Changes in population evacuation potential for tsunami hazards in Seward, Alaska, since the 1964 Good Friday earthquake

USGS Publications Warehouse

Wood, Nathan J.; Schmidtlein, Mathew C.; Peters, Jeff

2014-01-01

Pedestrian evacuation modeling for tsunami hazards typically focuses on current land-cover conditions and population distributions. To examine how post-disaster redevelopment may influence the evacuation potential of at-risk populations to future threats, we modeled pedestrian travel times to safety in Seward, Alaska, based on conditions before the 1964 Good Friday earthquake and tsunami disaster and on modern conditions. Anisotropic, path distance modeling is conducted to estimate travel times to safety during the 1964 event and in modern Seward, and results are merged with various population data, including the location and number of residents, employees, public venues, and dependent care facilities. Results suggest that modeled travel time estimates conform well to the fatality patterns of the 1964 event and that evacuation travel times have increased in modern Seward due to the relocation and expansion of port and harbor facilities after the disaster. The majority of individuals threatened by tsunamis today in Seward are employee, customer, and tourist populations, rather than residents in their homes. Modern evacuation travel times to safety for the majority of the region are less than wave arrival times for future tectonic tsunamis but greater than arrival times for landslide-related tsunamis. Evacuation travel times will likely be higher in the winter time, when the presence of snow may constrain evacuations to roads.

NASA personnel and facilities involved in Hurricane Katrina medical evacuation

NASA Image and Video Library

2005-09-02

JSC2005-E-36144 (2 September 2005) --- NASA Johnson Space Center Aircraft Operations Hangar 990 at Ellington Field, Houston, has been used as a triage location this week for medical patients evacuated by air from New Orleans to pass through on their way to Houston-area medical facilities. Hundreds of patients have passed through the location so far, as the transfer operations, led by the Veterans Administration and supported by NASA and other agencies, continue.

Nonimaging concentrators for solar thermal energy

NASA Astrophysics Data System (ADS)

Winston, R.; Gallagher, J. J.

1980-03-01

A small experimental solar collector test facility was used to explore applications of nonimaging optics for solar thermal concentration in three substantially different configurations: a single stage system with moderate concentration on an evacuated absorber (a 5.25X evacuated tube Compound Parabolic Concentrator or CPC), a two stage system with high concentration and a non-evacuated absorber (a 16X Fresnel lens/CPC type mirror) and moderate concentration single stage systems with non-evacuated absorbers for lower temperature (a 3X and a 6.5X CPC). Prototypes of each of these systems were designed, built and tested. The performance characteristics are presented.

A decision support model to understand route choice decisions and siting of facilities in emergency evacuation.

DOT National Transportation Integrated Search

2013-10-01

In this research, we present the results of a behavior model to capture different routing strategies executed by evacuees : during hurricane evacuation by using a randomparameter logitbased modeling approach. To the best of our knowledge, : thi...

Accidental hazardous material releases with human impacts in the United States: exploration of geographical distribution and temporal trends.

PubMed

Sengul, Hatice; Santella, Nicholas; Steinberg, Laura J; Chermak, Christina

2010-09-01

To investigate the circumstances and geographic and temporal distributions of hazardous material releases and resulting human impacts in the United States. Releases with fatalities, injuries, and evacuations were identified from reports to the National Response Center between 1990 and 2008, correcting for data quality issues identified in previous studies. From more than 550,000 reports, 861 deaths, 16,348 injuries and 741,427 evacuations were identified. Injuries from releases of chemicals at fixed facilities and natural gas from pipelines have decreased whereas evacuations from petroleum releases at fixed facilities have increased. Results confirm recent advances in chemical and pipeline safety and suggest directions for further improvement including targeted training and inspections and adoption of inherently safer design principles.

Hurricanes Katrina and Rita and the Department of Veterans Affairs: a conceptual model for understanding the evacuation of nursing homes.

PubMed

Dobalian, Aram; Claver, Maria; Fickel, Jacqueline J

2010-01-01

Hurricanes Katrina and Rita exposed significant flaws in US preparedness for catastrophic events and the nation's capacity to respond to them. These flaws were especially evident in the affected disaster areas' nursing homes, which house a particularly vulnerable population of frail older adults. Although evacuation of a healthcare facility is a key preparedness activity, there is limited research on factors that lead to effective evacuation. Our review of the literature on evacuation is focused on developing a conceptual framework to study future evacuations rather than as a comprehensive assessment of prior work. This paper summarizes what is known thus far about disaster response activities of nursing homes following natural and human-caused disasters, describes a conceptual model to guide future inquiry regarding this topic, and suggests future areas of research to further understand the decision-making process of nursing home facilitators regarding evacuating nursing home residents. To demonstrate the utility of the conceptual model and to provide guidance about effective practices and procedures, this paper focuses on the responses of Veterans Health Administration (VHA) nursing homes to the 2 hurricanes. Quarantelli's conceptual framework, as modified by Perry and Mushkatel, is useful in guiding the development of central hypotheses related to the decision-making that occurred in VA nursing homes and other healthcare facilities following Hurricanes Katrina and Rita. However, we define evacuation somewhat differently to account for the fact that evacuation may, in some instances, be permanent. Thus, we propose modifying this framework to improve its applicability beyond preventive evacuation. We need to better understand how disaster plans can be adapted to meet the needs of frail elders and other residents in nursing homes. Moreover, we must address identified gaps in the scientific literature with respect to health outcomes by tracking outcomes over time. Information on health outcomes would allow administrators and others to more appropriately weigh the balance of risks and benefits associated with evacuation. Without this understanding of the relationship between evacuation and health outcomes, it is not possible to develop effective response plans that are tailored to meet the needs of nursing home residents. Copyright © 2010 S. Karger AG, Basel.

Indirect Measures of Learning Transfer between Real and Virtual Environments

ERIC Educational Resources Information Center

Garrett, Michael; McMahon, Mark

2013-01-01

This paper reports on research undertaken to determine the effectiveness of a 3D simulation environment used to train mining personnel in emergency evacuation procedures, designated the Fires in Underground Mines Evacuation Simulator (FUMES). Owing to the operational constraints of the mining facility, methods for measuring learning transfer were…

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

PubMed

Prot, Emilie Y; Clements, Bruce

2017-02-01

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

Epidemic activity after natural disasters without high mortality in developing settings

PubMed Central

Loayza-Alarico, Manuel J; Lescano, Andres G; Suarez-Ognio, Luis A; Ramirez-Prada, Gladys M; Blazes, David L

2013-01-01

Natural disasters with minimal human mortality rarely capture headlines but occur frequently and result in significant morbidity and economic loss. We compared the epidemic activity observed after a flood, an earthquake, and volcanic activity in Peru. Following post-disaster guidelines, healthcare facilities and evacuation centers surveyed 10–12 significant health conditions for ~45 days and compared disease frequency with Poisson regression. The disasters affected 20,709 individuals and 15% were placed in evacuation centers. Seven deaths and 6,056 health conditions were reported (mean: 0.29 per person). Health facilities reported fewer events than evacuation centers (0.06–0.24 vs. 0.65–2.02, P < 0.001) and disease notification increased 1.6 times after the disasters (95% CI: 1.5–1.6). Acute respiratory infections were the most frequent event (41–57%) and psychological distress was second/third (7.6% to 14.3%). Morbidity increased after disasters without substantial casualties, particularly at evacuation centers, with frequent respiratory infections and psychological distress. Post-disaster surveillance is valuable even after low-mortality events. PMID:28228992

Implications Of The 11 March Tohoku Tsunami On Warning Systems And Vertical Evacuation Strategies

NASA Astrophysics Data System (ADS)

Fraser, S.; Leonard, G.; Johnston, D.

2011-12-01

The Mw 9.0 Tohoku earthquake and tsunami of March 11th 2011 claimed over 20,000 lives in an event which inundated over 500 km2 of land on the north-east coast of Japan. Successful execution of tsunami warning procedures and evacuation strategies undoubtedly saved thousands of lives, and there is evidence that vertical evacuation facilities were a key part of reducing the fatality rate in several municipalities in the Sendai Plains. As with all major disasters, however, post-event observations show that there are lessons to be learned in minimising life loss in future events. This event has raised or reinforced several key points that should be considered for implementation in all areas at risk from tsunami around the world. Primary areas for discussion are the need for redundant power supplies in tsunami warning systems; considerations of natural warnings when official warnings may not come; adequate understanding and estimation of the tsunami hazard; thorough site assessments for critical infrastructure, including emergency management facilities and tsunami refuges; and adequate signage of evacuation routes and refuges. This paper will present observations made on two field visits to the Tohoku region during 2011, drawing conclusions from field observations and discussions with local emergency officials. These observations will inform the enhancement of current tsunami evacuation strategies in New Zealand; it is believed discussion of these observations can also benefit continuing development of warning and evacuation strategies existing in the United States and elsewhere.

Variations in Community Exposure and Sensitivity to Tsunami Hazards in the State of Hawai'i

USGS Publications Warehouse

Wood, Nathan; Church, Alyssia; Frazier, Tim; Yarnal, Brent

2007-01-01

Hawai`i has experienced numerous destructive tsunamis and the potential for future events threatens the safety and economic well being of its coastal communities. Although tsunami-evacuation zones have been delineated, what is in these areas and how communities have chosen to develop within them has not been documented. A community-level vulnerability assessment using geographic-information-system tools was conducted to describe tsunami-prone landscapes on the Hawaiian coast and to document variations in land cover, demographics, economic assets, and critical facilities among 65 communities. Results indicate that the Hawai`i tsunami-evacuation zone contains approximately 56,678 residents (five percent of the total population), 67,113 employees (eleven percent of the State labor force), and 50,174 average daily visitors to hotels (44 percent of the State total). With regards to economic conditions, the tsunami-evacuation zone contains 5,779 businesses that generate $10.1 billion in annual sales volume (both eleven percent of State totals), and tax parcels with a combined total value of $36.1 billion (18 percent of the State total). Although occupancy values are not known for each facility, the tsunami-evacuation zone also contains numerous dependent-population facilities (for example, child-day-care facilities and schools), public venues (for example, religious organizations and parks) and critical facilities (for example, fire stations). The residential population in tsunami-prone areas is racially diverse, with most residents identifying themselves as White, Asian, or Native Hawaiian and Other Pacific Islander, either alone or in combination with one or more race. Fifty-one percent of the households in the tsunami-evacuation zone are renter occupied. The employee population in the tsunami-evacuation zone is largely in accommodation and food services, health services, and retail-trade sectors. Results indicate that community vulnerability, described here by exposure (the amount of assets in tsunami-prone areas) and sensitivity (the relative percentage of assets in tsunami-prone areas) varies considerably among 65 coastal communities in Hawai`i. Honolulu has the highest exposure, Punalu`u has the highest sensitivity, and Ka`anapali has the highest combination of exposure and sensitivity to tsunamis. Results also indicate that the level of community-asset exposure to tsunamis is not determined by the amount of a community's land that is in tsunami-evacuation zones. Community sensitivity, however, is related to the percentage of a community's land that is in the tsunami-prone areas. This report will further the dialogue on societal risk to tsunami hazards in Hawai`i and help identify future preparedness, mitigation, response, and recovery planning needs within coastal communities and economic sectors of the State of Hawai`i.

Integration of social vulnerability into emergency management plans: designing of evacuation routes against flood disasters

NASA Astrophysics Data System (ADS)

Aroca-Jimenez, Estefanía; Bodoque, Jose Maria; Garcia, Juan Antonio; Diez-Herrero, Andres

2017-04-01

Flash floods are highly spatio-temporal localized flood events characterized by reaching a high peak flow in a very short period of time, i.e., generally with times of concentration lower than six hours. Its short duration, which limits or even voids any warning time, means that flash floods are considered to be one of the most destructive natural hazards with the greatest capacity to generate risk, either in terms of the number of people affected globally or the proportion of individual fatalities. The above highlights the importance of a realistic and appropriate design of evacuation strategies in order to reduce flood-related losses, being evacuation planning considered of critical importance for disaster management. Traditionally, evacuation maps have been based on flood-prone areas, shelters or emergency residences location and evacuation routes information. However, evacuation plans rarely consider the spatial distribution of vulnerable population (i.e., people with special needs, mobility constraints or economic difficulties), which usually require assistance from emergency responders. The goal of this research is to elaborate an evacuation map against the occurrence of flash floods by combining geographic information (e.g. roads, health facilities location, sanitary helicopters) and social vulnerability patterns, which are previously obtained from socioeconomic variables (e.g. population, unemployment, dwelling characteristics). To do this, ArcGis Network Analyst tool is used, which allows to calculate the optimal evacuation routes. The methodology proposed here is implemented in the region of Castilla y León (94,230 km2). Urban areas prone to flash flooding are identified taking into account the following requirements: i) city centers are crossed by rivers or streams with a longitudinal slope higher than 0.01 m m-1; ii) city centers are potentially affected by flash floods; and iii) city centers are affected by an area with low or exceptional probability of flooding (i.e., 500-year flood). A total of 3 evacuation routes were designed and automatically traced for each of the 39 urban areas identified as interest, considering the nearest: i) health facility, ii) hospital; and iii) evacuation area (i.e. sports halls or any other). The suitable elaboration of evacuation plans is really important in small mountainous areas prone to flash flooding as they are managed by local organisms where available economic resources are often limited. Furthermore, the short response time obliges emergency responders to act efficiently, which requires the design of evacuation plans taking into account certain social characteristics for evacuation routes designing.

33 CFR 146.140 - Emergency Evacuation Plan.

Code of Federal Regulations, 2013 CFR

2013-07-01

... placing the facility in operation. The OCMI reviews the EEP to determine whether all items listed in..., and environmental conditions, such as approaching hurricanes or ice floes, in which the facility or...

33 CFR 146.140 - Emergency Evacuation Plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

... placing the facility in operation. The OCMI reviews the EEP to determine whether all items listed in..., and environmental conditions, such as approaching hurricanes or ice floes, in which the facility or...

33 CFR 146.140 - Emergency Evacuation Plan.

Code of Federal Regulations, 2011 CFR

2011-07-01

... placing the facility in operation. The OCMI reviews the EEP to determine whether all items listed in..., and environmental conditions, such as approaching hurricanes or ice floes, in which the facility or...

33 CFR 146.140 - Emergency Evacuation Plan.

Code of Federal Regulations, 2014 CFR

2014-07-01

... placing the facility in operation. The OCMI reviews the EEP to determine whether all items listed in..., and environmental conditions, such as approaching hurricanes or ice floes, in which the facility or...

An Investigation of Best Practices for Evacuating and Sheltering Individuals with Special Needs and Disabilities

ERIC Educational Resources Information Center

National Clearinghouse for Educational Facilities, 2008

2008-01-01

At the request of the U.S. Department of Education's Office of Safe and Drug-Free Schools, the National Clearinghouse for Educational Facilities (NCEF) has conducted "a literature search and review to identify best practices in [school] building design for accommodating the evacuation and sheltering needs of individuals with special needs or…

Implementation of the TsunamiReady Supporter Program in Puerto Rico

NASA Astrophysics Data System (ADS)

Flores Hots, V. E.; Vanacore, E. A.; Gonzalez Ruiz, W.; Gomez, G.

2016-12-01

The Puerto Rico Seismic Network (PRSN) manages the PR Tsunami Program (NTHMP), including the TsunamiReady Supporter Program. Through this program the PRSN helps private organizations, businesses, facilities or local government entities to willingly engage in tsunami planning and preparedness that meet some requirements established by the National Weather Service. TsunamiReady Supporter organizations are better prepared to respond to a tsunami emergency, developing a response plan (using a template that PRSN developed and provides), and reinforcing their communication systems including NOAA radio, RSS, and loud speakers to receive and disseminate the alerts issued by the NWS and the Tsunami Warning Centers (TWC). The planning and the communication systems added to the training that PRSN provides to the staff and employees, are intend to help visitors and employees evacuate the tsunami hazard zone to the nearest assembly point minimizing loss of life. Potential TsunamiReady Supporters include, but are not limited to, businesses, schools, churches, hospitals, malls, utilities, museums, beaches, and harbors. However, the traditional targets for such programs are primarily tourism sites and hotels where people unaware of the tsunami hazard may be present. In 2016 the Tsunami Ready Program guided four businesses to achieve the TsunamiReady Supporter recognition. Two facilities were hotels near or inside the evacuation zone. The other facilities were the first and only health center and supermarket to be recognized in the United States and US territories. Based on the experience of preparing the health center and supermarket sites, here we present two case studies of how the TsunamiReady Supporter Program can be applied to non-traditional facilities as well as how the application of this program to such facilities can improve tsunami hazard mitigation. Currently, we are working on expanding the application of this program to non-traditional facilities by working with a banking facility located in a tsunami evacuation zone increasing their capacity to manage a tsunami event and to reinforce the entity's involvement in developing a plan for their clients and employees to evacuate the area and head to a safe place.

Comparison of calculation and simulation of evacuation in real buildings

NASA Astrophysics Data System (ADS)

Szénay, Martin; Lopušniak, Martin

2018-03-01

Each building must meet requirements for safe evacuation in order to prevent casualties. Therefore methods for evaluation of evacuation are used when designing buildings. In the paper, calculation methods were tested on three real buildings. The testing used methods of evacuation time calculation pursuant to Slovak standards and evacuation time calculation using the buildingExodus simulation software. If calculation methods have been suitably selected taking into account the nature of evacuation and at the same time if correct values of parameters were entered, we will be able to obtain almost identical times of evacuation in comparison with real results obtained from simulation. The difference can range from 1% to 27%.

Pedestrian evacuation modeling to reduce vehicle use for distant tsunami evacuations in Hawaiʻi

USGS Publications Warehouse

Wood, Nathan J.; Jones, Jamie; Peters, Jeff; Richards, Kevin

2018-01-01

Tsunami waves that arrive hours after generation elsewhere pose logistical challenges to emergency managers due to the perceived abundance of time and inclination of evacuees to use vehicles. We use coastal communities on the island of Oʻahu (Hawaiʻi, USA) to demonstrate regional evacuation modeling that can identify where successful pedestrian-based evacuations are plausible and where vehicle use could be discouraged. The island of Oʻahu has two tsunami-evacuation zones (standard and extreme), which provides the opportunity to examine if recommended travel modes vary based on zone. Geospatial path distance models are applied to estimate population exposure as a function of pedestrian travel time and speed out of evacuation zones. The use of the extreme zone triples the number of residents, employees, and facilities serving at-risk populations that would be encouraged to evacuate and slightly reduces the percentage of residents (98–76%) that could evacuate in less than 15 min at a plausible speed (with similar percentages for employees). Areas with lengthy evacuations are concentrated in the North Shore region for the standard zone but found all around the Oʻahu coastline for the extreme zone. The use of the extreme zone results in a 26% increase in the number of hotel visitors that would be encouraged to evacuate, and a 76% increase in the number of them that may require more than 15 min. Modeling can identify where pedestrian evacuations are plausible; however, there are logistical and behavioral issues that warrant attention before localized evacuation procedures may be realistic.

Al Jubail--an aeromedical staging facility during the Gulf conflict: discussion paper.

PubMed Central

Martin, T E

1992-01-01

During the latter half of 1990 the Royal Air Force established a medical evacuation chain in support of the British First Armoured Division during Operation Granby (known as Operation Desert Storm in the USA). Medical contingency plans, formulated prior to embarkation from the UK, foresaw the need for five aeromedical staging facilities sub-deployed throughout the east of the Arabian Peninsula. The early days of the deployment found personnel busy with the construction of tented and hardened facilities and with the establishment of local operating procedures. Many problems were initially encountered, especially with supply, communications and in co-ordinating with collaborating coalition and host nation units. Nevertheless, progress was rapid and non-combatant operations were started within days of arrival. As the ground offensive became more imminent, training took on a sense of urgency. Advanced first aid techniques were taught to all non-medical staff, whereas doctors, nurses and paramedical personnel were taught ACLS and ATLS skills. All studied field hygiene, the hazards of nuclear, chemical and biological warfare, casualty handling, battle psychology and the intricacies of loading and unloading various types of aircraft. By the start of the ground phase of the war the British evacuation chain was fully operational and capable of treating and transferring hundreds of casualties per day. In the event, only about 850 patients were transported down the evacuation chain during the conflict, and less than 10% of these were battle casualties. This paper presents an overview of the British aeromedical evacuation system and discusses, in more detail, the establishment and operation of the busiest aeromedical staging facility at Al Jubail in the Eastern Province of Saudi Arabia. Images Figure 2. Figure 3. PMID:1548654

Evacuation behavior and Three Mile Island.

PubMed

Cutter, S; Barnes, K

1982-06-01

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

Providing emergency medical care to offshore oil and gas platforms in the Gulf of Mexico using telemedicine

NASA Astrophysics Data System (ADS)

Bouabene, Anis

2002-08-01

UTMB is developing with industrial partners the "24/7 telemedicine triage project" to provide emergency medical care to offshore oil and gas rigs and platforms in the Gulf of Mexico. The oil and gas industry is second only to the US department of defense in the number of employees stationed in remote areas. Providing medical care to such populations is logistically complex and expensive. In addition, emergency evacuation is often time-consuming and poses risks for both patients and medical crews. By utilizing high-resolution videoconferencing technology, through a satellite communication, patient visits will be conducted in real time and will provide more informed decisions about the need for more extensive treatment, thereby reducing unnecessary evacuations. In addition, patients who require evacuation will receive a higher standard of care while waiting for transport to a medical facility. UTMB physicians report that 39% of all patients from offshore facilities treated in the emergency department, could have been successfully treated through telemedicine without being evacuated to a hospital. The telemedicine project will employ standard procedures for medical triage, in which patients are directed to appropriate medical experts based on their symptoms or type of injury.

The long-term impact of war experiences and evacuation on people who were children during World War Two.

PubMed

Waugh, Melinda J; Robbins, Ian; Davies, Stephen; Feigenbaum, Janet

2007-03-01

During World War Two 1.9 million people were evacuated from British cities where the risk of bombing was perceived to be highest. 1.5 million of these were children who, often unaccompanied, were sent to live with strangers. Two hundred and forty-five people who were evacuated as children were compared with 96 of similar age who did not experience evacuation. Within this self-selected sample, significant numbers of the evacuees were found to have experienced abuse and neglect. Pre-evacuation abuse made continued abuse likely during evacuation, while abuse during evacuation led to children being more likely to continue to be abused on their return home. Abuse during evacuation led to increased scores on the Impact of Event Scale and General Health Questionnaire, and to insecure attachment patterns. The role of evacuation and abuse in the maintenance of long-term psychological problems is discussed.

Intelligent Exit-Selection Behaviors during a Room Evacuation

NASA Astrophysics Data System (ADS)

Zarita, Zainuddin; Lim Eng, Aik

2012-01-01

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

Evacuation of Pets During Disasters: A Public Health Intervention to Increase Resilience.

PubMed

Chadwin, Robin

2017-09-01

During a disaster, many pet owners want to evacuate their pets with them, only to find that evacuation and sheltering options are limited or nonexistent. This disregard for companion animal welfare during a disaster can have public health consequences. Pet owners may be stranded at home, unwilling to leave their pets behind. Others refuse evacuation orders or attempt to reenter evacuation sites illegally to rescue their animals. Psychopathologies such as grief, depression, and posttraumatic stress disorder are associated with pet abandonment during an evacuation. Health care workers may refuse to work if their animals are in danger, leaving medical facilities understaffed during crises. Zoonotic disease risk increases when pets are abandoned or left to roam, where they are more likely to encounter infected wildlife or unowned animals than they would if they were safely sheltered with their owners. These sequelae are not unique to the United States, nor to wealthy countries. Emergency planning for companion animals during disasters is a global need in communities with a significant pet population, and will increase resilience and improve public health.

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

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yoshimura, Ann S.; Brandt, Larry D.

2009-11-01

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

Central Dental Evacuation Systems.

DTIC Science & Technology

1982-05-01

handpiece . Inlets to this system are required throughout the dental facility for all disciplines of patient treatment where coolant and irrigation liquids...speed air turbine dental handpiece is used and for practically all other procedures in the practice of modern dentistry. Performance and reliability...AD-AI16 653 SCHOOL OF AEROSPACE MEDICINE BROOKS AFR TX F/G 6/5 CENTRAL DENTAL EVACUATION SYSTEMS.(U) MAY 52 J M POWELL, J M YOUNG UNCLASSIFIED SAM-TR

Planning Protective Action Decision-Making: Evacuate or Shelter-in-Place

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sorensen, J.H.

Appropriate protective action recommendations or decisions (PARs/PADs) are needed to achieve maximum protection of a population at risk. The factors that affect protective action decisions are complex but fairly well documented. Protective action decisions take into account population distributions, projected or actual exposure to a chemical substance, availability of adequate shelters, evacuation time estimates, and other relevant factors. To choose in-place sheltering, there should be a reasonable assurance that the movement of people beyond their residence, workplace, or school will endanger the health and safety of the public more so than allowing them to remain in place. The decision tomore » evacuate the public should be based on the reasonable assurance that the movement of people to an area outside of an affected area is in the best interest of their health and safety, and is of minimal risk to them. In reality, an evacuation decision is also a resource-dependent decision. The availability of transportation and other resources, including shelters, may factor heavily in the protective action decision-making process. All strategies to protect the health and safety of the public from a release of hazardous chemicals are explicitly considered during emergency decision making. Each institutional facility (such as hospitals, schools, day care centers, correctional facilities, assisted living facilities or nursing homes) in the community should be considered separately to determine what special protective actions may be necessary. Deciding whether to evacuate or to shelter-in-place is one of the most important questions facing local emergency planners responding to a toxic chemical release. That such a complex decision with such important potential consequences must be made with such urgency places tremendous responsibility on the planners and officials involved. Researchers have devoted considerable attention to the evacuation/shelter-in-place protection decision. While several decision aids have been developed, no single approach has achieved widespread acceptance based on validity, utility, and effectiveness (Ujihara 1989, Mannan and Kilpatrick 2000). In the absence of an agreed-upon methodology for making this decision, the best strategy for local emergency planners and officials is a thorough understanding of all the components affecting the decision. This paper summarizes what is currently known about the evacuation/shelter-in-place protection decision and points to available literature that more thoroughly explores the individual components of the decision. The next section summarizes the major issues in protective action decision process. This is followed by a discussion of all the factors that may bear on the protective action decision process. The final section address how to make a protective action decision.« less

Washington Tsunami Hazard Mitigation Program

NASA Astrophysics Data System (ADS)

Walsh, T. J.; Schelling, J.

2012-12-01

Washington State has participated in the National Tsunami Hazard Mitigation Program (NTHMP) since its inception in 1995. We have participated in the tsunami inundation hazard mapping, evacuation planning, education, and outreach efforts that generally characterize the NTHMP efforts. We have also investigated hazards of significant interest to the Pacific Northwest. The hazard from locally generated earthquakes on the Cascadia subduction zone, which threatens tsunami inundation in less than hour following a magnitude 9 earthquake, creates special problems for low-lying accretionary shoreforms in Washington, such as the spits of Long Beach and Ocean Shores, where high ground is not accessible within the limited time available for evacuation. To ameliorate this problem, we convened a panel of the Applied Technology Council to develop guidelines for construction of facilities for vertical evacuation from tsunamis, published as FEMA 646, now incorporated in the International Building Code as Appendix M. We followed this with a program called Project Safe Haven (http://www.facebook.com/ProjectSafeHaven) to site such facilities along the Washington coast in appropriate locations and appropriate designs to blend with the local communities, as chosen by the citizens. This has now been completed for the entire outer coast of Washington. In conjunction with this effort, we have evaluated the potential for earthquake-induced ground failures in and near tsunami hazard zones to help develop cost estimates for these structures and to establish appropriate tsunami evacuation routes and evacuation assembly areas that are likely to to be available after a major subduction zone earthquake. We intend to continue these geotechnical evaluations for all tsunami hazard zones in Washington.

Study on Earthquake Emergency Evacuation Drill Trainer Development

NASA Astrophysics Data System (ADS)

ChangJiang, L.

2016-12-01

With the improvement of China's urbanization, to ensure people survive the earthquake needs scientific routine emergency evacuation drills. Drawing on cellular automaton, shortest path algorithm and collision avoidance, we designed a model of earthquake emergency evacuation drill for school scenes. Based on this model, we made simulation software for earthquake emergency evacuation drill. The software is able to perform the simulation of earthquake emergency evacuation drill by building spatial structural model and selecting the information of people's location grounds on actual conditions of constructions. Based on the data of simulation, we can operate drilling in the same building. RFID technology could be used here for drill data collection which read personal information and send it to the evacuation simulation software via WIFI. Then the simulation software would contrast simulative data with the information of actual evacuation process, such as evacuation time, evacuation path, congestion nodes and so on. In the end, it would provide a contrastive analysis report to report assessment result and optimum proposal. We hope the earthquake emergency evacuation drill software and trainer can provide overall process disposal concept for earthquake emergency evacuation drill in assembly occupancies. The trainer can make the earthquake emergency evacuation more orderly, efficient, reasonable and scientific to fulfill the increase in coping capacity of urban hazard.

An optimization design for evacuation planning based on fuzzy credibility theory and genetic algorithm

NASA Astrophysics Data System (ADS)

Zhang, D.; Zhang, W. Y.

2017-08-01

Evacuation planning is an important activity in disaster management. It has to be planned in advance due to the unpredictable occurrence of disasters. It is necessary that the evacuation plans are as close as possible to the real evacuation work. However, the evacuation plan is extremely challenging because of the inherent uncertainty of the required information. There is a kind of vehicle routing problem based on the public traffic evacuation. In this paper, the demand for each evacuation set point is a fuzzy number, and each routing selection of the point is based on the fuzzy credibility preference index. This paper proposes an approximate optimal solution for this problem by the genetic algorithm based on the fuzzy reliability theory. Finally, the algorithm is applied to an optimization model, and the experiment result shows that the algorithm is effective.

Global Optimization of Emergency Evacuation Assignments

DOE Office of Scientific and Technical Information (OSTI.GOV)

Han, Lee; Yuan, Fang; Chin, Shih-Miao

2006-01-01

Conventional emergency evacuation plans often assign evacuees to fixed routes or destinations based mainly on geographic proximity. Such approaches can be inefficient if the roads are congested, blocked, or otherwise dangerous because of the emergency. By not constraining evacuees to prespecified destinations, a one-destination evacuation approach provides flexibility in the optimization process. We present a framework for the simultaneous optimization of evacuation-traffic distribution and assignment. Based on the one-destination evacuation concept, we can obtain the optimal destination and route assignment by solving a one-destination traffic-assignment problem on a modified network representation. In a county-wide, large-scale evacuation case study, the one-destinationmore » model yields substantial improvement over the conventional approach, with the overall evacuation time reduced by more than 60 percent. More importantly, emergency planners can easily implement this framework by instructing evacuees to go to destinations that the one-destination optimization process selects.« less

Integrating postabortion care, menstrual regulation and family planning services in Bangladesh: a pre-post evaluation.

PubMed

Biswas, Kamal K; Pearson, Erin; Shahidullah, S M; Sultana, Sharmin; Chowdhury, Rezwana; Andersen, Kathryn L

2017-03-11

In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation is allowed to induce menstruation and return to non-pregnancy after a missed period. MR services are typically provided through the Directorate General of Family Planning, while postabortion care services for incomplete abortion are provided by facilities under the Directorate General of Health Services. The bifurcated health system results in reduced quality of care, particularly for postabortion care patients whose procedures are often performed using sub-optimal uterine evacuation technology and typically do not receive postabortion contraceptive services. This study evaluated the success of a pilot project that aimed to integrate menstrual regulation, postabortion care and family planning services across six Directorate General of Health Services and Directorate General of Family Planning facilities by training providers on woman-centered abortion care and adding family planning services at sites offering postabortion care. A pre-post evaluation was conducted in the six large intervention facilities. Structured client exit interviews were administered to all uterine evacuation clients presenting in the 2-week data collection period for each facility at baseline (n = 105; December 2011-January 2012) and endline (n = 107; February-March 2013). Primary outcomes included service integration indicators such as provision of menstrual regulation, postabortion care and family planning services in both facility types, and quality of care indicators such as provision of pain management, provider communication and women's satisfaction with the services received. Outcomes were compared between baseline and endline for Directorate General of Family Planning and Directorate General of Health Services facilities, and chi-square tests and t-tests were used to test for differences between baseline and endline. At the end of the project there was an increase in menstrual regulation service provision in Directorate General of Health Services facilities, from none at baseline to 44.1% of uterine evacuation services at endline (p < 0.001). The proportion of women accepting a postabortion contraceptive method increased from 14.3% at baseline to 69.2% at endline in Directorate General of Health Services facilities (p = 0.006). Provider communication and women's rating of the care they received increased significantly in both Directorate General of Health Services and Directorate General of Family Planning facilities. Integration of menstrual regulation, postabortion care and family planning services is feasible in Bangladesh over a relatively short period of time. The intervention's focus on woman-centered abortion care also improved quality of care. This model can be scaled up through the public health system to ensure women's access to safe uterine evacuation services across all facility types in Bangladesh.

Application of fire and evacuation models in evaluation of fire safety in railway tunnels

NASA Astrophysics Data System (ADS)

Cábová, Kamila; Apeltauer, Tomáš; Okřinová, Petra; Wald, František

2017-09-01

The paper describes an application of numerical simulation of fire dynamics and evacuation of people in a tunnel. The software tool Fire Dynamics Simulator is used to simulate temperature resolution and development of smoke in a railway tunnel. Comparing to temperature curves which are usually used in the design stage results of the model show that the numerical model gives lower temperature of hot smoke layer. Outputs of the numerical simulation of fire also enable to improve models of evacuation of people during fires in tunnels. In the presented study the calculated high of smoke layer in the tunnel is in 10 min after the fire ignition lower than the level of 2.2 m which is considered as the maximal limit for safe evacuation. Simulation of the evacuation process in bigger scale together with fire dynamics can provide very valuable information about important security conditions like Available Safe Evacuation Time (ASET) vs Required Safe Evacuation Time (RSET). On given example in software EXODUS the paper summarizes selected results of evacuation model which should be in mind of a designer when preparing an evacuation plan.

[The historical experience of medical service in cooperation with state healthcare facilities during the Great Patriotic War 1941-1945].

PubMed

Budko, A A; Gribovskaia, G A; Zhuravlev, D A

2014-05-01

Cooperation issues between military-medical service and civil healthcare in the field of delivery of medical aid to patients in the rear of country are considered in the artic. The rear is a final stage of the care by echelon and the main medical reserve force for front and army areas. Wide hospital network in the rear consisted mainly of evacuation hospitals of the People's Commissariat of the USSR healthcare. Cooperation between military-medical service and civil healthcare facilities was required. Sometimes necessary cooperation failed and made mutual helming of evacuation hospitals difficult. But despite the problems the main problem - return of maximum wounded soldiers to active duty was solved during the Great Patriotic War.

Lightweight evacuated multilayer insulation systems for the space shuttle vehicle

NASA Technical Reports Server (NTRS)

Barclay, D. L.; Bell, J. E.; Zimmerman, D. K.

1973-01-01

The elements in the evacuated multilayer insulation system were investigated, and the major weight contributors for optimization selected. Outgassing tests were conducted on candidate vacuum jacket materials and experiments were conducted to determine the vacuum and structural integrity of selected vacuum jacket configurations. A nondestructive proof test method, applicable to externally pressurized shells, was validated on this program.

Early Implementation of Continuous Renal Replacement Therapy Optimizes Casualty Evacuation for Combat-Related Acute Kidney Injury

DTIC Science & Technology

2013-08-01

were Acute Kidney Injury Network (AKIN) 3 and all developed critical hyperkalemia (mean [SD], peak K+ 6.4 [0.4]). The peak plasma creatinine ranged...related acid-base disorders, severe hyperkalemia , and metabolic disorders became apparent. Based on the mounting pressure and internal performance im...with severe hyperkalemia was the most common indication for renal replacement. Validation for critical care evacuation to the Role IV facility mandated a

Infectious diseases related aeromedical evacuation of French soldiers in a level 4 military treatment facility: a ten year retrospective analysis.

PubMed

Rapp, C; Aoun, O; Ficko, C; Andriamanantena, D; Flateau, C

2014-01-01

Infectious diseases are a frequent cause of morbidity in French troops deployed abroad. They are usually minor in severity and managed by field practitioners. We aimed to describe the etiological spectrum of travel-related infections in French soldiers evacuated to a level 4 military treatment facility. We evaluated the diagnoses of all service members who were medically evacuated from abroad to our infectious diseases department from January 1, 2004 to October 30, 2013. One hundred and twenty five cases, median age 32 years were referred, 117 (94%) were male and 78 (62%) were from the Army. Main areas of deployment were Africa in 80 cases (64%), Afghanistan in 15 cases (12%), and French Guiana in 10 cases (8%). Median time between initial consultation and hospitalization in the reference center was 5 days (IQ 2-7 d). Thirty (24%) immediate aeromedical evacuations were carried out. The top five diagnoses were Plasmodium falciparum malaria (30), fever of unknown origin (15), cerebro-meningeal infections (10), invasive amebiasis (9), and HIV primary infections (9). Thirteen individuals were admitted in ICU. No death was recorded. Infectious diseases were a rare of cause of medevac. Most of them were preventable. Lethal etiologies were represented by malaria and cerebro-meningeal infections. Copyright © 2014 Elsevier Ltd. All rights reserved.

Improving Long-Term Care Facility Disaster Preparedness and Response: A Literature Review.

PubMed

Pierce, J Rush; Morley, Sarah K; West, Theresa A; Pentecost, Percy; Upton, Lori A; Banks, Laura

2017-02-01

Long-term care facilities (LTCFs) and their residents are especially susceptible to disruptions associated with natural disasters and often have limited experience and resources for disaster planning and response. Previous reports have offered disaster planning and response recommendations. We could not find a comprehensive review of studied interventions or facility attributes that affect disaster outcomes in LTCFs and their residents. We reviewed articles published from 1974 through September 30, 2015, that studied disaster characteristics, facility characteristics, patient characteristics, or an intervention that affected outcomes for LTCFs experiencing or preparing for a disaster. Twenty-one articles were included in the review. All of the articles fell into 1 of the following categories: facility or disaster characteristics that predicted preparedness or response, interventions to improve preparedness, and health effects of disaster response, most often related to facility evacuation. All of the articles described observational studies that were heterogeneous in design and metrics. We believe that the evidence-based literature supports 6 specific recommendations for facilities, governmental agencies, health care communities and academia. These include integrated and coordinated disaster planning, staff training, careful consideration before governments order mandatory evacuations, anticipation of the increased medical needs of LTCF residents following a disaster, and the need for more outcomes research. (Disaster Med Public Health Preparedness. 2017;11:140-149).

A study on evacuation time from lecture halls in Faculty of Engineering, Universiti Putra Malaysia

NASA Astrophysics Data System (ADS)

Othman, W. N. A. W.; Tohir, M. Z. M.

2018-04-01

An evacuation situation in any building involves many risks. The geometry of building and high potential of occupant load may affect the efficiency of evacuation process. Although fire safety rules and regulations exist, they remain insufficient to guarantee the safety of all building occupants and do not prevent the dramatic events to be repeated. The main objective of this project is to investigate the relationship between the movement time, travel speed and occupant density during a series of evacuation drills specifically for lecture halls. Generally, this study emphasizes on the movement of crowd within a limited space and includes the aspects of human behaviour. A series of trial evacuations were conducted in selected lecture halls at Faculty of Engineering, Universiti Putra Malaysia with the aim of collecting actual data for numerical analysis. The numerical data obtained during trial evacuations were used to determine the evacuation time, crowd movement and behaviour during evacuation process particularly for lecture halls. The evacuation time and number of occupants exiting from each exit were recorded. Video camera was used to record and observe the movement behaviour of occupants during evacuations. EvacuatioNZ was used to simulate the trials evacuations of DK 5 and the results predicted were compared with experimental data. EvacuatioNZ was also used to predict the evacuation time and the flow of occupants exiting from each door for DK 4 and DK 8.

Complementary methods to plan pedestrian evacuation of the French Riviera's beaches in case of tsunami threat: graph- and multi-agent-based modelling

NASA Astrophysics Data System (ADS)

Sahal, A.; Leone, F.; Péroche, M.

2013-07-01

Small amplitude tsunamis have impacted the French Mediterranean shore (French Riviera) in the past centuries. Some caused casualties; others only generated economic losses. While the North Atlantic and Mediterranean tsunami warning system is being tested and is almost operational, no awareness and preparedness measure is being implemented at a local scale. Evacuation is to be considered along the French Riviera, but no plan exists within communities. We show that various approaches can provide local stakeholders with evacuation capacities assessments to develop adapted evacuation plans through the case study of the Cannes-Antibes region. The complementarity between large- and small-scale approaches is demonstrated with the use of macro-simulators (graph-based) and micro-simulators (multi-agent-based) to select shelter points and choose evacuation routes for pedestrians located on the beach. The first one allows automatically selecting shelter points and measuring and mapping their accessibility. The second one shows potential congestion issues during pedestrian evacuations, and provides leads for the improvement of urban environment. Temporal accessibility to shelters is compared to potential local and distal tsunami travel times, showing a 40 min deficit for an adequate crisis management in the first scenario, and a 30 min surplus for the second one.

Health care response to the tsunami in Taro District, Miyako City, Iwate Prefecture.

PubMed

Kuroda, Hitoshi

2011-10-01

IN THE TARO DISTRICT (POPULATION: 4434), the great tsunami of 11 March 2011 destroyed the central region including the clinic, the sole medical facility (one physician, 13 nurses and other staff) in the district, and many citizens were forced to live in evacuation centres. The Taro District experienced massive damage during the tsunamis of 1896 and 1933. Since then countermeasures to tsunamis have been implemented. The great tsunami on 11 March 2011 caused catastrophic damage to the low-lying areas where approximately 2500 people lived; 1609 buildings were completely destroyed, and approximately 200 people died or were missing across the district. The Taro National Health Insurance Clinic, the sole medical facility in the Taro District, was required to play a central role in a variety of activities to care for residents in severely affected areas. First of all, evacuees needed to move to neighbouring hospitals or safer evacuation centres because lifeline services were cut off to the first evacuation centre. Then, the clinic staff worked in a temporary clinic; they visited the evacuation centres to assess the public health and medical situation, cared for wounded residents, managed infection control and encouraged a normal lifestyle where possible. Additional medical, pharmaceutical and logistical support was received from outside the district. There was no noticeably severe damage to health, although there was manifestation of and deterioration in lifestyle-related diseases (e.g. diabetes, hypertension, obesity). Health care activities gradually returned to their pre-disaster levels. At the end of July 2011, the evacuation centres closed, and all evacuees moved to temporary accommodations. ISOLATED RURAL HEALTH PRACTITIONERS WERE REQUIRED TO BE INVOLVED IN A WIDE VARIETY OF ACTIVITIES RELATED TO THE DISASTER IN ADDITION TO THEIR ROUTINE WORK: e.g. preventive health (public health and safety activities), routine medical care, acute medical care, psychological care, post-mortems and recovery of medical facilities. Although the whole health care system returned to near-normal six months after the disaster, it is important to plan how to develop more resilient medical systems to respond to disasters, especially in rural areas. This article describes my experience and lessons learnt in responding to this disaster.

Variations in disaster evacuation behavior: public responses versus private sector executive decision-making processes.

PubMed

Drabek, T E

1992-06-01

Data obtained from 65 executives working for tourism firms in three sample communities permitted comparison with the public warning response literature regarding three topics: disaster evacuation planning, initial warning responses, and disaster evacuation behavior. Disaster evacuation planning was reported by nearly all of these business executives, although it was highly variable in content, completeness, and formality. Managerial responses to post-disaster warnings paralleled the type of complex social processes that have been documented within the public response literature, except that warning sources and confirmation behavior were significantly affected by contact with authorities. Five key areas of difference were discovered in disaster evacuation behavior pertaining to: influence of planning, firm versus family priorities, shelter selection, looting concerns, and media contacts.

76 FR 55570 - Per Diem Payments for the Care Provided to Eligible Veterans Evacuated From a State Home as a...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-08

.... Hayes, MPH, RN, Office of Patient Care Services (114), Veterans Health Administration, Department of... health care in State home facilities that are recognized and certified by VA. Section 1742 specifically... programs-- veterans, Health care, Health facilities, Health professions, Health records, Homeless, Medical...

Managing acute coronary syndrome during medical air evacuation from a remote location at sea.

PubMed

Westmoreland, Andrew H

2014-01-01

Coronary emergencies at sea requiring air evacuation are not uncommon. On board a Nimitz-class aircraft carrier while in a remote location, an active duty sailor suffered a myocardial infarction. A medical evacuation by helicopter was necessary. Transfer proved difficult due to the ship's location, poor flying conditions, and the patient's deteriorating condition. This case stresses the importance of expeditious diagnosis, treatment, and air transfer to shore-based facilities capable of providing definitive coronary care. A 33-yr-old man recently started on trazodone due to depression complained of chest pain. The patient was hemodynamically unstable and electrocardiogram showed ST segment elevation and Q waves in the anterior, inferior, and lateral leads. He was air-lifted to the nearest accepting facility with cardiac catheterization capabilities, which was over 300 miles away. Poor weather conditions hindered the pilot's ability to fly the original course. The patient remained critical and medication choices were limited. Even with all of these obstacles, everyone involved performed his or her duties admirably. The patient's condition improved by the time the helicopter landed. He was then rushed by ambulance to the hospital's coronary care unit, where he was successfully treated. This case highlights the need to keep a high index of suspicion when patients complain of chest pain, regardless of age. It is of the utmost importance that individuals capable of thinking and acting quickly are assigned to medical evacuation teams, and that they continue to train regularly, as coronary events at sea are not uncommon.

Highway evacuations in selected metropolitan areas : assessment of impediments.

DOT National Transportation Integrated Search

2010-04-01

Almost 5 years after hurricanes Katrina and Rita battered Louisiana and Texas, respectively, public officials remain focused on the Nations ability to safely evacuate large numbers of people. As a part of the Fiscal Year 2010 U.S. Department of Tr...

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

PubMed

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

2012-09-01

On February 2, 2011, Tropical Cyclone Yasi, the largest cyclone to cross the Australian coast and a system the size of Hurricane Katrina, threatened the city of Cairns. As a result, the Cairns Base Hospital (CBH) and Cairns Private Hospital (CPH) were both evacuated, the hospitals were closed, and an alternate emergency medical center was established in a sports stadium 15 km from the Cairns central business district. This article describes the events around the evacuation of 356 patients, staff, and relatives to Brisbane (approximately 1,700 km away by road), closure of the hospitals, and the provision of a temporary emergency medical center for 28 hours during the height of the cyclone. Our experience highlights the need for adequate and exercised hospital evacuation plans; the need for clear command and control with identified decision-makers; early decision-making on when to evacuate; having good communication systems with redundancy; ensuring that patients are adequately identified and tracked and have their medications and notes; ensuring adequate staff, medications, and oxygen for holding patients; and planning in detail the alternate medical facility safety and its role, function, and equipment. © 2012 by the Society for Academic Emergency Medicine.

Medical evacuation for unrecognized abdominal wall pain: a case series.

PubMed

Msonda, Hapu T; Laczek, Jeffrey T

2015-05-01

Chronic abdominal pain is a frequently encountered complaint in the primary care setting. The abdominal wall is the etiology of this pain in 10 to 30% of all cases of chronic abdominal pain. Abdominal cutaneous nerve entrapment at the lateral border of the rectus abdominis muscle has been attributed as a cause of this pain. In the military health care system, patients with unexplained abdominal pain are often transferred to military treatment facilities via the Military Medical Evacuation (MEDEVAC) system. We present two cases of patients who transferred via MEDEVAC to our facility for evaluation and treatment of chronic abdominal pain. Both patients had previously undergone extensive laboratory evaluation, imaging, and invasive procedures, such as esophagogastroduodenoscopy before transfer. Upon arrival, history and physical examinations suggested an abdominal wall source to their pain, and both patients experienced alleviation of their abdominal wall pain with lidocaine and corticosteroid injection. This case series highlights the need for military physicians to be aware of abdominal wall pain. Early diagnosis of abdominal cutaneous nerve entrapment syndrome by eliciting Carnett's sign will limit symptom chronicity, avoid unnecessary testing, and even prevent medical evacuation. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

Agent-based Large-Scale Emergency Evacuation Using Real-Time Open Government Data

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lu, Wei; Liu, Cheng; Bhaduri, Budhendra L

The open government initiatives have provided tremendous data resources for the transportation system and emergency services in urban areas. This paper proposes a traffic simulation framework using high temporal resolution demographic data and real time open government data for evacuation planning and operation. A comparison study using real-world data in Seattle, Washington is conducted to evaluate the framework accuracy and evacuation efficiency. The successful simulations of selected area prove the concept to take advantage open government data, open source data, and high resolution demographic data in emergency management domain. There are two aspects of parameters considered in this study: usermore » equilibrium (UE) conditions of traffic assignment model (simple Non-UE vs. iterative UE) and data temporal resolution (Daytime vs. Nighttime). Evacuation arrival rate, average travel time, and computation time are adopted as Measure of Effectiveness (MOE) for evacuation performance analysis. The temporal resolution of demographic data has significant impacts on urban transportation dynamics during evacuation scenarios. Better evacuation performance estimation can be approached by integrating both Non-UE and UE scenarios. The new framework shows flexibility in implementing different evacuation strategies and accuracy in evacuation performance. The use of this framework can be explored to day-to-day traffic assignment to support daily traffic operations.« less

Evaluation of All-Day-Efficiency for selected flat plate and evacuated tube collectors

NASA Technical Reports Server (NTRS)

1981-01-01

An evaluation of all day efficiency for selected flat plate and evacuated tube collectors is presented. Computations are based on a modified version of the NBSIR 78-1305A procedure for all day efficiency. The ASHMET and NOAA data bases for solar insolation are discussed. Details of the algorithm used to convert total (global) horizontal radiation to the collector tilt plane of the selected sites are given along with tables and graphs which show the results of the tests performed during this evaluation.

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

PubMed

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

2007-09-01

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

Emergency preparedness and planning

NASA Technical Reports Server (NTRS)

Bouvier, Kenneth

1993-01-01

Monsanto's emergency response plan in dealing with hazardous materials at their facilities is presented. Topics discussed include the following: CPR training; emergency medial training; incident reports; contractor injuries; hazardous materials transport; evacuation; and other industrial safety concerns.

Mifepristone-misoprostol for menstrual regulation in public sector facilities in Bangladesh.

PubMed

Alam, Anadil; Lotarevich, Tatyana; Das, Tapash R; Reichenbach, Laura; Bracken, Hillary

2018-02-01

To examine the use of mifepristone and misoprostol for menstrual regulation among Bangladeshi women attending public sector facilities. In a prospective study, women (aged ≥18 years) with up to 9 weeks of amenorrhea were enrolled at 24 government health facilities in Bangladesh from November 2012 to June 2015. Paramedics or female welfare visitors provided most menstrual regulation care. Participants took 200 mg mifepristone followed by 800 μg buccal misoprostol after 24 hours, and were asked to return to the clinic 10-14 days later for clinical assessment and an exit interview. The primary outcome was successful evacuation of the uterus without need for surgical intervention. Women who completed follow-up were included in analyses for the primary outcome. Among 1744 enrolled participants, 1738 completed follow-up. Most (1674, 96.3%) had a successful uterine evacuation without the need for surgical intervention. A successful outcome was significantly more common in primary (724/744, 97.3%) and secondary facilities (861/895, 96.2%) than in the specialty hospital (89/99, 89.9%; P<0.001 and P=0.004, respectively). Menstrual regulation with mifepristone and misoprostol can be provided effectively in public sector facilities in Bangladesh. CLINICALTRIALS.GOV: NCT01798017. © 2017 International Federation of Gynecology and Obstetrics.

Novel device and technique for minimally invasive intracerebral hematoma evacuation in the same setting of a ruptured intracranial aneurysm: combined treatment in the neurointerventional angiography suite.

PubMed

Turner, Raymond D; Vargas, Jan; Turk, Aquilla S; Chaudry, M Imran; Spiotta, Alejandro M

2015-03-01

The presence of intracerebral hematoma from aneurysm rupture is an indication for craniotomy for clot evacuation and aneurysm clipping. Some centers have begun securing aneurysms with coil embolization followed by clot evacuation in the operating room. This approach requires transporting a patient from the angiography suite to the operating room, which can take valuable time and resources. To report our experience with 3 cases in which a novel technique for minimally invasive evacuation of intracerebral hematomas after endovascular treatment of ruptured intracranial aneurysms was used. The Penumbra Apollo system can be used in the angiography suite in conjunction with neuroendovascular techniques to simultaneously address a symptomatic hematoma associated with a ruptured aneurysm. Standard preoperative computed tomography angiography was performed on arrival to the emergency department. The patients underwent diagnostic cerebral angiography followed by balloon-assisted coil embolization and then remained in the neurointerventional suite for intracerebral hematoma evacuation with the Apollo system. All patients tolerated coil embolization and hematoma evacuation well. The combined procedures lasted <3 hours in both cases. Two patients were eventually discharged to acute rehabilitation facilities less than a month after their initial insult, and 1 has been cleared to return to work. The other patient was transferred to hospice care. The Apollo aspiration system appears to be a safe and effective minimally invasive option for intracerebral hematoma evacuation, particularly when coupled with endovascular embolization of ruptured intracranial aneurysms. Future work will address which patient population is most likely to benefit from this promising technique.

Surviving the storms: Emergency preparedness in Texas nursing facilities and assisted living facilities.

PubMed

Castro, Carmen; Persson, Diane; Bergstrom, Nancy; Cron, Stanley

2008-08-01

This study assesses the preparedness of long-term care facilities in Texas responding to Hurricanes Katrina and Rita. A 41-item questionnaire was mailed to facilities; the response rate was 42%. Among responding facilities, 4513 residents were evacuated, and 6% of respondents reported resident death. Financial losses were reported by 8% of nursing facilities and 45% of assisted living facilities due to transportation and staff overtime. Respondents indicated the need for improved disaster preparednesstraining, better coordination, and transportation. Changes in policy and practice will lead to better trained staff who will provide the care residents need for improved health outcomes during future public health disasters.

US EPA Base Study Standard Operating Procedure for Sampling Volatile Organic Compounds in Indoor Air Using Evacuated Canisters

EPA Pesticide Factsheets

The objective of this procedure is to collect a representative sample of air containing volatile organic compound (VOC) contaminants present in an indoor environment using an evacuated canister, and to subsequently analyze the concentration of VOCs, as selected by EPA.

A Comparison of the Nursing Home Evacuation Experience between Hurricanes Katrina (2005) and Gustav (2008)

PubMed Central

Blanchard, Gary; Dosa, David

2009-01-01

Background One of the tragic legacies of Hurricane Katrina was the loss of life among Louisiana (LA) nursing home (NH) residents. Katrina revealed a staggering lack of emergency preparation and understanding of how to safely evacuate frail populations. Three years later, LA braced for Hurricane Gustav, a storm heralded to rival Katrina's power. Though its magnitude of destruction ultimately paled to Katrina, the warnings and predicted path preceding Gustav yielded a process of NH evacuations similar to Katrina. The goal of this paper was to ascertain whether NH administrative directors (ADs) felt more prepared to evacuate before Gustav. Methods In 2006, Dosa, et. al. (JAMDA, 3/07), interviewed 20 NH ADs by qualitative telephone survey to evaluate their lessons learned from Katrina. Administrators at these 20 participating nursing homes were contacted and asked to participate in a follow-up survey to compare hurricane preparedness between 2005 and 2008. Specifically, ADs were asked if they evacuated prior to Gustav, their destination, and about logistical issues with evacuation (e.g., transportation, injuries). ADs were asked to rate their confidence with state assistance, hurricane transportation, and evacuation preparedness on a 10-point scale (10=most confident) and compare their preparedness to Katrina. Results Sixteen of the 20 NHs that participated in 2006 agreed to be surveyed – 11 of whom held the same position before Katrina. Unlike Katrina, when only 45% evacuated prior to the storm, all 16 NHs evacuated before Gustav. (56% to another NH and 46% to a church, gym, college, or other facility). Overall, ADs rated their confidence in preparedness for Gustav as a mean of 8.3 (range 5 to 10) – compared with a mean of 5.4 (range 3 to 8) for Katrina, a 54% improvement. Of the 11 ADs employed pre-Katrina, 73% reported improved collaboration with the state and 55% noted improved transportation. Nevertheless, seven ADs noted significant logistical problems during evacuation (mostly transportation); four noted resident injuries (two hip fractures, one traumatic fall, and one cerebrovascular accident); and two noted resident post-traumatic stress. Conclusions NH ADs felt more prepared to evacuate their residents for Gustav, owing partly to improved communication and collaboration with state agencies; however, significant morbidity and logistical problems remain with evacuating frail NH residents before hurricanes. PMID:19883887

A comparison of the nursing home evacuation experience between hurricanes katrina (2005) and gustav (2008).

PubMed

Blanchard, Gary; Dosa, David

2009-11-01

One of the tragic legacies of Hurricane Katrina was the loss of life among Louisiana (LA) nursing home (NH) residents. Katrina revealed a staggering lack of emergency preparation and understanding of how to safely evacuate frail populations. Three years later, LA braced for Hurricane Gustav, a storm heralded to rival Katrina's power. Although its magnitude of destruction ultimately paled to Katrina, the warnings and predicted path preceding Gustav yielded a process of NH evacuations similar to Katrina. The goal of this article was to ascertain whether NH administrative directors (ADs) felt more prepared to evacuate before Gustav. In 2006, Dosa et al(5) (J Am Med Dir Assoc, 3/07), interviewed 20 NH ADs by qualitative telephone survey to evaluate their lessons learned from Katrina. Administrators at these 20 participating nursing homes were contacted and asked to participate in a follow-up survey to compare hurricane preparedness between 2005 and 2008. Specifically, ADs were asked if they evacuated before Gustav, their destination, and about logistical issues with evacuation (eg, transportation, injuries). ADs were asked to rate their confidence with state assistance, hurricane transportation, and evacuation preparedness on a 10-point scale (10=most confident) and compare their preparedness to Katrina. Sixteen of the 20 NHs that participated in 2006 agreed to be surveyed-11 of whom held the same position before Katrina. Unlike Katrina, when only 45% evacuated before the storm, all 16 NHs evacuated before Gustav (56% to another NH and 46% to a church, gym, college, or other facility). Overall, ADs rated their confidence in preparedness for Gustav as a mean of 8.3 (range 5 to 10) compared with a mean of 5.4 (range 3 to 8) for Katrina, a 54% improvement. Of the 11 ADs employed pre-Katrina, 73% reported improved collaboration with the state and 55% noted improved transportation. Nevertheless, 7 ADs noted significant logistical problems during evacuation (mostly transportation); 4 noted resident injuries (2 hip fractures, 1 traumatic fall, and 1 cerebrovascular accident); and 2 noted resident posttraumatic stress. NH ADs felt more prepared to evacuate their residents for Gustav, owing partly to improved communication and collaboration with state agencies; however, significant morbidity and logistical problems remain with evacuating frail NH residents before hurricanes.

Communication, information seeking, and evacuation plans for a disaster using Community Assessment for Public Health Emergency Response in the GulF Coast counties of Alabama and Mississippi, 2011.

PubMed

Buttke, Danielle; Vagi, Sara; Bayleyegn, Tesfaye; Schnall, Amy; Morrison, Melissa; Allen, Mardi; Wolkin, Amy

2013-01-01

To determine communication, information seeking, and evacuation behaviors of coastal residents in a disaster-prone area. A two-stage, probability sampling design to select 210 households in each assessment area was used. Data were analyzed using a weighted cluster analysis to report projected households for each assessment area. Public health services areas of coastal Alabama and Mississippi. Eligible respondents were 18 years of age or older, had lived in the community for at least 30 days, and were residents of the selected household. Evacuation propensity, primary communication forms, primary information forms, and special needs. Most coastal residents would evacuate if recommended by public health authorities. Fewer residents had landlines (45.9-58.8 percent) compared to residents using cellular or mobile phone service only (84.3-95.8 percent), and these residents were significantly older compared to non-landline owning residents. Most residents own pets (61.9-70.1 percent). Our assessment suggests that the majority of Alabama and Mississippi coastal residents plan to evacuate during a disaster if recommended by public health authorities. However, public health authorities should strive to evaluate multiple forms of communication to disseminate disaster preparedness and response messages to reach all vulnerable residents, especially in situations where electric services might be compromised. Emergency preparedness personnel should also be prepared for a large pet population in the event of an evacuation.

Three mile island. The silent disaster.

PubMed

Smith, J S; Fisher, J H

1981-04-24

From Wednesday, March 28, 1979, to Wednesday, April 4, 1979, Dauphin County, Pennsylvania, was in a state of near-panic in response to the Three Mile Island nuclear accident. The Dauphin County Office of Emergency Preparedness quickly attempted to develop a plan to evacuate not only the population of an area 20 miles in radius from the plant but the short-term and long-term care medical facilities as well. For medical evacuation, a system of classification of patients was defined and matched to needed transportation. Furthermore, a critical coordinating link was established with the Hospital Association of Pennsylvania to identify and categorize relocation beds in receiving hospitals far from the incident site in the event of evacuation. Just as this incident was unusual, so too were the planning activities unique since they were never before conceived or accomplished.

Health care response to the tsunami in Taro District, Miyako City, Iwate Prefecture

PubMed Central

2011-01-01

Problem In the Taro District (population: 4434), the great tsunami of 11 March 2011 destroyed the central region including the clinic, the sole medical facility (one physician, 13 nurses and other staff) in the district, and many citizens were forced to live in evacuation centres. Context The Taro District experienced massive damage during the tsunamis of 1896 and 1933. Since then countermeasures to tsunamis have been implemented. The great tsunami on 11 March 2011 caused catastrophic damage to the low-lying areas where approximately 2500 people lived; 1609 buildings were completely destroyed, and approximately 200 people died or were missing across the district. Action The Taro National Health Insurance Clinic, the sole medical facility in the Taro District, was required to play a central role in a variety of activities to care for residents in severely affected areas. First of all, evacuees needed to move to neighbouring hospitals or safer evacuation centres because lifeline services were cut off to the first evacuation centre. Then, the clinic staff worked in a temporary clinic; they visited the evacuation centres to assess the public health and medical situation, cared for wounded residents, managed infection control and encouraged a normal lifestyle where possible. Additional medical, pharmaceutical and logistical support was received from outside the district. Outcome There was no noticeably severe damage to health, although there was manifestation of and deterioration in lifestyle-related diseases (e.g. diabetes, hypertension, obesity). Health care activities gradually returned to their pre-disaster levels. At the end of July 2011, the evacuation centres closed, and all evacuees moved to temporary accommodations. Discussion Isolated rural health practitioners were required to be involved in a wide variety of activities related to the disaster in addition to their routine work: e.g. preventive health (public health and safety activities), routine medical care, acute medical care, psychological care, post-mortems and recovery of medical facilities. Although the whole health care system returned to near-normal six months after the disaster, it is important to plan how to develop more resilient medical systems to respond to disasters, especially in rural areas. This article describes my experience and lessons learnt in responding to this disaster. PMID:23908896

Rectal intussusception and unexplained faecal incontinence: findings of a proctographic study.

PubMed

Collinson, R; Cunningham, C; D'Costa, H; Lindsey, I

2009-01-01

The aetiology of faecal incontinence is multifactorial, yet there remains an approach to assessment and treatment that focusses on the sphincter. Rectal intussusception (RI) is underdiagnosed and manifests primarily as obstructed defecation. Yet greater than 50% of these patients admit to faecal incontinence on closer questioning. We aimed to evaluate the incidence of RI at evacuation proctography selectively undertaken in the evaluation of patients with faecal incontinence. Patients with faecal incontinence seen in a pelvic floor clinic were evaluated with anorectal physiology and ultrasound. Where the faecal incontinence was not fully explained by physiology and ultrasound, evacuation proctography was undertaken. Studies were classified as 'normal', 'low-grade RI' (recto-rectal), 'high-grade RI' (recto-anal) or 'anismus'. Forty patients underwent evacuation proctography (33 women, 83%). Median age was 63 years (range 34-77 years). Seven patients (17%) had a normal proctogram. Three (8%) had recto-rectal RI. Twenty-five (63%) demonstrated recto-anal RI. Five patients (12%) had anismus. Recto-anal intussusception is common in patients undergoing selective evacuation proctography for investigation of faecal incontinence. The role of recto-anal intussusception in the multifactorial aetiology of faecal incontinence has been largely overlooked. Evacuation proctography should be considered as part of routine work-up of patients with faecal incontinence.

Use of mental health services by nursing home residents after hurricanes.

PubMed

Brown, Lisa M; Hyer, Kathryn; Schinka, John A; Mando, Ahed; Frazier, Darvis; Polivka-West, Lumarie

2010-01-01

A growing body of research supports the value of mental health intervention to treat people affected by disasters. This study used a mixed-methods approach to evaluate pre- and posthurricane mental health service use in Florida nursing homes. A questionnaire was administered to 258 directors of nursing, administrators, and owners of nursing homes, representing two-thirds of Florida's counties, to identify residents' mental health needs and service use. In four subsequent focus group meetings with 22 nursing home administrators, underlying factors influencing residents' use of services were evaluated. Although most nursing homes provided some type of mental health care during normal operations, disaster-related mental health services were not routinely provided to residents. Receiving facilities were more likely than evacuating facilities to provide treatment to evacuated residents. Nursing home staff should be trained to deliver disaster-related mental health intervention and in procedures for making referrals for follow-up evaluation and formal intervention.

Modeling hurricane evacuation traffic : a mobile real-time traffic counter for monitoring hurricane evacuation traffic conditions.

DOT National Transportation Integrated Search

2006-04-01

The objective of this part of the research study was to select and acquire a mobile traffic counter capable of providing traffic flow and average speed data in intervals of time no greater than 15 minutes and transmit the data back to a central locat...

Spatial Analysis of Traffic and Routing Path Methods for Tsunami Evacuation

NASA Astrophysics Data System (ADS)

Fakhrurrozi, A.; Sari, A. M.

2018-02-01

Tsunami disaster occurred relatively very fast. Thus, it has a very large-scale impact on both non-material and material aspects. Community evacuation caused mass panic, crowds, and traffic congestion. A further research in spatial based modelling, traffic engineering and splitting zone evacuation simulation is very crucial as an effort to reduce higher losses. This topic covers some information from the previous research. Complex parameters include route selection, destination selection, the spontaneous timing of both the departure of the source and the arrival time to destination and other aspects of the result parameter in various methods. The simulation process and its results, traffic modelling, and routing analysis emphasized discussion which is the closest to real conditions in the tsunami evacuation process. The method that we should highlight is Clearance Time Estimate based on Location Priority in which the computation result is superior to others despite many drawbacks. The study is expected to have input to improve and invent a new method that will be a part of decision support systems for disaster risk reduction of tsunamis disaster.

Analysis of sheltering and evacuation strategies for a Chicago nuclear detonation scenario.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yoshimura, Ann S.; Brandt, Larry D.

2011-09-01

Development of an effective strategy for shelter and evacuation is among the most important planning tasks in preparation for response to a low yield, nuclear detonation in an urban area. Extensive studies have been performed and guidance published that highlight the key principles for saving lives following such an event. However, region-specific data are important in the planning process as well. This study examines some of the unique regional factors that impact planning for a 10 kt detonation in Chicago. The work utilizes a single scenario to examine regional impacts as well as the shelter-evacuate decision alternatives at selected exemplarymore » points. For many Chicago neighborhoods, the excellent assessed shelter quality available make shelter-in-place or selective transit to a nearby shelter a compelling post-detonation strategy.« less

Zero-Gravity Research Facility Drop Test (2/4)

NASA Technical Reports Server (NTRS)

1995-01-01

An experiment vehicle plunges into the deceleration pit at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physcis, and combustion and processing systems. Payloads up to 1 meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No. 2 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

Zero-Gravity Research Facility Drop Test (1/4)

NASA Technical Reports Server (NTRS)

1995-01-01

An experiment vehicle plunges into the deceleration pit at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physics, and combustion and processing systems. Payloads up to 1 meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No.1 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

Zero-Gravity Research Facility Drop Test (3/4)

NASA Technical Reports Server (NTRS)

1995-01-01

An experiment vehicle plunges into the deceleration at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physics, and combustion and processing systems. Payloads up to one-meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No. 3 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

Zero-Gravity Research Facility Drop Test (4/4)

NASA Technical Reports Server (NTRS)

1995-01-01

An experiment vehicle plunges into the deceleration pit at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physics, and combustion and processing systems. Payloads up to one meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No. 4 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

KSC-2011-1342

NASA Image and Video Library

2011-02-02

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, KSC firefighters were on the scene after a backhoe inadvertently struck a natural gas line at around 8:40 a.m. EST in the area north of the Multi Function Facility (MFF). As a precaution, personnel were evacuated from Orbiter Processing Facilities 1 and 2, the MFF, Processing Control Center and Operations Support Building (OSB) I. All traffic was blocked on the Saturn Causeway near the facilities. There were no injuries or damage to any facilities and personnel were allowed back into their buildings before mid-day and the roadway open to traffic. Photo credit: NASA/Jack Pfaller

ADA Design.

ERIC Educational Resources Information Center

Gips, Kathy

2003-01-01

Describes requirements for existing educational facilities under Title II of the Americans with Disabilities Act and addresses issues such as guidelines for children, wheelchair-accessible and ambulatory stalls, areas without their own section in the standards, assistive listening devices in auditoriums, ramp slope, emergency evacuation planning,…

Community variations in population exposure to near-field tsunami hazards as a function of pedestrian travel time to safety

USGS Publications Warehouse

Wood, Nathan J.; Schmidtlein, Mathew C.

2013-01-01

Efforts to characterize population exposure to near-field tsunami threats typically focus on quantifying the number and type of people in tsunami-hazard zones. To develop and prioritize effective risk-reduction strategies, emergency managers also need information on the potential for successful evacuations and how this evacuation potential varies among communities. To improve efforts to properly characterize and differentiate near-field tsunami threats among multiple communities, we assess community variations in population exposure to tsunamis as a function of pedestrian travel time to safety. We focus our efforts on the multiple coastal communities in Grays Harbor and Pacific Counties (State of Washington, USA), where a substantial resident and visitor population is threatened by near-field tsunamis related to a potential Cascadia subduction zone earthquake. Anisotropic, path-distance modeling is conducted to estimate travel times to safety and results are merged with various population data, including residents, employees, public venues, and dependent-care facilities. Results suggest that there is substantial variability among communities in the number of people that may have insufficient time to evacuate. Successful evacuations may be possible in some communities assuming slow-walking speeds, are plausible in others if travel speeds are increased, and are unlikely in another set of communities given the large distances and short time horizon. Emergency managers can use these results to prioritize the location and determine the most appropriate type of tsunami risk-reduction strategies, such as education and training in areas where evacuations are plausible and vertical-evacuation structures in areas where they are not.

Disaster Planning and Risk Communication With Vulnerable Communities: Lessons From Hurricane Katrina

PubMed Central

Eisenman, David P.; Cordasco, Kristina M.; Asch, Steve; Golden, Joya F.; Glik, Deborah

2007-01-01

Objectives. We studied the experience of Hurricane Katrina evacuees to better understand factors influencing evacuation decisions in impoverished, mainly minority communities that were most severely affected by the disaster. Methods. We performed qualitative interviews with 58 randomly selected evacuees living in Houston’s major evacuation centers from September 9 to 12, 2005. Transcripts were content analyzed using grounded theory methodology. Results. Participants were mainly African American, had low incomes, and were from New Orleans. Participants’ strong ties to extended family, friends, and community groups influenced other factors affecting evacuation, including transportation, access to shelter, and perception of evacuation messages. These social connections cut both ways, which facilitated and hindered evacuation decisions. Conclusions. Effective disaster plans must account for the specific obstacles encountered by vulnerable and minority communities. Removing the more apparent obstacles of shelter and transportation will likely be insufficient for improving disaster plans for impoverished, minority communities. The important influence of extended families and social networks demand better community-based communication and preparation strategies. PMID:17413069

Thermal performance of multilayer insulations. [gas evacuation characteristics of three selected multilayer insulation composites

NASA Technical Reports Server (NTRS)

Keller, C. W.; Cunnington, G. R.; Glassford, A. P.

1974-01-01

Experimental and analytical studies were conducted in order to extend previous knowledge of the thermal performance and gas evacuation characteristics of three selected multilayer insulation (MLI) composites. Flat plate calorimeter heat flux measurements were obtained for 20- and 80- shield specimens using three representative layer densities over boundary temperatures ranging from 39 K (70 R) to 389 K (700 R). Laboratory gas evacuation tests were performed on representative specimens of each MLI composite after initially purging them with helium, nitrogen, or argon gases. In these tests, the specimens were maintained at temperatures between 128 K (230 R) and 300 K (540 R). Based on the results of the laboratory-scale tests, a composite MLI system consisting of 112 unperforated, double-aluminized Mylar reflective shields and 113 water preconditioned silk net spacer pairs was fabricated and installed on a 1.22-m-(4-ft-) diameter calorimeter tank.

Moving characteristics of single file passengers considering the effect of ship trim and heeling

NASA Astrophysics Data System (ADS)

Sun, Jinlu; Lu, Shouxiang; Lo, Siuming; Ma, Jian; Xie, Qimiao

2018-01-01

Ship listing and motion affects the movement pattern of passengers on board, thus pedestrian traffic and evacuation dynamics would be significantly different from those on level ground. To quantify the influence of ship listing and motion on passenger evacuation, we designed a ship corridor simulator, with which we performed single-file pedestrian movement experiments considering the effect of trim and heeling. Results indicated that density is not the only factor that affects pedestrian speed under ship trim or heeling conditions, for that both individual walking speed and group walking speed would be greatly attenuated due to the influence of the trim angles. However, heeling angles show less impact on speed when compared with trim angles. In addition, the speed correlation coefficient between the adjacent experimental subjects would be higher with larger angles and lower speed. Moreover, both female and male experimental subjects need similar distance headway for walking in different trim or heeling conditions. Furthermore, experimental subjects with lower individual walking speed need longer time headway to keep enough distance headway. This work will provide fundamental guidance to the development of evacuation models and the design of evacuation facilities on board.

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

PubMed

Leppäniemi, A; Vuola, J; Vornanen, M

2005-01-01

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

Microgravity

NASA Image and Video Library

1995-04-06

An experiment vehicle plunges into the deceleration at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physics, and combustion and processing systems. Payloads up to one-meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No. 3 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

Microgravity

NASA Image and Video Library

1995-04-06

An experiment vehicle plunges into the deceleration pit at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physcis, and combustion and processing systems. Payloads up to 1 meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No. 2 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

Microgravity

NASA Image and Video Library

1995-04-06

An experiment vehicle plunges into the deceleration pit at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physics, and combustion and processing systems. Payloads up to one meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No. 4 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

Microgravity

NASA Image and Video Library

1995-04-06

An experiment vehicle plunges into the deceleration pit at the end of a 5.18-second drop in the Zero-Gravity Research Facility at NASA's Glenn Research Center. The Zero-Gravity Research Facility was developed to support microgravity research and development programs that investigate various physical sciences, materials, fluid physics, and combustion and processing systems. Payloads up to 1 meter in diameter and 455 kg in weight can be accommodated. The facility has a 145-meter evacuated shaft to ensure a disturbance-free drop. This is No.1 of a sequence of 4 images. (Credit: NASA/Glenn Research Center)

Living Well in Space: Clinical Care Challenge

NASA Technical Reports Server (NTRS)

1989-01-01

This video describes the Health Maintenance Facility (HMF). The HMF provides inflight medical care including prevention, diagnosis, and care during transport if the patient must be evacuated. A comparison to medical services found in a large hospital is used to describe the HMF's subsystems.

40 CFR 63.361 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES Ethylene Oxide Emissions Standards... used to facilitate off-gassing of ethylene oxide at a sterilization facility. Aeration room vent means the point(s) through which the evacuation of ethylene oxide-laden air from an aeration room occurs...

Medical response of a physician and two nurses to the mass-casualty event resulting in the Phi Phi Islands from the tsunami.

PubMed

Ammartyothin, Surasak; Ashkenasi, Issac; Schwartz, Dagan; Leiba, Adi; Nakash, Guy; Pelts, Rami; Goldberg, Avishay; Bar-Dayan, Yaron

2006-01-01

The Phi Phi Islands are isolated islands located about one hour by ship from the mainland in Krabi province of Thailand. There is a small medical facility where the director is the one physician that provides care to residents and tourists. This small medical facility faced an enormous mass casualty incident due to the 2004 Tsunami. The hospital was damaged by the Tsunami wave and was not functional, one crew member died and another was injured. Medical care and evacuation posed a unique problem in the Phi Phi Islands due to remoteness, limited medical resources, lack of effective communication with the main land and the large number of victims. An alternative medical facility was located in a nearby hotel. The crew included the medical director, two nurses, two additional staff members, 10 local volunteers, and hotel staff members. The medical crew had to treat 600-700 casualties in 24 hours. Most of the victims were mildly injured, but approximately 100 (15%) of the victims could not walk due to their injuries. The medical director, made a conscious decision to initially treat only circulation ("C") problems, by controlling external hemorrhages. This decision was driven by the lack of equipment and personnel to deal with airway ("A") and breathing ("B") problems. In the post-disaster debriefing, the Phi Phi Island hospital physician noted five major lessons concerning disaster management in such extreme situation in a small facility located in a remote area: (1) effective resistant communication facilities must be ensured; (2) clear, simple "evacuation plans" should be made in advance; (3) plans should be made to ensure automatic reinforcement of remote areas with evacuation vehicles, medical equipment and medical personnel; (4) efficient cooperation with medical volunteers must be planned and drilled; and (5) every team member of such a hospital must participate in an educational program and periodic drills should be done to improve the disaster and emergency medicine capabilities. This case report is an example for caregivers all over the world, of an amazing lesson of leadership and courage.

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

PubMed

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

2014-01-01

Since 1987, the Spanish Armed Forces have deployed their troops in a multitude of conflicts and natural disasters worldwide. The Spanish Military Medical Corps has the ability to deploy Role 1, Role 2, and one Role 3 medical treatment facilities. It also has a Role 4 in operation, the "Gómez Ulla" Central Hospital of Defense, in Madrid. The aim of this study is to describe the type of Spanish casualties evacuated from different areas of operation to the Role 4 from 2008 to 2013. A retrospective, cross-sectional study was performed on a sample of 232 patients. Among these, 211 (91%) were noncombat casualties: 126 because of illness, 53 because of an accident, and 32 because of sports injuries. The remaining 21 (9%) were combat casualties: 11 from improvised explosive devices and 10 from gunfire. Afghanistan, followed by Lebanon, is the operational area where most evacuees originate. The authors consider it essential that the Spanish Armed Forces rely on a Role 4 medical treatment facility as part of their medical support to international operations. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

Evaluation of emergency air evacuation of critically ill patients from cruise ships.

PubMed

Prina, L D; Orzai, U N; Weber, R E

2001-01-01

The study objectives were to assess the ship physician's diagnostic accuracy in making the decision to air evacuate critically ill patients from cruise ships, to determine the outcome of these patients, and the overall benefit of air evacuation. From October 1999 to May 2000, we performed a prospective study of critically ill patients coming from cruise ships in the Caribbean and transported to our institution by air ambulance. Demographics, initial diagnosis, and treatment on board were collected by the triage officer at the time of the cruise physician's first call. In route complications and flight team composition were obtained from the air ambulance monitoring log. Patients were followed-up in the hospital for complications, outcome, and final diagnosis. A consecutive series of 104 patients were considered for analysis. There were 65 men and 39 women (mean age: 68.7 years). Cruise physician's diagnosis was correct in more than 90% of the cases. Internal medicine and surgical conditions represented 80.8% and 19.2% of the cases respectively, falling mainly into three categories: cardiac (34.6%), neurological (20.2%), and digestive (14%). Two cardiac arrests and 1 ventricular fibrillation were successfully resuscitated and 5 of 15 myocardial infarctions received thrombolytic therapy on board. Air transfers were warranted in 96.1% of the cases and physician presence in the flight was considered appropriate in 97.6%. In route complications and mortality rate were 5.8% and 2.9% respectively, related to serious cardiac events. Among the 98 hospitalized patients, 10 patients developed new complications and 5 died. The overall mortality rate was 7.7%. The cruise industry appears off to a good start in the medical treatment of passengers needing air evacuation to a land based medical facility. There is room for improvement and adoption of American College of Emergency Physicians (ACEP) and International Council of Cruise Lines (ICCL) Health Care Guidelines are meaningful first steps. Analysis of Caribbean medical facilities and implementation of active telemedicine conferencing represent alternatives to air evacuation that need to be studied.

Efficacy of High-volume Evacuator in Aerosol Reduction: Truth or Myth? A Clinical and Microbiological Study.

PubMed

Desarda, Hitesh; Gurav, Abhijit; Dharmadhikari, Chandrakant; Shete, Abhijeet; Gaikwad, Subodh

2014-01-01

Background and aims. Basic periodontal treatment aims at eliminating supra- and sub-gingival plaque and establishing conditions which will allow effective self-performed plaque control. This aim is primarily achieved with sonic and ultrasonic scalers. However, generation of bacterial aerosols during these procedures is of great concern to patients, the dentist and the dental assistant. The aim of this study was to compare the reduction in aerosol with and without high-volume evacuator through a microbiological study. Materials and methods. For this clinical study a fumigated closed operatory was selected. Maxillary incisors and canines were selected as an area for scaling. Piezoelectric ultrasonic scaling was performed in the absence and in the presence of a high-volume evacuator at 12 and 20 inches from the patient's oral cavity. In both groups scaling was carried out for 10 minutes. Nutrient agar plates were exposed for a total of 20 minutes. After this procedure, nutrient agar plates were incubated in an incubator at 37°C for 24 hours. The next day the nutrient agar plates were examined for colony forming units by a single microbiologist. Results. The results showed no statistically significant differences in colony forming units (CFU) with and without the use of a high-volume evacuator either at 12 or 20 inches from the patient's oral cavity. Conclusion. It was concluded that high-volume evacuator, when used as a separate unit without any modification, is not effective in reducing aerosol counts and environmental contamination.

Tropical skin diseases in British military personnel.

PubMed

Bailey, Mark S

2013-09-01

Skin complaints are common in travellers to foreign countries and are responsible for up to 25% of medical consultations by military personnel during deployments in the tropics. They also have relatively high rates of field hospital admission, medical evacuation and referral to UK Role 4 healthcare facilities. Non-infectious tropical skin diseases include sunburn, heat rash, arthropod bites, venomous bites, contact dermatitis and phytophotodermatitis. During tropical deployments skin infections that commonly occur in military personnel may become more frequent, severe and difficult to treat. Several systemic tropical infections have cutaneous features that can be useful in making early diagnoses. Tropical skin infections such as cutaneous larva migrans, cutaneous myiasis, cutaneous leishmaniasis and leprosy do occur in British troops and require specialist clinical management. This illustrated review focuses on the most significant tropical skin diseases that have occurred in British military personnel in recent years. Clinical management of these conditions on deployments would be improved and medical evacuations could be reduced if a military dermatology 'reach-back' service (including a telemedicine facility) was available.

Street Lighting Infrastructure Assessment Using Discriminant and GIS Method on Mount Merapi Evacuation Road

NASA Astrophysics Data System (ADS)

Izdihar, R. P.; Maryono, M.; Widjonarko, W.; Rahayu, S.

2018-02-01

This research aims to assess street lighting infrastructure in rural-urban of Mount Merapi Evacuation road. Three evacuation road/corridor; Mriyan-Boyolali, Wonodoyo-Boyolali and Samiran-Boyolali are selected as case study. By using discriminant this study examine 6 variables namely type of lamp, physical component, height, time, power and cons consumption. In addition this study also using GIS method to assessing geographical feature as of previous result. According to the discriminant analysis, the characteristic of street lighting could be distinguished as two characteristic, while from the GIS assessment, the study found three characteristic of geographical street lighting feature.

Making Multi-Level Tsunami Evacuation Playbooks Operational in California and Hawaii

NASA Astrophysics Data System (ADS)

Wilson, R. I.; Peterson, D.; Fryer, G. J.; Miller, K.; Nicolini, T.; Popham, C.; Richards, K.; Whitmore, P.; Wood, N. J.

2016-12-01

In the aftermath of the 2010 Chile, 2011 Japan, and 2012 Haida Gwaii tsunamis in California and Hawaii, coastal emergency managers requested that state and federal tsunami programs investigate providing more detailed information about the flood potential and recommended evacuation for distant-source tsunamis well ahead of their arrival time. Evacuation "Playbooks" for tsunamis of variable sizes and source locations have been developed for some communities in the two states, providing secondary options to an all or nothing approach for evacuation. Playbooks have been finalized for nearly 70% of the coastal communities in California, and have been drafted for evaluation by the communities of Honolulu and Hilo in Hawaii. A key component to determining a recommended level of evacuation during a distant-source tsunami and making the Playbooks operational has been the development of the "FASTER" approach, an acronym for factors that influence the tsunami flood hazard for a community: Forecast Amplitude, Storm, Tides, Error in forecast, and the Run-up potential. Within the first couple hours after a tsunami is generated, the FASTER flood elevation value will be computed and used to select the appropriate minimum tsunami phase evacuation "Playbook" for use by the coastal communities. The states of California and Hawaii, the tsunami warning centers, and local weather service offices are working together to deliver recommendations on the appropriate evacuation Playbook plans for communities to use prior to the arrival of a distant-source tsunami. These partners are working closely with individual communities on developing conservative and consistent protocols on the use of the Playbooks. Playbooks help provide a scientifically-based, minimum response for small- to moderate-size tsunamis which could reduce the potential for over-evacuation of hundreds of thousands of people and save hundreds of millions of dollars in evacuation costs for communities and businesses.

Infection control challenges in deployed US military treatment facilities.

PubMed

Hospenthal, Duane R; Crouch, Helen K

2009-04-01

Personnel sustaining combat-related injuries in current overseas conflicts continue to have their care complicated by infections caused by multidrug-resistant organisms, including Acinetobacter, Klebsiella, and Pseudomonas. Although presumed to be due to multiple factors both within and outside of the combat theater, concern has been raised about the difficulties in establishing and maintaining standard infection control (IC) practices in deployed medical treatment facilities and in the evacuation of the injured back to the United States. Level III facilities (hospitals capable of holding patients >72 hours) in Iraq and Afghanistan and the evacuation system from Iraq to the continental US were reviewed by an expert IC-infectious disease team. All reviewed facilities had established IC programs, but these were staffed by personnel with limited IC experience, often without perceived adequate time dedicated to perform their duties, and without uniform levels of command emphasis or support. Proper hand hygiene between patients was not always ideal. Isolation and cohorting of patients to decrease multidrug-resistant organism colonization and infection varied among facilities. Review of standard operating procedures found variability among institutions and in quality of these documents. Application of US national and theater-specific guidelines and of antimicrobial control measures also varied among facilities. Effective IC practices are often difficult to maintain in modern US hospitals. In the deployed setting, with ever-changing personnel in a less than optimal practice environment, IC is even more challenging. Standardization of practice with emphasis on the basics of IC practice (e.g., hand hygiene and isolation procedures) needs to be emplaced and maintained in the deployed setting.

Management of post abortion complications in Botswana -The need for a standardized approach.

PubMed

Melese, Tadele; Habte, Dereje; Tsima, Billy M; Mogobe, Keitshokile Dintle; Nassali, Mercy N

2018-01-01

Post abortion complications are the third leading cause of maternal death after hemorrhage and hypertension in Botswana where abortion is not legalized. This study aimed at assessing the management of post abortion complications in Botswana. A retrospective study was conducted at four hospitals in Botswana in 2014. Socio-demographic, patient management and outcomes data were extracted from patients' medical records. Descriptive statistics and chi-square test were used to analyze and present the data. A total of 619 patients' medical records were reviewed. The duration of hospital stay prior to uterine evacuation ranged from less than an hour to 480 hours. All the patients received either prophylactic or therapeutic antibiotics. Use of parenteral antibiotics was significantly associated with severity of abortion, second trimester abortion, use of blood products and the interval between management's decision and uterine evacuation. Uterine evacuation for retained products of conception was achieved by metallic curettage among 516 (83.4%) patients and by vacuum aspiration in 18 (2.9%). At all the study sites, Misoprostol or Oxytocin were used concurrently with surgical evacuation of the uterus. None use of analgesics or anesthetics in the four hospitals ranged between 12.4% to 28.8%. There is evidence of delayed patient care and prolonged hospital stay. Metallic curette was the primary method used for uterine evacuation across all the facilities. Pain management and antibiotics use was not standardized. A protocol has to be developed with the aim of standardizing post abortion care.

Surgical aspects of Operation Bali Assist: initial wound surgery on the tarmac and in flight.

PubMed

Read, David; Ashford, Bruce

2004-11-01

The explosion of three bombs on 12 October 2002 in Kuta, Bali resulted in mass casualties akin to those seen in war. The aim of the present report is to describe the sequence of events of Operation Bali Assist including triage, resuscitation and initial wound surgery in Bali at Sanglah Hospital in the aeromedical staging facility (ASF), Denpasar airport and the evacuation to Darwin. A descriptive report is provided of the event and includes; resuscitation, anaesthesia, initial burns surgery management including escharotomy and fasciotomy, head injury management and importance of supplies and medical records with a description of the evacuation to Darwin. Operation Bali Assist involved five C130 Hercules aircraft and aeromedical evacuation medical and nursing teams managing 66 casualties in the Denpasar area and their evacuation to Royal Darwin Hospital with ketamine the most useful anaesthetic agent and cling film the most useful burns dressing. Twelve procedures were performed at the ASF including seven escharotomies, three fasciotomies and two closed reductions. One escharotomy was performed in flight. The important lessons learnt from the exercise is the inclusion of a surgeon in the aeromedical evacuation team, the importance of debridement and delayed primary closure, the usefulness of cling film as a burns dressing and the importance of continuous assessment. Future disaster planning exercises need to consider a patient age mix that might be expected in a shopping mall, rather than the young adult encountered in Bali, a more familiar age mix for Australian Defence Force medical staff.

Management of post abortion complications in Botswana -The need for a standardized approach

PubMed Central

Habte, Dereje; Tsima, Billy M.; Mogobe, Keitshokile Dintle; Nassali, Mercy N.

2018-01-01

Background Post abortion complications are the third leading cause of maternal death after hemorrhage and hypertension in Botswana where abortion is not legalized. This study aimed at assessing the management of post abortion complications in Botswana. Methods A retrospective study was conducted at four hospitals in Botswana in 2014. Socio-demographic, patient management and outcomes data were extracted from patients’ medical records. Descriptive statistics and chi-square test were used to analyze and present the data. Result A total of 619 patients’ medical records were reviewed. The duration of hospital stay prior to uterine evacuation ranged from less than an hour to 480 hours. All the patients received either prophylactic or therapeutic antibiotics. Use of parenteral antibiotics was significantly associated with severity of abortion, second trimester abortion, use of blood products and the interval between management’s decision and uterine evacuation. Uterine evacuation for retained products of conception was achieved by metallic curettage among 516 (83.4%) patients and by vacuum aspiration in 18 (2.9%). At all the study sites, Misoprostol or Oxytocin were used concurrently with surgical evacuation of the uterus. None use of analgesics or anesthetics in the four hospitals ranged between 12.4% to 28.8%. Conclusion There is evidence of delayed patient care and prolonged hospital stay. Metallic curette was the primary method used for uterine evacuation across all the facilities. Pain management and antibiotics use was not standardized. A protocol has to be developed with the aim of standardizing post abortion care. PMID:29451883

Occupancy Fire Record: Schools.

ERIC Educational Resources Information Center

National Fire Protection Association, Boston, MA.

The considerations of human safety and preservation of facilities are examined in relation to school fires. Various aspects of planning which would decrease the probability of fires and thereby save life and property are reviewed and include--(1) causes, (2) automatic protection devices, (3) evacuation and fire drills, and (4) construction…

Endoscopic Evacuation of Basal Ganglia Hematoma: Surgical Technique, Outcome, and Learning Curve.

PubMed

Ma, Lichao; Hou, Yuanzheng; Zhu, Ruyuan; Chen, Xiaolei

2017-05-01

Minimally invasive endoscopic hematoma evacuation is a promising treatment option for intracerebral hemorrhage. However, the technique still needs improvement. We report our clinical experience of using this technique to evacuate deep-seated basal ganglia hematomas. The frontal approach was used in most patients. The preoperative and postoperative hematoma volumes, Glasgow Coma Scale, hematoma evacuation rate, 30-day mortality, and long-term outcome defined by the modified Rankin Scale were analyzed retrospectively. The surgical duration per milliliter of clot (DPM) was calculated. The learning curve for this technique was determined based on the relation between the DPM and evacuation rate per the number of cases experienced. A total of 24 patients were enrolled. The evacuation rate was 87% ± 10%. The average Glasgow Coma Scale score recovered from 8 to 13 after surgery. Twenty-one patients had follow-up data. The follow-up time was 13 ± 6 months. The 30-day mortality after surgery was zero. Forty-eight percent of patients (10/21) achieved a favorable outcome. The DPM (P = 0.92) and evacuation rate (P = 0.64) did not change substantially with the number of cases experienced. Endoscopic port surgery for hematoma evacuation via the frontal approach is a safe surgical option for deep-seated basal ganglia hematomas. This technique is minimally invasive and may be helpful to provide better long-term outcomes for selected patients. For neurosurgeons, the learning curve for this technique is steep, which implies that the skills needed for our technique can be easily acquired. Copyright © 2017 Elsevier Inc. All rights reserved.

Some aspects on kinetic modeling of evacuation dynamics. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.

NASA Astrophysics Data System (ADS)

Calvo, Juan; Nieto, Juanjo

2016-09-01

The management of human crowds in extreme situations is a complex subject which requires to take into account a variety of factors. To name a few, the understanding of human behaviour, the psychological and behavioural features of individuals, the quality of the venue and the stress level of the pedestrian need to be addressed in order to select the most appropriate action during an evacuation process on a complex venue. In this sense, the mathematical modeling of such complex phenomena can be regarded as a very useful tool to understand and predict these situations. As presented in [4], mathematical models can provide guidance to the personnel in charge of managing evacuation processes, by means of helping to design a set of protocols, among which the most appropriate during a given critical situation is then chosen.

Performance optimization of evacuated tube collector for solar cooling of a house in hot climate

NASA Astrophysics Data System (ADS)

Ghoneim, Adel A.

2018-02-01

Evacuating the space connecting cover and absorber significantly improves evacuated tube collector (ETC) performance. So, ETCs are progressively utilised all over the world. The main goal of current study is to explore ETC thermal efficiency in hot and severe climate like Kuwait weather conditions. A collector test facility was installed to record ETC thermal performance for one-year period. An extensively developed model for ETCs is presented, employing complete optical and thermal assessment. This study analyses separately optics and heat transfer in the evacuated tubes, allowing the analysis to be extended to different configurations. The predictions obtained are in agreement with experimental. The optimum collector parameters (collector tube length and diameter, mass flow rate and collector tilt angle) are determined. The present results indicate that the optimum tube length is 1.5 m, as at this length a significant improvement is achieved in efficiency for different tube diameters studied. Finally, the heat generated from ETCs is used for solar cooling of a house. Results of the simulation of cooling system indicate that an ETC of area 54 m2, tilt angle of 25° and storage tank volume of 2.1 m3 provides 80% of air-conditioning demand in a house located in Kuwait.

Statistical fluctuations in pedestrian evacuation times and the effect of social contagion

NASA Astrophysics Data System (ADS)

Nicolas, Alexandre; Bouzat, Sebastián; Kuperman, Marcelo N.

2016-08-01

Mathematical models of pedestrian evacuation and the associated simulation software have become essential tools for the assessment of the safety of public facilities and buildings. While a variety of models is now available, their calibration and test against empirical data are generally restricted to global averaged quantities; the statistics compiled from the time series of individual escapes ("microscopic" statistics) measured in recent experiments are thus overlooked. In the same spirit, much research has primarily focused on the average global evacuation time, whereas the whole distribution of evacuation times over some set of realizations should matter. In the present paper we propose and discuss the validity of a simple relation between this distribution and the microscopic statistics, which is theoretically valid in the absence of correlations. To this purpose, we develop a minimal cellular automaton, with features that afford a semiquantitative reproduction of the experimental microscopic statistics. We then introduce a process of social contagion of impatient behavior in the model and show that the simple relation under test may dramatically fail at high contagion strengths, the latter being responsible for the emergence of strong correlations in the system. We conclude with comments on the potential practical relevance for safety science of calculations based on microscopic statistics.

A hospital system's response to a hurricane offers lessons, including the need for mandatory interfacility drills.

PubMed

Verni, Christina

2012-08-01

This case study explores the lessons learned when the North Shore-Long Island Jewish Health System, a large, integrated health network in New York, evacuated three hospitals at high risk of flooding from Hurricane Irene in August 2011. The episode resulted in the evacuation, transport, and placement of 947 patients without any resulting deaths or serious injuries. This case demonstrates the utility of having in place a functional evacuation plan, such as the one North Shore-Long Island Jewish Health System developed through its own full-scale exercises in the years following Hurricane Katrina in 2005. In those drills, the health system discovered that it needed to abandon its 1:1 matching of patients to available beds in the region in favor of the group transport of patients with similar needs to facilities that could accommodate them. Despite its overall success, the system identified the need for internal improvements, including automated patient tracking through the use of bar-coded wristbands and identification and training of additional backup personnel for its emergency operations center. Among other changes, policy makers at the state and federal levels should consider mandating full-scale interfacility evacuation drills to refine mechanisms to send and receive patients.

PBF (PER620) interior, basement level. Concrete wall shows outline of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

PBF (PER-620) interior, basement level. Concrete wall shows outline of reactor basin. Sign says, "Flashing Light - Reactor On - Evacuate Area." Date: May 2004. INEEL negative no. HD-41-5-3 - Idaho National Engineering Laboratory, SPERT-I & Power Burst Facility Area, Scoville, Butte County, ID

77 FR 73683 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Escape and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-11

... for OMB Review; Comment Request; Escape and Evacuation Plans for Surface Coal Mines and Surface Facilities and Surface Work Areas of Underground Coal Mines ACTION: Notice. SUMMARY: The Department of Labor (DOL) is submitting the Mine safety and Health Administration (MSHA) sponsored information collection...

Training forensic staff.

PubMed

Hall-McGee, P

1997-01-01

The author provides a training package for forensic staff on how to handle prisoner patients who are being treated at a healthcare facility. She covers such topics as fire and evacuation plans, interim life safety measures, blood and bloodborne pathogens exposure, universal precautions, respiratory protection and TB, and voluntary medical immobilization and protection devices.

Fire Safety. Managing School Facilities, Guide 6.

ERIC Educational Resources Information Center

Department for Education and Employment, London (England). Architects and Building Branch.

This booklet discusses how United Kingdom schools can manage fire safety and minimize the risk of fire. The guide examines what legislation school buildings must comply with and covers the major risks. It also describes training and evacuation procedures and provides guidance on fire precautions, alarm systems, fire fighting equipment, and escape…

Development of a carbonaceous selective absorber for solar thermal energy collection and process for its formation

NASA Astrophysics Data System (ADS)

Garrison, John D.

1989-02-01

The main goal of the US Department of Energy supported part of this project is to develop information about controlling the complicated chemical processes involved in the formation of a carbonaceous selective absorber and learn what equipment will allow production of this absorber commercially. The work necessary to accomplish this goal is not yet complete. Formation of the carbonaceous selective absorber in the conveyor oven tried so far has been unsatisfactory, because the proper conditions for applying the carbonaceous coating in each conveyor oven fabricated, either have been difficult to obtain, or have been difficult to maintain over an extended period of time. A new conveyor oven is nearing completion which is expected to allow formation of the carbonaceous selective absorber on absorber tubes in a continuous operation over many days without the necessity of cleaning the conveyor oven or changing the thickness of the electroplated nickel catalyst to compensate for changes in the coating environment in the oven. Work under this project concerned with forming and sealing glass panels to test ideas on evacuated glass solar collector designs and production have been generally quite satisfactory. Delays in completion of the selective absorber work, has caused postponement of the fabrication of a small prototype evacuated glass solar collector panel. Preliminary cost estimates of the selective absorber and solar collector panel indicate that this collector system should be lower in cost than evacuated solar collectors now on the market.

Assessing Disaster Preparedness Among Select Children's Summer Camps in the United States and Canada.

PubMed

Chang, Megan; Sielaff, Alan; Bradin, Stuart; Walker, Kevin; Ambrose, Michael; Hashikawa, Andrew

2017-08-01

Children's summer camps are at risk for multiple pediatric casualties during a disaster. The degree to which summer camps have instituted disaster preparedness is unknown. We assessed disaster preparedness among selected camps nationally for a range of disasters. We partnered with a national, web-based electronic health records system to send camp leadership of 315 camp organizations a 14-question online survey of disaster preparedness. One response from each camp was selected in the following order of importance: owner, director, physician, nurse, medical technician, office staff, and other. The results were analyzed using descriptive statistics. A total of 181 camps responses were received, 169 of which were complete. Camp types were overnight (60%), day (21%), special/medical needs (14%), and other (5%). Survey respondents were directors (52%), nurses (14%), office staff (10%), physicians (5%), owners (5%), emergency medical technicians (2%), and other (12%). Almost 18% of camps were located >20 mi from a major medical center, and 36% were >5 mi from police/fire departments. Many camps were missing emergency supplies: car/booster seats for evacuation (68%), shelter (35%), vehicles for evacuation (26%), quarantine isolation areas (21%), or emergency supplies of extra water (20%) or food (17%). Plans were unavailable for the following: power outages (23%); lockdowns (15%); illness outbreaks (15%); tornadoes (11%); evacuation for fire, flood, or chemical spill (9%); and other severe weather (8%). Many camps did not have online emergency plans (53%), plans for children with special/medical needs (38%), methods to rapidly communicate information to parents (25%), or methods to identify children for evacuation/reunification with parents (40%). Respondents reported that staff participation in disaster drills varied for weather (58%), evacuations (46%), and lockdowns (36%). The majority (75%) of respondents had not collaborated with medical organizations for planning. A substantial proportion of camps were missing critical components of disaster planning. Future interventions must focus on developing summer camp-specific disaster plans, increasing partnerships, and reassessing national disaster plans to include summer camp settings.

Special Considerations for Mass Violence Events in Senior Living Facilities: A Case Report on the Pinelake Health and Rehab Center Shooting.

PubMed

Martin, Cody; Powell, David

2017-02-01

The 2009 Pinelake Health and Rehab Center shooting in Carthage, North Carolina, presents a unique case study for examining the specific considerations for mass violence events in senior living facilities. A variety of factors, including reduced sensory perception, reduced mobility, and cognitive decline, may increase the vulnerability of the populations of senior living facilities during mass violence events. Management of response aspects such as evacuation, relocation, and reunification also require special consideration in the context of mass violence at senior living facilities. Better awareness of these vulnerabilities and response considerations can assist facility administrators and emergency managers when preparing for potential mass violence events at senior living facilities. (Disaster Med Public Health Preparedness. 2017;11:150-152).

Medical management of the consequences of the Fukushima nuclear power plant incident.

PubMed

Hachiya, Misao; Tominaga, Takako; Tatsuzaki, Hideo; Akashi, Makoto

2014-02-01

A huge earthquake struck the northeast coast of the main island of Japan on March 11, 2011, triggering a tsunami with 14-15 meter-high waves hitting the area. The earthquake was followed by numerous sustained aftershocks. The earthquake affected the nuclear power plant (NPP) in Fukushima prefecture, resulting in large amounts of radioactive materials being released into the environment. The major nuclides released on land were ¹³¹I, ¹³⁴Cs, and ¹³⁷Cs. Therefore, almost 170,000 people had to be evacuated or stay indoors. Besides the NPP and the telecommunications system, the earthquake also affected infrastructures such as the supplies of water and electricity as well as the radiation monitoring system. The local hospital system was dysfunctional; hospitals designated as radiation-emergency facilities were not able to function because of damage from the earthquake and tsunami, and some of them were located within a 20 km radius of the NPP, the designated evacuation zone. Local fire department personnel were also asked to evacuate. Furthermore, the affected hospitals had not established their evacuation plans at that time. We have learned from this "combined disaster" that the potential for damage to lifelines as well as the monitoring systems for radiation in case of an earthquake requires our intense focus and vigilance, and that hospitals need comprehensive plans for evacuation, including patients requiring life support equipment during and after a nuclear disaster. There is an urgent need for a "combined disaster" strategy, and this should be emphasized in current disaster planning and response. © 2013 Wiley Periodicals, Inc.

Disaster preparedness of dialysis patients for Hurricanes Gustav and Ike 2008.

PubMed

Kleinpeter, Myra A

2009-01-01

Hurricanes Katrina and Rita resulted in massive devastation of the Gulf Coast at Mississippi, Louisiana, and Texas during 2005. Because of those disasters, dialysis providers, nephrologists, and dialysis patients used disaster planning activities to work to mitigate the morbidity and mortality associated with the 2005 hurricane season for future events affecting dialysis patients. As Hurricane Gustav approached, anniversary events for Hurricane Katrina were postponed because of evacuation orders for nearly the entire Louisiana Gulf Coast. As part of the hurricane preparation, dialysis units reviewed the disaster plans of patients, and patients made preparation for evacuation. Upon evacuation, many patients returned to the dialysis units that had provided services during their exile from Hurricane Katrina; other patients went to other locations as part of their evacuation plan. Patients uniformly reported positive experiences with dialysis providers in their temporary evacuation communities, provided that those communities did not experience the effects of Hurricane Gustav. With the exception of evacuees to Baton Rouge, patients continued to receive their treatments uninterrupted. Because of extensive damage in the Baton Rouge area, resulting in widespread power losses and delayed restoration of power to hospitals and other health care facilities, some patients missed one treatment. However, as a result of compliance with disaster fluid and dietary recommendations, no adverse outcomes occurred. In most instances, patients were able to return to their home dialysis unit or a nearby unit to continue dialysis treatments within 4 - 5 days of Hurricane Gustav. Hurricane Ike struck the Texas Gulf Coast near Galveston, resulting in devastation of that area similar to the devastation seen in New Orleans after Katrina. The storm surge along the Louisiana Gulf Coast resulted in flooding that temporarily closed coastal dialysis units. Patients were prepared and experienced minimal interruption of dialysis services. Early planning and evacuation in the face of hurricane landfall--lessons learned from Hurricane Katrina in 2005--prevented disruption of treatment.

Case study of medical evacuation before and after the Fukushima Daiichi nuclear power plant accident in the great east Japan earthquake.

PubMed

Okumura, Tetsu; Tokuno, Shinichi

2015-01-01

In Japan, participants in the disaster-specific medical transportation system have received ongoing training since 2002, incorporating lessons learned from the Great Hanshin Earthquake. The Great East Japan Earthquake occurred on March 11, 2011, and the very first disaster-specific medical transport was performed. This article reviews in detail the central government's control and coordination of the disaster medical transportation process following the Great East Japan Earthquake and the Fukushima Daiichi Nuclear Power Plant Accident. In total, 124 patients were air transported under the coordination of the C5 team in the emergency response headquarter of the Japanese Government. C5 includes experts from the Cabinet Office, Cabinet Secretariat, Fire Defense Agency, Ministry of Health, Labour and Welfare, and Ministry of Defense. In the 20-30 km evacuation zone around the Fukushima Daiichi nuclear power plant, 509 bedridden patients were successfully evacuated without any fatalities during transportation. Many lessons have been learned in disaster-specific medical transportation. The national government, local government, police, and fire agencies have made significant progress in their mutual communication and collaboration. Fortunately, hospital evacuation from the 20-30 km area was successfully performed with the aid of local emergency physicians and Disaster Medical Assistance Teams (DMATs) who have vast experience in patient transport in the course of day-to-day activities. The emergency procedures that are required during crises are an extension of basic daily procedures that are performed by emergency medical staff and first responders, such as fire fighters, emergency medical technicians, or police officers. Medical facilities including nursing homes should have a plan for long-distance (over 100 km) evacuation, and the plan should be routinely reevaluated with full-scale exercises. In addition, hospital evacuation in disaster settings should be supervised by emergency physicians and be handled by disaster specialists who are accustomed to patient transportation on a daily basis.

Long-term outcomes of patients evacuated from hospitals near the Fukushima Daiichi nuclear power plant after the Great East Japan Earthquake.

PubMed

Igarashi, Yutaka; Tagami, Takashi; Hagiwara, Jun; Kanaya, Takahiro; Kido, Norihiro; Omura, Mariko; Tosa, Ryoichi; Yokota, Hiroyuki

2018-01-01

After the accident of the Fukushima Daiichi nuclear power plant due to the Great East Japan Earthquake in March 2011, the Japanese government issued a mandatory evacuation order for people living within a 20 km radius of the nuclear power plant. The aim of the current study was to investigate long-term outcomes of these patients and identify factors related to mortality. Patients who were evacuated from hospitals near the Fukushima Daiichi nuclear power plant to the Aizu Chuo Hospital from 15 to 26 March, 2011 were included in this study. The following data were collected from medical records: age, sex, activities of daily life, hospital they were admitted in at the time of earthquake, distance between the facility and the nuclear power plant, reasons of evacuation and number of transfers. The patient outcomes were collected from medical records and/or investigated on the telephone in January 2012. A total of 97 patients (28 men and 69 women) were transferred from 10 hospitals via ambulances or buses. No patients died or experienced exacerbation during transfer. Median age of the patients was 86 years. Of the total, 36 patients were not able to obey commands, 44 were bed-ridden and 61 were unable to sustain themselves via oral intake of food. Among 86 patients who were followed-up, 41 (48%) died at the end of 2011. Multiple-regression analysis showed that non-oral intake [Hazard Ratio (HR): 6.07, 95% Confidence interval (CI): 1.94-19.0] and male sex [HR: 8.35, 95% CI: 2.14-32.5] had significant impact on mortality. This study found that 48% of the evacuated patients died 9 months after the earthquake and they had significantly higher mortality rate than the nursing home residents. Non-oral intake and male sex had significant impact on mortality. These patients should be considered as especially vulnerable in case of hospital evacuation.

Credit WCT. Photographic copy of photograph, view west into Dd ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Credit WCT. Photographic copy of photograph, view west into Dd or Dy ejector, showing steam nozzles which drive the ejector to evacuate the test cell to which it is connected. (JPL negative no. 344-2516-B, 29 August 1977) - Jet Propulsion Laboratory Edwards Facility, Test Stand D, Edwards Air Force Base, Boron, Kern County, CA

76 FR 76762 - Notice of Lodging of Consent Decree Under the Clean Air Act

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-08

... refrigerant from appliances it accepts for disposal. The Consent Decree provides for a civil penalty of $3,500... Facility: (1) Purchase equipment to recover refrigerant or contract for such services and provide for such... verification (e.g., that all refrigerant that had not leaked previously was properly evacuated); (3) require...

30 CFR 715.18 - Dams constructed of or impounding waste material.

Code of Federal Regulations, 2010 CFR

2010-07-01

... point on the embankment crest and the maximum water elevation shall be at least 3 feet to avoid... facility to be evacuated by spillways or decants of 90 percent of the volume of water stored during the..., existing storage capacity of impounding structures, any fires occurring in the material over the past year...

Popliteal Artery Repair in Massively Transfused Military Trauma Casualties: A Pursuit to Save Life and Limb

DTIC Science & Technology

2010-07-01

were centrally scored and calculated by trained re- search nurses and staff using ISS-98 after patient discharge. A Level I facility was defined as a...casualties, once evacuated to the United States, had limited remaining autogenous vein and required prosthetic grafts in the secondary management of failed

Tsunami evacuation mathematical model for the city of Padang

DOE Office of Scientific and Technical Information (OSTI.GOV)

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

2012-05-22

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

Critical review and meta-analysis of spurious hemolysis in blood samples collected from intravenous catheters

PubMed Central

Lippi, Giuseppe; Cervellin, Gianfranco; Mattiuzzi, Camilla

2013-01-01

Background: A number of preanalytical activities strongly influence sample quality, especially those related to sample collection. Since blood drawing through intravenous catheters is reported as a potential source of erythrocyte injury, we performed a critical review and meta-analysis about the risk of catheter-related hemolysis. Materials and methods: We performed a systematic search on PubMed, Web of Science and Scopus to estimate the risk of spurious hemolysis in blood samples collected from intravenous catheters. A meta-analysis with calculation of Odds ratio (OR) and Relative risk (RR) along with 95% Confidence interval (95% CI) was carried out using random effect mode. Results: Fifteen articles including 17 studies were finally selected. The total number of patients was 14,796 in 13 studies assessing catheter and evacuated tubes versus straight needle and evacuated tubes, and 1251 in 4 studies assessing catheter and evacuated tubes versus catheter and manual aspiration. A significant risk of hemolysis was found in studies assessing catheter and evacuated tubes versus straight needle and evacuated tubes (random effect OR 3.4; 95% CI = 2.9–3.9 and random effect RR 1.07; 95% CI = 1.06–1.08), as well as in studies assessing catheter and evacuated tubes versus catheter and manual aspiration of blood (OR 3.7; 95% CI = 2.7–5.1 and RR 1.32; 95% CI = 1.24–1.40). Conclusions: Sample collection through intravenous catheters is associated with significant higher risk of spurious hemolysis as compared with standard blood drawn by straight needle, and this risk is further amplified when intravenous catheter are associated with primary evacuated blood tubes as compared with manual aspiration. PMID:23894864

Survey and evaluation of current design of evacuated collectors. Final technical report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Graham, B. J.

The general development of these collectors, is described and a description of numerous evacuated collectors is given which vary from collectors that have been widely used in various applications to others which are still being developed in the laboratory. A table summarizing all of the available collectors, along with their characteristics, is presented. There are four evacuated collectors which have been tested, used in demonstration sites, and developed for the market. These collectors are described in detail, and they are compared in performance and cost with a well-engineered, double glazed, selectively coated, flat plate collector. A rather simple model systemmore » of about 2000 ft/sup 2/ of collector area for each of the four evacuated collectors and the flat plate collector is described, along with the support structure and the piping for each. Details of the cost are presented in order to compare collector costs with component costs. All of the available efficiency curves of collectors were plotted for comparison with the efficiency curve of a good, flat plate collector. To show the extent of use of evacuated collectors, a list according to manufacturers and to location of all of the sites at which these collectors are being used is presented.« less

The FASTER Approach: A New Tool for Calculating Real-Time Tsunami Flood Hazards

NASA Astrophysics Data System (ADS)

Wilson, R. I.; Cross, A.; Johnson, L.; Miller, K.; Nicolini, T.; Whitmore, P.

2014-12-01

In the aftermath of the 2010 Chile and 2011 Japan tsunamis that struck the California coastline, emergency managers requested that the state tsunami program provide more detailed information about the flood potential of distant-source tsunamis well ahead of their arrival time. The main issue is that existing tsunami evacuation plans call for evacuation of the predetermined "worst-case" tsunami evacuation zone (typically at a 30- to 50-foot elevation) during any "Warning" level event; the alternative is to not call an evacuation at all. A solution to provide more detailed information for secondary evacuation zones has been the development of tsunami evacuation "playbooks" to plan for tsunami scenarios of various sizes and source locations. To determine a recommended level of evacuation during a distant-source tsunami, an analytical tool has been developed called the "FASTER" approach, an acronym for factors that influence the tsunami flood hazard for a community: Forecast Amplitude, Storm, Tides, Error in forecast, and the Run-up potential. Within the first couple hours after a tsunami is generated, the National Tsunami Warning Center provides tsunami forecast amplitudes and arrival times for approximately 60 coastal locations in California. At the same time, the regional NOAA Weather Forecast Offices in the state calculate the forecasted coastal storm and tidal conditions that will influence tsunami flooding. Providing added conservatism in calculating tsunami flood potential, we include an error factor of 30% for the forecast amplitude, which is based on observed forecast errors during recent events, and a site specific run-up factor which is calculated from the existing state tsunami modeling database. The factors are added together into a cumulative FASTER flood potential value for the first five hours of tsunami activity and used to select the appropriate tsunami phase evacuation "playbook" which is provided to each coastal community shortly after the forecast is provided.

Laboratory Measurements of Optical Properties of Micron Size Individual Dust Grains

NASA Technical Reports Server (NTRS)

Abbas, M. M.; Craven, P. D.; Spann, J. F.; Tankosic, D.; LeClair, A.; Witherow, W. K.; Camata, R.; Gerakines, P.

2003-01-01

A laboratory program is being developed at NASA Marshall Space Flight Center for experimental determination of the optical and physical properties individual dust grains in simulated astrophysical environments. The experimental setup is based on an electrodynamic balance that permits levitation of single 0.1 - 10 micron radii dust grains in a cavity evacuated to pressures of approx. 10(exp -6) torr. The experimental apparatus is equipped with observational ports for measurements in the UV, visible, and infrared spectral regions. A cryogenic facility for cooling the particles to temperature of approx. 10-50K is being installed. The current and the planned measurements include: dust charging processes, photoelectric emissions and yields with UV irradiation, radiation pressure measurements, infrared absorption and scattering properties, and condensation processes, involving the analogs of cosmic dust grains. Selected results based on photoemissions, radiation pressure, and other laboratory measurements will be presented.

St. Fergus terminal gets turboexpanders for critical service

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lillard, J.K.; Nicol, G.

1994-09-05

To expand the St. Fergus gas-reception terminal for the Scottish Area Gas Evacuation (SAGE) system, Mobil North Sea Ltd. is adding a second separation train and two treatment trains. To meet pipeline-gas specifications over a wide range of low rates and feed-gas compositions, single-stage turboexpander chilling was selected over Joule-Thomson valve expansion. Four turboexpanders (two per process train) will operate in parallel to achieve the required performance over the entire flow range of 90--575 MMscfd per process train. Unusual operating conditions for the turboexpanders include dense-phase inlet gas, expansion near the cricondenbar, and high equilibrium liquid content at the exhaustmore » (up to 50 wt %). The two turboexpanders in each train share common suction and discharge facilities as do their associated brake compressor. Details of the more than 400 million pounds Sterling Phase B discussed here include commissioning, start-up, and operation.« less

The Japanese tsunami and resulting nuclear emergency at the Fukushima Daiichi power facility: technical, radiologic, and response perspectives.

PubMed

Dauer, Lawrence T; Zanzonico, Pat; Tuttle, R Michael; Quinn, Dennis M; Strauss, H William

2011-09-01

The Fukushima Daiichi nuclear power facility, in the Futaba District of the Fukushima Prefecture in Japan, was severely damaged by the earthquake and ensuing tsunami that struck off the northern coast of the island of Honshu on March 11, 2011. The resulting structural damage to the plant disabled the reactor's cooling systems and led to significant, ongoing environmental releases of radioactivity, triggering a mandatory evacuation of a large area surrounding the plant. The status of the facility continues to change, and permanent control of its radioactive inventory has not yet been achieved. The purpose of this educational article is to summarize the short-term chronology, radiologic consequences, emergency responses, and long-term challenges associated with this event. Although there is ongoing debate on preparedness before the event and the candor of responsible entities in recognizing and disclosing its severity, it largely appears that appropriate key actions were taken by the Japanese authorities during the event that should mitigate any radiologic health impact. These actions include an organized evacuation of over 200,000 inhabitants from the vicinity of the site and areas early in the emergency; monitoring of food and water and placement of radiation limits on such foodstuffs; distribution of stable potassium iodide; and systematic scanning of evacuees. However, the risk of additional fuel damage and of further, perhaps substantial, releases persists. The situation at the Fukushima Daiichi nuclear facility remains fluid, and the long-term environmental and health impact will likely take years to fully delineate.

Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey.

PubMed

Benson, Janie; Gebreselassie, Hailemichael; Mañibo, Maribel Amor; Raisanen, Keris; Johnston, Heidi Bart; Mhango, Chisale; Levandowski, Brooke A

2015-12-17

Health systems could obtain substantial cost savings by providing safe abortion care rather than providing expensive treatment for complications of unsafely performed abortions. This study estimates current health system costs of treating unsafe abortion complications and compares these findings with newly-projected costs for providing safe abortion in Malawi. We conducted in-depth surveys of medications, supplies, and time spent by clinical personnel dedicated to postabortion care (PAC) for three treatment categories (simple, severe non-surgical, and severe surgical complications) and three uterine evacuation (UE) procedure types (manual vacuum aspiration (MVA), dilation and curettage (D&C) and misoprostol-alone) at 15 purposively-selected public health facilities. Per-case treatment costs were calculated and applied to national, annual PAC caseload data. The median cost per D&C case ($63) was 29% higher than MVA treatment ($49). Costs to treat severe non-surgical complications ($63) were almost five times higher than those of a simple PAC case ($13). Severe surgical complications were especially costly to treat at $128. PAC treatment in public facilities cost an estimated $314,000 annually. Transition to safe, legal abortion would yield an estimated cost reduction of 20%-30%. The method of UE and severity of complications have a large impact on overall costs. With a liberalized abortion law and implementation of induced abortion services with WHO-recommended UE methods, current PAC costs to the health system could markedly decrease.

38 CFR 51.59 - Authority to continue payment of per diem when veterans are relocated due to emergency.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF... emergency response under paragraph (e) of this section determines that it is not reasonably possible to... evacuated from a nursing home care facility in which care is being provided pursuant to a contract under 38...

38 CFR 51.59 - Authority to continue payment of per diem when veterans are relocated due to emergency.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF... emergency response under paragraph (e) of this section determines that it is not reasonably possible to... evacuated from a nursing home care facility in which care is being provided pursuant to a contract under 38...

38 CFR 51.59 - Authority to continue payment of per diem when veterans are relocated due to emergency.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR NURSING HOME CARE OF... emergency response under paragraph (e) of this section determines that it is not reasonably possible to... evacuated from a nursing home care facility in which care is being provided pursuant to a contract under 38...

77 FR 50165 - Escape and Evacuation Plans for Surface Coal Mines, Surface Facilities and Surface Work Areas of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-20

.... This program helps to assure that requested data can be provided in the desired format, reporting... package expires on January 31, 2013. DATES: All comments must be postmarked or received by midnight... instructed in the procedures to follow should a fire occur. MSHA has updated the data with respect to the...

Load index model: An advanced tool to support decision making during mass-casualty incidents.

PubMed

Adini, Bruria; Aharonson-Daniel, Limor; Israeli, Avi

2015-03-01

In mass-casualty events, accessing information concerning hospital congestion levels is crucial to improving patient distribution and optimizing care. The study aimed to develop a decision support tool for distributing casualties to hospitals in an emergency scenario involving multiple casualties. A comprehensive literature review and structured interviews with 20 content experts produced a shortlist of relevant criteria for inclusion in the model. A "load index model" was prepared, incorporating results of a modified Delphi survey of 100 emergency response experts. The model was tested in three simulation exercises in which an emergency scenario was presented to six groups of senior emergency managers. Information was provided regarding capacities of 11 simulated admitting hospitals in the region, and evacuation destinations were requested for 600 simulated casualties. Of the three simulation rounds, two were performed without the model and one after its presentation. Following simulation experiments and implementation during a real-life security threat, the efficacy of the model was assessed. Variability between experts concerning casualties' evacuation destinations decreased significantly following the model's introduction. Most responders (92%) supported the need for standardized data, and 85% found that the model improved policy setting regarding casualty evacuation in an emergency situation. These findings were reaffirmed in a real-life emergency scenario. The proposed model improved capacity to ensure evacuation of patients to less congested medical facilities in emergency situations, thereby enhancing lifesaving medical services. The model supported decision-making processes in both simulation exercises and an actual emergency situation.

Feasibility of negative pressure wound therapy during intercontinental aeromedical evacuation of combat casualties.

PubMed

Fang, Raymond; Dorlac, Warren C; Flaherty, Stephen F; Tuman, Caroline; Cain, Steven M; Popey, Tracy L C; Villard, Douglas R; Aydelotte, Jayson D; Dunne, James R; Anderson, Adam M; Powell, Elisha T

2010-07-01

The objective of this study was to assess the feasibility of utilizing negative pressure wound therapy (NPWT) for the treatment of wartime soft-tissue wounds during intercontinental aeromedical evacuation. Attempts to use NPWT during early phases of overseas contingency operations resulted in occasional vacuum system failures and potentially contributed to wound complications. These anecdotal episodes led to a perception that NPWT during aeromedical evacuation carried a high risk of wound complications and limited its use. As a result, NPWT was not frequently applied in the management of soft-tissue wounds before US casualty arrival in the continental United States (CONUS) for wounds sustained in the combat theaters. Concurrently, early NPWT on the traumatic wounds of host nation casualties not requiring aeromedical evacuation seemed to provide many benefits typically associated with the therapy such as decreased infection rates, earlier wound closure, and improved pain management. On a daily basis, study investigators reviewed the trauma in-patient census at Landstuhl Regional Medical Center, Germany, to identify patient candidates with soft-tissue extremity or torso wounds that required packing. Patient demographics, injuries, and previous wound treatments were recorded. Surgeons inspected wounds in the operating room and applied a NPWT dressing if deemed appropriate. NPWT was continued throughout the remainder of the patient's hospitalization and also during aeromedical evacuation to CONUS. A study investigator escorted the patient during aeromedical evacuation to educate the flight crews, to record the impact on crew workload, and to troubleshoot the system if necessary. Thirty enrolled patients with 41 separate wounds flew from Germany to CONUS with a portable NPWT system (VAC Freedom System; Kinetic Concepts Incorporated, San Antonio, TX). All 30 patients arrived at the destination facilities with intact and functional systems. No significant in-flight complications were identified, impact on flight crew workload was negligible, and subjective feedback from both flight crews and patients was uniformly positive. For 29 patients, the NPWT dressing was replaced (frequently with serial exchanges) during initial surgical treatment in CONUS; the 30th patient underwent delayed primary closure of his right forearm fasciotomy. Receiving care teams reported no complications attributable to NPWT during aeromedical evacuation. NPWT is feasible during intercontinental aeromedical evacuation of combat casualties without an increase in wound complications or a significant impact on air crew workload. Further studies are indicated to evaluate the efficacy of NPWT in combat wounds compared with other wound care techniques.

Implementation and execution of military forward resuscitation programs.

PubMed

Hooper, Timothy J; Nadler, Roy; Badloe, John; Butler, Frank K; Glassberg, Elon

2014-05-01

Through necessity, military medicine has been the driver of medical innovation throughout history. The battlefield presents challenges, such as the requirement to provide care while under threat, resource limitation, and prolonged evacuation times, which must be overcome to improve casualty survival. Focus must also be placed on identifying the causes, and timing, of death within the battlefield. By doing so, military medical doctrine can be shaped, appropriate goals set, new concepts adopted, and relevant technologies investigated and implemented. The majority of battlefield casualties still die in the prehospital environment, before reaching a medical treatment facility, and hemorrhage remains the leading cause of potentially survivable death. Many countries have adopted policies that push damage control resuscitation forward into the prehospital setting, while understanding the need for timely medical evacuation. Although these policies vary according to country, the majority share many common principles. These include the need for early catastrophic hemorrhage control at point-of-wounding, judicious use of fluid resuscitation, use of blood products as far forward as possible, and early evacuation to a surgical facility. Some countries place medical providers with the ability, and resources, for advanced resuscitation with the forward fighting units (perhaps at company level), whereas others have established en route resuscitation capabilities. If we are to continue to improve battlefield casualty survival, we must continue to work together and learn from each other. We must also carry on working alongside our civilian colleagues so that the benefits of translational experience are not lost. This review describes several countries current military approaches to prehospital trauma care. These approaches, refined through a decade of experience, merit consideration for integration into civilian prehospital care practice.

The Second Lebanon War Experience at Western Galilee Hospital.

PubMed

Lino, Bartholomew; Eisenman, Arie; Schuster, Richard; Giloni, Carlos; Bharoum, Masad; Daniel, Moshe; Dallas, Cham

2016-02-01

The summer of 2006 in northern Israel served as the battleground for the second war against Hezbollah based along Israel's border with southern Lebanon. Western Galilee Hospital (WGH), which is located only 6 miles from the Lebanese border, served as a major medical center in the vicinity of the fighting. The hospital was directly impacted by Hezbollah with a Katyusha rocket, which struck the ophthalmology department on the 4th floor. WGH was able to utilize a 450-bed underground facility that maintained full hospital functionality throughout the conflict. In a major feat of rapid evacuation, the entire hospital population was relocated under the cover of darkness to these bunkers in just over 1 hour, thus emptying the building prior to the missile impact. Over half of the patients presenting during the conflict did not incur physical injury but qualified as acute stress disorder patients. The particulars of this evacuation remain unique owing to the extraordinary circumstances, but many of the principles employed in this maneuver may serve as a template for other hospitals requiring emergency evacuation. Hospital functionality drastically changed to accommodate the operational reality of war, and many of these tactics warrant closer investigation for possible implementation in other conflict zones.

Quantifying human response capabilities towards tsunami threats at community level

NASA Astrophysics Data System (ADS)

Post, J.; Mück, M.; Zosseder, K.; Wegscheider, S.; Taubenböck, H.; Strunz, G.; Muhari, A.; Anwar, H. Z.; Birkmann, J.; Gebert, N.

2009-04-01

Decision makers at the community level need detailed information on tsunami risks in their area. Knowledge on potential hazard impact, exposed elements such as people, critical facilities and lifelines, people's coping capacity and recovery potential are crucial to plan precautionary measures for adaptation and to mitigate potential impacts of tsunamis on society and the environment. A crucial point within a people-centred tsunami risk assessment is to quantify the human response capabilities towards tsunami threats. Based on this quantification and spatial representation in maps tsunami affected and safe areas, difficult-to-evacuate areas, evacuation target points and evacuation routes can be assigned and used as an important contribution to e.g. community level evacuation planning. Major component in the quantification of human response capabilities towards tsunami impacts is the factor time. The human response capabilities depend on the estimated time of arrival (ETA) of a tsunami, the time until technical or natural warning signs (ToNW) can be received, the reaction time (RT) of the population (human understanding of a tsunami warning and the decision to take appropriate action), the evacuation time (ET, time people need to reach a safe area) and the actual available response time (RsT = ETA - ToNW - RT). If RsT is larger than ET, people in the respective areas are able to reach a safe area and rescue themselves. Critical areas possess RsT values equal or even smaller ET and hence people whin these areas will be directly affected by a tsunami. Quantifying the factor time is challenging and an attempt to this is presented here. The ETA can be derived by analyzing pre-computed tsunami scenarios for a respective area. For ToNW we assume that the early warning center is able to fulfil the Indonesian presidential decree to issue a warning within 5 minutes. RT is difficult as here human intrinsic factors as educational level, believe, tsunami knowledge and experience besides others play a role. An attempt to quantify this variable under high uncertainty is also presented. Quantifying ET is based on a GIS modelling using a Cost Weighted Distance approach. Basic principle is to define the best evacuation path from a given point to the next safe area (shelter location). Here the fastest path from that point to the shelter location has to be found. Thereby the impact of land cover, slope, population density, population age and gender distribution are taken into account as literature studies prove these factors as highly important. Knowing the fastest path and the distance to the next safe area together with a spatially distributed pattern of evacuation speed delivers the time needed from each location to a safe area. By considering now the obtained time value for RsT the coverage area of an evacuation target point (safe area) can be assigned. Incorporating knowledge on people capacity of an evacuation target point the respective coverage area is refined. Hence areas with weak, moderate and good human response capabilities can be detected. This allows calculation of potential amount of people affected (dead or injured) and amount of people dislocated. First results for Kuta (Bali) for a worst case tsunami event deliver people affected of approx. 25 000 when RT = 0 minutes (direct evacuation when receiving a tsunami warning to 120 000 when RT > ETA (no evacuation action until tsunami hits the land). Additionally fastest evacuation routes to the evacuation target points can be assigned. Areas with weak response capabilities can be assigned as priority areas to install e.g. additional evacuation target points or to increase tsunami knowledge and awareness to promote a faster reaction time. Especially in analyzing underlying socio-economic properties causing deficiencies in responding to a tsunami threat can lead to valuable information and direct planning of adaptation measures. Keywords: Community level, Risk and vulnerability assessment, Early warning, Disaster management, Tsunami, Indonesia

Strengthening health systems capacity to monitor and evaluate programmes targeted at reducing abortion-related maternal mortality in Jessore district, Bangladesh.

PubMed

Huda, Fauzia Akhter; Ahmed, Anisuddin; Ford, Evelyn Rebecca; Johnston, Heidi Bart

2015-09-28

Abortion related deaths as a proportion of maternal mortality appears to have fallen dramatically in Bangladesh from 5 % in 2001 to 1 % in 2010. Yet complications from menstrual regulation (MR) and unsafe abortion continue to cause deleterious health, economic and social consequences for women in the country. This quasi experimental design study with a baseline (January to December 2008) and an endline survey (August to October 2009) was conducted in 69 public, private, and NGO sector health facilities in Jessore district of Bangladesh with the objective of adapting and implementing a set of process indicators, specifically to supplement the indicators for monitoring emergency obstetric care interventions. At the baseline, we collected retrospective data from all 69 health facilities that provided MR, legal abortion or post-abortion care (PAC), by reviewing their last one year's records. Three months after introducing the safe menstrual regulation and abortion care (SMRAC) model, endline data was collected. Signal function (critical services that facilities must perform in order to prevent and treat abortion complications) analysis was used to characterize facilities as providing basic care, comprehensive care, or neither. Facility mapping, and records on services provided and complications treated were used to further characterize service availability and to describe service use and quality. No facilities fulfilled criteria for 'comprehensive' care at either the baseline or end line while only one met the 'basic' criteria during the endline of the project. Recommended uterine evacuation technology, manual vacuum aspiration (MVA) was used for 100.0 % of MR clients but only for 8.0 % or fewer PAC patients. MR clients were 37.5 times more likely than PAC patients to leave facilities with a contraceptive method (75.0 % vs. 2.0 %). Persistent use of older uterine evacuation technologies was observed when recommended techniques were widely available in the facilities. Notable gaps were identified in providing post-abortion contraceptive services for women treated for PAC. By systematic implementation of the SMRAC model, health systems can track and measure progress and gaps in their implementation and identify strategies for further reduction of abortion-related morbidity and mortality in Bangladesh.

Tsunami Evacuation Exercises: the Case of Heraklion, Crete Isl., Greece

NASA Astrophysics Data System (ADS)

Triantafyllou, I.; Charalampakis, M.; Bocchini, G. M.; Novikova, T.; Papadopoulos, G. A.

2016-12-01

Effective tsunami evacuation requires appropriate awareness as regards good shelters selection. Field exercises may improve public awareness. A field exercise was organized in Heraklion, Crete Isl., in 2016. The area is part of the Hellenic Arc which is the most active structure in the Mediterranean. Large earthquakes triggered tsunamis that hit Heraklion in the past, such in AD 1303. After selecting various fault models, simulation of the 1303 tsunami showed important inundation zone in Heraklion. For the exercise needs a team of 30 volunteers was divided in 3 groups of 10 people each. Everyone was equipped with a mobile phone and a GPS device. The 3 groups were gathered in 3 coastal spots Heraklion situated 400 m apart each other. The scenario was that immediately after receiving in their mobile a tsunami warning message they will set on their personal GPS device and start evacuating inland on the best way they believed to do so. In each group, only 5 out of 10 volunteers were notified beforehand that the Eleftherias Square, located inland at distance satisfying evacuation needs in case of repeat of the 1303 tsunami, would be a good shelter to go. Using the Road Graph Plugin of QGIS, we calculated the shortest path distances which found equal to 800, 700 and 680 m. Adopting average velocity of 3 km/h we found that these distances can be covered within 18, 16 and 15 min, respectively. The routes towards the settlement spots as well as the times needed to arrive there by each one of the 30 volunteers were recorded by their personal GPS devices. The processing of the GPS tracks and their comparison with the theoretical routes and times showed good evacuation performance which is encouraging for the next phases of the Heraklion tsunami hazard mitigation program. This is contribution to the EU-FP7 projects ZIP (Zooming In between Plates, grant no: 604713, 2013) and ASTARTE (Assessment, Strategy And Risk Reduction for Tsunamis in Europe), grant no: 603839, 2013.

Generating tsunami risk knowledge at community level as a base for planning and implementation of risk reduction strategies

NASA Astrophysics Data System (ADS)

Wegscheider, Stephanie; Post, Joachim; Mück, Matthias; Zosseder, Kai; Muhari, Abdul; Anwar, Herryal Z.; Gebert, Niklas; Strunz, Günter; Riedlinger, Torsten

2010-05-01

More than 4 million Indonesians live in tsunami-prone areas on the southern and western coasts of Sumatra, Java and Bali. Depending on the location of the tsunamigenic earthquake, in many cases the time to reach a tsunami-safe area is as short as 15 or 20 minutes. To increase the chances of a successful evacuation a comprehensive and thorough planning and preparation is necessary. For this purpose, detailed knowledge on potential hazard impact and safe areas, exposed elements such as people, critical facilities and lifelines, deficiencies in response capabilities and evacuation routes is crucial. The major aims of this paper are (i) to assess and quantify people's response capabilities and (ii) to identify high risk areas which have a high need of action to improve the response capabilities and thus to reduce the risk. The major factor influencing people's ability to evacuate successfully is the factor time. The estimated time of arrival of a tsunami at the coast which determines the overall available time for evacuation after triggering of a tsunami can be derived by analyzing modeled tsunami scenarios for a respective area. But in most cases, this available time frame is diminished by other time components including the time until natural or technical warning signs are received and the time until reaction follows a warning (understanding a warning and decision to take appropriate action). For the time to receive a warning we assume that the early warning centre is able to fulfil the Indonesian presidential decree to issue a warning within 5 minutes. Reaction time is difficult to quantify as here human intrinsic factors as educational level, believe, tsunami knowledge and experience play a role. Although we are aware of the great importance of this factor and the importance to minimize the reaction time, it is not considered in this paper. Quantifying the needed evacuation time is based on a GIS approach. This approach is relatively simple and enables local authorities to implement it at low technical complexity and relatively low cost and time needs. Basic principle is to define the best evacuation route from a given point to the nearest safe area. Here the fastest path from that point to the shelter location has to be found. Thereby the impact of land cover, slope, population density, population age and gender distribution are taken into account as literature studies prove these factors as highly important. Knowing the fastest path and the distance to the nearest safe area together with a spatially distributed pattern of evacuation speed delivers the time needed from each location to a shelter. A shelter location can either be a horizontal area or an evacuation building (vertical evacuation). For both kinds of evacuation target points, one limiting factor can be again time: are the people able to reach the target point within the available time? Especially for evacuation buildings, there is a second possibly limiting factor, namely capacity. In the majority of cases in all of the three study areas where this approach was applied to, capacity was the critical factor instead of time. Consequently, for planning purposes it is essential to know which area can be served by an evacuation building and which areas have to be assigned to a different evacuation target point due to exhausted capacity of the nearest one. The coverage of a building is also derived on basis of a GIS approach using the beforehand derived available and needed evacuation times and detailed population distribution data. Evacuation time and derived evacuable areas are then used to identify high risk areas. In combination with detailed population distribution data, hazard probability and hazard intensity, it is possible to identify areas with high risk and large deficiencies in response capabilities. Often enough, human response capabilities can be increased by thorough disaster planning and thus, the results of this paper provide valuable information for planning authorities to decrease the risk. This paper presents results exemplarily for the study area Kuta, Bali where we tested this approach and where it is also in progress to be implemented by local authorities.

Application of the Evacuated Canister System for Removing Residual Molten Glass From the West Valley Demonstration Project High-Level Waste Melter

DOE Office of Scientific and Technical Information (OSTI.GOV)

May, Joseph J.; Dombrowski, David J.; Valenti, Paul J.

The principal mission of the West Valley Demonstration Project (WVDP) is to meet a series of objectives defined in the West Valley Demonstration Project Act (Public Law 96-368). Chief among these is the objective to solidify liquid high-level waste (HLW) at the WVDP site into a form suitable for disposal in a federal geologic repository. In 1982, the Secretary of Energy formally selected vitrification as the technology to be used to solidify HLW at the WVDP. One of the first steps in meeting the HLW solidification objective involved designing, constructing and operating the Vitrification (Vit) Facility, the WVDP facility thatmore » houses the systems and subsystems used to process HLW into stainless steel canisters of borosilicate waste-glass that satisfy waste acceptance criteria (WAC) for disposal in a federal geologic repository. HLW processing and canister production began in 1996. The final step in meeting the HLW solidification objective involved ending Vit system operations and shut ting down the Vit Facility. This was accomplished by conducting a discrete series of activities to remove as much residual material as practical from the primary process vessels, components, and associated piping used in HLW canister production before declaring a formal end to Vit system operations. Flushing was the primary method used to remove residual radioactive material from the vitrification system. The inventory of radioactivity contained within the entire primary processing system diminished by conducting the flushing activities. At the completion of flushing activities, the composition of residual molten material remaining in the melter (the primary system component used in glass production) consisted of a small quantity of radioactive material and large quantities of glass former materials needed to produce borosilicate waste-glass. A special system developed during the pre-operational and testing phase of Vit Facility operation, the Evacuated Canister System (ECS), was deployed at the West Valley Demonstration Project to remove this radioactively dilute, residual molten material from the melter before Vit system operations were brought to a formal end. The ECS consists of a stainless steel canister of the same size and dimensions as a standard HLW canister that is equipped with a special L-shaped snorkel assembly made of 304L stainless steel. Both the canister and snorkel assembly fit into a stainless steel cage that allows the entire canister assembly to be positioned over the melter as molten glass is drawn out by a vacuum applied to the canister. This paper describes the process used to prepare and apply the ECS to complete molten glass removal before declaring a formal end to Vit system operations and placing the Vit Facility into a safe standby mode awaiting potential deactivation.« less

Treatment of yellow scorpion (Leiurus quinquestriatus) sting: a case report.

PubMed

Shalita, Eric A; Wells, Ryan D

2007-01-01

To report the treatment given to a 26-year-old Air Force medic who was stung twice by a yellow scorpion (Leiurus quinquestriatus) while stationed in Iraq and to describe the problems and issues related to the use of the scorpion antivenin. The patient presented 2 hours after envenomation to the local military treatment facility, where she was minimally symptomatic initially. Shortness of breath and anxiety developed, and the patient was sedated, intubated, and evacuated to a large Air Force medical facility for more advanced care. Vasopressor support was required during flight. At the medical facility, antivenin was administered, and the patient's cardiac condition was stabilized with norepinephrine drip, mild hydration, and vasopressor support. A second dose of antivenin diluted in sodium chloride and further pressor support were required. ST-segment depression eventually resolved, and the patient was gradually taken off norepinephrine and extubated. She recovered fully within 2 weeks and returned to active duty. Because the antivenin used is not licensed by the Food and Drug Administration, informed consent was needed; however, it could not be obtained because the patient was unconscious, intubated, and in a life-or-death situation. Antivenin selection is based on the species of scorpion and symptom severity; therefore, the scorpion should be, with great care, killed for identification. In the military setting, inventory control, storage, and accountability are vital issues surrounding antivenin use, and these are discussed in this article. Immediate action and effective communication, along with timely antivenin administration and well-equipped intensive care facilities, were integral in saving the life of this victim of a yellow scorpion envenomation. All level 3 facilities in Southwest Asia must be familiar with ordering, administering, and documenting this antivenin because it is difficult to obtain and infrequently available.

[For the history of creation of central anatomicopathological facility of the Ministry of Defence].

PubMed

Chirskiĭ, V S; Sibirev, S A; Bushurov, S E

2012-12-01

The system of anatomicopathological facilities was created in 30s of XX century and first years of the Great Patriotic War. The goal of this system was to increase the effectiveness of Sanitary Corps of the Red Army. These anatomicopathological facilities analyzed causes of death of injured soldiers during all stages of the system of treatment-evacuative support of troops and mistakes made by medical specialists during first aid treatment. Organisational forms of anatomicopathological activity were changed and developed according to acquired battle experience. The main stage of formation of anatomicopathological service of the Red Army, and in fact the finished period in organisational formation of anatomicopathological service, was establishment of Central anatomicopathological facility - main methodological, organisational, coordinating and monioring center of anatomicopathological activity of the Armed Forces of the Russian Federation.

Community resilience and volcano hazard: the eruption of Tungurahua and evacuation of the faldas in Ecuador.

PubMed

Tobin, Graham A; Whiteford, Linda M

2002-03-01

Official response to explosive volcano hazards usually involves evacuation of local inhabitants to safe shelters. Enforcement is often difficult and problems can be exacerbated when major eruptions do not ensue. Families are deprived of livelihoods and pressure to return to hazardous areas builds. Concomitantly, prevailing socio-economic and political conditions limit activities and can influence vulnerability. This paper addresses these issues, examining an ongoing volcano hazard (Tungurahua) in Ecuador where contextual realities significantly constrain responses. Fieldwork involved interviewing government officials, selecting focus groups and conducting surveys of evacuees in four locations: a temporary shelter, a permanent resettlement, with returnees and with a control group. Differences in perceptions of risk and health conditions, and in the potential for economic recovery were found among groups with different evacuation experiences. The long-term goal is to develop a model of community resilience in long-term stress environments.

Ergonomics intervention on an alternative design of a spinal board.

PubMed

Zadry, Hilma Raimona; Susanti, Lusi; Rahmayanti, Dina

2017-09-01

A spinal board is the evacuation tool of first aid to help the injured spinal cord. The existing spinal board has several weaknesses, both in terms of user comfort and the effectiveness and efficiency of the evacuation process. This study designs an ergonomic spinal board using the quality function deployment approach. A preliminary survey was conducted through direct observation and interviews with volunteers from the Indonesian Red Cross. Data gathered were translated into a questionnaire and answered by 47 participants in West Sumatra. The results indicate that the selection of materials, the application of strap systems as well as the addition of features are very important in designing an ergonomic spinal board. The data were used in designing an ergonomic spinal board. The use of anthropometric data ensures that this product can accommodate safety and comfort when immobilized, as well as the flexibility and speed of the rescue evacuation process.

Analysis of sheltering and evacuation strategies for a national capital region nuclear detonation scenario.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yoshimura, Ann S.; Brandt, Larry D.

2011-12-01

Development of an effective strategy for shelter and evacuation is among the most important planning tasks in preparation for response to a low yield, nuclear detonation in an urban area. Extensive studies have been performed and guidance published that highlight the key principles for saving lives following such an event. However, region-specific data are important in the planning process as well. This study examines some of the unique regional factors that impact planning for a 10 kT detonation in the National Capital Region. The work utilizes a single scenario to examine regional impacts as well as the shelter-evacuate decision alternativesmore » at one exemplary point. For most Washington, DC neighborhoods, the excellent assessed shelter quality available make shelter-in-place or selective transit to a nearby shelter a compelling post-detonation strategy.« less

Handbook. Disaster Response Staff Officer’s Handbook: Observations, Insights, and Lessons

DTIC Science & Technology

2010-12-01

Agriculture, and the Federal Emergency Management Agency under ESF #6, Mass Care , in the support of the Pets Evacuation and Transportation Standards Act...in local hospitals, nursing homes, and extended care facilities, those with special needs, household pets , and service animals. Significant...household pets and service animals will require appropriate care , sheltering, medical attention, and transportation. • A catastrophic incident will

Planning Matters: Response Operations following the 30 September 2009 Sumatran Earthquake

NASA Astrophysics Data System (ADS)

Comfort, L. K.; Cedillos, V.; Rahayu, H.

2009-12-01

Response operations following the 9/30/2009 West Sumatra earthquake tested extensive planning that had been done in Indonesia since the 26 December 2004 Sumatran Earthquake and Tsunami. After massive destruction in Aceh Province in 2004, the Indonesian National Government revised its national disaster management plans. A key component was to select six cities in Indonesia exposed to significant risk and make a focused investment of resources, planning activities, and public education to reduce risk of major disasters. Padang City was selected for this national “showcase” for disaster preparedness, planning, and response. The question is whether planning improved governmental performance and coordination in practice. There is substantial evidence that disaster preparedness planning and training initiated over the past four years had a positive effect on Padang in terms of disaster risk reduction. The National Disaster Management Agency (BNPB, 10/28/09) reported the following casualties: Padang City: deaths, 383; severe injuries, 431, minor injuries, 771. Province of West Sumatra: deaths, 1209; severe injuries, 67; minor injuries, 1179. These figures contrasted markedly with the estimated losses following the 2004 Earthquake and Tsunami when no training had been done: Banda Aceh, deaths, 118,000; Aceh Province, dead/missing, 236,169 (ID Health Ministry 2/22/05). The 2004 events were more severe, yet the comparable scale of loss was significantly lower in the 9/30/09 earthquake. Three factors contributed to reducing disaster risk in Padang and West Sumatra. First, annual training exercises for tsunami warning and evacuation had been organized by national agencies since 2004. In 2008, all exercises and training activities were placed under the newly established BNPB. The exercise held in Padang in February, 2009 served as an organizing framework for response operations in the 9/30/09 earthquake. Public officers with key responsibilities for emergency operations immediately contacted one another by radio, and the mayor activated the emergency plan within five minutes of the earthquake. Second, public awareness of tsunami risk was high, and residents of Padang self-evacuated when they felt strong shaking from the earthquake. Signs posted on the streets prior to the earthquake showed the evacuation route to high ground and safety. Third, back-up generators at key facilities - radio station, hospitals, fire station, and mayor’s residence - enabled key officials to mobilize response operations immediately with continued electrical power. Yet, this event revealed new lessons for disaster planning and response critical to protecting lives, property, and continuity of operations for this city of 900,000 residents. The evacuation procedure outlined in the plan proved inadequate for the 600,000 residents who live in the Red Zone, close to the beach. A mass exodus of residents to the streets trying to cross the one bridge that led to high ground created a monumental traffic jam. Emergency personnel need protection for their families in order to report for duty to protect the lives and property of city residents. The planning continues.

Agent-based evacuation simulation for spatial allocation assessment of urban shelters

NASA Astrophysics Data System (ADS)

Yu, Jia; Wen, Jiahong; Jiang, Yong

2015-12-01

The construction of urban shelters is one of the most important work in urban planning and disaster prevention. The spatial allocation assessment is a fundamental pre-step for spatial location-allocation of urban shelters. This paper introduces a new method which makes use of agent-based technology to implement evacuation simulation so as to conduct dynamic spatial allocation assessment of urban shelters. The method can not only accomplish traditional geospatial evaluation for urban shelters, but also simulate the evacuation process of the residents to shelters. The advantage of utilizing this method lies into three aspects: (1) the evacuation time of each citizen from a residential building to the shelter can be estimated more reasonably; (2) the total evacuation time of all the residents in a region is able to be obtained; (3) the road congestions in evacuation in sheltering can be detected so as to take precautionary measures to prevent potential risks. In this study, three types of agents are designed: shelter agents, government agents and resident agents. Shelter agents select specified land uses as shelter candidates for different disasters. Government agents delimitate the service area of each shelter, in other words, regulate which shelter a person should take, in accordance with the administrative boundaries and road distance between the person's position and the location of the shelter. Resident agents have a series of attributes, such as ages, positions, walking speeds, and so on. They also have several behaviors, such as reducing speed when walking in the crowd, helping old people and children, and so on. Integrating these three types of agents which are correlated with each other, evacuation procedures can be simulated and dynamic allocation assessment of shelters will be achieved. A case study in Jing'an District, Shanghai, China, was conducted to demonstrate the feasibility of the method. A scenario of earthquake disaster which occurs in nighttime was set to simulate the evacuation process of the residents to the earthquake shelter candidates in the study area. The simulation results convinced that the proposed method can better evaluate the spatial configuration of urban shelter than traditional GIS methods. The method can help local decision-makers preferably handle shelter planning and emergency evacuation management problems. It can also be extended to conduct similar assessment work in other urban regions for different kinds of shelters.

Cellular automaton model of crowd evacuation inspired by slime mould

NASA Astrophysics Data System (ADS)

Kalogeiton, V. S.; Papadopoulos, D. P.; Georgilas, I. P.; Sirakoulis, G. Ch.; Adamatzky, A. I.

2015-04-01

In all the living organisms, the self-preservation behaviour is almost universal. Even the most simple of living organisms, like slime mould, is typically under intense selective pressure to evolve a response to ensure their evolution and safety in the best possible way. On the other hand, evacuation of a place can be easily characterized as one of the most stressful situations for the individuals taking part on it. Taking inspiration from the slime mould behaviour, we are introducing a computational bio-inspired model crowd evacuation model. Cellular Automata (CA) were selected as a fully parallel advanced computation tool able to mimic the Physarum's behaviour. In particular, the proposed CA model takes into account while mimicking the Physarum foraging process, the food diffusion, the organism's growth, the creation of tubes for each organism, the selection of optimum tube for each human in correspondence to the crowd evacuation under study and finally, the movement of all humans at each time step towards near exit. To test the model's efficiency and robustness, several simulation scenarios were proposed both in virtual and real-life indoor environments (namely, the first floor of office building B of the Department of Electrical and Computer Engineering of Democritus University of Thrace). The proposed model is further evaluated in a purely quantitative way by comparing the simulation results with the corresponding ones from the bibliography taken by real data. The examined fundamental diagrams of velocity-density and flow-density are found in full agreement with many of the already published corresponding results proving the adequacy, the fitness and the resulting dynamics of the model. Finally, several real Physarum experiments were conducted in an archetype of the aforementioned real-life environment proving at last that the proposed model succeeded in reproducing sufficiently the Physarum's recorded behaviour derived from observation of the aforementioned biological laboratory experiments.

DOE Office of Scientific and Technical Information (OSTI.GOV)

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

There are many instances in which it is possible to plan ahead for an emergency evacuation (e.g., an explosion at a chemical processing facility). For those cases, if an accident (or an attack) were to happen, then the best evacuation plan for the prevailing network and weather conditions would be deployed. In other cases (e.g., the derailment of a train transporting hazardous materials), there may not be any previously developed plan to be implemented and decisions must be made ad-hoc on how to proceed with an emergency evacuation. In both situations, the availability of real-time traffic information plays a criticalmore » role in the management of the evacuation operations. To improve public safety during a vehicular emergency evacuation it is necessary to detect losses of road capacity (due to incidents, for example) as early as possible. Once these bottlenecks are identified, re-routing strategies must be determined in real-time and deployed in the field to help dissipate the congestion and increase the efficiency of the evacuation. Due to cost constraints, only large urban areas have traffic sensor deployments that permit access to some sort of real-time traffic information; any evacuation taking place in any other areas of the country would have to proceed without real-time traffic information. The latter was the focus of this SERRI/DHS (Southeast Region Research Initiative/Department of Homeland Security) sponsored project. That is, the main objective on the project was to improve the operations during a vehicular emergency evacuation anywhere by using newly developed real-time traffic-information-gathering technologies to assess traffic conditions and therefore to potentially detect incidents on the main evacuation routes. Phase A of the project consisted in the development and testing of a prototype system composed of sensors that are engineered in such a way that they can be rapidly deployed in the field where and when they are needed. Each one of these sensors is also equipped with their own power supply and a GPS (Global Positioning System) device to auto-determine its spatial location on the transportation network under surveillance. The system is capable of assessing traffic parameters by identifying and re-identifying vehicles in the traffic stream as those vehicles pass over the sensors. The system of sensors transmits, through wireless communication, real-time traffic information (travel time and other parameters) to a command and control center via an NTCIP (National Transportation Communication for ITS Protocol) -compatible interface. As an alternative, an existing NTCIP-compatible system accepts the real-time traffic information mentioned and broadcasts the traffic information to emergency managers, the media and the public via the existing channels. A series of tests, both in a controlled environment and on the field, were conducted to study the feasibility of rapidly deploying the system of traffic sensors and to assess its ability to provide real-time traffic information during an emergency evacuation. The results of these tests indicated that the prototype sensors are reliable and accurate for the type of application that is the focus of this project.« less

Estimate of the Potential Amount of Low-Level Waste from the Fukushima Prefecture - 12370

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hill, Carolyn; Olson, Eric A.J.; Elmer, John

2012-07-01

The amount of waste generated by the cleanup of the Fukushima Prefecture (Fukushima-ken) following the releases from the Fukushima Daiichi nuclear power plant accident (March 2011) is dependent on many factors, including: - Contamination amounts; - Cleanup levels determined for the radioisotopes contaminating the area; - Future land use expectations and human exposure scenarios; - Groundwater contamination considerations; - Costs and availability of storage areas, and eventually disposal areas for the waste; and - Decontamination and volume reduction techniques and technologies used. For the purposes of estimating these waste volumes, Fukushima-ken is segregated into zones of similar contamination level andmore » expected future use. Techniques for selecting the appropriate cleanup methods for each area are shown in a decision tree format. This approach is broadly applied to the 20 km evacuation zone and the total amounts and types of waste are estimated; waste resulting from cleanup efforts outside of the evacuation zone is not considered. Some of the limits of future use and potential zones where residents must be excluded within the prefecture are also described. The size and design of the proposed intermediate storage facility is also discussed and the current situation, cleanup, waste handling, and waste storage issues in Japan are described. The method for estimating waste amounts outlined above illustrates the large amount of waste that could potentially be generated by remediation of the 20 km evacuation zone (619 km{sup 2} total) if the currently proposed cleanup goals are uniformly applied. The Japanese environment ministry estimated in early October that the 1 mSv/year exposure goal would make the government responsible for decontaminating about 8,000 km{sup 2} within Fukushima-ken and roughly 4,900 km{sup 2} in areas outside the prefecture. The described waste volume estimation method also does not give any consideration to areas with localized hot spots. Land use and area dose rate estimates for the 20 km evacuation zone indicate there are large areas where doses to the public can be mitigated through methods other than removal and disposal of soil and other wastes. Several additional options for waste reduction can also be considered, including: - Recycling/reusing or disposing of as municipal waste material that can be unconditionally cleared; - Establishing additional precautionary (e.g., liners) and monitoring requirements for municipal landfills to dispose of some conditionally-cleared material; and - Using slightly-contaminated material in construction of reclamations, banks and roads. Waste estimates for cleanup will continue to evolve as decontamination plans are drafted and finalized. (authors)« less

Pediatric issues in disaster management, Part 1: the emergency medical system and surge capacity.

PubMed

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

2010-01-01

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

[Organization and delivery of therapeutic care in modern local wars and armed conflicts].

PubMed

Khalimov, Iu Sh; Tkachuk, N A; Zhekalov, A N

2014-08-01

The system of providing therapeutic care within a united system of staged treatment of wounded and sick and evacuation was established during the Great Patriotic War of 1941-1945 and helped to return 90,6% of casualties to duty. In terms of local wars and armed conflicts the most important task of military field therapy is to improve the provision of therapeutic support through regional and territorial principles, echeloning of forces and facilities, optimization of allocation of medical institutions in accordance with their capabilities, evacuation routes, etc. The organization of therapeutic assistance should be guided primarily by the size and structure of sanitary losses. In modern local wars cannot exclude the occurrence of massive sanitary losses with limited use of weapons of mass destruction, as a result of failure (with a conventional weapon or as a result of sabotage) of nuclear power plants, chemical plants, and transport containers containing toxic chemicals.

Users' evaluation of the Navy Computer-Assisted Medical Diagnosis System.

PubMed

Merrill, L L; Pearsall, D M; Gauker, E D

1996-01-01

U.S. Navy Independent Duty Corpsmen (IDCs) aboard small ships and submarines are responsible for all clinical and related health care duties while at sea. During deployment, life-threatening illnesses sometimes require evacuation to a shore-based treatment facility. At-sea evacuations are dangerous, expensive, and may compromise the mission of the vessel. Therefore, Group Medical Officers and IDCs were trained to use the Navy Computer-Assisted Medical Diagnosis (NCAMD) system during deployment. They were then surveyed to evaluate the NCAMD system. Their responses show that NCAMD is a cost-efficient, user-friendly package. It is easy to learn, and is especially valuable for training in the diagnosis of chest and abdominal complaints. However, the delivery of patient care at sea would significantly improve if computer hardware were upgraded to current industry standards. Also, adding various computer peripheral devices, structured forms, and reference materials to the at-sea clinician's resources could enhance shipboard patient care.

A grouping method based on grid density and relationship for crowd evacuation simulation

NASA Astrophysics Data System (ADS)

Li, Yan; Liu, Hong; Liu, Guang-peng; Li, Liang; Moore, Philip; Hu, Bin

2017-05-01

Psychological factors affect the movement of people in the competitive or panic mode of evacuation, in which the density of pedestrians is relatively large and the distance among them is small. In this paper, a crowd is divided into groups according to their social relations to simulate the actual movement of crowd evacuation more realistically and increase the attractiveness of the group based on social force model. The force of group attraction is the synthesis of two forces; one is the attraction of the individuals generated by their social relations to gather, and the other is that of the group leader to the individuals within the group to ensure that the individuals follow the leader. The synthetic force determines the trajectory of individuals. The evacuation process is demonstrated using the improved social force model. In the improved social force model, the individuals with close social relations gradually present a closer and coordinated action while following the leader. In this paper, a grouping algorithm is proposed based on grid density and relationship via computer simulation to illustrate the features of the improved social force model. The definition of the parameters involved in the algorithm is given, and the effect of relational value on the grouping is tested. Reasonable numbers of grids and weights are selected. The effectiveness of the algorithm is shown through simulation experiments. A simulation platform is also established using the proposed grouping algorithm and the improved social force model for crowd evacuation simulation.

Hurricane Sandy Evacuation Among World Trade Center Health Registry Enrollees in New York City.

PubMed

Brown, Shakara; Gargano, Lisa M; Parton, Hilary; Caramanica, Kimberly; Farfel, Mark R; Stellman, Steven D; Brackbill, Robert M

2016-06-01

Timely evacuation is vital for reducing adverse outcomes during disasters. This study examined factors associated with evacuation and evacuation timing during Hurricane Sandy among World Trade Center Health Registry (Registry) enrollees. The study sample included 1162 adults who resided in New York City's evacuation zone A during Hurricane Sandy who completed the Registry's Hurricane Sandy substudy in 2013. Factors assessed included zone awareness, prior evacuation experience, community cohesion, emergency preparedness, and poor physical health. Prevalence estimates and multiple logistic regression models of evacuation at any time and evacuation before Hurricane Sandy were created. Among respondents who evacuated for Hurricane Sandy (51%), 24% had evacuated before the storm. In adjusted analyses, those more likely to evacuate knew they resided in an evacuation zone, had evacuated during Hurricane Irene, or reported pre-Sandy community cohesion. Evacuation was less likely among those who reported being prepared for an emergency. For evacuation timing, evacuation before Hurricane Sandy was less likely among those with pets and those who reported 14 or more poor physical health days. Higher evacuation rates were observed for respondents seemingly more informed and who lived in neighborhoods with greater social capital. Improved disaster messaging that amplifies these factors may increase adherence with evacuation warnings. (Disaster Med Public Health Preparedness. 2016;10:411-419).

TRITIUM LABORATORY, TRA666, INTERIOR. MAIN FLOOR. CONTROL ROOM ENCLOSURE AT ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

TRITIUM LABORATORY, TRA-666, INTERIOR. MAIN FLOOR. CONTROL ROOM ENCLOSURE AT CENTER OF VIEW. SIGN ABOVE DOOR SAYS "HYDRAULIC TEST FACILITY CONTROL ROOM." SIGN IN WINDOW SAYS "EATING AREA." "EVACUATION AND EMERGENCY INFORMATION" IS POSTED ON CABINET AT LEFT OF VIEW. INL NEGATIVE NO. HD30-2-3. Mike Crane, Photographer, 6/2001 - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

Exploratory Analysis of Factors Surrounding Aeromedical Evacuation (Patient Movement) from Operation Iraqi Freedom (OEF) Focusing on Placement of Wounded Warriors in US/CONUS-based Military Treatment Facilities (MTFs)

DTIC Science & Technology

2007-05-01

below), there were 281,881 casualties listed Table 1. Ametican War and Military Operations Casualties: Usts and Statistcs . Number Wounds not Battle...but the need for Solace was greater than ever. With the outbreak of yellow fever and malaria among the troops in Cuba, the situation was quite grave

Environmental Assessment for the Aeromedical Evacuation Formal Training Unit, Wright-Patterson Air Force Base

DTIC Science & Technology

2012-05-01

adverse health effects (HHS 2010). However, propylene glycol requires oxygen for breakdown, which can deplete surface waters of dissolved oxygen ...and the Human Effectiveness Directorate (RH), plus supporting functions. Facility 20840 contains a high-bay area that houses two C-130 training...aircrew training program that develops and maintains a high state of mission readiness for immediate and effective deployments across the range of

Laser damage testing of optical components under cryogenic conditions

NASA Astrophysics Data System (ADS)

Oulehla, Jindrich; Pokorný, Pavel; Lazar, Josef

2012-11-01

In this contribution we present a technology for deposition and testing of interference coatings for optical components designed to operate in power pulsed lasers. The aim of the technology is to prepare components for high power laser facilities such as ELI (Extreme Light Infrastructure) or HiLASE. ELI is a part of the European plan to build a new generation of large research facilities selected by the European Strategy Forum for Research Infrastructures (ESFRI). These facilities rely on the use of diode pumped solid state lasers (DPSSL). The choice of the material for the lasers' optical components is critical. Some of the most important properties include the ability to be antireflection and high reflection coated to reduce the energy losses and increase the overall efficiency. As large amounts of heat need to be dissipated during laser operation, cryogenic cooling is necessary. The conducted experiments served as preliminary tests of laser damage threshold measurement methodology that we plan to use in the future. We designed a special apparatus consisting of a vacuum chamber and a cooling system. The samples were placed into the vacuum chamber which was evacuated and then the samples were cooled down to approximately 120K and illuminated by a pulsed laser. Pulse duration was in the nanosecond region. Multiple test sites on the sample's surface were used for different laser pulse energies. We used optical and electron microscopy and spectrophotometer measurements for coating investigation after the conducted experiments.

Laser damage testing of optical components under cryogenic conditions

NASA Astrophysics Data System (ADS)

Oulehla, Jindřich; Pokorný, Pavel; Lazar, Josef

2012-01-01

In this contribution we present a technology for deposition and testing of interference coatings for optical components designed to operate in power pulsed lasers. The aim of the technology is to prepare components for high power laser facilities such as ELI (Extreme Light Infrastructure) or HiLASE. ELI is a part of the Eropean plan to build a new generation of large research facilities selected by the the Eropean Strategy Forum for Research Infrastructures (ESFRI). These facilities rely on the use of diode pumped solid state lasers (DPSSL). The choice of the material or the lasers' optical components is critical. Some of the most important properties include the ability to be antireflection and high reflection coated to reduce the energy losses and increase the overall efficiency. As large amounts of hear need to be dissipated during laser operation, cryogenic cooling is necessary. The conducted experiments served as preliminary tests of laser damage threshold measurement methodology that we plan to use in the future. We designed a special apparatus consistion of a vacuum chamber an a cooling system. The samples were placed into the vacuum chamber which was evacuated and them the samples were cooled down to approximately 120K and illuminated by a pulsed laser. Pulse duration was in the nanosecond region. Multiple test sites on the sample's surface were used for different laser pulse energies. We used optical and electron microscopy and spectrophotometer measurements for coating investigation after the conducted experiments.

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

USGS Publications Warehouse

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

2016-01-01

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

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

NASA Astrophysics Data System (ADS)

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

2016-07-01

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

Two Fixed, Evacuated, Glass, Solar Collectors Using Nonimaging Concentration

NASA Astrophysics Data System (ADS)

Garrison, John D.; Winston, Roland; O'Gallagher, Joseph; Ford, Gary

1984-01-01

Two fixed, evacuated, glass solar thermal collectors have been designed. The incorporation of nonimaging concentration, selective absorption and vacuum insulation into their design is essential for obtaining high efficiency through low heat loss, while operating at high temperatures. Nonimaging, approximately ideal concentration with wide acceptance angle permits solar radiation collection without tracking the sun, and insures collection of much of the diffuse radiation. It also minimizes the area of the absorbing surface, thereby reducing the radiation heat loss. Functional integration, where different parts of these two collectors serve more than one function, is also important in achieving high efficiency, and it reduces cost.

Stationary nonimaging concentrator as a second stage element in tracking systems

NASA Astrophysics Data System (ADS)

Kritchman, E. M.; Snail, K. A.; Ogallagher, J.; Winston, R.

1983-01-01

An increase in the concentration in line focus solar concentrators is shown to be available using an evacuated compound parabolic concentrator (CPC) tube as a second stage element. The absorber is integrated into an evacuated tube with a transparent upper section and a reflective lower section, with a selective coating on the absorber surface. The overall concentration is calculated in consideration of a parabolic mirror in a trough configuration, a flat Fresnel lens over the top, or a color and coma corrected Fresnel lens. The resulting apparatus is noted to also suppress thermal losses due to conduction, convection, and IR radiation.

Variable Message Signs for road tunnel emergency evacuations.

PubMed

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

2016-01-01

This paper investigates the design of Variable Message Signs (VMS) as a way-finding aid for road tunnel emergency evacuations. The use of the Theory of Affordances is suggested to provide recommendations on the design of VMS. A preliminary evaluation of 11 selected VMS systems was performed and 6 of them were further evaluated using an affordance-based within subject stated-preference questionnaire administered to a sample of 62 participants. Results are used to provide recommendations on the characteristics of the VMS systems, such as (1) size of the sign (large or small); (2) use of flashing lights; (3) colour scheme; (4) message coding (i.e., text, pictograms or a combination of them). The best performing VMS features for road tunnel emergency evacuation included the use of larger signs, flashing lights, the combination of emergency exit pictorial symbol in green in one panel and text in amber in the other panel. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

A Review of Selected Models.

DTIC Science & Technology

1982-02-01

evacuation, essential maintenance, transportation, decontamination, and field services (i.e., replacements, graves registration, finance , etc.). 2...such logic through the tactical decision rules input by the user. With such a device, the UNICORN nuclear weapons 78 -T -- : I-, -- r, Pow- allocation

Comparison of Human Response against Earthquake and Tsunami

NASA Astrophysics Data System (ADS)

Arikawa, T.; Güler, H. G.; Yalciner, A. C.

2017-12-01

The evacuation response against the earthquake and tsunamis is very important for the reduction of human damages against tsunami. But it is very difficult to predict the human behavior after shaking of the earthquake. The purpose of this research is to clarify the difference of the human response after the earthquake shock in the difference countries and to consider the relation between the response and the safety feeling, knowledge and education. For the objective of this paper, the questionnaire survey was conducted after the 21st July 2017 Gokova earthquake and tsunami. Then, consider the difference of the human behavior by comparison of that in 2015 Chilean earthquake and tsunami and 2011 Japan earthquake and tsunami. The seismic intensity of the survey points was almost 6 to 7. The contents of the questions include the feeling of shaking, recalling of the tsunami, the behavior after shock and so on. The questionnaire was conducted for more than 20 20 people in 10 areas. The results are the following; 1) Most people felt that it was a strong shake not to stand, 2) All of the questionnaires did not recall the tsunami, 3) Depending on the area, they felt that after the earthquake the beach was safer than being at home. 4) After they saw the sea drawing, they thought that a tsunami would come and ran away. Fig. 1 shows the comparison of the evacuation rate within 10 minutes in 2011 Japan, 2015 Chile and 2017 Turkey.. From the education point of view, education for tsunami is not done much in Turkey. From the protection facilities point of view, the high sea walls are constructed only in Japan. From the warning alert point of view, there is no warning system against tsunamis in the Mediterranean Sea. As a result of this survey, the importance of tsunami education is shown, and evacuation tends to be delayed if dependency on facilities and alarms is too high.

[What has been brought to residents and communities by the nuclear power plant accident? Special and serious disaster relief procedure modification after the 2011 Tohoku earthquake and tsunami in Fukushima].

PubMed

Ishikawa, Kazunobu

2011-01-01

After the catastrophic 2011 Tohoku earthquake and tsunami which struck cities and towns on the Japanese Pacific coast, Fukushima has been the focus of special and serious disaster relief procedures modification regarding nuclear power plant accidents. To date, the Japanese government has repeatedly issued evacuation orders to more than 100,000 residents. Huge numbers of refugees are still uncertain if they can return home and re-cultivate their farm land. Ambiguous public announcements concerning the radiation risks seem to have aggravated feelings of insecurity, fear and the desire to escape, both at home and abroad. This disaster has seriously undermined trust internationally and locally in Fukushima. Harmful rumors added further difficulties. In response to this disaster, local government, medical institutions, care facilities, police, emergency services and the self-defense forces continue to put their utmost effort into reconstruction. This seismic disaster has reminded us that supplies of water, electricity, gas, gasoline and telephone/communication facilities are essential prerequisites for reconstruction and daily life. Disaster and radiation medical association teams actively participated in the rescue efforts, and a number of organized medical teams cared for about 15,000 refugees in 100 shelters. We also visited home-bound patients, who were unable to evacuate from the 20-30 km inner evacuation area. In this relief role, we need to consider the following; (1) professionals, both healthcare and nuclear engineers, must always be prepared for unexpected circumstances, (2) the daily organic cooperation of individuals and units is closely linked to readiness against sudden risks, and (3) appropriate accountability is essential to assuage the fears of residents and refugees. A sincere learning process may benefit those innocent refugees who may be forced to abandon their homes permanently.

Factors Affecting Hurricane Evacuation Intentions.

PubMed

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

2015-10-01

Protective actions for hurricane threats are a function of the environmental and information context; individual and household characteristics, including cultural worldviews, past hurricane experiences, and risk perceptions; and motivations and barriers to actions. Using survey data from the Miami-Dade and Houston-Galveston areas, we regress individuals' stated evacuation intentions on these factors in two information conditions: (1) seeing a forecast that a hurricane will hit one's area, and (2) receiving an evacuation order. In both information conditions having an evacuation plan, wanting to keep one's family safe, and viewing one's home as vulnerable to wind damage predict increased evacuation intentions. Some predictors of evacuation intentions differ between locations; for example, Florida respondents with more egalitarian worldviews are more likely to evacuate under both information conditions, and Florida respondents with more individualist worldviews are less likely to evacuate under an evacuation order, but worldview was not significantly associated with evacuation intention for Texas respondents. Differences by information condition also emerge, including: (1) evacuation intentions decrease with age in the evacuation order condition but increase with age in the saw forecast condition, and (2) evacuation intention in the evacuation order condition increases among those who rely on public sources of information on hurricane threats, whereas in the saw forecast condition evacuation intention increases among those who rely on personal sources. Results reinforce the value of focusing hurricane information efforts on evacuation plans and residential vulnerability and suggest avenues for future research on how hurricane contexts shape decision making. © 2015 Society for Risk Analysis.

Prototype Tsunami Evacuation Park in Padang, West Sumatra, Indonesia

NASA Astrophysics Data System (ADS)

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

2012-12-01

Padang, Indonesia, a city of some 900,000 people, half of whom live close to the coast and within a five-meter elevation above sea level, has one of the highest tsunami risks in the world due to its close offshore thrust-fault seismic hazard, flat terrain and dense population. There is a high probability that a tsunami will strike the shores of Padang, flooding half of the area of the city, within the next 30 years. If that tsunami occurred today, it is estimated that several hundred thousand people would die, as they could not reach safe ground in the ~30 minute interval between the earthquake's occurrence and the tsunami's arrival. Padang's needs have been amply demonstrated: after earthquakes in 2007, 2009, 2011 and 2012, citizens, thinking that those earthquakes might cause a tsunami, tried to evacuate in cars and motorbikes, which created traffic jams, and most could not reach safe ground in 30 minutes. Since 2008, GeoHazards International (GHI) and Stanford University have studied a range of options for improving this situation, including ways to accelerate evacuation to high ground with pedestrian bridges and widened roads, and means of "vertical" evacuation in multi-story buildings, mosques, pedestrian overpasses, and Tsunami Evacuation Parks (TEPs), which are man-made hills with recreation facilities on top. TEPs proved most practical and cost-effective for Padang, given the available budget, technology and time. The Earth Observatory Singapore (EOS) developed an agent-based model that simulates pedestrian and vehicular evacuation to assess tsunami risk and risk reduction interventions in Southeast Asia. EOS applied this model to analyze the effectiveness in Padang of TEPs over other tsunami risk management approaches in terms of evacuation times and the number of people saved. The model shows that only ~24,000 people (20% of the total population) in the northern part of Padang can reach safe ground within 30 minutes, if people evacuate using cars and motorbikes immediately after the earthquake. If one TEP is built, ~46,000 could reach safe ground within 30 minutes, and if three were built ~72,000 could. GHI has acquired permission to build a prototype TEP in the northern part of Padang that would accommodate about 25,000 people during the time of a tsunami. This would cost about 4.7 million, amounting to a cost-per-life-saved of ~US200, far lower than the per capita cost of the other options. The cost of replication should be less. This interdisciplinary, international effort demonstrated that TEPs offer the best option for Padang because they have the potential to save thousands of lives, are relatively simple to build and maintain, invite everyday recreational use by the community, and have attracted strong Indonesian government support as a possible means to manage the country's tsunami risk.

Gene expression analyses of the small intestine of pigs in the ex-evacuation zone of the Fukushima Daiichi Nuclear Power Plant.

PubMed

Morimoto, Motoko; Kato, Ayaka; Kobayashi, Jin; Okuda, Kei; Kuwahara, Yoshikazu; Kino, Yasushi; Abe, Yasuyuki; Sekine, Tsutomu; Fukuda, Tomokazu; Isogai, Emiko; Fukumoto, Manabu

2017-11-15

After the accident at the Fukushima Daiichi Nuclear Power Plant, radioactive contaminants were released over a widespread area. Monitoring the biological effects of radiation exposure in animals in the ex-evacuation zone should be continued to understand the health effects of radiation exposure in humans. The present study aimed to clarify the effects of radiation by investigating whether there is any alteration in the morphology and gene expressions of immune molecules in the intestine of pigs and inobuta (wild boar and domestic pig hybrid) in the ex-evacuation zone in 2012. Gene expression analysis was performed in small intestine samples from pigs, which were collected from January to February 2012, in the ex-evacuation zone. Pigs lived freely in this zone, and their small intestine was considered to be affected by the dietary intake of radioactive contaminants. Several genes were selected by microarray analysis for further investigation using real-time polymerase chain reaction. IFN-γ, which is an important inflammatory cytokine, and TLR3, which is a pattern recognize receptor for innate immune system genes, were highly elevated in these pigs. The expressions of the genes of these proteins were associated with the radiation level in the muscles. We also examined the alteration of gene expressions in wild boars 5 years after the disaster. The expression of IFN-γ and TLR3 remained high, and that of Cyclin G1, which is important in the cell cycle, was elevated. We demonstrated that some changes in gene expression occurred in the small intestine of animals in the ex-evacuation zone after radiation. It is difficult to conclude that these alterations are caused by only artificial radionuclides from the Fukushima Daiichi Nuclear Power Plant. However, the animals in the ex-evacuation zone might have experienced some changes owing to radioactive materials, including contaminated soil, small animals, and insects. We need to continue monitoring the effects of long-term radiation exposure in living things.

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

NASA Astrophysics Data System (ADS)

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

2014-11-01

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

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

NASA Astrophysics Data System (ADS)

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

2014-06-01

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

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

USGS Publications Warehouse

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

2014-01-01

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

Evacuation of Intensive Care Units During Disaster: Learning From the Hurricane Sandy Experience.

PubMed

King, Mary A; Dorfman, Molly V; Einav, Sharon; Niven, Alex S; Kissoon, Niranjan; Grissom, Colin K

2016-02-01

Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations. Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35% ICU nurses, 21% respiratory therapists, 25% physicians-in-training, and 13% attending physicians). Only 21% had participated in an ICU evacuation drill in the past 2 years and 28% had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43%) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24%), transport sleds (21%), and oxygen tanks and respiratory therapy supplies (19%). An evacuation wish list included walkie-talkies/phones (26%), lighting/electricity (18%), flashlights (10%), and portable ventilators and suction (16%). ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future.

Innovative flow controller for time integrated passive sampling using SUMMA canisters

DOE Office of Scientific and Technical Information (OSTI.GOV)

Simon, P.; Farant, J.P.; Cole, H.

1996-12-31

To restrict the entry of gaseous contaminants inside evacuated vessels such as SUMMA canisters, mechanical flow controllers are used to collect integrated atmospheric samples. From the passive force generated by the pressure gradient, the motion of gas can be controlled to obtain a constant flow rate. Presently, devices based on the principle of critical orifices are used and they are all limited to an upper integrated sampling time. A novel flow controller which can be designed to achieve any desired sampling time when used on evacuated vessels was recently developed. It can extend the sampling time for hours, days, weeksmore » or even months for the benefits of environmental, engineering and toxicological professionals. The design of the controller is obtained from computer simulations done with an original set of equations derived from fluid mechanic and gas kinetic laws. To date, the experimental results have shown excellent agreement, with predictions obtained from the mathematical model. This new controller has already found numerous applications. Units able to deliver a constant sampling rate between vacuum and approximately -10 inches Hg during continuous long term duration have been used with SUMMA canisters of different volumes (500 ml, 1 litre and 61). Essentially, any combination of sampling time and sampler volume is possible. The innovative flow controller has contributed to an air quality assessment around a sanitary landfill (indoor/outdoor), and inside domestic wastewater and pulpmill sludge treatment facilities. It is presently being used as an alternative methodology for atmospheric sampling in the Russian orbital station Mir. This device affords true long term passive monitoring of selected gaseous air pollutants for environmental studies. 14 refs., 3 figs.« less

Temporary and definitive external fixation of war injuries: use of a French dedicated fixator.

PubMed

Mathieu, Laurent; Ouattara, Naklan; Poichotte, Antoine; Saint-Macari, Erwan; Barbier, Olivier; Rongiéras, Fréderic; Rigal, Sylvain

2014-08-01

External fixation is the recommended stabilization method for both open and closed fractures of long bones in forward surgical hospitals. Specific combat surgical tactics are best performed using dedicated external fixators. The Percy Fx (Biomet) fixator was developed for this reason by the French Army Medical Service, and has been used in various theatres of operations for more than ten years. The tactics of Percy Fx (Biomet) fixator use were analysed in two different situations: for the treatment of French soldiers wounded on several battlefields and then evacuated to France and for the management of local nationals in forward medical treatment facilities in Afghanistan and Chad. Overall 48 externals fixators were implanted on 37 French casualties; 28 frames were temporary and converted to definitive rigid frames or internal fixation after medical evacuation. The 77 Afghan patients totalled 85 external fixators, including 13 temporary frames applied in Forward Surgical Teams (FSTs) prior to their arrival at the Kabul combat support hospital. All of the 47 Chadian patients were treated in a FST with primary definitive frames because of delayed surgical management and absence of higher level of care in Chad. Temporary frames were mostly used for French soldiers to facilitate strategic air medical evacuation following trauma damage control orthopaedic principles. Definitive rigid frames permitted achieving treatment of all types of war extremity injuries, even in poor conditions.

Preparedness of fire safety in underground train station: Comparison between train operators in Malaysia with other operators from the developed countries

NASA Astrophysics Data System (ADS)

Tajedi, Noor Aqilah A.; Sukor, Nur Sabahiah A.; Ismail, Mohd Ashraf M.; Shamsudin, Shahrul A.

2017-10-01

The purpose of this paper is to compare the fire evacuation plan and preparation at the underground train stations in the different countries. The methodology for this study was using the extended questionnaire survey to investigate the Rapid Rail Sdn Bhd, Malaysia's fire safety plan and preparation at the underground train stations. There were four sections in the questionnaire which included (i) background of the respondents, (ii) the details on the train stations, safety instruction and fire evacuation exercises (iii) technical systems, installation and equipment at the underground stations and (iv) procedures and technical changes related to fire safety that had been applied by the operators. Previously, the respondents from the different train operator services in the developed countries had completed the questionnaires. This paper extends the response from the Rapid Rail Sdn Bhd to compare the emergency procedures and preparation for fire event with the developed countries. As a result, this study found that the equipment and facilities that provided at the underground train stations that operated by Rapid Rail are relevant for fire safety procedures and needs. The main advantage for Rapid Rail is the underground stations were designed with two or more entrances/exits that may perform better evacuation compare to one main entrance/exit train stations in the other developed countries.

Credit WCT. Original 4" x 5" black and white print ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Credit WCT. Original 4" x 5" black and white print housed in the JPL Archives, Pasadena, California. This view displays the west elevation of the mixer building and barricades. The slide from the second floor balcony (missing in 1995) provided rapid emergency evacuation for personnel in case of fire or other imminent danger. JPL negative 384-10506, 7 July 1964 - Jet Propulsion Laboratory Edwards Facility, Mixer, Edwards Air Force Base, Boron, Kern County, CA

Impact of Prehospital Medical Evacuation (MEDEVAC) Transport Time on Combat Mortality in Patients with Non-Compressible Torso Injury and Traumatic Amputations

DTIC Science & Technology

2018-12-28

MED EV AC) transport time on combat mortality in patients with non-compressible torso injury and traumatic amputations Sb. GRANT NUMBER Sc. PROGRAM...increased morbidity and mortality. Limited data exists on the influence of transport time on patient outcomes with specific injury types. The...treatment facility on morbidity and mortality in casualties with traumatic extremity amputation and non-compressible torso injury (NCTI). Methods: We

Crimean-Congo Hemorrhagic Fever.

PubMed

Burnett, Mark W

2015-01-01

In mid-September 2009, a 22-year-old critically ill Soldier was medically evacuated from a treatment facility in southern Afghanistan to Landstuhl Regional Medical Center in Germany. Despite the efforts of the team at Landstuhl, this patient died and became the US military's first known victim of Crimean-Congo hemorrhagic fever (CCHF). CCHF is caused by a virus, which bears the same name. Because a vaccine is lacking, as well as an effective antiviral treatment, prevention is key. 2015.

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

NASA Astrophysics Data System (ADS)

Peters, J.

2015-12-01

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

Monitoring and Early Warning of the 2012 Preonzo Catastrophic Rockslope Failure

NASA Astrophysics Data System (ADS)

Loew, Simon; Gschwind, Sophie; Keller-Signer, Alexandra; Valenti, Giorgio

2015-04-01

In this contribution we describe the accelerated creep stage and early warning system of a 210'000 m3 rock slope failure that occurred in May 2012 above the village of Preonzo (Swiss Alps). The very rapid failure occurred from a larger and retrogressive instability in high-grade metamorphic ortho-gneisses and amphibolites with a total volume of about 350'000 m3 located at an alpine meadow called Alpe di Roscioro. This instability showed clearly visible signs of movements since 1989 and accelerated creep with significant hydro-mechanical forcing since about 1999. Because the instability at Preonzo threatened a large industrial facility and important transport routes a cost-effective early warning system was installed in 2010. The alarm thresholds for pre-alarm, general public alarm and evacuation were derived from 10 years of continuous displacement monitoring with crack extensometers and an automated total station. These thresholds were successfully applied to evacuate the industrial facility and close important roads a few days before the catastrophic slope failure of May 15th, 2012. The rock slope failure occurred in two events, exposing a planar rupture plane dipping 42° and generating deposits in the mid-slope portion with a travel angle of 38°. Two hours after the second rockslide, the fresh colluvial deposits became reactivated in a devastating de-bris avalanche reaching the foot of the slope.

Experimental study on occupant evacuation in narrow seat aisle

NASA Astrophysics Data System (ADS)

Huang, Shenshi; Lu, Shouxiang; Lo, Siuming; Li, Changhai; Guo, Yafei

2018-07-01

Narrow seat aisle is an important area in the train car interior due to the large passenger population, however evacuation therein has not gained enough concerns. In this experimental study, the occupant evacuation of the narrow seat aisle area is investigated, with the aisle width of 0.4-0.6 m and the evacuation direction of forward and backward. The evacuation behaviors are analyzed based on the video record, and the discussion is carried out in the aspect of evacuation time, crowdedness, evacuation order, and aisle conflicts. The result shows that with the increasing aisle width, total evacuation time and the average specific evacuation rate decrease. The aisle is crowded for some time, with a large linear occupant densities. The evacuation order of each occupant is mainly related to the seat position. Moreover, it is found that the aisle conflicts can be well described by Burstedde's model. This study gives a useful benchmark for evacuation simulation of narrow seat aisle, and provides reference to safety design of seat area in train cars.

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

NASA Astrophysics Data System (ADS)

Cao, Shuchao; Song, Weiguo; Lv, Wei

2016-02-01

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

Predictive value of impaired evacuation at proctography in diagnosing anismus.

PubMed

Halligan, S; Malouf, A; Bartram, C I; Marshall, M; Hollings, N; Kamm, M A

2001-09-01

We aimed to determine the positive predictive value of impaired evacuation during evacuation proctography for the subsequent diagnosis of anismus. Thirty-one adults with signs of impaired evacuation (defined as the inability to evacuate two thirds of a 120 mL contrast enema within 30 sec) during evacuation proctography underwent subsequent anorectal physiologic testing for anismus. A physiologic diagnosis of anismus was based on a typical clinical history of the condition combined with impaired rectal balloon expulsion or abnormal surface electromyogram. Twenty-eight (90%) of the 31 patients with impaired proctographic evacuation were found to have anismus at subsequent physiologic testing. Among the 28 were all 10 patients who evacuated no contrast medium and all 11 patients with inadequate pelvic floor descent, giving evacuation proctography a positive predictive value of 90% for the diagnosis of anismus. A prominent puborectal impression was seen in only three subjects during proctography, one of whom subsequently showed no physiologic sign of anismus. Impaired evacuation during evacuation proctography is highly predictive for diagnosis of anismus.

Engineering development studies for integrated evacuated CPC arrays

NASA Astrophysics Data System (ADS)

Winston, R.

1982-04-01

An evacuated tube concentrator which achieves respectable high temperature performance (100 C to 300 C) was developed. The design concept utilizes nonimaging CPC type concentration integrated into each tube by shaping the outer glass vacuum envelope. The detailed design, prototype fabrication and preliminary test measurements are reviewed. In addition the results of this first study specifically devoted to engineering development questions related to practical applications of this collector concept are summarized. Questions having to do with the deployment of medium to large area arrays, optimizations of the manifolding of individual tube panels, selected near term applications (with an emphasis on residential cooling based on Rankine driven chillers) and long term performance projections are addressed.

A method of emotion contagion for crowd evacuation

NASA Astrophysics Data System (ADS)

Cao, Mengxiao; Zhang, Guijuan; Wang, Mengsi; Lu, Dianjie; Liu, Hong

2017-10-01

The current evacuation model does not consider the impact of emotion and personality on crowd evacuation. Thus, there is large difference between evacuation results and the real-life behavior of the crowd. In order to generate more realistic crowd evacuation results, we present a method of emotion contagion for crowd evacuation. First, we combine OCEAN (Openness, Extroversion, Agreeableness, Neuroticism, Conscientiousness) model and SIS (Susceptible Infected Susceptible) model to construct the P-SIS (Personalized SIS) emotional contagion model. The P-SIS model shows the diversity of individuals in crowd effectively. Second, we couple the P-SIS model with the social force model to simulate emotional contagion on crowd evacuation. Finally, the photo-realistic rendering method is employed to obtain the animation of crowd evacuation. Experimental results show that our method can simulate crowd evacuation realistically and has guiding significance for crowd evacuation in the emergency circumstances.

Hurricane shuts down gulf activity

DOE Office of Scientific and Technical Information (OSTI.GOV)

Koen, A.D.

1992-08-31

This paper reports that producers in the Gulf of Mexico and plant operators in South Louisiana last week were checking for damage wrought by Hurricane Andrew. In its wake Andrew left evacuated rigs and platforms in the gulf and shuttered plants across a wide swath of the Gulf Coast. Operations were beginning to return to normal late last week. Not all gulf operators, especially in the central gulf, expected to return to offshore facilities. And even producers able to book helicopters did not expect to be able to fully assess damage to all offshore installations before the weekend. MMS officialsmore » in Washington estimated that 37,500 offshore workers were evacuated from 700 oil and gas installations on the gulf's Outer Continental Shelf. Gulf oil and gas wells account for about 800,000 b/d of oil and one fourth of total U.S. gas production. MMS was awaiting an assessment of hurricane damage before estimating how soon and how much gulf oil and gas production would be restored.« less

Emergency Evacuation Management Requirements and Concepts

DTIC Science & Technology

1981-05-01

government officials, was in Sonoma County , California. The county was selected because of its active, motivated and well-informed director, its key...This had been anticipated by the FEMA and research personnel, but specific guidance is unavailble.) Sonoma County participants’ comments were typical

Medical emergencies on large passenger ships without doctors: the Oslo-Kiel-Oslo ferry experience.

PubMed

Holt, Thor-Erik; Tveten, Agnar; Dahl, Eilif

2017-01-01

The Oslo-Kiel-Oslo route is currently the only direct ferry crossing between Norway and Germany, covered by 2 cruise-and-cars ferries carrying about 2,600 passengers each and sailing every day (20 h at sea, 4 h in port). Unlike most ocean going cruise vessels, they are not required to carry a physician but an on-board paramedic handles medical emergencies. The aim of the study was to provide data on medical emergencies leading to helicopter evacuations (helivacs) or other urgent transfers to facilities ashore from the two ferries during a 3-year period. Data about the ferries, passengers, crew, helivacs and other medical transfers were collected from official company statistics and the paramedics' transfer reports. A total of 169 persons, including 14 (8.3%) crewmembers, were transferred from the ferries to land-based facilities by ambulance while alongside (n = 80; 47.3%) or evacuated by helicopter (n = 85; 50.3%) and rescue boat (n = 4; 2.4%) during the 3-year period. Transfer destinations were Denmark (n = 53), Germany (n = 49), Norway (n = 48) and Sweden (n = 19). The passenger helivac rate was 2.4 per 100,000 passenger-days. One person was airlifted from a ferry every 2 weeks. Among helivacs, 40% were heart-related, and more cardiac cases were airlifted than transferred by ambulance in port. All helivac requests were made after discussion between the ferry's paramedic and telemedical doctors ashore and agreement that the medical challenge exceeded the ferry's capability. This close cooperation kept the threshold for arranging helivacs from the ferries low, enabling short transport times to land-based facilities for critically ill patients. Further studies, including feedback from the receiving hospitals, are needed to determine measures that can reduce possible helicopter overutilisation without compromising patient safety and outcome.

Modeling pedestrian evacuation by means of game theory

NASA Astrophysics Data System (ADS)

Shi, Dongmei; Zhang, Wenyao; Wang, Binghong

2017-04-01

Pedestrian evacuation is studied based on a modified lattice model. The payoff matrix in this model represents the complicated interactions between selfish individuals, and the mean force imposed on an individual is given by considering the impacts of neighbors, walls, and defector herding. Each passer-by moves to his selected location according to the Fermi function, and the average velocity of pedestrian flow is defined as a function of the motion rule. Two pedestrian types are included: cooperators, who adhere to the evacuation instructions; and defectors, who ignore the rules and act individually. It is observed that the escape time increases as fear degree increases, and the system remains smooth for a low fear degree, but exhibits three stages for a high fear degree. We prove that the fear degree determines the dynamics of this system, and the initial density of cooperators has a negligible impact. The system experiences three phases, a single phase of cooperator, a mixed two-phase pedestrian, and a single phase of defector sequentially as the fear degree upgrades. The phase transition has been proven basically robust to the changes of empty site contribution, wall’s pressure, and noise amplitude in the motion rule. It is further shown that pedestrians derive the greatest benefit from overall cooperation, but are trapped in the worst situation if they are all defectors. Dynamics of pedestrian evacuation.

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

USGS Publications Warehouse

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

2017-01-01

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

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

NASA Astrophysics Data System (ADS)

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

2015-03-01

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

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

NASA Astrophysics Data System (ADS)

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

2015-01-01

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

Was the Risk from Nursing-Home Evacuation after the Fukushima Accident Higher than the Radiation Risk?

PubMed

Murakami, Michio; Ono, Kyoko; Tsubokura, Masaharu; Nomura, Shuhei; Oikawa, Tomoyoshi; Oka, Tosihiro; Kami, Masahiro; Oki, Taikan

2015-01-01

After the 2011 accident at the Fukushima Daiichi nuclear power plant, nursing-home residents and staff were evacuated voluntarily from damaged areas to avoid radiation exposure. Unfortunately, the evacuation resulted in increased mortalities among nursing home residents. We assessed the risk trade-off between evacuation and radiation for 191 residents and 184 staff at three nursing homes by using the same detriment indicator, namely loss of life expectancy (LLE), under four scenarios, i.e. "rapid evacuation (in accordance with the actual situation; i.e. evacuation on 22 March)," "deliberate evacuation (i.e. evacuation on 20 June)," "20-mSv exposure," and "100-mSv exposure." The LLE from evacuation-related mortality among nursing home residents was assessed with survival probability data from nursing homes in the city of Minamisoma and the city of Soma. The LLE from radiation mortality was calculated from the estimated age-specific mortality rates from leukemia and all solid cancers based on the additional effective doses and the survival probabilities. The total LLE of residents due to evacuation-related risks in rapid evacuation was 11,000 persons-d-much higher than the total LLEs of residents and staff due to radiation in the other scenarios (27, 1100, and 5800 persons-d for deliberate evacuation, 20 mSv-exposure, and 100 mSv-exposure, respectively). The latitude for reducing evacuation risks among nursing home residents is surprisingly large. Evacuation regulation and planning should therefore be well balanced with the trade-offs against radiation risks. This is the first quantitative assessment of the risk trade-off between radiation exposure and evacuation after a nuclear power plant accident.

LAFD: TA-55 General Facility Familiarization Tour, Course #55261

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rutherford, Victor Stephen; Miller, Joshua; Mason, Robert Clifford

Los Alamos National Laboratory (LANL) will conduct familiarization tours for personnel of the Los Alamos County Fire Department (LAFD) at the TA-55 General Facility. These familiarization tours are official LANL business; the purpose of these tours is to orient LAFD firefighters to the facility so that they can respond efficiently and quickly to a variety of emergency situations. This orientation includes, among other topics, ingress and egress of the area and buildings, layout and organization of the facility, evacuation procedures and assembly points, and areas of concern within the various buildings at the facility. LAFD firefighters have the skills andmore » abilities to perform firefighting operations and other emergency response tasks that cannot be provided by LANL personnel who have the required clearance level. This handout provides details of the information, along with maps and diagrams, to be presented during the familiarization tours. The handout will be distributed to the trainees at the time of the tour. A corresponding checklist will also be used as guidance during the familiarization tours to ensure that all required information is presented to LAFD personnel.« less

Irrigation vs. natural evacuation of left colostomy: a comparative study of 340 patients.

PubMed

Terranova, O; Sandei, F; Rebuffat, C; Maruotti, R; Bortolozzi, E

1979-01-01

A comparative study of two methods of managing left colostomy (irrigation and natural evacuation) was carried out on 340 patients who were examined and interviewed at the Stoma Rehabilitation Clinic of the Institute of Surgical Pathology of the University of Padua. Ninety-two per cent of patients who irrigated their colostomies gained fecal continence. No patient who irrigated his colostomy had any cutaneous problem, and this group had significantly better results in preventing leakage of gas and odors compared with those patients using natural evacuation. For most patients who irrigated, the ability to predict or control bowel movements overcame fears of "being dirty" and related psychological problems. These patients also had more normal social and working lives than did those patients not irrigating their colostomies. Only one patient in our series had a colonic perforation, and any chance of a repeat incident will probably disappear with the cone-shaped catheters now available. The authors conclude that in properly selected patients, irrigation is the method of choice for management of left colostomy.

The Role of Surgery and Radiation Therapy in the Management of Gestational Trophoblastic Disease

PubMed Central

Hanna, Rabbie K.

2010-01-01

The primary management of hydatidiform moles remains surgical evacuation followed by human chorionic gonadotropin level monitoring. Although suction dilatation and evacuation is the most frequent technique for molar evacuation, hysterectomy is a viable option in older patients who do not wish to preserve fertility. Despite advances in chemotherapy regimens for treating malignant gestational trophoblastic neoplasia, hysterectomy and other extirpative procedures continue to play a role in the management of patients with both low-risk and high-risk gestational trophoblastic neoplasia. Primary hysterectomy can reduce the amount of chemotherapy required to treat low-risk disease, whereas surgical resections, including hysterectomy, pulmonary resections, and other extirpative procedures, can be invaluable for treating highly selected patients with persistent, drug-resistant disease. Radiation therapy is also often incorporated into the multimodality therapy of patients with high-risk metastatic disease. This review discusses the indications for and the role of surgical interventions during the management of women with hydatidiform moles and malignant gestational trophoblastic neoplasia and reviews the use of radiation therapy in the treatment of women with malignant gestational trophoblastic neoplasia. PMID:20495216

Helicopter Operations and Personnel Safety (Helirescue Manual). Fourth Edition.

ERIC Educational Resources Information Center

Dalle-Molle, John

The illustrated manual includes information on various aspects of helicopter rescue missions, including mission management roles for key personnel, safety rules around helicopters, requests for helicopter support, sample military air support forms, selection of landing zones, helicopter evacuations, rescuer delivery, passenger unloading, crash…

Tsunami evacuation simulation considering differences in evacuation means depending on the household attribute

NASA Astrophysics Data System (ADS)

Sugiki, Nao; Hirata, Yoshiki; Matsuo, Kojiro

2017-10-01

Large scale earthquakes occur frequently in Japan in recent years. In the Great East Japan Earthquake that occurred in 2011 and caused major damage, more than 90% of the dead were due to the tsunami. The speed of evacuation is important in considering evacuation at the time of the attack of the tsunami, especially the elderly evacuation speed is assumed to be slower than non-elderly people. Elderly people may have different means of evacuation and speed depending on the composition of the households to which they belong because of the different possibilities of riding in families' driven cars. However, a simulation taking such a difference of evacuation into consideration has not been conducted. The purpose of this study is to conduct a tsunami evacuation simulation in consideration of evacuation measures and speed depending on the type of households belonging to in the tsunami inundation area of Toyohashi city, Japan. In order to conduct the tsunami evacuation simulation considering the household type, detailed data on individual households is necessary. However, it is difficult to obtain from aggregated data such as National Census. Therefore, detailed data on individual households is created by using the household micro data estimation system developed by Sugiki et al. [1]. Evacuation simulation is performed by shortest path search using Esri's ArcGIS Network Analyst's OD cost matrix analysis. The elderly people who cannot complete evacuation by the time of the arrival of the tsunami were found from evacuation simulation results assuming evacuation measures available for each household attribute to which the evacuees belong.

Services to Operate and Maintain Walter Reed Army Institute of Research’s (WRAIR) Microwave Facility.

DTIC Science & Technology

1994-06-20

Sixty-four day old rats were euthanized individually in a polycarbonate cage with carbon dioxide from a 100 % carbon dioxide cylinder. Eyes were removed...grams were used. Rats were euthanized with carbon dioxide . A thermistor based temperature probe (Yellow Spring Instruments, YSI 423) was inserted 5 cm...gals). This has been a necessary procedure which evacuates carbon from the oil which in turn will build-up on the HV components and conductors in the

A Strategic Approach to Optimizing the U.S. Army’s Aeromedical Evacuation System in Afghanistan

DTIC Science & Technology

2009-07-10

arise on distinct nodes and the facilities are restricted to a finite set of candidate locations ( Daskin 2008). Here, this problem classifies as a ...Research Logistics, 55(4), 283-294. Daskin , M. (1983) A maximum expected covering location model: formulation, properties and heuristic solution...34,," !hal notwithstan<ling any oilier provision 01 law. no person sha~ be subject to any penart)’ l or fai!;ng to comply willi a cdledion 01 inIormalion W

Evacuation of the ICU

PubMed Central

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

2014-01-01

BACKGROUND: Despite the high risk for patient harm during unanticipated ICU evacuations, critical care providers receive little to no training on how to perform safe and effective ICU evacuations. We reviewed the pertinent published literature and offer suggestions for the critical care provider regarding ICU evacuation. The suggestions in this article are important for all who are involved in pandemics or disasters with multiple critically ill or injured patients, including front-line clinicians, hospital administrators, and public health or government officials. METHODS: The Evacuation and Mobilization topic panel used the American College of Chest Physicians (CHEST) Guidelines Oversight Committee’s methodology to develop seven key questions for which specific literature searches were conducted to identify studies upon which evidence-based recommendations could be made. No studies of sufficient quality were identified. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process. RESULTS: Based on current best evidence, we provide 13 suggestions outlining a systematic approach to prepare for and execute an effective ICU evacuation during a disaster. Interhospital and intrahospital collaboration and functional ICU communication are critical for success. Pre-event planning and preparation are required for a no-notice evacuation. A Critical Care Team Leader must be designated within the Hospital Incident Command System. A three-stage ICU Evacuation Timeline, including (1) no immediate threat, (2) evacuation threat, and (3) evacuation implementation, should be used. Detailed suggestions on ICU evacuation, including regional planning, evacuation drills, patient transport preparation and equipment, patient prioritization and distribution for evacuation, patient information and tracking, and federal and international evacuation assistance systems, are also provided. CONCLUSIONS: Successful ICU evacuation during a disaster requires active preparation, participation, communication, and leadership by critical care providers. Critical care providers have a professional obligation to become better educated, prepared, and engaged with the processes of ICU evacuation to provide a safe continuum of critical care during a disaster. PMID:25144509

Evacuation of the ICU: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.

PubMed

King, Mary A; Niven, Alexander S; Beninati, William; Fang, Ray; Einav, Sharon; Rubinson, Lewis; Kissoon, Niranjan; Devereaux, Asha V; Christian, Michael D; Grissom, Colin K

2014-10-01

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

46 CFR 133.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2012 CFR

2012-10-01

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

46 CFR 133.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Marine evacuation system launching arrangements. 133.145... LIFESAVING SYSTEMS Requirements for All OSVs § 133.145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1) Each marine evacuation...

46 CFR 133.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2014 CFR

2014-10-01

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

46 CFR 133.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2011 CFR

2011-10-01

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

Population vulnerability and evacuation challenges in California for the SAFRR tsunami scenario: Chapter I in The SAFRR (Science Application for Risk Reduction) Tsunami Scenario

USGS Publications Warehouse

Wood, Nathan; Ratliff, Jamie; Peters, Jeff; Shoaf, Kimberley

2013-01-01

The SAFRR tsunami scenario models the impacts of a hypothetical yet plausible tsunami associated with a magnitude 9.1 megathrust earthquake east of the Alaska Peninsula. This report summarizes community variations in population vulnerability and potential evacuation challenges to the tsunami. The most significant public-health concern for California coastal communities during a distant-source tsunami is the ability to evacuate people out of potential inundation zones. Fatalities from the SAFRR tsunami scenario could be low if emergency managers can implement an effective evacuation in the time between tsunami generation and arrival, as well as keep people from entering tsunami-prone areas until all-clear messages can be delivered. This will be challenging given the estimated 91,956 residents, 81,277 employees, as well as numerous public venues, dependent-population facilities, community-support businesses, and high-volume beaches that are in the 79 incorporated communities and 17 counties that have land in the scenario tsunami-inundation zone. Although all coastal communities face some level of threat from this scenario, the highest concentrations of people in the scenario tsunami-inundation zone are in Long Beach, San Diego, Newport Beach, Huntington Beach, and San Francisco. Communities also vary in the prevalent categories of populations that are in scenario tsunami-inundation zones, such as residents in Long Beach, employees in San Francisco, tourists at public venues in Santa Cruz, and beach or park visitors in unincorporated Los Angeles County. Certain communities have higher percentages of groups that may need targeted outreach and preparedness training, such as renters, the very young and very old, and individuals with limited English-language skills or no English-language skills at all. Sustained education and targeted evacuation messaging is also important at several high-occupancy public venues in the scenario tsunami-inundation zone (for example, city and county beaches, State or national parks, and amusement parks). Evacuations will be challenging, particularly for certain dependent-care populations, such as patients at hospitals and children at schools and daycare centers. We estimate that approximately 8,678 of the 91,956 residents in the scenario inundation zone are likely to need publicly provided shelters in the short term. Information presented in this report could be used to support emergency managers in their efforts to identify where additional preparedness and outreach activities may be needed to manage risks associated with California tsunamis.

46 CFR 199.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform; (4...

46 CFR 199.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform; (4...

46 CFR 199.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform; (4...

46 CFR 199.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform; (4...

46 CFR 199.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Marine evacuation system launching arrangements. 199.145....145 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system... from the marine evacuation system platform by a person either in the liferaft or on the platform; (4...

Can cooperative behaviors promote evacuation efficiency?

NASA Astrophysics Data System (ADS)

Cheng, Yuan; Zheng, Xiaoping

2018-02-01

This study aims to get insight into the question whether cooperative behaviors can promote the evacuation efficiency during an evacuation process. In this work, cooperative behaviors and evacuation efficiency have been examined in detail by using a cellular automata model with behavioral extension. The simulation results show that moderate cooperative behaviors can result in the highest evacuation efficiency. It is found that in a mixture of cooperative and competitive individuals, more cooperative people will lead to relatively high evacuation efficiency, and the larger subgroup will play a leading role. This work can also provide some new insights for the study of cooperative behaviors and evacuation efficiency which can be a scientific decision-making basis for emergency response involving large-scale crowd evacuation in emergencies.

Reflection on Lessons Learned: An Analysis of the Adverse Outcomes Observed During the Hurricane Rita Evacuation.

PubMed

Baker, Karen

2018-02-01

In September 2005, nearly 3.7 million people evacuated the Texas coastline in advance of Hurricane Rita's landfall, making the event the largest emergency evacuation in US history. The Rita evacuation underscored the importance of planning for domestic mass-evacuation events, as the evacuation itself led to over 100 of the at least 119 deaths attributed to the storm. In the days preceding Rita's landfall, several cascading, interrelated circumstances precipitated such adverse outcomes. This article explores the series of events leading up to the evacuation's poor outcomes, the response following Rita to amend evacuation plans, and how Texas successfully implemented these changes during later storms to achieve better outcomes. (Disaster Med Public Health Preparedness. 2018;12:115-120).

A microcomputer based traffic evacuation modeling system for emergency planning application

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rathi, A.K.

1994-12-01

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

Glass heat pipe evacuated tube solar collector

DOEpatents

McConnell, Robert D.; Vansant, James H.

1984-01-01

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

Analysis of Tsunami Evacuation Issues Using Agent Based Modeling. A Case Study of the 2011 Tohoku Tsunami in Yuriage, Natori.

NASA Astrophysics Data System (ADS)

Mas, E.; Takagi, H.; Adriano, B.; Hayashi, S.; Koshimura, S.

2014-12-01

The 2011 Great East Japan earthquake and tsunami reminded that nature can exceed structural countermeasures like seawalls, breakwaters or tsunami gates. In such situations it is a challenging task for people to find nearby haven. This event, as many others before, confirmed the importance of early evacuation, tsunami awareness and the need for developing much more resilient communities with effective evacuation plans. To support reconstruction activities and efforts on developing resilient communities in areas at risk, tsunami evacuation simulation can be applied to tsunami mitigation and evacuation planning. In this study, using the compiled information related to the evacuation behavior at Yuriage in Natori during the 2011 tsunami, we simulated the evacuation process and explored the reasons for the large number of fatalities in the area. It was found that residents did evacuate to nearby shelter areas, however after the tsunami warning was increased some evacuees decided to conduct a second step evacuation to a far inland shelter. Simulation results show the consequences of such decision and the outcomes when a second evacuation would not have been performed. The actual reported number of fatalities in the event and the results from simulation are compared to verify the model. The case study shows the contribution of tsunami evacuation models as tools to be applied for the analysis of evacuees' decisions and the related outcomes. In addition, future evacuation plans and activities for reconstruction process and urban planning can be supported by the results provided from this kind of tsunami evacuation models.

Tsunami evacuation analysis, modelling and planning: application to the coastal area of El Salvador

NASA Astrophysics Data System (ADS)

Gonzalez-Riancho, Pino; Aguirre-Ayerbe, Ignacio; Aniel-Quiroga, Iñigo; Abad Herrero, Sheila; González Rodriguez, Mauricio; Larreynaga, Jeniffer; Gavidia, Francisco; Quetzalcoalt Gutiérrez, Omar; Álvarez-Gómez, Jose Antonio; Medina Santamaría, Raúl

2014-05-01

Advances in the understanding and prediction of tsunami impacts allow the development of risk reduction strategies for tsunami-prone areas. Conducting adequate tsunami risk assessments is essential, as the hazard, vulnerability and risk assessment results allow the identification of adequate, site-specific and vulnerability-oriented risk management options, with the formulation of a tsunami evacuation plan being one of the main expected results. An evacuation plan requires the analysis of the territory and an evaluation of the relevant elements (hazard, population, evacuation routes, and shelters), the modelling of the evacuation, and the proposal of alternatives for those communities located in areas with limited opportunities for evacuation. Evacuation plans, which are developed by the responsible authorities and decision makers, would benefit from a clear and straightforward connection between the scientific and technical information from tsunami risk assessments and the subsequent risk reduction options. Scientifically-based evacuation plans would translate into benefits for the society in terms of mortality reduction. This work presents a comprehensive framework for the formulation of tsunami evacuation plans based on tsunami vulnerability assessment and evacuation modelling. This framework considers (i) the hazard aspects (tsunami flooding characteristics and arrival time), (ii) the characteristics of the exposed area (people, shelters and road network), (iii) the current tsunami warning procedures and timing, (iv) the time needed to evacuate the population, and (v) the identification of measures to improve the evacuation process, such as the potential location for vertical evacuation shelters and alternative routes. The proposed methodological framework aims to bridge the gap between risk assessment and risk management in terms of tsunami evacuation, as it allows for an estimation of the degree of evacuation success of specific management options, as well as for the classification and prioritization of the gathered information, in order to formulate an optimal evacuation plan. The framework has been applied to the El Salvador case study through the project "Tsunami Hazard and Risk Assessment in El Salvador", funded by AECID during the period 2009-12, demonstrating its applicability to site-specific response times and population characteristics.

An Occupational Paradox: Why Do We Love Really Tough Jobs?

PubMed

Pierce, Penny F; McNeill, Margaret M; Dukes, Susan F

2018-04-01

Sometimes we come upon unexpected or counterfactual results during research that make us wonder and lead us into unknown territory. Such was the experience of a team of Air Force researchers exploring aeromedical evacuation crew members' experiences of safety and patient care concerns throughout the en route care system. To explore what it is about the aeromedical evacuation crew members' occupation that generates a strong motivation to the mission despite the demands it places on its workers. Eight focus groups were conducted with 69 Air Force aeromedical evacuation and staging facility active duty, Air National Guard, and Air Force Reserve Command nurses and medical technicians between May 2012 and April 2013 at 5 locations in the contiguous and outside the contiguous United States. An unexpected finding was that despite the austere nature of the Air Force en route care mission and the acuity of the patients being transported, nurses and medical technicians were passionate about bringing home the wounded, sick, and injured warriors and were committed to providing the best and safest care possible. It is plausible that a high level of commitment and mission focus contributes significantly to the safety and well-being of those transported. Still, we must wonder why nurses and technicians voluntarily serve in such a demanding and sometimes dangerous occupation, and yet find such a high degree of satisfaction and contentment with this type of job. ©2018 American Association of Critical-Care Nurses.

The probability of lava inundation at the proposed and existing Kulani prison sites

USGS Publications Warehouse

Kauahikaua, J.P.; Trusdell, F.A.; Heliker, C.C.

1998-01-01

The State of Hawai`i has proposed building a 2,300-bed medium-security prison about 10 km downslope from the existing Kulani medium-security correctional facility. The proposed and existing facilities lie on the northeast rift zone of Mauna Loa, which last erupted in 1984 in this same general area. We use the best available geologic mapping and dating with GIS software to estimate the average recurrence interval between lava flows that inundate these sites. Three different methods are used to adjust the number of flows exposed at the surface for those flows that are buried to allow a better representation of the recurrence interval. Probabilities are then computed, based on these recurrence intervals, assuming that the data match a Poisson distribution. The probability of lava inundation for the existing prison site is estimated to be 11- 12% in the next 50 years. The probability of lava inundation for the proposed sites B and C are 2- 3% and 1-2%, respectively, in the same period. The probabilities are based on estimated recurrence intervals for lava flows, which are approximately proportional to the area considered. The probability of having to evacuate the prison is certainly higher than the probability of lava entering the site. Maximum warning times between eruption and lava inundation of a site are estimated to be 24 hours for the existing prison site and 72 hours for proposed sites B and C. Evacuation plans should take these times into consideration.

Emergency management of epidural haematoma through burr hole evacuation and drainage. A preliminary report.

PubMed

Liu, J T; Tyan, Y S; Lee, Y K; Wang, J T

2006-03-01

Blood clot evacuation through an osteoplastic craniotomy, a procedure requiring neurosurgical expertise and modern medical facilities, is the accepted method for treatment of a pure traumatic epidural haematoma following closed head injury. In certain emergency situations and/or in less sophisticated settings, however, use of this procedure may not be feasible. The present study was undertaken to ascertain whether placement of a burr hole and drainage under negative pressure constituted a rapid, effective and safe approach to manage patients with simple epidural haematomas. Thirteen patients suffering from a traumatic epidural haematoma were treated from January, 1999 to October, 2002. Twelve patients presented with skull fracture but no fracture was depressed. Placement of flexible tubes through a burr hole, followed by continuous suction under negative pressure, enabled aspiration of the clot and drainage of the cavity. In 8 cases, the procedure was performed under local anaesthesia with 2% Xylocaine and with intravenous sedation with propofol as needed. The operative procedure was accomplished within 30 min, and the drainage tube was left in place for 3-5 days. CT scans were performed daily from days 1 to 5. In 11 of 13 cases, clots were evacuated successfully and patients regained consciousness within 2 hours. Recoveries occurred without significant sequelae. In the remaining 2 cases, the drainage tube was found to be obstructed by a blood clot such that the haematoma was unaffected. A traditional craniotomy was performed within 8-12 hours, and these 2 patients recovered consciousness within the subsequent 6 hours. Burr hole evacuation followed by drainage under negative pressure is a safe and effective method for emergency management of a pure traumatic epidural haematoma. To assure safety patients given this procedure should be monitored by daily CT scans. Decompressive craniotomy should be performed if consciousness does not improve within several hours.

Perceived coping & concern predict terrorism preparedness in Australia.

PubMed

Stevens, Garry; Agho, Kingsley; Taylor, Melanie; Jones, Alison L; Barr, Margo; Raphael, Beverley

2012-12-27

In the aftermath of major terrorist incidents research shows population shifts towards protective behaviours, including specific preparedness and avoidance responses. Less is known about individual preparedness in populations with high assumed threat but limited direct exposure, such as Australia. In this study we aimed to determine whether individuals with high perceived coping and higher concern would show greater preparedness to respond to terrorism threats. Adults in New South Wales (NSW) completed terrorism perception and response questions as part of computer assisted telephone interviews (CATI) in 2010 (N=2038). Responses were weighted against the NSW population. Multiple logistic regression analyses were conducted to evaluate the relationship between personal coping/concern factors and terrorism-related preparedness and avoidance behaviours, and to control for potential confounders such as socio-demographic and threat perception factors. Increased vigilance for suspicious behaviours was the most commonly reported behavioural response to perceived terrorism threat. Multivariate analyses showed that the factor combination of high perceived coping and higher concern was the most consistent predictor of terrorism preparedness behaviours and evacuation intentions, including increased vigilance (Adjusted Odd Ratios (AOR)=2.07, p=0.001) learning evacuation plans (AOR=1.61, p=0.05), establishing emergency contact plans (AOR=2.73, p<0.001), willingness to evacuate homes (AOR=2.20, p=0.039), and willingness to evacuate workplaces or public facilities (AOR=6.19, p=0.015) during potential future incidents. The findings of this study suggest that terrorism preparedness behaviours are strongly associated with perceived high coping but that this relationship is also mediated by personal concerns relating to this threat. Cognitive variables such as coping self-efficacy are increasingly targeted as part of natural hazard preparedness and are a viable intervention target for terrorism preparedness initiatives. Raising individual coping perceptions may promote greater general and incident-specific preparedness and could form an integral element of community resilience strategies regarding this threat.

Perceived coping & concern predict terrorism preparedness in Australia

PubMed Central

2012-01-01

Background In the aftermath of major terrorist incidents research shows population shifts towards protective behaviours, including specific preparedness and avoidance responses. Less is known about individual preparedness in populations with high assumed threat but limited direct exposure, such as Australia. In this study we aimed to determine whether individuals with high perceived coping and higher concern would show greater preparedness to respond to terrorism threats. Methods Adults in New South Wales (NSW) completed terrorism perception and response questions as part of computer assisted telephone interviews (CATI) in 2010 (N=2038). Responses were weighted against the NSW population. Multiple logistic regression analyses were conducted to evaluate the relationship between personal coping/concern factors and terrorism-related preparedness and avoidance behaviours, and to control for potential confounders such as socio-demographic and threat perception factors. Results Increased vigilance for suspicious behaviours was the most commonly reported behavioural response to perceived terrorism threat. Multivariate analyses showed that the factor combination of high perceived coping and higher concern was the most consistent predictor of terrorism preparedness behaviours and evacuation intentions, including increased vigilance (Adjusted Odd Ratios (AOR)=2.07, p=0.001) learning evacuation plans (AOR=1.61, p=0.05), establishing emergency contact plans (AOR=2.73, p<0.001), willingness to evacuate homes (AOR=2.20, p=0.039), and willingness to evacuate workplaces or public facilities (AOR=6.19, p=0.015) during potential future incidents. Conclusion The findings of this study suggest that terrorism preparedness behaviours are strongly associated with perceived high coping but that this relationship is also mediated by personal concerns relating to this threat. Cognitive variables such as coping self-efficacy are increasingly targeted as part of natural hazard preparedness and are a viable intervention target for terrorism preparedness initiatives. Raising individual coping perceptions may promote greater general and incident-specific preparedness and could form an integral element of community resilience strategies regarding this threat. PMID:23270424

Evacuation of Swedish survivors after the 2004 Southeast Asian tsunami: The survivors' perspective and symptoms of post-traumatic stress.

PubMed

Gudmundsdottir, Ragnhildur; Hultman, Christina M; Valdimarsdottir, Unnur

2018-04-01

Following the 2004 Southeast Asian tsunami, Swedish authorities received public criticism for slow implementation of rescue work. Meanwhile, data are scarce on survivors' perspectives and potential mental health symptoms associated with timing of evacuation. Therefore, the aim of this study was to investigate survivors' contentment with evacuation time and whether duration at disaster site following the 2004 tsunami was associated with post-traumatic stress symptoms (PTSS) and psychological morbidity. Of 10,116 Swedish tsunami survivors who returned to Sweden in the first 3 weeks post tsunami, 4910 (49%) answered a questionnaire 14 months later including questions on evacuation time, contentment with evacuation time and PTSS (Impact of Event Scale). We used logistic regression to calculate odds ratios (OR) and 95% confidence intervals (95% CI) of PTSS by timing of evacuation adjusting for gender, age, education, various indicators of trauma exposure and pre-tsunami psychiatric diagnoses. More than half of the survivors (53%) were content with evacuation time while 33% wanted later evacuation and 13% earlier evacuation. Compared with those evacuated 14-21 days post tsunami, individuals evacuated at day 1-4 presented with increased odds of PTSS (crude OR 3.0, 95% CI 2.0-4.5; and multivariable adjusted OR 2.0, 95% CI 1.3-3.0) and impaired mental health (crude OR 1.7, 95% CI 1.2-2.4; and multivariable adjusted OR 1.4 95% CI 1.0-2.0). One-third of Swedish tsunami survivors preferred a later evacuation from disaster sites. These findings call for further studies, with prospective designs, to disentangle the causal direction of the association between evacuation time and PTSS.

Computer simulation-based framework for transportation evacuation in major trip generator.

DOT National Transportation Integrated Search

2009-01-01

Since emergencies including both natural disasters and man-made incidents, are happening more and more : frequently, evacuation, especially transportation evacuation, is becoming a hot research focus in recent years. : Currently, transportation evacu...

Factors associated with high-rise evacuation: qualitative results from the World Trade Center Evacuation Study.

PubMed

Gershon, Robyn R M; Qureshi, Kristine A; Rubin, Marcie S; Raveis, Victoria H

2007-01-01

Due to the fact that most high-rise structures (i.e., >75 feet high, or eight to ten stories) are constructed with extensive and redundant fire safety features, current fire safety procedures typically only involve limited evacuation during minor to moderate fire emergencies. Therefore, full-scale evacuation of high-rise buildings is highly unusual and consequently, little is known about how readily and rapidly high-rise structures can be evacuated fully. Factors that either facilitate or inhibit the evacuation process remain under-studied. This paper presents results from the qualitative phase of the World Trade Center Evacuation Study, a three-year, five-phase study designed to improve our understanding of the individual, organizational, and environmental factors that helped or hindered evacuation from the World Trade Center (WTC) Towers 1 and 2, on 11 September 2001. Qualitative data from semi-structured, in-depth interviews and focus groups involving WTC evacuees were collected and analyzed. On the individual level, factors that affected evacuation included perception of risk (formed largely by sensory cues), preparedness training, degree of familiarity with the building, physical condition, health status, and footwear. Individual behavior also was affected by group behavior and leadership. At the organizational level, evacuation was affected by worksite preparedness planning, including the training and education of building occupants, and risk communication. The environmental conditions affecting evacuation included smoke, flames, debris, general condition and degree of crowdedness on staircases, and communication infrastructure systems (e.g., public address, landline, cellular and fire warden's telephones). Various factors at the individual, organizational, and environmental levels were identified that affected evacuation. Interventions that address the barriers to evacuation may improve the full-scale evacuation of other high-rise buildings under extreme conditions. Further studies should focus on the development and evaluation of targeted interventions, including model emergency preparedness planning for high-rise occupancies.

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

NASA Astrophysics Data System (ADS)

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

2014-10-01

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

Optimization and Planning of Emergency Evacuation Routes Considering Traffic Control

PubMed Central

Zhang, Lijun; Wang, Zhaohua

2014-01-01

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

Exploring the Role of Social Media and Individual Behaviors in Flood Evacuation Processes: An Agent-Based Modeling Approach

NASA Astrophysics Data System (ADS)

Du, Erhu; Cai, Ximing; Sun, Zhiyong; Minsker, Barbara

2017-11-01

Flood warnings from various information sources are important for individuals to make evacuation decisions during a flood event. In this study, we develop a general opinion dynamics model to simulate how individuals update their flood hazard awareness when exposed to multiple information sources, including global broadcast, social media, and observations of neighbors' actions. The opinion dynamics model is coupled with a traffic model to simulate the evacuation processes of a residential community with a given transportation network. Through various scenarios, we investigate how social media affect the opinion dynamics and evacuation processes. We find that stronger social media can make evacuation processes more sensitive to the change of global broadcast and neighbor observations, and thus, impose larger uncertainty on evacuation rates (i.e., a large range of evacuation rates corresponding to sources of information). For instance, evacuation rates are lower when social media become more influential and individuals have less trust in global broadcast. Stubborn individuals can significantly affect the opinion dynamics and reduce evacuation rates. In addition, evacuation rates respond to the percentage of stubborn agents in a nonlinear manner, i.e., above a threshold, the impact of stubborn agents will be intensified by stronger social media. These results highlight the role of social media in flood evacuation processes and the need to monitor social media so that misinformation can be corrected in a timely manner. The joint impacts of social media, quality of flood warnings, and transportation capacity on evacuation rates are also discussed.

An agent-based modelling framework to explore the role of social media and stubborn people on evacuation rates during flooding events

NASA Astrophysics Data System (ADS)

Du, E.; Cai, X.; Minsker, B. S.; Sun, Z.

2017-12-01

Flood warnings from various information sources are important for individuals to make evacuation decisions during a flood event. In this study, we develop a general opinion dynamics model to simulate how individuals update their flood hazard awareness when exposed to multiple information sources, including global broadcast, social media, and observations of neighbors' actions. The opinion dynamics model is coupled with a traffic model to simulate the evacuation processes of a residential community with a given transportation network. Through various scenarios, we investigate how social media affect the opinion dynamics and evacuation processes. We find that stronger social media can make evacuation processes more sensitive to the change of global broadcast and neighbor observations, and thus, impose larger uncertainty on evacuation rates (i.e., a large range of evacuation rates corresponding to sources of information). For instance, evacuation rates are lower when social media become more influential and individuals have less trust in global broadcast. Stubborn individuals can significantly affect the opinion dynamics and reduce evacuation rates. In addition, evacuation rates respond to the percentage of stubborn agents in a non-linear manner, i.e., above a threshold, the impact of stubborn agents will be intensified by stronger social media. These results highlight the role of social media in flood evacuation processes and the need to monitor social media so that misinformation can be corrected in a timely manner. The joint impacts of social media, quality of flood warnings and transportation capacity on evacuation rates are also discussed.

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

USGS Publications Warehouse

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

2016-01-01

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

The counter effects of the accident at Fukushima Dai-ichi nuclear power station

NASA Astrophysics Data System (ADS)

Murakami, Kenta

2017-01-01

The counter effects of the accident at the Fukushima Dai-ichi Nuclear Power Station are discussed in this paper. Though decommission and remediation have been conducted in the facility and surrounding area, ninety thousand residences near the facility are still under the evacuation order. Four nuclear power units have already restarted under the new regulatory framework, but two of them in Fukui prefecture stop the operation due to the provisional disposition declared by Ohtsu district court in Shiga prefecture. Reinforcement of the latter layer of the defense in depth has been improved in many ways. The improvement of decision-making process is very important in latter layers of the defense in depth, in contrast the plant behaviors are automatically decided based on their design in the prior layers.

Simulation of pedestrian crowds’ evacuation in a huge transit terminal subway station

NASA Astrophysics Data System (ADS)

Lei, Wenjun; Li, Angui; Gao, Ran; Hao, Xinpeng; Deng, Baoshun

2012-11-01

As modernized urban rail transportation, subways are playing an important role in transiting large passenger flows. Passengers are in high density within the subway during rush hours. The casualty and injury will be tremendous if an accident occurs, such as a fire. Hence, enough attention should be paid on pedestrian crowds’ evacuation in a subway. In this paper, simulation of the process of pedestrian crowds’ evacuation from a huge transit terminal subway station is conducted. The evacuation process in different cases is conducted by using an agent-based model. Effects of occupant density, exit width and automatic fare gates on evacuation time are studied in detail. It is found that, with the increase of the occupant density, the evacuation efficiency would decline. There is a linear relationship between occupant density and evacuation time. Different occupant densities correspond to different critical exit widths. However, the existence of the automatic fare gates has little effect on evacuation time and tendency. The current results of this study will be helpful in guiding evacuation designs of huge underground spaces.

Intrarectal pressures and balloon expulsion related to evacuation proctography.

PubMed Central

Halligan, S; Thomas, J; Bartram, C

1995-01-01

Seventy four patients with constipation were examined by standard evacuation proctography and then attempted to expel a small, non-deformable rectal balloon, connected to a pressure transducer to measure intrarectal pressure. Simultaneous imaging related the intrarectal position of the balloon to rectal deformity. Inability to expel the balloon was associated proctographically with prolonged evacuation, incomplete evacuation, reduced anal canal diameter, and acute anorectal angulation during evacuation. The presence and size of rectocoele or intussusception was unrelated to voiding of paste or balloon. An independent linear combination of pelvic floor descent and evacuation time on proctography correctly predicted maximum intrarectal pressure in 74% of cases. No patient with both prolonged evacuation and reduced pelvic floor descent on proctography could void the balloon, as maximum intrarectal pressure was reduced in this group. A prolonged evacuation time on proctography, in combination with reduced pelvic floor descent, suggests defecatory disorder may be caused by inability to raise intrarectal pressure. A diagnosis of anismus should not be made on proctography solely on the basis of incomplete/prolonged evacuation, as this may simply reflect inadequate straining. PMID:7672656

An extended cost potential field cellular automata model considering behavior variation of pedestrian flow

NASA Astrophysics Data System (ADS)

Guo, Fang; Li, Xingli; Kuang, Hua; Bai, Yang; Zhou, Huaguo

2016-11-01

The original cost potential field cellular automata describing normal pedestrian evacuation is extended to study more general evacuation scenarios. Based on the cost potential field function, through considering the psychological characteristics of crowd under emergencies, the quantitative formula of behavior variation is introduced to reflect behavioral changes caused by psychology tension. The numerical simulations are performed to investigate the effects of the magnitude of behavior variation, the different pedestrian proportions with different behavior variation and other factors on the evacuation efficiency and process in a room. The spatiotemporal dynamic characteristic during the evacuation process is also discussed. The results show that compared with the normal evacuation, the behavior variation under an emergency does not necessarily lead to the decrease of the evacuation efficiency. At low density, the increase of the behavior variation can improve the evacuation efficiency, while at high density, the evacuation efficiency drops significantly with the increasing amplitude of the behavior variation. In addition, the larger proportion of pedestrian affected by the behavior variation will prolong the evacuation time.

Ultra-Scale Computing for Emergency Evacuation

DOE Office of Scientific and Technical Information (OSTI.GOV)

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

2010-01-01

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

Routes to effective evacuation planning primer series : evacuating populations with special needs.

DOT National Transportation Integrated Search

2009-04-01

Evacuation operations are conducted under the authority of, and based on decisions by, local and state authorities. The purpose of this primer, Evacuating Populations with Special Needs, is to provide local and state emergency managers, government of...

Evidence from dynamic integrated proctography to redefine anismus.

PubMed

Roberts, J P; Womack, N R; Hallan, R I; Thorpe, A C; Williams, N S

1992-11-01

The role of anismus in the aetiology of defective rectal evacuation was investigated by dynamic integrated proctography in 20 controls and 71 constipated patients. Normal parameters were defined and compared between 21 constipated patients with poor evacuation during proctography (< 40 per cent of contrast evacuated; group 1) and 50 who evacuated fully (> 90 per cent of contrast evacuated; group 2). Nine patients in group 1 failed to evacuate. Radiological abnormalities of the rectum were recorded in all groups but obstructed evacuation was not observed. Anismus (defined as a recruitment of puborectalis electromyogram (EMG) activity of > 50 per cent) was significantly more common in group 1 than group 2 patients (14 of 21 versus 12 of 50, P < 0.01) and present in seven of those unable to evacuate. Eight patients in group 1 failed to raise intrarectal pressure > 50 cmH2O compared with two in group 2 (P < 0.001). Six patients in group 1 demonstrated both anismus and inability to raise intrarectal pressure, which may combine to cause defective evacuation. EMG recruitment alone is insufficient to diagnose anismus. Definition should be based on three criteria: demonstration of puborectalis EMG recruitment of > 50 per cent; evidence of an adequate level of intrarectal pressure (> 50 cmH2O) on straining; and presence of defective evacuation.

Biomedical program at Space Biospheres Ventures

NASA Technical Reports Server (NTRS)

Walford, Roy

1990-01-01

There are many similarities and some important differences between potential health problems of Biosphere 2 and those of which might be anticipated for a space station or a major outpost on Mars. The demands of time, expense, and equipment would not readily allow medical evacuation from deep space for a serious illness or major trauma, whereas personnel can easily be evacuated from Biosphere 2 if necessary. Treatment facilities can be somewhat less inclusive, since distance would not compel the undertaking of heroic measures or highly complicated surgical procedures on site, and with personnel not fully trained for these procedures. The similarities are given between medical requirements of Biosphere 2 and the complex closed ecological systems of biospheres in space or on Mars. The major problems common to all these would seem to be trauma, infection, and toxicity. It is planned that minor and moderate degrees of trauma, including debridement and suturing of wounds, x ray study of fractures, will be done within Biosphere 2. Bacteriologic and fungal infections, and possibly allergies to pollen or spores are expected to be the commonest medical problem within Biosphere 2.

Public health consequences of mercury spills: Hazardous Substances Emergency Events Surveillance system, 1993-1998.

PubMed Central

Zeitz, Perri; Orr, Maureen F; Kaye, Wendy E

2002-01-01

We analyzed data from states that participated in the Hazardous Substances Emergency Events Surveillance (HSEES) system maintained by the Agency for Toxic Substances and Disease Registry to describe the public health consequences of mercury releases. From 1993 through 1998, HSEES captured 406 events in which mercury was the only substance released. Schools and universities, private residences, and health care facilities were the most frequent locations involved in mercury events, and human error was the contributing factor for most of the releases. Fourteen persons experienced adverse health effects as a result of the releases. An additional 31 persons had documented elevated levels of mercury in the blood. No fatalities resulted. Evacuations were ordered in 90 (22%) of the events, and the length of evacuation ranged from 1 hr to 46 days. Mercury spills have a significant public health impact and economic burden. Some actions that could potentially lessen the consequences of mercury spills are to switch to mercury-free alternatives, train people in the safe handling and disposal of mercury, and keep mercury securely stored when it is necessary to have it on hand. PMID:11836139

Developing measurement indices to enhance protection and resilience of critical infrastructure and key resources.

PubMed

Fisher, Ronald E; Norman, Michael

2010-07-01

The US Department of Homeland Security (DHS) is developing indices to better assist in the risk management of critical infrastructures. The first of these indices is the Protective Measures Index - a quantitative index that measures overall protection across component categories: physical security, security management, security force, information sharing, protective measures and dependencies. The Protective Measures Index, which can also be recalculated as the Vulnerability Index, is a way to compare differing protective measures (eg fence versus security training). The second of these indices is the Resilience Index, which assesses a site's resilience and consists of three primary components: robustness, resourcefulness and recovery. The third index is the Criticality Index, which assesses the importance of a facility. The Criticality Index includes economic, human, governance and mass evacuation impacts. The Protective Measures Index, Resilience Index and Criticality Index are being developed as part of the Enhanced Critical Infrastructure Protection initiative that DHS protective security advisers implement across the nation at critical facilities. This paper describes two core themes: determination of the vulnerability, resilience and criticality of a facility and comparison of the indices at different facilities.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rutherford, Victor Stephen

Los Alamos National Laboratory (LANL) will conduct familiarization tours for personnel of the Los Alamos County Fire Department (LAFD) at TA-16 high explosives (HE) facilities. These familiarization tours are official LANL business; the purpose of these tours is to orient LAFD firefighters to the facility so that they can respond efficiently and quickly to a variety of emergency situations. This orientation includes, among other topics, ingress and egress of the area and buildings, layout and organization of the facility, evacuation procedures and assembly points, and areas of concern within the various buildings at the facility. LAFD firefighters have the skillsmore » and abilities to perform firefighting operations and other emergency response tasks that cannot be provided by LANL personnel who have the required clearance. This handout provides details of the information, along with maps and diagrams, to be presented during the familiarization tours. The handout will be distributed to the trainees at the time of the tour. A corresponding checklist will also be used as guidance during the familiarization tours to ensure that all required information is presented to LAFD personnel.« less

21 CFR 876.4370 - Gastroenterology-urology evacuator.

Code of Federal Regulations, 2010 CFR

2010-04-01

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

Los Alamos County Fire Department LAFD: TA-55 PF-4 Facility Familiarization Tour, OJT 55260

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rutherford, Victor Stephen

Los Alamos National Laboratory (LANL) will conduct familiarization tours for Los Alamos County Fire Department (LAFD) personnel at the Plutonium Facility (PF-4) at Technical Area (TA)-55. These familiarization tours are official LANL business; the purpose of these tours is to orient the firefighters to the facility so that they can respond efficiently and quickly to a variety of emergency situations. This orientation includes the ingress and egress of the area and buildings, layout and organization of the facility, evacuation procedures and assembly points, and areas of concern within the various buildings at the facility. LAFD firefighters have the skills andmore » abilities to perform firefighting operations and other emergency response tasks that cannot be provided by other LANL personnel who have the required clearance level. This handout provides details of the information, along with maps and diagrams, to be presented during the familiarization tours. The handout will be distributed to the trainees at the time of the tour. A corresponding checklist will also be used as guidance during the familiarization tours to ensure that all required information is presented to LAFD personnel.« less

LAFD: TA-55 RLUOB/CUB Facility Familiarization Tour, OJT #55265

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rutherford, Victor Stephen

2017-09-14

Los Alamos National Laboratory (LANL) conducts familiarization tours for personnel of the Los Alamos County Fire Department (LAFD) at the RLUOB/CUB, technical area (TA)-55, 400/440, facility, Radiological Laboratory Utility Office Building (RLUOB)/Central Utility Building (CUB). These familiarization tours are official LANL business; the purpose of these tours is to orient LAFD firefighters to the facility so that they can respond efficiently and quickly to a variety of emergency situations. This orientation includes, among other topics, the ingress and egress of the area and buildings, layout and organization of the facility, evacuation procedures and assembly points, and areas of concern withinmore » the various buildings at the facility. LAFD firefighters have the skills and abilities to perform firefighting operations and other emergency response tasks that cannot be provided by other LANL personnel who have the required clearance level. This handout provides details of the information, along with maps and diagrams, to be presented during the familiarization tours. The handout is distributed to the trainees at the time of the tour; a corresponding checklist is also used as guidance during the familiarization tours to ensure that all required information is presented to LAFD personnel.« less

Pedestrian Evacuation Analysis for Tsunami Hazards

NASA Astrophysics Data System (ADS)

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

2014-12-01

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

Evacuation Priorities in Mass Casualty Terror-Related Events

PubMed Central

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

2004-01-01

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

Decision Processes and Determinants of Hospital Evacuation and Shelter-in-Place During Hurricane Sandy.

PubMed

McGinty, Meghan D; Burke, Thomas A; Resnick, Beth; Barnett, Daniel J; Smith, Katherine C; Rutkow, Lainie

Evacuation and shelter-in-place decision making for hospitals is complex, and existing literature contains little information about how these decisions are made in practice. To describe decision-making processes and identify determinants of acute care hospital evacuation and shelter-in-place during Hurricane Sandy. Semistructured interviews were conducted from March 2014 to February 2015 with key informants who had authority and responsibility for evacuation and shelter-in-place decisions for hospitals during Hurricane Sandy in 2012. Interviews were recorded, transcribed, and thematically analyzed. Interviewees included hospital executives and state and local public health, emergency management, and emergency medical service officials from Delaware, Maryland, New Jersey, and New York. Interviewees identified decision processes and determinants of acute care hospital evacuation and shelter-in-place during Hurricane Sandy. We interviewed 42 individuals from 32 organizations. Decisions makers reported relying on their instincts rather than employing guides or tools to make evacuation and shelter-in-place decisions during Hurricane Sandy. Risk to patient health from evacuation, prior experience, cost, and ability to maintain continuity of operations were the most influential factors in decision making. Flooding and utility outages, which were predicted to or actually impacted continuity of operations, were the primary determinants of evacuation. Evacuation and shelter-in-place decision making for hospitals can be improved by ensuring hospital emergency plans address flooding and include explicit thresholds that, if exceeded, would trigger evacuation. Comparative risk assessments that inform decision making would be enhanced by improved collection, analysis, and communication of data on morbidity and mortality associated with evacuation versus sheltering-in-place of hospitals. In addition, administrators and public officials can improve their preparedness to make evacuation and shelter-in-place decisions by practicing the use of decision-making tools during training and exercises.

Proceedings: User’s Workshop on Combat Stress Held at Fort Sam Houston, Texas on 2-4 September 1981.

DTIC Science & Technology

1983-12-01

Primary Treatment Principle * Clinical Picture: Tremors, Paralysis, Mutism , Ganser Syndrome 5. WW II * No Effective Treatment-Evacuation Policy Existed...there is a lack of specific detailed tasks and the amount of time expended in these tasks for selected specialty skill identifiers. Information is...The study objective is the identification of the various tasks to be per- formed by selected specialty skill identifiers dealing with psychiatric

46 CFR 108.545 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... associated liferafts. Inflatable liferafts used in conjunction with the marine evacuation system must be stowed as follows: (1) Each inflatable liferaft used in conjunction with the marine evacuation system... platform. (2) Each inflatable liferaft used in conjunction with the marine evacuation system must be...

Modeling hurricane evacuation traffic : testing the gravity and intervening opportunity models as models of destination choice in hurricane evacuation.

DOT National Transportation Integrated Search

2008-03-01

The objectives of this study are to test whether the Gravity and Intervening Opportunity Models (IOM) can successfully reproduce aggregate evacuation destination choice observed in evacuation behavior from Hurricane Floyd, compare the performance of ...

A Method for Formulizing Disaster Evacuation Demand Curves Based on SI Model

PubMed Central

Song, Yulei; Yan, Xuedong

2016-01-01

The prediction of evacuation demand curves is a crucial step in the disaster evacuation plan making, which directly affects the performance of the disaster evacuation. In this paper, we discuss the factors influencing individual evacuation decision making (whether and when to leave) and summarize them into four kinds: individual characteristics, social influence, geographic location, and warning degree. In the view of social contagion of decision making, a method based on Susceptible-Infective (SI) model is proposed to formulize the disaster evacuation demand curves to address both social influence and other factors’ effects. The disaster event of the “Tianjin Explosions” is used as a case study to illustrate the modeling results influenced by the four factors and perform the sensitivity analyses of the key parameters of the model. Some interesting phenomena are found and discussed, which is meaningful for authorities to make specific evacuation plans. For example, due to the lower social influence in isolated communities, extra actions might be taken to accelerate evacuation process in those communities. PMID:27735875

Performance analysis of a solar still coupled with evacuated heat pipes

NASA Astrophysics Data System (ADS)

Pramod, B. V. N.; Prudhvi Raj, J.; Krishnan, S. S. Hari; Kotebavi, Vinod

2018-02-01

In developing countries the need for better quality drinking water is increasing steadily. We can overcome this need by using solar energy for desalination purpose. This process includes fabrication and analysis of a pyramid type solar still coupled with evacuated heat pipes. This experiment using evacuated heat pipes are carried in mainly three modes namely 1) Still alone 2) Using heat pipe with evacuated tubes 3)Using evacuated heat pipe. For this work single basin pyramid type solar still with 1m2 basin area is fabricated. Black stones and Black paint are utilised in solar still to increase evaporation rate of water in basin. The heat pipe’s evaporator section is placed inside evacuated tube and the heat pipe’s condenser section is connected directly to the pyramid type solar still’s lower portion. The output of distillate water from still with evacuated heat pipe is found to be 40% more than the still using only evacuated tubes.

29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

Code of Federal Regulations, 2012 CFR

2012-07-01

... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

Code of Federal Regulations, 2014 CFR

2014-07-01

... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

Code of Federal Regulations, 2011 CFR

2011-07-01

... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

29 CFR Appendix to Subpart E of... - Exit Routes, Emergency Action Plans, and Fire Prevention Plans

Code of Federal Regulations, 2013 CFR

2013-07-01

... selected to remain behind to care for essential plant operations until their evacuation becomes absolutely necessary. Essential plant operations may include the monitoring of plant power supplies, water supplies, and other essential services which cannot be shut down for every emergency alarm. Essential plant...

Modeling and assessment of civil aircraft evacuation based on finer-grid

NASA Astrophysics Data System (ADS)

Fang, Zhi-Ming; Lv, Wei; Jiang, Li-Xue; Xu, Qing-Feng; Song, Wei-Guo

2016-04-01

Studying civil aircraft emergency evacuation process by using computer model is an effective way. In this study, the evacuation of Airbus A380 is simulated using a Finer-Grid Civil Aircraft Evacuation (FGCAE) model. In this model, the effect of seat area and others on escape process and pedestrian's "hesitation" before leaving exits are considered, and an optimized rule of exit choice is defined. Simulations reproduce typical characteristics of aircraft evacuation, such as the movement synchronization between adjacent pedestrians, route choice and so on, and indicate that evacuation efficiency will be determined by pedestrian's "preference" and "hesitation". Based on the model, an assessment procedure of aircraft evacuation safety is presented. The assessment and comparison with the actual evacuation test demonstrate that the available exit setting of "one exit from each exit pair" used by practical demonstration test is not the worst scenario. The half exits of one end of the cabin are all unavailable is the worst one, that should be paid more attention to, and even be adopted in the certification test. The model and method presented in this study could be useful for assessing, validating and improving the evacuation performance of aircraft.

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

PubMed

Santavirta, Torsten; Santavirta, Nina; Betancourt, Theresa S; Gilman, Stephen E

2015-01-05

To compare the risks of admission to hospital for any type of psychiatric disorder and for four specific psychiatric disorders among adults who as children were evacuated to Swedish foster families during the second world war and their non-evacuated siblings, and to evaluate whether these risks differ between the sexes. Cohort study. National child evacuation scheme in Finland during the second world war. Children born in Finland between 1933 and 1944 who were later included in a 10% sample of the 1950 Finnish census ascertained in 1997 (n = 45,463; women: n = 22,021; men: n = 23,442). Evacuees in the sample were identified from war time government records. Adults admitted to hospital for psychiatric disorders recorded between 1971 and 2011 in the Finnish hospital discharge register. We used Cox proportional hazards models to estimate the association between evacuation to temporary foster care in Sweden during the second world war and admission to hospital for a psychiatric disorder between ages 38 and 78 years. Fixed effects methods were employed to control for all unobserved social and genetic characteristics shared among siblings. Among men and women combined, the risk of admission to hospital for a psychiatric disorder did not differ between Finnish adults evacuated to Swedish foster families and their non-evacuated siblings (hazard ratio 0.89, 95% confidence interval 0.64 to 1.26). Evidence suggested a lower risk of admission for any mental disorder (0.67, 0.44 to 1.03) among evacuated men, whereas for women there was no association between evacuation and the overall risk of admission for a psychiatric disorder (1.21, 0.80 to 1.83). When admissions for individual psychiatric disorders were analyzed, evacuated girls were significantly more likely than their non-evacuated sisters to be admitted to hospital for a mood disorder as an adult (2.19, 1.10 to 4.33). The Finnish evacuation policy was not associated with an increased overall risk of admission to hospital for a psychiatric disorder in adulthood among former evacuees. In fact, evacuation was associated with a marginally reduced risk of admission for any psychiatric disorder among men. Among women who had been evacuated, however, the risk of being admitted to hospital for a mood disorder was increased. © Santavirta et al 2014.

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

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Medical Evacuation... Clauses 752.228-70 Medical Evacuation (MEDEVAC) Services. As prescribed in 728.307-70, for use in all contracts requiring performance overseas: Medical Evacuation (MEDEVAC) Services (JUL 2007) (a) Contractor...

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

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Medical Evacuation... Clauses 752.228-70 Medical Evacuation (MEDEVAC) Services. As prescribed in 728.307-70, for use in all contracts requiring performance overseas: Medical Evacuation (MEDEVAC) Services (JUL 2007) (a) Contractor...

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

Code of Federal Regulations, 2010 CFR

2010-10-01

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

46 CFR 108.545 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Marine evacuation system launching arrangements. 108.545... DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system launching arrangements. (a) Arrangements. Each marine evacuation system must have the following arrangements: (1) Each...

46 CFR 116.520 - Emergency evacuation plan.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Emergency evacuation plan. 116.520 Section 116.520... ARRANGEMENT Escape and Embarkation Station Requirements § 116.520 Emergency evacuation plan. The owner or managing operator shall prepare an evacuation plan that must: (a) Identify possible casualties involving...

46 CFR 116.520 - Emergency evacuation plan.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Emergency evacuation plan. 116.520 Section 116.520... ARRANGEMENT Escape and Embarkation Station Requirements § 116.520 Emergency evacuation plan. The owner or managing operator shall prepare an evacuation plan that must: (a) Identify possible casualties involving...

46 CFR 116.520 - Emergency evacuation plan.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Emergency evacuation plan. 116.520 Section 116.520... ARRANGEMENT Escape and Embarkation Station Requirements § 116.520 Emergency evacuation plan. The owner or managing operator shall prepare an evacuation plan that must: (a) Identify possible casualties involving...

46 CFR 116.520 - Emergency evacuation plan.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Emergency evacuation plan. 116.520 Section 116.520... ARRANGEMENT Escape and Embarkation Station Requirements § 116.520 Emergency evacuation plan. The owner or managing operator shall prepare an evacuation plan that must: (a) Identify possible casualties involving...

An Evaluation of Infrastructure for Tsunami Evacuation in Padang, West Sumatra, Indonesia (Invited)

NASA Astrophysics Data System (ADS)

Cedillos, V.; Canney, N.; Deierlein, G.; Diposaptono, S.; Geist, E. L.; Henderson, S.; Ismail, F.; Jachowski, N.; McAdoo, B. G.; Muhari, A.; Natawidjaja, D. H.; Sieh, K. E.; Toth, J.; Tucker, B. E.; Wood, K.

2009-12-01

Padang has one of the world’s highest tsunami risks due to its high hazard, vulnerable terrain and population density. The current strategy to prepare for tsunamis in Padang is focused on developing early warning systems, planning evacuation routes, conducting evacuation drills, and raising local awareness. Although these are all necessary, they are insufficient. Padang’s proximity to the Sunda Trench and flat terrain make reaching safe ground impossible for much of the population. The natural warning in Padang - a strong earthquake that lasts over a minute - will be the first indicator of a potential tsunami. People will have about 30 minutes after the earthquake to reach safe ground. It is estimated that roughly 50,000 people in Padang will be unable to evacuate in that time. Given these conditions, other means to prepare for the expected tsunami must be developed. With this motivation, GeoHazards International and Stanford University’s Chapter of Engineers for a Sustainable World partnered with Indonesian organizations - Andalas University and Tsunami Alert Community in Padang, Laboratory for Earth Hazards, and the Ministry of Marine Affairs and Fisheries - in an effort to evaluate the need for and feasibility of tsunami evacuation infrastructure in Padang. Tsunami evacuation infrastructure can include earthquake-resistant bridges and evacuation structures that rise above the maximum tsunami water level, and can withstand the expected earthquake and tsunami forces. The choices for evacuation structures vary widely - new and existing buildings, evacuation towers, soil berms, elevated highways and pedestrian overpasses. This interdisciplinary project conducted a course at Stanford University, undertook several field investigations, and concluded that: (1) tsunami evacuation structures and bridges are essential to protect the people in Padang, (2) there is a need for a more thorough engineering-based evaluation than conducted to-date of the suitability of existing buildings to serve as evacuation structures, and of existing bridges to serve as elements of evacuation routes, and (3) additions to Padang’s tsunami evacuation infrastructure must carefully take into account technical matters (e.g. expected wave height, debris impact forces), social considerations (e.g. cultural acceptability, public’s confidence in the structure’s integrity), and political issues (e.g. land availability, cost, maintenance). Future plans include collaboration between U.S. and Indonesian engineers in developing designs for new tsunami evacuation structures, as well as providing training for Indonesian authorities on: (1) siting, designing, and constructing tsunami evacuation structures, and (2) evaluating the suitability of existing buildings to serve as tsunami evacuation shelters.

Descriptive analysis of the medical care performed in the Spanish military Role 1 Medical Treatment Facility deployed in Operation 'Inherent Resolve' (Iraq), 2015-2016.

PubMed

García Cañas, Rafael; Navarro Suay, R

2017-12-01

Operation 'Inherent Resolve' was approved by the United Nations in August 2014 with the objective of suppressing the Islamic State in Iraq and the Levant and increasing the region's stability. The mission of the Spanish military forces within this was to direct training missions for the Iraqi Army. The aim of this study is to analyse the medical care provided in the Spanish Role 1 deployed medical treatment facility during Operation 'Apoyo a Irak'. A cross-sectional, descriptive and retrospective study was conducted between 15 December 2015 and 18 November 2016. The study population comprised all personnel treated at the Spanish Role 1 medical treatment facility of the 'Gran Capitan' base in Besmaya, Iraq. During the study period, a total of 2208 consultations were performed, 1547 of which were first consultations. The predominant type of medical care was categorised as 'traumatology' (n=438; 19.8%), followed by 'healing of wounds and minor surgical processes' (n=332; 15%), 'acute upper respiratory tract infections' (n=267; 12%), 'dermatology' (n=214; 9.6%) and 'gastroenterology' (n=214; 9.6%). Twenty-eight patients (1.2%) required care in the upper medical echelon of care, three of whom were urgently evacuated. Oral diseases were the main reason for evacuation to the next medical echelon. Four patients were repatriated to the national territory for medical reasons. One death was recorded due to a vehicle accident. The results of our study reinforce those found in similar recent international missions in which the Spanish Armed Forces and other allied armies have deployed a Role 1 medical treatment facility. Military physicians deploying on operations such as Iraq should have up-to-date training in emergency and primary care medicine, with special emphasis on basic trauma knowledge and performing minor surgical processes. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Spatial memory enhances the evacuation efficiency of virtual pedestrians under poor visibility condition

NASA Astrophysics Data System (ADS)

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

2018-03-01

Spatial memory is a critical navigation support tool for disoriented evacuees during evacuation under adverse environmental conditions such as dark or smoky conditions. Owing to the complexity of memory, it is challenging to understand the effect of spatial memory on pedestrian evacuation quantitatively. In this study, we propose a simple method to quantitatively represent the evacueeʼs spatial memory about the emergency exit, model the evacuation of pedestrians under the guidance of the spatial memory, and investigate the effect of the evacueeʼs spatial memory on the evacuation from theoretical and physical perspectives. The result shows that (i) a good memory can significantly assist the evacuation of pedestrians under poor visibility conditions, and the evacuation can always succeed when the degree of the memory exceeds a threshold (\\varphi > 0.5); (ii) the effect of memory is superior to that of “follow-the-crowd” under the same environmental conditions; (iii) in the case of multiple exits, the difference in the degree of the memory between evacuees has a significant effect (the greater the difference, the faster the evacuation) for the evacuation under poor visibility conditions. Our study provides a new quantitative insight into the effect of spatial memory on crowd evacuation under poor visibility conditions. Project supported by the Research Grants Council of the Hong Kong Special Administrative Region, China (Grant No. 11203615).

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

DOE PAGES

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

2016-05-05

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

Population evacuations in industrial accidents: a review of the literature about four major events.

PubMed

Soffer, Yechiel; Schwartz, Dagan; Goldberg, Avishay; Henenfeld, Maxim; Bar-Dayan, Yaron

2008-01-01

This article reviews the literature describing four chemical and nuclear accidents and the lessons learned from each regarding the evacuation of civilian populations. Evacuation may save lives however, if poorly orchestrated, it may cause serious problems. For example, an inaccurate assessment of danger may lead to the evacuation of the same population twice, as the area requiring evacuation becomes larger than originally expected. Evacuation programs should focus on the vulnerable components of the populations, such as the elderly, children, and the disabled, and also should include plans for the care of pets and other animals. Training programs for civilians living near industrial centers and other high-risk areas should be considered. Finally, pre-event planning and preparation can improve the evacuation process and prevent panic behavior, and thus result in fewer casualties.

Who evacuates when hurricanes approach? The role of risk, information, and location.

PubMed

Stein, Robert M; Dueñas-Osorio, Leonardo; Subramanian, Devika

2010-01-01

This article offers an expanded perspective on evacuation decision making during severe weather. In particular, this work focuses on uncovering determinants of individual evacuation decisions. We draw on a survey conducted in 2005 of residents in the eight-county Houston metropolitan area after Hurricane Rita made landfall on September 24, 2005. We find that evacuation decisions are influenced by a heterogeneous set of parameters, including perceived risk from wind, influence of media and neighbors, and awareness of evacuation zone, that are often at variance with one of the primary measures of risk used by public officials to order or recommend an evacuation (i.e., storm surge). We further find that perceived risk and its influence on evacuation behavior is a local phenomenon more readily communicated by and among individuals who share the same geography, as is the case with residents living inside and outside official risk areas. Who evacuates and why is partially dependent on where one lives because perceptions of risk are not uniformly shared across the area threatened by an approaching hurricane and the same sources and content of information do not have the same effect on evacuation behavior. Hence, efforts to persuade residential populations about risk and when, where, and how to evacuate or shelter in place should originate in the neighborhood rather than emanating from blanket statements from the media or public officials. Our findings also raise important policy questions (included in the discussion section) that require further study and consideration by those responsible with organizing and implementing evacuation plans.

Sensitivity of tsunami evacuation modeling to direction and land cover assumptions

USGS Publications Warehouse

Schmidtlein, Mathew C.; Wood, Nathan J.

2015-01-01

Although anisotropic least-cost-distance (LCD) modeling is becoming a common tool for estimating pedestrian-evacuation travel times out of tsunami hazard zones, there has been insufficient attention paid to understanding model sensitivity behind the estimates. To support tsunami risk-reduction planning, we explore two aspects of LCD modeling as it applies to pedestrian evacuations and use the coastal community of Seward, Alaska, as our case study. First, we explore the sensitivity of modeling to the direction of movement by comparing standard safety-to-hazard evacuation times to hazard-to-safety evacuation times for a sample of 3985 points in Seward's tsunami-hazard zone. Safety-to-hazard evacuation times slightly overestimated hazard-to-safety evacuation times but the strong relationship to the hazard-to-safety evacuation times, slightly conservative bias, and shorter processing times of the safety-to-hazard approach make it the preferred approach. Second, we explore how variations in land cover speed conservation values (SCVs) influence model performance using a Monte Carlo approach with one thousand sets of land cover SCVs. The LCD model was relatively robust to changes in land cover SCVs with the magnitude of local model sensitivity greatest in areas with higher evacuation times or with wetland or shore land cover types, where model results may slightly underestimate travel times. This study demonstrates that emergency managers should be concerned not only with populations in locations with evacuation times greater than wave arrival times, but also with populations with evacuation times lower than but close to expected wave arrival times, particularly if they are required to cross wetlands or beaches.

30 CFR 57.4361 - Underground evacuation drills.

Code of Federal Regulations, 2013 CFR

2013-07-01

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

30 CFR 57.4361 - Underground evacuation drills.

Code of Federal Regulations, 2012 CFR

2012-07-01

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

30 CFR 57.4361 - Underground evacuation drills.

Code of Federal Regulations, 2011 CFR

2011-07-01

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

30 CFR 57.4361 - Underground evacuation drills.

Code of Federal Regulations, 2014 CFR

2014-07-01

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

46 CFR 133.145 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... liferafts. Inflatable liferafts used in conjunction with the marine evacuation system must be stowed as follows: (1) Each inflatable liferaft used in conjunction with the marine evacuation system must be close.... (2) Each inflatable liferaft used in conjunction with the marine evacuation system must be capable of...

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

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-13

...] Recovery Policy, RP9525.4, Emergency Medical Care and Medical Evacuations AGENCY: Federal Emergency... Management Agency (FEMA) is accepting comments on RP9525.4, Emergency Medical Care and Medical Evacuations... emergency medical care and medical evacuation expenses that are eligible for reimbursement under the...

Use of frequency analysis and the extended streamflow prediction procedure to estimate evacuation dates for the joint-use pool of Pueblo Reservoir, Colorado

USGS Publications Warehouse

Kuhn, Gerhard; Nickless, R.C.

1994-01-01

Part of the storage space of Pueblo Reservoir consists of a 65,950 acre-foot joint-use pool (JUP) that can be used to provide additional conservation capacity from November 1 to April 14; however, the JUP must be evacuated by April 15 and used only for flood-control capacity until November 1. A study was completed to determine if the JUP possibly could be used for conservation storage for any number of days from April 15 through May 14 under certain hydrologic conditions. The methods of the study were: (1) Frequency analysis of recorded daily mean discharge data for streamflow-gaging stations upstream and downstream from Pueblo Reservoir, and (2) Implementation of the extended streamflow prediction (ESP) procedure for the Arkansas River basin upstream from the reservoir. The frequency analyses enabled estimation of daily discharges at selected exceedance probabilities (EP's), including the 0.01 EP that was used in design of the flood- storage capacity of Pueblo Reservoir. The ESP procedure enabled probabilistic forecasts of inflow volume to the reservoir for April 15 through May 14. Daily discharges derived from the frequency analyses were routed through Pueblo Reservoir to estimate evacuation dates of the JUP for different reservoir inflow volumes; the estimates indicated a relation between the inflow volume and the JUP evacuation date. To apply the study results, only a ESP forecast of the April 15-May 14 reservoir inflow volume is needed. Study results indicate the JUP possibly could be used as late as May 5 depending on the forecast inflow volume.

Op HERRICK primary care casualties: the forgotten many.

PubMed

Nelson, T G; Wall, C; Driver, J; Simpson, R

2012-09-01

The number of battle casualties generated during war is far outnumbered by non-battle casualties. Each year the current conflict in Afghanistan sees hundreds of service personnel medically evacuated direct from the front line to the care of their home units' primary care facility. To date these casualties remain undiscovered by medical research. This is the first study to look at the care pathway of primary care casualties from Operation HERRICK using information from the Defence Patient Tracking System (DPTS). Information relating to all casualties from Afghanistan discharged at the airhead between 1 January 2009 and 31 December 2010 was collected from the DPTS. Common conditions were identified and information relating to the follow up care extracted to provide an overview of the care pathway. 387 aeromedical evacuations were identified as primary care casualties. The three commonest conditions were musculoskeletal (183 cases), mental health (29) and noise-induced hearing loss (26). 205 (53%) were not seen outside of primary care for the tracked condition. 166 (81%) of those that remained under primary care had two or less consultations during the time period of the study. The mean time frame between the 1st and 2nd consultation was 5.4 weeks. A significant number of aeromedical evacuations from Afghanistan are for primary care casualties. The DPTS can be used to provide a basic overview of the care pathway of repatriated personnel. Little contact with the medical services would appear to occur for these types of casualties. There is a significant gap in military medical research looking at primary care casualties repatriated from operations.

Mobile refrigeration system for precool and warm up of superconducting magnets

NASA Astrophysics Data System (ADS)

Gandla, S. K.; Longsworth, R. C.

2017-12-01

Conservation of helium has become more important in recent years due to global shortages in supply. Magnetic resonance imaging (MRI) superconducting magnets use approximately 20% of the world’s helium reserves in liquid form to cool down and maintain operating temperatures at 4 K. This paper describes a mobile cryogenic refrigeration system, which has been developed by Sumitomo (SHI) Cryogenics of America, Inc. to conserve helium by shipping MRI magnets warm and cooling them down or servicing them on site at a medical facility. The system can cool a typical magnet from room temperature to below 40K in less than a week. The system consists of four single stage Displex®-type Gifford-McMahon (GM) expanders in a cryostat with heat exchangers integrated on the cold ends that cool the helium gas, which is circulated in a closed-loop system through the magnet by a cryogenic fan. The system is configured with heaters on the heat exchangers to effectively warm up a magnet. The system includes a scroll vacuum pump, which is used to evacuate the helium circuit with or without the magnet and turbo pump to evacuate the cryostat. Vacuum-jacketed transfer lines connect the cryostat to the magnet. The system is designed with its own controller for continuous operation of precool, warm up and evacuation processes with automatic and manual controls. The cryostat, pumps and gas controls are mounted on a dewar cart. One compressor and the system controller are mounted on a compressor and control cart, and the other three compressors are mounted on separate carts.

Developing a database for pedestrians' earthquake emergency evacuation in indoor scenarios.

PubMed

Zhou, Junxue; Li, Sha; Nie, Gaozhong; Fan, Xiwei; Tan, Jinxian; Li, Huayue; Pang, Xiaoke

2018-01-01

With the booming development of evacuation simulation software, developing an extensive database in indoor scenarios for evacuation models is imperative. In this paper, we conduct a qualitative and quantitative analysis of the collected videotapes and aim to provide a complete and unitary database of pedestrians' earthquake emergency response behaviors in indoor scenarios, including human-environment interactions. Using the qualitative analysis method, we extract keyword groups and keywords that code the response modes of pedestrians and construct a general decision flowchart using chronological organization. Using the quantitative analysis method, we analyze data on the delay time, evacuation speed, evacuation route and emergency exit choices. Furthermore, we study the effect of classroom layout on emergency evacuation. The database for indoor scenarios provides reliable input parameters and allows the construction of real and effective constraints for use in software and mathematical models. The database can also be used to validate the accuracy of evacuation models.

Traffic evacuation time under nonhomogeneous conditions.

PubMed

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

2017-06-01

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

Prehospital care of tsunami victims in Thailand: description and analysis.

PubMed

Schwartz, Dagan; Goldberg, Avishay; Ashkenasi, Issac; Nakash, Guy; Pelts, Rami; Leiba, Adi; Levi, Yeheskel; Bar-Dayan, Yaron

2006-01-01

On 26 December 2004 at 09:00 h, an earthquake of 9.0 magnitude (Richter scale) struck the area off of the western coast of northern Sumatra, Indonesia, triggering a Tsunami. As of 25 January 2005, 5,388 fatalities were confirmed, 3,120 people were reported missing, and 8,457 people were wounded in Thailand alone. Little information is available in the medical literature regarding the response and restructuring of the prehospital healthcare system in dealing with major natural disasters. The objective of the study was to analyze the prehospital medical response to the Tsunami in Thailand, and to identify possible ways of improving future preparedness and response. The Israeli Defense Forces (IDF) Home Front Command Medical Department sent a research delegation to study the response of the Thai medical system to the 2004 earthquake and Tsunami disaster. The delegation met with Thai healthcare and military personnel, who provided medical care for and evacuated the Tsunami victims. The research instruments included questionnaires (open and closed questions), interviews, and a review of debriefing session reports held in the days following the Tsunami. Beginning the day after the event, primary health care in the affected provinces was expanded and extended. This included: (1) strengthening existing primary care facilities with personnel and equipment; (2) enhancing communication and transportation capabilities; (3) erecting healthcare facilities in newly constructed evacuation centers; (4) deploying mobile, medical teams to make house calls to flood refugees in affected areas; and (5) deploying ambulance crews to the affected areas to search for survivors and provide primary care triage and transportation. The restructuring of the prehospital healthcare system was crucial for optimal management of the healthcare needs of Tsunami victims and for the reduction of the patient loads on secondary medical facilities. The disaster plan of a national healthcare system should include special consideration for the restructuring and reinforcement prehospital system.

21 CFR 888.4220 - Cement monomer vapor evacuator.

Code of Federal Regulations, 2011 CFR

2011-04-01

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

21 CFR 888.4220 - Cement monomer vapor evacuator.

Code of Federal Regulations, 2013 CFR

2013-04-01

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

21 CFR 888.4220 - Cement monomer vapor evacuator.

Code of Federal Regulations, 2012 CFR

2012-04-01

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

21 CFR 888.4220 - Cement monomer vapor evacuator.

Code of Federal Regulations, 2014 CFR

2014-04-01

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

21 CFR 888.4220 - Cement monomer vapor evacuator.

Code of Federal Regulations, 2010 CFR

2010-04-01

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

Tsunami evacuation modelling as a tool for risk reduction: application to the coastal area of El Salvador

NASA Astrophysics Data System (ADS)

González-Riancho, P.; Aguirre-Ayerbe, I.; Aniel-Quiroga, I.; Abad, S.; González, M.; Larreynaga, J.; Gavidia, F.; Gutiérrez, O. Q.; Álvarez-Gómez, J. A.; Medina, R.

2013-12-01

Advances in the understanding and prediction of tsunami impacts allow the development of risk reduction strategies for tsunami-prone areas. This paper presents an integral framework for the formulation of tsunami evacuation plans based on tsunami vulnerability assessment and evacuation modelling. This framework considers (i) the hazard aspects (tsunami flooding characteristics and arrival time), (ii) the characteristics of the exposed area (people, shelters and road network), (iii) the current tsunami warning procedures and timing, (iv) the time needed to evacuate the population, and (v) the identification of measures to improve the evacuation process. The proposed methodological framework aims to bridge between risk assessment and risk management in terms of tsunami evacuation, as it allows for an estimation of the degree of evacuation success of specific management options, as well as for the classification and prioritization of the gathered information, in order to formulate an optimal evacuation plan. The framework has been applied to the El Salvador case study, demonstrating its applicability to site-specific response times and population characteristics.

Proctographic features of anismus.

PubMed

Halligan, S; Bartram, C I; Park, H J; Kamm, M A

1995-12-01

To document the proctographic features of anismus at evacuation proctography and determine the optimum radiologic measurements for diagnosis. Twenty-four patients with anismus according to clinical and multiple physiologic criteria were examined with evacuation proctography. Structural and functional measurements were compared with those of a group of 20 asymptomatic subjects. No significant difference between patients and control subjects was found with respect to pelvic descent, rectocele, or any anorectal angle measurement. In patients with anismus, initiation of evacuation was prolonged (median, 9 vs 3 seconds for control subjects; P < .0001) and anal canal width was reduced (median, 0.6 vs 1.2 cm; P = .0075). Evacuation time was increased (median, 50 vs 10 seconds; P < .0001), and the percentage of contrast material evacuated was decreased (median, 60% vs 100%; P < .0001). Only four patients were able to evacuate more than 66% of the contrast material within 30 seconds, whereas all control subjects were able to do so. Measurement of the anorectal angle to diagnose anismus should be abandoned. Patients with anismus demonstrate delayed initiation of evacuation, which is also prolonged and incomplete. Incomplete evacuation after 30 seconds is highly suggestive of anismus.

Research on Evacuation Based on Social Force Model

NASA Astrophysics Data System (ADS)

Liu, W.; Deng, Z.; Li, W.; Lin, J.

2017-09-01

Crowded centers always cause personnel casualties in evacuation operations. Stampede events often occur by hit, squeeze and crush due to panic. It is of vital important to alleviate such situation. With the deepening of personnel evacuation research, more and more researchers are committed to study individual behaviors and self-organization phenomenon in evacuation process. The study mainly includes: 1, enrich the social force model from different facets such as visual, psychological, external force to descript more realistic evacuation; 2, research on causes and effects of self - organization phenomenon. In this paper, we focus on disorder motion that occurs in the crowded indoor publics, especially the narrow channel and safety exits and other special arteries. We put forward the improved social force model to depict pedestrians' behaviors, an orderly speed-stratification evacuation method to solve disorder problem, and shape-changed export to alleviate congestion. The result of this work shows an improvement of evacuation efficiency by 19.5 %. Guiding pedestrians' direction to slow down the influence of social forces has a guidance function in improving the efficiency of indoor emergency evacuation.

People's Risk Recognition Preceding Evacuation and Its Role in Demand Modeling and Planning.

PubMed

Urata, Junji; Pel, Adam J

2018-05-01

Evacuation planning and management involves estimating the travel demand in the event that such action is required. This is usually done as a function of people's decision to evacuate, which we show is strongly linked to their risk awareness. We use an empirical data set, which shows tsunami evacuation behavior, to demonstrate that risk recognition is not synonymous with objective risk, but is instead determined by a combination of factors including risk education, information, and sociodemographics, and that it changes dynamically over time. Based on these findings, we formulate an ordered logit model to describe risk recognition combined with a latent class model to describe evacuation choices. Our proposed evacuation choice model along with a risk recognition class can evaluate quantitatively the influence of disaster mitigation measures, risk education, and risk information. The results obtained from the risk recognition model show that risk information has a greater impact in the sense that people recognize their high risk. The results of the evacuation choice model show that people who are unaware of their risk take a longer time to evacuate. © 2017 Society for Risk Analysis.

Characterization of selective solar absorber under high vacuum.

PubMed

Russo, Roberto; Monti, Matteo; di Giamberardino, Francesco; Palmieri, Vittorio G

2018-05-14

Total absorption and emission coefficients of selective solar absorbers are measured under high vacuum conditions from room temperature up to stagnation temperature. The sample under investigation is illuminated under vacuum @1000W/m 2 and the sample temperature is recorded during heat up, equilibrium and cool down. During stagnation, the absorber temperature exceeds 300°C without concentration. Data analysis allows evaluating the solar absorptance and thermal emittance at different temperatures. These in turn are useful to predict evacuated solar panel performances at operating conditions.

Societal acceptance of unnecessary evacuation

NASA Astrophysics Data System (ADS)

McCaughey, Jamie W.; Mundzir, Ibnu; Patt, Anthony; Rosemary, Rizanna; Safrina, Lely; Mahdi, Saiful; Daly, Patrick

2017-04-01

Uncertainties in forecasting extreme events force an unavoidable tradeoff between false alarms and misses. The appropriate balance depends on the level of societal acceptance of unnecessary evacuations, but there has been little empirical research on this. Intuitively it may seem that an unnecessary evacuation would make people less likely to evacuate again in the future, but our study finds no support for this intuition. Using new quantitative (n=800) and qualitative evidence, we examine individual- and household-level evacuation decisions in response to the strong 11-Apr-2012 earthquake in Aceh, Indonesia. This earthquake did not produce a tsunami, but the population had previously experienced the devastating 2004 tsunami. In our sample, the vast majority of people (86%) evacuated in the 2012 earthquake, and nearly all (94%) say they would evacuate again if a similar earthquake happened in the future. Self-reported level of fear at the moment of the 2012 earthquake explains more of the variance in evacuation decisions and intentions than does a combination of perceived tsunami risk and perceived efficacy of evacuation modeled on protection motivation theory. These findings suggest that the appropriate balance between false alarms and misses may be highly context-specific. Investigating this in each context would make an important contribution to the effectiveness of early-warning systems.

Simulating the effects of social networks on a population's hurricane evacuation participation

NASA Astrophysics Data System (ADS)

Widener, Michael J.; Horner, Mark W.; Metcalf, Sara S.

2013-04-01

Scientists have noted that recent shifts in the earth's climate have resulted in more extreme weather events, like stronger hurricanes. Such powerful storms disrupt societal function and result in a tremendous number of casualties, as demonstrated by recent hurricane experience in the US Planning for and facilitating evacuations of populations forecast to be impacted by hurricanes is perhaps the most effective strategy for reducing risk. A potentially important yet relatively unexplored facet of people's evacuation decision-making involves the interpersonal communication processes that affect whether at-risk residents decide to evacuate. While previous research has suggested that word-of-mouth effects are limited, data supporting these assertions were collected prior to the widespread adoption of digital social media technologies. This paper argues that the influence of social network effects on evacuation decisions should be revisited given the potential of new social media for impacting and augmenting information dispersion through real-time interpersonal communication. Using geographic data within an agent-based model of hurricane evacuation in Bay County, Florida, we examine how various types of social networks influence participation in evacuation. It is found that strategies for encouraging evacuation should consider the social networks influencing individuals during extreme events, as it can be used to increase the number of evacuating residents.

Simulating large-scale pedestrian movement using CA and event driven model: Methodology and case study

NASA Astrophysics Data System (ADS)

Li, Jun; Fu, Siyao; He, Haibo; Jia, Hongfei; Li, Yanzhong; Guo, Yi

2015-11-01

Large-scale regional evacuation is an important part of national security emergency response plan. Large commercial shopping area, as the typical service system, its emergency evacuation is one of the hot research topics. A systematic methodology based on Cellular Automata with the Dynamic Floor Field and event driven model has been proposed, and the methodology has been examined within context of a case study involving the evacuation within a commercial shopping mall. Pedestrians walking is based on Cellular Automata and event driven model. In this paper, the event driven model is adopted to simulate the pedestrian movement patterns, the simulation process is divided into normal situation and emergency evacuation. The model is composed of four layers: environment layer, customer layer, clerk layer and trajectory layer. For the simulation of movement route of pedestrians, the model takes into account purchase intention of customers and density of pedestrians. Based on evacuation model of Cellular Automata with Dynamic Floor Field and event driven model, we can reflect behavior characteristics of customers and clerks at the situations of normal and emergency evacuation. The distribution of individual evacuation time as a function of initial positions and the dynamics of the evacuation process is studied. Our results indicate that the evacuation model using the combination of Cellular Automata with Dynamic Floor Field and event driven scheduling can be used to simulate the evacuation of pedestrian flows in indoor areas with complicated surroundings and to investigate the layout of shopping mall.

Incorporating topography in a cellular automata model to simulate residents evacuation in a mountain area in China

NASA Astrophysics Data System (ADS)

Wang, Li; Liu, Mao; Meng, Bo

2013-02-01

In China, both the mountainous areas and the number of people who live in mountain areas occupy a significant proportion. When production accidents or natural disasters happen, the residents in mountain areas should be evacuated and the evacuation is of obvious importance to public safety. But it is a pity that there are few studies on safety evacuation in rough terrain. The particularity of the complex terrain in mountain areas, however, makes it difficult to study pedestrian evacuation. In this paper, a three-dimensional surface cellular automata model is proposed to numerically simulate the real time dynamic evacuation of residents. The model takes into account topographic characteristics (the slope gradient) of the environment and the biomechanics characteristics (weight and leg extensor power) of the residents to calculate the walking speed. This paper only focuses on the influence of topography and the physiological parameters are defined as constants according to a statistical report. Velocity varies with the topography. In order to simulate the behavior of a crowd with varying movement velocities, and a numerical algorithm is used to determine the time step of iteration. By doing so, a numerical simulation can be conducted in a 3D surface CA model. Moreover, considering residents evacuation around a gas well in a mountain area as a case, a visualization system for a three-dimensional simulation of pedestrian evacuation is developed. In the simulation process, population behaviors of congestion, queuing and collision avoidance can be observed. The simulation results are explained reasonably. Therefore, the model presented in this paper can realize a 3D dynamic simulation of pedestrian evacuation vividly in complex terrain and predict the evacuation procedure and evacuation time required, which can supply some valuable information for emergency management.

A Study of Flood Evacuation Center Using GIS and Remote Sensing Technique

NASA Astrophysics Data System (ADS)

Mustaffa, A. A.; Rosli, M. F.; Abustan, M. S.; Adib, R.; Rosli, M. I.; Masiri, K.; Saifullizan, B.

2016-07-01

This research demonstrated the use of Remote Sensing technique and GIS to determine the suitability of an evacuation center. This study was conducted in Batu Pahat areas that always hit by a series of flood. The data of Digital Elevation Model (DEM) was obtained by ASTER database that has been used to delineate extract contour line and elevation. Landsat 8 image was used for classification purposes such as land use map. Remote Sensing incorporate with GIS techniques was used to determined the suitability location of the evacuation center from contour map of flood affected areas in Batu Pahat. GIS will calculate the elevation of the area and information about the country of the area, the road access and percentage of the affected area. The flood affected area map may provide the suitability of the flood evacuation center during the several levels of flood. The suitability of evacuation centers can be determined based on several criteria and the existing data of the evacuation center will be analysed. From the analysis among 16 evacuation center listed, there are only 8 evacuation center suitable for the usage during emergency situation. The suitability analysis was based on the location and the road access of the evacuation center toward the flood affected area. There are 10 new locations with suitable criteria of evacuation center proposed on the study area to facilitate the process of rescue and evacuating flood victims to much safer and suitable locations. The results of this study will help in decision making processes and indirectly will help organization such as fire-fighter and the Department of Social Welfare in their work. Thus, this study can contribute more towards the society.

Beat-the-wave evacuation mapping for tsunami hazards in Seaside, Oregon, USA

USGS Publications Warehouse

Priest, George R.; Stimely, Laura; Wood, Nathan J.; Madin, Ian; Watzig, Rudie

2016-01-01

Previous pedestrian evacuation modeling for tsunamis has not considered variable wave arrival times or critical junctures (e.g., bridges), nor does it effectively communicate multiple evacuee travel speeds. We summarize an approach that identifies evacuation corridors, recognizes variable wave arrival times, and produces a map of minimum pedestrian travel speeds to reach safety, termed a “beat-the-wave” (BTW) evacuation analysis. We demonstrate the improved approach by evaluating difficulty of pedestrian evacuation of Seaside, Oregon, for a local tsunami generated by a Cascadia subduction zone earthquake. We establish evacuation paths by calculating the least cost distance (LCD) to safety for every grid cell in a tsunami-hazard zone using geospatial, anisotropic path distance algorithms. Minimum BTW speed to safety on LCD paths is calculated for every grid cell by dividing surface distance from that cell to safety by the tsunami arrival time at safety. We evaluated three scenarios of evacuation difficulty: (1) all bridges are intact with a 5-minute evacuation delay from the start of earthquake, (2) only retrofitted bridges are considered intact with a 5-minute delay, and (3) only retrofitted bridges are considered intact with a 10-minute delay. BTW maps also take into account critical evacuation points along complex shorelines (e.g., peninsulas, bridges over shore-parallel estuaries) where evacuees could be caught by tsunami waves. The BTW map is able to communicate multiple pedestrian travel speeds, which are typically visualized by multiple maps with current LCD-based mapping practices. Results demonstrate that evacuation of Seaside is problematic seaward of the shore-parallel waterways for those with any limitations on mobility. Tsunami vertical-evacuation refuges or additional pedestrian bridges may be effective ways of reducing loss of life seaward of these waterways.

Evacuating damaged and destroyed buildings on 9/11: behavioral and structural barriers.

PubMed

Groeger, Justina L; Stellman, Steven D; Kravitt, Alexandra; Brackbill, Robert M

2013-12-01

Evacuation of the World Trade Center (WTC) twin towers and surrounding buildings damaged in the September 11, 2001 attacks provides a unique opportunity to study factors that affect emergency evacuation of high rise buildings. Problem The goal of this study is to understand the extent to which structural and behavioral barriers and limitations of personal mobility affected evacuation by occupants of affected buildings on September 11, 2001. This analysis included 5,023 civilian, adult enrollees within the World Trade Center Health Registry who evacuated the two World Trade Center towers and over 30 other Lower Manhattan buildings that were damaged or destroyed on September 11, 2001. Multinomial logistic regression was used to predict total evacuation time (<30 to ≤60 minutes, >1 hour to <2 hours relative to ≤30 minutes) in relation to number of infrastructure barriers and number of behavioral barriers, adjusted for demographic and other factors. A higher percentage of evacuees reported encountering at least one behavioral barrier (84.9%) than reported at least one infrastructure barrier (51.9%). This pattern was consistent in all buildings except WTC 1, the first building attacked, where >90% of evacuees reported encountering both types of barriers. Smoke and poor lighting were the most frequently-reported structural barriers. Extreme crowding, lack of communication with officials, and being surrounded by panicked crowds were the most frequently-reported behavioral barriers. Multivariate analyses showed evacuation time to be independently associated with the number of each type of barrier as well as gender (longer times for women), but not with the floor from which evacuation began. After adjustment, personal mobility impairment was not associated with increased evacuation time. Because most high-rise buildings have unique designs, infrastructure factors tend to be less predictable than behavioral factors, but both need to be considered in developing emergency evacuation plans in order to decrease evacuation time and, consequently, risk of injury and death during an emergency evacuation.

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

NASA Astrophysics Data System (ADS)

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

2012-04-01

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

Should We Stay Or Should We Go Now? Hazard Warnings, Risk Perception, and Evacuation Decisions at Pacaya Volcano, Guatemala During the 2010 Eruption.

NASA Astrophysics Data System (ADS)

Lechner, H. N.; Rouleau, M.

2017-12-01

Pacaya volcano, in Guatemala, presents considerable risk to nearby communities and in May 2010, the volcano experienced its largest eruption in more than a decade. The eruption damaged or destroyed hundreds of homes, injured scores of people with one fatality, and prompted the evacuation of approximately 2000 people from several communities. During this eruption crisis, people living within at-risk communities were presented with the choice to evacuate or remain in the hazard zone. Many chose not to leave. Using quantitative methodologies, this research investigates evacuation decisions through causal relationships between hazard warnings, evacuation orders, risk perception, evacuation intention and behavior, and attempts to understand why some people chose to stay in harm's-way. In October 2016, we conducted a door-to-door survey administered to 172 households in eight communities within 5 km of the active vent. Participants were asked to rank factors that influenced their decision to evacuate or not, their level of trust in emergency management agencies, and the intention to evacuate during a future crisis. Initial analysis suggests that many people have confidence in emergency management agencies and information from volcano scientists; however, during the 2010 eruption, warning messages and evacuation orders were based on previous eruption patterns and tephra distribution and therefore disseminated differentially to at-risk communities. This likely delayed evacuation decisions by households in the communities that were most affected by the eruption. The data also suggest that while many households perceive evacuation as the most effective protective action, the perceived risk to one's home and property may play a more important role in the decision making process. We will discuss these results as well as communication strategies between agencies and communities, and how to better facilitate more effective and successful evacuations during future eruption crises at Pacaya volcano.

Cross-sectional Survey of Long-Term Care Facilities in the Rockaway Peninsula: Preparedness and Response During Hurricane Sandy.

PubMed

Jiang, Lynn; Tedeschi, Christopher; Subaiya, Saleena

2018-04-01

Few studies have described the challenges experienced by long-term care facilities (LTCFs) following Hurricane Sandy. This study examined LTCF preparedness and experiences during and after the storm. A cross-sectional survey was conducted 2 years after Hurricane Sandy to assess LTCF demographics, preparation, and post-storm resources. Surveys were conducted at LTCFs located on the Rockaway Peninsula of New York City. All LTCFs located in a heavily affected area were approached. Of 29 facilities, 1 had closed, 5 did not respond, 9 declined to participate, and 14 participated, yielding a response rate of 50% for open facilities. Twenty-one percent of the facilities had preparations specifically for hurricanes. More than 70% of the facilities had lost electricity, heat, and telephone service, and one-half had evacuated. Twenty-one percent of the facilities reported not receiving any assistance and over one-half reported that relief resources did not meet their needs. Many LTCFs lacked plans specific to such a large-scale event. Since nearly all of the LTCFs in the region were affected, preexisting transportation and housing plans may have been inadequate. Future preparation could include hazard-specific planning and reliance on resources from a wider geographic area. Access to electricity emerged as a top priority. (Disaster Med Public Health Preparedness. 2018;12:194-200).

Which groups of patients benefit from helicopter evacuation?

PubMed

Hotvedt, R; Kristiansen, I S; Førde, O H; Thoner, J; Almdahl, S M; Bjørsvik, G; Berge, L; Magnus, A C; Mamen, K; Sparr, T; Ytre-Arne, K

1996-05-18

The evacuation of emergency cases by air, usually by helicopter, is controversial because of the cost of the programme, the possibility of an accident (especially in an urban area), and unproven benefit. But such evacuations cannot be studied by a random intervention (eg, air versus ground ambulance). We used an expert-panel approach to estimate the health outcome for patients transferred by emergency helicopter compared with the potential outcome if they had gone by surface ambulance. The helicopter programme is based at the University Hospital of Tromsø in northern Norway. 370 case-reports of helicopter evacuation from rural areas were screened by anaesthetists for routine and case-specific data. Two expert panels assessed the cases for potential additional health benefit arising from the fact of helicopter evacuation. The panels used a modified Delphi technique to reach consensus in life-years gained. One panel met for cases aged under 15 and pregnant women, the other for older cases. 240 of the 370 cases were male (65%); the age range for both sexes was 0-86 years. The most common diagnosis for the 55 cases aged under 15 was infection (49%); in older patients, cardiovascular disease dominated (50%). Trauma accounted for just under a fifth of cases in both groups. On average, the patients arrived 69 min (range 0-615) earlier in hospital than if they had gone by ground transport. For 283 cases, the initial screening by the anaesthetists indicated no additional benefit compared with that obtainable by ground-ambulance transport. The main reason was that no treatment was given during the flight or early on in hospital that could not have been given otherwise. 90 cases entered the expert panel system. Of these 90, 49 cases were judged to have received no additional benefit. This left 41 (11% of the total of 370 evacuated) who were judged to have benefited, gaining 290.6 life-years. 96% of the total number of life-years gained was achieved in nine patients, six of whom were aged below 7 (four were aged 0-7 months). The life-year-gain per adult patient with cardiovascular disease was 0.54. We conclude that an emergency helicopter service can provide considerable health benefits for selected patients, at least in this rural setting. Given the costs and risks of such a service, the benefits for most patients are small.

In-theater hospitalizations of US and allied personnel during the 1991 Gulf War.

PubMed

Smith, Tyler C; Corbeil, Thomas E; Ryan, Margaret A K; Heller, Jack M; Gray, Gregory C

2004-06-01

The postwar morbidity of Gulf War veterans has been closely examined. However, data have not been available to evaluate morbidity suffered during the 1991 Gulf War. In this report, the authors examine archived records of hospitalizations in US military facilities in the Kuwaiti theater of operations or those medically evacuated to facilities in Europe. Using multivariable logistic regression modeling, the authors determined that service personnel at greatest odds for "in-theater" hospitalization were enlisted, female, White, Reservist, Army, and health care workers. No increase in odds was observed for oil well fire smoke exposure or possible exposure to the nerve agent hazard areas. Although these data may be incomplete, they represent the best-known data reflecting in-theater hospitalizations during the Gulf War of 1991 and show remarkable similarities in risk factors to those for postwar hospitalization.

When there's a heartbeat: miscarriage management in Catholic-owned hospitals.

PubMed

Freedman, Lori R; Landy, Uta; Steinauer, Jody

2008-10-01

As Catholic-owned hospitals merge with or take over other facilities, they impose restrictions on reproductive health services, including abortion and contraceptive services. Our interviews with US obstetrician-gynecologists working in Catholic-owned hospitals revealed that they are also restricted in managing miscarriages. Catholic-owned hospital ethics committees denied approval of uterine evacuation while fetal heart tones were still present, forcing physicians to delay care or transport miscarrying patients to non-Catholic-owned facilities. Some physicians intentionally violated protocol because they felt patient safety was compromised. Although Catholic doctrine officially deems abortion permissible to preserve the life of the woman, Catholic-owned hospital ethics committees differ in their interpretation of how much health risk constitutes a threat to a woman's life and therefore how much risk must be present before they approve the intervention.

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

USGS Publications Warehouse

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

2014-01-01

Recent disasters such as the 2011 Tohoku, Japan, earthquake and tsunami; the 2013 Colorado floods; and the 2014 Oso, Washington, mudslide have raised awareness of catastrophic, sudden-onset hazards that arrive within minutes of the events that trigger them, such as local earthquakes or landslides. Due to the limited amount of time between generation and arrival of sudden-onset hazards, evacuations are typically self-initiated, on foot, and across the landscape (Wood and Schmidtlein, 2012). Although evacuation to naturally occurring high ground may be feasible in some vulnerable communities, evacuation modeling has demonstrated that other communities may require vertical-evacuation structures within a hazard zone, such as berms or buildings, if at-risk individuals are to survive some types of sudden-onset hazards (Wood and Schmidtlein, 2013). Researchers use both static least-cost-distance (LCD) and dynamic agent-based models to assess the pedestrian evacuation potential of vulnerable communities. Although both types of models help to understand the evacuation landscape, LCD models provide a more general overview that is independent of population distributions, which may be difficult to quantify given the dynamic spatial and temporal nature of populations (Wood and Schmidtlein, 2012). Recent LCD efforts related to local tsunami threats have focused on an anisotropic (directionally dependent) path distance modeling approach that incorporates travel directionality, multiple travel speed assumptions, and cost surfaces that reflect variations in slope and land cover (Wood and Schmidtlein, 2012, 2013). The Pedestrian Evacuation Analyst software implements this anisotropic path-distance approach for pedestrian evacuation from sudden-onset hazards, with a particular focus at this time on local tsunami threats. The model estimates evacuation potential based on elevation, direction of movement, land cover, and travel speed and creates a map showing travel times to safety (a time map) throughout a hazard zone. Model results provide a general, static view of the evacuation landscape at different pedestrian travel speeds and can be used to identify areas outside the reach of naturally occurring high ground. In addition, data on the size and location of different populations within the hazard zone can be integrated with travel-time maps to create tables and graphs of at-risk population counts as a function of travel time to safety. As a decision-support tool, the Pedestrian Evacuation Analyst provides the capability to evaluate the effectiveness of various vertical-evacuation structures within a study area, both through time maps of the modeled travel-time landscape with a potential structure in place and through comparisons of population counts within reach of safety. The Pedestrian Evacuation Analyst is designed for use by researchers examining the pedestrian-evacuation potential of an at-risk community. In communities where modeled evacuation times exceed the event (for example, tsunami wave) arrival time, researchers can use the software with emergency managers to assess the area and population served by potential vertical-evacuation options. By automating and managing the modeling process, the software allows researchers to concentrate efforts on providing crucial and timely information on community vulnerability to sudden-onset hazards.

Game theory in models of pedestrian room evacuation

NASA Astrophysics Data System (ADS)

Bouzat, S.; Kuperman, M. N.

2014-03-01

We analyze the pedestrian evacuation of a rectangular room with a single door considering a lattice gas scheme with the addition of behavioral aspects of the pedestrians. The movement of the individuals is based on random and rational choices and is affected by conflicts between two or more agents that want to advance to the same position. Such conflicts are solved according to certain rules closely related to the concept of strategies in game theory, cooperation and defection. We consider game rules analogous to those from the Prisoner's Dilemma and Stag Hunt games, with payoffs associated to the probabilities of the individuals to advance to the selected site. We find that, even when defecting is the rational choice for any agent, under certain conditions, cooperators can take advantage from mutual cooperation and leave the room more rapidly than defectors.

Game theory in models of pedestrian room evacuation.

PubMed

Bouzat, S; Kuperman, M N

2014-03-01

We analyze the pedestrian evacuation of a rectangular room with a single door considering a lattice gas scheme with the addition of behavioral aspects of the pedestrians. The movement of the individuals is based on random and rational choices and is affected by conflicts between two or more agents that want to advance to the same position. Such conflicts are solved according to certain rules closely related to the concept of strategies in game theory, cooperation and defection. We consider game rules analogous to those from the Prisoner's Dilemma and Stag Hunt games, with payoffs associated to the probabilities of the individuals to advance to the selected site. We find that, even when defecting is the rational choice for any agent, under certain conditions, cooperators can take advantage from mutual cooperation and leave the room more rapidly than defectors.

Crowd evacuation model based on bacterial foraging algorithm

NASA Astrophysics Data System (ADS)

Shibiao, Mu; Zhijun, Chen

To understand crowd evacuation, a model based on a bacterial foraging algorithm (BFA) is proposed in this paper. Considering dynamic and static factors, the probability of pedestrian movement is established using cellular automata. In addition, given walking and queue times, a target optimization function is built. At the same time, a BFA is used to optimize the objective function. Finally, through real and simulation experiments, the relationship between the parameters of evacuation time, exit width, pedestrian density, and average evacuation speed is analyzed. The results show that the model can effectively describe a real evacuation.

Verifying the buildingEXODUS through an emergency response procedure (ERP) exercise at an underground intervention shaft

NASA Astrophysics Data System (ADS)

Tajedi, Noor Aqilah A.; Sukor, Nur Sabahiah A.; Ismail, Mohd Ashraf M.; Shamsudin, Shahrul A.

2017-10-01

An Emergency Response Plan (ERP) is an essential safety procedure that needs to be taken into account for railway operations, especially for underground railway networks. Several parameters need to be taken into consideration in planning an ERP such as the design of tunnels and intervention shafts, and operation procedures for underground transportation systems. Therefore, the purpose of this paper is to observe and analyse the Emergency Response Procedure (ERP) exercise for the underground train network at the LRT Kelana Jaya Line. The exercise was conducted at one of the underground intervention shaft exits, where the height of the staircase from the bottom floor to the upper floor was 24.59 metres. Four cameras were located at selected levels of the shaft, and 71 participants were assigned for the evacuation exercise. The participants were tagged with a number at the front and back of their safety vests. Ten respondents were randomly selected to give details of their height and weight and, at the same time, they had to self-record the time taken for them to evacuate from the bottom to the top of the shaft. The video footages that were taken during the ERP were analysed, and the data were used for the verification process on the buildingEXODUS simulation software. It was found that the results of the ERP experiment were significantly similar to the simulation results, thereby successfully verifying the simulation. This verification process was important to ensure that the results of the simulation were in accordance with the real situation. Therefore, a further evacuation analysis made use of the results from this verification.

[Aeromedical evacuation of critically ill patients in developing countries A retrospective study on 244 patients in Djibouti].

PubMed

Bordes, J; Loheas, D; Benois, A

2015-01-01

The pratice of intensive care in Africa is marked by a wide variety of health care delivery. Only a few centers offer specialized intensive care units, as cardiac or neurological units. That may explain the need for aeromedical evacuations for patients whose condition exceeds local capacity. Our objective was to assess whether the proportion of patients admitted to intensive care and evacuated had increased between 1997 and 2013 in a developing country, Djibouti. We examined the activity register of Bouffard Hospital intensive care unit in Djibouti to determine the number and characteristics of patients evacuated by air ambulance during a 16 years period. From January 1997 to December 2013, a total of 244 patients were evacuated. The evacuation rate was 5.74ù of the patients admitted to the entire duration of the study. The rate of patients evacuated was not different between 1997 and 2013 (5,69ù versus 8,33ù respectively, p = 0,269). However, the rate of djiboutian evacuated patients was statistically different between 1997 and 2013 (0,96ù versus 4,46ù, p = 0,02). The main causes were severe trauma injuries, cardiovascular diseases and neurological diseases. The aeromedical evacuation of a critically ill patient in a developing country is a process requiring heavy logistics and depending on the medical skills available in the area, and financial resources that can be implemented for the patient. Our study shows that medical evacuations in favor of Djiboutian patients are marginal but are increasing over the past decade.

Evacuation dynamic and exit optimization of a supermarket based on particle swarm optimization

NASA Astrophysics Data System (ADS)

Li, Lin; Yu, Zhonghai; Chen, Yang

2014-12-01

A modified particle swarm optimization algorithm is proposed in this paper to investigate the dynamic of pedestrian evacuation from a fire in a public building-a supermarket with multiple exits and configurations of counters. Two distinctive evacuation behaviours featured by the shortest-path strategy and the following-up strategy are simulated in the model, accounting for different categories of age and sex of the pedestrians along with the impact of the fire, including gases, heat and smoke. To examine the relationship among the progress of the overall evacuation and the layout and configuration of the site, a series of simulations are conducted in various settings: without a fire and with a fire at different locations. Those experiments reveal a general pattern of two-phase evacuation, i.e., a steep section and a flat section, in addition to the impact of the presence of multiple exits on the evacuation along with the geographic locations of the exits. For the study site, our simulations indicated the deficiency of the configuration and the current layout of this site in the process of evacuation and verified the availability of proposed solutions to resolve the deficiency. More specifically, for improvement of the effectiveness of the evacuation from the site, adding an exit between Exit 6 and Exit 7 and expanding the corridor at the right side of Exit 7 would significantly reduce the evacuation time.

Modeling Evacuation of a Hospital without Electric Power.

PubMed

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

2015-06-01

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

Does Non-Compliance with Route/Destination Assignment Compromise Evacuation Efficiency?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yuan, Fang; Han, Lee; Chin, Shih-Miao

2007-01-01

This paper documents studies of two real-world network evacuation cases, each with a different, but proven, simulation software package. The purpose of these studies was to examine whether the rate of evacuees' compliance with predetermined route/destination assignments would have an impact on the efficiency of evacuation operations. Results from both cases suggest that a rate of less than 100% compliance does not compromise evacuation efficiency. In fact, although this is counter-intuitive, evacuation efficiency would actually improve as a result of "sensible" non-compliance on the part of the evacuees. A closer observation of the results revealed that the somewhat unexpected improvementmore » results from a reduction in congestion along designated evacuation routes as evacuees spread out to less prominent parallel streets and other non-congested outbound routes. This suggests that by being limited by the zone-to-zone and one-to-one assignment framework, conventional evacuation plans may have fallen short of providing the most efficient guidance to evacuees. To address this issue, some systematic means, perhaps simulation-based, should be performed to assess the zone partitions, route designations, and destination assignments in existing evacuation plans. Thus, evacuation planning with route/destination assignments based on origin zones may be flawed and may deserve reconsideration. After all, once en route, where an evacuee is coming from is of far less consequence than where he or she is going.« less

The application of Firefly algorithm in an Adaptive Emergency Evacuation Centre Management (AEECM) for dynamic relocation of flood victims

NASA Astrophysics Data System (ADS)

ChePa, Noraziah; Hashim, Nor Laily; Yusof, Yuhanis; Hussain, Azham

2016-08-01

Flood evacuation centre is defined as a temporary location or area of people from disaster particularly flood as a rescue or precautionary measure. Gazetted evacuation centres are normally located at secure places which have small chances from being drowned by flood. However, due to extreme flood several evacuation centres in Kelantan were unexpectedly drowned. Currently, there is no study done on proposing a decision support aid to reallocate victims and resources of the evacuation centre when the situation getting worsens. Therefore, this study proposes a decision aid model to be utilized in realizing an adaptive emergency evacuation centre management system. This study undergoes two main phases; development of algorithm and models, and development of a web-based and mobile app. The proposed model operates using Firefly multi-objective optimization algorithm that creates an optimal schedule for the relocation of victims and resources for an evacuation centre. The proposed decision aid model and the adaptive system can be applied in supporting the National Security Council's respond mechanisms for handling disaster management level II (State level) especially in providing better management of the flood evacuating centres.

An interval-parameter mixed integer multi-objective programming for environment-oriented evacuation management

NASA Astrophysics Data System (ADS)

Wu, C. Z.; Huang, G. H.; Yan, X. P.; Cai, Y. P.; Li, Y. P.

2010-05-01

Large crowds are increasingly common at political, social, economic, cultural and sports events in urban areas. This has led to attention on the management of evacuations under such situations. In this study, we optimise an approximation method for vehicle allocation and route planning in case of an evacuation. This method, based on an interval-parameter multi-objective optimisation model, has potential for use in a flexible decision support system for evacuation management. The modeling solutions are obtained by sequentially solving two sub-models corresponding to lower- and upper-bounds for the desired objective function value. The interval solutions are feasible and stable in the given decision space, and this may reduce the negative effects of uncertainty, thereby improving decision makers' estimates under different conditions. The resulting model can be used for a systematic analysis of the complex relationships among evacuation time, cost and environmental considerations. The results of a case study used to validate the proposed model show that the model does generate useful solutions for planning evacuation management and practices. Furthermore, these results are useful for evacuation planners, not only in making vehicle allocation decisions but also for providing insight into the tradeoffs among evacuation time, environmental considerations and economic objectives.

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

PubMed Central

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

2014-01-01

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

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

PubMed

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

2014-06-24

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

Optimal nonimaging integrated evacuated solar collector

NASA Astrophysics Data System (ADS)

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

1993-11-01

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

Risk mapping and tsunami mitigation in Gunungkidul area, Yogyakarta

NASA Astrophysics Data System (ADS)

Mardiatno, Djati; Sunarto, WF, Lies Rahayu; Saptadi, Gatot; Ayuningtyas, Efrinda Ari

2015-04-01

Coastal area of Gunungkidul Regency is one of the areas prone to tsunami in Indonesia. In contrary, currently, this area is very intensively developed as one of the favourite tourism destination. This paper is aimed at explaining tsunami risk and a mitigation type in Gunungkidul Area, Yogyakarta. Digital elevation model (DEM) and coastal morphology were used to generate tsunami hazard map. Vulnerability was analysed by utilizing land use data. Information from previous studies (e.g. from GTZ) were also considered for analysis. Tsunami risk was classified into three classes, i.e. high risk, medium risk, and low risk and visualized in the form of tsunami risk map. Tsunami risk map is a tool which can be used as disaster reduction instrument, such as for evacuation routes planning. Based on the preliminary results of this research, it is clear that tsunami risk in this area is varied depend on the morphological condition of the location. There are five coastal area selected as the location, i.e. Ngrenehan, Baron, Sepanjang, PulangSawal, and Sadeng. All locations have the high risk zone to tsunami, especially for bay area. Evacuation routes were generated for all locations by considering the local landscape condition. There are several differences of evacuation ways for each location.

Elementary students' evacuation route choice in a classroom: A questionnaire-based method

NASA Astrophysics Data System (ADS)

Chen, Liang; Tang, Tie-Qiao; Huang, Hai-Jun; Song, Ziqi

2018-02-01

Children evacuation is a critical but challenging issue. Unfortunately, existing researches fail to effectively describe children evacuation, which is likely due to the lack of experimental and empirical data. In this paper, a questionnaire-based experiment was conducted with children aged 8-12 years to study children route choice behavior during evacuation from in a classroom with two exits. 173 effective questionnaires were collected and the corresponding data were analyzed. From the statistical results, we obtained the following findings: (1) position, congestion, group behavior, and backtracking behavior have significant effects on children route choice during evacuation; (2) age only affects children backtracking behavior, and (3) no prominent effects based on gender and guidance were observed. The above findings may help engineers design some effective evacuation strategies for children.

Necessity of guides in pedestrian emergency evacuation

NASA Astrophysics Data System (ADS)

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

2016-01-01

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

Initial loss of productive days and income among women seeking induced abortion in Cambodia.

PubMed

Potdar, Rukmini; Fetters, Tamara; Phirun, Lam

2008-01-01

The study describes the loss of productive time and income related to abortion care and care-seeking among 110 women presenting at public and private sector abortion providers in Cambodia. Data were collected through women's exit interviews, and descriptive analysis was used to examine lost time and income against a number of explanatory variables, such as gestational age of pregnancy, type of abortion provider and facility, type of uterine evacuation procedure, number of health visits, and the woman's occupation. Results indicate that lost time and earnings increase with the number of visits to obtain the termination, gestational age, and selection of a private physician or non-governmental organization clinic. Lost time and earnings also vary by the woman's type of employment. The study underscores the need for safer, accessible, and more affordable abortion services in order to ensure that these services are available for all women. Even in the Cambodian context, where abortion is unrestricted during the first trimester of pregnancy, the study findings show that the process of searching for and obtaining high-quality abortion care was unnecessarily complicated and costly to women and their household members.

Should Helicopters Transport Patients Who Become Sick After a Chemical, Biological, Radiological, Nuclear, and Explosive Attack?

PubMed

Yanagawa, Youichi; Ishikawa, Kouhei; Takeuchi, Ikuto; Nagasawa, Hiroki; Jitsuiki, Kei; Ohsaka, Hiromichi; Omori, Kazuhiko

The local fire department executed a training simulation for chemical and explosive incidents at a large sports facility. In this training simulation, a physician-staffed helicopter arrived at the request of the fire department and landed just outside the cold zone in the parking area. The doctor and nurse of the helicopter were escorted to a red area in the cold zone, which was selected based on the results of postdecontamination triage. After the patients had been treated, they were air medically evacuated to the base hospital. In the Tokyo subway sarin attack in 1995, St Luke's International Hospital admitted over 600 victims. During this incident, 23.2% of medical staff suffered secondary injury from sarin exposure. If air medial crews respond with subsequent postexposure effects during flight, an affected pilot could lose control of the helicopter, resulting in a fatal crash. Based on potential safety concerns for air medical and ground personnel, our recommendation would be that air medical helicopters not be dispatched to sites of chemical, biological, radiological, nuclear, and explosive incidents. Copyright © 2018 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

Ebola Virus: a Clear and Present Danger

PubMed Central

2014-01-01

An epidemic of Ebola virus disease is occurring in Western Africa on a scale not seen before, particularly in the countries of Guinea, Liberia, and Sierra Leone. The continued spread is facilitated by insufficient medical facilities, poor sanitation, travel, and unsafe burial practices. Several patients diagnosed with Ebola virus disease in Africa have been evacuated to the United States for treatment, and several other patients have been diagnosed in the United States. It is important for laboratories to be aware of available tests, especially those granted emergency use authorization, as hospitals prepare protocols for the diagnosis and management of high-risk patients. PMID:25392362

Briefing notes on emergency medical disembarks by helicopter at sea in North America.

PubMed

Williams, Steve; Dahl, Eilif

2014-01-01

Physicians and nurses from shore based practice who move to work on cruise ships often have concerns about the management of critically ill patients and questions about the resources available to transfer by helicopter to a tertiary care facility. This article seeks to outline some of the clinical, operational and logistical issues associated with using a helicopter to transfer a patient from a ship to a shore-side hospital. While it focuses on resources available in the maritime areas around North America, most of the clinical comments would apply to helicopter evacuations anywhere in the world.

Whole Module Offgas Test Report: Space-Xl Dragon Module

NASA Technical Reports Server (NTRS)

James, John T.

2012-01-01

On September 26 and September 28,2012 a chemist from the JSC Toxicology Group acquired samples of air in 500 m1 evacuated canisters from the sealed Space-Xl Dragon Module. One sample was also acquired from Space-X Facility near the module at the start of the test. Samples of the module air were taken in triplicate once the module had been sealed, and then taken again in triplicate 1.98 days later. Ofthe triplicate samples, the first served as a line purge, and the last two were analyzed. The results of 5 samples are reported.

Solar heating system installed at Troy, Ohio

NASA Technical Reports Server (NTRS)

1980-01-01

The completed system was composed of three basic subsystems: the collector system consisting of 3,264 square feet of Owens Illinois evacuated glass tube collectors; the storage system which included a 5,000 gallon insulated steel tank; and the distribution and control system which included piping, pumping and heat transfer components as well as the solemoid activated valves and control logic for the efficient and safe operation of the entire system. This solar heating system was installed in an existing facility and was, therefore, a retrofit system. Extracts from the site files, specifications, drawings, installation, operation and maintenance instructions are included.

Shortening and Angulation for Soft-Tissue Reconstruction of Extremity Wounds in a Combat Support Hospital

DTIC Science & Technology

2009-08-01

l\\I ILIT\\R\\’ ’\\ I EDICt E. 174. K:83X. 2009 Shortening and Angulation for Soft-Tissue Reconstruction of Extremity Wounds in a Combat Support...team in theater. Thereafter. they can be rapidly evacuated to treatment facilities in their respective countries for definitive reconstruct ion of...cripl "’"’ rccCI\\ ec.J ft•r re’ 1ew 1n ovcmb.:r 2008. The revbe<.l manu,cnpl "a’ accepted tor publicauon 1n May 2()()9. 838 vide a reconstructive

Lessons learned from the 2010 evacuations at Merapi volcano

NASA Astrophysics Data System (ADS)

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

2013-07-01

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

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

PubMed

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

2016-05-01

Intraventricular hemorrhages (IVH) can occur as a consequence of spontaneous intracerebral hemorrhage, aneurysm rupture, arteriovenous malformation hemorrhage, trauma, or coagulopathy. IVH is a known risk factor for poor clinical outcome with up to 80% mortality. The current standard treatment strategy for IVH consists of the placement of an external ventricular drain. We report our early experience with using the Apollo suction/vibration aspiration system (Penumbra, Alameda, CA, USA) for minimally invasive evacuation of IVH with a review of the pertinent literature. Medical records of patients with IVH who were admitted to Rush University Medical Center, USA, from July to November 2014 were queried from the electronic database. Patients with Graeb Scores (GS) >6 were selected for minimally invasive IVH evacuation with the Apollo aspiration system. Patient demographics, pre- and post-operative GS, pre- and post-operative modified Graeb Score (mGS), as well procedure related complications were analyzed and recorded. A total of eight patients (five men) were identified during the study period. The average age was 55.5years. The mean GS was 9.6 pre-operatively and decreased to 4.9 post-operatively (p=0.0002). The mean mGS was 22.9 pre-operatively and decreased to 11.4 post-operatively (p=0.0001). Most of the IVH reduction occurred in the frontal horn and atrium of the lateral ventricle, as well the third ventricle. One (1/8) procedure-related complication occurred consisted of a tract hemorrhage. The Apollo system can be used for minimally invasive IVH evacuation to achieve significant blood clot volume reduction with minimal procedure-related complication. Copyright © 2016. Published by Elsevier Ltd.

Aero-medical evacuation from the second Israel-Lebanon war: a descriptive study.

PubMed

Schwartz, Dagan; Resheff, Avram; Geftler, Alex; Weiss, Aviram; Birenbaum, Erez; Lavon, Ophir

2009-05-01

The second Lebanon war started as a limited operation and progressed to a large-scale campaign. Most of the fighting took place in mountainous villages and small towns inhabited with civilians. The Israeli Defense Forces (IDF) Airborne rescue and evacuation unit is charged with air evacuation of soldiers and civilians in times of peace, limited conflict, and war. We describe this unit's activities in the second Lebanon war, analyzing injury, treatment, and evacuation characteristics Data were collected from flight medical reports, debriefings of aero-medical team members (usually immediately upon return from mission), ground units medical reports and debriefings, and hospital records. 725 IDF soldiers were injured and 117 killed either in Lebanon or near the Israeli-Lebanese border during the war. A total of 338 (46%) were evacuated in 95 airlifts (averaging 4.5 evacuees per airlift) from the fighting zones or the border. Air evacuation used dedicated helicopters with advanced care capacities, and most victims were evacuated straight from the battlefield, as the fighting was ensuing. Many wounded first received advanced medical care upon the arrival of the aero-medical teams. In military operations within civilian populated areas with threats to ground transport, air evacuation can sometimes be the only readily available option. Providing timely ground advanced medical care proved difficult in many instances. Thus, for many, the rescue helicopter was the first point of access to such care. Aero-medical aircrafts and personnel faced threats from gunfire and missiles, causing both delays in evacuation and a high average number of evacuees per airlift. This article proposes ways of coping with situations in which similar rescue and evacuation problems are likely.

Evacuation decisions in a chemical air pollution incident: cross sectional survey

PubMed Central

Kinra, S; Lewendon, G; Nelder, R; Herriott, N; Mohan, R; Hort, M; Harrison, S; Murray, V

2005-01-01

Objective To compare the health outcomes in sheltered and evacuated populations after a chemical incident in a plastics factory. Design Cross sectional survey. Setting Urban area in southwest England. Participants 1750 residents from the area exposed to the chemical smoke, of which 472 were evacuated and the remaining 1278 were advised to shelter indoors. Main outcome measure Number of adverse health symptoms. A case was defined by the presence of four or more symptoms. Main results 1096 residents (63%; 299 evacuated, 797 sheltered) provided data for analyses. The mean symptom score and proportion of cases were higher in evacuated people than in the sheltered population (evacuated: symptom score 1.9, cases 19.7% (n = 59); sheltered: symptom score 1.0, cases 9.5% (n = 76); P < 0.001 for both). The difference between the two groups attenuated markedly at the end of two weeks from the start of the incident. The two main modifiable risk factors for the odds of becoming a case were evacuation (odds ratio 2.5, 95% confidence interval 1.7 to 3.8) and direct exposure to smoke for more than two hours on the first day of the incident (2.0, 1.7 to 2.3). The distance of residence from the factory or level of exposure before intervention (first six hours) had little effect on the odds of a person becoming a case. Conclusions Sheltering may have been a better protective action than evacuation in this chemical incident, which is consistent with the prevailing expert view. Although this study has limitations, it is based on a real event. Evacuations carry their own risks and resource implications; increased awareness may help to reduce unnecessary evacuations in the future. PMID:15976419

Enhancing resource coordination for multi-modal evacuation planning.

DOT National Transportation Integrated Search

2013-01-01

This research project seeks to increase knowledge about coordinating effective multi-modal evacuation for disasters. It does so by identifying, evaluating, and assessing : current transportation management approaches for multi-modal evacuation planni...

Guidelines for hurricane evacuation signing and markings

DOT National Transportation Integrated Search

2007-12-01

Based on focus group input and surveys of motorists who have recent hurricane evacuation experience, researchers developed guidelines for various hurricane evacuation signs and markings, including route signs, contraflow signs, emergency shoulder lan...

Pedestrian flow-path modeling to support tsunami-evacuation planning

NASA Astrophysics Data System (ADS)

Wood, N. J.; Jones, J. M.; Schmidtlein, M.

2015-12-01

Near-field tsunami hazards are credible threats to many coastal communities throughout the world. Along the U.S. Pacific Northwest coast, low-lying areas could be inundated by a series of catastrophic tsunamis potentially arriving in a matter of minutes following a Cascadia subduction zone (CSZ) earthquake. We developed a geospatial-modeling method for characterizing pedestrian-evacuation flow paths and evacuation basins to support evacuation and relief planning efforts for coastal communities in this region. We demonstrate this approach using the coastal communities of Aberdeen, Hoquiam, and Cosmopolis in southwestern Grays Harbor County, Washington (USA), where previous research suggests approximately 20,500 people (99% of the residents in tsunami-hazard zones) will likely have enough time to evacuate before tsunami-wave arrival. Geospatial, anisotropic, path distance models were developed to map the most efficient pedestrian paths to higher ground from locations within the tsunami-hazard zone. This information was then used to identify evacuation basins, outlining neighborhoods sharing a common evacuation pathway to safety. We then estimated the number of people traveling along designated evacuation pathways and arriving at pre-determined safe assembly areas, helping determine shelter demand and relief support (e.g., for elderly individuals or tourists). Finally, we assessed which paths may become inaccessible due to earthquake-induced ground failures, a factor which may impact an individual's success in reaching safe ground. The presentation will include a discussion of the implications of our analysis for developing more comprehensive coastal community tsunami-evacuation planning strategies worldwide.

A crowd of pedestrian dynamics - The perspective of physics. Comment on "Human behaviours in evacuation crowd dynamics: From modelling to "big data" toward crisis management" by Nicola Bellomo et al.

NASA Astrophysics Data System (ADS)

Miguel, António F.

2016-09-01

Walking is the most basic form of transportation. A good understanding of pedestrian's dynamics is essential in meeting the mobility and accessibility needs of people by providing a safe and quick walking flow [1]. Advances in the dynamics of pedestrians in crowds are of great theoretical and practical interest, as they lead to new insights regarding the planning of pedestrian facilities, crowd management, or evacuation analysis. Nicola Bellomo's et al. article [2] is a very timely review of the related research on modelling approaches, computational simulations, decision-making and crisis response. It also includes an attempt to accurately define commonly used terms, as well as a critical analysis of crowd dynamics and safety problems. As noted by the authors, ;models and simulations offer a virtual representation of real dynamics; that are essential to understand and predict the ;behavioural dynamics of crowds; [2]. As a physicist, I would like to put forward some additional theoretical and practical contributions that could be interesting to explore, regarding the perspective of physics on about human crowd dynamics (panic as a specific form of behaviour excluded).

Soyuz-TM-based interim Assured Crew Return Vehicle (ACRV) for the Space Station Freedom

NASA Technical Reports Server (NTRS)

Semenov, Yu. P.; Babkov, Oleg I.; Timchenko, Vladimir A.; Craig, Jerry W.

1993-01-01

The concept of using the available Soyuz-TM Assured Crew Return Vehicle (ACRV) spacecraft for the assurance of the safety of the Space Station Freedom (SSF) crew after the departure of the Space Shuttle from SSF was proposed by the NPO Energia and was accepted by NASA in 1992. The ACRV will provide the crew with the capability to evacuate a seriously injured/ill crewmember from the SSF to a ground-based care facility under medically tolerable conditions and with the capability for a safe evacuation from SSF in the events SSF becomes uninhabitable or the Space Shuttle flights are interrupted for a time that exceeds SSF ability for crew support and/or safe operations. This paper presents the main results of studies on Phase A (including studies on the service life of ACRV; spacecraft design and operations; prelaunch processing; mission support; safety, reliability, maintenance and quality and assurance; landing, and search/rescue operations; interfaces with the SSF and with Space Shuttle; crew accommodation; motion of orbital an service modules; and ACRV injection by the Expendable Launch Vehicles), along with the objectives of further work on the Phase B.

Health implications of radiological terrorism: Perspectives from Israel

PubMed Central

Hagby, Moti; Goldberg, Avishay; Becker, Steven; Schwartz, Dagan; Bar-Dayan, Yaron

2009-01-01

September 11th events taught us, members of the medical community, that we need to prepared for the worst. Nuclear terror is no longer science fiction. Radiological weapons of mass terror come in three flavors: The first one is nuclear. Since 1992, there have been six known cases of highly enriched uranium or plutonium being intercepted by authorities as it passed in or out of the former Soviet Union. Constructing a nuclear fission weapon requires high-level expertise, substantial facilities, and lots of money. All three of which would be difficult, although not impossible, for a terrorist group to pull off without state support. However, terrorists could carry out potential mass destruction without sophisticated weaponry by targeting nuclear facilities using conventional bombs or hijacked aircrafts. Terror attacks could also carry out mass panic and radioactive contamination of people and environment by dispersal of radioactive materials with or without the use of conventional explosive devices. Most medical and para-medical personnel are not familiar with CBRN terror and radiation casualties. To lessen the impact of those potential attacks and provide care for the greatest number of potential survivors, the community as a whole – and the medical community in particular – must acquire the knowledge of the various signs and symptoms of exposure to irradiation and radioactive contamination as well as have a planned response once such an attack has occurred. Based on knowledge of radiation hazards, medical emergency planers should analyze the risks of each scenario, offer feasible solutions and translate them into internationally accepted plans that would be simple to carry out once such an attack took place. The planned response should be questioned and tested by drills. Those drills should check the triage, evacuation routes, decontamination posts, evacuation centers and receiving hospitals. It is crucial that the drill will consist of simulated casualties that will follow the evacuation route from point zero to the ED. Knowledge and exercise will reduce terror (fear) from radiation and help the community as a whole better cope with such an event. This article will review the general information of radiation types, their biological damage, clinical appearance and general concepts of nuclear event planning, focusing on medical response and focus on the Israeli perspective. PMID:19561972

Modeling operators' emergency response time for chemical processing operations.

PubMed

Murray, Susan L; Harputlu, Emrah; Mentzer, Ray A; Mannan, M Sam

2014-01-01

Operators have a crucial role during emergencies at a variety of facilities such as chemical processing plants. When an abnormality occurs in the production process, the operator often has limited time to either take corrective actions or evacuate before the situation becomes deadly. It is crucial that system designers and safety professionals can estimate the time required for a response before procedures and facilities are designed and operations are initiated. There are existing industrial engineering techniques to establish time standards for tasks performed at a normal working pace. However, it is reasonable to expect the time required to take action in emergency situations will be different than working at a normal production pace. It is possible that in an emergency, operators will act faster compared to a normal pace. It would be useful for system designers to be able to establish a time range for operators' response times for emergency situations. This article develops a modeling approach to estimate the time standard range for operators taking corrective actions or following evacuation procedures in emergency situations. This will aid engineers and managers in establishing time requirements for operators in emergency situations. The methodology used for this study combines a well-established industrial engineering technique for determining time requirements (predetermined time standard system) and adjustment coefficients for emergency situations developed by the authors. Numerous videos of workers performing well-established tasks at a maximum pace were studied. As an example, one of the tasks analyzed was pit crew workers changing tires as quickly as they could during a race. The operations in these videos were decomposed into basic, fundamental motions (such as walking, reaching for a tool, and bending over) by studying the videos frame by frame. A comparison analysis was then performed between the emergency pace and the normal working pace operations to determine performance coefficients. These coefficients represent the decrease in time required for various basic motions in emergency situations and were used to model an emergency response. This approach will make hazardous operations requiring operator response, alarm management, and evacuation processes easier to design and predict. An application of this methodology is included in the article. The time required for an emergency response was roughly a one-third faster than for a normal response time.

Vulnerability of the Built Environment to Tsunamis - an Overview of Where We Are in 2012

NASA Astrophysics Data System (ADS)

Petroff, C. M.

2012-12-01

The last twenty years have seen great strides in the understanding and prediction of tsunami behavior. Though study of these disasters has always been motivated by the need to reduce casualties and damage, early work focused primarily on predicting magnitude, propagation and inundation from tsunami waves. Investigations have expanded to include a burgeoning field concentrated on the landward effects of tsunamis on communities: examining building and infrastructure vulnerability, assessing the probabilities of varying levels of damage and applying these findings to planning of land-use, development, evacuation and response. Catastrophic events of the last decade in the Indian Ocean and Japan have brought these issues to the fore and raise the question: Where are we in our understanding of vulnerability to tsunamis? What have we learned? What are the lessons that the most recent events teach us? This overview summarizes recent investigations of the vulnerability of engineered structures to damage from tsunamis - from individual buildings of various uses to larger facilities and structural systems. Examples are provided of both successes and failures in design for tsunami resistance. Vulnerability of critical infrastructure and lifelines is discussed in the context of tsunamis in Sumatra, Chile and Japan. This includes the ability of critical systems to function during and immediately after a disaster as well as the short and long term resilience of utilities, services and coastal facilities after tsunamis. Recent work on probabilistic prediction of damage and development of fragility functions is summarized for the Chile 2010 and Japan 2011 tsunamis. Finally, a commentary is presented on building vulnerability issues as they relate to land use planning, building design and codes and vertical evacuation planning.; Three views of the Oya Train Station in Miyagi Prefecture: Prior to (top), two months after (middle), and one year after (bottom) the March 11, 2011 Tohoku Japan tsunami. The top view shows the rail line, shops, residences, coastal vegetation, tourist beach and coastal slope protection. All these were damaged or destroyed in the tsunami. One year after, a sand bag barrier had been installed inland of remaining low profile shore protection at Oya Kaigan. Rail lines had not been replaced and the station building remained closed. The area remained evacuated. Power line installation and road repairs were complete. (top photo courtesy F. Imamura)

New Approaches to Tsunami Hazard Mitigation Demonstrated in Oregon

NASA Astrophysics Data System (ADS)

Priest, G. R.; Rizzo, A.; Madin, I.; Lyles Smith, R.; Stimely, L.

2012-12-01

Oregon Department of Geology and Mineral Industries and Oregon Emergency Management collaborated over the last four years to increase tsunami preparedness for residents and visitors to the Oregon coast. Utilizing support from the National Tsunami Hazards Mitigation Program (NTHMP), new approaches to outreach and tsunami hazard assessment were developed and then applied. Hazard assessment was approached by first doing two pilot studies aimed at calibrating theoretical models to direct observations of tsunami inundation gleaned from the historical and prehistoric (paleoseismic/paleotsunami) data. The results of these studies were then submitted to peer-reviewed journals and translated into 1:10,000-12,000-scale inundation maps. The inundation maps utilize a powerful new tsunami model, SELFE, developed by Joseph Zhang at the Oregon Health & Science University. SELFE uses unstructured computational grids and parallel processing technique to achieve fast accurate simulation of tsunami interactions with fine-scale coastal morphology. The inundation maps were simplified into tsunami evacuation zones accessed as map brochures and an interactive mapping portal at http://www.oregongeology.org/tsuclearinghouse/. Unique in the world are new evacuation maps that show separate evacuation zones for distant versus locally generated tsunamis. The brochure maps explain that evacuation time is four hours or more for distant tsunamis but 15-20 minutes for local tsunamis that are invariably accompanied by strong ground shaking. Since distant tsunamis occur much more frequently than local tsunamis, the two-zone maps avoid needless over evacuation (and expense) caused by one-zone maps. Inundation mapping for the entire Oregon coast will be complete by ~2014. Educational outreach was accomplished first by doing a pilot study to measure effectiveness of various approaches using before and after polling and then applying the most effective methods. In descending order, the most effective methods were: (1) door-to-door (person-to-person) education, (2) evacuation drills, (3) outreach to K-12 schools, (4) media events, and (5) workshops targeted to key audiences (lodging facilities, teachers, and local officials). Community organizers were hired to apply these five methods to clusters of small communities, measuring performance by before and after polling. Organizers were encouraged to approach the top priority, person-to-person education, by developing Community Emergency Response Teams (CERT) or CERT-like organizations in each community, thereby leaving behind a functioning volunteer-based group that will continue the outreach program and build long term resiliency. One of the most effective person-to-person educational tools was the Map Your Neighborhood program that brings people together so they can sketch the basic layout of their neighborhoods to depict key earthquake and tsunami hazards and mitigation solutions. The various person-to-person volunteer efforts and supporting outreach activities are knitting communities together and creating a permanent culture of tsunami and earthquake preparedness. All major Oregon coastal population centers will have been covered by this intensive outreach program by ~2014.

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

PubMed Central

Bode, Nikolai W. F.; Holl, Stefan; Mehner, Wolfgang; Seyfried, Armin

2015-01-01

Crowd evacuations are paradigmatic examples for collective behaviour, as interactions between individuals lead to the overall movement dynamics. Approaches assuming that all individuals interact in the same way have significantly improved our understanding of pedestrian crowd evacuations. However, this scenario is unlikely, as many pedestrians move in social groups that are based on friendship or kinship. We test how the presence of social groups affects the egress time of individuals and crowds in a representative crowd evacuation experiment. Our results suggest that the presence of social groups increases egress times and that this is largely due to differences at two stages of evacuations. First, individuals in social groups take longer to show a movement response at the start of evacuations, and, second, they take longer to move into the vicinity of the exits once they have started to move towards them. Surprisingly, there are no discernible time differences between the movement of independent individuals and individuals in groups directly in front of the exits. We explain these results and discuss their implications. Our findings elucidate behavioural differences between independent individuals and social groups in evacuations. Such insights are crucial for the control of crowd evacuations and for planning mass events. PMID:25785603

A microcomputer based traffic evacuation modeling system for emergency planning application

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rathi, A.K.

1995-12-31

The US Army stockpiles unitary chemical weapons, both as bulk chemicals and as munitions, at eight major sites in the United States. The continued storage and disposal of the chemical stockpile has the potential for accidental releases of toxic gases that could escape the installation boundaries and pose a threat to the civilian population in the vicinity. Vehicular evacuation is one of the major and often preferred protective action options available for emergency management in a real or anticipated disaster. Computer simulation models of evacuation traffic flow are used to estimate the time required for the affected populations to evacuatemore » to safer areas, to evaluate effectiveness of vehicular evacuations as a protective action option, and to develop comprehensive evacuation plans when required. Following a review of the past efforts to simulate traffic flow during emergency evacuations, an overview of the key features in Version 2.0 of the Oak Ridge Evacuation Modeling System (OREMS) are presented in this paper. OREMS is a microcomputer-based model developed to simulate traffic flow during regional emergency evacuations. OREMS integrates a state-of-the-art dynamic traffic flow and simulation model with advanced data editing and output display programs operating under a MS-Windows environment.« less

The effect of overwing hatch placement on evacuation from smaller transport aircraft.

PubMed

Wilson, Rebecca L; Muir, Helen C

2010-02-01

Overwing exits are installed on a number of smaller transport aircraft. With a traditional overwing exit, once released, the hatch is not attached to the fuselage and will fall into the cabin. To operate, the hatch has to be brought inwards, manoeuvred and placed in a location where it does not obstruct egress. Accidents and experimental studies have shown that the hatch is not always disposed of into an appropriate location. Evacuation trials from a smaller transport aircraft cabin were conducted. The placement of the exit hatch was manipulated. The results indicated that hatch placement had a significant effect on passenger evacuation rates from a smaller transport aircraft, with the internal placement tested resulting in slower evacuation rates. The study has highlighted the importance of operators disposing of the hatch into a location whereby it does not impede egress. One way to ensure this would be the installation of an automatically disposed hatch. Statement of Relevance: It is important that all occupants can evacuate an aircraft rapidly if required. The influence of overwing hatch placement on evacuation from smaller transport aircraft was addressed Evacuation trials concluded that an inappropriately placed hatch can negatively influence evacuation rates. Improvements to exit design and passenger education were suggested.

Condition for dust evacuation from the first galaxies

NASA Astrophysics Data System (ADS)

Fukushima, Hajime; Yajima, Hidenobu; Omukai, Kazuyuki

2018-06-01

Dust enables low-mass stars to form from low-metallicity gas by inducing fragmentation of clouds via cooling by thermal emission. Dust may, however, be evacuated from star-forming clouds due to the radiation force from massive stars. We study here the condition for dust evacuation by comparing the dust evacuation time with the time of cloud destruction due to either expansion of H II regions or supernovae. The cloud destruction time has a weak dependence on cloud radius, while the dust evacuation time is shorter for a cloud with a smaller radius. Dust evacuation, thus, occurs in compact star-forming clouds whose column density is NH ≃ 1024-1026 cm-2. The critical halo mass above which dust evacuation occurs is lower for higher formation red shift, e.g. ˜109 M⊙ at red shift z ˜ 3 and ˜107 M⊙ at z ˜ 9. In addition, the metallicity of the gas should be less than ˜10-2 Z⊙, otherwise attenuation by dust reduces the radiation force significantly. From the dust-evacuated gas, massive stars are likely to form, even with a metallicity above ˜10-5 Z⊙, the critical value for low-mass star formation due to dust cooling. This can explain the dearth of ultra-metal-poor stars with a metallicity lower than ˜10-4 Z⊙.

Risk of large-scale evacuation based on the effectiveness of rescue strategies under different crowd densities.

PubMed

Wang, Jinghong; Lo, Siuming; Wang, Qingsong; Sun, Jinhua; Mu, Honglin

2013-08-01

Crowd density is a key factor that influences the moving characteristics of a large group of people during a large-scale evacuation. In this article, the macro features of crowd flow and subsequent rescue strategies were considered, and a series of characteristic crowd densities that affect large-scale people movement, as well as the maximum bearing density when the crowd is extremely congested, were analyzed. On the basis of characteristic crowd densities, the queuing theory was applied to simulate crowd movement. Accordingly, the moving characteristics of the crowd and the effects of typical crowd density-which is viewed as the representation of the crowd's arrival intensity in front of the evacuation passageways-on rescue strategies was studied. Furthermore, a "risk axle of crowd density" is proposed to determine the efficiency of rescue strategies in a large-scale evacuation, i.e., whether the rescue strategies are able to effectively maintain or improve evacuation efficiency. Finally, through some rational hypotheses for the value of evacuation risk, a three-dimensional distribution of the evacuation risk is established to illustrate the risk axle of crowd density. This work aims to make some macro, but original, analysis on the risk of large-scale crowd evacuation from the perspective of the efficiency of rescue strategies. © 2012 Society for Risk Analysis.

A Global System for Transportation Simulation and Visualization in Emergency Evacuation Scenarios

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lu, Wei; Liu, Cheng; Thomas, Neil

2015-01-01

Simulation-based studies are frequently used for evacuation planning and decision making processes. Given the transportation systems complexity and data availability, most evacuation simulation models focus on certain geographic areas. With routine improvement of OpenStreetMap road networks and LandScanTM global population distribution data, we present WWEE, a uniform system for world-wide emergency evacuation simulations. WWEE uses unified data structure for simulation inputs. It also integrates a super-node trip distribution model as the default simulation parameter to improve the system computational performance. Two levels of visualization tools are implemented for evacuation performance analysis, including link-based macroscopic visualization and vehicle-based microscopic visualization. Formore » left-hand and right-hand traffic patterns in different countries, the authors propose a mirror technique to experiment with both scenarios without significantly changing traffic simulation models. Ten cities in US, Europe, Middle East, and Asia are modeled for demonstration. With default traffic simulation models for fast and easy-to-use evacuation estimation and visualization, WWEE also retains the capability of interactive operation for users to adopt customized traffic simulation models. For the first time, WWEE provides a unified platform for global evacuation researchers to estimate and visualize their strategies performance of transportation systems under evacuation scenarios.« less

Fleeing The Storm(s): An Examination of Evacuation Behavior During Florida’s 2004 Hurricane Season

PubMed Central

SMITH, STANLEY K.; MCCARTY, CHRIS

2009-01-01

The 2004 hurricane season was the worst in Florida’s history, with four hurricanes causing at least 47 deaths and some $45 billion in damages. To collect information on the demographic impact of those hurricanes, we surveyed households throughout the state and in the local areas that sustained the greatest damage. We estimate that one-quarter of Florida’s population evacuated prior to at least one hurricane; in some areas, well over one-half of the residents evacuated at least once, and many evacuated several times. Most evacuees stayed with family or friends and were away from home for only a few days. Using logistic regression analysis, we found that the strength of the hurricane and the vulnerability of the housing unit had the greatest impact on evacuation behavior; additionally, several demographic variables had significant effects on the probability of evacuating and the choice of evacuation lodging (family/friends, public shelters, or hotels/motels). With continued population growth in coastal areas and the apparent increase in hurricane activity caused by global warming, threats posed by hurricanes are rising in the United States and throughout the world. We believe the present study will help government officials plan more effectively for future hurricane evacuations. PMID:19348112

Evacuee Compliance Behavior Analysis using High Resolution Demographic Information

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lu, Wei; Han, Lee; Liu, Cheng

2014-01-01

The purpose of this study is to examine whether evacuee compliance behavior with route assignments from different resolutions of demographic data would impact the evacuation performance. Most existing evacuation strategies assume that travelers will follow evacuation instructions, while in reality a certain percent of evacuees do not comply with prescribed instructions. In this paper, a comparison study of evacuation assignment based on Traffic Analysis Zones (TAZ) and high resolution LandScan USA Population Cells (LPC) were conducted for the detailed road network representing Alexandria, Virginia. A revised platform for evacuation modeling built on high resolution demographic data and activity-based microscopic trafficmore » simulation is proposed. The results indicate that evacuee compliance behavior affects evacuation efficiency with traditional TAZ assignment, but it does not significantly compromise the efficiency with high resolution LPC assignment. The TAZ assignment also underestimates the real travel time during evacuation, especially for high compliance simulations. This suggests that conventional evacuation studies based on TAZ assignment might not be effective at providing efficient guidance to evacuees. From the high resolution data perspective, traveler compliance behavior is an important factor but it does not impact the system performance significantly. The highlight of evacuee compliance behavior analysis should be emphasized on individual evacuee level route/shelter assignments, rather than the whole system performance.« less

Lightweight cryogenic-compatible pressure vessels for vehicular fuel storage

DOEpatents

Aceves, Salvador; Berry, Gene; Weisberg, Andrew H.

2004-03-23

A lightweight, cryogenic-compatible pressure vessel for flexibly storing cryogenic liquid fuels or compressed gas fuels at cryogenic or ambient temperatures. The pressure vessel has an inner pressure container enclosing a fuel storage volume, an outer container surrounding the inner pressure container to form an evacuated space therebetween, and a thermal insulator surrounding the inner pressure container in the evacuated space to inhibit heat transfer. Additionally, vacuum loss from fuel permeation is substantially inhibited in the evacuated space by, for example, lining the container liner with a layer of fuel-impermeable material, capturing the permeated fuel in the evacuated space, or purging the permeated fuel from the evacuated space.

Evacuating populations with special needs

DOT National Transportation Integrated Search

2009-04-01

Evacuation operations are conducted under the authority of, and based on decisions by, local and state authorities. The purpose of this primer, Evacuating Populations with Special Needs, is to provide local and state emergency managers, government of...

StarTram: An Ultra Low Cost Launch System to Enable Large Scale Exploration of the Solar System

NASA Astrophysics Data System (ADS)

Powell, James; Maise, George; Paniagua, John

2006-01-01

StarTram is a new approach for low launch to space using Maglev technology. Spacecraft are magnetically levitated and accelerated without propellants to orbital speeds in an evacuated tunnel at ground level using only electrical energy. The cost of the electric energy for acceleration to 8 kilometers per second is only 60 cents per kilogram of payload. After reaching orbital speed, the StarTram spacecraft coast upwards inside an evacuated levitated launch tube to an altitude, of 10 kilometers or more, where they enter the low-pressure ambient atmosphere. The launch tube is magnetically levitated by the repulsive force between a set of high current superconducting cables on it and oppositely directed currents in a set of superconducting cables on the ground beneath. High strength Kevlar tethers anchor the launch tube against crosswinds and prevent it from moving laterally or vertically. A Magneto Hydro Dynamic (MHD) pump at the exit of the evacuated launch tube prevents air from entering the tube. Two StarTram systems are described, a high G (30G) system for cargo only launch and a moderate G (2.5 G) system for passenger/cargo spacecraft. StarTram's projected unit cost is $30 per kilogram of payload launched, including operating and amortization costs. A single StarTram facility could launch more than 100,000 tons of cargo per year and many thousands of passengers. StarTram would use existing superconductors and materials, together with Maglev technology similar to that now operating. The StarTram cargo launch system could be implemented by 2020 AD and the passenger system by 2030 AD.

Tsunami prevention and mitigation necessities and options derived from tsunami risk assessment in Indonesia

NASA Astrophysics Data System (ADS)

Post, J.; Zosseder, K.; Wegscheider, S.; Steinmetz, T.; Mück, M.; Strunz, G.; Riedlinger, T.; Anwar, H. Z.; Birkmann, J.; Gebert, N.

2009-04-01

Risk and vulnerability assessment is an important component of an effective End-to-End Tsunami Early Warning System and therefore contributes significantly to disaster risk reduction. Risk assessment is a key strategy to implement and design adequate disaster prevention and mitigation measures. The knowledge about expected tsunami hazard impacts, exposed elements, their susceptibility, coping and adaptation mechanisms is a precondition for the development of people-centred warning structures, local specific response and recovery policy planning. The developed risk assessment and its components reflect the disaster management cycle (disaster time line) and cover the early warning as well as the emergency response phase. Consequently the components hazard assessment, exposure (e.g. how many people/ critical facilities are affected?), susceptibility (e.g. are the people able to receive a tsunami warning?), coping capacity (are the people able to evacuate in time?) and recovery (are the people able to restore their livelihoods?) are addressed and quantified. Thereby the risk assessment encompasses three steps: (i) identifying the nature, location, intensity and probability of potential tsunami threats (hazard assessment); (ii) determining the existence and degree of exposure and susceptibility to those threats; and (iii) identifying the coping capacities and resources available to address or manage these threats. The paper presents results of the research work, which is conducted in the framework of the GITEWS project and the Joint Indonesian-German Working Group on Risk Modelling and Vulnerability Assessment. The assessment methodology applied follows a people-centred approach to deliver relevant risk and vulnerability information for the purposes of early warning and disaster management. The analyses are considering the entire coastal areas of Sumatra, Java and Bali facing the Sunda trench. Selected results and products like risk maps, guidelines, decision support information and other GIS products will be presented. The focus of the products is on the one hand to provide relevant risk assessment products as decision support to issue a tsunami warning within the early warning stage. On the other hand the maps and GIS products shall provide relevant information to enable local decision makers to act adequately concerning their local risks. It is shown that effective prevention and mitigation measures can be designed based on risk assessment results and information especially when used pro-active and beforehand a disaster strikes. The conducted hazard assessment provides the probability of an area to be affected by a tsunami threat divided into two ranked impact zones. The two divided impact zones directly relate to tsunami warning levels issued by the Early Warning Center and consequently enable the local decision maker to base their planning (e.g. evacuation) accordingly. Within the tsunami hazard assessment several hundred pre-computed tsunami scenarios are analysed. This is combined with statistical analysis of historical event data. Probabilities of tsunami occurrence considering probabilities of different earthquake magnitudes, occurrences of specific wave heights at coast and spatial inundation probability are computed. Hazard assessment is then combined with a comprehensive vulnerability assessment. Here deficits in e.g. people's ability to receive and understand a tsunami warning and deficits in their ability to respond adequately (evacuate on time) are quantified and are visualized for the respective coastal areas. Hereby socio-economic properties (determining peoples ability to understand a warning and to react) are combined with environmental conditions (land cover, slope, population density) to calculate the time needed to evacuate (reach a tsunami safe area derived through the hazard assessment). This is implemented using a newly developed GIS cost-distance weighting approach. For example, the amount of people affected in a certain area is dependent on expected tsunami intensity, inundated area, estimated tsunami arrival time and available time for evacuation. Referring to the Aceh 2004 Tsunami, an estimated amount of people affected (dead/injured) of 21000 for Kabubaten Aceh Jaya and 85000 for Kab. Banda Aceh is in a comparable range with reported values of 19661 and 78417 (JICA 2005) respectively. Hence the established methodology provides reliable estimates of people affected and people's ability to reach a safe area. Based on the spatial explicit detection of e.g. high tsunami risk areas (and the assessed root causes therefore), specific disaster risk reduction and early warning strategies can be designed. For example additional installation of technical warning dissemination device, community based preparedness and awareness programmes (education), structural and non-structural measures (e.g. land use conversion, coastal engineering), effective evacuation, contingency and household recovery aid planning can be employed and/or optimized within high tsunami risk areas as a first priority. In the context of early warning, spatially distributed information like degree of expected hazard impact, exposure of critical facilities (e.g. hospitals, schools), potential people dead/injured depending on available response times, location of safe and shelter areas can be disseminated and used for decision making. Keywords: Tsunami risk, hazard and vulnerability assessment, early warning, tsunami mitigation and prevention, Indonesia

Participatory action research methodology in disaster research: results from the World Trade Center evacuation study.

PubMed

Gershon, Robyn R M; Rubin, Marcie S; Qureshi, Kristine A; Canton, Allison N; Matzner, Frederick J

2008-10-01

Participatory action research (PAR) methodology is an effective tool in identifying and implementing risk-reduction interventions. It has been used extensively in occupational health research, but not, to our knowledge, in disaster research. A PAR framework was incorporated into the World Trade Center evacuation study, which was designed to identify the individual, organizational, and structural (environmental) factors that affected evacuation from the World Trade Center Towers 1 and 2 on September 11, 2001. PAR teams-comprising World Trade Center evacuees, study investigators, and expert consultants-worked collaboratively to develop a set of recommendations designed to facilitate evacuation from high-rise office buildings and reduce risk of injury among evacuees. Two PAR teams worked first separately and then collectively to identify data-driven strategies for improvement of high-rise building evacuation. The teams identified interventions targeting individual, organizational, and structural (environmental) barriers to safe and rapid evacuation. PAR teams were effective in identifying numerous feasible and cost-effective strategies for improvement of high-rise emergency preparedness and evacuation. This approach may have utility in other workplace disaster prevention planning and response programs.

How to simulate pedestrian behaviors in seismic evacuation for vulnerability reduction of existing buildings

NASA Astrophysics Data System (ADS)

Quagliarini, Enrico; Bernardini, Gabriele; D'Orazio, Marco

2017-07-01

Understanding and representing how individuals behave in earthquake emergencies would be essentially to assess the impact of vulnerability reduction strategies on existing buildings in seismic areas. In fact, interactions between individuals and the scenario (modified by the earthquake occurrence) are really important in order to understand the possible additional risks for people, especially during the evacuation phase. The current approach is based on "qualitative" aspects, in order to define best practice guidelines for Civil Protection and populations. On the contrary, a "quantitative" description of human response and evacuation motion in similar conditions is urgently needed. Hence, this work defines the rules for pedestrians' earthquake evacuation in urban scenarios, by taking advantages of previous results of real-world evacuation analyses. In particular, motion laws for pedestrians is defined by modifying the Social Force model equation. The proposed model could be used for evaluating individuals' evacuation process and so for defining operative strategies for interferences reduction in critical urban fabric parts (e.g.: interventions on particular buildings, evacuation strategies definition, city parts projects).

Selfishness- and Selflessness-based models of pedestrian room evacuation

NASA Astrophysics Data System (ADS)

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

2016-04-01

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

Tsunami evacuation plans for future megathrust earthquakes in Padang, Indonesia, considering stochastic earthquake scenarios

NASA Astrophysics Data System (ADS)

Muhammad, Ario; Goda, Katsuichiro; Alexander, Nicholas A.; Kongko, Widjo; Muhari, Abdul

2017-12-01

This study develops tsunami evacuation plans in Padang, Indonesia, using a stochastic tsunami simulation method. The stochastic results are based on multiple earthquake scenarios for different magnitudes (Mw 8.5, 8.75, and 9.0) that reflect asperity characteristics of the 1797 historical event in the same region. The generation of the earthquake scenarios involves probabilistic models of earthquake source parameters and stochastic synthesis of earthquake slip distributions. In total, 300 source models are generated to produce comprehensive tsunami evacuation plans in Padang. The tsunami hazard assessment results show that Padang may face significant tsunamis causing the maximum tsunami inundation height and depth of 15 and 10 m, respectively. A comprehensive tsunami evacuation plan - including horizontal evacuation area maps, assessment of temporary shelters considering the impact due to ground shaking and tsunami, and integrated horizontal-vertical evacuation time maps - has been developed based on the stochastic tsunami simulation results. The developed evacuation plans highlight that comprehensive mitigation policies can be produced from the stochastic tsunami simulation for future tsunamigenic events.

Using highways during notice evacuations operations.

DOT National Transportation Integrated Search

2006-12-01

Evacuations may involve hundreds or hundreds of thousands of people. regardless of the numbers, in each and every instance, the transportation network plays a key role in evacuating people out of harms way. recognizing the unique challenges posed ...

Evacuation and rescue in automated guideway transit. Volume 2 : guidebook

DOT National Transportation Integrated Search

1979-12-01

Evacuation and rescue are significant problems in all transportation systems. : Serious injuries and loss of life can result from situations in which inadequate : means of evacuating and rescuing passengers exist. In conventional transporlation : sys...

Evacuation and Rescue in Automated Guideway Transit : Volume 2. Guidebook.

DOT National Transportation Integrated Search

1979-12-01

Evacuation and rescue are significant problems in all transportation systems. Serious injuries and loss of life can result from situations in which inadequate means of evacuating and rescuing passengers exist. In conventional transporlation systems, ...

Evacuation simulation with consideration of obstacle removal and using game theory

NASA Astrophysics Data System (ADS)

Lin, Guan-Wen; Wong, Sai-Keung

2018-06-01

In this paper, we integrate a cellular automaton model with game theory to simulate crowd evacuation from a room with consideration of obstacle removal. The room has one or more exits, one of which is blocked by obstacles. The obstacles at the exit can be removed by volunteers. We investigate the cooperative and defective behaviors of pedestrians during evacuation. The yielder game and volunteer's dilemma game are employed to resolve interpedestrian conflict. An anticipation floor field is proposed to guide the pedestrians to avoid obstacles that are being removed. We conducted experiments to determine how a variety of conditions affect overall crowd evacuation and volunteer evacuation times. The conditions were the start time of obstacle removal, number of obstacles, placement of obstacles, time spent in obstacle removal, strength of the anticipation floor field, and obstacle visibility distance. We demonstrate how reciprocity can be achieved among pedestrians and increases the efficiency of the entire evacuation process.

Effect of authority figures for pedestrian evacuation at metro stations

NASA Astrophysics Data System (ADS)

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

2017-01-01

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

Usability and Visual Communication for Southern California Tsunami Evacuation Information: The importance of information design in disaster risk management

NASA Astrophysics Data System (ADS)

Jaenichen, C.; Schandler, S.; Wells, M.; Danielsen, T.

2015-12-01

Evacuation behavior, including participation and response, is rarely an individual and isolated process and the outcomes are usually systemic. Ineffective evacuation information can easily attribute to delayed evacuation response. Delays increase demands on already extended emergency personal, increase the likelihood of traffic congestion, and can cause harm to self and property. From an information design perspective, addressing issues in cognitive recall and emergency psychology, this case study examines evacuation messaging including written, audio, and visual presentation of information, and describes the application of design principles and role of visual communication for Southern California tsunami evacuation outreach. The niche of this project is the inclusion of cognitive processing as the driving influence when making formal design decisions and measurable data from a 4-year cognitive recall study to support the solution. Image included shows a tsunami evacaution map before and after the redesign.

NIRS external dose estimation system for Fukushima residents after the Fukushima Dai-ichi NPP accident

NASA Astrophysics Data System (ADS)

Akahane, Keiichi; Yonai, Shunsuke; Fukuda, Shigekazu; Miyahara, Nobuyuki; Yasuda, Hiroshi; Iwaoka, Kazuki; Matsumoto, Masaki; Fukumura, Akifumi; Akashi, Makoto

2013-04-01

The great east Japan earthquake and subsequent tsunamis caused Fukushima Dai-ichi Nuclear Power Plant (NPP) accident. National Institute of Radiological Sciences (NIRS) developed the external dose estimation system for Fukushima residents. The system is being used in the Fukushima health management survey. The doses can be obtained by superimposing the behavior data of the residents on the dose rate maps. For grasping the doses, 18 evacuation patterns of the residents were assumed by considering the actual evacuation information before using the survey data. The doses of the residents from the deliberate evacuation area were relatively higher than those from the area within 20 km radius. The estimated doses varied from around 1 to 6 mSv for the residents evacuated from the representative places in the deliberate evacuation area. The maximum dose in 18 evacuation patterns was estimated to be 19 mSv.

Household evacuation characteristics in American Samoa during the 2009 Samoa Islands tsunami

USGS Publications Warehouse

Apatu, Emma J. I.; Gregg, Chris E.; Wood, Nathan J.; Wang, Liang

2016-01-01

Tsunamis represent significant threats to human life and development in coastal communities. This quantitative study examines the influence of household characteristics on evacuation actions taken by 211 respondents in American Samoa who were at their homes during the 29 September 2009 Mw 8.1 Samoa Islands earthquake and tsunami disaster. Multiple logistic regression analysis of survey data was used to examine the association between evacuation and various household factors. Findings show that increases in distance to shoreline were associated with a slightly decreased likelihood of evacuation, whereas households reporting higher income had an increased probability of evacuation. The response in American Samoa was an effective one, with only 34 fatalities in a tsunami that reached shore in as little as 15 minutes. Consequently, future research should implement more qualitative study designs to identify event and cultural specific determinants of household evacuation behaviour to local tsunamis.

Study on queueing behavior in pedestrian evacuation by extended cellular automata model

NASA Astrophysics Data System (ADS)

Hu, Jun; You, Lei; Zhang, Hong; Wei, Juan; Guo, Yangyong

2018-01-01

This paper proposes a pedestrian evacuation model for effective simulation of evacuation efficiency based on extended cellular automata. In the model, pedestrians' momentary transition probability to a target position is defined in terms of the floor field and queueing time, and the critical time is defined as the waiting time threshold in a queue. Queueing time and critical time are derived using Fractal Brownian Motion through analysis of pedestrian arrival characteristics. Simulations using the platform and actual evacuations were conducted to study the relationships among system evacuation time, average system velocity, pedestrian density, flow rate, and critical time. The results demonstrate that at low pedestrian density, evacuation efficiency can be improved through adoption of the shortest route strategy, and critical time has an inverse relationship with average system velocity. Conversely, at higher pedestrian densities, it is better to adopt the shortest queueing time strategy, and critical time is inversely related to flow rate.

NIRS external dose estimation system for Fukushima residents after the Fukushima Dai-ichi NPP accident.

PubMed

Akahane, Keiichi; Yonai, Shunsuke; Fukuda, Shigekazu; Miyahara, Nobuyuki; Yasuda, Hiroshi; Iwaoka, Kazuki; Matsumoto, Masaki; Fukumura, Akifumi; Akashi, Makoto

2013-01-01

The great east Japan earthquake and subsequent tsunamis caused Fukushima Dai-ichi Nuclear Power Plant (NPP) accident. National Institute of Radiological Sciences (NIRS) developed the external dose estimation system for Fukushima residents. The system is being used in the Fukushima health management survey. The doses can be obtained by superimposing the behavior data of the residents on the dose rate maps. For grasping the doses, 18 evacuation patterns of the residents were assumed by considering the actual evacuation information before using the survey data. The doses of the residents from the deliberate evacuation area were relatively higher than those from the area within 20 km radius. The estimated doses varied from around 1 to 6 mSv for the residents evacuated from the representative places in the deliberate evacuation area. The maximum dose in 18 evacuation patterns was estimated to be 19 mSv.

[Association between evacuation condition and habitual physical activity in Great East Japan Earthquake evacuees: The Fukushima Health Management Survey].

PubMed

Nagai, Masato; Ohira, Tetsuya; Yasumura, Seiji; Takahashi, Hideto; Yuki, Michiko; Nakano, Hironori; Wen, Zhang; Yabe, Hirooki; Ohtsuru, Akira; Maeda, Masaharu; Takase, Kanae

2016-01-01

Objectives: Prevalence of life-style disease has increased dramatically in evacuees due to the Great East Japan Earthquake. One reason may be that physical activity level decreased from life environment changes due to evacuation. However, associations between evacuation condition and habitual physical activity have not been studied. We examined this association in Fukushima residents who participated in the Fukushima Health Management Survey. Methods: In this study, 37,843 evacuees from 13 municipal evacuation zones from the nuclear-power accident caused by the Great East Japan Earthquake, born before April 1, 1995, were included in the analysis. Evacuation condition was defined by disaster living place (13 zones), evacuation place (inside or outside the prefecture), and current living status (evacuation shelter or temporary housing, rental housing/ apartment, and relative's home or own home). Habitual physical activity was defined from self-administered questionnaires as participants who responded "almost every day" and "2-4 times/week" of regular exercise. In the analysis, habitual physical activity prevalence was aggregated by gender and variables (living place in the disaster, evacuation place, and current living status). Prevalence was adjusted for age, disaster living place, evacuation place, and current living status by standard analysis of covariance methods. Results: Adjusted prevalences of habitual physical activity were: men, 27.9-46.5%; women, 27.0-43.7% in each disaster living place. The differences were 18.6% point in men and 16.7% point in women. For evacuation place, physical activity outside the prefecture for men (37.7%) and inside the prefecture for women (32.1%) were higher, but those differences were only 2.2% point and 1.8% point in men and women, respectively. For current living status, physical activity of those in rental housing/ apartment was the lowest; evacuation shelter or temporary housing was the highest in both genders (men: 38.9%, women: 36.7%). Compared with residents in evacuation shelter or temporary housing, those in rental housing/apartment were 5.4% point and 7.1% point lower and those in relative's home or own home were 2.0% point and 4.2% point lower in men and women. Conclusion: Habitual physical activity in residents who lived in 13 municipal evacuation zone differed by disaster living place and current living status, while it was similar regardless of placement in the prefecture. In particular, prevalence was the lowest in participants who lived in rental housing/ apartment. We need to plan and perform additional life-style disease prevention strategies for participants who become isolated.

3D Building Evacuation Route Modelling and Visualization

NASA Astrophysics Data System (ADS)

Chan, W.; Armenakis, C.

2014-11-01

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

An Integrated Approach to Modeling Evacuation Behavior

DOT National Transportation Integrated Search

2011-02-01

A spate of recent hurricanes and other natural disasters have drawn a lot of attention to the evacuation decision of individuals. Here we focus on evacuation models that incorporate two economic phenomena that seem to be increasingly important in exp...

The U.S. Air Force Aeromedical Evacuation Mission: A Mission for the Air Reserve Components

DTIC Science & Technology

2016-02-01

AU/ACSC/2016 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY THE U.S. AIR FORCE AEROMEDICAL EVACUATION MISSION: A MISSION FOR THE AIR RESERVE...Aeromedical Evacuation ............................................................................................................. 7 The Current Problem...13 Evaluation

Evacuation transportation management : task five : operational concept.

DOT National Transportation Integrated Search

2009-06-26

Much of what is known about evacuations is based on preparations for incidents, such as hurricanes, for which there is advance warning. With advance warning, evacuations can be planned and managed using procedures and systems that have been developed...

Evacuation transportation management. Task five, Operational concept

DOT National Transportation Integrated Search

2006-01-01

Much of what is known about evacuations is based on preparations for incidents, such as hurricanes, for which there is advance warning. With advance warning, evacuations can be planned and managed using procedures and systems that have been developed...

Suicide Rates in Evacuation Areas After the Fukushima Daiichi Nuclear Disaster.

PubMed

Orui, Masatsugu; Suzuki, Yuriko; Maeda, Masaharu; Yasumura, Seiji

2018-04-05

Associations between nuclear disasters and suicide have been examined to a limited extent. To clarify the suicide rates in evacuation areas after the nuclear disaster in Fukushima, which occurred in March 2011. This descriptive study used monthly data from vital statistics between March 2009 and December 2015. Suicide rates in areas to which evacuation orders had been issued, requiring across-the-board, compulsory evacuation of residents from the entire or part of municipalities, were obtained and compared with the national average. Male suicide rates in evacuation areas increased significantly immediately after the disaster, and then began to increase again 4 years after the disaster. Female suicide rates declined slightly during the first year and then increased significantly over the subsequent 3-year period. Moreover, male rates in areas where evacuation orders were issued for the total area declined over the course of approximately 2 years, but then began to increase thereafter. Analysis by age revealed postdisaster male rates in evacuation areas decreased for those aged 50-69 years and increased for those aged ≤ 29 years and ≥ 70 years. The number of suicides among females and the female population in the evacuation area was small. Our findings suggest the need to keep in mind that, when providing post-disaster mental health services, suicide rates can eventually increase even if they initially decrease.

Leveraging Twitter to gauge evacuation compliance: Spatiotemporal analysis of Hurricane Matthew.

PubMed

Martín, Yago; Li, Zhenlong; Cutter, Susan L

2017-01-01

Hurricane Matthew was the deadliest Atlantic storm since Katrina in 2005 and prompted one of the largest recent hurricane evacuations along the Southeastern coast of the United States. The storm and its projected landfall triggered a massive social media reaction. Using Twitter data, this paper examines the spatiotemporal variability in social media response and develops a novel approach to leverage geotagged tweets to assess the evacuation responses of residents. The approach involves the retrieval of tweets from the Twitter Stream, the creation and filtering of different datasets, and the statistical and spatial processing and treatment to extract, plot and map the results. As expected, peak Twitter response was reached during the pre-impact and preparedness phase, and decreased abruptly after the passage of the storm. A comparison between two time periods-pre-evacuation (October 2th-4th) and post-evacuation (October 7th-9th)-indicates that 54% of Twitter users moved away from the coast to a safer location, with observed differences by state on the timing of the evacuation. A specific sub-state analysis of South Carolina illustrated overall compliance with evacuation orders and detailed information on the timing of departure from the coast as well as the destination location. These findings advance the use of big data and citizen-as-sensor approaches for public safety issues, providing an effective and near real-time alternative for measuring compliance with evacuation orders.

Emergency communications for evacuation (EVAC) in New Orleans impact assessment report.

DOT National Transportation Integrated Search

2015-05-01

This document constitutes the Impact Assessment Report for Emergency Communications for Evacuation (EVAC) in New Orleans. Response, Emergency Staging and Communications, Uniform Management, and Evacuation (R.E.S.C.U.M.E.) is a bundle of applications ...

Evacuation and rescue in automated guideway transit. Volume 1 : data collection, scenarios, and evaluation

DOT National Transportation Integrated Search

1979-12-01

Evacuation and rescue are significant problems in all transportation systems. Serious injuries and loss of life can result from situations in which inadequate means of evacuating and rescuing passengers exist. In conventional transportation systems, ...

Evacuation transportation management : task four: interview and survey results.

DOT National Transportation Integrated Search

2006-06-26

Much of what is known about evacuations is based on preparations for incidents, such as hurricanes, for which there is advance warning. With advance warning, evacuations can be planned and managed using procedures and systems that have been developed...

Using highways during evacuation operations for events with advance notice

DOT National Transportation Integrated Search

2006-12-01

This document constitutes the first of a primer series titled 'Routes to Effective Evacuation planning' and covers the use of the highway system during evacuation operations when advance planning is possible [...] This is a basic-level guide on condu...

Evacuation transportation management. Task four, Interview and survey results

DOT National Transportation Integrated Search

2006-01-01

Much of what is known about evacuations is based on preparations for incidents, such as hurricanes, for which there is advance warning. With advance warning, evacuations can be planned and managed using procedures and systems that have been developed...

"Operation Workload" : a study of passenger energy expenditure during an emergency evacuation.

DOT National Transportation Integrated Search

1989-03-01

In an earlier study at the Civil Aeromedical Institute, workloads were determined for passengers during an emergency evacuation. The evacuation tests were conducted in an orderly manner and were suggested as representative of a moderate workload. The...

Simulation and monitoring tools to protect disaster management facilities against earthquakes

NASA Astrophysics Data System (ADS)

Saito, Taiki

2017-10-01

The earthquakes that hit Kumamoto Prefecture in Japan on April 14 and 16, 2016 severely damaged over 180,000 houses, including over 8,000 that were completely destroyed and others that were partially damaged according to the Cabinet Office's report as of November 14, 2016 [1]. Following these earthquakes, other parts of the world have been struck by earthquakes including Italy and New Zealand as well as the central part of Tottori Prefecture in October, where the earthquake-induced collapse of buildings has led to severe damage and casualties. The earthquakes in Kumamoto Prefecture, in fact, damaged various disaster management facilities including Uto City Hall, which significantly hindered the city's evacuation and recovery operations. One of the most crucial issues in times of disaster is securing the functions of disaster management facilities such as city halls, hospitals and fire stations. To address this issue, seismic simulations are conducted on the East and the West buildings of Toyohashi City Hall using the analysis tool developed by the author, STERA_3D, with the data of the ground motion waveform prediction for the Nankai Trough earthquake provided by the Ministry of Land, Infrastructure, Transport and Tourism. As the result, it was found that the buildings have sufficient earthquake resistance. It turned out, however, that the west building is at risk for wall cracks or ceiling panel's collapse while in the east building, people would not be able to stand through the strong quakes of 7 on the seismic intensity scale and cabinets not secured to the floors or walls would fall over. Additionally, three IT strong-motion seismometers were installed in the city hall to continuously monitor vibrations. Every five minutes, the vibration data obtained by the seismometers are sent to the computers in Toyohashi University of Technology via the Internet for the analysis tools to run simulations in the cloud. If an earthquake strikes, it is able to use the results of the simulations to assess whether it is safe to continue using the buildings. There is a plan to implement more measures against earthquakes, for example by having additional monitoring locations including fire stations and evacuation facilities, and installing a dedicated line for disaster prevention. Accumulating real-time data in the cloud can also improve the accuracy of the simulations.

Reasons for medical evacuations of soldiers serving in International Security Assistance Force (ISAF) operation in Afghanistan.

PubMed

Korzeniewski, Krzysztof; Gregulski, Robert

2014-01-01

The article presents the results of a research study into the reasons for medical evacuations of Polish military personnel taking part in the International Security Assistance Force (ISAF) operation in Afghanistan from 2007 to 2013. The authors have analysed medical records of 485 soldiers who were medically evacuated out of a combat zone in Afghanistan for battle injuries, non-battle injuries and diseases. Each medically evacuated Polish soldier was subjected to statistical analysis. The study population comprised 25,974 soldiers assigned to the Polish Military Contingent Afghanistan in the given period. From 2007 to 2013, 1.9% of the Polish military personnel (n = 485) participating in the ISAF operation in Afghanistan were evacuated for medical reasons before the scheduled termination of their contract. 40.6% of all medical evacuations were due to battle injuries, 32.4% due to non-battle injuries, and 27.0% due to diseases. ISAF is an example of a combat operation, in which battle injuries remain the leading health problem in mission participants. 3 of 4 Polish soldiers who were medically evacuated from Afghanistan were no longer fit for military service in the area of operations due to the traumas they had suffered.

Modeling hurricane evacuation traffic : evaluation of freeway contraflow evacuation initiation and termination point configurations.

DOT National Transportation Integrated Search

2010-06-01

Over the last five years, the departments of transportation in 12 coastal states threatened by hurricanes have developed plans for the implementation of contraflow traffic operations on freeways during evacuations. Contraflow involves the use of one ...

Modeling hurricane evacuation traffic : a mobile real-time traffic counter for monitoring hurricane evacuation traffic conditions.

DOT National Transportation Integrated Search

2006-04-01

In this research report, an investigation was conducted to identify a suitable traffic monitoring device for collecting traffic data during actual emergency evacuation conditions that may result from hurricanes in Louisiana. The study reviewed thorou...

A review of computer evacuation models and their data needs.

DOT National Transportation Integrated Search

1994-05-01

This document reviews the history and current status of computer models of the evacuation of an airliner cabin. Basic concepts upon which evacuation models are based are discussed, followed by a review of the Civil Aerospace Medical Institute s effor...

Integrating supply and demand aspects of transportation for mass evacuation under disasters.

DOT National Transportation Integrated Search

2009-10-15

This study seeks to address real-time operational needs in the context of the evacuation response problem by providing a capability to dynamically route vehicles under evacuation, thereby being responsive to the actual conditions unfolding in real-ti...

Modeling hurricane evacuation traffic : evaluation of freeway contraflow evacuation initiation and termination point configurations.

DOT National Transportation Integrated Search

2006-06-01

Over the last 5 years, the Departments of Transportation in 12 coastal states threatened by hurricanes have developed plans for the implementation of contraflow traffic operations on freeways during evacuations. Contraflow involves the use of one or ...

Development of a time-dependent hurricane evacuation model for the New Orleans area : [technical summary].

DOT National Transportation Integrated Search

2013-01-01

When hurricanes threaten coastal cities, the most eff ective strategy to mitigate mortality is to evacuate the population : at risk. However, public offi cials face several transportation challenges when managing evacuations from a large city : like ...

KAMEDO Report No. 92: Evacuation of Swedes from Lebanon--observational studies in connection with the war in Lebanon in summer 2006.

PubMed

Kulling, Per; Sigurdsson, Susannah; Hamberger, Bertil

2008-01-01

A large-scale armed conflict between Hezbollah and Israel in July 2006 caused the evacuation of a large number of Swedish residents from Lebanon. This report describes the evacuation throughout its various stages. Swedish authorities were prepared for an event of this type from the experience of the 2004 Asian tsunami disaster. Lessons learned from the management and medical care during the evacuations are presented in this report.

Anal gas evacuation and colonic microbiota in patients with flatulence: effect of diet.

PubMed

Manichanh, Chaysavanh; Eck, Anat; Varela, Encarna; Roca, Joaquim; Clemente, José C; González, Antonio; Knights, Dan; Knight, Rob; Estrella, Sandra; Hernandez, Carlos; Guyonnet, Denis; Accarino, Anna; Santos, Javier; Malagelada, Juan-R; Guarner, Francisco; Azpiroz, Fernando

2014-03-01

To characterise the influence of diet on abdominal symptoms, anal gas evacuation, intestinal gas distribution and colonic microbiota in patients complaining of flatulence. Patients complaining of flatulence (n=30) and healthy subjects (n=20) were instructed to follow their usual diet for 3 days (basal phase) and to consume a high-flatulogenic diet for another 3 days (challenge phase). During basal phase, patients recorded more abdominal symptoms than healthy subjects in daily questionnaires (5.8±0.3 vs 0.4±0.2 mean discomfort/pain score, respectively; p=<0.0001) and more gas evacuations by an event marker (21.9±2.8 vs 7.4±1.0 daytime evacuations, respectively; p=0.0001), without differences in the volume of gas evacuated after a standard meal (262±22 and 265±25 mL, respectively). On flatulogenic diet, both groups recorded more abdominal symptoms (7.9±0.3 and 2.8±0.4 discomfort/pain, respectively), number of gas evacuations (44.4±5.3 and 21.7±2.9 daytime evacuations, respectively) and had more gas production (656±52 and 673±78 mL, respectively; p<0.05 vs basal diet for all). When challenged with flatulogenic diet, patients' microbiota developed instability in composition, exhibiting variations in the main phyla and reduction of microbial diversity, whereas healthy subjects' microbiota were stable. Taxa from Bacteroides fragilis or Bilophila wadsworthia correlated with number of gas evacuations or volume of gas evacuated, respectively. Patients complaining of flatulence have a poor tolerance of intestinal gas, which is associated with instability of the microbial ecosystem.

Developing Tsunami Evacuation Plans, Maps, And Procedures: Pilot Project in Central America

NASA Astrophysics Data System (ADS)

Arcos, N. P.; Kong, L. S. L.; Arcas, D.; Aliaga, B.; Coetzee, D.; Leonard, J.

2015-12-01

In the End-to-End tsunami warning chain, once a forecast is provided and a warning alert issued, communities must know what to do and where to go. The 'where to' answer would be reliable and practical community-level tsunami evacuation maps. Following the Exercise Pacific Wave 2011, a questionnaire was sent to the 46 Member States of Pacific Tsunami Warning System (PTWS). The results revealed over 42 percent of Member States lacked tsunami mass coastal evacuation plans. Additionally, a significant gap in mapping was exposed as over 55 percent of Member States lacked tsunami evacuation maps, routes, signs and assembly points. Thereby, a significant portion of countries in the Pacific lack appropriate tsunami planning and mapping for their at-risk coastal communities. While a variety of tools exist to establish tsunami inundation areas, these are inconsistent while a methodology has not been developed to assist countries develop tsunami evacuation maps, plans, and procedures. The International Tsunami Information Center (ITIC) and partners is leading a Pilot Project in Honduras demonstrating that globally standardized tools and methodologies can be applied by a country, with minimal tsunami warning and mitigation resources, towards the determination of tsunami inundation areas and subsequently community-owned tsunami evacuation maps and plans for at-risk communities. The Pilot involves a 1- to 2-year long process centered on a series of linked tsunami training workshops on: evacuation planning, evacuation map development, inundation modeling and map creation, tsunami warning & emergency response Standard Operating Procedures (SOPs), and conducting tsunami exercises (including evacuation). The Pilot's completion is capped with a UNESCO/IOC document so that other countries can replicate the process in their tsunami-prone communities.

Emergency evacuation study for the Greater Jackson Area : evacuation traffic from New Orleans.

DOT National Transportation Integrated Search

2011-05-21

In response to both natural and man-made disasters, more and more emergency evacuation plans have been put : forward and consistently aims to move a large disaster affected population through a highway network towards safer : areas as quickly and eff...

Dual effects of pedestrian density on emergency evacuation

NASA Astrophysics Data System (ADS)

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

2017-02-01

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

Household evacuation characteristics in American Samoa during the 2009 Samoa Islands tsunami.

PubMed

Apatu, Emma J I; Gregg, Chris E; Wood, Nathan J; Wang, Liang

2016-10-01

Tsunamis represent significant threats to human life and development in coastal communities. This quantitative study examines the influence of household characteristics on evacuation actions taken by 211 respondents in American Samoa who were at their homes during the 29 September 2009 Mw 8.1 Samoa Islands earthquake and tsunami disaster. Multiple logistic regression analysis of survey data was used to examine the association between evacuation and various household factors. Findings show that increases in distance to shoreline were associated with a slightly decreased likelihood of evacuation, whereas households reporting higher income had an increased probability of evacuation. The response in American Samoa was an effective one, with only 34 fatalities in a tsunami that reached shore in as little as 15 minutes. Consequently, future research should implement more qualitative study designs to identify event and cultural specific determinants of household evacuation behaviour to local tsunamis. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.

Pedestrian evacuation at the subway station under fire

NASA Astrophysics Data System (ADS)

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

2016-04-01

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

Operation Pied Piper: a geographical reappraisal of the impact of wartime evacuation on scarlet fever and diphtheria rates in England and Wales, 1939-1945.

PubMed

Smallman-Raynor, M R; Cliff, A D

2015-10-01

This paper examines the geographical impact of the British Government's wartime evacuation scheme on notified rates of two common acute childhood diseases (scarlet fever and diphtheria) in the 1470 local government districts of England and Wales, 1939-1945. Drawing on the notifications of communicable diseases collated by the General Register Office (GRO), we establish pre-war (baseline) disease rates for the 1470 districts. For the war years, techniques of binary logistic regression analysis are used to assess the associations between (a) above-baseline ('raised') disease rates in evacuation, neutral and reception districts and (b) the major phases of the evacuation scheme. The analysis demonstrates that the evacuation was temporally associated with distinct national and regional effects on notified levels of disease activity. These effects were most pronounced in the early years of the dispersal (1939-1941) and corresponded with initial levels of evacuation-related population change at the regional and district scales.

A fuzzy-theory-based behavioral model for studying pedestrian evacuation from a single-exit room

NASA Astrophysics Data System (ADS)

Fu, Libi; Song, Weiguo; Lo, Siuming

2016-08-01

Many mass events in recent years have highlighted the importance of research on pedestrian evacuation dynamics. A number of models have been developed to analyze crowd behavior under evacuation situations. However, few focus on pedestrians' decision-making with respect to uncertainty, vagueness and imprecision. In this paper, a discrete evacuation model defined on the cellular space is proposed according to the fuzzy theory which is able to describe imprecise and subjective information. Pedestrians' percept information and various characteristics are regarded as fuzzy input. Then fuzzy inference systems with rule bases, which resemble human reasoning, are established to obtain fuzzy output that decides pedestrians' movement direction. This model is tested in two scenarios, namely in a single-exit room with and without obstacles. Simulation results reproduce some classic dynamics phenomena discovered in real building evacuation situations, and are consistent with those in other models and experiments. It is hoped that this study will enrich movement rules and approaches in traditional cellular automaton models for evacuation dynamics.

Visitors’ awareness of the tsunami evacuation plan in Pasar Raya Padang, Indonesia

NASA Astrophysics Data System (ADS)

Kemal, B. M.; Yosritzal; Purnawan; Putra, H.

2018-04-01

This paper presents an investigation into the visitors’ awareness of the tsunami evacuation plan at Pasar Raya Padang, a traditional market at the central business district of Padang City, Indonesia. This study has been motivated by the fact that Pasar Raya Padang is the largest traditional market in West Sumatera and visited by many visitors from various origins. Pasar Raya Padang is chosen because it is located at a tsunami prone area, but local government managed to keep businesses in the area running and attract visitors. The awareness of the people in the market would be crucial to increase the possibility to safe their life during an evacuation. As much as 500 respondents were interviewed during daytime in the market. The study found that most of the visitors are not aware of the tsunami evacuation plan in the area. Local government is suggested to develop standard procedure for the evacuation, to place more sign and make it more visible for most of the visitors and do evacuation simulations periodically.

Development of a decision support system for tsunami evacuation: application to the Jiyang District of Sanya city in China

NASA Astrophysics Data System (ADS)

Hou, Jingming; Yuan, Ye; Wang, Peitao; Ren, Zhiyuan; Li, Xiaojuan

2017-03-01

Major tsunami disasters often cause great damage in the first few hours following an earthquake. The possible severity of such events requires preparations to prevent tsunami disasters or mitigate them. This paper is an attempt to develop a decision support system for rapid tsunami evacuation for local decision makers. Based on the numerical results database of tsunami disasters, this system can quickly obtain the tsunami inundation and travel time. Because numerical models are calculated in advance, this system can reduce decision-making time. Population distribution, as a vulnerability factor, was analyzed to identify areas of high risk for tsunami disasters. Combined with spatial data, this system can comprehensively analyze the dynamic and static evacuation process and identify problems that negatively impact evacuation, thus supporting the decision-making for tsunami evacuation in high-risk areas. When an earthquake and tsunami occur, this system can rapidly obtain the tsunami inundation and travel time and provide information to assist with tsunami evacuation operations.

Analysis of sheltering and evacuation strategies for an urban nuclear detonation scenario.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yoshimura, Ann S.; Brandt, Larry D.

2009-05-01

Development of an effective strategy for shelter and evacuation is among the most important planning tasks in preparation for response to a low yield, nuclear detonation in an urban area. This study examines shelter-evacuate policies and effectiveness focusing on a 10 kt scenario in Los Angeles. The goal is to provide technical insights that can support development of urban response plans. Results indicate that extended shelter-in-place can offer the most robust protection when high quality shelter exists. Where less effective shelter is available and the fallout radiation intensity level is high, informed evacuation at the appropriate time can substantially reducemore » the overall dose to personnel. However, uncertainties in the characteristics of the fallout region and in the exit route can make evacuation a risky strategy. Analyses indicate that only a relatively small fraction of the total urban population may experience significant dose reduction benefits from even a well-informed evacuation plan.« less

Application of Catastrophe Risk Modelling to Evacuation Public Policy

NASA Astrophysics Data System (ADS)

Woo, G.

2009-04-01

The decision by civic authorities to evacuate an area threatened by a natural hazard is especially fraught when the population in harm's way is extremely large, and where there is considerable uncertainty in the spatial footprint, scale, and strike time of a hazard event. Traditionally viewed as a hazard forecasting issue, civil authorities turn to scientists for advice on a potentially imminent dangerous event. However, the level of scientific confidence varies enormously from one peril and crisis situation to another. With superior observational data, meteorological and hydrological hazards are generally better forecast than geological hazards. But even with Atlantic hurricanes, the track and intensity of a hurricane can change significantly within a few hours. This complicated and delayed the decision to call an evacuation of New Orleans when threatened by Hurricane Katrina, and would present a severe dilemma if a major hurricane were appearing to head for New York. Evacuation needs to be perceived as a risk issue, requiring the expertise of catastrophe risk modellers as well as geoscientists. Faced with evidence of a great earthquake in the Indian Ocean in December 2004, seismologists were reluctant to give a tsunami warning without more direct sea observations. Yet, from a risk perspective, the risk to coastal populations would have warranted attempts at tsunami warning, even though there was significant uncertainty in the hazard forecast, and chance of a false alarm. A systematic coherent risk-based framework for evacuation decision-making exists, which weighs the advantages of an evacuation call against the disadvantages. Implicitly and qualitatively, such a cost-benefit analysis is undertaken by civic authorities whenever an evacuation is considered. With the progress in catastrophe risk modelling, such an analysis can be made explicit and quantitative, providing a transparent audit trail for the decision process. A stochastic event set, the core of a catastrophe risk model, is required to explore the casualty implications of different possible hazard scenarios, to assess the proportion of an evacuated population who would owe their lives to an evacuation, and to estimate the economic loss associated with an unnecessary evacuation. This paper will review the developing methodology for applying catastrophe risk modelling to support public policy in evacuation decision-making, and provide illustrations from across the range of natural hazards. Evacuation during volcanic crises is a prime example, recognizing the improving forecasting skill of volcanologists, now able to account probabilistically for precursory seismological, geodetic, and geochemical monitoring data. This methodology will be shown to help civic authorities make sounder risk-informed decisions on the timing and population segmentation of evacuation from both volcanoes and calderas, such as Vesuvius and Campi Flegrei, which are in densely populated urban regions.

Leveraging Twitter to gauge evacuation compliance: Spatiotemporal analysis of Hurricane Matthew

PubMed Central

Martín, Yago; Cutter, Susan L.

2017-01-01

Hurricane Matthew was the deadliest Atlantic storm since Katrina in 2005 and prompted one of the largest recent hurricane evacuations along the Southeastern coast of the United States. The storm and its projected landfall triggered a massive social media reaction. Using Twitter data, this paper examines the spatiotemporal variability in social media response and develops a novel approach to leverage geotagged tweets to assess the evacuation responses of residents. The approach involves the retrieval of tweets from the Twitter Stream, the creation and filtering of different datasets, and the statistical and spatial processing and treatment to extract, plot and map the results. As expected, peak Twitter response was reached during the pre-impact and preparedness phase, and decreased abruptly after the passage of the storm. A comparison between two time periods—pre-evacuation (October 2th-4th) and post-evacuation (October 7th-9th)—indicates that 54% of Twitter users moved away from the coast to a safer location, with observed differences by state on the timing of the evacuation. A specific sub-state analysis of South Carolina illustrated overall compliance with evacuation orders and detailed information on the timing of departure from the coast as well as the destination location. These findings advance the use of big data and citizen-as-sensor approaches for public safety issues, providing an effective and near real-time alternative for measuring compliance with evacuation orders. PMID:28753667

The impact of a major earthquake on the evacuation of the emergency planning zone of a nuclear power plant.

PubMed

Cohen, Rebecca; Weinisch, Kevin

2015-01-01

United States regulations require nuclear power plants (NPPs) to estimate the time needed to evacuate the emergency planning zone (EPZ, a circle with an approximate 10-mile radius centered at the NPP). These evacuation time estimate (ETE) studies are to be used by emergency personnel in the event of a radiological emergency. ETE studies are typically done using traffic simulation and evacuation models, based on traffic engineering algorithms that reflect congestion and delay. ETE studies are typically conducted assuming all evacuation routes are traversable. As witnessed in the Great East Japan Earthquake in March 2011, an earthquake and the ensuing tsunami can cause an incident at a NPP that requires an evacuation of the public. The earthquake and tsunami can also damage many of the available bridges and roadways and, therefore, impede evacuation and put people at risk of radiation exposure. This article presents a procedure, using traffic simulation and evacuation models, to estimate the impact on ETE due to bridge and roadway damage caused by a major earthquake, or similar hazardous event. The results of this analysis are used by emergency personnel to make protective action decisions that will minimize the exposure of radiation to the public. Additionally, the results allow emergency planners to ensure proper equipment and personnel are available for these types of events. Emergency plans are revised to ensure prompt response and recovery action during critical times.

Patella Fracture in US Servicemember in an Austere Location.

PubMed

Schermerhorn, Sophia M; Auchincloss, Paul J; Kraft, Kyle; Nelson, Kenneth J; Pamplin, Jeremy C

Review the management of a patient with acute patella fracture supported by telemedical consultation. Clinical Context: Regionally Aligned Forces (RAF) supporting US Army Africa/Southern European Task Force (USARAF/ SETAF) in Africa Command area of responsibility. Care was provided by a Role I facility on the compound. Organic Expertise: Three 68W combat medics; one Special Operations Combat Medic (SOCM). Closest Medical Support: Organic battalion physician assistant (PA) located in the United States; USARAF PA located in a European country; French Role II located in nearby West African country; telemedical consults via e-mail, phone, or videoteleconsultation. Earliest Evacuation: Estimated at 12 to 24 hours with appropriate clearances. 2018.

Aeromedical evacuation of the seriously ill.

PubMed Central

Oxer, H F

1975-01-01

Almost any patient may be carried by air, but air transport introduces some special problems owing to the effects of altitude, noise, turbulence, and the special environment. Because of these factors it is important to know when considering a patient's suitability for air transport the type of aircraft to be used, the flight profile--its duration and expected cabin altitudes--and the facilities available on board. It is essential to carry all equipment (as simple and as portable as possible), drugs, and diets that may be needed, and to be sure that all the skills and nursing help needed to deal with any possible problems are available. PMID:1182455

46 CFR 108.545 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Marine evacuation system launching arrangements. 108.545 Section 108.545 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system launching...

46 CFR 108.545 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Marine evacuation system launching arrangements. 108.545 Section 108.545 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system launching...

46 CFR 108.545 - Marine evacuation system launching arrangements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Marine evacuation system launching arrangements. 108.545 Section 108.545 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT Lifesaving Equipment § 108.545 Marine evacuation system launching...

Modeling hurricane evacuation traffic : development of a time-dependent hurricane evacuation demand model.

DOT National Transportation Integrated Search

2008-04-01

The objective of this research is to develop alternative time-dependent travel demand models of hurricane evacuation travel and to compare the performance of these models with each other and with the state-of-the-practice models in current use. Speci...

Atomic Oxygen Lamp Cleaning Facility Fabricated and Tested

NASA Technical Reports Server (NTRS)

Sechkar, Edward A.; Stueber, Thomas J.

1999-01-01

NASA Lewis Research Center's Atomic Oxygen Lamp Cleaning Facility was designed to produce an atomic oxygen plasma within a metal halide lamp to remove carbon-based contamination. It is believed that these contaminants contribute to the high failure rate realized during the production of these lamps. The facility is designed to evacuate a metal halide lamp and produce a radio frequency generated atomic oxygen plasma within it. Oxygen gas, with a purity of 0.9999 percent and in the pressure range of 150 to 250 mtorr, is used in the lamp for plasma generation while the lamp is being cleaned. After cleaning is complete, the lamp can be backfilled with 0.9999-percent pure nitrogen and torch sealed. The facility comprises various vacuum components connected to a radiation-shielded box that encloses the bulb during operation. Radiofrequency power is applied to the two parallel plates of a capacitor, which are on either side of the lamp. The vacuum pump used, a Leybold Trivac Type D4B, has a pumping speed of 4-m3/hr, has an ultimate pressure of <8x10-4, and is specially adapted for pure oxygen service. The electronic power supply, matching network, and controller (500-W, 13.56-MHz) used to supply the radiofrequency power were purchased from RF Power Products Inc. Initial test results revealed that this facility could remove the carbon-based contamination from within bulbs.

The accident at the Fukushima Daiichi Nuclear Power Plant in 2011.

PubMed

Tominaga, Takako; Hachiya, Misao; Tatsuzaki, Hideo; Akashi, Makoto

2014-06-01

A huge earthquake struck the northeast coast of the main island of Japan on 11 March 2011, triggering a tsunami with more than 10-m-high waves hitting the area. The earthquake was followed by numerous sustained aftershocks. The earthquake and aftershocks left almost 16,000 people dead and more than 2,800 missing (as of 11 March 2014). The earthquake affected the Fukushima Daiichi Nuclear Power Plant (NPP) of Tokyo Electric Power Company (TEPCO), causing serious damage to the NPP and resulting in large amounts of radioactive materials being released into not only controlled areas but also the environment. Damage was caused to the cooling systems of the NPP, although they automatically shut down after the earthquake. The trouble with the cooling systems led to hydrogen explosions and core meltdown. The major nuclides released on land were ¹³¹I, ¹³⁴Cs, and ¹³⁷Cs. The release of these radioactive materials resulted in contamination of first responders and workers and also a high ambient dose of radiation around the NPP. The local hospital system, including that for radiation emergency medicine, was dysfunctional. Hospitals that had been designated as radiation emergency facilities were not able to function because the earthquake and tsunami had caused damage to their facilities; some of these were located within a 20-km radius of the NPP and in the evacuation areas. Local fire department personnel were also ordered to evacuate. Fukushima prefecture changed the screening level required for decontamination from 13,000 to 100,000 cpm, with decontamination by wiping being performed for over 13,000 cpm. However, as hospitals and fire departments had to abide by lower levels than that of the prefecture for receiving or transporting contaminated patients, these personnel could not accept or transport contaminated people from the NPPs. In addition, hospitals not designated as radiation emergency facilities would not receive patients from the NPPs because of concerns about the health effects of radiation. From this disaster, it was learned that basic knowledge of radiation and its effects is extremely important for health care providers.

33 CFR 150.506 - When must the operator service inflatable lifesaving appliances and marine evacuation systems?

Code of Federal Regulations, 2010 CFR

2010-07-01

... inflatable lifesaving appliances and marine evacuation systems? 150.506 Section 150.506 Navigation and...: OPERATIONS Emergency and Specialty Equipment Inflatable Lifesaving Appliances § 150.506 When must the operator service inflatable lifesaving appliances and marine evacuation systems? (a) The operator must...

21 CFR 882.5850 - Implanted spinal cord stimulator for bladder evacuation.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Implanted spinal cord stimulator for bladder evacuation. 882.5850 Section 882.5850 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND....5850 Implanted spinal cord stimulator for bladder evacuation. (a) Identification. An implanted spinal...

21 CFR 882.5850 - Implanted spinal cord stimulator for bladder evacuation.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implanted spinal cord stimulator for bladder evacuation. 882.5850 Section 882.5850 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND....5850 Implanted spinal cord stimulator for bladder evacuation. (a) Identification. An implanted spinal...

28 CFR 0.154 - Advance and evacuation payments and special allowances.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Advance and evacuation payments and... Advance and evacuation payments and special allowances. The Director of the Federal Bureau of... Marshals Service, and the Director of the Office of Justice Assistance, Research and Statistics, as to...

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

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-17

... Extension of Existing Information Collection; Escape and Evacuation Plans (Pertains to Underground Metal and... and evacuation plan specifically addressing the unique conditions of each underground metal and... fans, primary fan controls, fire doors, ventilation doors, and refuge chambers; (2) Procedures to show...

Game-Based Evacuation Drill Using Augmented Reality and Head-Mounted Display

ERIC Educational Resources Information Center

Kawai, Junya; Mitsuhara, Hiroyuki; Shishibori, Masami

2016-01-01

Purpose: Evacuation drills should be more realistic and interactive. Focusing on situational and audio-visual realities and scenario-based interactivity, the authors have developed a game-based evacuation drill (GBED) system that presents augmented reality (AR) materials on tablet computers. The paper's current research purpose is to improve…

14 CFR 125.189 - Demonstration of emergency evacuation procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... the emergency evacuation procedures for each type and model of airplane with a seating of more than 44... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Demonstration of emergency evacuation procedures. 125.189 Section 125.189 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF...

14 CFR 121.570 - Airplane evacuation capability.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Airplane evacuation capability. 121.570... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.570 Airplane evacuation capability. (a) No person may cause an airplane carrying passengers to be moved on the surface, take off, or...

14 CFR 121.570 - Airplane evacuation capability.

Code of Federal Regulations, 2011 CFR

2011-01-01

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

14 CFR 121.570 - Airplane evacuation capability.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Airplane evacuation capability. 121.570... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.570 Airplane evacuation capability. (a) No person may cause an airplane carrying passengers to be moved on the surface, take off, or...

14 CFR 121.570 - Airplane evacuation capability.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Airplane evacuation capability. 121.570... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.570 Airplane evacuation capability. (a) No person may cause an airplane carrying passengers to be moved on the surface, take off, or...

14 CFR 121.570 - Airplane evacuation capability.

Code of Federal Regulations, 2010 CFR

2010-01-01

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

30 CFR 77.1101 - Escape and evacuation; plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

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

30 CFR 77.1101 - Escape and evacuation; plan.

Code of Federal Regulations, 2011 CFR

2011-07-01

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

30 CFR 57.4363 - Underground evacuation instruction.

Code of Federal Regulations, 2014 CFR

2014-07-01

... and evacuation plans and procedures and fire warning signals in effect at the mine. (b) Whenever a change is made in escape and evacuation plans and procedures for any area of the mine, all persons... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Fire...

30 CFR 77.1101 - Escape and evacuation; plan.

Code of Federal Regulations, 2013 CFR

2013-07-01

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

30 CFR 57.4363 - Underground evacuation instruction.

Code of Federal Regulations, 2013 CFR

2013-07-01

... and evacuation plans and procedures and fire warning signals in effect at the mine. (b) Whenever a change is made in escape and evacuation plans and procedures for any area of the mine, all persons... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Fire...

30 CFR 57.4363 - Underground evacuation instruction.

Code of Federal Regulations, 2011 CFR

2011-07-01

... and evacuation plans and procedures and fire warning signals in effect at the mine. (b) Whenever a change is made in escape and evacuation plans and procedures for any area of the mine, all persons... NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Fire...

30 CFR 77.1101 - Escape and evacuation; plan.

Code of Federal Regulations, 2014 CFR

2014-07-01

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

Empirical study on social groups in pedestrian evacuation dynamics

NASA Astrophysics Data System (ADS)

von Krüchten, Cornelia; Schadschneider, Andreas

2017-06-01

Pedestrian crowds often include social groups, i.e. pedestrians that walk together because of social relationships. They show characteristic configurations and influence the dynamics of the entire crowd. In order to investigate the impact of social groups on evacuations we performed an empirical study with pupils. Several evacuation runs with groups of different sizes and different interactions were performed. New group parameters are introduced which allow to describe the dynamics of the groups and the configuration of the group members quantitatively. The analysis shows a possible decrease of evacuation times for large groups due to self-ordering effects. Social groups can be approximated as ellipses that orientate along their direction of motion. Furthermore, explicitly cooperative behaviour among group members leads to a stronger aggregation of group members and an intermittent way of evacuation.

Transperineal ultrasound compared to evacuation proctography for diagnosing enteroceles and intussusceptions.

PubMed

Weemhoff, M; Kluivers, K B; Govaert, B; Evers, J L H; Kessels, A G H; Baeten, C G

2013-03-01

This study concerns the level of agreement between transperineal ultrasound and evacuation proctography for diagnosing enteroceles and intussusceptions. In a prospective observational study, 50 consecutive women who were planned to have an evacuation proctography underwent transperineal ultrasound too. Sensitivity, specificity, positive (PPV) and negative predictive value, as well as the positive and negative likelihood ratio of transperineal ultrasound were assessed in comparison to evacuation proctography. To determine the interobserver agreement of transperineal ultrasound, the quadratic weighted kappa was calculated. Furthermore, receiver operating characteristic curves were generated to show the diagnostic capability of transperineal ultrasound. For diagnosing intussusceptions (PPV 1.00), a positive finding on transperineal ultrasound was predictive of an abnormal evacuation proctography. Sensitivity of transperineal ultrasound was poor for intussusceptions (0.25). For diagnosing enteroceles, the positive likelihood ratio was 2.10 and the negative likelihood ratio, 0.85. There are many false-positive findings of enteroceles on ultrasonography (PPV 0.29). The interobserver agreement of the two ultrasonographers assessed as the quadratic weighted kappa of diagnosing enteroceles was 0.44 and that of diagnosing intussusceptions was 0.23. An intussusception on ultrasound is predictive of an abnormal evacuation proctography. For diagnosing enteroceles, the diagnostic quality of transperineal ultrasound was limited compared to evacuation proctography.

Effect of varying two key parameters in simulating evacuation for a dormitory in China

NASA Astrophysics Data System (ADS)

Lei, Wenjun; Li, Angui; Gao, Ran

2013-01-01

Student dormitories are both living and resting areas for students in their spare time. There are many small rooms in the dormitories. And the students are distributed densely in the dormitories. High occupant density is the main characteristic of student dormitories. Once there is an accident, such as fire or earthquake, the losses will be cruel. Computer evacuation models developed overseas are commonly applied in working out safety management schemes. The average minimum widths of corridor and exit are the two key parameters affecting the evacuation for the dormitory. The effect of varying these two parameters will be studied in this paper by taking a dormitory in our university as an example. Evacuation performance is predicted with the software FDS + Evac. The default values in the software are used and adjusted through a field survey. The effect of varying either of the two parameters is discussed. It is found that the simulated results agree well with the experimental results. From our study it seems that the evacuation time is not in proportion to the evacuation distance. And we also named a phenomenon of “the closer is not the faster”. For the building researched in this article, a corridor width of 3 m is the most appropriate. And the suitable exit width of the dormitory for evacuation is about 2.5 to 3 m. The number of people has great influence on the walking speed of people. The purpose of this study is to optimize the building, and to make the building in favor of personnel evacuation. Then the damage could be minimized.

Influence of road network and population demand assumptions in evacuation modeling for distant tsunamis

USGS Publications Warehouse

Henry, Kevin; Wood, Nathan J.; Frazier, Tim G.

2017-01-01

Tsunami evacuation planning in coastal communities is typically focused on local events where at-risk individuals must move on foot in a matter of minutes to safety. Less attention has been placed on distant tsunamis, where evacuations unfold over several hours, are often dominated by vehicle use and are managed by public safety officials. Traditional traffic simulation models focus on estimating clearance times but often overlook the influence of varying population demand, alternative modes, background traffic, shadow evacuation, and traffic management alternatives. These factors are especially important for island communities with limited egress options to safety. We use the coastal community of Balboa Island, California (USA), as a case study to explore the range of potential clearance times prior to wave arrival for a distant tsunami scenario. We use a first-in–first-out queuing simulation environment to estimate variations in clearance times, given varying assumptions of the evacuating population (demand) and the road network over which they evacuate (supply). Results suggest clearance times are less than wave arrival times for a distant tsunami, except when we assume maximum vehicle usage for residents, employees, and tourists for a weekend scenario. A two-lane bridge to the mainland was the primary traffic bottleneck, thereby minimizing the effect of departure times, shadow evacuations, background traffic, boat-based evacuations, and traffic light timing on overall community clearance time. Reducing vehicular demand generally reduced clearance time, whereas improvements to road capacity had mixed results. Finally, failure to recognize non-residential employee and tourist populations in the vehicle demand substantially underestimated clearance time.

Literature Search for Federal Highway Administration (ITS-JPO) : assessment of state of the practice and state of the art in evacuation transportation management

DOT National Transportation Integrated Search

2006-02-06

Much of what is known about evacuations is based on preparations for incidents, such as hurricanes, for which there is advance warning. With advance warning, evacuations can be planned and managed using procedures and systems that have been developed...

33 CFR 165.1413 - Regulated navigation area; Southern Oahu Tsunami Evacuation; Honolulu, Hawaii.

Code of Federal Regulations, 2014 CFR

2014-07-01

...; Southern Oahu Tsunami Evacuation; Honolulu, Hawaii. 165.1413 Section 165.1413 Navigation and Navigable... Fourteenth Coast Guard District § 165.1413 Regulated navigation area; Southern Oahu Tsunami Evacuation... staging area is intended for use by all commercial vessels intended to remain in the RNA during a tsunami...

Distance Learning Methodologies. TRANSCOM Regulating and Command & Control Evacuation System (TRAC2ES).

ERIC Educational Resources Information Center

Bloomquist, Carroll R.

The TRANSCOM (Transportation Command) Regulating Command and Control Evacuation System (TRAC2ES), which applies state-of-the-art technology to manage global medical regulating (matching patients to clinical availability) and medical evacuation processes, will be installed at all Department of Defense medical locations globally. A combination of…

Modeling hurricane evacuation traffic : testing the gravity and intervening opportunity models as models of destination choice in hurricane evacuation.

DOT National Transportation Integrated Search

2006-09-01

The test was conducted by estimating the models on a portion of evacuation data from South Carolina following Hurricane Floyd, and then observing how well the models reproduced destination choice at the county level on the remaining data. The tests s...

ALFIL: A Crowd Simulation Serious Game for Massive Evacuation Training and Awareness

ERIC Educational Resources Information Center

García-García, César; Fernández-Robles, José Luis; Larios-Rosillo, Victor; Luga, Hervé

2012-01-01

This article presents the current development of a serious game for the simulation of massive evacuations. The purpose of this project is to promote self-protection through awareness of the procedures and different possible scenarios during the evacuation of a massive event. Sophisticated behaviors require massive computational power and it has…

5 CFR 550.409 - Evacuation payments during a pandemic health crisis.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Evacuation payments during a pandemic... during a pandemic health crisis. (a) An agency may order one or more employees to evacuate from their... the employee) during a pandemic health crisis without regard to whether the agency and the employee...

5 CFR 550.409 - Evacuation payments during a pandemic health crisis.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Evacuation payments during a pandemic... during a pandemic health crisis. (a) An agency may order one or more employees to evacuate from their... the employee) during a pandemic health crisis without regard to whether the agency and the employee...

5 CFR 550.409 - Evacuation payments during a pandemic health crisis.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Evacuation payments during a pandemic... during a pandemic health crisis. (a) An agency may order one or more employees to evacuate from their... the employee) during a pandemic health crisis without regard to whether the agency and the employee...

5 CFR 550.409 - Evacuation payments during a pandemic health crisis.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Evacuation payments during a pandemic... during a pandemic health crisis. (a) An agency may order one or more employees to evacuate from their... the employee) during a pandemic health crisis without regard to whether the agency and the employee...

Clarifying evacuation options through fire behavior and traffic modeling

Treesearch

Carol L. Rice; Ronny J. Coleman; Mike Price

2011-01-01

Communities are becoming increasingly concerned with the variety of choices related to wildfire evacuation. We used ArcView with Network Analyst to evaluate the different options for evacuations during wildfire in a case study community. We tested overlaying fire growth patterns with the road network and population characteristics to determine recommendations for...

Improving an inherently stressful situation: the role of communication during wildfire evacuations

Treesearch

Melanie Stidham; Eric Toman; Sarah M. McCaffrey; Bruce Schinder

2011-01-01

Wildfire evacuations are inherently stressful and homeowners have reported in previous studies that uncertainty over what is happening is perhaps one of the most stressful aspects. Although many difficult elements of evacuation cannot be mitigated and lives will certainly be disrupted, fire-management agencies can significantly reduce residents' uncertainty with...

Post-tsunami outbreaks of influenza in evacuation centers in Miyagi Prefecture, Japan.

PubMed

Hatta, Masumitsu; Endo, Shiro; Tokuda, Koichi; Kunishima, Hiroyuki; Arai, Kazuaki; Yano, Hisakazu; Ishibashi, Noriomi; Aoyagi, Tetsuji; Yamada, Mitsuhiro; Inomata, Shinya; Kanamori, Hajime; Gu, Yoshiaki; Kitagawa, Miho; Hirakata, Yoichi; Kaku, Mitsuo

2012-01-01

We describe 2 post-tsunami outbreaks of influenza A in evacuation centers in Miyagi Prefecture, Japan, in 2011. Although containment of the outbreak was challenging in the evacuation settings, prompt implementation of a systemic approach with a bundle of control measures was important to control the influenza outbreaks.

A fuzzy Bayesian network approach to quantify the human behaviour during an evacuation

NASA Astrophysics Data System (ADS)

Ramli, Nurulhuda; Ghani, Noraida Abdul; Ahmad, Nazihah

2016-06-01

Bayesian Network (BN) has been regarded as a successful representation of inter-relationship of factors affecting human behavior during an emergency. This paper is an extension of earlier work of quantifying the variables involved in the BN model of human behavior during an evacuation using a well-known direct probability elicitation technique. To overcome judgment bias and reduce the expert's burden in providing precise probability values, a new approach for the elicitation technique is required. This study proposes a new fuzzy BN approach for quantifying human behavior during an evacuation. Three major phases of methodology are involved, namely 1) development of qualitative model representing human factors during an evacuation, 2) quantification of BN model using fuzzy probability and 3) inferencing and interpreting the BN result. A case study of three inter-dependencies of human evacuation factors such as danger assessment ability, information about the threat and stressful conditions are used to illustrate the application of the proposed method. This approach will serve as an alternative to the conventional probability elicitation technique in understanding the human behavior during an evacuation.

Stoma management in a tropical country: colostomy irrigation versus natural evacuation.

PubMed

Leong, A F; Yunos, A B

1999-11-01

People with ostomies in Singapore were initially resistant to colostomy irrigation. This study, a prospective crossover study of 26 patients who underwent abdominoperineal resection, compared colostomy irrigation with the natural evacuation method. During the colostomy-irrigation phase of the study, all 26 patients reported an improvement in continence and fewer problems with sleep, sex, and skin complications compared to the natural-evacuation phase. The study also found a reduction in monthly expenses with colostomy irrigation compared to natural evacuation. Patient satisfaction scores were also superior during the colostomy-irrigation phase. This difference in satisfaction scores was less marked in those who were more than 1-year postsurgery than in those who were less than 1-year postsurgery. The difference in satisfaction between colostomy irrigation and natural evacuation scores was statistically significant in the group that was less than 1-year postsurgery, but not in the group that was more than 1-year postsurgery. The study concluded that colostomy irrigation after abdominoperineal resection is superior to natural evacuation in terms of cost and patient satisfaction and should be introduced soon after surgery.

Civilians under fire: evacuation behaviour in north Israel during the Second Lebanon War.

PubMed

Gidron, David; Peleg, Kobi; Jaffe, Dena; Shenhar, Gili

2010-10-01

This paper seeks to understand evacuation behaviour in a case of spontaneous evacuation. During the Second Lebanon War of 2006, more than one-third of residents in north Israel spontaneously evacuated--the remainder stayed in situ. Using a telephone survey of 665 respondents residing in north Israel, we were able to characterise the behaviour of evacuees and non-evacuees. The main reasons cited for evacuating were fear of injury to self or family, the effect on children, inability to remain in a protective space, and family pressure. The main reasons cited for remaining at home were no suitable alternative, did not perceive a high level of danger, had to go to work, and there is no place like home. There were no significant differences with regard to most socio-demographic characteristics of the population. These findings should aid emergency managers in preparing the population for a future emergency and in engaging in effective dialogue with the population during an emergency on the evacuation option. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

Improving Access to Pediatric Cardiology in Cape Verde via a Collaborative International Telemedicine Service.

PubMed

Lapão, Luís Velez; Correia, Artur

2015-01-01

This paper addresses the role of international telemedicine services in supporting the evacuation procedures from Cape Verde to Portugal, enabling better quality and cost reductions in the management of the global health system. The Cape Verde, as other African countries, health system lacks many medical specialists, like pediatric cardiologists, neurosurgery, etc. In this study, tele-cardiology shows good results as diagnostic support to the evacuation decision. Telemedicine services show benefits while monitoring patients in post-evacuation, helping to address the lack of responsive care in some specialties whose actual use will help save resources both in provision and in management of the evacuation procedures. Additionally, with tele-cardiology collaborative service many evacuations can be avoided whereas many cases will be treated and followed locally in Cape Verde with remote technical support from Portugal. This international telemedicine service enabled more efficient evacuations, by reducing expenses in travel and housing, and therefore contributed to the health system's improvement. This study provides some evidence of how important telemedicine really is to cope with both the geography and the shortage of physicians.

Lessons learned from the total evacuation of a hospital after the 2016 Kumamoto Earthquake.

PubMed

Yanagawa, Youichi; Kondo, Hisayoshi; Okawa, Takashi; Ochi, Fumio

The 2016 Kumamoto Earthquakes were a series of earthquakes that included a foreshock earthquake (magnitude 6.2) on April 14 and a main shock (magnitude 7.0) on April 16, 2016. A number of hospitals in Kumamoto were severely damaged by the two major earthquakes and required total evacuation. The authors retrospectively analyzed the activity data of the Disaster Medical Assistance Teams using the Emergency Medical Information System records to investigate the cases in which the total evacuation of a hospital was attempted following the 2016 Kumamoto Earthquake. Total evacuation was attempted at 17 hospitals. The evacuation of one of these hospitals was canceled. Most of the hospital buildings were more than 20 years old. The danger of collapse was the most frequent reason for evacuation. Various transportation methods were employed, some of which involved the Japan Ground Self-Defense Force; no preventable deaths occurred during transportation. The hospitals must now be renovated to improve their earthquake resistance. The coordinated and combined use of military and civilian resources is beneficial and can significantly reduce human suffering in large-scale disasters.

Unaccompanied evacuation and adult mortality: evaluating the finnish policy of evacuating children to foster care during World War II.

PubMed

Santavirta, Torsten

2014-09-01

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

A Simple Evacuation Modeling and Simulation Tool for First Responders

DOE Office of Scientific and Technical Information (OSTI.GOV)

Koch, Daniel B; Payne, Patricia W

2015-01-01

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

Modified social force model based on information transmission toward crowd evacuation simulation

NASA Astrophysics Data System (ADS)

Han, Yanbin; Liu, Hong

2017-03-01

In this paper, the information transmission mechanism is introduced into the social force model to simulate pedestrian behavior in an emergency, especially when most pedestrians are unfamiliar with the evacuation environment. This modified model includes a collision avoidance strategy and an information transmission model that considers information loss. The former is used to avoid collision among pedestrians in a simulation, whereas the latter mainly describes how pedestrians obtain and choose directions appropriate to them. Simulation results show that pedestrians can obtain the correct moving direction through information transmission mechanism and that the modified model can simulate actual pedestrian behavior during an emergency evacuation. Moreover, we have drawn four conclusions to improve evacuation based on the simulation results; and these conclusions greatly contribute in optimizing a number of efficient emergency evacuation schemes for large public places.

Analysis of community tsunami evacuation time: An overview

NASA Astrophysics Data System (ADS)

Yunarto, Y.; Sari, A. M.

2018-02-01

Tsunami in Indonesia is defined as local tsunami due to its occurrences which are within a distance of 200 km from the epicenter of the earthquake. A local tsunami can be caused by an earthquake, landslide, or volcanic eruption. Tsunami arrival time in Indonesia is generally between 10-60 minutes. As the estimated time of the tsunami waves to reach the coast is 30 minutes after the earthquake, the community should go to the vertical or horizontal evacuation in less than 30 minutes. In an evacuation, the city frequently does the evacuation after obtaining official directions from the authorities. Otherwise, they perform an independent evacuation without correct instructions from the authorities. Both of these ways have several strengths and limitations. This study analyzes these methods regarding time as well as the number of people expected to be saved.

Evacuation dynamics with smoking diffusion in three dimension based on an extended Floor-Field model

NASA Astrophysics Data System (ADS)

Zheng, Ying; Li, Xingang; Zhu, Nuo; Jia, Bin; Jiang, Rui

2018-10-01

This paper proposes an extended Floor-Field (FF) model to study the pedestrian evacuation dynamics under the influence of smoke diffusing in three-dimension (3D). In addition to static and dynamic fields, the extended model adopts the smoke and herding fields to reflect pedestrian's smoke-avoiding behavior and herding behavior. The impact of smoke on pedestrians' health is also considered. The smoke will reduce the pedestrians' health point and finally impact their moving ability. Numerical simulations were carried out to study the evacuation dynamics. The influence of the smoke particles producing rate, the initial health point, the critical smoke concentration value, and the herding field on evacuation dynamics were analyzed in detail. Those results could bring some guidance to make the evacuation strategy in the smoke diffusing environment.

High pressures in room evacuation processes and a first approach to the dynamics around unconscious pedestrians

NASA Astrophysics Data System (ADS)

Cornes, F. E.; Frank, G. A.; Dorso, C. O.

2017-10-01

Clogging raises as the principal phenomenon during many evacuation processes of pedestrians in an emergency situation. As people push to escape from danger, compression forces may increase to harming levels. Many individuals might fall down, while others will try to dodge the fallen people, or, simply pass through them. We studied the dynamics of the crowd for these situations, in the context of the "social force model". We modeled the unconscious (fallen) pedestrians as inanimate bodies that can be dodged (or not) by the surrounding individuals. We found that new morphological structures appear along the evacuating crowd. Under specific conditions, these structures may enhance the evacuation performance. The pedestrian's willings for either dodging or passing through the unconscious individuals play a relevant role in the overall evacuation performance.

[Evacuation plan of an intensive care unit: a new quality indicator?].

PubMed

Sánchez-Palacios, M; Lorenzo Torrent, R; Santana-Cabrera, L; Martín García, J A; Campos, S G; Carrasco de Miguel, V

2010-04-01

The intensive care units must be prepared for a possible disaster, whether internal or external, in case it becomes necessary to evacuate the in-patients. They must have an Emergency and Self-protection Plan that includes the patient evacuation criteria and this must be known by all the personnel who work in the service. For that reason, the patients must be triaged, based on their attention priorities, according to their survival possibilities. Having an evacuation, known by all the personnel and updated by means of the performance of periodic drills, should be included as a quality indicator that must be met, since this would achieve better attention to the patient in case of a disaster situation requiring the evacuation of the ICU. Copyright 2009 Elsevier España, S.L. y SEMICYUC. All rights reserved.

Suction evacuation of hemothorax: A prospective study.

PubMed

Savage, Stephanie A; Cibulas, George A; Ward, Tyler A; Davis, Corinne A; Croce, Martin A; Zarzaur, Ben L

2016-07-01

Although tube thoracostomy is a common procedure after thoracic trauma, incomplete evacuation of fluid places the patient at risk for retained hemothorax. As little as 300 to 500 cm of blood may result in the need for an additional thoracostomy tube or, in more severe cases, lung entrapment and empyema. We hypothesized that suction evacuation of the thoracic cavity before tube placement would decrease the incidence of late complications. Patients requiring tube thoracostomy within 96 hours of admission were prospectively identified and underwent suction evacuation of the pleural space (SEPS) before tube placement. These patients were compared to historical controls without suction evacuation. Demographics, admission vital signs, laboratory values, details of chest tube placement, and outcomes were collected on all patients. Multivariable logistic regression was used to compare outcomes between groups. A total of 199 patients were identified, consisting of 100 retrospective controls and 99 SEPS patients. There were no differences in age, sex, admission injury severity score or chest abbreviated injury score, admission laboratory values or vital signs, or hospital length of stay. Mean (SD) volume of hemothorax in SEPS patients was 220 (297) cm; with only 48% having a volume greater than 100 cm at the time of tube placement. Three patients developed empyema, and 19 demonstrated retained blood; there was no difference between SEPS and control patients. Suction evacuation of the pleural space was significantly protective against recurrent pneumothorax after chest tube removal (odds ratio, 0.332; 95% confidence interval, 0.148-0.745). Preemptive suction evacuation of the thoracic cavity did not have a significant impact on subsequent development of retained hemothorax or empyema. Suction evacuation of the pleural space significantly decreased incidence of recurrent pneumothorax after thoracostomy removal. Although the mechanism is unclear, such a benefit may make this simple procedure worthwhile. A larger sample size is required for validation and to determine if preemptive thoracic evacuation has a clinical benefit. Therapeutic/care management study, level IV.

Automatic smoke evacuation in laparoscopic surgery: a simplified method for objective evaluation.

PubMed

Takahashi, Hidekazu; Yamasaki, Makoto; Hirota, Masashi; Miyazaki, Yasuaki; Moon, Jeong Ho; Souma, Yoshihito; Mori, Masaki; Doki, Yuichiro; Nakajima, Kiyokazu

2013-08-01

Although its theoretical usefulness has been reported, the true value of automatic smoke evacuation system in laparoscopic surgery remains unknown. This is mainly due to the lack of objective evaluation. The purpose of this study was to determine the efficacy of the automatic smoke evacuator in laparoscopic surgery, by real-time objective evaluation system using an industrial smoke-detection device. Six pigs were used in this study. Three surgical ports were placed and electrosurgical smoke was generated in a standard fashion, using either a high-frequency electrosurgical unit (HF-ESU) or laparosonic coagulating shears (LCS). The smoke was evacuated immediately in the evacuation group but not in the control nonevacuation group. The laparoscopic field-of-view was subjectively evaluated by ten independent surgeons. The composition of the surgical smoke was analyzed by mass spectrometry. The residual smoke in the abdominal cavity was aspirated manually into a smoke tester, and stains on a filter paper were image captured, digitized, and semiquantified. Subjective evaluation indicated superior field-of-view in the evacuation group, compared with the control, at 15 s after activation of the HF-ESU (P < 0.05). The smoke comprised various chemical compounds, including known carcinogens. The estimated volume of intra-abdominal residual smoke after activation of HF-ESU was significantly lower in the evacuation group (47.4 ± 16.6) than the control (76.7 ± 2.4, P = 0.0018). Only marginal amount of surgical smoke was detected in both groups after LCS when the tissue pad was free from burnt tissue deposits. However, the amount was significantly lower in the evacuation group (21.3 ± 10.7) than the control (75 ± 39.9, P = 0.044) when the tissue pad contained tissue sludge. Automatic smoke evacuation provides better field-of-view and reduces the risk of exposure to harmful compounds.

Canada's evacuation policy for pregnant First Nations women: Resignation, resilience, and resistance.

PubMed

Lawford, Karen M; Giles, Audrey R; Bourgeault, Ivy L

2018-02-10

Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth. Although there are a few First Nations communities in Canada that have re-established community birthing and Aboriginal midwifery is growing, most First Nations communities are still reliant on the evacuation policy for labour and birthing services. In one Canadian province, Manitoba, First Nations women are evacuated to The Pas, Thompson, or Winnipeg but most - including all women with high-risk pregnancies - go to Winnipeg. To contribute scholarship that describes First Nations women's and community members' experiences and perspectives of Health Canada's evacuation policy in Manitoba. Applying intersectional theory to data collected through 12 semi-structured interviews with seven women and five community members (four females, one male) in Manitoba who had experienced the evacuation policy. The data were analyzed thematically, which revealed three themes: resignation, resilience, and resistance. The theme of resignation was epitomized by the quote, "Nobody has a choice." The ability to withstand and endure the evacuation policy despite poor or absent communication and loneliness informed of resilience. Resistance was demonstrated by women who questioned the necessity and requirement of evacuation for labour and birth. In one instance, resistance took the form of a planned homebirth with Aboriginal registered midwives. There is a pressing need to improve the maternity care services that First Nations women receive when they are evacuated out of their communities, particularly when understood from the specific legal and constitutional position of First Nations women in Manitoba. Copyright © 2018 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Loss of Life, Evacuation and Emergency Management - Application of Dutch Models to US Case Studies

DTIC Science & Technology

2012-12-18

Risks to people M es o: Z on e or lo ca tio n Instability tests Jonkman 1953 D eK ay a nd M cC le lla nd G ra ha m Katrina HEC -FIA...mortality functions (Jonkman) o 2.2.2 New Orleans / Katrina mortality functions (Jonkman) o 2.2.3 HEC FIA approach (USACE) o 2.2.4. Loss of life methods...comparison (USACE) • 2.3 Dutch Evacuation and Evacuaid approach (Kolen) o 2.3.1 Evacuation approach implemented in HEC FIA (USACE) o 2.3.2 Evacuation

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

PubMed

Sánchez, Jesús M; Carrera, Álvaro; Iglesias, Carlos Á; Serrano, Emilio

2016-08-24

Indoor evacuation systems are needed for rescue and safety management. One of the challenges is to provide users with personalized evacuation routes in real time. To this end, this project aims at exploring the possibilities of Google Glass technology for participatory multiagent indoor evacuation simulations. Participatory multiagent simulation combines scenario-guided agents and humans equipped with Google Glass that coexist in a shared virtual space and jointly perform simulations. The paper proposes an architecture for participatory multiagent simulation in order to combine devices (Google Glass and/or smartphones) with an agent-based social simulator and indoor tracking services.

Measuring the Optical Performance of Evacuated Receivers via an Outdoor Thermal Transient Test: Preprint

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kutscher, C.; Burkholder, F.; Netter, J.

2011-08-01

Modern parabolic trough solar collectors operated at high temperatures to provide the heat input to Rankine steam power cycles employ evacuated receiver tubes along the collector focal line. High performance is achieved via the use of a selective surface with a high absorptance for incoming short-wave solar radiation and a low emittance for outgoing long-wave infrared radiation, as well as the use of a hard vacuum to essentially eliminate convective and conductive heat losses. This paper describes a new method that determines receiver overall optical efficiency by exposing a fluid-filled, pre-cooled receiver to one sun outdoors and measuring the slopemore » of the temperature curve at the point where the receiver temperature passes the glass envelope temperature (that is, the point at which there is no heat gain or loss from the absorber). This transient test method offers the potential advantages of simplicity, high accuracy, and the use of the actual solar spectrum.« less

Neurostimulation for bladder evacuation: is sacral root stimulation a substitute for microstimulation?

PubMed

Probst, M; Piechota, H J; Hohenfellner, M; Gleason, C A; Tanagho, E A

1997-04-01

To determine by anatomical and functional studies whether stimulation of sacral rootlets might permit selective stimulation of autonomic fibres, thus avoiding the detrusor/sphincter dyssynergia characteristic of current techniques of neurostimulation for bladder evacuation. In 10 male mongrel dogs, the S2 root was isolated and its constituent rootlets followed from their origin in the spinal cord to the point of exit from the dura. The entire root and the individual rootlets were then stimulated, including intra- and extra-dural stimulation and at proximal, mid and distal levels. Neuroanatomical and histological findings showed that rootlets of ventral S2 maintain their identity throughout their intradural course; some carry predominantly autonomic fibres, some predominantly somatic and some a mixture of the two. It appears surgically feasible to identify, isolate and sever the predominantly somatic rootlets intradurally, sparing the predominantly autonomic rootlets for inclusion in extradural electrode placement around the entire sacral root, thus eliminating sphincteric interference with detrusor contraction for voiding at low pressure.

Low-cost evacuated-tube solar collector

NASA Astrophysics Data System (ADS)

1981-02-01

A prototype design for an evacuated tube air cooled solar collector module was completed. A product cost study, based on the production of 60,000 of the prototype modules per year (approx. 1,000,000 square feet annually), estimates that the module as shipped would have a cost at inventory of $7.09 to $7.40 per square foot of aperture. Computer programs were developed to predict the optical and thermal performane of the module. Antireflective coatings (porous aluminum oxide) formed by spraying or dipping were demonstrated but degraded more rapidly when exposed to a high humidity ambient acid etched films. A selective black chromium oxide multi-layered graded film was vapor deposited which had an absorptivity of about 0.9 and an emissivity of 0.03. When the film was heated to temperatures of 4000 C in a gettered vacuum for as little as 24 hours, however, irreversible changes took place both between and within coating layers which resulted in alpha decreasing to about 0.73 and epsilon increasing to 0.14.

An indoor augmented reality mobile application for simulation of building evacuation

NASA Astrophysics Data System (ADS)

Sharma, Sharad; Jerripothula, Shanmukha

2015-03-01

Augmented Reality enables people to remain connected with the physical environment they are in, and invites them to look at the world from new and alternative perspectives. There has been an increasing interest in emergency evacuation applications for mobile devices. Nearly all the smart phones these days are Wi-Fi and GPS enabled. In this paper, we propose a novel emergency evacuation system that will help people to safely evacuate a building in case of an emergency situation. It will further enhance knowledge and understanding of where the exits are in the building and safety evacuation procedures. We have applied mobile augmented reality (mobile AR) to create an application with Unity 3D gaming engine. We show how the mobile AR application is able to display a 3D model of the building and animation of people evacuation using markers and web camera. The system gives a visual representation of a building in 3D space, allowing people to see where exits are in the building through the use of a smart phone or tablets. Pilot studies were conducted with the system showing its partial success and demonstrated the effectiveness of the application in emergency evacuation. Our computer vision methods give good results when the markers are closer to the camera, but accuracy decreases when the markers are far away from the camera.

Factors Associated with Maintaining the Mental Health of Employees after the Fukushima Nuclear Disaster: Findings from Companies Located in the Evacuation Area

PubMed Central

Suzuki, Yuriko; Goto, Aya; Yasumura, Seiji

2017-01-01

After the nuclear disaster in Fukushima on 11 March 2011, some businesses were permitted to continue operating even though they were located in the evacuation area designated by the Japanese government. The aim of this study was to examine differences in the mental health status, workplace, living environment, and lifestyle of employees in the evacuation and non-evacuation areas. We also investigated factors related to their mental health status. Data for this cross-sectional study were collected from the questionnaire responses of 647 employees at three medium-sized manufacturing companies in the evacuation and non-evacuation areas. Through a cross-tabulation analysis, employees who worked at companies in the evacuation areas showed an increase in the duration of overtime work, work burden, and commute time, and had experienced separation from family members due to the radiation disaster and perceived radiation risks. The results of a multivariate logistic regression analysis showed that, even in a harsh workplace and living environment, being younger, participating regularly in physical activity, having a social network (Lubben Social Network Scale-6 ≤ 12), laughing frequently, and feeling satisfied with one’s workplace and domestic life were significantly associated with maintaining a healthy mental health status after the disaster. These findings are applicable for workers’ health management measures after disasters. PMID:29301235

Factors Associated with Maintaining the Mental Health of Employees after the Fukushima Nuclear Disaster: Findings from Companies Located in the Evacuation Area.

PubMed

Orui, Masatsugu; Suzuki, Yuriko; Goto, Aya; Yasumura, Seiji

2017-12-31

After the nuclear disaster in Fukushima on 11 March 2011, some businesses were permitted to continue operating even though they were located in the evacuation area designated by the Japanese government. The aim of this study was to examine differences in the mental health status, workplace, living environment, and lifestyle of employees in the evacuation and non-evacuation areas. We also investigated factors related to their mental health status. Data for this cross-sectional study were collected from the questionnaire responses of 647 employees at three medium-sized manufacturing companies in the evacuation and non-evacuation areas. Through a cross-tabulation analysis, employees who worked at companies in the evacuation areas showed an increase in the duration of overtime work, work burden, and commute time, and had experienced separation from family members due to the radiation disaster and perceived radiation risks. The results of a multivariate logistic regression analysis showed that, even in a harsh workplace and living environment, being younger, participating regularly in physical activity, having a social network (Lubben Social Network Scale-6 ≤ 12), laughing frequently, and feeling satisfied with one's workplace and domestic life were significantly associated with maintaining a healthy mental health status after the disaster. These findings are applicable for workers' health management measures after disasters.

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

NASA Astrophysics Data System (ADS)

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

2015-07-01

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

Initial multicenter technical experience with the Apollo device for minimally invasive intracerebral hematoma evacuation.

PubMed

Spiotta, Alejandro M; Fiorella, David; Vargas, Jan; Khalessi, Alexander; Hoit, Dan; Arthur, Adam; Lena, Jonathan; Turk, Aquilla S; Chaudry, M Imran; Gutman, Frederick; Davis, Raphael; Chesler, David A; Turner, Raymond D

2015-06-01

No conventional surgical intervention has been shown to improve outcomes for patients with spontaneous intracerebral hemorrhage (ICH) compared with medical management. We report the initial multicenter experience with a novel technique for the minimally invasive evacuation of ICH using the Penumbra Apollo system (Penumbra Inc, Alameda, California). Institutional databases were queried to perform a retrospective analysis of all patients who underwent ICH evacuation with the Apollo system from May 2014 to September 2014 at 4 centers (Medical University of South Carolina, Stony Brook University, University of California at San Diego, and Semmes-Murphy Clinic). Cases were performed either in the neurointerventional suite, operating room, or in a hybrid operating room/angiography suite. Twenty-nine patients (15 female; mean age, 62 ± 12.6 years) underwent the minimally invasive evacuation of ICH. Six of these parenchymal hemorrhages had an additional intraventricular hemorrhage component. The mean volume of ICH was 45.4 ± 30.8 mL, which decreased to 21.8 ± 23.6 mL after evacuation (mean, 54.1 ± 39.1% reduction; P < .001). Two complications directly attributed to the evacuation attempt were encountered (6.9%). The mortality rate was 13.8% (n = 4). Minimally invasive evacuation of ICH and intraventricular hemorrhage can be achieved with the Apollo system. Future work will be required to determine which subset of patients are most likely to benefit from this promising technology.

Road infrastructure resilience to tsunami in Cilegon

NASA Astrophysics Data System (ADS)

Arini, Srikandi Wahyu; Sumabrata, Jachrizal

2017-11-01

Indonesia is vulnerable to natural disasters. The highest number of natural disaster occurs on the west side of Java Island with the tsunami as the most deadly. Cilegon, a densely populated city with high industrial activity is located on the west coast of Java Island with a gently sloping topography, hence it is vulnerable to tsunami. Simulations conducted by the National Disaster Management Authority indicates that earthquakes with epicenters in the Sunda strait will cause tsunamis which can sweep away the whole industrial area in one hour. The availability of evacuation routes which can accommodate the evacuation of large numbers of people within a short time is required. Road infrastructure resilience is essential to support the performance of the evacuation routes. Poor network resilience will reduce mobility and accessibility during the evacuation. The objectives of this paper are to analyze the impact of the earthquake-generated tsunami on the evacuation routes and to simulate and analyze the performance of existing evacuation routes in Cilegon. The limitations of the modeling approaches including the current and future challenges in evacuation transport research and its applications are also discussed. The conclusion from this study is accurate data source are needed to build a more representative model and predict the areas susceptible to tsunamis vulnerable areas and to construct cogent tsunami mitigation plans and actions for the most vulnerable areas.

Task two : literature search for Federal Highway Administration (ITS-JPO) : assessment of state of the practice and state of the art in evacuation transportation management

DOT National Transportation Integrated Search

2006-01-01

Much of what is known about evacuations is based on preparations for incidents, such as hurricanes, for which there is advance warning. With advance warning, evacuations can be planned and managed using procedures and systems that have been developed...