflux and spatial behavior.

    PubMed

    Hall, Joseph M; Savage, Lisa M

    2016-04-01

    Exercise has been shown to improve cognitive functioning in a range of species, presumably through an increase in neurotrophins throughout the brain, but in particular the hippocampus. The current study assessed the ability of exercise to restore septohippocampal cholinergic functioning in the pyrithiamine-induced thiamine deficiency (PTD) rat model of the amnestic disorder Korsakoff Syndrome. After voluntary wheel running or sedentary control conditions (stationary wheel attached to the home cage), PTD and control rats were behaviorally tested with concurrent in vivo microdialysis, at one of two time points: 24-h or 2-weeks post-exercise. It was found that only after the 2-week adaption period did exercise lead to an interrelated sequence of events in PTD rats that included: (1) restored spatial working memory; (2) rescued behaviorally-stimulated hippocampal acetylcholine efflux; and (3) within the medial septum/diagonal band, the re-emergence of the cholinergic (choline acetyltransferase [ChAT+]) phenotype, with the greatest change occurring in the ChAT+/nestin+ neurons. Furthermore, in control rats, exercise followed by a 2-week adaption period improved hippocampal acetylcholine efflux and increased the number of neurons co-expressing the ChAT and nestin phenotype. These findings demonstrate a novel mechanism by which exercise can modulate the mature cholinergic/nestin neuronal phenotype leading to improved neurotransmitter function as well as enhanced learning and memory.

  12. Airborne rescue system

    NASA Technical Reports Server (NTRS)

    Haslim, Leonard A. (Inventor)

    1991-01-01

    The airborne rescue system includes a boom with telescoping members for extending a line and collar to a rescue victim. The boom extends beyond the tip of the helicopter rotor so that the victim may avoid the rotor downwash. The rescue line is played out and reeled in by winch. The line is temporarily retained under the boom. When the boom is extended, the rescue line passes through clips. When the victim dons the collar and the tension in the line reaches a predetermined level, the clips open and release the line from the boom. Then the rescue line can form a straight line between the victim and the winch, and the victim can be lifted to the helicopter. A translator is utilized to push out or pull in the telescoping members. The translator comprises a tape and a rope. Inside the telescoping members the tape is curled around the rope and the tape has a tube-like configuration. The tape and rope are provided from supply spools.

  13. Pediatric emergency care capacity in a low-resource setting: An assessment of district hospitals in Rwanda.

    PubMed

    Hategeka, Celestin; Shoveller, Jean; Tuyisenge, Lisine; Kenyon, Cynthia; Cechetto, David F; Lynd, Larry D

    2017-01-01

    Health system strengthening is crucial to improving infant and child health outcomes in low-resource countries. While the knowledge related to improving newborn and child survival has advanced remarkably over the past few decades, many healthcare systems in such settings remain unable to effectively deliver pediatric advance life support management. With the introduction of the Emergency Triage, Assessment and Treatment plus Admission care (ETAT+)-a locally adapted pediatric advanced life support management program-in Rwandan district hospitals, we undertook this study to assess the extent to which these hospitals are prepared to provide this pediatric advanced life support management. The results of the study will shed light on the resources and support that are currently available to implement ETAT+, which aims to improve care for severely ill infants and children. A cross-sectional survey was undertaken in eight district hospitals across Rwanda focusing on the availability of physical and human resources, as well as hospital services organizations to provide emergency triage, assessment and treatment plus admission care for severely ill infants and children. Many of essential resources deemed necessary for the provision of emergency care for severely ill infants and children were readily available (e.g. drugs and laboratory services). However, only 4/8 hospitals had BVM for newborns; while nebulizer and MDI were not available in 2/8 hospitals. Only 3/8 hospitals had F-75 and ReSoMal. Moreover, there was no adequate triage system across any of the hospitals evaluated. Further, guidelines for neonatal resuscitation and management of malaria were available in 5/8 and in 7/8 hospitals, respectively; while those for child resuscitation and management of sepsis, pneumonia, dehydration and severe malnutrition were available in less than half of the hospitals evaluated. Our assessment provides evidence to inform new strategies to enhance the capacity of Rwandan district

  14. Pediatric emergency care capacity in a low-resource setting: An assessment of district hospitals in Rwanda

    PubMed Central

    Shoveller, Jean; Tuyisenge, Lisine; Kenyon, Cynthia; Cechetto, David F.; Lynd, Larry D.

    2017-01-01

    Background Health system strengthening is crucial to improving infant and child health outcomes in low-resource countries. While the knowledge related to improving newborn and child survival has advanced remarkably over the past few decades, many healthcare systems in such settings remain unable to effectively deliver pediatric advance life support management. With the introduction of the Emergency Triage, Assessment and Treatment plus Admission care (ETAT+)–a locally adapted pediatric advanced life support management program–in Rwandan district hospitals, we undertook this study to assess the extent to which these hospitals are prepared to provide this pediatric advanced life support management. The results of the study will shed light on the resources and support that are currently available to implement ETAT+, which aims to improve care for severely ill infants and children. Methods A cross-sectional survey was undertaken in eight district hospitals across Rwanda focusing on the availability of physical and human resources, as well as hospital services organizations to provide emergency triage, assessment and treatment plus admission care for severely ill infants and children. Results Many of essential resources deemed necessary for the provision of emergency care for severely ill infants and children were readily available (e.g. drugs and laboratory services). However, only 4/8 hospitals had BVM for newborns; while nebulizer and MDI were not available in 2/8 hospitals. Only 3/8 hospitals had F-75 and ReSoMal. Moreover, there was no adequate triage system across any of the hospitals evaluated. Further, guidelines for neonatal resuscitation and management of malaria were available in 5/8 and in 7/8 hospitals, respectively; while those for child resuscitation and management of sepsis, pneumonia, dehydration and severe malnutrition were available in less than half of the hospitals evaluated. Conclusions Our assessment provides evidence to inform new strategies

  15. On learning to draw the distinction between physical and metaphorical motion: is metaphor an early emerging cognitive and linguistic capacity?

    PubMed

    Ozçalişkan, Seyda

    2005-05-01

    Situated within the framework of the conceptual metaphor theory (Lakoff & Johnson, 1999), this study investigated young children's understanding of metaphorical extensions of spatial motion. Metaphor was defined as a conceptual-linguistic mapping between a source and a target domain. The study focused on metaphors that are structured by the source domain of motion in space (e.g. time flies by, ideas pass through one's mind, sickness crawls through one's body). The study investigated whether metaphor comprehension varied by the age of the participant, target domain of the metaphorical mapping, and the conventionality of the linguistic form with which the metaphor was conveyed. Data were gathered using a story comprehension task and a semi-structured interview from 60 monolingual Turkish-speaking children, at the mean ages 3;6, 4;5 and 5;5 (20 participants per age group), and 20 adult native speakers of Turkish. The results showed metaphor understanding to be an early emerging cognitive and linguistic capacity.

  16. International network for capacity building for the control of emerging viral vector-borne zoonotic diseases: ARBO-ZOONET.

    PubMed

    Ahmed, J; Bouloy, M; Ergonul, O; Fooks, Ar; Paweska, J; Chevalier, V; Drosten, C; Moormann, R; Tordo, N; Vatansever, Z; Calistri, P; Estrada-Pena, A; Mirazimi, A; Unger, H; Yin, H; Seitzer, U

    2009-03-26

    Arboviruses are arthropod-borne viruses, which include West Nile fever virus (WNFV), a mosquito-borne virus, Rift Valley fever virus (RVFV), a mosquito-borne virus, and Crimean-Congo haemorrhagic fever virus (CCHFV), a tick-borne virus. These arthropod-borne viruses can cause disease in different domestic and wild animals and in humans, posing a threat to public health because of their epidemic and zoonotic potential. In recent decades, the geographical distribution of these diseases has expanded. Outbreaks of WNF have already occurred in Europe, especially in the Mediterranean basin. Moreover, CCHF is endemic in many European countries and serious outbreaks have occurred, particularly in the Balkans, Turkey and Southern Federal Districts of Russia. In 2000, RVF was reported for the first time outside the African continent, with cases being confirmed in Saudi Arabia and Yemen. This spread was probably caused by ruminant trade and highlights that there is a threat of expansion of the virus into other parts of Asia and Europe. In the light of global warming and globalisation of trade and travel, public interest in emerging zoonotic diseases has increased. This is especially evident regarding the geographical spread of vector-borne diseases. A multi-disciplinary approach is now imperative, and groups need to collaborate in an integrated manner that includes vector control, vaccination programmes, improved therapy strategies, diagnostic tools and surveillance, public awareness, capacity building and improvement of infrastructure in endemic regions.

  17. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida participate in a training exercise at the Shuttle Landing Facility. Firefighters, wearing protective gear, use hoses to put out a fire burning close to a mock-up of a small plane. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  18. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida participate in a training exercise at the Shuttle Landing Facility. Firefighters, wearing protective gear, use hoses to put out a fire burning near the mock-up of a small plane. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  19. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida participate in a training exercise at the Shuttle Landing Facility. Firefighters use a fire truck to put out a fire burning close to a mock-up of a small plane and a truck. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  20. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida participate in a training exercise at the Shuttle Landing Facility. Firefighters, wearing protective gear, use hoses to put out a fire burning on a mock-up of a small plane. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  1. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - During a training exercise, Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida use hoses to put out a fire burning on a mock-up of a small plane at the Shuttle Landing Facility. They are wearing protective gear for the training exercise. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  2. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida participate in a training exercise at the Shuttle Landing Facility. Firefighters use fire trucks and hoses to extinguish flames burning on and around a mock-up of a small plane. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  3. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida participate in a training exercise at the Shuttle Landing Facility. Firefighters, wearing protective gear, use hoses to put out a fire burning near the mock-up of a small plane as another firefighter checks inside the plane. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  4. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida prepare to participate in a training exercise at the Shuttle Landing Facility. A small fire is burning near a mock-up of a plane during the training exercise. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  5. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), a fire/rescue worker practices disembarking from an Air Force HH-60 helicopter. The KSC response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary traige. The helicopters are used later to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  6. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), a fire/rescue worker practices disembarking from an Air Force HH-60 helicopter. The KSC response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary traige. The helicopters are used later to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  7. First assessment of potential distribution and dispersal capacity of the emerging invasive mosquito Aedes koreicus in Northeast Italy.

    PubMed

    Marcantonio, Matteo; Metz, Markus; Baldacchino, Frédéric; Arnoldi, Daniele; Montarsi, Fabrizio; Capelli, Gioia; Carlin, Sara; Neteler, Markus; Rizzoli, Annapaola

    2016-02-03

    Invasive alien species represent a growing threat for natural systems, economy and human health. Active surveillance and responses that readily suppress newly established colonies are effective actions to mitigate the noxious consequences of biological invasions. However, when an exotic species establishes a viable population in a new area, predicting its potential spread is the most effective way to implement adequate control actions. Emerging invasive species, despite monitoring efforts, are poorly known in terms of behaviour and capacity to adapt to the new invaded range. Therefore, tools that provide information on their spread by maximising the available data, are critical. We apply three different approaches to model the potential distribution of an emerging invasive mosquito, Aedes koreicus, in Northeast Italy: 1) an automatic statistical approach based on information theory, 2) a statistical approach integrated with prior knowledge, and 3) a GIS physiology-based approach. Each approach possessed benefits and limitations, and the required ecological information increases on a scale from 1 to 3. We validated the model outputs using the only other known invaded area in Europe. Finally, we applied a road network analysis to the suitability surface with the highest prediction power to highlight those areas with the highest likelihood of invasion. The GIS physiological-based model had the highest prediction power. It showed that localities currently occupied by Aedes koreicus represent only a small fraction of the potentially suitable area. Furthermore, the modelled niche included areas as high as 1500 m a.s.l., only partially overlapping with Aedes albopictus distribution. The simulated spread indicated that all of the suitable portion of the study area is at risk of invasion in a relatively short period of time if no control policies are implemented. Stochastic events may further boost the invasion process, whereas competition with Aedes albopictus may limit

  8. All-weather capability for rescue helicopters

    NASA Astrophysics Data System (ADS)

    Kreitmair-Steck, Wolfgang; Haisch, Stefan

    2001-08-01

    In Germany as well as in numerous other countries the air rescue system has been extended significantly since the first operation of the rescue helicopter Christoph 1. The primary target of the air rescue system was to guarantee fast and efficient emergency medical services for victims of accidents. During the years, the scope of the helicopter operations has been extended not only to other types of emergency medical services, but also to secondary medical services like the displacement of patients from hospitals to special service hospitals. While in general the displacement of patients is operated from well known and registered helipads, the primary rescue service currently has to rely on available onboard systems only. Those operations are risky and challenging for the pilots because of time pressure and the danger of obstacles in the environment of the helicopter. In addition, reduced visibility due to fog, rainfall or low light levels can further increase the risks or can make the services unavailable at all. Almost one decade ago, Eurocopter started the investigation of technologies and systems that could help the pilots to perform their tasks with reduced workload and risk, and to allow for a 24 h operation of helicopters irrespective of the weather conditions. After a number of preliminary studies, in 1995 the research program 'All-weather helicopter' has been started as a joint effort of Eurocopter and the supplier industry in Europe. The first phase of the program has been successfully completed in 1999 and the second phase is currently in progress.

  9. MSHA (Mine Safety ad Health Administration) approved mine rescue - training module (coal): rescue of survivors and recovery of bodies. Mine rescue team series

    SciTech Connect

    Not Available

    1984-01-01

    Mine rescue teams utilize all of their training skills to locate missing miners during a rescue operation. Teams explore inby to search for, and bring-out survivors after a mine disaster. The teams attempt to evacuate injured and trapped miners safely according to recommended rescue and recovery methods. This training module is intended to provide teams with the proper methods, factors and the numerous considerations in locating possible survivors during a mine emergency. The material also describes the proper methods for opening a barricade, for administering first aid, for handling injured miners, plus the special requirements for recovery of bodies after a mine disaster.

  10. Close Call: Unwanted Rescue.

    ERIC Educational Resources Information Center

    Journal of Adventure Education and Outdoor Leadership, 1991

    1991-01-01

    Describes incident where group engaged in training exercise was almost "rescued" by Coast Guard, although Coast Guard had been alerted that training exercise would be taking place. On another occasion Coast Guard did not react to actual report, thinking it was training group. Group was studying grey seal breeding colonies in…

  11. Rescue Manual. Module 5.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The fifth of 10 modules contains information on hazardous materials. Key points, an introduction, and conclusion accompany substantive material in this module. In addition, the module contains a Department of Transportation guide chart on…

  12. Rescue Manual. Module 7.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Instructional Materials Lab.

    This learner manual for rescuers covers the current techniques or practices required in the rescue service. The seventh of 10 modules contains information on extrication from vehicles. Key points, an introduction, and conclusion accompany substantive material in this module. In addition, suggested tools and equipment for extrication procedures are…

  13. Close Call: Unwanted Rescue.

    ERIC Educational Resources Information Center

    Journal of Adventure Education and Outdoor Leadership, 1991

    1991-01-01

    Describes incident where group engaged in training exercise was almost "rescued" by Coast Guard, although Coast Guard had been alerted that training exercise would be taking place. On another occasion Coast Guard did not react to actual report, thinking it was training group. Group was studying grey seal breeding colonies in…

  14. Operation Rescue. Final Report.

    ERIC Educational Resources Information Center

    McKee, Neena; Crawford, Georgette

    The Operation Rescue project was designed to develop a classroom setting for the delivery of comprehensive educational services to "at risk" young adolescents. The classroom was established as part of the pre-existing Jonesboro Alternative School, and it utilized the basic academic and social program developed by this entity over 12…

  15. Combat Rescue Helicopter (CRH)

    DTIC Science & Technology

    2015-12-01

    Selected Acquisition Report (SAR) RCS: DD-A&T(Q&A)823-479 Combat Rescue Helicopter (CRH) As of FY 2017 President’s Budget Defense Acquisition...Research, Development, Test, and Evaluation SAR - Selected Acquisition Report SCP - Service Cost Position TBD - To Be Determined TY - Then Year UCR

  16. Guided preparedness planning with lay communities: enhancing capacity of rural emergency response through a systems-based partnership.

    PubMed

    McCabe, O Lee; Perry, Charlene; Azur, Melissa; Taylor, Henry G; Gwon, Howard; Mosley, Adrian; Semon, Natalie; Links, Jonathan M

    2013-02-01

    , LHDs, FBOs, and AHCs can work effectively to plan, implement, and evaluate what appears to be an effective, practical, and durable model of capacity building for public mental health emergency planning.

  17. Injuries and illnesses among Federal Emergency Management Agency-certified search-and-recovery and search-and-rescue dogs deployed to Oso, Washington, following the March 22, 2014, State Route 530 landslide.

    PubMed

    Gordon, Lori E

    2015-10-15

    To establish types and rates of injuries and illnesses among search-and-recovery and search-and-rescue dogs deployed to Oso, Wash, following the March 22, 2014, State Route 530 landslide. Medical records review and cross-sectional survey. 25 Federal Emergency Management Agency-certified search dogs. On-site medical records and postdeployment laboratory test results were reviewed and an electronic survey was distributed to handlers within 8 days after demobilization. Dogs worked a total of 244 search shifts totaling 2,015 hours. Injuries and illnesses were reported in 21 (84%) dogs. Wounds (abrasions, pad wear, paw pad splits, and lacerations) were the most common injury, with an incidence rate of 28.3 wounds/1,000 hours worked. Dehydration was the most common illness, with an incidence rate of 10.4 cases of dehydration/1,000 hours worked. Total incidence rate for all health events was 66.5 events/1,000 hours worked. Two search dogs were removed from search operations for 2 days because of health issues. All others continued search operations while receiving treatment for their medical issues. All health issues were resolved during the deployment or within 2 weeks after demobilization. Results revealed that search dogs deployed to the Oso, Wash, landslide incurred injuries and illnesses similar to those reported following other disasters (dehydration, wounding, vomiting, and diarrhea) but also incurred medical issues not previously documented (acute caudal myopathy, cutaneous mass ruptures, and fever). The reported medical issues were minor; however, prompt veterinary care helped prevent them from developing into more serious conditions.

  18. KENNEDY SPACE CENTER, FLA. - Volunteers from the KSC Fire-Rescue team dressed in launch and entry suits settle into seats in an orbiter crew compartment mock-up under the guidance of George Brittingham, USA suit technician on the Closeout Crew. Brittingham is helping Catherine Di Biase, a nurse with Bionetics Life Sciences. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Volunteers from the KSC Fire-Rescue team dressed in launch and entry suits settle into seats in an orbiter crew compartment mock-up under the guidance of George Brittingham, USA suit technician on the Closeout Crew. Brittingham is helping Catherine Di Biase, a nurse with Bionetics Life Sciences. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  19. KENNEDY SPACE CENTER, FLA. - An “injured” rescue worker is lifted into an M-113 armored personnel carrier provided for transportation during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - An “injured” rescue worker is lifted into an M-113 armored personnel carrier provided for transportation during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  20. KENNEDY SPACE CENTER, FLA. - A helicopter rescue team carries another “injured” astronaut to a helicopter for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - A helicopter rescue team carries another “injured” astronaut to a helicopter for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  1. KENNEDY SPACE CENTER, FLA. - A helicopter rescue team prepares another “injured” astronaut for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - A helicopter rescue team prepares another “injured” astronaut for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  2. KENNEDY SPACE CENTER, FLA. - A helicopter is landing near rescue team members taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - A helicopter is landing near rescue team members taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  3. Assessing the Capacity of the US Health Care System to Use Additional Mechanical Ventilators During a Large-Scale Public Health Emergency.

    PubMed

    Ajao, Adebola; Nystrom, Scott V; Koonin, Lisa M; Patel, Anita; Howell, David R; Baccam, Prasith; Lant, Tim; Malatino, Eileen; Chamberlin, Margaret; Meltzer, Martin I

    2015-12-01

    A large-scale public health emergency, such as a severe influenza pandemic, can generate large numbers of critically ill patients in a short time. We modeled the number of mechanical ventilators that could be used in addition to the number of hospital-based ventilators currently in use. We identified key components of the health care system needed to deliver ventilation therapy, quantified the maximum number of additional ventilators that each key component could support at various capacity levels (ie, conventional, contingency, and crisis), and determined the constraining key component at each capacity level. Our study results showed that US hospitals could absorb between 26,200 and 56,300 additional ventilators at the peak of a national influenza pandemic outbreak with robust pre-pandemic planning. The current US health care system may have limited capacity to use additional mechanical ventilators during a large-scale public health emergency. Emergency planners need to understand their health care systems' capability to absorb additional resources and expand care. This methodology could be adapted by emergency planners to determine stockpiling goals for critical resources or to identify alternatives to manage overwhelming critical care need.

  4. Marine Search, Rescue and Emergency Preparedness Study.

    DTIC Science & Technology

    1975-09-01

    lar, or water safety in general, such as the National Water Safety Congress, the National Safety Council or American Red Cross ,. Lf funds for this...Co., Wichita, Ks. COOPERATING AGENCIES: Sedgewick Co. Fire Dept; Red Cross on weekends HOSPITALS! Wichita and Hutchinson (both approx. 25 mi.) 21...for reporting purposes.) 3-,. COOPERATING AGENCIES: American Red Cross , 323 NW 10th,-232-7121, c/o Charley Hartshorn Oklahoma City Sail Boat Club

  5. Lidar techniques for search and rescue

    SciTech Connect

    Cabral, W.L.

    1985-01-01

    Four techniques for using LIDAR in Search and Rescue Operations will be discussed. The topic will include laser retroreflection, laser-induced fluorescence in the visible, laser-induced fluorescence during daylight hours, and laser-induced fluorescence in the uv. These techniques use high-repetition rate lasers at a variety of frequencies to induce either fluorescence in dye markers or retroreflection from plastic corner cubes on life preservers and other emergency markers.

  6. Microtubule catastrophe and rescue.

    PubMed

    Gardner, Melissa K; Zanic, Marija; Howard, Jonathon

    2013-02-01

    Microtubules are long cylindrical polymers composed of tubulin subunits. In cells, microtubules play an essential role in architecture and motility. For example, microtubules give shape to cells, serve as intracellular transport tracks, and act as key elements in important cellular structures such as axonemes and mitotic spindles. To accomplish these varied functions, networks of microtubules in cells are very dynamic, continuously remodeling through stochastic length fluctuations at the ends of individual microtubules. The dynamic behavior at the end of an individual microtubule is termed 'dynamic instability'. This behavior manifests itself by periods of persistent microtubule growth interrupted by occasional switching to rapid shrinkage (called microtubule 'catastrophe'), and then by switching back from shrinkage to growth (called microtubule 'rescue'). In this review, we summarize recent findings which provide new insights into the mechanisms of microtubule catastrophe and rescue, and discuss the impact of these findings in regards to the role of microtubule dynamics inside of cells. Copyright © 2012 Elsevier Ltd. All rights reserved.

  7. Microtubule Catastrophe and Rescue

    PubMed Central

    Gardner, Melissa K.; Zanic, Marija; Howard, Jonathon

    2012-01-01

    Microtubules are long cylindrical polymers composed of tubulin subunits. In cells, microtubules play an essential role in architecture and motility. For example, microtubules give shape to cells, serve as intracellular transport tracks, and act as key elements in important cellular structures such as axonemes and mitotic spindles. To accomplish these varied functions, networks of microtubules in cells are very dynamic, continuously remodeling through stochastic length fluctuations at the ends of individual microtubules. The dynamic behavior at the end of an individual microtubule is termed “dynamic instability”. This behavior manifests itself by periods of persistent microtubule growth interrupted by occasional switching to rapid shrinkage (called microtubule `catastrophe'), and then by switching back from shrinkage to growth (called microtubule `rescue'). In this review, we summarize recent findings which provide new insights into the mechanisms of microtubule catastrophe and rescue, and discuss the impact of these findings in regards to the role of microtubule dynamics inside of cells. PMID:23092753

  8. The epidemiology and surveillance workforce among local health departments in California: mutual aid and surge capacity for routine and emergency infectious disease situations.

    PubMed

    Enanoria, Wayne T A; Crawley, Adam W; Hunter, Jennifer C; Balido, Jeannie; Aragon, Tomas J

    2014-01-01

    Public health surveillance and epidemiologic investigations are critical public health functions for identifying threats to the health of a community. We conducted a survey of local health departments (LHDs) in California to describe the workforce that supports public health surveillance and epidemiologic functions during routine and emergency infectious disease situations. The target population consisted of the 61 LHDs in California. The online survey instrument was designed to collect information about the workforce involved in key epidemiologic functions. We also examined how the public health workforce increases its epidemiologic capacity during infectious disease emergencies. Of 61 LHDs in California, 31 (51%) completed the survey. A wide range of job classifications contribute to epidemiologic functions routinely, and LHDs rely on both internal and external sources of epidemiologic surge capacity during infectious disease emergencies. This study found that while 17 (55%) LHDs reported having a mutual aid agreement with at least one other organization for emergency response, only nine (29%) LHDs have a mutual aid agreement specifically for epidemiology and surveillance functions. LHDs rely on a diverse workforce to conduct epidemiology and public health surveillance functions, emphasizing the need to identify and describe the types of staff positions that could benefit from public health surveillance and epidemiology training. While some organizations collaborate with external partners to support these functions during an emergency, many LHDs do not rely on mutual aid agreements for epidemiology and surveillance activities.

  9. Collectivizing rescue obligations in bioethics.

    PubMed

    Garrett, Jeremy R

    2015-01-01

    Bioethicists invoke a duty to rescue in a wide range of cases. Indeed, arguably, there exists an entire medical paradigm whereby vast numbers of medical encounters are treated as rescue cases. The intuitive power of the rescue paradigm is considerable, but much of this power stems from the problematic way that rescue cases are conceptualized-namely, as random, unanticipated, unavoidable, interpersonal events for which context is irrelevant and beneficence is the paramount value. In this article, I critique the basic assumptions of the rescue paradigm, reframe the ethical landscape in which rescue obligations are understood, and defend the necessity and value of a wider social and institutional view. Along the way, I move back and forth between ethical theory and a concrete case where the duty to rescue has been problematically applied: the purported duty to regularly return incidental findings and individual research results in genomic and genetic research.

  10. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices stabilizing an injured crew member before transport to a local hospital by helicopter. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers who will prepare the 'crew' for preliminary triage. The helicopters later will help remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  11. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices stabilizing an injured crew member before transport to a local hospital by an Air Force HH-60 helicopter. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters are then used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  12. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices stabilizing an injured crew member before transport to a local hospital by helicopter. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four Air Force HH-60 helicopters to drop emergency equipment and fire/rescue workers who will prepare the 'crew' for preliminary triage. The helicopters later will help remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  13. The KSC response team takes part in simulated rescue mission.

    NASA Technical Reports Server (NTRS)

    1999-01-01

    During a simulated rescue mission in the woods near the Shuttle Landing Facility (SLF), the KSC response team practices stabilizing an injured crew member before transport to a local hospital by an Air Force HH-60 helicopter. The response team is training for the unlikely scenario of a Shuttle mishap at the SLF. The Mode 7 simulation of an astronaut rescue exercises all aspects of command and control, search and rescue, and medical procedures required for a successful rescue. The remote location of the mock-up prevents a totally land-based crew rescue, and calls on a NASA UH-1 helicopter to locate the site and four HH-60 helicopters to drop emergency equipment and fire/rescue workers to prepare the 'crew' for preliminary triage. The helicopters are then used to remove the crew five astronaut candidates, one representative from the Vehicle Integration Test office, and one fire/rescue worker. The exercise will conclude with airlifted 'patients' arriving safely in the emergency rooms of participating area hospitals.

  14. SARSAT: A rescue system for ships and airplanes

    NASA Technical Reports Server (NTRS)

    1980-01-01

    The SARSAT rescue system is described and alternative systems discussed, with SARSAT functioning as either independent satellite within an emergency call system or as an additional search and rescue payload of another satellite system. Geostationary and polar orbits are compared. A low cost SARSAT rescue system utilizing four satellites in a quasi solar, sun synchronized orbit at 1000 kilometers is proposed. Three multiple start satellites in a 57 degree orbit, with a fourth satellite in reserve at a lower orbit are described. Alternative transport systems are discussed and a recommended time table from project approval to launch is given.

  15. Early nerve ending rescue from oxidative damage and energy failure by L: -carnitine as post-treatment in two neurotoxic models in rat: recovery of antioxidant and reductive capacities.

    PubMed

    Elinos-Calderón, Diana; Robledo-Arratia, Yolanda; Pérez-De La Cruz, Verónica; Pedraza-Chaverrí, José; Ali, Syed F; Santamaría, Abel

    2009-08-01

    Cell rescue is a primary need during acute and chronic insults to the central nervous system. Functional preservation during the early stages of toxicity in a given degenerative event may represent a significant amelioration of detrimental processes linked to neuronal cell loss. Excitotoxicity and depleted cellular energy are toxic events leading to cell death in several neurodegenerative disorders. In this work, the effects of the well-known antioxidant and energy precursor, L: -carnitine (L: -CAR), were tested as a post-treatment in two neurotoxic models under in vitro and in vivo conditions. The experimental models tested included: (1) a typical excitotoxic and pro-oxidant inducer, quinolinic acid (QUIN); and (2) a mitochondrial energy inhibitor, 3-nitropropionic acid (3-NP). For in vitro studies, increasing concentrations of L: -CAR (10-1,000 microM) were added to the isolated brain synaptosomes at different times (1, 3 and 6 h) after the incubation with toxins (100 microM QUIN and 1 mM 3-NP), and 30 min later, lipid peroxidation (LP) and mitochondrial dysfunction (MD) were evaluated. For in vivo purposes, L: -CAR (100 mg/kg, i.p.) was given to rats either as a single administration 120 min after the intrastriatal infusion of QUIN (240 nmol/microl) or 3-NP (500 nmol/microl), or for 7 consecutive days (starting 120 min post-lesion). LP and MD were evaluated 4 h and 7 days post-lesions in isolated striatal synaptosomes. Our results show that, despite some variations depending on the toxic model tested, the time of exposure, or the biomarker evaluated, nerve ending protection can be mostly achieved by L: -CAR within the first hours after the toxic insults started, suggesting that targeting the ongoing oxidative damage and/or energy depletion during the first stages of neurotoxic events is essential to rescue nerve endings.

  16. Building a foundation for 'One Health': an education strategy for enhancing and sustaining national and regional capacity in endemic and emerging zoonotic disease management.

    PubMed

    Vink, W D; McKenzie, Joanna S; Cogger, Naomi; Borman, Barry; Muellner, Petra

    2013-01-01

    The rapid global spread of diseases such as SARS, H5N1, and H1N1 influenza has emphasized the pressing need for trans-disciplinary collaboration and cross-border action, and has also exposed a serious deficit of capacity and coordination in dealing effectively with emerging disease threats. The need for capacity development is particularly acute in the developing world, which is the least well-equipped to respond adequately. Such capacity development can be achieved through education and the implementation of applied 'One Health' activities. This chapter describes the establishment of a 'One Health' capacity development program in South Asia, consisting of two phases. The first phase provides Masters level training for public health doctors and veterinarians, with a focus on epidemiology, and disease control. The second phase reinforces the postgraduate training by establishing a sustainable framework for the implementation of collaborative 'One Health' activities such as the development of multidisciplinary professional networks, implementation of applied zoonotic disease investigation projects, and support for continuing professional development. The objectives are to provide individual skills required to strengthen capacity; to develop an appreciation of the cross-cutting issues which affect human and animal health, set within an institutional context; and to facilitate the development of regional professional networks which will be instrumental in implementing 'One Health' activities.

  17. A model for emergency department end-of-life communications after acute devastating events--part I: decision-making capacity, surrogates, and advance directives.

    PubMed

    Limehouse, Walter E; Feeser, V Ramana; Bookman, Kelly J; Derse, Arthur

    2012-09-01

    Making decisions for a patient affected by sudden devastating illness or injury traumatizes a patient's family and loved ones. Even in the absence of an emergency, surrogates making end-of-life treatment decisions may experience negative emotional effects. Helping surrogates with these end-of-life decisions under emergent conditions requires the emergency physician (EP) to be clear, making medical recommendations with sensitivity. This model for emergency department (ED) end-of-life communications after acute devastating events comprises the following steps: 1) determine the patient's decision-making capacity; 2) identify the legal surrogate; 3) elicit patient values as expressed in completed advance directives; 4) determine patient/surrogate understanding of the life-limiting event and expectant treatment goals; 5) convey physician understanding of the event, including prognosis, treatment options, and recommendation; 6) share decisions regarding withdrawing or withholding of resuscitative efforts, using available resources and considering options for organ donation; and 7) revise treatment goals as needed. Emergency physicians should break bad news compassionately, yet sufficiently, so that surrogate and family understand both the gravity of the situation and the lack of long-term benefit of continued life-sustaining interventions. EPs should also help the surrogate and family understand that palliative care addresses comfort needs of the patient including adequate treatment for pain, dyspnea, or anxiety. Part I of this communications model reviews determination of decision-making capacity, surrogacy laws, and advance directives, including legal definitions and application of these steps; Part II (which will appear in a future issue of AEM) covers communication moving from resuscitative to end-of-life and palliative treatment. EPs should recognize acute devastating illness or injuries, when appropriate, as opportunities to initiate end-of-life discussions and to

  18. Inflatable rescue device

    NASA Technical Reports Server (NTRS)

    Swan, Scott A. (Inventor)

    1995-01-01

    This invention discloses, in one aspect, a personal rescue device for use in outer space which has an inflatable flexible tube with a shaper apparatus herein. Gas under pressure flows through the shaper apparatus and into the flexible tube. The flexible tube is mounted to the shaper so that as it inflates it expands and deploys lengthwise away from the shaper. In one embodiment a housing contains the shaper and the flexible tube and the housing is designed to facilitate movement of the expanding tube from the housing so the expanding tube does not bunch up in the housing.

  19. Epidemiological and medical aspects of canyoning rescue operations.

    PubMed

    Soteras, Inigo; Subirats, Enric; Strapazzon, Giacomo

    2015-04-01

    To describe the characteristics of canyoning rescue operations (CRO), type and severity of injuries or illnesses, and on-site medical procedures. A retrospective analysis of all CRO data from an emergency medical rescue team in Aragon, Spain, between 1 August 1999 and 31 July 2009. A total of 520 patients were identified, with a male to female ratio of 1.4. The median age was 32 years (range 10-73 years). The median time from the emergency call to admission to an acute care facility (or evacuation for uninjured patients) was 90 min (range 10-860 min). In 329 (63.3%) cases technical skills or ability in the terrain with some grade of difficulty was required. Accessibility of the incident site was associated with type of rescue (p<0.0001), where patients in incident sites with moderate to extremely difficult access were more often rescued by ground rescue alone or supported by air rescue than by air rescue alone. 419 (80.6%) patients had trauma-related injuries. The most common injuries involved the lower extremities (74%). The percentage of patients with a NACA score ≥4 was higher for medical/environmental illnesses than traumatic injuries (p<0.0001), despite that the total number was smaller. 175 (33.7%) patients received analgesics. 370 (71.2%) patients required splinting/immobilization. Major life-saving medical interventions were rarely performed on-site. The length and exposure to environmental factors validates the importance of emergency physicians and paramedics in CRO. Physicians and paramedics should be familiar with Pre-hospital Trauma Life Support, medical procedures related to environmental, topographical and logistical conditions, and helicopter rescue operations including winch operations. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. The Telemedical Rescue Assistance System "TemRas"--development, first results, and impact.

    PubMed

    Büscher, Christian; Elsner, Jesko; Schneiders, Marie-Thérèse; Thelen, Sebastian; Brodziak, Tadeusz; Seidenberg, Peter; Schilberg, Daniel; Tobias, Michael; Jeschke, Sabina

    2014-04-01

    German emergency medical services (EMS) face the challenge of ensuring high-quality emergency care against a background of continuously increasing numbers of emergency missions, resource shortages concomitant with greatly increased arrival times, particularly in rural areas. Because German EMS physicians are at maximum capacity, an immediate response is not always possible, and thus delays in commencing advanced life support measures sometimes occur. In such scenarios, paramedics start the initial treatment until the EMS physician arrives. The delayed availability of a physician can defer the decision process of the paramedics and thus postpone the start of the patient's essential treatment, which is particularly dangerous during the care of cardiovascular emergencies. Therefore, the project Telemedical Rescue Assistance System (TemRas) has developed an innovative concept to improve quality of emergency care. The objective is to introduce so-called tele-EMS physicians providing remote medical support for the emergency team on site by transmitting audio and video data as well as vital signs and 12-lead-ECG from the emergency site to a teleconsultation center. In this article, the development process as well as the first results of the evaluation phase and the impact for further use of telemedicine in EMS are presented.

  1. 46 CFR 108.560 - Rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Rescue boats. 108.560 Section 108.560 Shipping COAST... Lifesaving Equipment § 108.560 Rescue boats. Each unit must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156. A lifeboat is accepted as a rescue boat if it also...

  2. 46 CFR 108.560 - Rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Rescue boats. 108.560 Section 108.560 Shipping COAST... Lifesaving Equipment § 108.560 Rescue boats. Each unit must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156. A lifeboat is accepted as a rescue boat if it also...

  3. 46 CFR 108.560 - Rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Rescue boats. 108.560 Section 108.560 Shipping COAST... Lifesaving Equipment § 108.560 Rescue boats. Each unit must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156. A lifeboat is accepted as a rescue boat if it also...

  4. 46 CFR 108.560 - Rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Rescue boats. 108.560 Section 108.560 Shipping COAST... Lifesaving Equipment § 108.560 Rescue boats. Each unit must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156. A lifeboat is accepted as a rescue boat if it also...

  5. [Anaesthesia under unfavorable conditions - rescue helicopter].

    PubMed

    Knacke, Peer G; Gehring, Hartmut; Saur, Petra

    2011-03-01

    Rescue helicopters are used for emergency care and transport of emergency patients. The dimension of the cabin is clearly limited. A transport is carried out under spatial narrowness and high noise levels. Acoustic alarms or noises caused by the patient are hardly to be perceived, so that the view at optical alarms is necessary. Environmental conditions affect the concentration on the patient. Rearrangement maneuvers represent the most critical phases. Always the whole apparative monitoring and respirator must be in the field of view of the emergency doctor, drugs to the care must be handy to be quickly administered, the quantity of oxygen has to be observed. Infusions and option of airway management are ready to set in advance. Standardized work with the aid of algorithms and knowledge of treatment recommendations and guidelines help to prevent errors. To optimize the care of emergency patients, special training courses for the crew of rescue helicopters are offered. A training simulator to practice different scenarios and the establishment of a CIRS system are recommended.

  6. PREDICTING THE ADSORPTION CAPACITY OF ACTIVATED CARBON FOR EMERGING ORGANIC CONTAMINANTS FROM FUNDAMENTAL ADSORBENT AND ADSORBATE PROPERTIES - PRESENTATION

    EPA Science Inventory

    A quantitative structure-property relationship (QSPR) was developed and combined with the Polanyi-Dubinin-Manes model to predict adsorption isotherms of emerging contaminants on activated carbons with a wide range of physico-chemical properties. Affinity coefficients (βl

  7. Educational Research Capacity Building in the European Union: A Critique of the Lived Experiences of Emerging Researchers

    ERIC Educational Resources Information Center

    Hallet, Fiona; Fidalgo, Patricia

    2014-01-01

    The purpose of this article is to explore the extent to which European Union (EU) policies impact upon the activities of associations such as the European Educational Research Association (EERA) and the experiences of emerging researchers aligned to such associations. In essence, the authors explore potential tensions between policy and the lived…

  8. Educational Research Capacity Building in the European Union: A Critique of the Lived Experiences of Emerging Researchers

    ERIC Educational Resources Information Center

    Hallet, Fiona; Fidalgo, Patricia

    2014-01-01

    The purpose of this article is to explore the extent to which European Union (EU) policies impact upon the activities of associations such as the European Educational Research Association (EERA) and the experiences of emerging researchers aligned to such associations. In essence, the authors explore potential tensions between policy and the lived…

  9. Locate and rescue system components

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Two types of search and rescue systems not involving satellites are studied; one using a network radio communications link and the other a characteristic beacon signal. Line of slight limitation of VHF radio and beacon signals limit the range (approximately 25 miles) between the origin of the distress signal and the mobile rescue unit.

  10. Psychological Factors in Wilderness Rescue.

    ERIC Educational Resources Information Center

    Ogilvie, Bruce C.

    This presentation provides wilderness rescue workers with an overview of the psychological reactions of victims of accidents and natural disasters and suggested responses for rescuers and caregivers. A personal account of rescue and death in a drowning accident illustrates how the rescuer can also be traumatized by such an incident and may suffer…

  11. An Analysis of Cesarean Section and Emergency Hernia Ratios as Markers of Surgical Capacity in Low-Income Countries Affected by Humanitarian Emergencies from 2008 – 2014 at Médecins sans Frontières Operations Centre Brussels Projects

    PubMed Central

    Stewart, Barclay; Wong, Evan; Papillon-Smith, Jessica; Trelles Centurion, Miguel Antonio; Dominguez, Lynette; Ao, Supongmeren; Jean-Paul, Basimuoneye Kahutsi; Kamal, Mustafa; Helmand, Rahmatullah; Naseer, Aamer; Kushner, Adam L.

    2015-01-01

    Background: Surgical capacity assessments in low-income countries have demonstrated critical deficiencies. Though vital for planning capacity improvements, these assessments are resource intensive and impractical during the planning phase of a humanitarian crisis. This study aimed to determine cesarean sections to total operations performed (CSR) and emergency herniorrhaphies to all herniorrhaphies performed (EHR) ratios from Médecins Sans Frontières Operations Centre Brussels (MSF-OCB) projects and examine if these established metrics are useful proxies for surgical capacity in low-income countries affected by crisis. Methods: All procedures performed in MSF-OCB operating theatres from July 2008 through June 2014 were reviewed. Projects providing only specialty care, not fully operational or not offering elective surgeries were excluded. Annual CSRs and EHRs were calculated for each project. Their relationship was assessed with linear regression. Results: After applying the exclusion criteria, there were 47,472 cases performed at 13 sites in 8 countries. There were 13,939 CS performed (29% of total cases). Of the 4,632 herniorrhaphies performed (10% of total cases), 30% were emergency procedures. CSRs ranged from 0.06 to 0.65 and EHRs ranged from 0.03 to 1.0. Linear regression of annual ratios at each project did not demonstrate statistical evidence for the CSR to predict EHR [F(2,30)=2.34, p=0.11, R2=0.11]. The regression equation was: EHR = 0.25 + 0.52(CSR) + 0.10(reason for MSF-OCB assistance). Conclusion: Surgical humanitarian assistance projects operate in areas with critical surgical capacity deficiencies that are further disrupted by crisis. Rapid, accurate assessments of surgical capacity are necessary to plan cost- and clinically-effective humanitarian responses to baseline and acute unmet surgical needs in LICs affected by crisis. Though CSR and EHR may meet these criteria in ‘steady-state’ healthcare systems, they may not be useful during

  12. How competition affects evolutionary rescue

    PubMed Central

    Osmond, Matthew Miles; de Mazancourt, Claire

    2013-01-01

    Populations facing novel environments can persist by adapting. In nature, the ability to adapt and persist will depend on interactions between coexisting individuals. Here we use an adaptive dynamic model to assess how the potential for evolutionary rescue is affected by intra- and interspecific competition. Intraspecific competition (negative density-dependence) lowers abundance, which decreases the supply rate of beneficial mutations, hindering evolutionary rescue. On the other hand, interspecific competition can aid evolutionary rescue when it speeds adaptation by increasing the strength of selection. Our results clarify this point and give an additional requirement: competition must increase selection pressure enough to overcome the negative effect of reduced abundance. We therefore expect evolutionary rescue to be most likely in communities which facilitate rapid niche displacement. Our model, which aligns to previous quantitative and population genetic models in the absence of competition, provides a first analysis of when competitors should help or hinder evolutionary rescue. PMID:23209167

  13. Evolutionary rescue beyond the models

    PubMed Central

    Gomulkiewicz, Richard; Shaw, Ruth G.

    2013-01-01

    Laboratory model systems and mathematical models have shed considerable light on the fundamental properties and processes of evolutionary rescue. But it remains to determine the extent to which these model-based findings can help biologists predict when evolution will fail or succeed in rescuing natural populations that are facing novel conditions that threaten their persistence. In this article, we present a prospectus for transferring our basic understanding of evolutionary rescue to wild and other non-laboratory populations. Current experimental and theoretical results emphasize how the interplay between inheritance processes and absolute fitness in changed environments drive population dynamics and determine prospects of extinction. We discuss the challenge of inferring these elements of the evolutionary rescue process in field and natural settings. Addressing this challenge will contribute to a more comprehensive understanding of population persistence that combines processes of evolutionary rescue with developmental and ecological mechanisms. PMID:23209173

  14. Emergency Response Breathing Apparatus

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Aerospace Design & Development, Inc.'s (ADD's) SCAMP was developed under an SBIR contract through Kennedy Space Center. SCAMP stands for Supercritical Air Mobility Pack. The technology came from the life support fuel cell support systems used for the Apollo and Space Shuttle programs. It uses supercritical cryogenic air and is able to function in microgravity environments. SCAMP's self-contained breathing apparatus(SCBA) systems are also ground-based and can provide twice as much air than traditional SCBA's due to its high-density capacity. The SCAMP system was designed for use in launch pad emergency rescues. ADD also developed a protective suit for use with SCAMP that is smaller and lighter system than the old ones. ADD's SCAMP allows for body cooling and breathing from the supercritical cryogenic air, requiring no extra systems. The improvement over the traditional SCBA allows for a reduction of injuries, such as heat stress, and makes it easier for rescuers to save lives.

  15. The earth orbit shuttle as a space rescue vehicle.

    NASA Technical Reports Server (NTRS)

    Hinton, M. G., Jr.; Perchonok, E.

    1972-01-01

    According to present concepts starting with some future date all manned space missions beyond low-earth orbit are to originate in low-earth orbit and to return ultimately to low-earth orbit. The Earth-Orbit-Shuttle (EOS) is visualized as the only vehicle operating between earth and low-earth orbit. The ability of the EOS to provide rescue services in the case of emergency is evaluated. It is found that an employment of the EOS as rescue vehicle is basically feasible, although it has certain limitations. Complementary means of transportation are required for emergencies beyond low-earth orbit. Approaches to enhance the rescue mission utility of the EOS are discussed.

  16. 14 CFR 139.315 - Aircraft rescue and firefighting: Index determination.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... firefighting and emergency medical response personnel. (3) Type of rescue and firefighting equipment to be... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Aircraft rescue and firefighting: Index determination. 139.315 Section 139.315 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT...

  17. Resistance Training for Rescue Divers in the Sport Scuba Diving Industry.

    ERIC Educational Resources Information Center

    Mier, Constance M.; Kegeles, Sharon

    2002-01-01

    Asserts that the need for certified rescue divers increases as the diving industry grows. Rescue divers must be physically prepared to perform several dives in one day and to carry equipment on and off the boat. Physical recovery is also important, as they must be alert at all times to potential emergency situations. This require high levels of…

  18. Resistance Training for Rescue Divers in the Sport Scuba Diving Industry.

    ERIC Educational Resources Information Center

    Mier, Constance M.; Kegeles, Sharon

    2002-01-01

    Asserts that the need for certified rescue divers increases as the diving industry grows. Rescue divers must be physically prepared to perform several dives in one day and to carry equipment on and off the boat. Physical recovery is also important, as they must be alert at all times to potential emergency situations. This require high levels of…

  19. Drowning rescue, throw assist (image)

    MedlinePlus

    Drowning may occur wherever there is water, whether it is only a few inches in the bottom of the tub, or thousands of feet in the ocean. People should be aware of life-saving techniques from rescue to resuscitation.

  20. Drowning rescue, board assist (image)

    MedlinePlus

    Drowning may occur wherever there is water, whether it is only a few inches in the bottom of the tub or thousands of feet in the ocean. People should be aware of life-saving techniques from rescue to resuscitation.

  1. Drowning rescue, reaching assist (image)

    MedlinePlus

    Drowning may occur wherever there is water, whether it is only a few inches in the bottom of the tub or thousands of feet in the ocean. People should be aware of life-saving techniques from rescue to resuscitation.

  2. Space Shuttle Orbiter crash and rescue information - Basic characteristics of the Space Shuttle system

    NASA Technical Reports Server (NTRS)

    Gray, N. C.

    1976-01-01

    Major fire and rescue activity procedures developed for the Space Shuttle Orbiter are reproduced, together with diagrams of the Orbiter's ejection seat and of emergency egress-ingress hatches and blowout panels. Duties assigned to the Manager of the Fire, Crash and Rescue division of the Space Shuttle Program are discussed, including training of both ground and flight personnel in accordance with the Orbiter Crash Rescue Information manual. The special problem of providing a means of egress and rescue for the flight and ground crews of the Orbiter while it is in the piggyback configuration on top the Boeing 747 carrier was solved by use of a modified 85-foot articulated boom.

  3. Development of a Mine Rescue Drilling System (MRDS)

    SciTech Connect

    Raymond, David W.; Gaither, Katherine N.; Polsky, Yarom; Knudsen, Steven D.; Broome, Scott Thomas; Su, Jiann-Cherng; Blankenship, Douglas A.; Costin, Laurence S.

    2014-06-01

    Sandia National Laboratories (Sandia) has a long history in developing compact, mobile, very high-speed drilling systems and this technology could be applied to increasing the rate at which boreholes are drilled during a mine accident response. The present study reviews current technical approaches, primarily based on technology developed under other programs, analyzes mine rescue specific requirements to develop a conceptual mine rescue drilling approach, and finally, proposes development of a phased mine rescue drilling system (MRDS) that accomplishes (1) development of rapid drilling MRDS equipment; (2) structuring improved web communication through the Mine Safety & Health Administration (MSHA) web site; (3) development of an improved protocol for employment of existing drilling technology in emergencies; (4) deployment of advanced technologies to complement mine rescue drilling operations during emergency events; and (5) preliminary discussion of potential future technology development of specialized MRDS equipment. This phased approach allows for rapid fielding of a basic system for improved rescue drilling, with the ability to improve the system over time at a reasonable cost.

  4. [The Emerging Voices for Global Health Initiative: an intensive capacity-building effort for young researchers from the South].

    PubMed

    Hercot, D; Keugoung, B; Zerbo, A; Appelmans, A; Van Damme, W

    2012-01-01

    Researchers from developing countries, French-speaking nations in particular, are underrepresented in the international biomedical and health literature. Various initiatives seek to address this problem. This article presents the experience of the Emerging Voices for Global Health (EV4GH) program. This initiative provided 52 young researchers from developing countries with intensive skills and content training, with an assortment of complementary components: training in scientific writing and presenting skills, immersion in global health and health systems research, an innovative presentation of their work at the 52nd colloquium of the Institute of Tropical Medicine in Antwerp, and an active role in the first Global Symposium on Health Systems Research, supervised by a team of experienced researchers/coaches who supported them in the publication of a scientific essay. This approach targeting researchers in developing countries and combining the development of skills and knowledge through the publication process, merits reproduction and encouragement. Young researchers from developing countries should not miss out on the second version of this program in October 2012 in Beijing, China.

  5. 46 CFR 199.262 - Rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Rescue boats. 199.262 Section 199.262 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Cargo Vessels § 199.262 Rescue boats. (a) Each cargo vessel must carry at least one rescue boat. Each rescue boat must be approved under approval...

  6. 46 CFR 199.262 - Rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Rescue boats. 199.262 Section 199.262 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Cargo Vessels § 199.262 Rescue boats. (a) Each cargo vessel must carry at least one rescue boat. Each rescue boat must be approved under approval...

  7. 46 CFR 199.262 - Rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Rescue boats. 199.262 Section 199.262 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Cargo Vessels § 199.262 Rescue boats. (a) Each cargo vessel must carry at least one rescue boat. Each rescue boat must be approved under approval...

  8. 46 CFR 199.262 - Rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Rescue boats. 199.262 Section 199.262 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Cargo Vessels § 199.262 Rescue boats. (a) Each cargo vessel must carry at least one rescue boat. Each rescue boat must be approved under approval...

  9. 46 CFR 199.262 - Rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Rescue boats. 199.262 Section 199.262 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Cargo Vessels § 199.262 Rescue boats. (a) Each cargo vessel must carry at least one rescue boat. Each rescue boat must be approved under approval...

  10. 46 CFR 108.560 - Rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Rescue boats. 108.560 Section 108.560 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.560 Rescue boats. Each unit must carry at least one rescue boat. Each rescue...

  11. Co-emergence of multi-scale cortical activities of irregular firing, oscillations and avalanches achieves cost-efficient information capacity.

    PubMed

    Yang, Dong-Ping; Zhou, Hai-Jun; Zhou, Changsong

    2017-02-01

    The brain is highly energy consuming, therefore is under strong selective pressure to achieve cost-efficiency in both cortical connectivities and activities. However, cost-efficiency as a design principle for cortical activities has been rarely studied. Especially it is not clear how cost-efficiency is related to ubiquitously observed multi-scale properties: irregular firing, oscillations and neuronal avalanches. Here we demonstrate that these prominent properties can be simultaneously observed in a generic, biologically plausible neural circuit model that captures excitation-inhibition balance and realistic dynamics of synaptic conductance. Their co-emergence achieves minimal energy cost as well as maximal energy efficiency on information capacity, when neuronal firing are coordinated and shaped by moderate synchrony to reduce otherwise redundant spikes, and the dynamical clusterings are maintained in the form of neuronal avalanches. Such cost-efficient neural dynamics can be employed as a foundation for further efficient information processing under energy constraint.

  12. Co-emergence of multi-scale cortical activities of irregular firing, oscillations and avalanches achieves cost-efficient information capacity

    PubMed Central

    Zhou, Hai-Jun; Zhou, Changsong

    2017-01-01

    The brain is highly energy consuming, therefore is under strong selective pressure to achieve cost-efficiency in both cortical connectivities and activities. However, cost-efficiency as a design principle for cortical activities has been rarely studied. Especially it is not clear how cost-efficiency is related to ubiquitously observed multi-scale properties: irregular firing, oscillations and neuronal avalanches. Here we demonstrate that these prominent properties can be simultaneously observed in a generic, biologically plausible neural circuit model that captures excitation-inhibition balance and realistic dynamics of synaptic conductance. Their co-emergence achieves minimal energy cost as well as maximal energy efficiency on information capacity, when neuronal firing are coordinated and shaped by moderate synchrony to reduce otherwise redundant spikes, and the dynamical clusterings are maintained in the form of neuronal avalanches. Such cost-efficient neural dynamics can be employed as a foundation for further efficient information processing under energy constraint. PMID:28192429

  13. A cross-sectional survey of emergency and essential surgical care capacity among hospitals with high trauma burden in a Central African country.

    PubMed

    Kouo-Ngamby, Marquise; Dissak-Delon, Fanny Nadia; Feldhaus, Isabelle; Juillard, Catherine; Stevens, Kent A; Ekeke-Monono, Martin

    2015-10-23

    As the overwhelming surgical burden of injury and disease steadily increases, disproportionately affecting low- and middle-income countries, adequate surgical and trauma care systems are essential. Yet, little is known about the emergency and essential surgical care (EESC) capacity of facilities in many African countries. The objective of this study was to assess the EESC capacity in different types of hospitals across Cameroon. This cross-sectional survey used the WHO Tool for Situational Analysis to Assess EESC, investigating four key areas: infrastructure, human resources, interventions, and equipment and supplies. Twelve hospitals were surveyed between August and September 2009. Facilities were conveniently sampled based on proximity to road traffic and sociodemographic composition of population served in four regions of Cameroon. To complete the survey, investigators interviewed heads of facilities, medical advisors, and nursing officers and consulted hospital records and statistics at each facility. Seven district hospitals, two regional hospitals, two general hospitals, and one missionary hospital completed the survey. Infrastructure for EESC was generally inadequate with the largest gaps in availability of oxygen concentrator supply, an on-site blood bank, and pain relief management guidelines. Human resources were scarce with a combined total of six qualified surgeons, seven qualified obstetrician/gynecologists, and no anesthesiologists at district, regional, and missionary hospitals. Of 35 surgical interventions, 16 were provided by all hospitals. District hospitals reported referring patients for 22 interventions. Only nine of the 67 pieces of equipment were available at all hospitals for all patients all of the time. Severe shortages highlighted by this survey demonstrate the significant gaps in capacity of hospitals to deliver EESC and effectively address the increasing surgical burden of disease and injury in Cameroon. This data provides a foundation

  14. [Development of medical emergency response system for accidents due to chemicals in Chongqing municipality].

    PubMed

    Ning, Xu; Dong, Zhao-jun; Mu, Ling; Zhai, Jian-cai

    2006-12-01

    To plan and develop a Chongqing chemical accident rescue command system. Based on the modes of leakage and diffusion of various poisonous gases and chemicals, different modes of injuries produced, and their appropriate rescue and treatments, also taking the following factors such as the condition of storage of chemicals, meteorological and geographic conditions, medical institutions and equipment, and their rescuing capacity into consideration, a plan was drafted to establish the rescue system. Real-time simulation technology, data analysis, evaluation technology and database technology were employed in the planning. Using Visual Studio 6.0 as the software development platform, this project aimed to design the software of an emergency command system for chemical accidents in Chongqing which could be operated with the Windows 2000/XP operating system. This system provided a dynamic scope of the endangered area, casualty number estimates, and recommendation of measures and a rescue plan for various chemical accidents. Furthermore, the system helped retrieve comprehensive information regarding the physical and chemical characteristics of more than 4 200 dangerous poisonous chemicals and their appropriate treatment modalities. This system is easy to operate with a friendly interface, functions rapidly and can provide real-time analysis with comparatively precise results. This system could satisfy the requirements of executing the command and the rescue of a chemical accident with good prospects of application.

  15. Immature embryo rescue and culture.

    PubMed

    Shen, Xiuli; Gmitter, Fred G; Grosser, Jude W

    2011-01-01

    Embryo culture techniques have many significant applications in plant breeding, as well as basic studies in physiology and biochemistry. Immature embryo rescue and culture is a particularly attractive technique for recovering plants from sexual crosses where the majority of embryos cannot survive in vivo or become dormant for long periods of time. Overcoming embryo inviability is the most common reason for the application of embryo rescue techniques. Recently, fruit breeding programs have greatly increased the interest in exploiting interploid hybridization to combine desirable genetic traits of complementary parents at the triploid level for the purpose of developing improved seedless fruits. However, the success of this approach has only been reported in limited number of species due to various crossing barriers and embryo abortion at very early stages. Thus, immature embryo rescue provides an alternative means to recover triploid hybrids, which usually fail to completely develop in vivo. This chapter will provide a brief discussion of the utilization of interploid crosses between a monoembryonic diploid female with an allotetraploid male in a citrus cultivar improvement program, featuring a clear and comprehensive illustration of successful protocols for immature embryo rescue and culture. The protocols will cover the complete process from embryo excision to recovered plant in the greenhouse and can easily be adapted to other plant commodities. Factors affecting the success and failure of immature embryo rescue to recover triploid progeny from interploid crosses will be discussed.

  16. Joseph Conrad's tormented Rescue (fantasy).

    PubMed

    Freedman, William

    2014-02-01

    Joseph Conrad was a notoriously tormented writer for whom the creative act was often a punishment severe enough to drive him into paralyzing depressions that delayed the completion of his novels, sometimes for years. By far the most agonizing of these projects was The Rescue, a novel he began in 1898, abandoned a year later, tried unsuccessfully to continue several times over the next two decades, but was only able to resume in 1918 and to complete, after another tortured two-year struggle, in 1920. An explanation for this incapacity, that is powerfully suggested by the novel's evocative title and perhaps unintentionally ironic subtitle (A Romance of the Shallows) has not yet been explored. Using Freud's 1910 essay on the rescue fantasy, "Contributions to the Psychology of Love: A Special Type of Choice of Object Made by Men," and Emanuel Berman's instructive revision and expansion of the concept in his 2003 American Imago essay, "Ferenczi, Rescue, and Utopia," I argue that a substantial explanation for Conrad's tormented history with The Rescue is ascribable to its quite remarkably faithful treatment of a rescue fantasy with deep and disabling resonance for its author. More specifically, the difficulty was compounded by the novel's dramatization of the soul-crushing conflict between two such fantasies: one in the service of the masculine ideal of unflinching dedication to a heroic purpose, the other promising satisfaction to the equally potent demands of emotional and sexual desire. Features of Conrad's narrative fit so tightly and consistently with the theory as Freud (and Abraham) proposed and as Berman elaborated it that The Rescue offers itself as one of those rare and reinforcing instances wherein the literary text seems to validate the psychoanalytic theory at least as persuasively as the theory "understands" the text.

  17. Equipment of medical backpacks in mountain rescue.

    PubMed

    Elsensohn, Fidel; Soteras, Inigo; Resiten, Oliver; Ellerton, John; Brugger, Hermann; Paal, Peter

    2011-01-01

    We conducted a survey of equipment in medical backpacks for mountain rescuers and mountain emergency physicians. The aim was to investigate whether there are standards for medical equipment in mountain rescue organizations associated with the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). A questionnaire was completed by 18 member organizations from 14 countries. Backpacks for first responders are well equipped to manage trauma, but deficiencies in equipment to treat medical emergencies were found. Paramedic and physicians' backpacks were well equipped to provide advanced life support and contained suitable drugs. We recommend that medical backpacks should be equipped in accordance with national laws, the medical emergencies in a given region, and take into account the climate, geography, medical training of rescuers, and funding of the organization. Automated external defibrillator provision should be improved. The effects of temperature on the drugs and equipment should be considered. Standards for training in the use and maintenance of medical tools should be enforced. First responders and physicians should only use familiar tools and drugs.

  18. Sex, mitochondria, and genetic rescue

    PubMed Central

    Havird, Justin C.; Fitzpatrick, Sarah W.; Kronenberger, John; Funk, W. Chris; Angeloni, Lisa M.; Sloan, Daniel B.

    2015-01-01

    Genetic rescue is a potentially effective management tool to offset the effects of reduced genetic diversity in imperiled populations. However, implementation requires complex choices. Here, we address the consequences of introducing males vs. females, highlighting the possibility that introduced females might lead to maladapted mitonuclear genomes and reduced offspring fitness. PMID:26712562

  19. An unmanned search and rescue mission

    NASA Astrophysics Data System (ADS)

    Novaro Mascarello, Laura; Quagliotti, Fulvia; Bertini, Mario

    2016-04-01

    The Remotely Piloted Aircraft Systems (RPAS) are becoming more and more powerful and innovative and they have an increased interest in civil applications, in particular, after natural hazard phenomena. The RPAS is useful in search and rescue missions in high mountain where scenarios are unfriendly and the use of helicopters is often not profitable. First, the unmanned configuration is safer because there is no hazards for human life that is not on board. Moreover, it is cheaper due to the use of electric propulsion instead of internal combustion engine and to its small dimensions and weights. Finally, the use of the RPAS is faster while the helicopter is often not available because is involved in other missions or it cannot be used if the search mission is in impervious scenario, such as forests with thick vegetation. For instance, the RPAS can be used after an avalanche when victims have little time to be saved before the death by hypothermia. In most conditions, the body maintains a healthy temperature. However, if it is exposed to cold temperatures, especially with a high cooling factor from wind and high humidity, for extended periods, the control mechanisms of the body may not be able to maintain a normal body temperature. When you lose more heat than the body can generate, it takes over hypothermia, defined as a body temperature below 35° C. Wet clothing, fall into cold water or not adequately cover themselves during the cold season, are all factors that can increase the chances of hypothermia. Signs and symptoms (tremor, slurred speech, breathing abnormally slow, cold and pale skin, loss of coordination, fatigue, lethargy or apathy, confusion or memory loss) usually develop slowly. People with hypothermia typically experience a gradual loss of mental acuity and physical capacity, and realize that you have need of emergency medical care. For these reasons, the use of an RPAS could be crucial for the survival of disappeared people in high mountain. In

  20. Evaluation of pyramid training as a method to increase diagnostic sampling capacity during an emergency veterinary response to a swine disease outbreak.

    PubMed

    Canon, Abbey J; Lauterbach, Nicholas; Bates, Jessica; Skoland, Kristin; Thomas, Paul; Ellingson, Josh; Ruston, Chelsea; Breuer, Mary; Gerardy, Kimberlee; Hershberger, Nicole; Hayman, Kristen; Buckley, Alexis; Holtkamp, Derald; Karriker, Locke

    2017-06-15

    OBJECTIVE To develop and evaluate a pyramid training method for teaching techniques for collection of diagnostic samples from swine. DESIGN Experimental trial. SAMPLE 45 veterinary students. PROCEDURES Participants went through a preinstruction assessment to determine their familiarity with the equipment needed and techniques used to collect samples of blood, nasal secretions, feces, and oral fluid from pigs. Participants were then shown a series of videos illustrating the correct equipment and techniques for collecting samples and were provided hands-on pyramid-based instruction wherein a single swine veterinarian trained 2 or 3 participants on each of the techniques and each of those participants, in turn, trained additional participants. Additional assessments were performed after the instruction was completed. RESULTS Following the instruction phase, percentages of participants able to collect adequate samples of blood, nasal secretions, feces, and oral fluid increased, as did scores on a written quiz assessing participants' ability to identify the correct equipment, positioning, and procedures for collection of samples. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that the pyramid training method may be a feasible way to rapidly increase diagnostic sampling capacity during an emergency veterinary response to a swine disease outbreak.

  1. Reliability of Search and Rescue Action

    NASA Astrophysics Data System (ADS)

    Burciu, Zbigniew

    2012-06-01

    Determination of the reliability of Search and Rescue action system allows the SAR Mission Coordinator to increase the effectiveness of the action through the proper selection of operational characteristics of the system elements, in particular the selection of the rescue units and auxiliary units. The paper presents the example of the influence of water temperature and time of the action on the reliability of search and rescue action in the case of rescuing a survivor in the water.

  2. 46 CFR 133.135 - Rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Rescue boats. 133.135 Section 133.135 Shipping COAST... Requirements for All OSVs § 133.135 Rescue boats. (a) Each OSV must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156 and equipped as specified in table 133.175 of this...

  3. 46 CFR 133.135 - Rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Rescue boats. 133.135 Section 133.135 Shipping COAST... Requirements for All OSVs § 133.135 Rescue boats. (a) Each OSV must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156 and equipped as specified in table 133.175 of this...

  4. 46 CFR 133.135 - Rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Rescue boats. 133.135 Section 133.135 Shipping COAST... Requirements for All OSVs § 133.135 Rescue boats. (a) Each OSV must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156 and equipped as specified in table 133.175 of this...

  5. 46 CFR 133.135 - Rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Rescue boats. 133.135 Section 133.135 Shipping COAST... Requirements for All OSVs § 133.135 Rescue boats. (a) Each OSV must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.056 and equipped as specified in table 133.175 of this...

  6. 46 CFR 133.135 - Rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Rescue boats. 133.135 Section 133.135 Shipping COAST... Requirements for All OSVs § 133.135 Rescue boats. (a) Each OSV must carry at least one rescue boat. Each rescue boat must be approved under approval series 160.156 and equipped as specified in table 133.175 of this...

  7. [Emergency medicine at the limit: shock-, analgesic therapy and airway management in difficult terrain].

    PubMed

    Rauch, Simon; Schenk, Kai; Rainer, Bernhard; Strapazzon, Giacomo; Paal, Peter; Brugger, Hermann

    2016-01-01

    Rescue operations in mountain and remote areas pose special challenges for the rescue team and often differ substantially from rescue missions in the urban environment. Given the growing sports and leisure activities in mountains, incidence of alpine emergencies is expected to rise further. The following article describes the treatment of haemorrhagic shock, analgesic therapy and airway management in mountain rescue.

  8. Rescues conducted by surfers on Australian beaches.

    PubMed

    Attard, Anna; Brander, Robert W; Shaw, Wendy S

    2015-09-01

    This study describes the demographics, occurrence, location, primary hazards and outcomes involved in rescues performed by surfers on Australian beaches. Conservative estimates suggest that the number of rescues conducted by Australian surfers each year is on par with the number conducted by volunteer surf lifesavers. Surfers perform a considerable number of serious rescues in both lifesaver/lifeguard patrolled (45%) and unpatrolled (53%) beach locations. Rip currents represent the major physical hazard leading to rescue (75%) and the dominant emotional response of people rescued is one of panic (85%). Most surfer rescue events occur during conditions of moderate waves and sunny, fine weather with the highest proportion of rescues occurring on quiet beaches with few people around (26%). Swimming is the activity associated with most rescue events (63%), followed by board riding (25%). Males aged 18-29 represent the largest demographic of people rescued. Surfers with prior water-safety training are more likely to perform a higher number of rescues, however ability to perform rescues is not associated with formal training, but rather number of years' experience surfing. Seventy-eight percent of surfers were happy to help, while 28% expressed feelings of annoyance or inconvenience, generally towards unwary swimmers. Results of this research suggest that 63% of surfers feel they have saved a life. This value may be enhanced through improved training of surfers in basic water safety rescue techniques. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. 46 CFR 117.210 - Rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Rescue boats. 117.210 Section 117.210 Shipping COAST... Number and Type of Survival Craft § 117.210 Rescue boats. (a) Each vessel must carry at least one rescue boat unless the cognizant OCMI determines that: (1) The vessel is sufficiently maneuverable, arranged...

  10. 46 CFR 117.210 - Rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Rescue boats. 117.210 Section 117.210 Shipping COAST... Number and Type of Survival Craft § 117.210 Rescue boats. (a) Each vessel must carry at least one rescue boat unless the cognizant OCMI determines that: (1) The vessel is sufficiently maneuverable, arranged...

  11. 46 CFR 199.202 - Rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Rescue boats. 199.202 Section 199.202 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Passenger Vessels § 199.202 Rescue boats... least one rescue boat approved under approval series 160.156 that is equipped as specified in table 199...

  12. 46 CFR 199.202 - Rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Rescue boats. 199.202 Section 199.202 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Passenger Vessels § 199.202 Rescue boats... least one rescue boat approved under approval series 160.156 that is equipped as specified in table 199...

  13. 46 CFR 180.210 - Rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Rescue boats. 180.210 Section 180.210 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Number and Type of Survival Craft § 180.210 Rescue boats. (a) A vessel of more than 19.8 meters (65 feet) in length must carry at least one rescue boat unless the cognizant...

  14. 46 CFR 169.517 - Rescue boat.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Rescue boat. 169.517 Section 169.517 Shipping COAST... and Firefighting Equipment Primary Lifesaving Equipment § 169.517 Rescue boat. All vessels certificated for exposed or partially protected waters service must have a suitable motor rescue boat, except...

  15. 46 CFR 169.517 - Rescue boat.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Rescue boat. 169.517 Section 169.517 Shipping COAST... and Firefighting Equipment Primary Lifesaving Equipment § 169.517 Rescue boat. All vessels certificated for exposed or partially protected waters service must have a suitable motor rescue boat, except...

  16. 46 CFR 180.210 - Rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Rescue boats. 180.210 Section 180.210 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Number and Type of Survival Craft § 180.210 Rescue boats. (a) A vessel of more than 19.8 meters (65 feet) in length must carry at least one rescue boat unless the cognizant...

  17. 46 CFR 117.210 - Rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Rescue boats. 117.210 Section 117.210 Shipping COAST... Number and Type of Survival Craft § 117.210 Rescue boats. (a) Each vessel must carry at least one rescue boat unless the cognizant OCMI determines that: (1) The vessel is sufficiently maneuverable, arranged...

  18. 46 CFR 180.210 - Rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Rescue boats. 180.210 Section 180.210 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Number and Type of Survival Craft § 180.210 Rescue boats. (a) A vessel of more than 19.8 meters (65 feet) in length must carry at least one rescue boat unless the cognizant...

  19. 46 CFR 169.517 - Rescue boat.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Rescue boat. 169.517 Section 169.517 Shipping COAST... and Firefighting Equipment Primary Lifesaving Equipment § 169.517 Rescue boat. All vessels certificated for exposed or partially protected waters service must have a suitable motor rescue boat, except...

  20. 46 CFR 117.210 - Rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Rescue boats. 117.210 Section 117.210 Shipping COAST... Number and Type of Survival Craft § 117.210 Rescue boats. (a) Each vessel must carry at least one rescue boat unless the cognizant OCMI determines that: (1) The vessel is sufficiently maneuverable, arranged...

  1. 46 CFR 199.202 - Rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Rescue boats. 199.202 Section 199.202 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Passenger Vessels § 199.202 Rescue boats... least one rescue boat approved under approval series 160.156 that is equipped as specified in table 199...

  2. 46 CFR 199.202 - Rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Rescue boats. 199.202 Section 199.202 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Passenger Vessels § 199.202 Rescue boats... least one rescue boat approved under approval series 160.156 that is equipped as specified in table 199...

  3. 46 CFR 180.210 - Rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Rescue boats. 180.210 Section 180.210 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Number and Type of Survival Craft § 180.210 Rescue boats. (a) A vessel of more than 19.8 meters (65 feet) in length must carry at least one rescue boat unless the cognizant...

  4. 46 CFR 169.517 - Rescue boat.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Rescue boat. 169.517 Section 169.517 Shipping COAST... and Firefighting Equipment Primary Lifesaving Equipment § 169.517 Rescue boat. All vessels certificated for exposed or partially protected waters service must have a suitable motor rescue boat, except...

  5. 46 CFR 117.210 - Rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Rescue boats. 117.210 Section 117.210 Shipping COAST... Number and Type of Survival Craft § 117.210 Rescue boats. (a) Each vessel must carry at least one rescue boat unless the cognizant OCMI determines that: (1) The vessel is sufficiently maneuverable, arranged...

  6. 46 CFR 169.517 - Rescue boat.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Rescue boat. 169.517 Section 169.517 Shipping COAST... and Firefighting Equipment Primary Lifesaving Equipment § 169.517 Rescue boat. All vessels certificated for exposed or partially protected waters service must have a suitable motor rescue boat, except...

  7. 46 CFR 199.202 - Rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Rescue boats. 199.202 Section 199.202 Shipping COAST... SYSTEMS FOR CERTAIN INSPECTED VESSELS Additional Requirements for Passenger Vessels § 199.202 Rescue boats... least one rescue boat approved under approval series 160.156 that is equipped as specified in table 199...

  8. 46 CFR 180.210 - Rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Rescue boats. 180.210 Section 180.210 Shipping COAST...) LIFESAVING EQUIPMENT AND ARRANGEMENTS Number and Type of Survival Craft § 180.210 Rescue boats. (a) A vessel of more than 19.8 meters (65 feet) in length must carry at least one rescue boat unless the cognizant...

  9. Kinematic Simulation of a universal rescue vehicle

    NASA Astrophysics Data System (ADS)

    Vasiliev, I. A.; Smirnova, E. Y.; Krasheninnikov, M. S.; Koshurina, A. A.; Dorofeev, R. A.; E Gai, V.

    2017-01-01

    The rescue of people in disaster through autonomous means of evacuation in some cases is the only way to save their lives. Rescue Mission often takes place in remote locations. The paper studies modeling of a universal rescue vehicle with a rotary-screw propeller.

  10. Field studies of safety security rescue technologies through training and response activities

    NASA Astrophysics Data System (ADS)

    Murphy, Robin R.; Stover, Sam

    2006-05-01

    This paper describes the field-oriented philosophy of the Institute for Safety Security Rescue Technology (iSSRT) and summarizes the activities and lessons learned during calendar year 2005 of its two centers: the Center for Robot-Assisted Search and Rescue and the NSF Safety Security Rescue industry/university cooperative research center. In 2005, iSSRT participated in four responses (La Conchita, CA, Mudslides, Hurricane Dennis, Hurricane Katrina, Hurricane Wilma) and conducted three field experiments (NJTF-1, Camp Hurricane, Richmond, MO). The lessons learned covered mobility, operator control units, wireless communications, and general reliability. The work has collectively identified six emerging issues for future work. Based on these studies, a 10-hour, 1 continuing education unit credit course on rescue robotics has been created and is available. Rescue robots and sensors are available for loan upon request.

  11. The Development Of Indonesias Doctrine for Special Hostage Rescue Operations

    DTIC Science & Technology

    2015-12-01

    out of control , timing becomes the ultimate determiner of the operation’s success. A good plan should always have a back-up plan in case during the...operation the situation spirals out of control . Besides the main action plan , the rescue force should be equipped with a contingency and emergency...attempted to exchange the captured pirate for Captain Phillips. Unfortunately, the exchange did not go as planned . The pirates regained control of

  12. 33 CFR 150.504 - When must the operator service and examine lifeboat and rescue boat launching appliances?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and examine lifeboat and rescue boat launching appliances? 150.504 Section 150.504 Navigation and...: OPERATIONS Emergency and Specialty Equipment Launching Appliances § 150.504 When must the operator service and examine lifeboat and rescue boat launching appliances? (a) The operator must service...

  13. 33 CFR 150.504 - When must the operator service and examine lifeboat and rescue boat launching appliances?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... and examine lifeboat and rescue boat launching appliances? 150.504 Section 150.504 Navigation and...: OPERATIONS Emergency and Specialty Equipment Launching Appliances § 150.504 When must the operator service and examine lifeboat and rescue boat launching appliances? (a) The operator must service...

  14. Space safety and rescue 1979-1981: Worldwide disaster response, rescue and safety employing space-borne systems

    NASA Technical Reports Server (NTRS)

    Brown, J. W. (Editor)

    1983-01-01

    Selected papers from the 1979, 1980, and 1981 IAA symposia on space safety and rescue and on worldwide disaster response, safety, and rescue employing spaceborne systems are presented. Available papers published elsewhere and those presented at the 1976, 1977, and 1978 symposia are presented in abstract form. Subjects discussed include man-made space debris, nuclear-waste disposal in space, space-station safety design, psychological training, the introduction of female crewmembers, analysis of the November 23, 1980 earthquake as a design basis for satellite emergency communication, disaster warning using the GOES satellite, and satellite communications for disaster relief operations. Three reviews of the application of space technology to emergency and disaster relief and prevention, given at other symposia in 1981, are presented in an appendix. No individual items are abstracted in this volume

  15. Space safety and rescue 1979-1981: Worldwide disaster response, rescue and safety employing space-borne systems

    NASA Technical Reports Server (NTRS)

    Brown, J. W. (Editor)

    1983-01-01

    Selected papers from the 1979, 1980, and 1981 IAA symposia on space safety and rescue and on worldwide disaster response, safety, and rescue employing spaceborne systems are presented. Available papers published elsewhere and those presented at the 1976, 1977, and 1978 symposia are presented in abstract form. Subjects discussed include man-made space debris, nuclear-waste disposal in space, space-station safety design, psychological training, the introduction of female crewmembers, analysis of the November 23, 1980 earthquake as a design basis for satellite emergency communication, disaster warning using the GOES satellite, and satellite communications for disaster relief operations. Three reviews of the application of space technology to emergency and disaster relief and prevention, given at other symposia in 1981, are presented in an appendix. No individual items are abstracted in this volume

  16. Toward a behavioral ecology of rescue behavior.

    PubMed

    Hollis, Karen L; Nowbahari, Elise

    2013-07-18

    Although the study of helping behavior has revolutionized the field of behavioral ecology, scientific examination of rescue behavior remains extremely rare, except perhaps in ants, having been described as early as 1874. Nonetheless, recent work in our laboratories has revealed several new patterns of rescue behavior that appear to be much more complex than previously studied forms. This precisely-directed rescue behavior bears a remarkable resemblance to what has been labeled empathy in rats, and thus raises numerous philosophical and theoretical questions: How should rescue behavior (or empathy) be defined? What distinguishes rescue from other forms of altruism? In what ways is rescue behavior in ants different from, and similar to, rescue in other non-human animals? What selection pressures dictate its appearance? In this paper, we review our own experimental studies of rescue in both laboratory and field, which, taken together, begin to reveal some of the behavioral ecological conditions that likely have given rise to rescue behavior in ants. Against this background, we also address important theoretical questions involving rescue, including those outlined above. In this way, we hope not only to encourage further experimental analysis of rescue behavior, but also to highlight important similarities and differences in very distant taxa.

  17. Soft Selective Sweeps in Evolutionary Rescue

    PubMed Central

    Wilson, Benjamin A.; Pennings, Pleuni S.; Petrov, Dmitri A.

    2017-01-01

    Evolutionary rescue occurs when a population that is declining in size because of an environmental change is rescued from extinction by genetic adaptation. Evolutionary rescue is an important phenomenon at the intersection of ecology and population genetics, and the study of evolutionary rescue is critical to understanding processes ranging from species conservation to the evolution of drug and pesticide resistance. While most population-genetic models of evolutionary rescue focus on estimating the probability of rescue, we focus on whether one or more adaptive lineages contribute to evolutionary rescue. We find that when evolutionary rescue is likely, it is often driven by soft selective sweeps where multiple adaptive mutations spread through the population simultaneously. We give full analytic results for the probability of evolutionary rescue and the probability that evolutionary rescue occurs via soft selective sweeps. We expect that these results will find utility in understanding the genetic signatures associated with various evolutionary rescue scenarios in large populations, such as the evolution of drug resistance in viral, bacterial, or eukaryotic pathogens. PMID:28213477

  18. Predictive capacity of a multimarker strategy to determine short-term mortality in patients attending a hospital emergency Department for acute heart failure. BIO-EAHFE study.

    PubMed

    Herrero-Puente, Pablo; Prieto-García, Belén; García-García, María; Jacob, Javier; Martín-Sánchez, F Javier; Pascual-Figal, Domingo; Bueno, Héctor; Gil, Victor; Llorens, Pere; Vázquez-Alvarez, Joaquin; Romero-Pareja, Rodolfo; Sanchez-Gonzalez, Marta; Miró, Òscar

    2017-03-01

    A multimarker strategy may help determine the prognosis of patients with acute heart failure (AHF). The aim of this study was to evaluate the capacity of mid-regional pro-adrenomedullin (MRproADM), copeptin and interleukin-6 (IL-6) combined with conventional clinical and biochemical markers to predict the 30-day mortality of patients with AHF. We performed an observational, multicenter, prospective study of patients attended in the emergency department (ED) for AHF. We collected clinical and biochemical data as well as comorbidities and biomarker values. The endpoint variable was mortality at 7, 14, 30, 90 and 180days. The clinical model included: gender, age, blood pressure values, hemoglobin, sodium <135mmol/L and estimated glomerular filtration <60mL/min/1.73m2. We made receiver operating curves (ROC) curves, and areas under the curve (AUC) and survival analysis for each model and calculated the hazard ratio (HR) and its 95% confidence interval. A total of 547 individuals were included: 55.6% were women with a mean age of 79.9 (9.5) years. Copeptin alone showed greater discriminatory power for 30-mortality [AUC 0.70 (0.62-0.78)]. The AUC for 30-day mortality of the clinical model plus copeptin and NTproBNP was 0.75 (0.67-0.83), being better than the clinical model alone with 0.67 (0.58-0.76; p=0.19). The discriminatory power of the different biomarkers alone, in combination or together with the clinical model decreased over time. The combination of a clinical model with copeptin and NTproBNP, which are available in the ED, is able to prognose early mortality in patients with an episode of AHF. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. [Model and enlightenment from rescue of August 2nd Kunshan explosion casualty].

    PubMed

    Tan, Q; Qiu, H B; Sun, B W; Shen, Y M; Nie, L J; Zhang, H W

    2016-01-01

    On August 2nd, 2014, a massive dust explosion occurred in a factory of Kunshan, resulting in a mass casualty involving 185 burn patients. They were transported to 20 medical institutions in Jiangsu province and Shanghai. More than one thousand of medical personnel of our country participated in this emergency rescue, and satisfactory results were achieved. In this paper, the characteristics of this accident were analyzed, the positive effects of interdisciplinary cooperation were affirmed, and the contingency plan, rescue process and pattern, and reserve, organization and management of talents during this rescue process were reviewed retrospectively.

  20. Emergency Victim Care. A Textbook for Emergency Medical Personnel.

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus. Trade and Industrial Education Service.

    This textbook for emergency medical personnel should be useful to fire departments, private ambulance companies, industrial emergency and rescue units, police departments, and nurses. The 30 illustrated chapters cover topics such as: (1) Emergency Medical Service Vehicles, (2) Safe Driving Practices, (3) Anatomy and Physiology, (4) Closed Chest…

  1. Epidemiology of mountain search and rescue operations in Banff, Yoho, and Kootenay National Parks, 2003-06.

    PubMed

    Wild, Finlay J

    2008-01-01

    To describe the epidemiology of mountain incidents and mountain rescue operations occurring in Banff, Yoho, and Kootenay National Parks between 1 January 2003 and 31 December 2006. Retrospective review of Banff, Yoho, and Kootenay Public Safety Occurrence Reports detailing rescue operations within the study period. Demographics, activity, reason for rescue, mode of rescue, type of injury, and fatalities were analyzed. A total of 317 emergency mountain rescue operations involving 406 persons was documented. The mean age of the rescued population was 35.2 years, and this population was predominantly male (63.1%). Hikers were involved in 43.5% of incidents, and 'slips and falls' were responsible for 50.2%. Helicopter was the mode of rescue in 64% of cases. Almost half (40.7%) of all rescues involved people with no injuries. The limbs were the most common body part affected (68% of traumatic injuries). Forty fatalities occurred-45% due to avalanches and 27.5% due to slips and falls. This study offers a synopsis of the rescue service provided by Parks Canada Rescue in the study area. Further work is needed to separate primary and contributory causes of mountain incidents, and this can be achieved by use of better data collection methods. Hospital follow-up is required to accurately assess the morbidity and mortality associated with mountain incidents. Data presented are expected to be of value to a variety of tourism, health, and safety organizations.

  2. KENNEDY SPACE CENTER, FLA. - Emergency crew members assess medical needs on “injured” astronauts removed from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members assess medical needs on “injured” astronauts removed from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  3. KENNEDY SPACE CENTER, FLA. - Emergency crew members help an “injured” astronaut from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. Another is on the ground. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members help an “injured” astronaut from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. Another is on the ground. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  4. KENNEDY SPACE CENTER, FLA. - Emergency crew members transport an “injured” astronaut during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members transport an “injured” astronaut during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  5. KENNEDY SPACE CENTER, FLA. - Emergency crew members “rescue” an injured astronaut from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members “rescue” an injured astronaut from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  6. KENNEDY SPACE CENTER, FLA. - Emergency crew members return to the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside the mock-up compartment. Rescuers have had to remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members return to the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside the mock-up compartment. Rescuers have had to remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  7. KENNEDY SPACE CENTER, FLA. - Emergency crew members help an injured astronaut after removing him from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members help an injured astronaut after removing him from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  8. KENNEDY SPACE CENTER, FLA. - Emergency crew members help an “injured” astronaut who was removed from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members help an “injured” astronaut who was removed from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  9. KENNEDY SPACE CENTER, FLA. - Emergency crew members lower a volunteer “astronaut” from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members lower a volunteer “astronaut” from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  10. KENNEDY SPACE CENTER, FLA. - Emergency crew members transport an “injured” astronaut during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members transport an “injured” astronaut during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  11. KENNEDY SPACE CENTER, FLA. - Emergency crews leave the scene after a helicopter removed “rescued” astronauts from the scene. They are taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center, in order to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crews leave the scene after a helicopter removed “rescued” astronauts from the scene. They are taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center, in order to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  12. KENNEDY SPACE CENTER, FLA. - Emergency crew members “rescue” an astronaut from inside the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members “rescue” an astronaut from inside the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  13. KENNEDY SPACE CENTER, FLA. - Emergency crew members on the ground take hold of a volunteer “astronaut” lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members on the ground take hold of a volunteer “astronaut” lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  14. KENNEDY SPACE CENTER, FLA. - Emergency crew members help a volunteer “astronaut” onto the ground after being lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - Emergency crew members help a volunteer “astronaut” onto the ground after being lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  15. Search and rescue satellite-aided tracking system

    NASA Technical Reports Server (NTRS)

    Trudell, B.; Gutwein, J. M.; Vollmers, R.; Wammer, D.

    1980-01-01

    The objective of Sarsat is to demonstrate that satellites can greatly facilitate the monitoring, detection, and location of distress incidents alerted by Emergency Locator Transmitters (ELTs) and Emergency Position Indicating Radio Beacons (EPIRBs) carried on commercial, military, and general aviation aircraft and some marine vessels. The detection and location will be accomplished by relaying, via satellite, ELT/EPIRB distress information to ground stations, which will complete the data processing and forward alert and position location data to rescue coordination services. This paper presents a Sarsat system description and a summary of Coast Guard and USAF objectives for the initial demonstration and evaluation tests of Sarsat.

  16. Search and rescue satellite-aided tracking system

    NASA Astrophysics Data System (ADS)

    Trudell, B.; Gutwein, J. M.; Vollmers, R.; Wammer, D.

    1980-10-01

    The objective of Sarsat is to demonstrate that satellites can greatly facilitate the monitoring, detection, and location of distress incidents alerted by Emergency Locator Transmitters (ELTs) and Emergency Position Indicating Radio Beacons (EPIRBs) carried on commercial, military, and general aviation aircraft and some marine vessels. The detection and location will be accomplished by relaying, via satellite, ELT/EPIRB distress information to ground stations, which will complete the data processing and forward alert and position location data to rescue coordination services. This paper presents a Sarsat system description and a summary of Coast Guard and USAF objectives for the initial demonstration and evaluation tests of Sarsat.

  17. Search and rescue satellite-aided tracking system

    NASA Technical Reports Server (NTRS)

    Trudell, B.; Gutwein, J. M.; Vollmers, R.; Wammer, D.

    1980-01-01

    The objective of Sarsat is to demonstrate that satellites can greatly facilitate the monitoring, detection, and location of distress incidents alerted by Emergency Locator Transmitters (ELTs) and Emergency Position Indicating Radio Beacons (EPIRBs) carried on commercial, military, and general aviation aircraft and some marine vessels. The detection and location will be accomplished by relaying, via satellite, ELT/EPIRB distress information to ground stations, which will complete the data processing and forward alert and position location data to rescue coordination services. This paper presents a Sarsat system description and a summary of Coast Guard and USAF objectives for the initial demonstration and evaluation tests of Sarsat.

  18. Search and rescue by satellite

    NASA Technical Reports Server (NTRS)

    Ehrlich, E.; Wilder, F. N.

    1978-01-01

    A system of satellites, ground stations and user equipments is proposed to provide an operational demonstration, using existing technology, for the timely detection and position location of general aviation aircraft and marine distress incidents so that rescue efforts can be started as soon as possible. The spaceborne equipment will consist of a transponder capable of receiving signals from existing and planned distress beacons at 121.5, 243.0 and 406.0 MHz, and transmitting at 1543 MHz. The program has generated international interest with Canada, France and the USSR presently planning to participate jointly with the U.S. in the development of the space and ground hardware.

  19. Rescue Shuttle Flight Re-Entry: Controlling Astronaut Thermal Exposure

    NASA Technical Reports Server (NTRS)

    Gillis, David B.; Hamilton, Douglas; Ilcus, Stana; Stepaniak, Phil; Polk, J. D.; Son, Chang; Bue, Grant

    2008-01-01

    A rescue mission for the STS-125 Hubble Telescope Repair Mission requires reentry from space with 11 crew members aboard, exceeding past cabin thermal load experience and risking crew thermal stress potentially causing cognitive performance and physiological decrements. The space shuttle crew cabin air revitalization system (ARS) was designed to support a nominal crew complement of 4 to 7 crew and 10 persons in emergencies, all in a shirt-sleeve environment. Subsequent to the addition of full pressure suits with individual cooling units, the ARS cannot maintain a stable temperature in the crew cabin during reentry thermal loads. Bulk cabin thermal models, used for rescue mission planning and analysis of crew cabin air, were unable to accurately represent crew workstation values of air flow, carbon dioxide, and heat content for the middeck. Crew temperature models suggested significantly elevated core temperatures. Planning for an STS-400 potential rescue of seven stranded crew utilized computational fluid dynamics (CFD) models to demonstrate inhomogeneous cabin thermal properties and improve analysis compared to bulk models. In the absence of monitoring of crew temperature, heart rate, metabolic rate and incomplete engineering data on the performance of the integrated cooling garment/cooling unit (ICG/CU) at cabin temperatures above 75 degrees F, related systems & models were reevaluated and tests conducted with humans in the loop. Changes to the cabin ventilation, ICU placement, crew reentry suit-donning procedures, Orbiter Program wave-off policy and post-landing power down and crew extraction were adopted. A second CFD and core temperature model incorporated the proposed changes and confirmed satisfactory cabin temperature, improved air distribution, and estimated core temperatures within safe limits. CONCLUSIONS: These changes in equipment, in-flight and post-landing procedures, and policy were implemented for the STS-400 rescue shuttle & will be implemented in

  20. Guidelines for rescue training of the lay public.

    PubMed

    Abrams, J I; Pretto, E A; Angus, D; Safar, P

    1993-01-01

    The fundamental goal of emergency medical response in disaster is to save lives and reduce injury and permanent disability. It has been observed that urgent emergency medical care of seriously injured earthquake casualties trapped under building rubble, cannot be provided unless the victims have been extricated and transported to medical facilities by friends or relatives, or are accessible to field rescue and medical teams. Equally important is the fact that extrication of seriously injured, trapped victims by laypersons is hazardous, unless the following conditions are met: 1) the rescuer has basic knowledge of extrication, and; 2) there is early application of effective life-supporting first-aid (LSFA) and/or advanced trauma life support (ATLS) at the scene. Time is the critical factor in such an effort. In previous studies of death and dying in earthquakes, it was noted that extrication of trapped victims will be attempted by survivors. Therefore, it is suggested that citizens living in regions of high seismic risk and trained in basic search and rescue and in LSFA are the most immediate resource for early response after an earthquake. An accompanying paper addresses the issue of citizen LSFA training. This paper focuses on the basic concepts of search and rescue training for the lay public.

  1. Phaseolus immature embryo rescue technology.

    PubMed

    Geerts, Pascal; Toussaint, André; Mergeai, Guy; Baudoin, Jean-Pierre

    2011-01-01

    Predominant among the production constraints of the common bean Phaseolus vulgaris are infestation of Ascochyta blight, Bean Golden Mosaic virus (BGMV), and Bean Fly. Interbreeding with Phaseolus -coccineus L. and/or Phaseolus polyanthus Greenm has been shown to provide P. vulgaris with greater resistance to these diseases. For interspecific crosses to be successful, it is important to use P. coccineus and P. polyanthus as female parents; this prevents rapid reversal to the recurrent parent P. vulgaris. Although incompatibility barriers are post-zygotic, early hybrid embryo abortion limits the success of F1 crosses. While rescue techniques for globular and early heart-shaped embryos have improved in recent years, -success in hybridization remains very low. In this study, we describe six steps that allowed us to rescue 2-day-old P. vulgaris embryos using a pod culture technique. Our methods consisted of (i) pod culture, (ii) extraction and culture of immature embryos, (iii) dehydration of embryos, (iv) germination of embryos, (v) rooting of developed shoots, and (vi) hardening of plantlets.

  2. Importance of teamwork, communication and culture on failure-to-rescue in the elderly.

    PubMed

    Ghaferi, A A; Dimick, J B

    2016-01-01

    Surgical mortality increases significantly with age. Wide variations in mortality rates across hospitals suggest potential levers for improvement. Failure-to-rescue has been posited as a potential mechanism underlying these differences. A review was undertaken of the literature evaluating surgery, mortality, failure-to-rescue and the elderly. This was followed by a review of ongoing studies and unpublished work aiming to understand better the mechanisms underlying variations in surgical mortality in elderly patients. Multiple hospital macro-system factors, such as nurse staffing, available hospital technology and teaching status, are associated with differences in failure-to-rescue rates. There is emerging literature regarding important micro-system factors associated with failure-to-rescue. These are grouped into three broad categories: hospital resources, attitudes and behaviours. Ongoing work to produce interventions to reduce variations in failure-to-rescue rates include a focus on teamwork, communication and safety culture. Researchers are using novel mixed-methods approaches and theories adapted from organizational studies in high-reliability organizations in an effort to improve the care of elderly surgical patients. Although elderly surgical patients experience failure-to-rescue events at much higher rates than their younger counterparts, patient-level effects do not sufficiently explain these differences. Increased attention to the role of organizational dynamics in hospitals' ability to rescue these high-risk patients will establish high-yield interventions aimed at improving patient safety. © 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.

  3. To do or not to do emergency cervical cerclage (a rescue stitch) at 24-28 weeks gestation in addition to progesterone for patients coming early in labor? A prospective randomized trial for efficacy and safety.

    PubMed

    Ragab, Ahmed; Mesbah, Yasser

    2015-12-01

    To measure the outcome of emergency cervical cerclage (ECC) combined with progesterone vs. progesterone alone in pregnancy prolongation for preterm labor at 24-28 weeks. One hundred patients in early labor were allocated randomly into two equal groups. Group A were treated by ECC and progesterone, and group B were on the same progesterone dose only treatment. No significant differences were observed in both groups as regard demographic data, fetal gestational age or cervical state on admission. However, a significant pregnancy prolongation was observed in group A (28.44 ± 12.73 days vs. 9.96 ± 3.27 in group B, p < 0.001) with subsequent increase in fetal gestational age (32.04 ± 3.2 vs. 27.86 ± 3.213, p < 0.001), heavier weight, higher Apgar score at 1 and 5 min, and lower rate of cesarean delivery (1033.1 ± 170.83 vs. 715.1 ± 138.73, p < 0.001) (2.68 ± 1.132 vs. 2.14 ± 0.93, p < 0.001), (5.48 ± 2.6 vs. 2.38 ± 1.59, p = 0.01) and (16 vs. 62 %, p = 0.01), respectively. Also neonatal outcomes in terms of early neonatal deaths were lower in this group (18 vs. 46 %, p = 0.049). ECC is effective in pregnancy prolongation when judiciously used in combination with progesterone compared to progesterone alone.

  4. 46 CFR 133.140 - Stowage of rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Stowage of rescue boats. 133.140 Section 133.140... SYSTEMS Requirements for All OSVs § 133.140 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each rescue boat...

  5. 46 CFR 133.140 - Stowage of rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Stowage of rescue boats. 133.140 Section 133.140... SYSTEMS Requirements for All OSVs § 133.140 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each rescue boat...

  6. 46 CFR 133.140 - Stowage of rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Stowage of rescue boats. 133.140 Section 133.140... SYSTEMS Requirements for All OSVs § 133.140 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each rescue boat...

  7. 46 CFR 133.140 - Stowage of rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Stowage of rescue boats. 133.140 Section 133.140... SYSTEMS Requirements for All OSVs § 133.140 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each rescue boat...

  8. 46 CFR 133.140 - Stowage of rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Stowage of rescue boats. 133.140 Section 133.140... SYSTEMS Requirements for All OSVs § 133.140 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each rescue boat...

  9. Integrating data rescue into the classroom

    NASA Astrophysics Data System (ADS)

    Ryan, Ciara; Ciaran, Broderick; Mary, Curley; Conor, Daly; Catriona, Duffy; Thorne, Peter; Treanor, Mairead; Walsh, Seamus; Murphy, Conor

    2017-04-01

    The availability of long-term observational data at fine time scales (e.g. daily or sub-daily) is paramount to examining changes in the magnitude, duration, intensity, and frequency of extreme events and to assess whether or not the likelihood of recent events has changed throughout the historical record. The capacity to extend current observational data holdings is, however, largely dependent on the resources available to carry out the digitisation and transcription process. This paper presents an ambitious research led teaching experiment in which undergraduate students engaged in a substantial data rescue effort to transcribe over 1 million daily rainfall values and associated metadata across Ireland for the period 1860-1939. The aim of the project was first, to motivate students by engaging them in a practical exercise whereby their contribution has considerable value to research, second, to expose students to the basic processes involved in climate data rescue, and third, to examine the potential for students to produce accurate and reliable observational data. Students were provided with digital images of annual rainfall sheets recovered from the national archives together with templates used by Met Éireann in transcribing the data. Using video and text supports, together with an online discussion forum for additional support, students double keyed more than 1400 station years of rainfall data. The assessment process was linked to creating a correct data series whereby differences in double keyed sheets were identified and a master (correct) series created by teaching staff. Three hundred station years of data previously transcribed by Met Éireann was used as a benchmark against which students showed that they were as accurate as the professionals in the process. The success of the students makes a major contribution to understanding the historic climate variability of Ireland, a sentinel location on the western margins of Europe. Given the large volumes of

  10. Fire Service Training. Rescue Practices. (Revised).

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Community Colleges, Raleigh.

    One of a set of fourteen instructional outlines for use in a course to train novice firemen, this guide covers the topic of rescue operations. Two types of rescue functions are recognized: the primary one consists of locating and saving trapped victims, and the secondary one of recovering bodies and making the area safe for other workers and…

  11. Rescue coronary stenting in acute myocardial infarction

    NASA Astrophysics Data System (ADS)

    Barbieri, Enrico; Meneghetti, Paolo; Molinari, Gionata; Zardini, Piero

    1996-01-01

    Failed rescue coronary angioplasty is a high risk situation because of high mortality. Coronary stent has given us the chance of improving and maintaining the patency of the artery. We report our preliminary experience of rescue stenting after unsuccessful coronary angioplasty.

  12. Teaching Holocaust Rescue: A Problematic Pedagogy

    ERIC Educational Resources Information Center

    Lindquist, David H.

    2008-01-01

    Determining how to teach about rescue during the Holocaust presents many dilemmas to teachers as they plan Holocaust curricula. Rescue is often overemphasized, and faulty perspectives about rescuers and their actions may cause students to develop distorted views about this aspect of Holocaust history. This article explores several factors that…

  13. Satellite search and rescue analysis

    NASA Astrophysics Data System (ADS)

    Bailey, J. T.

    The success of rescue operations in the case of the survivors of aircraft crashes depends crucially on the rapid detection of the aircraft location. Similar considerations apply in the case of marine distress. For this reason, the U.S. is currently participating in a program called Cospas/Sarsat, an international cooperative humanitarian effort designed to assist in saving the lives of aviators and mariners in distress. The other original participants in the program include France, Canada, and the Soviet Union. The program began as an experiment with the launch of the first spacecraft, Cospas I, in June 1982. The Cospas/Sarsat partners are engaged in work concerning a second experiment, involving a new generation distress beacon operating on a frequency of 406 MHz. Details regarding the Cospas/Sarsat constellation are discussed, and attention is given to the immediate and the long-term outlook.

  14. Fire Department Emergency Response

    SciTech Connect

    Blanchard, A.; Bell, K.; Kelly, J.; Hudson, J.

    1997-09-01

    In 1995 the SRS Fire Department published the initial Operations Basis Document (OBD). This document was one of the first of its kind in the DOE complex and was widely distributed and reviewed. This plan described a multi-mission Fire Department which provided fire, emergency medical, hazardous material spill, and technical rescue services.

  15. Emergency Medical Treatment for the "Wilderness" Context.

    ERIC Educational Resources Information Center

    National Association for Search and Rescue, Fairfax, VA.

    This paper offers a brief outline of the training curriculum developed by the National Association for Search and Rescue (NASAR) for its Wilderness Medicine Programs. The training modules are designed for wilderness search and rescue units, rural emergency medical services (EMS) squads, military medics, backcountry rangers, epedition leaders,…

  16. Emergency Medical Treatment for the "Wilderness" Context.

    ERIC Educational Resources Information Center

    National Association for Search and Rescue, Fairfax, VA.

    This paper offers a brief outline of the training curriculum developed by the National Association for Search and Rescue (NASAR) for its Wilderness Medicine Programs. The training modules are designed for wilderness search and rescue units, rural emergency medical services (EMS) squads, military medics, backcountry rangers, epedition leaders,…

  17. 46 CFR 160.156-13 - Approval inspections and tests for prototype rescue boats and fast rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... boats and fast rescue boats. 160.156-13 Section 160.156-13 Shipping COAST GUARD, DEPARTMENT OF HOMELAND... EQUIPMENT Rescue Boats and Fast Rescue Boats (SOLAS) § 160.156-13 Approval inspections and tests for prototype rescue boats and fast rescue boats. (a) After the Commandant notifies the manufacturer that the...

  18. Lunar mission safety and rescue: Technical summary

    NASA Technical Reports Server (NTRS)

    1971-01-01

    A technical summary is presented of the escape/rescue and the hazards analyses for manned missions and operations in the 1980 time frame. Hazards are interpreted as hazards to man, not to equipment, program schedule, or program objectives. Hazards in 39 individual areas are analyzed, and corrective measures are recommended. Over 200 safety guidelines are proposed, based on significant hazards. Escape and rescue situtations and requirements are identified and analyzed, and escape/survival/rescue concepts are defined to cope with each escape/rescue situation. Areas in which research or technical development efforts could improve mission safety are identified. It is concluded that the primary emphasis should be on survival and escape provisions, with rescue required only where self-help cannot bring the endangered crewmen to a safe haven.

  19. KENNEDY SPACE CENTER, FLA. - A rescue team carries an “injured” astronaut toward the helicopter for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - A rescue team carries an “injured” astronaut toward the helicopter for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  20. [Injuries caused by acids and bases - emergency treatment].

    PubMed

    Reifferscheid, Florian; Stuhr, Markus; Kaiser, Guido; Freudenberg, Matthias; Kerner, Thoralf

    2014-06-01

    Emergency medical care for injuries caused by acids and bases is challenging for rescue services. They have to deal with operational safety, detection of the toxic agent, emergency medical care of the patient and handling of the rescue mission. Because of the rareness of such situations experience and routine are largely missing. This article highlights some basic points for the therapy and provides support for such rescue missions. © Georg Thieme Verlag Stuttgart · New York.

  1. Hubble Space Telescope Crew Rescue Analysis

    NASA Technical Reports Server (NTRS)

    Hamlin, Teri L.; Canga, Michael; Boyer, Roger; Thigpen, Eric

    2009-01-01

    In the aftermath of the 2003 Columbia accident NASA removed the Hubble Space Telescope (HST) Servicing Mission 4 (SM4) from the Space Shuttle manifest. Reasons cited included concerns that the risk of flying the mission would be too high. There was at the time no viable technique to repair the orbiter s thermal protection system if it were to be damaged by debris during ascent. Furthermore in the event of damage, since the mission was not to the International Space Station, there was no safe haven for the crew to wait for an extended period of time for a rescue. The HST servicing mission was reconsidered because of improvements in the ascent debris environment, the development of techniques for the astronauts to perform on orbit repairs to damage thermal protection, and the development of a strategy to provide a crew rescue capability. However, leading up to the launch of servicing mission, the HST crew rescue capability was a recurring topic. For HST there was a limited amount of time available to perform a crew rescue because of the limited consumables available on the Orbiter. The success of crew rescue depends upon several factors including when a problem is identified, when and to what extent power down procedures are begun, and where the rescue vehicle is in its ground processing cycle. Severe power downs maximize crew rescue success but would eliminate the option for the orbiter servicing the HST to attempt a landing. Therefore, crew rescue success needed to be weighed against preserving the ability of the orbiter to have landing option in case there was a problem with the rescue vehicle. This paper focuses on quantification of the HST mission loss of crew rescue capability using Shuttle historical data and various power down capabilities. That work supported NASA s decision to proceed with the HST service mission, which was successfully completed on May 24th 2009.

  2. Search and rescue in Alaska's national parks.

    PubMed

    Heggie, Travis W

    2008-11-01

    Recreational travel to wilderness destinations such as national parks is increasing. The inherent risks present in such destinations can result in injury and illness, have a significant impact on local medical resources, and end with expensive search and rescue operations. In order to increase our understanding of the activities and situations which lead to wilderness search and rescue incidents, this study examines search and rescue operations from National Park Service units in Alaska. A retrospective review of all search and rescue incident reports filed by National Park Service units in Alaska during 2002. During 2002 there were 25 reported search and rescue incidents involving 38 individuals. The majority of incidents (19 of 25) occurred at Denali National Park and Preserve. Thirteen fatalities were reported in six incidents, nine incidents involved traumatic injuries, eight involved illnesses, and two involved both injuries and an illness. Mountain climbing (20) and hiking (8) were the most common subject activities at the time search and rescue assistance was required. Climbing solo (4), uneven and wet terrain (4), falls into crevasses (3), and a lack of experience or ability (3) were the factors most commonly contributing to search and rescue incidents. Nineteen helicopters were utilized in 15 operations and fixed-wing aircraft were utilized in seven operations. Males accounted for 33 of the 38 individuals involved in all search and rescue incidents and United States citizens accounted for 74% of the individuals involved. The mountain environment higher than 4500m was the most common search and rescue environment (11). The average cost was USD $6253. Search and rescue operations in Alaska can be expensive and end with severe health consequences. Preventive education efforts at park visitor centers and at the lower and upper base camps on Mt. McKinley should be continued. In addition, pre-departure travel education efforts via the internet should be expanded

  3. Helicopter emergency medical service in mountainous areas.

    PubMed

    Tomazin, Iztok

    2009-01-01

    The outcome of patient care can be dramatically improved by bringing rapid rescue-medical treatment to the scene and by rapid transport to a medical facility. In mountainous areas this is usually possible only with the use of helicopters. ICAR MEDCOM suggests international standards for competent and safe response to medical problems in mountainous and wilderness areas. Rescue helicopters should work within the existing emergency medical system with appropriate mountain rescue and medically-trained personnel and with medical and rescue equipment on board. Safety is most important issue in mountain rescue. Activation and approach time should be as short as possible. All persons responsible for activation and realization of a helicopter rescue operation should be aware of all specific problems in the mountains and wilderness.

  4. GIS plays key role in NYC Rescue and Relief Operation

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    New York City, Sept. 17—The posters of missing loved ones are pasted onto New York City walls and street signs six days after 2 hijacked commercial airlines destroyed the World Trade Center in lower Manhattan on September 11. Several miles uptown from “ground zero,” heightened security hovers around the city's Office of Emergency Management rescue and relief command center, an around-the-clock operation. Police, firefighters, military, officials with the Federal Emergency Management Agency, communications technicians, and a beehive of others work in controlled chaos in this cavernous, convention center-sized hall, lined with computers and adorned with several American flags.After the original command center at 7 World Trade Center collapsed to rubble as an after-effect of the plane strikes, city officials scrambled to recreate it. Alan Leidner, director of New York's citywide geographic information systems (GIS), and who is with the Department of Information Technology and Telecommunications, knew that maps would be an integral component of the rescue and relief efforts. Maps provide emergency workers and others with accurate and detailed scientific data in the form of visual aids upon which they can make informed decisions.

  5. 30 CFR 49.19 - Mine emergency notification plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Mine emergency notification plan. 49.19 Section 49.19 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.19 Mine emergency notification...

  6. 30 CFR 49.19 - Mine emergency notification plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Mine emergency notification plan. 49.19 Section 49.19 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.19 Mine emergency notification...

  7. 30 CFR 49.19 - Mine emergency notification plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Mine emergency notification plan. 49.19 Section 49.19 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.19 Mine emergency notification...

  8. 30 CFR 49.9 - Mine emergency notification plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Mine emergency notification plan. 49.9 Section 49.9 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Metal and Nonmetal Mines § 49.9 Mine emergency...

  9. 30 CFR 49.19 - Mine emergency notification plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Mine emergency notification plan. 49.19 Section 49.19 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.19 Mine emergency notification...

  10. 30 CFR 49.9 - Mine emergency notification plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Mine emergency notification plan. 49.9 Section 49.9 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Metal and Nonmetal Mines § 49.9 Mine emergency...

  11. 30 CFR 49.9 - Mine emergency notification plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Mine emergency notification plan. 49.9 Section 49.9 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Metal and Nonmetal Mines § 49.9 Mine emergency...

  12. 30 CFR 49.19 - Mine emergency notification plan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Mine emergency notification plan. 49.19 Section 49.19 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.19 Mine emergency...

  13. Triage, damned triage… and statistics: Sorting out redundancy and duplication within an Emergency Department Presenting Problem Code Set to enhance research capacity.

    PubMed

    Berendsen Russell, Saartje; Dinh, Michael M; Bell, Nerida

    2017-02-01

    Having a robust Emergency Department Presenting Problem Code Set (EDPPCS) is important for collecting and analysing data around Emergency Department (ED) activity, funding, bio-surveillance and research. This paper analyses the clinical utilisation of the current EDPPCS using two years worth of ED data collected as part of the larger state-wide Demand for Emergency Services Trends in Years 2010-2014 (DESTINY) project. This project proposes potential improvements in the current EDPPCS including a reduction in duplication and redundant clinical terms. ED presenting problem fields were abstracted from the Emergency Department Data Collection (EDCC) Registry as entered by trained triage nurses. Frequencies of presenting problems were calculated and cross referenced with the EDPPCS. These were then categorised into clinically meaningful groups. There were 1,746,635million eligible ED presentations during January 2013 and December 2014 to 23 level 5 or 6 EDs. Of these, there were 64,849 unique presenting problem entries with 450 terms being used more than 100 times during the study period. Of those 450 terms, only 177 (39.3%) matched the current EDPPCS. Future iterations of the EDPPCS should be based on the evidence presented making it shorter, more comprehensive and systematic leading to improved triage performance, usefulness in research and bio-surveillance. Copyright © 2016 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.

  14. Crash Rescue and Fire Fighting Concepts for Expeditionary Airfields

    DTIC Science & Technology

    1974-12-01

    considered: 1. Emergency call 2. Helicopter take off 3. Fire fighting A. Safe rescue path opened The time between events 1 and 2 depends on the flight ...enough so that time gain is vital. Data show that even at the minimum time response , such fire- fighting effort can be quite futile, i.e., the life-saving...was discontinued In the Air Force in 1972. From the standpoint of time response , the use of any airlift units for ground crash fire fighting is

  15. Power sources for search and rescue 406 MHz beacons

    NASA Technical Reports Server (NTRS)

    Attia, Alan I.; Perrone, David E.

    1987-01-01

    The results of a study directed at the selection of a commercially available, safe, low cost, light weight and long storage life battery for search and rescue (Sarsat) 406 MHz emergency beacons are presented. In the course of this work, five electrochemical systems (lithium-manganese dioxide, lithium-carbon monofluoride, lithium-silver vanadium oxide, alkaline cells, and cadmium-mercuric oxide) were selected for limited experimental studies to determine their suitability for this application. Two safe, commercially available batteries (lithium-manganese dioxide and lithium-carbon monofluoride) which meet the near term requirements and several alternatives for the long term were identified.

  16. Power sources for search and rescue 406 MHz beacons

    NASA Technical Reports Server (NTRS)

    Attia, Alan I.; Perrone, David E.

    1987-01-01

    The results of a study directed at the selection of a commercially available, safe, low cost, light weight and long storage life battery for search and rescue (Sarsat) 406 MHz emergency beacons are presented. In the course of this work, five electrochemical systems (lithium-manganese dioxide, lithium-carbon monofluoride, lithium-silver vanadium oxide, alkaline cells, and cadmium-mercuric oxide) were selected for limited experimental studies to determine their suitability for this application. Two safe, commercially available batteries (lithium-manganese dioxide and lithium-carbon monofluoride) which meet the near term requirements and several alternatives for the long term were identified.

  17. Air Cushion Crash Rescue Vehicle (ACCRV)

    DTIC Science & Technology

    1987-10-01

    x 13.3 x 5.7 Battery Incl. Monitors 1 DC Defibril- 11.90 3.8 x 13.3 x 9.2 Battery Inc\\. lator 106 -) 0) ho cd o +-> w c cd 3...reverse if necessary and identify by block number) Current USAF crash rescue vehicles have been designed to operate on the roads, ramps, taxiways...Cushion Crash Rescue Vehicle (ACCRV) has been designed by integrating a retractable air cushion system with a crash rescue vehicle. This report

  18. DNA damage emergency: cellular garbage disposal to the rescue?

    PubMed

    Stone, H R; Morris, J R

    2014-02-13

    The proteasome is a cellular machine found in the cytosol, nucleus and on chromatin that performs much of the proteolysis in eukaryotic cells. Recent reports show it is enriched at sites of double-stranded DNA breaks (DSBs) in mammalian cells. What is it doing there? This review will address three possibilities suggested by recent reports: in degrading proteins after their ubiquitination at and eviction from chromatin; as a deubiquitinase, specific to the antagonism of ubiquitin conjugates generated as part of the signalling of a DSB; and as a functional component of DNA repair mechanism itself. These findings add complexity to the proteasome as a potential therapeutic target in cancer treatment.

  19. The probability of evolutionary rescue: towards a quantitative comparison between theory and evolution experiments

    PubMed Central

    Martin, Guillaume; Aguilée, Robin; Ramsayer, Johan; Kaltz, Oliver; Ronce, Ophélie

    2013-01-01

    Evolutionary rescue occurs when a population genetically adapts to a new stressful environment that would otherwise cause its extinction. Forecasting the probability of persistence under stress, including emergence of drug resistance as a special case of interest, requires experimentally validated quantitative predictions. Here, we propose general analytical predictions, based on diffusion approximations, for the probability of evolutionary rescue. We assume a narrow genetic basis for adaptation to stress, as is often the case for drug resistance. First, we extend the rescue model of Orr & Unckless (Am. Nat. 2008 172, 160–169) to a broader demographic and genetic context, allowing the model to apply to empirical systems with variation among mutation effects on demography, overlapping generations and bottlenecks, all common features of microbial populations. Second, we confront our predictions of rescue probability with two datasets from experiments with Saccharomyces cerevisiae (yeast) and Pseudomonas fluorescens (bacterium). The tests show the qualitative agreement between the model and observed patterns, and illustrate how biologically relevant quantities, such as the per capita rate of rescue, can be estimated from fits of empirical data. Finally, we use the results of the model to suggest further, more quantitative, tests of evolutionary rescue theory. PMID:23209169

  20. The probability of evolutionary rescue: towards a quantitative comparison between theory and evolution experiments.

    PubMed

    Martin, Guillaume; Aguilée, Robin; Ramsayer, Johan; Kaltz, Oliver; Ronce, Ophélie

    2013-01-19

    Evolutionary rescue occurs when a population genetically adapts to a new stressful environment that would otherwise cause its extinction. Forecasting the probability of persistence under stress, including emergence of drug resistance as a special case of interest, requires experimentally validated quantitative predictions. Here, we propose general analytical predictions, based on diffusion approximations, for the probability of evolutionary rescue. We assume a narrow genetic basis for adaptation to stress, as is often the case for drug resistance. First, we extend the rescue model of Orr & Unckless (Am. Nat. 2008 172, 160-169) to a broader demographic and genetic context, allowing the model to apply to empirical systems with variation among mutation effects on demography, overlapping generations and bottlenecks, all common features of microbial populations. Second, we confront our predictions of rescue probability with two datasets from experiments with Saccharomyces cerevisiae (yeast) and Pseudomonas fluorescens (bacterium). The tests show the qualitative agreement between the model and observed patterns, and illustrate how biologically relevant quantities, such as the per capita rate of rescue, can be estimated from fits of empirical data. Finally, we use the results of the model to suggest further, more quantitative, tests of evolutionary rescue theory.

  1. Physics Involved in Air Search and Rescue.

    ERIC Educational Resources Information Center

    Egler, Robert A.

    1994-01-01

    Describes how a simple radio homing device can be used to allow students to participate in a search and rescue mission similar to that which the Civil Air Patrol engages in when locating planes that have crashed. (ZWH)

  2. Physics Involved in Air Search and Rescue.

    ERIC Educational Resources Information Center

    Egler, Robert A.

    1994-01-01

    Describes how a simple radio homing device can be used to allow students to participate in a search and rescue mission similar to that which the Civil Air Patrol engages in when locating planes that have crashed. (ZWH)

  3. Drowning rescue on ice, board assist (image)

    MedlinePlus

    Drowning may occur wherever there is water, whether it is only a few inches in the bottom of the tub or thousands of feet in the ocean. People should be aware of life-saving techniques from rescue to resuscitation.

  4. Self-repair promotes microtubule rescue

    PubMed Central

    Gaillard, Jérémie; John, Karin; Blanchoin, Laurent; Théry, Manuel

    2016-01-01

    Summary The dynamic instability of microtubules is characterised by slow growth phases stochastically interrupted by rapid depolymerisations called catastrophes. Rescue events can arrest the depolymerisation and restore microtubule elongation. However the origin of these rescue events remain unexplained. Here we show that microtubule lattice self-repair, in structurally damaged sites, is responsible for the rescue of microtubule growth. Tubulin photo-conversion in cells revealed that free tubulin dimers can incorporate along the shafts of microtubules, especially in regions where microtubules cross each other, form bundles or become bent due to mechanical constraints. These incorporation sites appeared to act as effective rescue sites ensuring microtubule rejuvenation. By securing damaged microtubule growth, the self-repair process supports a mechanosensitive growth by specifically promoting microtubule assembly in regions where they are subjected to physical constraints. PMID:27617929

  5. Resolving Ethical Dilemmas in Suicide Prevention: The Case of Telephone Helpline Rescue Policies

    ERIC Educational Resources Information Center

    Mishara, Brian L.; Weisstub, David N.

    2010-01-01

    The ethical basis of suicide prevention is illustrated by contrasting helpline emergency rescue policies of the Samaritans and the AAS and the U.S. National Suicide Prevention Lifeline network. We contrast moralist, relativist, and libertarian ethical premises and question whether suicide can be rational. Samaritans respect a caller's right to…

  6. 33 CFR 150.508 - What are the maintenance and repair requirements for inflatable rescue boats?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false What are the maintenance and repair requirements for inflatable rescue boats? 150.508 Section 150.508 Navigation and Navigable Waters... Emergency and Specialty Equipment Inflatable Lifesaving Appliances § 150.508 What are the maintenance...

  7. 33 CFR 150.508 - What are the maintenance and repair requirements for inflatable rescue boats?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false What are the maintenance and repair requirements for inflatable rescue boats? 150.508 Section 150.508 Navigation and Navigable Waters... Emergency and Specialty Equipment Inflatable Lifesaving Appliances § 150.508 What are the maintenance...

  8. 33 CFR 150.508 - What are the maintenance and repair requirements for inflatable rescue boats?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false What are the maintenance and repair requirements for inflatable rescue boats? 150.508 Section 150.508 Navigation and Navigable Waters... Emergency and Specialty Equipment Inflatable Lifesaving Appliances § 150.508 What are the maintenance...

  9. 33 CFR 150.508 - What are the maintenance and repair requirements for inflatable rescue boats?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false What are the maintenance and repair requirements for inflatable rescue boats? 150.508 Section 150.508 Navigation and Navigable Waters... Emergency and Specialty Equipment Inflatable Lifesaving Appliances § 150.508 What are the maintenance...

  10. 33 CFR 150.508 - What are the maintenance and repair requirements for inflatable rescue boats?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false What are the maintenance and repair requirements for inflatable rescue boats? 150.508 Section 150.508 Navigation and Navigable Waters... Emergency and Specialty Equipment Inflatable Lifesaving Appliances § 150.508 What are the maintenance...

  11. 14 CFR 139.319 - Aircraft rescue and firefighting: Operational requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... personnel safety. (iv) Emergency communications systems on the airport, including fire alarms. (v) Use of... in operation or there is no air traffic control tower, and (4) Fire stations, as specified in the... from the time of the alarm, at least one required aircraft rescue and firefighting vehicle must reach...

  12. 14 CFR 139.319 - Aircraft rescue and firefighting: Operational requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... personnel safety. (iv) Emergency communications systems on the airport, including fire alarms. (v) Use of... in operation or there is no air traffic control tower, and (4) Fire stations, as specified in the... from the time of the alarm, at least one required aircraft rescue and firefighting vehicle must reach...

  13. 14 CFR 139.319 - Aircraft rescue and firefighting: Operational requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... personnel safety. (iv) Emergency communications systems on the airport, including fire alarms. (v) Use of... in operation or there is no air traffic control tower, and (4) Fire stations, as specified in the... from the time of the alarm, at least one required aircraft rescue and firefighting vehicle must reach...

  14. 14 CFR 139.319 - Aircraft rescue and firefighting: Operational requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... personnel safety. (iv) Emergency communications systems on the airport, including fire alarms. (v) Use of... in operation or there is no air traffic control tower, and (4) Fire stations, as specified in the... from the time of the alarm, at least one required aircraft rescue and firefighting vehicle must reach...

  15. 46 CFR 111.75-16 - Lighting of survival craft and rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Lighting of survival craft and rescue boats. 111.75-16... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Lighting Circuits and Protection § 111.75-16 Lighting of survival... be adequately illuminated by lighting supplied from the emergency power source. (b) The...

  16. 46 CFR 111.75-16 - Lighting of survival craft and rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Lighting of survival craft and rescue boats. 111.75-16... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Lighting Circuits and Protection § 111.75-16 Lighting of survival... be adequately illuminated by lighting supplied from the emergency power source. (b) The...

  17. 46 CFR 111.75-16 - Lighting of survival craft and rescue boats.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Lighting of survival craft and rescue boats. 111.75-16... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Lighting Circuits and Protection § 111.75-16 Lighting of survival... be adequately illuminated by lighting supplied from the emergency power source. (b) The...

  18. 46 CFR 111.75-16 - Lighting of survival craft and rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Lighting of survival craft and rescue boats. 111.75-16... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Lighting Circuits and Protection § 111.75-16 Lighting of survival... be adequately illuminated by lighting supplied from the emergency power source. (b) The...

  19. 46 CFR 111.75-16 - Lighting of survival craft and rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Lighting of survival craft and rescue boats. 111.75-16... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Lighting Circuits and Protection § 111.75-16 Lighting of survival... be adequately illuminated by lighting supplied from the emergency power source. (b) The...

  20. Emergency cerclage: literature review.

    PubMed

    Namouz, Shirin; Porat, Shay; Okun, Nan; Windrim, Rory; Farine, Dan

    2013-05-01

    This article reviews the use and effectiveness of emergency cerclage for women who present with a dilated cervix in the second trimester of pregnancy and seeks to identify predictors of favorable emergency cerclage outcomes. We searched PubMed and the Cochrane Library for the period January 1995 to April 2012 and used the terms "emergency cerclage," "emergency stitch," "rescue cerclage," and "rescue stitch." Thirty-four studies in which transvaginal emergency cervical cerclage was performed in women with a dilated cervix were identified and included. Predictors of poor outcome were prolapsed membranes, evidence of intra-amniotic or systemic infection, symptomatic presentation, cervical dilatation greater than 3 cm, or cerclage after 22 weeks. According to observational and limited randomized controlled trials, the cerclage group did significantly better than the bed-rest group in mean randomization-to-delivery interval, preterm delivery before 34 weeks, and compound neonatal morbidity. The current data suggest that emergency cerclage is associated with a longer latency period and, most often, with better pregnancy outcomes when compared with bed rest. Many of the predictors of adverse outcomes appear to be associated with evidence of inflammation or infection. Obstetricians and gynecologists, family physicians After completing this CME activity, physicians should be better able to review the use and evaluate the effectiveness of emergency cerclage for women who present with a dilated cervix in the second trimester, to identify predictors of favorable emergency cerclage outcomes, and to compare emergency cerclage versus bed rest.

  1. Where there is no anesthetist--increasing capacity for emergency obstetric care in rural India: an evaluation of a pilot program to train general doctors.

    PubMed

    Mavalankar, Dileep; Callahan, Katie; Sriram, Veena; Singh, Prabal; Desai, Ajesh

    2009-12-01

    The lack of anesthesia providers in rural public sector hospitals is a significant barrier to providing emergency obstetric care. In 2006, the state of Gujarat initiated the Life Saving Anesthetic Skills (LSAS) for Emergency Obstetric Care (EmOC) training program for medical offers (MOs). We evaluated the trained MOs' experience of the program, and identified factors leading to post-training performance. The sample was chosen to equally represent performing and nonperforming LSAS-trained MOs using purposive sampling qualitative interviews with trainees across Gujarat (n=14). Data on facility preparedness and monthly case load were also collected. Being posted with a specialist anesthesiologist and with a cooperative EmOC provider increased the likelihood that the MOs would provide anesthesia. MOs who did not provide anesthesia were more likely to have been posted with a nonperforming or uncooperative EmOC provider and were more likely to have low confidence in their ability to provide anesthesia. Facilities were found to be under prepared to tackle emergency obstetric procedures. Program managers should consider extending the duration of the program and placing more emphasis on practical training. Posting doctors with cooperative and performing EmOC providers will significantly improve the effectiveness of the program. A separate team of program managers who plan, monitor, and solve the problems reported by the trained MOs would further enhance the success of scaling up the training program.

  2. Hubble Space Telescope Crew Rescue Analysis

    NASA Technical Reports Server (NTRS)

    Hamlin, Teri L.; Canga, Michael A.; Cates, Grant R.

    2010-01-01

    In the aftermath of the 2003 Columbia accident, NASA removed the Hubble Space Telescope (HST) Servicing Mission 4 (SM4) from the Space Shuttle manifest. Reasons cited included concerns that the risk of flying the mission would be too high. The HST SM4 was subsequently reinstated and flown as Space Transportation System (STS)-125 because of improvements in the ascent debris environment, the development of techniques for astronauts to perform on orbit repairs to damaged thermal protection, and the development of a strategy to provide a viable crew rescue capability. However, leading up to the launch of STS-125, the viability of the HST crew rescue capability was a recurring topic. For STS-125, there was a limited amount of time available to perform a crew rescue due to limited consumables (power, oxygen, etc.) available on the Orbiter. The success of crew rescue depended upon several factors, including when a problem was identified; when and what actions, such as powering down, were begun to conserve consumables; and where the Launch on Need (LON) vehicle was in its ground processing cycle. Crew rescue success also needed to be weighed against preserving the Orbiter s ability to have a landing option in case there was a problem with the LON vehicle. This paper focuses on quantifying the HST mission loss of crew rescue capability using Shuttle historical data and various power down strategies. Results from this effort supported NASA s decision to proceed with STS-125, which was successfully completed on May 24th 2009.

  3. 30 CFR 49.18 - Training for mine rescue teams.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Training for mine rescue teams. 49.18 Section 49.18 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.18 Training for mine rescue...

  4. 30 CFR 49.18 - Training for mine rescue teams.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Training for mine rescue teams. 49.18 Section 49.18 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.18 Training for mine rescue...

  5. 30 CFR 49.15 - Mine rescue station.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Mine rescue station. 49.15 Section 49.15 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.15 Mine rescue station. (a) Every operator...

  6. 30 CFR 49.5 - Mine rescue station.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Mine rescue station. 49.5 Section 49.5 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Metal and Nonmetal Mines § 49.5 Mine rescue station. (a) Except...

  7. 30 CFR 49.15 - Mine rescue station.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Mine rescue station. 49.15 Section 49.15 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.15 Mine rescue station. (a) Every operator...

  8. 30 CFR 49.5 - Mine rescue station.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Mine rescue station. 49.5 Section 49.5 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Metal and Nonmetal Mines § 49.5 Mine rescue station. (a) Except...

  9. 30 CFR 49.15 - Mine rescue station.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Mine rescue station. 49.15 Section 49.15 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.15 Mine rescue station. (a) Every operator...

  10. 30 CFR 49.18 - Training for mine rescue teams.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Training for mine rescue teams. 49.18 Section 49.18 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.18 Training for mine rescue...

  11. 30 CFR 49.5 - Mine rescue station.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Mine rescue station. 49.5 Section 49.5 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Metal and Nonmetal Mines § 49.5 Mine rescue station. (a) Except...

  12. 30 CFR 49.18 - Training for mine rescue teams.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Training for mine rescue teams. 49.18 Section 49.18 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.18 Training for mine rescue...

  13. 30 CFR 49.15 - Mine rescue station.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Mine rescue station. 49.15 Section 49.15 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.15 Mine rescue station. (a) Every...

  14. 30 CFR 49.15 - Mine rescue station.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Mine rescue station. 49.15 Section 49.15 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING MINE RESCUE TEAMS Mine Rescue Teams for Underground Coal Mines § 49.15 Mine rescue station. (a) Every...

  15. 46 CFR 108.565 - Stowage of rescue boats.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Stowage of rescue boats. 108.565 Section 108.565... AND EQUIPMENT Lifesaving Equipment § 108.565 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each...

  16. 46 CFR 108.565 - Stowage of rescue boats.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Stowage of rescue boats. 108.565 Section 108.565... AND EQUIPMENT Lifesaving Equipment § 108.565 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each...

  17. 46 CFR 108.565 - Stowage of rescue boats.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Stowage of rescue boats. 108.565 Section 108.565... AND EQUIPMENT Lifesaving Equipment § 108.565 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each...

  18. 46 CFR 108.565 - Stowage of rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Stowage of rescue boats. 108.565 Section 108.565... AND EQUIPMENT Lifesaving Equipment § 108.565 Stowage of rescue boats. (a) Rescue boats must be stowed as follows: (1) Each rescue boat must be ready for launching in not more than 5 minutes. (2) Each...

  19. 30 CFR 49.2 - Availability of mine rescue teams.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... mine served by a mine rescue team shall be located more than two hours ground travel time from the mine... underground mine shall: (1) Establish at least two mine rescue teams which are available at all times when... least two mine rescue teams are available at all times when miners are underground. (b) Each mine rescue...

  20. 30 CFR 49.12 - Availability of mine rescue teams.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... ground travel time from the mine rescue station with which the rescue team is associated. (g) As used in... all times when miners are underground; or (2) Enter into an arrangement for mine rescue services which assures that at least two mine rescue teams are available at all times when miners are underground. (b...

  1. 30 CFR 49.12 - Availability of mine rescue teams.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... ground travel time from the mine rescue station with which the rescue team is associated. (g) As used in... all times when miners are underground; or (2) Enter into an arrangement for mine rescue services which assures that at least two mine rescue teams are available at all times when miners are underground. (b...

  2. 30 CFR 49.12 - Availability of mine rescue teams.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ground travel time from the mine rescue station with which the rescue team is associated. (g) As used in... all times when miners are underground; or (2) Enter into an arrangement for mine rescue services which assures that at least two mine rescue teams are available at all times when miners are underground. (b...

  3. 30 CFR 49.2 - Availability of mine rescue teams.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... than two hours ground travel time from the mine rescue station with which the rescue team is associated... teams which are available at all times when miners are underground; or (2) Enter into an arrangement for mine rescue services which assures that at least two mine rescue teams are available at all times when...

  4. 30 CFR 49.2 - Availability of mine rescue teams.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... mine served by a mine rescue team shall be located more than two hours ground travel time from the mine... underground mine shall: (1) Establish at least two mine rescue teams which are available at all times when... least two mine rescue teams are available at all times when miners are underground. (b) Each mine rescue...

  5. 30 CFR 49.12 - Availability of mine rescue teams.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... ground travel time from the mine rescue station with which the rescue team is associated. (g) As used in... all times when miners are underground; or (2) Enter into an arrangement for mine rescue services which assures that at least two mine rescue teams are available at all times when miners are underground. (b...

  6. 30 CFR 49.2 - Availability of mine rescue teams.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... mine served by a mine rescue team shall be located more than two hours ground travel time from the mine... underground mine shall: (1) Establish at least two mine rescue teams which are available at all times when... least two mine rescue teams are available at all times when miners are underground. (b) Each mine rescue...

  7. 49 CFR 238.114 - Rescue access windows.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Rescue access windows. 238.114 Section 238.114... § 238.114 Rescue access windows. (a) Number and location. Except as provided in paragraph (a)(1)(ii) of... rescue access windows. At least one rescue access window shall be located in each side of the car...

  8. FEMA Urban Search and Rescue Teams: Considering an Improved Strategy for an Evolving Homeland Security Enterprise

    DTIC Science & Technology

    2012-09-01

    Alfred L. Poirier Captain II, Los Angeles Fire Department Emergency Services Management (B.S.), Union Institute & University, 2010 Submitted in...coached me in this journey. Jim Featherstone, the General Manager of the Los Angeles Emergency Management Department; Assistant Chief Pat Butler of...development of the national urban search and rescue response system in United States was the Loma Prieta earthquake in Northern California in October of

  9. A Future of Satellite-Aided Search and Rescue

    NASA Technical Reports Server (NTRS)

    Wallace, Ronald

    1998-01-01

    Satellite technology has been an integral part of maritime search and rescue since the Cospas-Sarsat system began operation in 1984. This system, credited with more than eighty-six hundred lives saved, has recently been augmented to provide immediate response through geostationary satellites. The other satellite-based distress alerting system, INMARSAT, launched its emergency Standard C service in 1991 and Standard E in 1997. Current plans call for a continuation of service from both of these vital systems at least through the first decade of the next century. We are currently witnessing the construction of a number of new satellite systems that will have the potential for revolutionizing mobile communications. These systems will be capable of emergency communication, and must be given due consideration in any look at the future, This paper reviews existing systems using satellites for distress alerting, describes the plans in place for them, and discusses likely developments.

  10. KENNEDY SPACE CENTER, FLA. - A helicopter approaches an orbiter crew compartment mock-up as part of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - A helicopter approaches an orbiter crew compartment mock-up as part of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  11. KENNEDY SPACE CENTER, FLA. - In a “Mode VII” emergency landing simulation at Kennedy Space Center, a helicopter crew helps “rescued” astronauts. The purpose of Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - In a “Mode VII” emergency landing simulation at Kennedy Space Center, a helicopter crew helps “rescued” astronauts. The purpose of Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  12. KENNEDY SPACE CENTER, FLA. - In the Launch Control Center, officials monitor the “Mode VII” emergency landing simulation being conducted at Kennedy Space Center and managed and directed from the LCC. From left are Dr. Luis Moreno and Dr. David Reed, with Bionetics Life Sciences, and Dr. Philip Scarpa, with the KSC Safety, Occupational Health and Environment Division. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - In the Launch Control Center, officials monitor the “Mode VII” emergency landing simulation being conducted at Kennedy Space Center and managed and directed from the LCC. From left are Dr. Luis Moreno and Dr. David Reed, with Bionetics Life Sciences, and Dr. Philip Scarpa, with the KSC Safety, Occupational Health and Environment Division. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  13. KENNEDY SPACE CENTER, FLA. - In the Launch Control Center, Robert Holl (left), Landing Recovery directo, and Donald Hammel, from the Shuttle Project Office, are in contact with the leaders of the “Mode VII” emergency landing simulation at Kennedy Space Center. The simulation is being managed and directed from the LCC. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

    NASA Image and Video Library

    2004-02-18

    KENNEDY SPACE CENTER, FLA. - In the Launch Control Center, Robert Holl (left), Landing Recovery directo, and Donald Hammel, from the Shuttle Project Office, are in contact with the leaders of the “Mode VII” emergency landing simulation at Kennedy Space Center. The simulation is being managed and directed from the LCC. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

  14. 46 CFR 160.156-7 - Design, construction and performance of rescue boats and fast rescue boats.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 6 2014-10-01 2014-10-01 false Design, construction and performance of rescue boats and... Boats and Fast Rescue Boats (SOLAS) § 160.156-7 Design, construction and performance of rescue boats and... immersion suits. (ii) Each rescue boat should be designed following standard human engineering practices...

  15. 14 CFR 121.353 - Emergency equipment for operations over uninhabited terrain areas: Flag, supplemental, and...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... area that (in its operations specifications) the Administrator specifies required equipment for search and rescue in case of an emergency: (a) Suitable pyrotechnic signaling devices. (b) An approved...

  16. Activated carbon to the rescue

    SciTech Connect

    Sen, S.

    1996-03-01

    This article describes the response to pipeline spill of ethylene dichloride (EDC) on the property of an oil company. Activated carbon cleanup proceedure was used. During delivery, changeout, transport, storage, thermal reactivation, and return delivery to the site, the carbon never came into direct contact with operating personnel or the atmosphere. More than 10,000 tones of dredge soil and 50 million gallons of surface water were processed during the emergency response.

  17. Organizations of food redistribution and rescue.

    PubMed

    Mousa, T Y; Freeland-Graves, J H

    2017-09-06

    Food insecurity affects 13.4% of the USA population, despite the fact that 30-40% of all food is deposited in a landfill. Food rescue nutrition is the process of redistribution of surplus food to the impoverished. The aim of this study is to document the extent of involvement of organizations in food rescue nutrition. In this cross-sectional study, a survey about organizations involved in food rescue nutrition was developed, validated, and then tested. Directors of 100 organizations involved in food rescue nutrition from eight Southwestern States in the USA participated in this research. These organizations provided an average of 2 million kg of food to more than 40,000 clients each month. Food assistance programs had an average of eight workers and 3081 volunteers. In addition to food, these organizations provided other services such as clothing, clinical, and childcare. The agencies encountered several challenges, including lack of resources that resulted in reducing food portions and turning away clients. The extent of involvement of community-based programs in food rescue nutrition was strong in eight Southwestern states in the USA. Organizations involved in food redistribution helped alleviate food insecurity in their clients. Sustainability of these charitable networks was dependent on availability of resources and sufficient volunteers. Health professionals should encourage these organizations by providing support through donations of time, money, and/or food. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  18. Is genetic rescue of cystinosis an achievable treatment goal?

    PubMed

    Cherqui, Stephanie

    2014-03-01

    Cystinosis is an autosomal recessive metabolic disease that belongs to the family of lysosomal storage disorders. The defective gene is CTNS, which encodes the lysosomal cystine transporter, cystinosin. Cystine accumulates in all tissues and leads to organ damage including end-stage renal disease. In this review, we outline the studies that support that genetic rescue of cystinosis could be an achievable goal, even though cystinosis is a multi-compartmental disease and cystinosin an intracellular transmembrane protein. Using the mouse model of cystinosis, the Ctns(-/-) mice, we showed that transplanted hematopoietic stem cells (HSCs) were able to act as vehicles for the delivery of a functional Ctns gene to the different organs and led to the significant decrease of the tissue cystine content and tissue preservation. Ex vivo gene-modified Ctns(-/-) HSC transplantation using a lentiviral vector containing CTNS complementary DNA (cDNA) was also successful in the Ctns(-/-) mice and built the foundations for a clinical trial for autologous HSC transplantation for cystinosis. The capacity of HSCs for rescuing non-hematopoietic disease is controversial, and new insights into regenerative medicine could be gained from unraveling the underlying mechanism of action.

  19. The Capacity to Build Organizational Capacity in Schools

    ERIC Educational Resources Information Center

    King, M. Bruce; Bouchard, Kate

    2011-01-01

    Purpose: Reformers, policymakers, and researchers have given considerable attention to organizational capacity in schools, especially in those schools that perpetuate or exacerbate achievement gaps among diverse student groups and reproduce social inequalities. There is an emerging consensus about key dimensions of school capacity and how they can…

  20. The Capacity to Build Organizational Capacity in Schools

    ERIC Educational Resources Information Center

    King, M. Bruce; Bouchard, Kate

    2011-01-01

    Purpose: Reformers, policymakers, and researchers have given considerable attention to organizational capacity in schools, especially in those schools that perpetuate or exacerbate achievement gaps among diverse student groups and reproduce social inequalities. There is an emerging consensus about key dimensions of school capacity and how they can…

  1. Resolving ethical dilemmas in suicide prevention: the case of telephone helpline rescue policies.

    PubMed

    Mishara, Brian L; Weisstub, David N

    2010-04-01

    The ethical basis of suicide prevention is illustrated by contrasting helpline emergency rescue policies of the Samaritans and the AAS and the U.S. National Suicide Prevention Lifeline network. We contrast moralist, relativist, and libertarian ethical premises and question whether suicide can be rational. Samaritans respect a caller's right to decide to die by suicide; U.S. helplines oblige emergency intervention during an attempt even against the caller's will. We analyze the effect of emergency rescue when there is high suicide risk but an attempt has not been initiated. We examine links between values and actions, needs for empirical evidence to guide practice, and propose vigorous dialogue about values in the gray zone of moral practice.

  2. RESCU: A real space electronic structure method

    NASA Astrophysics Data System (ADS)

    Michaud-Rioux, Vincent; Zhang, Lei; Guo, Hong

    2016-02-01

    In this work we present RESCU, a powerful MATLAB-based Kohn-Sham density functional theory (KS-DFT) solver. We demonstrate that RESCU can compute the electronic structure properties of systems comprising many thousands of atoms using modest computer resources, e.g. 16 to 256 cores. Its computational efficiency is achieved from exploiting four routes. First, we use numerical atomic orbital (NAO) techniques to efficiently generate a good quality initial subspace which is crucially required by Chebyshev filtering methods. Second, we exploit the fact that only a subspace spanning the occupied Kohn-Sham states is required, and solving accurately the KS equation using eigensolvers can generally be avoided. Third, by judiciously analyzing and optimizing various parts of the procedure in RESCU, we delay the O (N3) scaling to large N, and our tests show that RESCU scales consistently as O (N2.3) from a few hundred atoms to more than 5000 atoms when using a real space grid discretization. The scaling is better or comparable in a NAO basis up to the 14,000 atoms level. Fourth, we exploit various numerical algorithms and, in particular, we introduce a partial Rayleigh-Ritz algorithm to achieve efficiency gains for systems comprising more than 10,000 electrons. We demonstrate the power of RESCU in solving KS-DFT problems using many examples running on 16, 64 and/or 256 cores: a 5832 Si atoms supercell; a 8788 Al atoms supercell; a 5324 Cu atoms supercell and a small DNA molecule submerged in 1713 water molecules for a total 5399 atoms. The KS-DFT is entirely converged in a few hours in all cases. Our results suggest that the RESCU method has reached a milestone of solving thousands of atoms by KS-DFT on a modest computer cluster.

  3. Hypoxaemic rescue therapies in acute respiratory distress syndrome: Why, when, what and which one?

    PubMed

    Hodgson, Carol; Carteaux, Guillaume; Tuxen, David V; Davies, Andrew R; Pellegrino, Vin; Capellier, Gilles; Cooper, David J; Nichol, Alistair

    2013-12-01

    Acute respiratory distress syndrome (ARDS) is an inflammatory condition of the lungs which can result in refractory and life-threatening hypoxaemic respiratory failure. The risk factors for the development of ARDS are many but include trauma, multiple blood transfusions, burns and major surgery, therefore this condition is not uncommon in the severely injured patient. When ARDS is severe, high-inspired oxygen concentrations are frequently required to minimise hypoxaemia. In these situations clinicians commonly utilise interventions termed 'hypoxaemic rescue therapies' in an attempt to improve oxygenation, as without these, conventional mechanical ventilation can be associated with high mortality. However, their lack of efficacy on mortality when used prophylactically in generalised ARDS cohorts has resulted in their use being confined to clinical trials and the subset of ARDS patients with refractory hypoxaemia. First line hypoxaemic rescue therapies include inhaled nitric oxide, prone positioning, alveolar recruitment manoeuvres and high frequency oscillatory ventilation, which have all been shown to be effective in improving oxygenation. In situations where these first line rescue therapies are inadequate extra-corporeal membrane oxygenation has emerged as a lifesaving second line rescue therapy. Rescue therapies in critically ill patients with traumatic injuries presents specific challenges and requires careful assessment of both the short and longer term benefits, therapeutic limitations, and specific adverse effects before their use. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. The Duty to Rescue and Investigators' Obligations.

    PubMed

    MacKay, Douglas; Rulli, Tina

    We examine current applications of the moral duty to rescue to justify clinical investigators' duties of ancillary care and standard of care to subjects in resource-poor settings. These applications fail to explain why investigators possess obligations to research participants, in particular, and not to people in need, in general. Further, these applications fail to recognize the normative significance of the institutional role of the investigators. We offer a positive account of the duty to rescue for investigators as institutional agents, with duties to populations rather than merely individuals.

  5. Appropriate suction device in rescue medicine.

    PubMed

    Dahlgren, B E; Nilsson, H; Bjorn, P; Skedevik, C

    1987-12-01

    In rescue medicine, a suction apparatus must function in a variety of environmental conditions. To find an appropriate device for the Swedish Air Force air rescue service the Laerdal suction device 790,000 was selected for further testing according to international standards for aviation safety. Tests showed that vibrations had deleterious effects on the internal construction of the suction device. In addition, an electromagnetic field was generated affecting the navigation, autopilot, and communication systems. We conclude that the suction apparatus and probably other devices as well must be tested for their functioning in adverse environments and their ability to meet international aviation safety regulations.

  6. Lactate rescues neuronal sodium homeostasis during impaired energy metabolism

    PubMed Central

    Karus, Claudia; Ziemens, Daniel; Rose, Christine R

    2015-01-01

    Recently, we established that recurrent activity evokes network sodium oscillations in neurons and astrocytes in hippocampal tissue slices. Interestingly, metabolic integrity of astrocytes was essential for the neurons' capacity to maintain low sodium and to recover from sodium loads, indicating an intimate metabolic coupling between the 2 cell types. Here, we studied if lactate can support neuronal sodium homeostasis during impaired energy metabolism by analyzing whether glucose removal, pharmacological inhibition of glycolysis and/or addition of lactate affect cellular sodium regulation. Furthermore, we studied the effect of lactate on sodium regulation during recurrent network activity and upon inhibition of the glial Krebs cycle by sodium-fluoroacetate. Our results indicate that lactate is preferentially used by neurons. They demonstrate that lactate supports neuronal sodium homeostasis and rescues the effects of glial poisoning by sodium-fluoroacetate. Altogether, they are in line with the proposed transfer of lactate from astrocytes to neurons, the so-called astrocyte-neuron-lactate shuttle. PMID:26039160

  7. Medical Rescue of China International Search & Rescue Team (CISAR) in Nepal Earthquake.

    PubMed

    Yang, Jiong; Yang, Zhen; Lv, Qi; Liu, Hai-Feng; Ding, Hui; Yu, Meng-Yang; Zeng, Xi-Huan; Wang, Xin; Fan, Hao-Jun

    2016-05-18

    On April 25, 2015, a massive 8.1-magnitude earthquake struck Nepal at 2:11 pm (Beijing time). The 68-member-strong China International Search & Rescue Team (CISAR) left for Nepal at 6 am, April 26, to help with relief work. The CISAR was the first foreign team to rescue a survivor who was trapped beneath the rubble in the Gongabu area after the earthquake. On May 8, the team fulfilled the search-and-rescue mission and returned to Beijing. During the 2 weeks of rescue work, the team treated more than 3700 victims and cleared approximately 430 buildings. In this rescue mission, 10 experienced medical officers (including nine doctors and a nurse) from the General Hospital of Chinese People's Armed Police Force (PAP) comprised the medical team of CISAR. In this report, we focus on the medical rescues by CISAR and discuss the characteristics of the medical rescue in Nepal. (Disaster Med Public Health Preparedness. 2016;page 1 of 3).

  8. Modeling relief demands in an emergency supply chain system under large-scale disasters based on a queuing network.

    PubMed

    He, Xinhua; Hu, Wenfa

    2014-01-01

    This paper presents a multiple-rescue model for an emergency supply chain system under uncertainties in large-scale affected area of disasters. The proposed methodology takes into consideration that the rescue demands caused by a large-scale disaster are scattered in several locations; the servers are arranged in multiple echelons (resource depots, distribution centers, and rescue center sites) located in different places but are coordinated within one emergency supply chain system; depending on the types of rescue demands, one or more distinct servers dispatch emergency resources in different vehicle routes, and emergency rescue services queue in multiple rescue-demand locations. This emergency system is modeled as a minimal queuing response time model of location and allocation. A solution to this complex mathematical problem is developed based on genetic algorithm. Finally, a case study of an emergency supply chain system operating in Shanghai is discussed. The results demonstrate the robustness and applicability of the proposed model.

  9. Modeling Relief Demands in an Emergency Supply Chain System under Large-Scale Disasters Based on a Queuing Network

    PubMed Central

    He, Xinhua

    2014-01-01

    This paper presents a multiple-rescue model for an emergency supply chain system under uncertainties in large-scale affected area of disasters. The proposed methodology takes into consideration that the rescue demands caused by a large-scale disaster are scattered in several locations; the servers are arranged in multiple echelons (resource depots, distribution centers, and rescue center sites) located in different places but are coordinated within one emergency supply chain system; depending on the types of rescue demands, one or more distinct servers dispatch emergency resources in different vehicle routes, and emergency rescue services queue in multiple rescue-demand locations. This emergency system is modeled as a minimal queuing response time model of location and allocation. A solution to this complex mathematical problem is developed based on genetic algorithm. Finally, a case study of an emergency supply chain system operating in Shanghai is discussed. The results demonstrate the robustness and applicability of the proposed model. PMID:24688367

  10. Biobotic insect swarm based sensor networks for search and rescue

    NASA Astrophysics Data System (ADS)

    Bozkurt, Alper; Lobaton, Edgar; Sichitiu, Mihail; Hedrick, Tyson; Latif, Tahmid; Dirafzoon, Alireza; Whitmire, Eric; Verderber, Alexander; Marin, Juan; Xiong, Hong

    2014-06-01

    The potential benefits of distributed robotics systems in applications requiring situational awareness, such as search-and-rescue in emergency situations, are indisputable. The efficiency of such systems requires robotic agents capable of coping with uncertain and dynamic environmental conditions. For example, after an earthquake, a tremendous effort is spent for days to reach to surviving victims where robotic swarms or other distributed robotic systems might play a great role in achieving this faster. However, current technology falls short of offering centimeter scale mobile agents that can function effectively under such conditions. Insects, the inspiration of many robotic swarms, exhibit an unmatched ability to navigate through such environments while successfully maintaining control and stability. We have benefitted from recent developments in neural engineering and neuromuscular stimulation research to fuse the locomotory advantages of insects with the latest developments in wireless networking technologies to enable biobotic insect agents to function as search-and-rescue agents. Our research efforts towards this goal include development of biobot electronic backpack technologies, establishment of biobot tracking testbeds to evaluate locomotion control efficiency, investigation of biobotic control strategies with Gromphadorhina portentosa cockroaches and Manduca sexta moths, establishment of a localization and communication infrastructure, modeling and controlling collective motion by learning deterministic and stochastic motion models, topological motion modeling based on these models, and the development of a swarm robotic platform to be used as a testbed for our algorithms.

  11. Hybrid wireless sensor network for rescue site monitoring after earthquake

    NASA Astrophysics Data System (ADS)

    Wang, Rui; Wang, Shuo; Tang, Chong; Zhao, Xiaoguang; Hu, Weijian; Tan, Min; Gao, Bowei

    2016-07-01

    This paper addresses the design of a low-cost, low-complexity, and rapidly deployable wireless sensor network (WSN) for rescue site monitoring after earthquakes. The system structure of the hybrid WSN is described. Specifically, the proposed hybrid WSN consists of two kinds of wireless nodes, i.e., the monitor node and the sensor node. Then the mechanism and the system configuration of the wireless nodes are detailed. A transmission control protocol (TCP)-based request-response scheme is proposed to allow several monitor nodes to communicate with the monitoring center. UDP-based image transmission algorithms with fast recovery have been developed to meet the requirements of in-time delivery of on-site monitor images. In addition, the monitor node contains a ZigBee module that used to communicate with the sensor nodes, which are designed with small dimensions to monitor the environment by sensing different physical properties in narrow spaces. By building a WSN using these wireless nodes, the monitoring center can display real-time monitor images of the monitoring area and visualize all collected sensor data on geographic information systems. In the end, field experiments were performed at the Training Base of Emergency Seismic Rescue Troops of China and the experimental results demonstrate the feasibility and effectiveness of the monitor system.

  12. Space rescue system definition (system performance analysis and trades)

    NASA Astrophysics Data System (ADS)

    Housten, Sam; Elsner, Tim; Redler, Ken; Svendsen, Hal; Wenzel, Sheri

    This paper addresses key technical issues involved in the system definition of the Assured Crew Return Vehicle (ACRV). The perspective on these issues is that of a prospective ACRV contractor, performing system analysis and trade studies. The objective of these analyses and trade studies is to develop the recovery vehicle system concept and top level requirements. The starting point for this work is the definition of the set of design missions for the ACRV. This set of missions encompasses three classes of contingency/emergency (crew illness/injury, space station catastrophe/failure, transportation element catastrophe/failure). The need is to provide a system to return Space Station crew to Earth quickly (less than 24 hours) in response to randomly occurring contingency events over an extended period of time (30 years of planned Space Station life). The main topics addressed and characterized in this paper include the following: Key Recovery (Rescue) Site Access Considerations; Rescue Site Locations and Distribution; Vehicle Cross Range vs Site Access; On-orbit Loiter Capability and Vehicle Design; and Water vs. Land Recovery.

  13. [Medical doctor in mountain rescue service - a profession's perspective].

    PubMed

    Putzke, Matthias

    2008-01-01

    Helicopter emergency services (HEMS) carrying doctors trained in emergency medicine represent a well established system for primary care with increasing professionalism since their implementation in the seventies until now. However, considerable differences persist in Europe concerning the structure as well as integration of the system in the entire organisation of area-wide demands. Based on the particular geographic conditions in the alps which are highly associated with challenges for man and material a dense network of helicopter airbases has been established. Hence, this system accounts for the social, economical and touristic requirements of this region in terms of providing sufficient emergency medical treatment. In addition to statutory and professional provisions qualification requirements for emergency doctors comprehend extensive alpine training. Primarily this provides personal safety as well as security for the entire team and the patient which particularly applies for technical rope rescue. Advanced all-season training is compulsory due to seasonal differences in casualties. Well harmonized training with cross-border validity is not available to-date. Hence, the development of obligatory standard operating procedures should be the major goal of medical associations and societies.

  14. Where there is no obstetrician--increasing capacity for emergency obstetric care in rural India: an evaluation of a pilot program to train general doctors.

    PubMed

    Evans, Cherrie Lynn; Maine, Deborah; McCloskey, Lois; Feeley, Frank G; Sanghvi, Harshad

    2009-12-01

    Maternal mortality continues to be high in rural India. Chief among the reasons for this is a severe shortage of obstetricians to perform cesarean delivery and other skills required for emergency obstetric care (EmOC). In 2006, the Government of India and the Federation of Obstetric and Gynecological Societies of India (FOGSI) with technical assistance from Jhpiego, instituted a nationwide, 16-week comprehensive EmOC (CEmOC) training program for general medical officers (MOs). This program is based on an earlier pilot project (2004-2006). To evaluate the pilot project, and identify lessons learned to inform the nationwide scale-up. The lead author (CE) visited trainees and their facilities to evaluate the project. Eight data collection tools were created, which included interviews with informants (program/government staff, regional/international experts, trainees and trainers), facility observation, and facility-based data collection of births and maternal/newborn deaths during the study period. More trainees performed each of the basic EmOC skills after the training than before. After training, 10 of 15 facilities to which trainees returned could provide all signal functions for basic EmOC whereas only 2 could do so before. For comprehensive EmOC, 2 facilities with obstetricians were providing all functions before and 2 were doing so after, even though the specialists had left those facilities and services were being provided by CEmOC trainees. Barriers to providing, or continuing to provide, EmOC for some trainees included insufficient training for cesarean delivery, lack of anesthetists, equipment and infrastructure (operating theater, blood services, forceps/vacuum, manual vacuum aspiration syringes). Although MOs can be trained to provide CEmOC (including cesarean delivery), without proper selection of facilities and trainees, adequate training, and support, this strategy will not substantially improve the availability of comprehensive EmOC in India. To

  15. Launch-Off-Need Shuttle Hubble Rescue Mission: Medical Issues

    NASA Technical Reports Server (NTRS)

    Hamilton, Douglas; Gillis, David; Ilcus, Linda; Perchonok, Michele; Polk, James; Brandt, Keith; Powers, Edward; Stepaniak, Phillip

    2008-01-01

    The Space Shuttle Hubble repair mission (STS-125) is unique in that a rescue mission (STS-400) has to be ready to launch before STS-125 life support runs out should the vehicle become stranded. The shuttle uses electrical power derived from fuel cells that use cryogenic oxygen and hydrogen (CRYO) to run all subsystems including the Environmental Control System. If the STS-125 crew cannot return to Earth due to failure of a critical subsystem, they must power down all nonessential systems and wait to be rescued by STS-400. This power down will cause the cabin temperature to be 60 F or less and freeze the rest of the vehicle, preventing it from attempting a reentry. After an emergency has been declared, STS-125 must wait at least 7 days to power down since that is the earliest that STS-400 can be launched. Problem The delayed power down of STS-125 causes CYRO to be consumed at high rates and limits the survival time after STS-400 launches to 10 days or less. CRYO will run out sooner every day that the STS-400 launch is delayed (weather at launch, technical issues etc.). To preserve CRYO and lithium hydroxide (LiOH - carbon dioxide removal) the crew will perform no exercise to reduce their metabolic rates, yet each deconditioned STS-125 crewmember must perform an EVA to rescue himself. The cabin may be cold for 10 days, which may cause shivering, increasing the metabolic rate of the STS-125 crew. Solution To preserve LiOH, the STS-125 manifest includes nutrition bars with low carbohydrate content to maintain crew respiratory quotient (RQ) below 0.85 as opposed to the usual shuttle galley food which is rich in carbohydrates and keeps the RQ at approximately 0.95. To keep the crew more comfortable in the cold vehicle warm clothing also has been included. However, with no exercise and limited diet, the deconditioned STS-125 crew returning on STS-400 may not be able to egress the vehicle autonomously requiring a supplemented crash-and-rescue capability.

  16. Launch-Off-Need Shuttle Hubble Rescue Mission: Medical Issues

    NASA Technical Reports Server (NTRS)

    Hamilton, Douglas; Gillis, David; Ilcus, Linda; Perchonok, Michele; Polk, James; Brandt, Keith; Powers, Edward; Stepaniak, Phillip

    2008-01-01

    The Space Shuttle Hubble repair mission (STS-125) is unique in that a rescue mission (STS-400) has to be ready to launch before STS-125 life support runs out should the vehicle become stranded. The shuttle uses electrical power derived from fuel cells that use cryogenic oxygen and hydrogen (CRYO) to run all subsystems including the Environmental Control System. If the STS-125 crew cannot return to Earth due to failure of a critical subsystem, they must power down all nonessential systems and wait to be rescued by STS-400. This power down will cause the cabin temperature to be 60 F or less and freeze the rest of the vehicle, preventing it from attempting a reentry. After an emergency has been declared, STS-125 must wait at least 7 days to power down since that is the earliest that STS-400 can be launched. Problem The delayed power down of STS-125 causes CYRO to be consumed at high rates and limits the survival time after STS-400 launches to 10 days or less. CRYO will run out sooner every day that the STS-400 launch is delayed (weather at launch, technical issues etc.). To preserve CRYO and lithium hydroxide (LiOH - carbon dioxide removal) the crew will perform no exercise to reduce their metabolic rates, yet each deconditioned STS-125 crewmember must perform an EVA to rescue himself. The cabin may be cold for 10 days, which may cause shivering, increasing the metabolic rate of the STS-125 crew. Solution To preserve LiOH, the STS-125 manifest includes nutrition bars with low carbohydrate content to maintain crew respiratory quotient (RQ) below 0.85 as opposed to the usual shuttle galley food which is rich in carbohydrates and keeps the RQ at approximately 0.95. To keep the crew more comfortable in the cold vehicle warm clothing also has been included. However, with no exercise and limited diet, the deconditioned STS-125 crew returning on STS-400 may not be able to egress the vehicle autonomously requiring a supplemented crash-and-rescue capability.

  17. Rescuing Dogs in the Frederick Community | Poster

    Cancer.gov

    Many Frederick National Lab employees have a favorite cause to which they volunteer a significant amount of time. For Dianna Kelly, IT program manager/scientific program analyst, Office of Scientific Operations, and Courtney Kennedy, associate technical project manager, Business Enterprise Systems, that cause is dog rescue.

  18. REM sleep rescues learning from interference.

    PubMed

    McDevitt, Elizabeth A; Duggan, Katherine A; Mednick, Sara C

    2015-07-01

    Classical human memory studies investigating the acquisition of temporally-linked events have found that the memories for two events will interfere with each other and cause forgetting (i.e., interference; Wixted, 2004). Importantly, sleep helps consolidate memories and protect them from subsequent interference (Ellenbogen, Hulbert, Stickgold, Dinges, & Thompson-Schill, 2006). We asked whether sleep can also repair memories that have already been damaged by interference. Using a perceptual learning paradigm, we induced interference either before or after a consolidation period. We varied brain states during consolidation by comparing active wake, quiet wake, and naps with either non-rapid eye movement sleep (NREM), or both NREM and REM sleep. When interference occurred after consolidation, sleep and wake both produced learning. However, interference prior to consolidation impaired memory, with retroactive interference showing more disruption than proactive interference. Sleep rescued learning damaged by interference. Critically, only naps that contained REM sleep were able to rescue learning that was highly disrupted by retroactive interference. Furthermore, the magnitude of rescued learning was correlated with the amount of REM sleep. We demonstrate the first evidence of a process by which the brain can rescue and consolidate memories damaged by interference, and that this process requires REM sleep. We explain these results within a theoretical model that considers how interference during encoding interacts with consolidation processes to predict which memories are retained or lost.

  19. REM sleep rescues learning from interference

    PubMed Central

    McDevitt, Elizabeth A.; Duggan, Katherine A.; Mednick, Sara C.

    2015-01-01

    Classical human memory studies investigating the acquisition of temporally-linked events have found that the memories for two events will interfere with each other and cause forgetting (i.e., interference; Wixted, 2004). Importantly, sleep helps consolidate memories and protect them from subsequent interference (Ellenbogen, Hulbert, Stickgold, Dinges, & Thompson-Schill, 2006). We asked whether sleep can also repair memories that have already been damaged by interference. Using a perceptual learning paradigm, we induced interference either before or after a consolidation period. We varied brain states during consolidation by comparing active wake, quiet wake, and naps with either non-rapid eye movement sleep (NREM), or both NREM and REM sleep. When interference occurred after consolidation, sleep and wake both produced learning. However, interference prior to consolidation impaired memory, with retroactive interference showing more disruption than proactive interference. Sleep rescued learning damaged by interference. Critically, only naps that contained REM sleep were able to rescue learning that was highly disrupted by retroactive interference. Furthermore, the magnitude of rescued learning was correlated with the amount of REM sleep. We demonstrate the first evidence of a process by which the brain can rescue and consolidate memories damaged by interference, and that this process requires REM sleep. We explain these results within a theoretical model that considers how interference during encoding interacts with consolidation processes to predict which memories are retained or lost. PMID:25498222

  20. Combat Search and Rescue - Military Stepchild

    DTIC Science & Technology

    1988-04-01

    development of combat search and rescue has dwindled to the point of being inconsequential. The corporate knowledge gained in Vietnam is over twenty years old... comnat conditions was then, and remains now, an important but dangerous one. The problems of successfully performing it remain as prevalent today as