WorldWideScience

Sample records for accident and emergency services

  1. Accidents in nuclear power engineering. Emergency-engineering service and its purposes

    The review of severe accidents in the world practice of NPP operation is given. The problems met when eliminating the Chernobyl' NPP accident effects are discussed. The main purposes of the emergency-engineering service in nuclear power engineering are considered. These are: possible accident forecasting and preparation of the equipment for its effect elimination; prevention of accidents and abnormal situations at nuclear power objects; accident effect liquidation, NPP unit decommissioning. Some directions which development takes the priority, are formulated. 21 refs

  2. Accident and emergency management

    There is an increasing potential for severe accidents as the industrial development tends towards large, centralised production units. In several industries this has led to the formation of large organisations which are prepared for accidents fighting and for emergency management. The functioning of these organisations critically depends upon efficient decision making and exchange of information. This project is aimed at securing and possibly improving the functionality and efficiency of the accident and emergency management by verifying, demonstrating, and validating the possible use of advanced information technology in the organisations mentioned above. With the nuclear industry in focus the project consists of five main activities: 1) The study and detailed analysis of accident and emergency scenarios based on records from incidents and rills in nuclear installations. 2) Development of a conceptual understanding of accident and emergency management with emphasis on distributed decision making, information flow, and control structure sthat are involved. 3) Development of a general experimental methodology for evaluating the effects of different kinds of decision aids and forms of organisation for emergency management systems with distributed decision making. 4) Development and test of a prototype system for a limited part of an accident and emergency organisation to demonstrate the potential use of computer and communication systems, data-base and knowledge base technology, and applications of expert systems and methods used in artificial intelligence. 5) Production of guidelines for the introduction of advanced information technology in the organisations based on evaluation and validation of the prototype system. (author)

  3. The Sheffield experiment: the effects of centralising accident and emergency services in a large urban setting

    Simpson, A; Wardrope, J.; Burke, D

    2001-01-01

    Objectives—To assess the effects of centralisation of accident and emergency (A&E) services in a large urban setting. The end points were the quality of patient care judged by time to see a doctor or nurse practitioner, time to admission and the cost of the A&E service as a whole.

  4. Relation of out of hours activity by general practice and accident and emergency services with deprivation in Nottingham: longitudinal survey.

    Carlisle, R; Groom, L. M.; Avery, A J; Boot, D; Earwicker, S.

    1998-01-01

    OBJECTIVES: To investigate the relation between out of hours activity of general practice and accident and emergency services with deprivation and distance from accident and emergency department. DESIGN: Six month longitudinal study. SETTING: Six general practices and the sole accident and emergency department in Nottingham. SUBJECTS: 4745 out of hours contacts generated by 45,182 patients from 23 electoral wards registered with six practices. MAIN OUTCOME MEASURES: Rates of out of hours cont...

  5. Elderly patients attended in emergency health services in Brazil: a study for victims of falls and traffic accidents

    Mariana Gonçalves de Freitas; Palmira de Fátima Bonolo; Edgar Nunes de Moraes; Carla Jorge Machado

    2015-01-01

    The article aims to describe the profile of elderly victims of falls and traffic accidents from the data of the Surveillance Survey of Violence and Accidents (VIVA). The VIVA Survey was conducted in the emergency health-services of the Unified Health System in the capitals of Brazil in 2011. The sample of elderly by type of accident was subjected to the two-step cluster procedure. Of the 2463 elderly persons in question, 79.8% suffered falls and 20.2% were the victims of traffic accidents. Th...

  6. Use of the emergency ambulance service to an inner city accident and emergency department--a comparison of general practitioner and '999' calls.

    Pennycook, A. G.; Makower, R M; Morrison, W G

    1991-01-01

    Over a 2-week period a prospective study was undertaken of patients brought to an inner city accident and emergency department by the emergency ambulance service. Criteria for assessing the appropriateness of use of the emergency ambulance service are not well defined and at worst entirely subjective. The author's finding that, of patients attending after a '999' call, 49.8% were discharged with no follow-up suggests that many of these journeys represented inappropriate use of the emergency a...

  7. Socioeconomic deprivation and accident and emergency attendances

    Scantlebury, Rachel; Rowlands, Gillian; Durbaba, Stevo;

    2015-01-01

    BACKGROUND: Demand for England's accident and emergency (A&E) services is increasing and is particularly concentrated in areas of high deprivation. The extent to which primary care services, relative to population characteristics, can impact on A&E is not fully understood. AIM: To conduct...

  8. Accident knowledge and emergency management

    Rasmussen, B.; Groenberg, C.D.

    1997-03-01

    The report contains an overall frame for transformation of knowledge and experience from risk analysis to emergency education. An accident model has been developed to describe the emergency situation. A key concept of this model is uncontrolled flow of energy (UFOE), essential elements are the state, location and movement of the energy (and mass). A UFOE can be considered as the driving force of an accident, e.g., an explosion, a fire, a release of heavy gases. As long as the energy is confined, i.e. the location and movement of the energy are under control, the situation is safe, but loss of confinement will create a hazardous situation that may develop into an accident. A domain model has been developed for representing accident and emergency scenarios occurring in society. The domain model uses three main categories: status, context and objectives. A domain is a group of activities with allied goals and elements and ten specific domains have been investigated: process plant, storage, nuclear power plant, energy distribution, marine transport of goods, marine transport of people, aviation, transport by road, transport by rail and natural disasters. Totally 25 accident cases were consulted and information was extracted for filling into the schematic representations with two to four cases pr. specific domain. (au) 41 tabs., 8 ills.; 79 refs.

  9. Accident knowledge and emergency management

    The report contains an overall frame for transformation of knowledge and experience from risk analysis to emergency education. An accident model has been developed to describe the emergency situation. A key concept of this model is uncontrolled flow of energy (UFOE), essential elements are the state, location and movement of the energy (and mass). A UFOE can be considered as the driving force of an accident, e.g., an explosion, a fire, a release of heavy gases. As long as the energy is confined, i.e. the location and movement of the energy are under control, the situation is safe, but loss of confinement will create a hazardous situation that may develop into an accident. A domain model has been developed for representing accident and emergency scenarios occurring in society. The domain model uses three main categories: status, context and objectives. A domain is a group of activities with allied goals and elements and ten specific domains have been investigated: process plant, storage, nuclear power plant, energy distribution, marine transport of goods, marine transport of people, aviation, transport by road, transport by rail and natural disasters. Totally 25 accident cases were consulted and information was extracted for filling into the schematic representations with two to four cases pr. specific domain. (au) 41 tabs., 8 ills.; 79 refs

  10. Elderly patients attended in emergency health services in Brazil: a study for victims of falls and traffic accidents.

    de Freitas, Mariana Gonçalves; Bonolo, Palmira de Fátima; de Moraes, Edgar Nunes; Machado, Carla Jorge

    2015-03-01

    The article aims to describe the profile of elderly victims of falls and traffic accidents from the data of the Surveillance Survey of Violence and Accidents (VIVA). The VIVA Survey was conducted in the emergency health-services of the Unified Health System in the capitals of Brazil in 2011. The sample of elderly by type of accident was subjected to the two-step cluster procedure. Of the 2463 elderly persons in question, 79.8% suffered falls and 20.2% were the victims of traffic accidents. The 1812 elderly who fell were grouped together into 4 clusters: Cluster 1, in which all had disabilities; Cluster 2, all were non-white and falls took place in the home; Cluster 3, younger and active seniors; and Cluster 4, with a higher proportion of seniors 80 years old or above who were white. Among cases of traffic accidents, 446 seniors were grouped into two clusters: Cluster 1 of younger elderly, drivers or passengers; Cluster 2, with higher age seniors, mostly pedestrians. The main victims of falls were women with low schooling and unemployed; traffic accident victims were mostly younger and male. Complications were similar in victims of falls and traffic accidents. Clusters allow adoption of targeted measures of care, prevention and health promotion. PMID:25760111

  11. Elderly patients attended in emergency health services in Brazil: a study for victims of falls and traffic accidents

    Mariana Gonçalves de Freitas

    2015-03-01

    Full Text Available The article aims to describe the profile of elderly victims of falls and traffic accidents from the data of the Surveillance Survey of Violence and Accidents (VIVA. The VIVA Survey was conducted in the emergency health-services of the Unified Health System in the capitals of Brazil in 2011. The sample of elderly by type of accident was subjected to the two-step cluster procedure. Of the 2463 elderly persons in question, 79.8% suffered falls and 20.2% were the victims of traffic accidents. The 1812 elderly who fell were grouped together into 4 clusters: Cluster 1, in which all had disabilities; Cluster 2, all were non-white and falls took place in the home; Cluster 3, younger and active seniors; and Cluster 4, with a higher proportion of seniors 80 years old or above who were white. Among cases of traffic accidents, 446 seniors were grouped into two clusters: Cluster 1 of younger elderly, drivers or passengers; Cluster 2, with higher age seniors, mostly pedestrians. The main victims of falls were women with low schooling and unemployed; traffic accident victims were mostly younger and male. Complications were similar in victims of falls and traffic accidents. Clusters allow adoption of targeted measures of care, prevention and health promotion.

  12. Attitudes of Dublin accident and emergency department doctors and nurses towards the services offered by local general practitioners.

    Gibney, D; Murphy, A W; Smith, M.; Bury, G; Plunkett, P K

    1995-01-01

    Good communication at the accident and emergency (A&E)-general practice interface is important. Such communication will be affected by the attitudes of A&E staff towards local general practitioners (GPs). The objectives of this study were to establish and compare, using a questionnaire, the attitudes of Dublin A&E doctors and nurses towards the services offered by local GPs. A questionnaire was sent to all nurses and non-consultant doctors working in four of the six Dublin A&E departments. Co...

  13. Emergency thoracotomy for thoracic trauma in the accident and emergency department: indications and outcome

    Jahangiri, Marjan; Youhana, Aprim; Hyde, Jonathan; Lewis, Terence; Griffin, Steven; Wood, Alan; Magee, Patrick

    1996-01-01

    To assess the efficacy of emergency thoracotomy performed for thoracic trauma in the accident and emergency department, a retrospective analysis of patients who underwent this procedure and were brought to hospital by the Helicopter Emergency Medical Service was carried out. Between 1991 and 1994, 16 patients had emergency thoracotomy performed in the accident department. Twelve patients had sustained blunt trauma and four patients had sustained penetrating injuries. Three patients first asse...

  14. The nuclear accident emergency and preparation activities of Zhejiang Province emergency committee for nuclear power station accident

    The offsite accident emergency preparation for coordinating operation of Qinshan Nuclear Power Station by Zhijiang province people government since 1989 has carried out. The emergency and preparation consist of the following activities: 1. Setting up the organization; 2. Drawing the offsite emergency plan and establishing the emergency system; 3. Enforcing the nuclear accident offsite emergency exercise before operation of the nuclear power station; 4. Holding the nuclear accident emergency staff training course and conducting safety education for the public around the nuclear power station

  15. Organization of accident medical service in emergency situations in the system of Federal administration board for medical-biological and emergency problems at the Ministry of public health and medical industry of Russia

    Federal Administration Board for medical-biological problems at the Ministry of Public Health and Medical Industry of Russia, in accordance with the entrusted functions, provides medical-sanitary service for the workers of the branches of industry with especially dangerous labour conditions. For these purpose, there is functioning in its system a network of therapeutic-prophylactic, sanitary, scientific-research, educational and other establishments. A high degree of accident danger of the attended industrial plants determines the state policy of organizations and administrations as well as scientific-practical establishments of the Federal Administration Board in respect of elaboration and introduction of a complex of measures which would enable to guarantee the safe functioning of the plants. All sub-administration establishments have the necessary structures, settle the questions of liquidation of medical-sanitary after-effects of accidents at the attended plants, and are regarded to be the organizations of specialized emergency medical aid of the Federal Administration Board

  16. Acidentes e violências entre mulheres atendidas em Serviços de Emergência Sentinela - Brasil, 2009 Accidents and violence among women attended in Sentinel Emergency Services - Brazil, 2009

    Celeste de Souza Rodrigues

    2012-09-01

    Full Text Available As causas externas afetam de maneira desigual as populações humanas. O presente artigo tem como objetivo analisar os atendimentos de emergência em mulheres vítimas de acidentes e violências. Foram analisados dados do inquérito de Vigilância de Violências e Acidentes em 74 Unidades de Emergência de 23 capitais e no Distrito Federal em 2009. Analisaram-se 6.965 atendimentos de mulheres adultas comparando-se as faixas de 20-39 e 40-59 anos, em relação a ocorrência de acidentes e violências. Os acidentes foram mais frequentes em mulheres jovens (20 a 39 anos, de cor negra e com escolaridade maior que 9 anos de estudo. A ocorrência de violência também foi predominante em mulheres jovens e negras, porém com menor escolaridade. Entre os acidentes predominaram as quedas (38,6%, seguidas de acidentes de transporte. As violências foram mais frequentes no domicílio (p Accidents from external causes affect the human population in different ways. This article seeks to analyze emergency care for women who are victims of accidents and violence. Data from the Surveillance System for Violence and Accidents were analyzed. This study was carried out in 74 emergency units of 23 state capitals and the Federal District in 2009 and included 6,965 women aged from 20-59 years. The age groups of 20-39 and 40-59 years were compared for the occurrence of accidents and violence. Accidents were more frequent among young black women (20-39 years with more than nine years of schooling. The occurrence of violence was also prevalent in young black women but with less schooling. Falls were the most frequent accidents (38.6%, followed by traffic accidents. The occurrence of violence was more frequent in the home (p <0.000 and the mention of alcohol abuse among victims of violence was predominant. The most frequent type of violence was aggression (84.6%, in which the aggressor was male (79.1% and identified as an intimate partner (44.1%. It is increasingly

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

    J Hinkelbein

    2010-04-01

    Full Text Available J Hinkelbein1,2, M Schwalbe2, H V Genzwuerker2,31Department for Anesthesiology and Intensive Care Medicine, University Hospital Cologne, Germany; 2Working Group “Emergency Medicine and Air Rescue”, German Society of Aviation and Space Medicine (DGRLM eV; 3Clinic of Anesthesiology and Intensive Care Medicine, Neckar-Odenwald-Kliniken gGmbH, Hospitals Buchen and Mosbach, Buchen, GermanyAim: Each year approximately two to four helicopter emergency medical services (HEMS crashes occur in Germany. The aim of the present study was to compare crash rates and fatal crash rates in Germany to rates in other countries.Materials and methods: A MEDLINE search from 1970 to 2009 was performed using combinations of the keywords “HEMS”, “rescue helicopter”, “accident”, “accident rate”, “crash”, and “crash rate”. The search was supplemented by additional published data. Data were compared on the basis of 10,000 missions and 100,000 helicopter flying hours. These data were allocated to specific time frames for analyis.Results: Eleven relevant studies were identified. Five studies (three from Germany, one from the US, one from Australia analyzing HEMS accidents on the basis of 10,000 missions were identified. Crash rates per 10,000 missions ranged between 0.4 and 3.05 and fatal crash rates between 0.04 and 2.12. In addition, nine studies (six from the US, two from Germany, one from Australia used 100,000 flying hours as a denominator. Here, crash rates ranged between 1.7 and 13.4 and fatal crash rates between 0.91 and 4.7.Conclusions: Data and accident rates were inhomogeneous and differed significantly. Data analysis was impeded by publication of mean data, use of different time frames, and differences in HEMS systems.Keywords: fatal accident rate, rescue helicopter, fatal crash rate, helicopter emergency medical system, accident analysis

  18. Pain in young children attending an accident and emergency department

    McCarthy, C.; Hewitt, S; Choonara, I.

    2000-01-01

    Objectives—To assess pain in young children presenting to an accident and emergency (A&E) department. To evaluate the use of the toddler-preschooler postoperative pain scale (TPPPS) and the use of analgesia in these children.

  19. Unusual presentation of tuberculosis to the accident and emergency department.

    Jones, K E; McLauchlan, C A

    1995-01-01

    A patient with localized, reactive tendinitis secondary to tuberculosis presented to the accident and emergency (A&E) department. Tendinitis is a relatively common complaint, and it is important to consider uncommon systemic causes, including tuberculosis.

  20. Diphtheria presenting in the accident and emergency department.

    Walters, R F

    1987-01-01

    A case of diphtheria encountered in the accident and emergency department is described. In addition, 38 cases of diphtheria have been analysed, and demonstrate that, although now rare in this country, the disease still exists and its clinical features remain unchanged. It presents almost as often in the accident and emergency department as it does to the general practitioner and remains overwhelmingly a disease of children. Diphtheria is still a notifiable disease. The diagnosis must be made ...

  1. The impact of nationally distributed guidelines on the management of paracetamol poisoning in accident and emergency departments. National Poison Information Service.

    Bialas, M. C.; Evans, R J; Hutchings, A D; Alldridge, G; Routledge, P. A.

    1998-01-01

    OBJECTIVE: To assess the impact of the treatment guidelines on the management of paracetamol self poisoning in accident and emergency (A&E) departments. METHODS: 24 A&E departments in Wales and England provided details of their management of paracetamol poisoning before and after the distribution of national treatment guidelines to all A&E departments in the United Kingdom. RESULTS: Significant increases were seen in the availability of formal written policies, the display of treatment nomogr...

  2. Accident and emergency nursing – clinical audit

    Kitching, Holly

    2010-01-01

    Abstract The aim of this audit is to measure current practice in minor head injury management in an emergency department against the recommendations stated in the National Institute for Clinical Excellence (NICE) (2007) guidelines for Head injury: Triage, assessment, investigation and early management of head injury in infants, children and adults. Objectives Is to determine the impact on workload in the emergency department in-relation to the implementation of the NICE head injur...

  3. Reconstruction of the Chernobyl emergency and accident management

    Full text of publication follows: on April 26, 1986 the most serious civil technological accident in the history of mankind occurred of the Chernobyl Nuclear Power Plant (ChNPP) in the former Soviet Union. As a direct result of the accident, the reactor was severely destroyed and large quantities of radionuclides were released. Some 800000 persons, also called 'liquidators' - including plant operators, fire-fighters, scientists, technicians, construction workers, emergency managers, volunteers, as well as medical and military personnel - were part of emergency measurements and accident management efforts. Activities included measures to prevent the escalation of the accident, mitigation actions, help for victims as well as activities in order to provide a basic infrastructure for this unprecedented and overwhelming task. The overall goal of the 'Project Chernobyl' of the Institute of Risk Research of the University of Vienna was to preserve for mankind the experience and knowledge of the experts among the 'liquidators' before it is lost forever. One method used to reconstruct the emergency measures of Chernobyl was the direct cooperation with liquidators. Simple questionnaires were distributed among liquidators and a database of leading accident managers, engineers, medical experts etc. was established. During an initial struggle with a number of difficulties, the response was sparse. However, after an official permit had been issued, the questionnaires delivered a wealth of data. Furthermore a documentary archive was established, which provided additional information. The multidimensional problem in connection with the severe accident of Chernobyl, the clarification of the causes of the accident, as well as failures and successes and lessons to be learned from the Chernobyl emergency measures and accident management are discussed. (authors)

  4. Oral and maxillofacial surgery in accident and emergency departments.

    Wood, G D; Leeming, K A

    1995-01-01

    Patients with oral and facial injuries presenting as emergencies to the accident and emergency (A&E) unit at Arrowe Park Hospital have been used to compare the treatment method of direct referral to oral and maxillofacial surgery with that of the routine A&E procedure. A quicker and more effective treatment was administered by direct referral of patients to oral and maxillofacial surgery and an argument for such specialist staff to be based in A&E departments is advanced.

  5. Emergency planning and preparedness for a nuclear accident

    Based on current regulations, FEMA approves each site-specific plan of state and local governments for each power reactor site after 1) formal review offsite preparedness, 2) holding a public meeting at which the preparedness status has been reviewed, and 3) a satisfactory joint exercise has been conducted with both utility and local participation. Annually, each state, within any position of the 10-mile emergency planning zone, must conduct a joint exercise with the utility to demonstrate its preparedness for a nuclear accident. While it is unlikely that these extreme measures will be needed as a result of an accident at a nuclear power station, the fact that these plans have been well thought out and implemented have already proven their benefit to society. The preparedness for a nuclear accident can be of great advantage in other types of emergencies. For example, on December 11, 1982, a non-nuclear chemical storage tank exploded at a Union Carbide plant in Louisiana shortly after midnight. More than 20,000 people were evacuated from their homes. They were evacuated under the emergency response plan formulated for use in the event of a nuclear accident at the nearby Waterford Nuclear plants. Clearly, this illustrates how a plan conceived for one purpose is appropriate to handle other types of accidents that occur in a modern industrial society

  6. PWR auxiliary systems, safety and emergency systems, accident analysis, operation

    The author presents a description of PWR auxiliary systems like volume control, boric acid control, coolant purification, -degassing, -storage and -treatment system and waste processing systems. Residual heat removal systems, emergency systems and containment designs are discussed. As an accident analysis the author gives a survey over malfunctions and disturbances in the field of reactor operations. (TK)

  7. Measuring patients' experiences in the Accident and Emergency department

    Bos, N.

    2013-01-01

    Two questionnaires were used to measure patients’ experiences in the Accident and Emergency department (A&E). First, the English A&E department questionnaire used in the English National Survey Programme, and after translation in Dutch used in the Netherlands. The second questionnaire concerned the

  8. Hepatitis B vaccination in United Kingdom accident and emergency departments.

    Heyworth, J

    1988-01-01

    Hepatitis B vaccination is not widespread amongst staff in accident and emergency departments in the United Kingdom. The results of a survey of departments training senior registrars reveal that unfounded fears concerning the safety of the vaccine are responsible for the low uptake. The need for vaccination, cost, medicolegal aspects and future developments are discussed.

  9. Process criticality accident likelihoods, magnitudes and emergency planning. A focus on solution accidents

    This paper presents analyses and applications of data from reactor and critical experiment research on the dynamics of nuclear excursions in solution media. Available criticality accident information is also discussed and shown to provide strong evidence of the overwhelming likelihood of accidents in liquid media over other forms and to support the measured data. These analyses are shown to provide valuable insights into key parameters important to understanding solution excursion dynamics in general and in evaluating practical upper bounds on criticality accident magnitudes. This understanding and these upper bounds are directly applicable to the evaluation of the consequences of postulated criticality accidents. These bounds are also essential in order to comply with national and international consensus standards and regulatory requirements for emergency planning. (author)

  10. ANS-8.23: Criticality accident emergency planning and response

    A study group has been formed under the auspices of ANS-8 to examine the need for a standard on nuclear criticality accident emergency planning and response. This standard would be ANS-8.23. ANSI/ANS-8.19-1984, Administrative Practices for Nuclear Criticality Safety, provides some guidance on the subject in Section 10 titled -- Planned Response to Nuclear Criticality Accidents. However, the study group has formed a consensus that Section 10 is inadequate in that technical guidance in addition to administrative guidance is needed. The group believes that a new standard which specifically addresses emergency planning and response to a perceived criticality accident is needed. Plans for underway to request the study group be designated a writing group to create a draft of such a new standard. The proposed standard will divide responsibility between management and technical staff. Generally, management will be charged with providing the necessary elements of emergency planning such as a criticality detection and alarm system, training, safe evacuation routes and assembly areas, a system for timely accountability of personnel, and an effective emergency response organization. The technical staff, on the other hand, will be made responsible for establishing specific items such as safe and clearly posted evacuation evacuation routes and dose criteria for personnel assembly areas. The key to the question of responsibilities is that management must provide the resources for the technical staff to establish the elements of an emergency response effort

  11. Experience and lessons learned from emergency disposal of Fukushima nuclear power station accident

    After Fukushima nuclear accident, we visited the related medical aid agencies for nuclear accidents and conducted investigations in disaster-affected areas in Japan. This article summarizes the problems with emergency disposal of Fukushima nuclear accident while disclosing problems should be solved during the emergency force construction for nuclear accidents. (authors)

  12. A systemic analysis of patterns of organizational breakdowns in accidents: A case from Helicopter Emergency Medical Service (HEMS) operations

    In recent years, many accident models and techniques have shifted their focus from shortfalls in the actions of practitioners to systemic causes in the organization. Accident investigation techniques (e.g., STAMP) have been developed that looked into the flaws of control processes in the organization. Organizational models have looked into general patterns of breakdown related to structural vulnerabilities and gradual degradation of performance. Although some degree of cross-fertilization has been developed between these two trends, safety analysts are left on their own to integrate this gap between control flaws and patterns of organizational breakdown in accident investigation. This article attempts to elaborate the control dynamics of the Systems Theoretic Accident Model and Process (STAMP) technique on the basis of a theoretical model of organizational viability (i.e., the Viable Systems Model). The joint STAMP–VSM framework is applied to an accident from a Helicopter Emergency Medical Service (HEMS) organization to help analysts progress from the analysis of control flaws to the underlying patterns of breakdown. The joint framework may help analysts to rethink the safety organization, model new information loops and constraints, look at the adaptation and steering functions of the organization and finally, develop high leverage interventions. - Highlights: ► This article bridges the gap between two parallel trends in systemic accident models. ► Investigation techniques (i.e., STAMP) have looked into the flaws of safety management processes. ► The literature has highlighted many patterns (or archetypes) of organizational breakdowns. ► The Viable System Model is used with STAMP to link control flaws and organizational breakdowns.

  13. Use of an accident and emergency department by hospital staff.

    Mann, C J

    1996-01-01

    OBJECTIVE: To assess the number of attendances by hospital staff at an accident and emergency (A&E) department, and reasons for their attendance. METHODS: A&E attendances by hospital staff were studied for a 12 month period. Comparison was made with attendances by non-hospital staff in full or part time employment. Differences between the observed and expected numbers of attendances were analysed using chi 2 analysis. RESULTS: 560 staff attendances were recorded out of 78,103 total attendance...

  14. Rural Emergency Medical Services (EMS) and Trauma

    ... View more Rural Emergency Medical Services (EMS) and Trauma Emergency medical services (EMS) providers care for individuals ... hospital be part of the regional and statewide trauma system? Yes. According to Safety in Numbers: Are ...

  15. Administration of medicines by emergency nurse practitioners according to protocols in an accident and emergency department.

    Marshall, J.; Edwards, C.; Lambert, M.

    1997-01-01

    OBJECTIVE: To present the legal and professional issues related to nurse administration of drugs according to protocols, and describe the implementation and initial audit findings of such a scheme. SETTING: Accident and emergency (A&E) department of a district general hospital. METHODS: Analysis of legal and professional opinion. Protocols acceptable to the medical, nursing, and pharmacy professions were developed across a wide range of drugs appropriate for administration by accident and eme...

  16. Accident Emergency Response And Routing Software (AERARS using Genetic Algorithm

    Naveen Ramachandran,

    2011-07-01

    Full Text Available AERARS is a response and routing software for accident emergency requirement. A method has been proposed in this project for using a genetic algorithm to find the shortest route between a source and adestination. It make use of genetic algorithms ability to search the opt solution from the population helping to solve spatially addressed problem. The numbers of accident spots are plotted in ArcGISenvironment and ten major accident spots are identified. The software package is designed with closest facility estimation and shortest route generation along with other basic software facilities in Visual Basic environment. Genetic algorithm provided a great optimality to the solutions. The closest facility tool helps to estimate the nearest hospital, ambulance, police station and fire station. The shortest route estimation tool generates shortest path between a locations to the hospital or ambulance spot. The various risk zonesare assessed and more safety measures can be taken to reduce the frequency of accident. The software efficiency can be further increased by incorporating GPS and satellite technology.

  17. Emergency plans for nuclear power accidents

    The report presents an evaluation of an exercise of emergency services during a simulated accident at the nuclear power plant of Barsebaeck, Sweden. The aim of the exercise was to test Swedish and Danish organizations and various collaborative co-ordinations. Recommendations for future exercises are given. (G.B.)

  18. Process criticality accident likelihoods, consequences, and emergency planning

    Evaluation of criticality accident risks in the processing of significant quantities of fissile materials is both complex and subjective, largely due to the lack of accident statistics. Thus, complying with standards such as ISO 7753 which mandates that the need for an alarm system be evaluated, is also subjective. A review of guidance found in the literature on potential accident magnitudes is presented for different material forms and arrangements. Reasoned arguments are also presented concerning accident prevention and accident likelihoods for these material forms and arrangements. 13 refs., 1 fig., 1 tab

  19. Emergency response planning and preparedness for transport accidents involving radioactive material

    The purpose of this Guide is to provide assistance to public authorities and others (including consignors and carriers of radioactive materials) who are responsible for ensuring safety in establishing and developing emergency response arrangements for responding effectively to transport accidents involving radioactive materials. This Guide is concerned mainly with the preparation of emergency response plans. It provides information which will assist those countries whose involvement with radioactive materials is just beginning and those which have already developed their industries involving radioactive materials and attendant emergency plans, but may need to review and improve these plans. The need for emergency response plans and the ways in which they are implemented vary from country to country. In each country, the responsible authorities must decide how best to apply this Guide, taking into account the actual shipments and associated hazards. In this Guide the emergency response planning and response philosophy are outlined, including identification of emergency response organizations and emergency services that would be required during a transport accident. General consequences which could prevail during an accident are described taking into account the IAEA Regulations for the Safe Transport of Radioactive Material. 43 refs, figs and tabs

  20. Nuclear accident/radiological emergency assistance plan. NAREAP - edition 2000. Emergency preparedness and response

    The purpose of the Nuclear Accident/Radiological Emergency Assistance Plan (NAREAP) is to describe the framework for systematic, integrated, co-ordinated, and effective preparedness and response for a nuclear accident or radiological emergency involving facilities or practices that may give rise to a threat to health, the environment or property. The purpose of the NAREAP is: to define the emergency response objectives of the Agency's staff in a nuclear accident or a radiological emergency; to assign responsibilities for performing the tasks and authorities for making the decisions that comprise the Agency staff's response to a nuclear accident or radiological emergency; to guide the Agency managers who must ensure that all necessary tasks are given the necessary support in discharging the Agency staff responsibilities and fulfilling its obligations in response to an emergency; to ensure that the development and maintenance of detailed and coherent response procedures are well founded; to act as a point of reference for individual Agency staff members on their responsibilities (as an individual or a team member) throughout a response; to identify interrelationships with other international intergovernmental Organizations; and to serve as a training aid to maintain readiness of personnel. The NAREAP refers to the arrangements of the International Atomic Energy Agency and of the United Nations Security and Safety Section at the Vienna International Centre (UNSSS-VIC) that may be necessary for the IAEA to respond to a nuclear accident or radiological emergency, as defined in the Early Notification and Assistance Conventions. It covers response arrangements for any situation that may have actual, potential or perceived radiological consequences and that could require a response from the IAEA, as well as the arrangements for developing, maintaining and exercising preparedness. The implementing procedures themselves are not included in the NAREAP, but they are required

  1. Transport accident emergency response plan

    To comply with the IAEA recommendations for the implementation of an Emergency Response Plan as described in Safety Series 87, Transnucleaire, a company deeply involved in the road and rail transports of the fuel cycle, masters means of Emergency Response in the event of a transport accident. This paper aims at analyzing the solutions adopted for the implementation of an Emergency Response Plan and the development of a technical support and adapted means for the recovery of heavy packagings. (authors)

  2. Patterns of presentation of abused children to the accident and emergency department.

    Olney, D B

    1988-01-01

    A search of accident and emergency department records showed that 61% of 85 children registered as being physically or sexually abused by the Department of Community Paediatrics at St James's University Hospital, Leeds, England, were found to have visited the accident and emergency department an average of 2.9 times before the diagnosis was made. Fifty-two per cent of the attendances were because of problems other than injuries. Staff of accident and emergency departments should be aware that...

  3. What do we really know about infants who attend Accident and Emergency departments?

    Heys, M; Kwong, H-M; Reed, J.; Blair, M

    2014-01-01

    Aims: Accident and Emergency attendances continue to rise. Infants are disproportionately represented. This study examines the clinical reasons infants attend UK Accident and Emergency departments. Methods: A retrospective review of 6,667 infants aged less than one year attending Accident and Emergency at two district general hospitals in London from 1st April 2009 to 30th March 2010. All infants had been assigned to a diagnostic category by the medical coding department according to Natio...

  4. Emergency department radiation accident protocol.

    Leonard, R B; Ricks, R C

    1980-09-01

    Every emergency department faces the potential problem of handling one or more victims of a radiation accident. While emergency departments near nuclear power plants or isotope production laboratories probably have a detailed protocol for such emergencies, a similar protocol is needed for the emergency department that may have to handle an isolated event, such as a vehicular accident that spills radioactive material and contaminates passengers or bystanders. This communication attempts to answer that need, presenting a step-by-step protocol for decontamination of a radiation victim, the rationale on which each step is based, a list of needed supplies, and a short summary of decorporation procedures that should be started in the emergency department. PMID:7425419

  5. Intracardiac therapy following emergency thoracotomy in the accident and emergency department: an experimental model.

    Moulton, C; Pennycook, A; Crawford, R

    1992-01-01

    For a select group of patients with penetrating chest trauma, immediate thoracotomy in the accident and emergency department offers the only chance of survival. Foley catheters have been used to achieve haemostasis in cardiac wounds but are not widely used for intracardiac fluid and drug administration during resuscitation. In an anatomical model designed to assess this procedure an average flow rate of 275 ml min-1 was achieved. The equipment required is readily available and easily assembled.

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

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

    2016-04-01

    The Fukushima accident was a compounding disaster following the strong earthquake and huge tsunami. The direct health effects of radiation were relatively well controlled considering the severity of the accident, not only among emergency workers but also residents. Other serious health issues include deaths during evacuation, collapse of the radiation emergency medical system, increased mortality among displaced elderly people and public healthcare issues in Fukushima residents. The Fukushima mental health and lifestyle survey disclosed that the Fukushima accident caused severe psychological distress in the residents from evacuation zones. In addition to psychiatric and mental health problems, there are lifestyle-related problems such as an increase proportion of those overweight, an increased prevalence of hypertension, diabetes mellitus and dyslipidaemia and changes in health-related behaviours among evacuees; all of which may lead to an increased cardiovascular disease risk in the future. The effects of a major nuclear accident on societies are diverse and enduring. The countermeasures should include disaster management, long-term general public health services, mental and psychological care, behavioural and societal support, in addition to efforts to mitigate the health effects attributable to radiation. PMID:26876459

  7. Scoping accident(s) for emergency planning

    At the request of the Conference of State Radiation Control Program Director's (CRCPD), in November 1976 the U.S. Nuclear Regulatory Commission formed a joint Task Force with representatives of the U.S. Environmental Protection Agency to answer a number of questions posed by the States regarding emergency planning. This Task Force held monthly meetings through November 1977. In December 1977 a draft report was prepared for limited distribution for review and comment by selected State and local organizations. The NRC/EPA Task Force deliberations centered on the CRCPD request for '... a determination of the most severe accident basis for which radiological emergency response plans should be developed by offsite agencies...' in the vicinity of nuclear power plants. Federal Interagency guidance to the States in this regard has been that the scoping accident should be the most serious conservatively analyzed accident considered for siting purposes, as exemplified in the Commission's Regulations at 10 CFR Part 100 and the NRC staffs Regulatory Guides 1.3 and 1.4, and as presented in license applicant's Safety Analysis Reports and the USNRC Staffs Safety Evaluation Reports. The draft report of the Task Force amplifies on this recommendation: to present a clearer picture of its import and introduces the concept of protective action zones (PAZs) within which detailed emergency plans should be developed; one zone for the plume exposure pathway and a second, larger zone for contamination pathways. The time dependence of potential releases and atmospheric transport, and important radionuclide groups of possible import are also discussed in the draft Task Force report. A status report regarding this effort, as of June 1978, will be presented. (author)

  8. Preventing radiological accidents and emergencies by legislative and regulatory means

    The Goiania radiation accident triggered a reassessment of radiation safety systems. From a legal point of view, the course of events indicates that there were deficiencies either in the existing legal framework or in the implementation of that framework. Proposals to avoid similar accidents in the future are discussed, stressing the need for a sound legal regime and a close co-operation between state authorities and users of radioactive sources. In particular, the importance is underscored of the human factor in achieving a high level of radiation safety. (author)

  9. Planning and Preparing for Emergency Response to Transport Accidents Involving Radioactive Material. Safety Guide

    This Safety Guide provides guidance on various aspects of emergency planning and preparedness for dealing effectively and safely with transport accidents involving radioactive material, including the assignment of responsibilities. It reflects the requirements specified in Safety Standards Series No. TS-R-1, Regulations for the Safe Transport of Radioactive Material, and those of Safety Series No. 115, International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources. Contents: 1. Introduction; 2. Framework for planning and preparing for response to accidents in the transport of radioactive material; 3. Responsibilities for planning and preparing for response to accidents in the transport of radioactive material; 4. Planning for response to accidents in the transport of radioactive material; 5. Preparing for response to accidents in the transport of radioactive material; Appendix I: Features of the transport regulations influencing emergency response to transport accidents; Appendix II: Preliminary emergency response reference matrix; Appendix III: Guide to suitable instrumentation; Appendix IV: Overview of emergency management for a transport accident involving radioactive material; Appendix V: Examples of response to transport accidents; Appendix VI: Example equipment kit for a radiation protection team; Annex I: Example of guidance on emergency response to carriers; Annex II: Emergency response guide.

  10. Carbon monoxide poisoning: correlation of neurological findings between accident and emergency departments and a hyperbaric unit

    Lynch, R.; Laden, G; Grout, P

    2001-01-01

    Objectives—To investigate and quantify the differences in neurological examination findings in patients acutely poisoned with carbon monoxide, between initial assessment at accident and emergency (A&E) departments and subsequently at a hyperbaric unit.

  11. A radioactive waste transportation package monitoring system for normal transport and accident emergency response conditions

    This paper addresses spent fuel and high level waste transportation history and prospects, discusses accident histories of radioactive material transport, discusses emergency responder needs and provides a general description of the Transportation Intelligent Monitoring System (TRANSIMS) design. The key objectives of the monitoring system are twofold: (1) to facilitate effective emergency response to accidents involving a radioactive waste transportation package, while minimizing risk to the public and emergency first-response personnel, and (2) to allow remote monitoring of transportation vehicle and payload conditions to enable research into radioactive material transportation for normal and accident conditions. (J.P.N.)

  12. Emergency care of the elderly in the short-stay ward of the accident and emergency department.

    Harrop, S.N.; Morgan, W J

    1985-01-01

    Review of a consecutive series of the elderly patients who presented unheralded to the Accident and Emergency Department of the Royal Gwent Hospital showed that a relative minority (11%) were difficult to manage because they had no obvious acute medical condition or injury which qualified them for admission by the firms to whom they were first referred. The difficulty was compounded by the shortage of geriatric beds. Judicious use of short-stay ward beds in the accident and emergency departme...

  13. EMERGENCY RESPONSE OF THE ADMINISTRATION OF THE FEDERAL SERVICE FOR SURVEILLANCE ON CONSUMER RIGHTS PROTECTION AND HUMAN WELL-BEING IN SAKHALIN REGION TO THE FUKUSHIMA NUCLEAR POWER PLANT ACCIDENT

    B. B. Darizhapov

    2015-09-01

    Full Text Available The article describes the experience of the Administration of the Federal Service for Surveillance on Consumer Rights Protection and Human Well-being in Sakhalin Region in organizing prevention of conditions that endanger the public radiation safety related to the nuclear accident at the Fukushima nuclear power plant. The authors present results of the measurements of the radiation situation in the Sakhalin region and propose ways to improve organizational and sanitary-hygienic measures aimed on ensuring public protectiony in events of radiation accidents.

  14. Emergency drinking water treatment during source water pollution accidents in China: origin analysis, framework and technologies.

    Zhang, Xiao-Jian; Chen, Chao; Lin, Peng-Fei; Hou, Ai-Xin; Niu, Zhang-Bin; Wang, Jun

    2011-01-01

    China has suffered frequent source water contamination accidents in the past decade, which has resulted in severe consequences to the water supply of millions of residents. The origins of typical cases of contamination are discussed in this paper as well as the emergency response to these accidents. In general, excessive pursuit of rapid industrialization and the unreasonable location of factories are responsible for the increasing frequency of accidental pollution events. Moreover, insufficient attention to environmental protection and rudimentary emergency response capability has exacerbated the consequences of such accidents. These environmental accidents triggered or accelerated the promulgation of stricter environmental protection policy and the shift from economic development mode to a more sustainable direction, which should be regarded as the turning point of environmental protection in China. To guarantee water security, China is trying to establish a rapid and effective emergency response framework, build up the capability of early accident detection, and develop efficient technologies to remove contaminants from water. PMID:21133359

  15. Survey of the use of rapid sequence induction in the accident and emergency department

    Walker, A.; Brenchley, J

    2000-01-01

    Objectives—To determine the current position regarding the use of rapid sequence induction (RSI) by accident and emergency (A&E) medical staff and the attitudes of consultants in A&E and anaesthetics towards this.

  16. Biological tissue adhesive for multiple use in the accident and emergency department

    Gerrard, C.; S. Moore; Ryan, B

    2000-01-01

    Objective—To assess the strength of the glue and microbial contamination over 28 days from opening a vial of tissue adhesive in the accident and emergency setting, and to quantify cost savings of repeated use of the vials.

  17. Head injuries in accident and emergency departments. How different are children from adults?

    Brookes, M; MacMillan, R.; Cully, S; E. Anderson; S. Murray; Mendelow, A D; Jennett, B

    1990-01-01

    STUDY OBJECTIVE--The aim of the study was to examine the differences between child and adult patients attending accident and emergency departments after recent head injuries. DESIGN AND SETTING--A retrospective survey based on existing case records from 23 Scottish accident and emergency departments for 1985 was compared with prospective data from one hospital over 9 months in 1984. PATIENTS--3838 children under 15 and 4775 adults attended hospital with head injuries during the period analyse...

  18. Referral to the accident and emergency department following the use of community alarms

    Youssef, G.; Underhill, T; Tovey, C

    2000-01-01

    Objectives—To assess the degree of appropriate referral to the accident and emergency (A&E) department following the use of a community alarm where a mobile warden works in conjunction with the community alarm control centre.

  19. Emergency Medical Services

    ... and need help right away, you should use emergency medical services. These services use specially trained people ... facilities. You may need care in the hospital emergency room (ER). Doctors and nurses there treat emergencies, ...

  20. Emergency Medical Services

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

  1. Integrating four-dimensional geographical information and mobile techniques into radiological accident emergency response training

    When radiological accidents occur, radioactive material may spread into the atmosphere, causing large-scale and long-term contamination. To diminish the effects of such accidents, researchers from many countries have investigated training programs in emergency response to radiological accidents, especially in the wake of several serious radiological accidents. Although many training programs have been proposed, this study identifies two problems: the lack of effective data representation and the lack of complete training records. Therefore, by considering various requirements for relief and evacuation work at radiological accident sites, it integrates four-dimensional geographical information and mobile techniques to construct a training platform for radiological accident emergency response. During training, groups of participants learn to respond to simulated radiological accident scenarios. Moreover, participants can use the training platform to review and discuss training details. Judging by the results, the training platform has not only increased the effectiveness of training programs, but also complied with standard operating procedures for radiological accident emergency response in Taiwan. In conclusion, this study could serve as a useful reference for similar studies and applications. (author)

  2. Review of emergency thoracotomy for chest injuries in patients attending a UK Accident and Emergency department.

    Bleetman, A; Kasem, H; Crawford, R

    1996-03-01

    Over a two and a half year period, 25 patients presenting to the Glasgow Royal Infirmary underwent emergency thoracotomy for suspected severe chest injuries. Eighteen (72 per cent) were performed in the Accident and Emergency (A&E) department and seven (28 per cent) in a fully equipped operating theatre after resuscitation. There were 23 men and 2 women. Twenty-three (92 per cent) had been stabbed, one (4 per cent) had been shot and one (4 per cent) had sustained a blunt injury in a road traffic accident. Eight (32 per cent) patients survived. All survivors had been stabbed and seven were well enough to undergo thoracotomy in theatre. Only one (5.6 per cent) of the patients operated upon in the A&E department survived to discharge, although three (16.8 per cent) survived the initial procedure. Three of four patients survived, in whom the diagnosis of cardiac tamponade was initially missed. Thirteen (76.5 per cent) of the 17 who did not survive had no vital signs on admission. Outcomes may be improved if appropriately trained hospital staff are immediately available and prehospital delays are minimized so that patients arrive sooner with signs of life still present. Ambulance paramedic interventions have little to offer these patients and may worsen the prognosis if they result in delayed transport to hospital. The emphasis placed on diagnosis and treatment of cardiac tamponade in Advanced Trauma Life Support programmes is appropriate and all staff involved in these cases should undergo this type of training. PMID:8730388

  3. Community emergency response to nuclear power plant accidents: A selected and partially annotated bibliography

    The role of responding to emergencies at nuclear power plants is often considered the responsibility of the personnel onsite. This is true for most, if not all, of the incidents that may happen during the course of the plant's operating lifetime. There is however, the possibility of a major accident occurring at anytime. Major nuclear accidents at Chernobyl and Three Mile Island have taught their respective countries and communities a significant lesson in local emergency preparedness and response. Through these accidents, the rest of the world can also learn a great deal about planning, preparing and responding to the emergencies unique to nuclear power. This bibliography contains books, journal articles, conference papers and government reports on emergency response to nuclear power plant accidents. It does not contain citations for ''onsite'' response or planning, nor does it cover the areas of radiation releases from transportation accidents. The compiler has attempted to bring together a sampling of the world's collective written experience on dealing with nuclear reactor accidents on the sate, local and community levels. Since the accidents at Three Mile Island and Chernobyl, that written experience has grown enormously

  4. Community emergency response to nuclear power plant accidents: A selected and partially annotated bibliography

    Youngen, G.

    1988-10-01

    The role of responding to emergencies at nuclear power plants is often considered the responsibility of the personnel onsite. This is true for most, if not all, of the incidents that may happen during the course of the plant`s operating lifetime. There is however, the possibility of a major accident occurring at anytime. Major nuclear accidents at Chernobyl and Three Mile Island have taught their respective countries and communities a significant lesson in local emergency preparedness and response. Through these accidents, the rest of the world can also learn a great deal about planning, preparing and responding to the emergencies unique to nuclear power. This bibliography contains books, journal articles, conference papers and government reports on emergency response to nuclear power plant accidents. It does not contain citations for ``onsite`` response or planning, nor does it cover the areas of radiation releases from transportation accidents. The compiler has attempted to bring together a sampling of the world`s collective written experience on dealing with nuclear reactor accidents on the sate, local and community levels. Since the accidents at Three Mile Island and Chernobyl, that written experience has grown enormously.

  5. ANS [American Nuclear Society] topical meeting on radiological accidents: Perspectives and emergency planning: Proceedings

    The increasing use of radioactive materials and the increasing public concern about possible accidents involving these materials has led to greater emphasis on preparing for such emergencies. The ANS Topical Meeting on Radiological Accidents - Perspectives and Emergency Planning provided a review of experiences with radiological accidents. The meeting covered some of the most important aspects of radiological accidents. Papers were presented which dealt with radiological accident experience. Technical response to accidents is of primary interest to many in the nuclear community; most of the papers submitted fell into this area. So many of these papers dealt with the use of computers in response that a session on that topic was arranged. A very significant impact of most radiological accidents is the cost, especially the cost of cleanup. There were papers on what is known about costs and associated current topics, such as modification and extension of the Price-Anderson Act. At least as important as the technical response to accidents is how society attempts to deal with them. A session on institutional issues was included to discuss how governments and other organizations respond to and deal with accidents. Medical effects of accidents are of great concern to the public. Invited papers to review the effects of high doses of radiation as well as very low doses were included in that session. Although the nuclear industry has an excellent safety record, this fact often does not agree with the public perception of the industry. The final session explored the public response to and perception of radiological emergencies and accidents. This subject will ultimately determine the future use of radioactive materials in this country

  6. Characterization of motorcycle accident victims attended by the mobile emergency service (SAMU-192, Recife, Pernambuco State, Brazil - 10.4025/actascihealthsci.v34ispec.11524

    Betise Mery Alencar Sousa Macau Furtado

    2012-12-01

    Full Text Available This study described the epidemiological characteristics of victims of accidents involving motorcycles, attended by the Mobile Emergency Service (SAMU-192 in the city of Recife (PE in 2006. This is a descriptive cross-sectional study that analyzed a sample of 703 cases. The results showed that 81.8% were male, aged 20 to 29 years. It was noted that 406 of them were wearing a helmet at the time of the accident. The accidents occurred most frequently on Sundays (19.3% between 18:00 and 24:00 hours (0.28%. The extremities were the most affected body segment, with 341 occurrences. Regarding the severity of injuries, it was found that 37.6% were superficial or mild (scrapes, cuts and bruises. These results demonstrate the need for educational campaigns to encourage the use of personal protective equipment among motorcyclists. The best way to reduce the risks and damages from motorcycle accidents is through primary prevention. For this, are needed integrated intersectoral actions aimed at reducing the incidence and severity of injuries.  

  7. Review and assessment of package requirements (yellowcake) and emergency response to transportation accidents

    As a consequence of an accident involving a truck shipment of yellowcake, a joint NRC--DOT study was undertaken to review and assess the regulations and practices related to package integrity and to emergency response to transportation accidents involving low specific activity radioactive materials. Recommendations are made regarding the responsibilities of state and local agencies, carriers, and shippers, and the DOT and NRC regulations

  8. Bibliography for nuclear criticality accident experience, alarm systems, and emergency management

    Putman, V.L.

    1995-09-01

    The characteristics, detection, and emergency management of nuclear criticality accidents outside reactors has been an important component of criticality safety for as long as the need for this specialized safety discipline has been recognized. The general interest and importance of such topics receives special emphasis because of the potentially lethal, albeit highly localized, effects of criticality accidents and because of heightened public and regulatory concerns for any undesirable event in nuclear and radiological fields. This bibliography lists references which are potentially applicable to or interesting for criticality alarm, detection, and warning systems; criticality accident emergency management; and their associated programs. The lists are annotated to assist bibliography users in identifying applicable: industry and regulatory guidance and requirements, with historical development information and comments; criticality accident characteristics, consequences, experiences, and responses; hazard-, risk-, or safety-analysis criteria; CAS design and qualification criteria; CAS calibration, maintenance, repair, and testing criteria; experiences of CAS designers and maintainers; criticality accident emergency management (planning, preparedness, response, and recovery) requirements and guidance; criticality accident emergency management experience, plans, and techniques; methods and tools for analysis; and additional bibliographies.

  9. Bibliography for nuclear criticality accident experience, alarm systems, and emergency management

    The characteristics, detection, and emergency management of nuclear criticality accidents outside reactors has been an important component of criticality safety for as long as the need for this specialized safety discipline has been recognized. The general interest and importance of such topics receives special emphasis because of the potentially lethal, albeit highly localized, effects of criticality accidents and because of heightened public and regulatory concerns for any undesirable event in nuclear and radiological fields. This bibliography lists references which are potentially applicable to or interesting for criticality alarm, detection, and warning systems; criticality accident emergency management; and their associated programs. The lists are annotated to assist bibliography users in identifying applicable: industry and regulatory guidance and requirements, with historical development information and comments; criticality accident characteristics, consequences, experiences, and responses; hazard-, risk-, or safety-analysis criteria; CAS design and qualification criteria; CAS calibration, maintenance, repair, and testing criteria; experiences of CAS designers and maintainers; criticality accident emergency management (planning, preparedness, response, and recovery) requirements and guidance; criticality accident emergency management experience, plans, and techniques; methods and tools for analysis; and additional bibliographies

  10. Pediatric emergency medical services and their drawbacks

    Abdullah Foraih Al-Anazi

    2012-01-01

    Aim: To survey the literature on Pediatric Emergency Medical Services (PEMS) with an aim to focus its drawbacks and emphasize the means of improvement. Materials and Methods: Published articles selected for inclusion were based on the significance and understanding of literature search on different aspects of PEMS. To meet this criterion, PubMed, PubMed Central, Science Direct, Uptodate, Med Line, comprehensive databases, Cochrane library and the Internet (Google, Yahoo) were thoroughly searc...

  11. Emergency preparedness and measures to prevent severe accidents in the Republic of Korea

    The paper reviews the national programme for prevention and mitigation of severe nuclear plant accidents and emergency preparedness in case of nuclear accidents in the Republic of Korea. The programme has implemented most post-Three Mile Island measures for safety improvements and set up a national system of emergency response to handle any nuclear related accident. The programme has also thoroughly examined safety related equipment and operating procedures of operating reactors in the Republic of Korea. As a result of the safety enhancing activities, Korea Electric Power Corporation (KEPCO) is establishing an emergency response facility, a post-accident sampling system and full scope probablistic risk analysis work. After the Chernobyl accident, the Government of the Republic of Korea went through a safety check-up of the operating plants once again and KEPCO installed a retraining programme for reactor operators and an upgraded safety check-up procedure and schedule. Improvements were made on a number of safety systems including an emergency core cooling system, a fire monitoring system and a quality assurance programme for fire prevention. In addition, the national programme has been setting up an international co-operative system in order to respond quickly to any unexpected accident through rapid mobilization of international experts, equipment and materials. (author). 1 fig., 1 tab

  12. Effect of guidelines on management of head injury on record keeping and decision making in accident and emergency departments.

    Thomson, R.; Gray, J; Madhok, R; Mordue, A.; Mendelow, A D

    1994-01-01

    OBJECTIVE--To compare record keeping and decision making in accident and emergency departments before and after distribution of guidelines on head injury management as indices of implementation. DESIGN--Before (1987) and after (1990) study of accident and emergency medical records. SETTING--Two accident and emergency departments in England. PATIENTS--1144 adult patients with head injury in department 1 (533 in 1987, 613 in 1990) and 734 in department 2 (370, 364 respectively). MAIN MEASURES--...

  13. Help guides for post-accident consequence management: farm activities and exiting the emergency phase

    After having recalled the main actions foreseen in the PPIs (plans particuliers d'intervention, intervention specific plans) in case of radionuclide release in the environment after a nuclear accident, i.e. sheltering and ingestion of steady iodine, and also indicated the different phases of consequence management (preparation, emergency and post-accident phases), this report describes and comments the contents of two guides published by the IRSN (the French Radioprotection and Nuclear Safety Institute) and dealing with the management of post-accident consequences. The first one is a guide to aid to decision-making for the management of the agricultural sector in case of nuclear accident, and the second one is a guide for the preparation of the end of the emergency phase in which actions to be performed during the first week after the end of accidental releases are described

  14. ETH-CHEMRISK: A pilot decision support system for industrial accidents emergency planning and preparedness

    ETH-CHEMRISK is designed in accordance with the principles and methods of emergency planning and preparedness as applied to the case of industrial (chemical) accidents. The outline of this decision support system design follows from both the features that nuclear and chemical accident consequence analysis share, and those that make the two different from each other. It uses and integrates concepts such as: data base, geographical information system, risk assessment, graphic driven software environment

  15. Emergency Response to Radioactive Material Transport Accidents

    Although transport regulations issued by IAEA is providing a high degree of safety during transport opertions,transport accidents involving packages containing radioactive material have occurred and will occur at any time. Whenever a transport accident involving radioactive material accurs, and many will pose no radiation safety problems, emergency respnose actioms are meeded to ensure that radiation safety is maintained. In case of transport accident that result in a significant relesae of radioactive material , loss of shielding or loss of criticality control , that consequences should be controlled or mitigated by proper emergency response actions safety guide, Emergency Response Plamming and Prepardness for transport accidents involving radioactive material, was published by IAEA. This guide reflected all requirememts of IAEA, regulations for safe transport of radioactive material this guide provide guidance to the publicauthorites and other interested organziation who are responsible for establishing such emergency arrangements

  16. Chemical and nuclear emergencies: Interchanging lessons learned from planning and accident experience

    Because the goal of emergency preparedness for both chemical and nuclear hazards is to reduce human exposure to hazardous materials, this paper examines the interchange of lessons learned from emergency planning and accident experience in both industries. While the concerns are slightly different, sufficient similarity is found for each to draw implications from the others experience. Principally the chemical industry can learn from the dominant planning experience associated with nuclear power plants, while the nuclear industry can chiefly learn from the chemical industry's accident experience. 23 refs

  17. Populations protection and territories management in nuclear emergency and post-accident situation

    This document gathers the slides of the available presentations given during these conference days. Twenty seven presentations out of 29 are assembled in the document and deal with: 1 - radiological and dosimetric consequences in nuclear accident situation: impact on the safety approach and protection stakes (E. Cogez); 2 - organisation of public authorities in case of emergency and in post-event situation (in case of nuclear accident or radiological terror attack in France and abroad), (O. Kayser); 3 - ORSEC plan and 'nuclear' particular intervention plan (PPI), (C. Guenon); 4 - thyroid protection by stable iodine ingestion: European perspective (J.R. Jourdain); 5 - preventive distribution of stable iodine: presentation of the 2009/2010 public information campaign (E. Bouchot); 6 - 2009/2010 iodine campaign: presentation and status (O. Godino); 7 - populations protection in emergency and post-accident situation in Switzerland (C. Murith); 8 - CIPR's recommendations on the management of emergency and post-accident situations (J. Lochard); 9 - nuclear exercises in France - status and perspectives (B. Verhaeghe); 10 - the accidental rejection of uranium at the Socatri plant: lessons learnt from crisis management (D. Champion); 11 - IRE's radiological accident of August 22, 2008 (C. Vandecasteele); 12 - presentation of the CEA's crisis national organisation: coordination centre in case of crisis, technical teams, intervention means (X. Pectorin); 13 - coordination and realisation of environmental radioactivity measurement programs, exploitation and presentation of results: status of IRSN's actions and perspectives (P. Dubiau); 14 - M2IRAGE - measurements management in the framework of geographically-assisted radiological interventions in the environment (O. Gerphagnon and H. Roche); 15 - post-accident management of a nuclear accident - the CODIRPA works (I. Mehl-Auget); 16 - nuclear post-accident: new challenges of crisis expertise (D. Champion); 17 - aid guidebooks

  18. Consistency in accident analyses in DOE safety, environmental, and emergency planning documents

    A consistency review of accident analyses in US Department of Energy (DOE) safety, environmental, and emergency planning documents is presented. The range of and key differences in driving assumptions used in accident definition and frequency assessment, radiological source term generation, and atmospheric transport and fate modeling across recent environmental impact statements (EISs) and emergency planning documents and the effects of these differences on results are summarized. Considerable variation in both the assumptions and the underlying level of conservatism is shown to exist. Recommendations are made for source term generation and assumed meteorological conditions to reduce inconsistencies without being overly prescriptive. Recommendations also are made to improve consistency in assessing the frequencies of various generic accident sequences traditionally analyzed in EIS and emergency planning documents. All recommendations are shown to be consistent with currently applicable DOE guidance

  19. Guidelines for attendance and registration for radiological emergencies of nuclear accidents

    Today in Brazil the use of nuclear energy is becoming an usual practice in various activities. Thus, must be a matter of great weight, directions for attendance and registration for radiological emergencies or nuclear accidents. This work shows the planning elaborated by the Comissao Nacional de Energia Nuclear (Brazilian CNEN) for nuclear plants, aiming avoid the injurious effects from the ionizing radiation exposure, radionuclides release or the direct or indirect exposure of ionizing radiation, that proceeding from a radiological emergencies or a nuclear accidents. (J.A.M.M.)

  20. Management of a radiological emergency. Experience feedback and post-accident management

    In France, the organization of crisis situations and the management of radiological emergency situations are regularly tested through simulation exercises for a continuous improvement. Past severe accidents represent experience feedback resources of prime importance which have led to deep changes in crisis organizations. However, the management of the post-accident phase is still the object of considerations and reflections between the public authorities and the intervening parties. This document presents, first, the nuclear crisis exercises organized in France, then, the experience feedback of past accidents and exercises, and finally, the main aspects to consider for the post-accident management of such events: 1 - Crisis exercises: objectives, types (local, national and international exercises), principles and progress, limits; 2 - Experience feedback: real crises (major accidents, other recent accidental situations or incidents), crisis exercises (experience feedback organization, improvements); 3 - post-accident management: environmental contamination and people exposure, management of contaminated territories, management of populations (additional protection, living conditions, medical-psychological follow up), indemnification, organization during the post-accident phase; 4 - conclusion and perspectives. (J.S.)

  1. Pediatric emergency medical services and their drawbacks

    Abdullah Foraih Al-Anazi

    2012-01-01

    Full Text Available Aim: To survey the literature on Pediatric Emergency Medical Services (PEMS with an aim to focus its drawbacks and emphasize the means of improvement. Materials and Methods: Published articles selected for inclusion were based on the significance and understanding of literature search on different aspects of PEMS. To meet this criterion, PubMed, PubMed Central, Science Direct, Uptodate, Med Line, comprehensive databases, Cochrane library and the Internet (Google, Yahoo were thoroughly searched. Results: PEMS provide out-of-hospital medical care and/or transport the patients to definitive care. The task force represents specialties of ambulance transport, first aid, emergency medical care, life saving, trauma, emergency medicine, water rescue, and extrication. Preliminary care is undertaken to save the patients from different medical exigencies. The techniques and procedures of basic and advanced life-support are employed. A large number of weaknesses are recorded in PEMS system, such as ambulance transport irregularities, deficit equipment, lack of expertise, and ignorance of the pre-hospital care providers. These are discussed with special reference to a few examples of medical exigencies. Conclusions: The appointments in PEMS should be regularized with specific qualifications, experience, and expertise in different areas. Responsibility of PEMS should not be left to pre-hospital care providers, who are non clinicians and lack proper education and training. Pediatricians should be adequately trained to play an active role in PEMS. Meetings should be convened to discuss the lapses and means of improvement. Networks of co-operation between pre-hospital providers and experts in the emergency department should be established.

  2. Emergency reception of accidents and incidents in working with ionizing radiation

    This manual is intended to be a general manual for the responsible expert regarding radiation hygienics in order to assist him in establishing an organization for combat of accidents and incidents. First attention is paid considerations underlying emergency measures and aid, subsequently the demands and desirabilities in the practical organization are discussed. (author). 3 figs

  3. Development and application of random walk model of atmospheric diffusion in emergency response of nuclear accidents

    Plume concentration prediction is one of the main contents of radioactive consequence assessment for early emergency to nuclear accidents. This paper describes random characteristics of atmospheric diffusion itself, introduces random walk model of atmospheric diffusion (Random Walk), and compare with Lagrangian puff model (RIMPUFF) in the nuclear emergency decision support system (RODOS) developed by European Community for verification. The results show the concentrations calculated by the two models are quite close except that plume area calculated by Random Walk is a little smaller than that by RIMPUFF. The random walk model for atmospheric diffusion can simulate the atmospheric diffusion in case of nuclear accidents and provide more actual information for early emergency and consequence assessment as one atmospheric diffusion module of the nuclear emergency decision support system. (authors)

  4. Experience of domestic violence by women attending an inner city accident and emergency department

    Sethi, D; Watts, S.; Zwi, A.; Watson, J; McCarthy, C.

    2004-01-01

    Objectives: To identify the prevalence of domestic violence (DV) (defined as physical abuse perpetrated by intimate partners) in women attending an inner city accident and emergency department and to elicit women's response about being asked routinely about domestic violence in this setting.

  5. Dermatobia hominis in the accident and emergency department: "I've got you under my skin".

    MacNamara, A; Durham, S

    1997-05-01

    An unusual form of larval infestation from South America is presented which, in view of increasing tourism to South america's tropical areas, may present to any accident and emergency department. Infestation with Dermatobia hominis is reviewed in terms of clinical recognition and life cycle. Techniques of removal are described. PMID:9193989

  6. The assistance and recording of radiological emergencies and nuclear accidents of Brazilian National Nuclear Energy Commission

    The Brazilian National Nuclear Energy Commission with the aim of obtain the prompt notification and of assisting in potential or real radiological emergency situations and nuclear accidents, has organized an integrated system, in prevention regimen, working 24 hours a day. All notifications related to events that could result in an emergency situation, coming from any part of the national territory, are immediately sent to the system. This system was implemented in July 1990 and has received 107 notifications of which 10% were classified as potential emergency situations. The system organization is described. (B.C.A.). 08 refs, 04 figs

  7. The Fukushima Daiichi Accident. Technical Volume 3/5. Emergency Preparedness and Response

    This volume describes the key events and response actions from the onset of the accident at the Fukushima Daiichi nuclear power plant (NPP), operated by the Tokyo Electric Power Company (TEPCO), on 11 March 2011. It also describes the national emergency preparedness and response (EPR) system in place in Japan and the international EPR framework prior to the accident. It is divided into five sections. Section 3.1 describes the initial actions taken by Japan in response to the accident, involving: identification of the accident, notification of off-site authorities and activation of the response; mitigatory actions taken on-site; and initial off-site response. Section 3.2 describes the protective measures taken for personnel in response to the natural disaster, protection of emergency workers, medical management of emergency workers and the voluntary involvement of members of the public in the emergency response. Section 3.3 describes the protective actions and other response actions taken by Japan to protect the public. It addresses urgent and early protective actions; the use of a dose projection model, the System for Prediction of Environmental Emergency Dose Information (SPEEDI), as a basis for decisions on protective actions during the accident; environmental monitoring; provision of information to the public and international community; and issues related to international trade and waste management. Section 3.4 describes the transition from the emergency phase to the recovery phase. It also addresses the national analysis of the accident and the emergency response. Section 3.5 describes the response by the IAEA, other international organizations within the Inter- Agency Committee on Radiological and Nuclear Emergencies (IACRNE), the actions of IAEA Member States with regard to protective actions recommended to their nationals in Japan and the provision of international assistance. A summary, observations and lessons conclude each section. There are three

  8. National emergency plan for nuclear accidents

    The national emergency plan for nuclear accidents is a plan of action designed to provide a response to accidents involving the release or potential release of radioactive substances into the environment, which could give rise to radiation exposure to the public. The plan outlines the measures which are in place to assess and mitigate the effects of nuclear accidents which might pose a radiological hazard in ireland. It shows how accident management will operate, how technical information and monitoring data will be collected, how public information will be provided and what measures may be taken for the protection of the public in the short and long term. The plan can be integrated with the Department of Defence arrangements for wartime emergencies

  9. Emergency planning and preparedness for accidents involving radioactive materials used in medicine, industry, research and teaching

    This Safety Series book should be considered as a technical guide aimed at the users of radioactive materials and the appropriate local and national authorities. It does not represent a single solution to the problems involved but rather draws the outlines of the plans and procedures that have to be developed in order to mitigate the consequences of an accident, should one occur. The preparation of local and national plans should follow the technical recommendations provided in this publication, with due consideration given to local factors which might vary from country to country (e.g. governmental systems, local legislation, quantities of radioactive materials involved). Several types of accidents are described, together with their possible radiological consequences. The basic principles of the protective measures that should be applied are discussed, and the principles of emergency planning and the measures needed to maintain preparedness for an operational response to an accident are outlined

  10. Severe accident modeling and offsite dose consequence evaluations for nuclear power plant emergency planning

    We have investigated the roles of Firewater Addition System and Passive Flooder in ABWR severe accidents, such as LOCA and SBO. The results are apparent that Firewater System is vital in the highly unlikely situation where all AC are lost. Also in this paper, we present EPZDose, an effective and faster-than-real time code for offsite dose consequences predictions and evaluations. Illustrations with the release from our severe accident scenario show friendly and informative user's interface for supporting decision makings in nuclear emergency situations. (author)

  11. The study on development of emergency operating procedures based on symptom and risk for accident management

    The Advanced EOP(AEOP) has been developed by focusing on the importance of the operators role in emergency conditions. In the AEOP, to overcome the complexity of current EOPs and maintain the consistency of operators action according to plant emergency conditions, operator's task were allocated according to their duties. As an alternative, the Computerized Operator Aid System (COAS) has been developed to reduce operator's burden and provide detailed instructions of procedure. Probabilistic Safety Assessment (PSA) results were synthesized in the AEOP using the event tree to give the awareness and the prediction of accident progression in advance. In conclusion, the existing EOP with its inherent complexity should be simplified and consolidated using computerized operator support system and task allocation to prevent more severe accidents and to reduce operator cognitive overload in emergency conditions

  12. Emergency response and nuclear risk governance. Nuclear safety at nuclear power plant accidents

    The present study entitled ''Emergency Response and Nuclear Risk Governance: nuclear safety at nuclear power plant accidents'' deals with issues of the protection of the population and the environment against hazardous radiation (the hazards of nuclear energy) and the harmful effects of radioactivity during nuclear power plant accidents. The aim of this study is to contribute to both the identification and remediation of shortcomings and deficits in the management of severe nuclear accidents like those that occurred at Chernobyl in 1986 and at Fukushima in 2011 as well as to the improvement and harmonization of plans and measures taken on an international level in nuclear emergency management. This thesis is divided into a theoretical part and an empirical part. The theoretical part focuses on embedding the subject in a specifically global governance concept, which includes, as far as Nuclear Risk Governance is concerned, the global governance of nuclear risks. Due to their characteristic features the following governance concepts can be assigned to these risks: Nuclear Safety Governance is related to safety, Nuclear Security Governance to security and NonProliferation Governance to safeguards. The subject of investigation of the present study is as a special case of the Nuclear Safety Governance, the Nuclear Emergency governance, which refers to off-site emergency response. The global impact of nuclear accidents and the concepts of security, safety culture and residual risk are contemplated in this context. The findings (accident sequences, their consequences and implications) from the analyses of two reactor accidents prior to Fukushima (Three Mile Iceland in 1979, Chernobyl in 1986) are examined from a historical analytical perspective and the state of the Nuclear Emergency governance and international cooperation aimed at improving nuclear safety after Chernobyl is portrayed by discussing, among other topics, examples of &apos

  13. Evaluating emergency services activity at the health district level.

    Milner, P

    2001-01-01

    We do not have good information on the incidence and prevalence of emergency conditions nor is there good research evidence on the best ways of meeting these. There are, however, some indicators for evaluating emergency services activities and we have a good framework from Donabedian for evaluation, and the important dimensions of quality specified by Maxwell. The range of emergency services covers primary care, community crisis care, ambulance services, hospital services (accident and emerge...

  14. Outline of emergency care in a radiation accident and topics for further discussion

    Medical management in a criticality accident is described based on the authors' experiences, and some suggestions are made. The JCO criticality accident occurred in Tokai-mura on September 30, 1999, and the Ministry of Health and Welfare dispatched the authors to the site. They consulted with other experts and carried out medical examinations on people living within 350 m of the JCO site. They explained the gamma-radiation survey and about health hazards. Then they framed a public health plan of action before leaving Tokai-mura. At the time, there was no adequate system for interpreting the situation of for preparing for accidents. Based on these experiences, the authors concluded that good training, a care manual, and a system for the emergency phase and the follow-up phase are necessary. (K.H.)

  15. Idling Reduction for Emergency and Other Service Vehicles

    None

    2015-05-07

    This is a fact sheet about reducing idling for emergency and service vehicles. Emergency vehicles, such as police cars, ambulances, and fire trucks, along with other service vehicles such as armored cars, are often exempt from laws that limit engine idling. However, these vehicles can save fuel and reduce emissions with technologies that allow them to perform vital services without idling.

  16. Emergency planning practices and criteria in the OECD countries after the Chernobyl accident

    This critical review has been prepared at the request of the Committee on Radiation Protection and Public Health (CRPPH), on the basis of information collected from Member countries on their emergency planning practices and criteria, and on changes being considered as a consequence of the Chernobyl accident. This information was officially provided to the Secretariat in response to a questionnaire. Other material has also been used, such as official papers describing national practices and reports presented at meetings organised by the NEA. In these cases the sources are given in the list of references. The information in this report reflects the situation in the Member countries at the end of 1987 and it might well be that additional changes were introduced in the emergency planning practices and criteria of several countries after the answers were sent to the Secretariat. It should also be noted that several of the questions were mainly relevant to nuclear power reactor operations. However, the basic philosophy for emergency planning is general, i.e. radiological criteria, emergency organisation, medical assistance, information to the public, etc., and applies in similar ways to different emergencies. Therefore, the information in the report should be valid for different types of radiological emergencies, although emphasis is placed in the report is on nuclear power reactor emergencies. For non-nuclear power Member countries the information refers mainly to plans to cope with other types of radiation emergencies, and to emergencies of a transboundary origin. Finally, the information covers only the off-site part of emergency planning, apart from some reflections in Chapter 1 on on-site emergency planning and the measures taken at nuclear facilities to prevent an accident or mitigate its consequences

  17. The Fukushima Daiichi Accident. Technical Volume 3/5. Emergency Preparedness and Response. Annexes

    The Fukushima Daiichi Accident consists of a Report by the IAEA Director General and five technical volumes. It is the result of an extensive international collaborative effort involving five working groups with about 180 experts from 42 Member States with and without nuclear power programmes and several international bodies. It provides a description of the accident and its causes, evolution and consequences, based on the evaluation of data and information from a large number of sources available at the time of writing. The Fukushima Daiichi Accident will be of use to national authorities, international organizations, nuclear regulatory bodies, nuclear power plant operating organizations, designers of nuclear facilities and other experts in matters relating to nuclear power, as well as the wider public. The set contains six printed parts and five supplementary CD-ROMs. Contents: Report by the Director General; Technical Volume 1/5, Description and Context of the Accident; Technical Volume 2/5, Safety Assessment; Technical Volume 3/5, Emergency Preparedness and Response; Technical Volume 4/5, Radiological Consequences; Technical Volume 5/5, Post-accident Recovery; Annexes. The Report by the Director General is available separately in Arabic, Chinese, English, French, Russian, Spanish and Japanese

  18. Medical assistance in the management of nuclear power plant accidents. Guide for: medical personnel of emergency preparedness services, doctors of emergency departments, doctors for out-patient or in-patient treatment. 2. rev. ed.

    The guide explains the medical tasks and activities in the context of the emergency preparedness programmes and provisions established by the Laender. The medical expert for radiation injuries is a particularly important function in the radiologial accident management services. The provisions for medical care have been determined on the basis of knowledge drawn among other sources from the German Nuclear Power Plant Risk Study, Phase B. In addition, the guide's provisions are based on international knowledge about the consequences of enhanced radiation exposure, and the medical tasks and the required organisational infrastructure have been determined accordingly. A further source of reference for planning the activities are the data accumulated during emergency preparedness training activities in the various Laender. (orig./MG). 3 figs., 5 tabs

  19. ANSI/ANS-8.23-1997: nuclear criticality accident emergency planning and response

    American National Standard ANSUANS-8.23 was developed to expand upon the basic emergency response guidance given in American National Standard, 'Administrative Practices for Nuclear Criticality Safety' ANSI/ANS-8.19-1996 (Ref. 1). This standard provides guidance for minimizing risks to personnel during emergency response to a nuclear criticality accident outside reactors. This standard is intended to apply to those facilities for which a criticality accident alarm system, as specified in American National Standard, 'Criticality Accident Alarm System', ANSI/ANS-8.3-1997 (Ref. 2) is in use. The Working Group was established in 1990, with Norman L. Pruvost as chairman. The Working Group had up to twenty-three members representing a broad range of the nuclear industry, and has included members from Canada, Japan and the United Kingdom. The initial edition of ANSI/ANS-8.23 was approved by the American National Standards Institute on December 30, 1997. It provides guidance for the following topics: (1) Management and technical staff responsibilities; (2) Evaluation of a potential criticality accident; (3) Emergency plan provisions; (4) Evacuation; (5) Re-entry, rescue and stabilization; and (6) Classroom training, exercises and evacuation drills. This guidance is not for generic emergency planning issues, but is specific to nuclear criticality accidents. For example, it assumes that an Emergency Plan is already established at facilities that implement the standard. During the development of the initial edition of ANSI/ANS-8.23, each Working Group member evaluated potential use of the standard at a facility with which the member was familiar. This revealed areas where a facility could have difficulty complying with the standard. These reviews helped identify and eliminate many potential problems and ambiguities with the guidance. The Working Group has received very limited feedback from the user community since the first edition of the standard was published. Suggestions

  20. ANSI/ANS-8.23-1997: nuclear criticality accident emergency planning and response.

    Baker, J. S. (James S.)

    2004-01-01

    American National Standard ANSUANS-8.23 was developed to expand upon the basic emergency response guidance given in American National Standard, 'Administrative Practices for Nuclear Criticality Safety' ANSI/ANS-8.19-1996 (Ref. 1). This standard provides guidance for minimizing risks to personnel during emergency response to a nuclear criticality accident outside reactors. This standard is intended to apply to those facilities for which a criticality accident alarm system, as specified in American National Standard, 'Criticality Accident Alarm System', ANSI/ANS-8.3-1997 (Ref. 2) is in use. The Working Group was established in 1990, with Norman L. Pruvost as chairman. The Working Group had up to twenty-three members representing a broad range of the nuclear industry, and has included members from Canada, Japan and the United Kingdom. The initial edition of ANSI/ANS-8.23 was approved by the American National Standards Institute on December 30, 1997. It provides guidance for the following topics: (1) Management and technical staff responsibilities; (2) Evaluation of a potential criticality accident; (3) Emergency plan provisions; (4) Evacuation; (5) Re-entry, rescue and stabilization; and (6) Classroom training, exercises and evacuation drills. This guidance is not for generic emergency planning issues, but is specific to nuclear criticality accidents. For example, it assumes that an Emergency Plan is already established at facilities that implement the standard. During the development of the initial edition of ANSI/ANS-8.23, each Working Group member evaluated potential use of the standard at a facility with which the member was familiar. This revealed areas where a facility could have difficulty complying with the standard. These reviews helped identify and eliminate many potential problems and ambiguities with the guidance. The Working Group has received very limited feedback from the user community since the first edition of the standard was

  1. Ecological safety during radiological accidents. Analysis and evaluation of emergency situations at radiologically dangerous objects

    The risk of radiological accidents at dangerous objects is minimal when with the help of technical and organizational means it is guaranteed that indoor and outdoor radiation doses are not exceeded. Also, it is necessary to ensure that the quantity of radiological products in the environment doesn't exceed allowed levels both at a normal exploitation of an object and during an accident. In regions with high radiological loads it is necessary to pay enough attention to the safety of dangerous objects in the situations of accidents. An example given in the paper on how to deal with accidents is based on a situation in the Archangelsk region. Analysis was implemented at 23 radiologically dangerous objects. The results of the analysis allowed to determine objects that are dangerous in an ecological sense. Relying on that, methodology of evaluating the situation in the region was created. The main thing is that evaluation of an ecological situation is judged relying on an emergency situation at a radiologically dangerous object. The first step of the methodology preparation is identification of particularly dangerous objects, and modeling of radiological load on an investigated area. The second step of the work is to review the second stage of the methodology which would be dedicated to the analysis and evaluation of emergency situations at radiologically dangerous objects. (author)

  2. The first aid management of epistaxis by accident and emergency department staff.

    McGarry, G W; Moulton, C

    1993-01-01

    Most nose bleeds can be controlled by compressing the ala nasi, thus applying direct pressure over Little's area. The ability to demonstrate the correct position for this manoeuvre was assessed in 115 members of the staff of the accident and emergency (A&E) department of a major teaching hospital. Overall, the correct response rate was only 33% and even trained medical and nursing staff achieved less than a 50% success rate. Increased awareness of this simple and effective technique is recomm...

  3. Consent to treatment by minors attending accident and emergency departments: guidelines.

    Williams, L; Harris, A.; Thompson, M.; Brayshaw, A

    1997-01-01

    The absolute right to refuse medical treatment, even if the reasons are irrational, is confined to competent adults. Children under 16 years can give legal consent to treatment in the absence of consent from those with parental responsibility. Children under 18 years do not, however, have an absolute right to consent, or refuse to consent, to treatment. The views of children assume increasing importance with age and maturity. Accident and emergency medical and nursing staff may face difficult...

  4. Deliberate self harm assessment by accident and emergency staff--an intervention study.

    Crawford, M J; Turnbull, G; Wessely, S

    1998-01-01

    OBJECTIVE: To examine the impact of specific training for accident and emergency (A&E) staff on the quality of psychosocial assessment of deliberate self harm patients. METHODS: A non-randomised intervention study that compared the psychosocial assessment of deliberate self harm patients before and after a one hour teaching session for the A&E departments nursing and junior medical staff. Adequacy of psychosocial assessment was judged by examining A&E case notes. The records of the hospital's...

  5. An examination of the accident and emergency management of deliberate self harm.

    Dennis, M; BEACH, M; Evans, P A; Winston, A.; Friedman, T.

    1997-01-01

    OBJECTIVE: To examine the adequacy of assessment and management of deliberate self harm (DSH) undertaken by accident and emergency (A&E) medical staff. METHODS: The records for attendances to the Leicester Royal Infirmary A&E department with a diagnosis of "self inflicted" injury for the 12 month period April 1994 to March 1995 were scrutinised. If the episode was identified as DSH, then assessment and management were examined, using an instrument based on the Royal College of Psychiatrists' ...

  6. The diagnosis of ectopic pregnancy in an accident and emergency department.

    Clancy, M J; Illingworth, R N

    1989-01-01

    The correct diagnosis was initially suspected in 32 (53%) of 60 patients with ectopic pregnancy who attended an accident and emergency department. Incorrect diagnoses were made because ectopic pregnancy was not considered or because relevant symptoms and signs were missed or misinterpreted. Three patients had been 'sterilized'. Twenty-four patients (40%) had abdominal pain or vaginal bleeding for more than 1 week before attending. Fever and leucocytosis were wrongly attributed to pelvic infec...

  7. Report of an audit of nurse triage in an accident and emergency department.

    Wong, T W; Tseng, G; Lee, L W

    1994-01-01

    The nurse triage process in an accident and emergency (A&E) department was audited as part of the nursing quality assurance programme. It was found that in most cases documentation was adequate and guidelines had been adhered to. Triage decisions were accurate in most cases using the discharge diagnosis as a bench-mark. Waiting time improvements were also seen. Triage audit was a useful tool in the continuous quality improvement effort.

  8. Organ donation in the accident and emergency department: a study of relatives' views.

    Wellesley, A.; Glucksman, E.; Crouch, R

    1997-01-01

    OBJECTIVE: To determine whether recently bereaved people would object to being asked about organ donation immediately after the death of their relative. METHODS: A telephone interview of 78 recently bereaved relatives of people who had died in an inner city accident and emergency (A&E) department; 68 (87%) agreed to participate in the study and were sent a questionnaire. Outcome measures were views on being asked about organ donation in the A&E department immediately after the death of a rela...

  9. A review of 7 years of complaints in an inner-city accident and emergency department.

    Hunt, M T; Glucksman, M E

    1991-01-01

    In 7 years between 1982-88, 122 complaints were lodged against the Accident and Emergency department of King's College Hospital. A high percentage mentioned more than one aspect per complaint. Commonest were those regarding attitude (37.7%), missed diagnosis (36.6%), waiting time (32.8%), cursory examination (14.7%) and poor communication (11.5%). These causes of complaint are amenable to improvement. Training in interpersonal skills may reduce complaints of attitude. A high index of suspicio...

  10. History of aid provision during radiation accidents in the Czech Republic and of radiation emergency reporting

    The history of radiation accidents and reported elevated exposures divided into the 1954-1978, 1979-1994 and 1995-2012 periods is described in detail. The spectrum of reported radiation events has changed during the years, now including e.g. retrieval of orphan sources, illicit traffic, etc. Since 1995 the agenda of radiation protection has been dealt with by the State Office of Nuclear Safety, where an Emergency Coordination Centre was established.

  11. Proposal optimization in nuclear accident emergency decision based on IAHP

    On the basis of establishing the multi-layer structure of nuclear accident emergency decision, several decision objectives are synthetically analyzed, and an optimization model of decision proposals for nuclear accident emergency based on interval analytic hierarchy process is proposed in the paper. The model makes comparisons among several emergency decision proposals quantified, and the optimum proposal is selected out, which solved the uncertain and fuzzy decision problem of judgments by experts' experiences in nuclear accidents emergency decision. Case study shows that the optimization result is much more reasonable, objective and reliable than subjective judgments, and it could be decision references for nuclear accident emergency. (authors)

  12. Tissue donation after death in the accident and emergency department: an opportunity wasted?

    Magrath, H P; Boulstridge, L J

    1999-01-01

    OBJECTIVE: To investigate whether the accident and emergency department (A&E) is a potential source of tissues for donation, from non-heart beating donors (NHBDs). METHODS: A telephone survey of 30 A&E departments was conducted to determine current tissue harvesting practices from NHBDs. The potential number of tissue donors in our own medium sized district general hospital A&E department was estimated. Senior nursing staff were asked to complete a questionnaire to establish their knowledge, ...

  13. The use of music therapy in reducing anxiety on patients attending accident and emergency department

    So, Wing-hong; 蘇永康

    2013-01-01

    In Hong Kong, there has about 70% patients who attend Accident and Emergency Department (AED) is categorized as semi- or non-urgent cases. The medical conditions with the relative longer waiting time provoke the anxiety level. Furthermore the anxiety is worsen by the noisy waiting environment. These phenomena not only affect the psychological but also the physiological changes of patients. Therefore, there is a need to develop an evidence-based intervention that can effectively reduce the anx...

  14. Notification of infectious diseases by junior doctors in accident and emergency departments.

    Spedding, R L; Jenkins, M G; O'Reilly, S A

    1998-01-01

    OBJECTIVE: To assess the knowledge about notifiable infectious diseases by accident and emergency (A&E) senior house officers. METHODS: A telephone questionnaire of senior house officers was carried out over a one week period at the end of their six month attachment in A&E departments in Northern Ireland. RESULTS: 81 (91%) of the senior house officers participated in the study; 23 (29%) realised that the doctor diagnosing the notifiable disease had a statutory duty to notify that disease; nin...

  15. Decision making process and emergency management in different phases of a nuclear accident

    EVATECH, Information Requirements and Countermeasure Evaluation Techniques in Nuclear Emergency Management, was a research project in the key action 'Nuclear Fission' of the fifth EURATOM Framework Programme (FP5). The overall objective of the project was to enhance the quality and coherence of response to nuclear emergencies in Europe by improving the decision support methods, models and processes in ways that take into account the expectations and concern of the many different parties involved - stake holders both in managing the emergency response and those who are affected by the consequences of nuclear emergencies. The project had ten partners from seven European countries. The development of the real-time online decision support system RODOS has been one of the major items in the area of radiation protection within the European Commission's Framework Programmes. The main objectives of the RODOS project have been to develop a comprehensive and integrated decision support system that is generally applicable across Europe and to provide a common framework for incorporating the best features of existing decision support systems and future developments. Furthermore the objective has been to provide greater transparency in the decision process to: improve public understanding and acceptance of off-site emergency measures, to facilitate improved communication between countries of monitoring data, predictions of consequences, etc., in the event of any future accident, and to promote, through the development and use of the system, a more coherent, consistent and harmonised response to any future accident that may affect Europe. (authors)

  16. Convention on early notification of a nuclear accident and convention on assistance in the case of a nuclear accident or radiological emergency

    The document refers to the Convention on Early Notification of a Nuclear Accident (CENNA) (IAEA-INFCIRC-335) and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (CANARE) (IAEA-INFCIRC-336). Part I contains the status list as of 31 December 1996, Part II contains the texts of reservations/declarations made upon or following expressing consent to be bound and objections thereto, and Part III contains the texts of reservations/declarations made upon signature

  17. Convention on early notification of a nuclear accident and convention on assistance in the case of a nuclear accident or radiological emergency

    The document refers to the Convention on Early Notification of a Nuclear Accident (CENNA) (IAEA-INFCIRC-335) and the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (CANARE) (IAEA-INFCIRC-336). Part I contains the status lists as of 10 September 1992, part II contains the texts of reservations/declarations made upon expressing consent to be bound and objections there to, and part III contains the texts of reservations/declarations made upon signature

  18. Emergency preparedness and response to 'Not-in-a-Facility' radiological accidents

    The paper provides an overview of lessons learned from the past radiological accidents, which have not occurred in an operating facility, i.e. 'not-in-a-facility' radiological emergencies. A method to analyze status of prevention of accidents is proposed taking into account the experiences and findings from the past events. The main emergency planning items are discussed, which would render effective response in case of such emergencies. Although the IAEA has published many documents about establishing an adequate emergency response capability, it is not an easy task to bring these recommendations into life. This paper gives some hints how to overcome the most obvious difficulties while users of these documents trying to adapt the guidance to their own needs. The special cases of alpha emitters and radiological dispersal devices were considered separately. The balanced approach to emergency response is promoted throughout the text, which means that a level of preparedness should be commensurate to the threat and the existing resources should be used to the extent possible. (author)

  19. Emergency preparedness and response to 'not-in-a-facility' radiological accidents

    The paper provides an overview of lessons learned from the past radiological accidents, which have not occurred in an operating facility, i.e. 'not-in-a-facility' radiological emergencies. A method to analyze status of prevention of accidents is proposed taking into account the experiences and findings from the past events. The main emergency planning items are discussed, which would render effective response in case of such emergencies. Although the IAEA has published many documents about establishing an adequate emergency response capability, it is not an easy task to bring these recommendations into life. This paper gives some hints how to overcome the most obvious difficulties while users of these documents trying to adapt the guidance to their own needs. The special cases of alpha emitters and radiological dispersal devices were considered separately. The balanced approach to emergency response is promoted throughout the text, which means that a level of preparedness should be commensurate to the threat and the existing resources should be used to the extent possible. (author)

  20. Convention on early notification of a nuclear accident and convention on assistance in the case of a nuclear accident or radiological emergency

    The document refers to the Convention on Early Notification of a Nuclear Accident (IAEA-INFCIRC-335) and to the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (IAEA-INFCIRC-336). Part I contains the status lists as of August 31, 1991. Part II contains reservations/declarations made upon expressing consent to be bound and objections there to. Part III contains reservations/declarations made upon signature

  1. Medical treatment of radiation damages and medical emergency planning in case of nuclear power plant incidents and accidents

    Medical measures in case of radiation damages are discussed on the basis of five potential categories of radiation incidents and accidents, respectively, viz. contaminations, incorporations, external local and general radiation over-exposures, contaminated wounds, and combinations of radiation damages and conventional injuries. Considerations are made for diagnostic and therapeutic initial measures especially in case of minor and moderate radiation accidents. The medical emergency planning is reviewed by means of definations used in the practical handling of incidents or accidents. The parameters are: extent of the incident or accident, number of persons involved, severity of radiation damage. Based on guiding symptoms the criteria for the classification into minor, moderate or severe radiation accidents are discussed. Reference is made to the Medical Radiation Protection Centers existing in the Federal Republic of Germany and the possibility of getting advices in case of radiation incidents and accidents. (orig.)

  2. Convention on Early Notification of a Nuclear Accident and Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency

    Part I: Status lists as of 31 December 1996. A. Convention on Early Notification of a Nuclear Accident (Notification Convention). B. Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention). PART II: Texts of reservations/declarations made upon or following expressing consent to be bound and objections thereto Part III: Texts of reservations/declarations made upon signature

  3. Emergency response to a nuclear facility accident: preplanning and preparedness by off-site organizations

    The subject is discussed under the headings: introduction ('defence-in-depth' concept); accident assessment (prompt notification of off-site authorities); time factors associated with accidents leading to radiological releases off-site; radiological characteristics of releases; emergency communications; an adequate planning basis; training. (U.K.)

  4. The role of the United States Food Safety and Inspection Service after the Chernobyl accident

    The Food Safety and Inspection Service (FSIS) of the United States Department of Agriculture (USDA) inspects domestic and imported meat and poultry food products to assure the public that they are safe, wholesome, not economically adulterated and properly labeled. The Service also monitors the activities of meat and poultry plants and related activities in allied industries, and establishes standards and approves labels for meat and poultry products. As part of its responsibility, shortly after the Chernobyl accident occurred, FSIS developed a plan to assess this accident's impact on domestically produced and imported meat and poultry

  5. The emergency medical programs of japan and foreign countries for radiation accidents in nuclear power stations

    In our country, the medical emergency programs for the people living near nuclear power stations are well organized, however, preparation of medical staffs who are well trained is considered to be not sufficient. In the USA, on call 24 hours response to a radiological emergency is provided and funded by Department of Energy(DOE) or electric companies. Especially, REAC/TS is a part of DOE response network, in which there are provided well-trained physicians, nurses, health physicists, coordinators and support personnels. In United Kingdom, National Radiological Protection Board(NRPB) is responsible to a radiological emergency program. Each nuclear power station has its own emergency program consisting of a team of physicians, nurses and health physicists. In France, French Atomic Energy Commission (CEA) is a responsible agency for a radiological emergency program. On call 24 hours response to a radiological emergency is provided in Fontenay-aux Roses Institute and Curie Institute. Curie Institute also responds to radiological emergencies in other countries at the request of WHO. In Germany(West Germany), compulsory assurance system covers a radiological emergency program and a radiological protection. There are seven centers in West Germany, in which well-trained medical staffs are provided against radiological injuries. In this report, I tried to propose a new concept about emergency medical programs for nuclear power station accidents in Japan. I think it is a very urgent theme to provide on call 24 hours radiological emergency program, in which patients suffered from acute radiation sickness with internal contamination or contaminated radiation burns will be treated without any trouble. We have to make our best efforts to complete basic or clinical research about radiation injuries including bone marrow transplantation, radioprotectors, chelating agents and radiation burns etc. (J.P.N.)

  6. Are mental health problems associated with use of Accident and Emergency and health-related harm?

    Keene, Jan; Rodriguez, Jorge

    2007-01-01

    Background: Previous findings indicate that mental health problems are common in Emergency departments; however, there are few studies of the extent of health-related problems and emergency service use in mental health populations as a whole. Methods: Record linkage methods were used to map the association between mental health, age, gender, and health-related harm across total health and mental health care populations in one geographical area, over three years. By examining patterns of healt...

  7. Telephone advice in the accident and emergency department: a survey of current practice.

    Evans, R J; McCabe, M; Allen, H.; Rainer, T; Richmond, P. W.

    1993-01-01

    The objective of this study was to assess the standard of advice given by telephone by accident and emergency (A&E) departments following patients' enquiries. In order to do this patient enquiries were simulated and a telephone questionnaire was carried out. The study was carried out in 18 major and 16 minor A&E departments in Wales. Results achieved were that overall, correct telephone advice was given to 72 of 97 simulated patients (74%). Sixty calls were dealt with by the nursing staff (62...

  8. Use of anti-D in an accident and emergency department.

    Huggon, A M; Watson, D P

    1993-01-01

    A retrospective study was made of the use of anti-D in an accident and emergency (A&E) department in 1 month. Patients who are discharged home with a diagnosis of threatened miscarriage should have their blood group determined and anti-D should be given to those who are rhesus negative. We found that only 8/29 patients discharged from the department had their blood group determined and none of the rhesus negative patients was given anti-D. We have introduced a practical method of reminding me...

  9. Child and adolescent mental health emergency services in Macedonia.

    Releva, M; Boskovska, M; Apceva, A; Polazarevska, M; Novotni, A; Bonevski, D; Sargent, J

    2001-01-01

    This paper describes the development of child and adolescent mental health emergency services in Macedonia since 1993. The evolution of services through the Mental Crisis Centre for Children and Adolescents, funded by the Open Society Institute, and located in six cities is outlined. The paper also defines traditional services, the nature of child mental health emergencies, the evaluation process, follow-up care and training and supervision. It concludes with concern that the mental health emergency system is not sufficient to meet the needs of the child and adolescent population, particularly in the face of the Kosovar refugee crisis. Recommendations for the future are made. PMID:11508566

  10. The cost of overseas visitors to an inner city accident and emergency department.

    Colville, J.; Burgess, A; Kermani, C; Touquet, R; Fothergill, J

    1996-01-01

    OBJECTIVE: To estimate, in a metropolitan accident and emergency (A&E) department, the annual cost of treating overseas visitors whose countries of origin do not have reciprocal arrangements with Britain. METHODS: The study was retrospective. A 24 h period (00.01 h to 24.00 h inclusive) on consecutive days in consecutive weeks (that is, Monday in week 1, Tuesday in week 2, etc) was costed over 52 weeks (1.8.92-31.7.93 inclusive) and extrapolated to 365 days. All visitors between those dates w...

  11. An analysis of telephone calls to an inner-city accident and emergency department.

    Crouch, R; Patel, A; Williams, S.; Dale, J

    1996-01-01

    The general public in the UK often telephone accident and emergency (A&E) departments for medical advice. Such calls are usually dealt with by nursing staff in an informal manner (often with no written record of the call being made). The specific questions addressed in this study are who was calling for advice, when did they call, what were their presenting complaints, and what was the outcome of the call? In addition, the study provided an opportunity to test the implementation of a new syst...

  12. Audit of telephone advice in a paediatric accident and emergency department.

    Molyneux, E; Jones, N.; Aldom, G; Molyneux, B

    1994-01-01

    This paper audits the telephone requests for advice to a paediatric accident and emergency (A&E) Department over a 4-week period. All calls were answered by senior nurses. Most calls were received in the early evenings when the A&E department was busy. Parents were the most frequent callers and the majority of calls were for children under 5 years of age. The problems presented were wide ranging but advice over the telephone meant that many unnecessary visits to hospital were prevented. The p...

  13. Regulatory requirements on accident management and emergency preparedness - concept of nuclear and radiation safety during beyond-design-basis accidents

    Actual practice the and proposals for further activities in the field of Accident Management (AM) in the member countries of the Co-operation Forum of WWER regulators and in Western countries have been assessed. Further the results of the last working group on AM , the overview of interactions of severe accident research and the regulatory positions in various countries, IAEA reports, practice in Switzerland and Finland, were taken into consideration. From this information, the working group derived recommendations on Accident Management. The general proposals correspond to the present state of the art on AM. They do not describe the whole spectra of recommendations on AM for NPPs with WWER reactors. A basis for the implementation of an AM program is given, which could be extended in a follow-up working group. The developments and research concerning AM have to be continued. The positions of various countries with regard to the 'Interactions of severe accident research and the regulatory positions' are given. On the basis of the working group proposals, the WWER regulators could set regulatory requirements and support further developments of AM strategies, making use of the benefits of common features of NPPs with WWER reactors. Concerted actions in the field of AM between the WWER regulators would bundle the development of a unified concept of recommendations and speed up the implementation of AM measures in order to minimise the risks involved in nuclear power generation

  14. Process Modeling and Public Value: Performance Measurement for Emergency Assistance Services?

    Claude Rochet; Anaïs Saint; Bruno Tiberghien; Philippe Agopian; Catherine Paris-Laporte; Valéry Soulleihet

    2012-01-01

    This paper proposes a process modeling of a cerebrovascular accident (CVA) channel, according to the Business Process Modeling Notation (BPMN) rules, in order to build a balanced scorecard (BSC). The Fire department in the Bouches-du-Rhône (SDIS) and the medical emergency service have coordinated their action and processes with hospitals to set up this kind of specific channel to deal with strokes. According to Hankey and Warlow (1999), each year in a population of 1 million inhabitants of a ...

  15. Mutual emergency assistance for radiation accidents

    A revised document on ''Mutual Emergency Assistance for Radiation Accidents'' jointly prepared by the Agency with the participation of the World Health Organization (WHO), the Food and Agricultural Organization of the United Nations (FAO), the International Labour Organisation (ILO) and the Office of the United Nations Disaster Relief Co-ordinator (UNDRO) was issued in 1980 as TECDOC-237. The present document lists the additional information received after publication of the 1980 edition and is issued as a Supplement to TECDOC-237 (1980 Edition). Some useful information contained in TECDOC-237 such as the IAEA arrangement and the WHO Collaborating Centres for Radiation Emergency Assistance are reprinted for ready reference

  16. Utilization of the atmospheric release advisory capability (ARAC) services during and after the Three Mile Island accident

    At 0820 PST on 28 March 1979, the Department of Energy's Emergency Operations Center advised the Atmospheric Release Advisory Capability (ARAC) that the Three Mile Island nuclear power plant in Harrisburg, Pennsylvania, had experienced an accident some four hours earlier, resulting in the atmospheric release of xenon-133 and krypton-88. This report describes ARAC's response to the Three Mile Island accident, including the role ARAC played throughout the 20 days that real-time assessments were made available to the Department of Energy on-scene commander. It also describes the follow-up population-dose calculations performed for the President's Commission on Three Mile Island. At the request of the Nuclear Regulatory Commission, a questionnaire addressing the usefulness of ARAC products during the accident was sent to ARAC-product users. A summary of the findings from this questionnaire, along with recommendations for improving ARAC service, is also presented. The accident at Mississauga, Ontario, Canada, is discussed in the context of a well-planned emergency response by local and Federal officials

  17. Radioactivity material release mechanism and emergency radiation monitor requirements of personnel in core meltdown accident for submarine nuclear power plants

    Some release mechanism of fission products from core meltdown accident of submarine nuclear power plants is described, which include gas-gap, melting, vaporization, steam and explosion. The further release process of them to cabins and environment is described too. The basic requirements and contents of emergency radiation monitor for personnel are approached. A tentative idea of forming emergency radiation monitor net of submarine nuclear power plants and the issue of neutron monitor and protect in the nuclear accident emergency rescue are put forward

  18. A radioactive waste transportation package monitoring system for normal transport and accident emergency response conditions

    Shipments of radioactive material (RAM) constitute but a small fraction of the total hazardous materials shipped in the United States each year. Public perception, however, of the potential consequences of a release from a transportation package containing RAM has resulted in significant regulation of transport operations, both to ensure the integrity of a package in accident conditions and to place operational constraints on the shipper. Much of this attention has focused on shipments of spent nuclear fuel and high level wastes which, although comprising a very small number of total shipments, constitute a majority of the total curies transported on an annual basis. Shipment of these highly radioactive materials is made in what is described in the regulations as a Type B packaging. Type B transportation packages are designed to withstand a sequence of accident scenarios, including drop, puncture, fire, and immersion with virtually no release of contents. Due to the quantities of spent fuel and high level wastes carried in Type B casks and the public perception and apprehension regarding the potential consequences of a release, involvement of a packaging containing spent fuel or high level wastes in any accident will result in a very cautious emergency response until it can be determined that the integrity of the cask is maintained. Typically this involves closure of the transport link or pathway, evacuation of all unnecessary personnel, diversion of traffic from the area, and subsequent investigative and mitigative procedures from trained specialists. An onboard instrumentation/communications package has been developed that, when affixed to a radioactive materials cask, can monitor key indicators of the integrity of the cask and communicate these parameters to emergency responders through modules on the vehicle. Entitled the Transportation Intelligent Monitoring System (TRANSIMS), this package enables remote monitoring of the status and integrity of the cask

  19. Diagnostic characterization of services providing care to victims of accidents and violence in five Brazilian state capitals

    Suely Ferreira Deslandes

    2006-06-01

    Full Text Available This article characterizes the services providing care to victims in five Brazilian regions with high violence and accident rates. It analyzes care activities and strategies, the profile of the teams, the conditions of installations, equipment and supplies, integrated care and registration services and the opinion of health managers with respect to the needs and requirements for a better care to the victims. The sample is composed by 103 services: 34 from Recife, 25 from Rio de Janeiro, 18 from Manaus, 18 from Curitiba and 8 from Brasília. The still preliminary results indicate: lower number of services focusing on the elderly; scarce investment in preventive actions; the principal actions carried out are social assistance, ambulatory and hospital care and psychological assistance; patients received from Basic Health Units require attention of the communities and families; need for investment in capacity building programs for professionals; precarious registries, data handled manually. The wording of the National Policy for Reduction of Morbidity and Mortality from Accidents and Violence is not well-known and there is a lack of articulation among and inside sectors and between prehospital and emergency care services. Rehabilitation services are insufficient in all cities.

  20. Adolescents and Dual Diagnosis in a Psychiatric Emergency Service.

    Matali, José Luis; Andión, Oscar; Pardo, Marta; Iniesta, Raquel; Serrano, Eduard; San, Luis

    2016-01-01

    In recent years, both the prevalence of drug use and related child and adolescent psychiatric emergencies have risen sharply. There are few studies about the impact on child and adolescent emergency services. This study has a twofold aim. The first is to describe the prevalence of substance use disorders, mental disorders and dual diagnosis (substance use problems plus mental disorder) in adolescents in psychiatric emergency service. The second is to analyze clinical and healthcare differences between patients with dual diagnosis and patients with a mental disorder without substance use disorder.We retrospectively reviewed 4012 discharge forms for emergencies treated at the psychiatric emergency department during the period 2007-2009. We obtained a sample of 1795 visits. This sample was divided into two groups: the dual diagnosis group (n = 477) and the psychiatric disorder group (n = 1318).The dual diagnosis group accounted for 26.5% of psychiatric emergencies analyzed. Compared to the psychiatric disorder group,the dual diagnosis group had significantly more conduct disorders, social problems, involuntariness in the visit, less hospital admissions and less connection with the healthcare network.Adolescents with a dual diagnosis account for a high percentage of visits at child and adolescent psychiatric emergency services. This patient group requires specialized care both at emergency services and in specific units. Accordingly, these units should play a triple role when handling dual diagnosis: detection, brief treatment and referral to a specialised unit. PMID:26990268

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

    Dick, W

    1994-01-01

    clinical pictures. Cost effectiveness is clearly in favor of emergency medicine. Future developments will be characterized by the consequences of new health care legislation and by effects of financial stringencies on the emergency medical services. PMID:7801705

  2. Emergency room management of radiation accidents

    Emergency room management of radioactively contaminated patients who have an associated medical injury requiring immediate attention must be handled with care. Radioactive contamination of the skin of a worker is not a medical emergency and is usually dealt with at the plant. Effective preplanning and on-the-scene triage will allow the seriously injured and contaminated patients to get the medical care they need with a minimum of confusion and interference. Immediate medical and surgical priorities always take precedence over radiation injuries and radioactive contamination. Probably the most difficult aspect of emergency management is the rarity of such accidents and hence the unfamiliarity of the medical staff with the appropriate procedures. The authors discuss how the answer to these problems is preplanning, having a simple and workable procedure and finally having 24-h access to experts

  3. The use and abuse of the emergency ambulance service: some of the factors affecting the decision whether to call an emergency ambulance.

    Gardner, G J

    1990-01-01

    Over a 1-month period all patients arriving in the accident and emergency department by ambulance following a '999' call were questioned using a standard proforma. They were assessed as to whether their medical condition warranted ambulance transfer. A number of social and practical points were analyzed to see whether they would identify any group of patients who used the emergency service without medical need. Overall 289 patients were questioned. Of these 178 (62%) were considered to have m...

  4. The use of a new design irrigator for the emergency treatment of chemical eye injuries in an accident and emergency department.

    Watts, M T; Mulira, A

    1989-01-01

    The introduction of a hand-held drench hose into a district general hospital accident and emergency department, for the emergency irrigation of chemically injured eyes is reported. The hose is described, together with the technique of irrigation. The advantages that a high-flow, low pressure system affords over conventional irrigation methods are discussed. The system appears to offer a simple, immediately available, effective tool for emergency eye care, which is suitable for use by a variet...

  5. A digest of the nuclear safety division report on the Fukushima Dai-ichi NPP accident seminar (5). Lessons learned on emergency preparedness and response and related issues

    In the Fukushima Daiichi Power Plant Accident, the lessons learned on the correspondence to emergency are explained from the view point of the radiation protection. The lessons on the INES evaluation, the cooperation and connection in the accident, and the renewal of accident information are mentioned. (M.H.)

  6. Construction of a technique plan repository and evaluation system based on AHP group decision-making for emergency treatment and disposal in chemical pollution accidents

    Highlights: • Different chemical pollution accidents were simplified using the event tree analysis. • Emergency disposal technique plan repository of chemicals accidents was constructed. • The technique evaluation index system of chemicals accidents disposal was developed. • A combination of group decision and analytical hierarchy process (AHP) was employed. • Group decision introducing similarity and diversity factor was used for data analysis. - Abstract: The environmental pollution resulting from chemical accidents has caused increasingly serious concerns. Therefore, it is very important to be able to determine in advance the appropriate emergency treatment and disposal technology for different types of chemical accidents. However, the formulation of an emergency plan for chemical pollution accidents is considerably difficult due to the substantial uncertainty and complexity of such accidents. This paper explains how the event tree method was used to create 54 different scenarios for chemical pollution accidents, based on the polluted medium, dangerous characteristics and properties of chemicals involved. For each type of chemical accident, feasible emergency treatment and disposal technology schemes were established, considering the areas of pollution source control, pollutant non-proliferation, contaminant elimination and waste disposal. Meanwhile, in order to obtain the optimum emergency disposal technology schemes as soon as the chemical pollution accident occurs from the plan repository, the technique evaluation index system was developed based on group decision-improved analytical hierarchy process (AHP), and has been tested by using a sudden aniline pollution accident that occurred in a river in December 2012

  7. Development of Educational and Training Simulator for Emergency Response to Chinese Nuclear Accidents

    Kim, Juyub; Kim, Juyoul; Kim, Sukhoon; Lee, Seunghee; Yoon, Taebin [FNC Technology Co., Ltd., Yongin (Korea, Republic of); Cliff, Li-Chi [Micro-Simulation Technology, Montville (United States)

    2015-05-15

    One of the lessons in the emergency response category is that information on the nuclear power plants of neighboring countries should be organized and the consequence can be assessed. In addition, many reactors have been constructed and are under construction on the eastern coast of China recently. Korea might be directly affected by an accident of Chinese nuclear power plant since Korea is located in the westerly belt. performed with the PCTRAN/CPR-1000 module. The result showed that normal operation and DBA conditions were simulated swiftly with the speed of 16 times faster than real time. Thus, it would be a good source term estimation module for the educational and training simulator.

  8. Development of Educational and Training Simulator for Emergency Response to Chinese Nuclear Accidents

    One of the lessons in the emergency response category is that information on the nuclear power plants of neighboring countries should be organized and the consequence can be assessed. In addition, many reactors have been constructed and are under construction on the eastern coast of China recently. Korea might be directly affected by an accident of Chinese nuclear power plant since Korea is located in the westerly belt. performed with the PCTRAN/CPR-1000 module. The result showed that normal operation and DBA conditions were simulated swiftly with the speed of 16 times faster than real time. Thus, it would be a good source term estimation module for the educational and training simulator

  9. Activities, projects and emergency planning etc. at the National Institute of Radiation Hygiene in connection with the Chernobyl reactor accident

    The National Institute of Radiation Hygiene (SIS) is the competent authority for radiation hygiene in Norway according to Act No.1 of 18 June 1938 and regulations given pursuant to the act. Legislation on duties specific to radiological emergencies in general has not been issued in Norway. The report describes how SIS organized the fallout survey and summarizes the different projects implemented by the institute after the Chernobyl accident. Furthermore, the institutes view on an alert system for detection of radiactive contamination and on emergency planning for radiation accidents is expressed

  10. New directions in emergency service operations and planning.

    Zilm, Frank; Crane, Jody; Roche, Kevin T

    2010-01-01

    Emergency services continue to evolve new operational and facility concepts in response to increasing demand for care and pressures for efficient, and safe, patient management. This article describes new models for "intake" of patients and for responding to peak demand that are radically changing the traditional emergency service. Application of Six Sigma and "Lean" analysis techniques are demonstrating dramatic improvements in throughput times and in the utilization of treatment spaces. This article provides an overview of the application of Lean concepts to emergency services. Case studies of Mary Washington Hospital and Banner Health Corporation illustrate the result of application of these tools. Implication for the required patient care areas and design concepts are also discussed. PMID:20838109

  11. Brief interventions for hazardous and harmful alcohol consumption in accident and emergency departments

    Marcin eWojnar

    2014-11-01

    Full Text Available The prevalence of alcohol abuse among patients treated in accident and emergency departments (A&E is considered substantial. This paper is a narrative review of studies investigating the effectiveness of brief interventions (BI for hazardous and harmful alcohol consumption in A&E. A&E departments in hospitals (and other health care infrastructures are commonly the place where serious consequences of alcohol drinking are seen and need to be tackled, supporting the suggested theoretical usefulness of delivering brief interventions in this environment. Available research shows that brief interventions (BI may be considered a valuable technique for dealing with alcohol-related problems. However, it is suggested that the usefulness of BI may depend significantly on the target population to be dealt with. BI have proved to be beneficial for male individuals and those patients who do not abuse other psychoactive substances. In contrast, evidence indicates that brief interventions in A&E settings are not effective at all when dealing with men admitted as a consequence of a violence-related event. In addition, some studies were unable to confirm the effectiveness of BI in female population, in emergency setting. Studies investigating the association between drinking patterns and the effectiveness of brief interventions also present inconsistent results. Most studies assessing the effectiveness of BI in A&E settings only adopted a short perspective (looking at the impact up to a maximum of twelve months after the BI was delivered. When assessing the effects of BI, both the amount of alcohol consumed as well as expected reductions in alcohol consequences, such as injuries, can be taken into account. Evidence on the implementation of brief intervention in emergency departments remains inconclusive as to whether there are clear benefits. A variety of outcome measures and assessing procedures were used in the different studies, which have investigated this

  12. The Adoption and Impact of Advanced Emergency Response Services

    Susan Athey; Scott Stern

    1998-01-01

    This paper studies the causes and consequences of the adoption of technology by hospitals and public emergency response systems, focusing on Basic and Enhanced 911 services. Basic 911 allows people within a given locality to access specialized call-takers and ambulance dispatchers using the single telephone number 911. Enhanced 911 is characterized by telecommunications equipment and information technology which identifies the location of emergency callers. We begin by exploring the distribut...

  13. Emergency preparedness and response in case of a fire accident with (UF6) packages tracking Suez Canal

    Egypt has a unique problem - the Suez Canal. Radioactive cargo passing regularly through the canal carrying new and spent reactor fuel. Moreover there are also about 1000 metric tons of uranium hexaflouride (UF6) passing through the canal every year. In spite of all precautions taken in the transportation, accidents with packages containing (UF6) and shipped through the Suez Canal, accidents may arise even though the probability is minimal. These accidents, may be accompanied by injuries or death of persons and damage to property. Due to the radiation and criticality hazards of (UF6) and its high risk of chemical toxicity. The probability of a fire accident with a cargo carrying (UF6) during its crossing the Suez Canal can cause serious chemical toxic and radiological hazards, particularly if the accident occurred close or near to one of the three densely populated cities (Port-Said, Ismailia, and Suez), which are located along the Suez Canal, west bank. The government of Egypt has elaborated a national radiological emergency plan inorder to face probable radiological accidents, which may be arised inside the country. Arrangements have been also elaborated for the medical care of any persons who, might be injured or contaminated, or who, have been exposed to severe radiation doses. The motivation of the present paper was undertaken to visualize a fire accident scenario occurring in industrial packages containing UF6 on board of a Cargo crossing the Suez Canal near Port-Said City. The accident scenario and emergency response actions taken during the different phases of the accident are going to be presented and discussed. The proposed emergency response actions taken to face the accident are going to be also presented. The work presented had revealed the importance of public awareness will be needed for populations located in densely populated areas along Suez Canal bank inorder to react timely and effectively to avoid the toxic and radiological hazards araised in

  14. Emergency preparedness and response in case of a fire accident with (UF{sub 6}) packages tracking Suez Canal

    Salama, M. [National Center for Nuclear Safety and Radiation Control (NCNSRC), Nasr City, Cairo (Egypt)

    2004-07-01

    Egypt has a unique problem - the Suez Canal. Radioactive cargo passing regularly through the canal carrying new and spent reactor fuel. Moreover there are also about 1000 metric tons of uranium hexaflouride (UF6) passing through the canal every year. In spite of all precautions taken in the transportation, accidents with packages containing (UF{sub 6}) and shipped through the Suez Canal, accidents may arise even though the probability is minimal. These accidents, may be accompanied by injuries or death of persons and damage to property. Due to the radiation and criticality hazards of (UF{sub 6}) and its high risk of chemical toxicity. The probability of a fire accident with a cargo carrying (UF{sub 6}) during its crossing the Suez Canal can cause serious chemical toxic and radiological hazards, particularly if the accident occurred close or near to one of the three densely populated cities (Port-Said, Ismailia, and Suez), which are located along the Suez Canal, west bank. The government of Egypt has elaborated a national radiological emergency plan inorder to face probable radiological accidents, which may be arised inside the country. Arrangements have been also elaborated for the medical care of any persons who, might be injured or contaminated, or who, have been exposed to severe radiation doses. The motivation of the present paper was undertaken to visualize a fire accident scenario occurring in industrial packages containing UF6 on board of a Cargo crossing the Suez Canal near Port-Said City. The accident scenario and emergency response actions taken during the different phases of the accident are going to be presented and discussed. The proposed emergency response actions taken to face the accident are going to be also presented. The work presented had revealed the importance of public awareness will be needed for populations located in densely populated areas along Suez Canal bank inorder to react timely and effectively to avoid the toxic and radiological

  15. Emergency preparedness and response in case of a fire accident with UF6 packages traversing the Suez Canal

    Egypt has a unique problem, the Suez Canal. Radioactive cargo passes regularly through the canal carrying new and spent reactor fuel. There are also about 1000 metric tonnes of uranium hexafluoride (UF6) passing through the canal every year. In spite of all the precautions taken in the transport, accidents with packages containing UF6 shipped through the Suez Canal may arise, even though the probability is minimal. Such accidents may be accompanied by injuries to or death of persons and damage to property including radiation and criticality hazards and high chemical toxicity, particularly if the accident occurred close to one of the three densely populated cities (Port Said, Ismailia and Suez), which are located along the west bank of the Suez Canal. The government of Egypt has established a national radiological emergency plan in order to deal with any radiological accidents which may arise inside the country. This paper considers the effect of a fire accident to industrial packages containing UF6 on board a cargo ship passing along the Suez Canal near Port Said City. The accident scenario and emergency response actions taken during the different phases of the accident are presented and discussed. The paper highlights the importance of public awareness for populations located in densely populated areas along the bank of the Suez Canal, in order to react in a timely and effective way to avoid the toxic and radiological hazards resulting from such a type of accident. The possibility of upgrading the capabilities of civil defence and fire-fighting personnel is also discussed (author)

  16. Emergency healthcare process automation using mobile computing and cloud services.

    Poulymenopoulou, M; Malamateniou, F; Vassilacopoulos, G

    2012-10-01

    Emergency care is basically concerned with the provision of pre-hospital and in-hospital medical and/or paramedical services and it typically involves a wide variety of interdependent and distributed activities that can be interconnected to form emergency care processes within and between Emergency Medical Service (EMS) agencies and hospitals. Hence, in developing an information system for emergency care processes, it is essential to support individual process activities and to satisfy collaboration and coordination needs by providing readily access to patient and operational information regardless of location and time. Filling this information gap by enabling the provision of the right information, to the right people, at the right time fosters new challenges, including the specification of a common information format, the interoperability among heterogeneous institutional information systems or the development of new, ubiquitous trans-institutional systems. This paper is concerned with the development of an integrated computer support to emergency care processes by evolving and cross-linking institutional healthcare systems. To this end, an integrated EMS cloud-based architecture has been developed that allows authorized users to access emergency case information in standardized document form, as proposed by the Integrating the Healthcare Enterprise (IHE) profile, uses the Organization for the Advancement of Structured Information Standards (OASIS) standard Emergency Data Exchange Language (EDXL) Hospital Availability Exchange (HAVE) for exchanging operational data with hospitals and incorporates an intelligent module that supports triaging and selecting the most appropriate ambulances and hospitals for each case. PMID:22205383

  17. Development and application of a random walk model of atmospheric diffusion in the emergency response of nuclear accidents

    CHI Bing; LI Hong; FANG Dong

    2007-01-01

    Plume concentration prediction is one of the main contents of radioactive consequence assessment for early emergency response to nuclear accidents. Random characteristics of atmospheric diffusion itself was described, a random walk model of atmospheric diffusion (Random Walk) was introduced and compared with the Lagrangian puff model (RIMPUFF) in the nuclear emergency decision support system (RODOS) developed by the European Community for verification. The results show the concentrations calculated by the two models are quite close except that the plume area calculated by Random Walk is a little smaller than that by RIMPUFF. The random walk model for atmospheric diffusion can simulate the atmospheric diffusion in case of nuclear accidents, and provide more actual information for early emergency and consequence assessment as one of the atmospheric diffusion module of the nuclear emergency decision support system.

  18. Psychosocial service needs of pediatric transport accident survivors: Using clinical data-mining to establish demographic and service usage characteristics.

    Manguy, Alys-Marie; Joubert, Lynette; Bansemer, Leah

    2016-09-01

    The objectives in this article are the exploration of demographic and service usage data gained through clinical data mining audit and suggesting recommendations for social work service delivery model and future research. The method is clinical data-mining audit of 100 sequentially sampled cases gathering quantitative demographic and service usage data. Descriptive analysis of file audit data raised interesting trends with potential to inform service delivery and usage; the key areas of the results included patient demographics, family involvement and impact, and child safety and risk issues. Transport accidents involving children often include other family members. Care planning must take into account psychosocial issues including patient and family emotional responses, availability of primary carers, and other practical needs that may impact on recovery and discharge planning. This study provides evidence to plan for further research and development of more integrated models of care. PMID:27586428

  19. Service experience, structural integrity, severe accidents, and erosion in nuclear and fossil plants. PVP-Volume 303

    Paterson, S.R.; Bamford, W.H; Geraets, L.H.; Okazaki, M.; Cipolla, R.C.; Cowfer, C.D.; Means, K.H. [eds.

    1995-12-01

    The objective of this symposium was to disseminate information on service degradation and its prevention. Papers have been divided into the following topical sections: Service experience in nuclear plants; DOE high-level waste tank structural integrity panel--Summary reports; Severe accidents; Service experience in operating fossil power plants; and Erosion. Papers have been processed separately for inclusion on the data base.

  20. Radiographers and radiologists reporting plain radiograph requests from accident and emergency and general practice

    AIM: To assess selectively trained radiographers and consultant radiologists reporting plain radiographs for the Accident and Emergency Department (A and E) and general practitioners (GPs) within a typical hospital setting. METHODS: Two radiographers, a group of eight consultant radiologists, and a reference standard radiologist independently reported under controlled conditions a retrospectively selected, random, stratified sample of 400 A and E and 400 GP plain radiographs. An independent consultant radiologist judged whether the radiographer and radiologist reports agreed with the reference standard report. Clinicians then assessed whether radiographer and radiologist incorrect reports affected confidence in their diagnosis and treatment plans, and patient outcome. RESULTS: For A and E and GP plain radiographs, respectively, there was a 1% (95% confidence interval (CI) -2 to 5) and 4% (95% CI -1 to 8) difference in reporting accuracy between the two professional groups. For both A and E and GP cases there was an 8% difference in the clinicians' confidence in their diagnosis based on radiographer or radiologist incorrect reports. For A and E and GP cases, respectively, there was a 2% and 8% difference in the clinicians' confidence in their management plans based on radiographer or radiologist incorrect reports. For A and E and GP cases, respectively, there was a 1% and 11% difference in effect on patient outcome of radiographer or radiologist incorrect reports. CONCLUSION: There is the potential to extend the reporting role of selectively trained radiographers to include plain radiographs for all A and E and GP patients. Further research conducted during clinical practice at a number of sites is recommended

  1. Helicopter Emergency Medical Services: effects, costs and benefits

    A.N. Ringburg (Akkie)

    2009-01-01

    textabstractAdvanced prehospital medical care with air transport was introduced in the Netherlands in May 1995. The fi rst helicopter Mobile Medical Team, also called Helicopter Emergency Medical Service (HEMS) was a joint venture initiative of the VU Medical Center in Amsterdam and the Algemene Ned

  2. Emergency monitoring strategy and radiation measurements. Working document of the NKS project emergency management and radiation monitoring in nuclear and radiological accidents (EMARAD)

    This report is one of the deliverables of the NKS Project Emergency management and radiation monitoring in nuclear and radiological accidents (EMARAD) (20022005). The project and the overall results are briefly described in the NKS publication 'Emergency Management and Radiation Monitoring in Nuclear and Radiological Accidents. Summary Report on the NKS Project EMARAD' (NKS-137, April 2006). In a nuclear or radiological emergency, all radiation measurements must be performed efficiently and the results interpreted correctly in order to provide the decision-makers with adequate data needed in analysing the situation and carrying out countermeasures. Managing measurements in different situations in a proper way requires the existence of pre-prepared emergency monitoring strategies. Preparing a comprehensive yet versatile strategy is not an easy task to perform because there are lots of different factors that have to be taken into account. The primary objective of this study was to discuss the general problematics concerning emergency monitoring strategies and to describe a few important features of an efficient emergency monitoring system as well as factors affecting measurement activities in practise. Some information concerning the current situation in the Nordic countries has also been included. (au)

  3. Emergency monitoring strategy and radiation measurements document of the NKS project emergency management and radiation monitoring in nuclear and radiological accidents (EMARAD)

    Lahtinen, J. [Radiation and Nuclear Safety Authority (STUK) (Finland)

    2006-04-15

    This report is one of the deliverables of the NKS Project Emergency management and radiation monitoring in nuclear and radiological accidents (EMARAD) (20022005). The project and the overall results are briefly described in the NKS publication 'Emergency Management and Radiation Monitoring in Nuclear and Radiological Accidents. Summary Report on the NKS Project EMARAD' (NKS-137, April 2006). In a nuclear or radiological emergency, all radiation measurements must be performed efficiently and the results interpreted correctly in order to provide the decision-makers with adequate data needed in analysing the situation and carrying out countermeasures. Managing measurements in different situations in a proper way requires the existence of pre-prepared emergency monitoring strategies. Preparing a comprehensive yet versatile strategy is not an easy task to perform because there are lots of different factors that have to be taken into account. The primary objective of this study was to discuss the general problematics concerning emergency monitoring strategies and to describe a few important features of an efficient emergency monitoring system as well as factors affecting measurement activities in practise. Some information concerning the current situation in the Nordic countries has also been included. (au)

  4. Review of off-site emergency preparedness and response plan of Indian NPPs based on experience of Fukushima nuclear accident

    Nuclear power plants in India are designed, constructed and operated based on the principle of the highest priority to nuclear safety. To deal with any unlikely situation of radiological emergency, the emergency preparedness and response plans are ensured to be in place at all NPPs prior to their commissioning. These plans are periodically reviewed and tested by conducting emergency exercise with the participation of various agencies such as Nuclear Power Corporation of India Limited, NDMA, district authorities, regulatory body and general public. On March 11, 2011 an earthquake of magnitude 9.0 hit the Fukushima Dai-ichi and Dai-ni followed by tsunami waves of height 15 meters above reference sea level. This resulted in large scale release of radioactive material from Fukushima Dai-ichi NPS. This led to the evacuation of a large number of people from the areas surrounding the affected nuclear power plants. The event was rated as level 7 event in International Nuclear Event Scale (INES). The event also revealed the challenges in handling radiological emergency situation in adverse environmental conditions, The experience of managing radiological emergency situation during Fukushima nuclear accident provides opportunities to review and improve emergency preparedness and response programme. The present paper presents the chronology of the emergency situation, challenges faced and handled in Fukushima. Even though the possibility of a Fukushima type nuclear accident in India is very remote due to the low probability of a high intensity earthquake followed by tsunami at NPP sites, the efforts needs to be initiated from the regulatory point of view for an effective Nuclear and Radiological Emergency Preparedness and Response Plans. The Emergency Preparedness and Response Plans of NPP sites were reviewed in the light of unique challenges of accident at Fukushima. It is realized that multi unit events are the realities that must be addressed as part of Emergency

  5. Needlestick injury among medical personnel in Accident and Emergency Department of two teaching hospitals.

    Ng, Y W; Hassim, I Noor

    2007-03-01

    Needlestick injury has been recognized as one of the occupational hazards which results in transmission of bloodborne pathogens. A cross-sectional study was carried out among 136 health care workers in the Accident and Emergency Department of two teaching hospitals from August to November 2003 to determine the prevalence of cases and episodes of needlestick injury. In addition, this study also assessed the level of knowledge of blood-borne diseases and Universal Precautions, risk perception on the practice of Universal Precautions and to find out factors contributing to needlestick injury. Prevalence of needlestick injury among the health care workers in the two hospitals were found to be 31.6% (N = 43) and 52.9% (N = 87) respectively. Among different job categories, medical assistants appeared to face the highest risk of needlestick injury. Factors associated with needlestick injury included shorter tenure in one's job (p risk of needlestick injury while performing procedures on patients. Therefore, comprehensive infection control strategies should be applied to effectively reduce the risk of needlestick injury. PMID:17682562

  6. An exploration of nurses experience of alcohol related violence and caring for intoxicated patients in Accident and Emergency

    Locker, Emily

    2008-01-01

    This study aims to explore the violence that Accident and Emergency nurses encounter. Current literature and health policies emphasis the seriousness and prevalence of violent attacks on nurses in A&E. There is also a push towards a new Government agenda based on Zero-tolerance. The study adopted a qualitative approach using semi-structured interviews. It contained six participants who were asked about their experiences of violence encountered in the A&E department. They were also asked to lo...

  7. Radiological emergencies arising from accidents in Italy

    The Nuclear Safety and Health Protection Directorate (DISP) of ENEA has organized a structure of officers and technicians on call whenever an accident related to the activity of ENEA-DISP should occur. The most frequent events arise from natural misfortunes, crime, and deficiencies in public services. As regards technical operations such as measurements, removals, decontaminations and transport, DISP requests utilization of the different structures and equipment available to ENEA research centres and, in particular and most frequently, of the Safety and Radioprotection Division of the main ENEA centre: the Casaccia Research Centre. The technicians of this division are always available via telephone or radio, with the firm duty to be present within one hour from the call. The co-operation between these two structures enables timely and efficient intervention in many circumstances so that population and environmental risks can be avoided. Typical accidental situations are earthquakes, adverse atmospheric events, landslides, collapses, railway and road accidents, lost sources discovery, and seizure of illegally detained sources by judicial power. The paper briefly describes some of the situations which have occurred, and the actions carried out to recover sources and to re-establish safe environmental conditions. (author)

  8. HYSPLIT's Capability for Radiological Aerial Monitoring in Nuclear Emergencies: Model Validation and Assessment on the Chernobyl Accident

    Jung, Gunhyo; Kim, Juyoul [Seoul National University, Seoul (Korea, Republic of); Shin, Hyeongki [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2007-10-15

    The Chernobyl accident took place on 25 April 1986 in Ukraine. Consequently large amount of radionuclides were released into the atmosphere. The release was a widespread distribution of radioactivity throughout the northern hemisphere, mainly across Europe. A total of 31 persons died as a consequence of the accident, and about 140 persons suffered various degrees of radiation sickness and health impairment in the acute health impact. The possible increase of cancer incidence has been a real and significant increase of carcinomas of the thyroid among the children living in the contaminated regions as the late health effects. Recently, a variety of atmospheric dispersion models have been developed and used around the world. Among them, HYSPLIT (HYbrid Single-Particle Lagrangian Integrated Trajectory) model developed by NOAA (National Oceanic and Atmospheric Administration)/ARL (Air Resources Laboratory) is being widely used. To verify the HYSPLIT model for radiological aerial monitoring in nuclear emergencies, a case study on the Chernobyl accident is performed.

  9. Comparison of intramuscular glucagon and intravenous dextrose in the treatment of hypoglycaemic coma in an accident and emergency department.

    Patrick, A W; Collier, A.; Hepburn, D A; Steedman, D. J.; Clarke, B F; Robertson, C.

    1990-01-01

    Hypoglycaemia remains a serious and much feared complication of insulin therapy. In this study, patients attending an accident and emergency department in hypoglycaemic coma were randomized to treatment with either intravenous dextrose (25g) or intramuscular glucagon (1mg), administered into the right thigh. Restoration of normal conscious level was slower after glucagon than dextrose (9.0 vs 3.0 min, P less than 0.01), although the average duration of hypoglycaemic coma was 120 min. Two pati...

  10. Mutual emergency assistance for radiation accidents

    In 1963 the International Atomic Energy Agency (IAEA) issued a document, WP.35, dated 23 November 1963, based on information provided by a number of its Member States on the type of radiological assistance that they might be able to make available in the event of a radiation emergency in another country at the request of that country. The document was subsequently revised in 1968 and 1971 with the participation of the World Health Organization (WHO), the Food and Agriculture Organization of the United Nations (FAO) and the International Labour Organisation (ILO). In 1979, an expanded questionnaire to ascertain what could be required by the State in the event of a major radiation accident, was sent jointly by these organizations with the participation of the Office of the United Nations Disaster Relief Co-ordinator (UNDRO), to all their Member States. The text of the expanded questionnaire is reproduced. The present document lists all the information, received up to mid 1980, that contains offers of assistance made by a State. It also lists information on the assistance that might be required by the State. In general, the replies have been reproduced in the form in which they were received, although a few changes in presentation have been introduced in the interest of brevity and clarity. Some countries have pointed out that their replies are necessarily of a general character and that the full extent of the assistance they would be capable of providing could be determined only after a specific request had been received. The information given in this document should therefore be regarded only as a guide to the type of radiological assistance that might be available and/or needed. Other available international assistance includes that provided by the Agency through the IAEA Radiation (Emergency) Assistance Procedures, by WHO through its system of Collaborating Centres on human radiation pathology, and by various States via regional or inter-countries' agreements on

  11. Accident at Three Mile Island: the contribution of the social sciences to the evaluation of emergency preparedness and response

    At 4:00 A.M. on 28 March 1979, a serious accident occurred in the nuclear-power plant at Three Mile Island near Middletown, Pennsylvania. It was caused by mechanical malfunctions in the plant, and for the next four days the extent and severity of the accident were not clear. Because it raised serious concerns about the safety of nuclear power, on 11 April President Carter established a commission to study and investigate the accident. Several aspects of the formation and evolution of the commission are particularly relevant to the social sciences. One was the way the original problem was defined for the commission by the presidential executive order. A second was the commission's own definition of the problem that evolved as the investigation progressed. As that definition became more inclusive, the body of social science literature relating to emergencies became increasingly relevant

  12. Severe human factor accidents and their management in a in-service nuclear Power plant

    Human Reliability Analysis (HRA) is an important part of Probabilistic Safety Assessment (PSA) in a nuclear power plant (NPP). It can be used to evaluate and quantify the behaviors of the operators in a post-accident response. The paper picks up the serious human factor event sequences that contribute more than 5% to the overall Core Damage Frequency (CDF) involved in PSA through a HRA analysis on a domestic PWR. The basic human error probabilities (BHEPs) of these human factor event sequences are resulted, on the basis of which the actions of the operators within the main control room (MCR) after the accidents are analyzed and their criticalities are arranged in order. The paper, from the point of engineering management,puts forward the measures to improve the corresponding emergency operating procedures (EOPs) and the MCR surroundings through analyzing serious human factor event sequence arrangement and the actions of operators in the post-accident interferences. With regard to the operator's interferences of high criticality the NPP should enforce training and improve its ability of interferences. (authors)

  13. Applications of nano-fluids to enhance LWR accidents management in in-vessel retention and emergency core cooling systems

    Water-based nano-fluid, colloidal dispersions of nano-particles in water; have been shown experimentally to increase the critical heat flux and surface wettability at very low concentrations. The use of nano-fluids to enhance accidents management would allow either to increase the safe margins in case of severe accidents or to upgrade the power of an existing power plant with constant margins. Building on the initial work, computational fluid dynamics simulations of the nano-fluid injection system have been performed to evaluate the feasibility of a nano-fluid injection system for in-vessel retention application. A preliminary assessment was also conducted on the emergency core cooling system of the European Pressurized Reactor (EPR) to implement a nano-fluid injection system for improving the management of loss of coolant accidents. Several design options were compared/or their respective merits and disadvantages based on criteria including time to injection, safety impact, and materials compatibility. (authors)

  14. Characterization of cleaners accidents in the Portuguese service sector

    Cabeças, José Miquel

    2008-01-01

    This paper characterizes work accidents at Portuguese industrial cleaning companies, operating in the service sector, through the application of ESAW methodology. Data was codified based on the analysis of 748 accident claims to insurance companies (number of days lost 1 working day) in 3 large industrial cleaning companies for the period 2001-2003. Slipping and falling in the same level was the main deviation from the normal working process in the moment of the accident (in 25% of the accid...

  15. Referral to the Hospital And Emergency Ambulance Service Uses Patterns of the Inmates and Convicts

    Emine Oncu

    2014-03-01

    Full Text Available Aim: The purpose of this study was to determine the reasons for referral to the hospital and 112 emergency ambulance service uses patterns of the inmates and convicts in an E type prison. Material and Method: In this descriptive study, it was evaluated the prison records associated with referral to the hospital and 112 emergency ambulance service uses for one year in 2010- 2011. Of the statistical analysis, descriptive statistics, chi-square test and Fisher%u2019s Exact Test were used. Results: All inmates and convicts were man, the median of age was 30,0 (min 18- max 68 years and substance use was 34,5%. The number of prisoners were referred to the hospital 815, total referrals were 1491; (referrals ranged from one to six and most common in January; and according to frequency, reasons of the referral were eyes problems, musculoskeletal disorders and psychological problems. Emergency medical service was used for in medical causes (78,3%, accident, trauma and injuries (16,4%, suicide (5,3%. Discussion: Findings from the study show that prisoners are more likely to have suffered physical and mental health problems that compared to the rest of society and have significantly high substance use rates.

  16. Emergency preparedness for newborn screening and genetic services.

    Pass, Kenneth A; Thoene, Jess; Watson, Michael S

    2009-06-01

    Patients identified in newborn screening programs can be among the most vulnerable during a disaster due to their need to have prompt diagnosis and medical management. Recent disasters have challenged the ability of newborn screening programs to maintain the needed continuity during emergency situations. This has significant implications for the newborn screening laboratories, the diagnostic confirmation providers, and the patients who either require diagnosis or maintenance of their therapeutic interventions. In 2007, the National Coordinating Center (NCC) for the Regional Genetics and Newborn Screening Collaboratives (RCs) sponsored a meeting involving representatives of the Regional Genetics and Newborn Screening Collaborative Groups, state newborn screening programs, providers of diagnosis and confirmation services, manufacturers of equipment, medical foods, and other treatments used in patients identified in newborn screening programs, and individuals from agencies involved in disaster response including the National Disaster Medical Service, the Centers for Disease Control and Prevention, the Emergency Management Assistance Compact, the Federal Emergency Management Agency, and others. In addition to developing contingency plans for newborn screening, we have considered other uses of genetics as it is used in DNA-based kinship identification of mass casualties. The meeting resulted in the description of a wide range of issues facing newborn screening programs, provider groups, and patients for which emergency preparedness development is needed in order that appropriate response is enabled. PMID:19444127

  17. Helicopter Emergency Medical Services: effects, costs and benefits

    Ringburg, Akkie

    2009-01-01

    textabstractAdvanced prehospital medical care with air transport was introduced in the Netherlands in May 1995. The fi rst helicopter Mobile Medical Team, also called Helicopter Emergency Medical Service (HEMS) was a joint venture initiative of the VU Medical Center in Amsterdam and the Algemene Nederlandse WielrijdersBond (ANWB). The medical team consisted of a trauma surgeon or anaesthesiologist and a specialised trauma nurse, whereas, the ANWB Medical Air Assistance (MAA) helicopter compan...

  18. Cancer patients, emergencies service and provision of palliative care

    Bruno Miranda

    2016-06-01

    Full Text Available SUMMARY Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care. Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011 with a minimum length of hospital stay of two hours. Student’s t-test and Pearson chi-square test were used to compare the means. Results: 191 patients were enrolled, 47.6% elderly, 64.4% women, 75.4% from the city of Recife and greater area. The symptom prevalent at admission was pain (46.6%. 4.2% of patients were linked to palliative care and 2.1% to home care. The most prevalent cancers: cervix (18.3%, breast (13.6% and prostate (10.5%; 70.7% were in advanced stages (IV, 47.1%; 39.4% without any cancer therapy. Conclusion: Patients sought the emergency service on account of pain, probably due to the incipient coverage of palliative and home care. These actions should be included to oncologic therapy as soon as possible to minimize the suffering of the patient/family and integrate the skills of oncologists and emergency professionals.

  19. Radiological review of accident and emergency radiographs: A 1-year audit

    AIM: To assess the impact and cost effectiveness of a system of radiological review of accident and emergency (A and E) plain films. MATERIALS AND METHODS: Review documentation was studied retrospectively over a 1-year period. Six hundred and eighty-four actual or suspected errors in the initial radiological interpretation by A and E staff were highlighted by radiologists in training. These selected 'red reports' were then further reviewed by a musculoskeletal radiologist and a more senior member of the A and E team. RESULTS: Three hundred and fifty-one missed or strongly suspected fractures were detected, with ankle, finger and elbow lesions predominating. Other errors included 11 missed chest radiograph abnormalities and 24 A and E false-positives. Radiologists in training tended to over-report abnormalities with an 18% false-positive rate when compared to the subsequent musculoskeletal radiology opinion. Following review, further action was taken by A and E staff in 286 (42.6%) of cases. No operative intervention was required in those patients with a delayed or missed A and E diagnosis. Consideration is given to the cost of providing this form of review and the impact of medico-legal factors. CONCLUSION: Compared with the large numbers of patients seen and radiographed in a busy A and E department, the number of radiological errors was small. There were even fewer changes in management. Despite this, concern over litigation, clinical governance and future work patterns in A and E make this form of review a useful means of risk reduction in a teaching hospital. Williams, S.M. (2000). Clinical Radiology 55, 861-865

  20. ETH-RISKMONITOR: Linking plant on-line monitoring to rule-based assessment and emergency planning for nuclear accidents

    The ETH-RISKMONITOR is a DSS designed to assist real case on-line remote monitoring of nuclear power plants for abnormal event categorizing based on plant condition, and its evolvement, issuing of recommended alert grades, prompt determination of endangered/exposed sectors in a territory and on dose and health effects mapping. It is an application on linking plant on-line monitoring to rule-based assessment and emergency planning for nuclear accidents

  1. Accident and emergency radiological interpretation using the radiographer opinion form (ROF)

    The red dot system of radiographer opinion giving about the result of an x-ray examination in the accident and emergency (A and E) department has been around for about 15 years in various forms. However, it does not require that the radiographer accurately identify the site and nature of the suspected pathology. In developing a study to measure the ability of radiographers to interpret plain A and E radiographs a new data collection instrument was successfully used, the Radiographer Opinion Form (ROF). The ROF allows radiographers to indicate firstly whether they suspect a pathology or not, and secondly what they the suspected pathology is in their opinion. In a study of 820 A and E cases undertaken at the John Hunter Hospital (JHH) using the ROF radiographers had an overall accuracy of 93 per cent in identifying the presence or absence of pathology compared to the 100 per cent gold standard of the radiologists' reports. Even taking into account a positive selection bias recognised in the study this was comparably with results found in previous studies both in Australia and overseas. The radiographers performed better in less complex anatomical regions, such as the upper extremity (96.3 per cent), compared to other examinations like the chest (90.7 per cent) and the abdomen (87,5 per cent), where the anatomy is more complex and the differential diagnosis is more varied. The ROF proved a useful research tool, however, it may also have valuable clinical applications as a means of conveying the radiographers opinion about suspected abnormalities to referring doctors in the first instance, and ultimately to the reporting radiologists. Copyright (2002) Australian Institute of Radiography

  2. Haematoma block or Bier's block for Colles' fracture reduction in the accident and emergency department--which is best?

    Kendall, J. M.; Allen, P.; Younge, P.; Meek, S M; McCabe, S E

    1997-01-01

    OBJECTIVE: To offer clear guidance on the anaesthetic management of Colles' fractures in the accident and emergency (A&E) department in the light of the conflict between existing reports and current trends, and to address the issue of alkalinisation of haematoma blocks. METHODS: This was a two centre, prospective, randomised clinical trial with consecutive recruitment of adult patients with Colles' fractures requiring manipulation to receive either Bier's block or haematoma block. There was s...

  3. Use of anti-D immunoglobulin in the treatment of threatened miscarriage in the accident and emergency department

    Weinberg, L

    2001-01-01

    Background—The UK guidelines for the use of anti-D immunoglobulin for rhesus prophylaxis have been revised. Anti-D immunoglobulin is no longer recommended for Rh D negative women after a threatened miscarriage less than 12 weeks gestation. These patients are at risk of rhesus immunisation, and there should be a policy for their treatment in the accident and emergency (A&E) department.

  4. Emergency Management and Radiation Monitoring in Nuclear and Radiological Accidents. Summary Report on the NKS Project EMARAD

    In order to manage various nuclear or radiological emergencies the authorities must have pre-prepared plans. The purpose of the NKS project EMARAD (Emergency Management and Radiation Monitoring in Nuclear and Radiological Accidents) was to produce and gather various data and information that could be useful in drawing up emergency plans and radiation monitoring strategies. One of the specific objectives of the project was to establish a www site that would contain various radiation-threat and radiation-monitoring related data and documents and that could be accessed by all Nordic countries. Other important objectives were discussing various factors affecting measurements in an emergency, efficient use of communication technology and disseminating relevant information on such topics as urban dispersion and illicit use of radiation. The web server is hosted by the Radiation and Nuclear Safety Authority (STUK) of Finland. The data stored include pre-calculated consequence data for nuclear power plant accidents as well as documents and presentations describing e.g. general features of monitoring strategies, the testing of the British urban dispersion model UDM and the scenarios and aspects related to malicious use of radiation sources and radioactive material. As regards the last item mentioned, a special workshop dealing with the subject was arranged in Sweden in 2005 within the framework of the project. (au)

  5. Differences between attendance in emergency care of male and female victims of traffic accidents in Porto alegre, Rio Grande do Sul state, Brazil

    Raquel Forgiarini Saldanha; Flavio Pechansky; Daniela Benzano; Carlos Alberto Sampaio Martins de Barros; Raquel Brandini De Boni

    2014-01-01

    Driving under the influence of alcohol/ drugs (DUI) is a well-established risk factor for traffic accidents, and men and women have different consumption patterns. The scope of this paper is to analyze differences in alcohol and drug consumption, as well as on behavior associated with traffic accidents among men and women. A cross-sectional study was conducted with 609 sequential traffic accident victims attended in emergency care from Porto Alegre. Subjects gave a structured interview, were ...

  6. Criticality accident in uranium fuel processing plant. Emergency medical care and dose estimation for the severely overexposed patients

    Akashi, Makoto; Ishigure, Nobuhito [National Inst. of Radiological Sciences, Chiba (Japan)

    2000-08-01

    A criticality accident occurred in JCO, a plant for nuclear fuel production in 1999 and three workers were exposed to extremely high-level radiation (neutron and {gamma}-ray). This report describes outlines of the clinical courses and the medical cares for the patients of this accident and the emergent medical system for radiation accident in Japan. One (A) of the three workers of JCO had vomiting and diarrhea within several minutes after the accident and another one (B) had also vomiting within one hour after. Based on these evidences, the exposure dose of A and B were estimated to be more than 8 and 4 GyEq, respectively. Generally, acute radiation syndrome (ARS) is assigned into three phases; prodromal phase, critical or manifestation phase and recovery phase or death. In the prodromal phase, anorexia, nausea, vomiting and diarrhea often develop, whereas the second phase is asymptotic. In the third phase, various syndromes including infection, hemorrhage, dehydration shock and neurotic syndromes are apt to occur. It is known that radiation exposure at 1 Gy or more might induce such acute radiation syndromes. Based on the clinical findings of Chernobyl accident, it has been thought that exposure at 0.5 Gy or more causes a lowering of lymphocyte level and a decrease in immunological activities within 48 hours. Lymphocyte count is available as an indicator for the evaluation of exposure dose in early phase, but not in later phase The three workers of JCO underwent chemical analysis of blood components, chromosomal analysis and analysis of blood {sup 24}Na immediately after the arrival at National Institute of Radiological Sciences via National Mito Hospital specified as the third and the second facility for the emergency medical care system in Japan, respectively. (M.N.)

  7. Emergency response planning for transport accidents involving radioactive materials

    The document presents a basic discussion of the various aspects and philosophies of emergency planning and preparedness along with a consideration of the problems which might be encountered in a transportation accident involving a release of radioactive materials. Readers who are responsible for preparing emergency plans and procedures will have to decide on how best to apply this guidance to their own organizational structures and will also have to decide on an emergency planning and preparedness philosophy suitable to their own situations

  8. Management options for food production systems affected by a nuclear accident. Task 4: emergency monitoring and processing of milk

    This report evaluates three possible ways in which the quantity of milk designated as waste could be reduced following a nuclear accident. The three approaches considered were: the development of an emergency monitoring programme to release milk with activity concentrations less than the intervention levels back into the foodchain that would otherwise be held up under Government precautionary advice; the direct decontamination of milk for re-introduction into the foodchain; and the processing of contaminated milk into products suitable for consumption or disposal. This work was carried out under the Environmental Assessments Department and Emergency Response Group Quality Management System which is certified to ISO 9001:2000, certificate No. 956546. (author)

  9. Multi-objective evolutionary emergency response optimization for major accidents

    Emergency response planning in case of a major accident (hazardous material event, nuclear accident) is very important for the protection of the public and workers' safety and health. In this context, several protective actions can be performed, such as, evacuation of an area; protection of the population in buildings; and use of personal protective equipment. The best solution is not unique when multiple criteria are taken into consideration (e.g. health consequences, social disruption, economic cost). This paper presents a methodology for multi-objective optimization of emergency response planning in case of a major accident. The emergency policy with regards to protective actions to be implemented is optimized. An evolutionary algorithm has been used as the optimization tool. Case studies demonstrating the methodology and its application in emergency response decision-making in case of accidents related to hazardous materials installations are presented. However, the methodology with appropriate modification is suitable for supporting decisions in assessing emergency response procedures in other cases (nuclear accidents, transportation of hazardous materials) or for land-use planning issues.

  10. Designing of an emergency call system for traffic accidents

    Ziya Ekşi; Murat Çakıroğlu

    2013-01-01

    In our country, many people have been seriously injured or died in traffic accidents. Fatal accidents often occur because of not complying with traffic rules or carelessness. Except these driver mistakes, heavy injuries can result in deaths because of emergency aid teams failing to arrive to accident scene in time. In this study, an accident emergency call system is designed to help injured people's treatment as soon as possible by notifying emercengy team automatically in accidents. The desi...

  11. Emergency planning and the Control of Major Accident Hazards (COMAH/Seveso II) Directive: An approach to determine the public safety zone for toxic cloud releases

    The EU Control of Major Accidents Hazards Directive (Seveso II) requires an external emergency plan for each top tier site. This paper sets out a method to build the protection of public health into emergency planning for Seveso sites in the EU. The method involves the review of Seveso site details prescribed under the directive. The site safety report sets out the potential accident scenarios. The safety report's worst-case scenario, and chemical involved, is used as the basis for the external emergency plan. A decision was needed on the appropriate threshold value to use as the level of concern to protect public health. The definitions of the regulatory standards (air quality standards and occupational standards) in use were studied, how they are derived and for what purpose. The 10 min acute exposure guideline level (AEGL) for a chemical is recommended as the threshold value to inform decisions taken to protect public health from toxic cloud releases. The area delimited by AEGL 1 defines the population who may be concerned about being exposed. They need information based on comprehensive risk assessment. The area delimited by AEGL 2 defines the population for long-term surveillance when indicated and may include first responders. The area delimited by AEGL 3 defines the population who may present acutely to the medical services. It ensures that the emergency responders site themselves safely. A standard methodology facilitates discussions with plant operators and concerned public. Examples show how the methodology can be adapted to suit explosive risk and response to fire

  12. Review of the emergency response exercise organized during the Erpet training course on off-site emergency planning and response for nuclear accidents

    An international training course on off-site emergency planning and response for nuclear accidents has been organized by the SCK/CEN (Studie Centrum voor Kernenergie - Centre d'Etude de l'Energie Nucleaire) at Mol (Belgium) from 9 to 13 september 1991. One of the major events of this training course was a full-day emergency exercise. An emergency response exercise organized in the frame of a general course has more specific aspects, regarding the role of the participants and the absence of a specific emergency plan or procedures. This paper describes the practical organization, the scenario and the communication with the participants. The decisions proposed by the participants and the results of their radiological evaluations are discussed

  13. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway

    Staff Trine; Søvik Signe

    2011-01-01

    Abstract Background Few studies have evaluated pre-hospital documentation quality. We retrospectively assessed emergency medical service (EMS) documentation of key logistic, physiologic, and mechanistic variables in motor vehicle accidents (MVAs). Methods Records from police, Emergency Medical Communication Centers (EMCC), ground and air ambulances were retrospectively collected for 189 MVAs involving 392 patients. Documentation of Glasgow Coma Scale (GCS), respiratory rate (RR), and systolic...

  14. The new approach of the radiological emergency response team at the Brazilian National Nuclear Energy Commission's Institute of Radiation Protection and Dosimetry after the Goiania accident

    The evaluation of the emergency actions taken during the Goiania accident caused a complete revision of the Brazilian Nuclear Energy Commission's Institute of Radiation Protection and Dosimetry Emergency Response Team. The changes were in both the scope of the emergency responsibilities and in the organization of the emergency team. This new organization permits an emergency response to accidents in nuclear installations such as nuclear reactors or fuel cycle facilities, or accidents involving radiation sources in hospitals, industry, etc. The organization takes into account all the emergency phases, with emphasis on a quick response in the initial phase. Of a total emergency team of one hundred and four people, there are twenty-six members on call twenty-four hours a day. (author). 1 fig

  15. Incident and Emergency Medical Services Management from a Regional Perspective

    Ozge Cavusoglu

    2012-06-01

    Full Text Available Traffic crashes and other emergencies have impacts on traffic operations in transportation networks, often resulting in non-recurring congestion. Congestion, in turn, may impede the ability of Emergency Medical Services (EMS to provide timely response to those in need of medical attention. The work in this paper investigated the impact of incidents of varying severity and duration on transportation network performance in the Birmingham (AL, USA area. The intensity and extent of the impact over space and time were assessed on the basis of average speeds. The analysis of incident scenarios was performed using the Visual Interactive System for Transport Algorithms (VISTA platform. Moreover, first responders’ travel times to the scene of the incident were collected to identify best units for responding, in an effort to improve current dispatching practices. Finally, a secondary incident on the EMS to the hospital was considered to further demonstrate the superiority of Dynamic Traffic Assignment (DTA over traditional static assignment methods in capturing dynamically changing traffic conditions. The study findings are expected to benefit local transportation planners, traffic engineers, emergency responders, and policy makers by allowing them to assess various response strategies to major incidents and emergencies and select the ones that minimize their potential impacts.

  16. Incident and emergency medical services management from a regional perspective.

    Sisiopiku, Virginia P; Cavusoglu, Ozge

    2012-07-01

    Traffic crashes and other emergencies have impacts on traffic operations in transportation networks, often resulting in non-recurring congestion. Congestion, in turn, may impede the ability of Emergency Medical Services (EMS) to provide timely response to those in need of medical attention. The work in this paper investigated the impact of incidents of varying severity and duration on transportation network performance in the Birmingham (AL, USA) area. The intensity and extent of the impact over space and time were assessed on the basis of average speeds. The analysis of incident scenarios was performed using the Visual Interactive System for Transport Algorithms (VISTA) platform. Moreover, first responders' travel times to the scene of the incident were collected to identify best units for responding, in an effort to improve current dispatching practices. Finally, a secondary incident on the EMS to the hospital was considered to further demonstrate the superiority of Dynamic Traffic Assignment (DTA) over traditional static assignment methods in capturing dynamically changing traffic conditions. The study findings are expected to benefit local transportation planners, traffic engineers, emergency responders, and policy makers by allowing them to assess various response strategies to major incidents and emergencies and select the ones that minimize their potential impacts. PMID:22851940

  17. A model national emergency plan for radiological accidents

    The IAEA has supported several projects for the development of a national response plan for radiological emergencies. As a result, the IAEA has developed a model National Emergency Response Plan for Radiological Accidents (RAD PLAN), particularly for countries that have no nuclear power plants. This plan can be adapted for use by countries interested in developing their own national radiological emergency response plan, and the IAEA will supply the latest version of the RAD PLAN on computer diskette upon request

  18. A model national emergency response plan for radiological accidents

    The IAEA has supported several projects for the development of a national response plan for radiological emergencies. As a results, the IAEA has developed a model National Emergency Response Plan for Radiological Accidents (RAD PLAN), particularly for countries that have no nuclear power plants. This plan can be adapted for use by countries interested in developing their own national radiological emergency response plan, and the IAEA will supply the latest version of the RAD PLAN on computer diskette upon request. 2 tabs

  19. Identification and evaluation of competencies of health professionals in the hospital emergency management of the radiation accident victim

    A preliminary list of ten competency and forty-six sub-competency statements derived from literature and consultation with experts and based on the general areas of clinical performance defined by the National Board of Medical Examiners were the concern of Phase I of this study. Forty-eight experts in nuclear medicine, radiology, radiotherapy, health physics, medical physics, radiation biology, public and occupational health, surgery, and emergency medicine and nursing considered this preliminary list of competencies and sub-competencies to determine which were essential for health professionals who may be caring for radiation accident victims in hospital emergency departments. Eight competencies and thirty-three sub-competencies were rated as Essential competencies. Competencies dealing with establishing priorities in patient care and initiating treatment, assessment, contamination control, and decontamination were highly rated. In the second part of this study, the Essential competencies were utilized in the development of an original evaluation instrument designed to identify deficiencies and continuing education needs during radiation accident drills or exercises. The instrument was designed for use in sixteen possible patient care situations in which the radiation accident victims have varying medical and radiological conditions. Development of the evaluation instrument was described

  20. TRACE - a time-dependent and realistic accident consequence evaluation module for use in emergency response planning

    Following the identification of an off-normal condition at nuclear power plant, the plant operators have one over-riding responsibility: protection of the offsite population. In discharging this responsibility, the operators utilize a set of emergency operating procdedures. A. Immediately following the identification of the off-normal condition, the operators primary actions are focused on establishing a safe, stable shutdown condition for the reactor. B. The plant condition is categorized according to the perceived severity of the event based on a broad overview of the plant conditions, and the information is transmitted to appropriate governmental authorities. C. Estimations of potential environmental releases of radioactivity, based on design basis accident results, are performed and transmitted to the governmental authorities. The TRACE package was developed to provide the operators with the tools to make realistic predictions of the range of possible releases of radioactivity to the environment during all phases of an off-normal condition, including severe accident situations. The TRACE package provides a means to project, during the early stages of an accident, the potential range of possible fission product releases on a realistic and time-dependent basis. The TRACE package also provides a means to update previous evaluations of the potential range of radioactivity releases as plant conditions change or a new information (on accident sequence or plant parameters) becomes available. (orig./HSCH)

  1. Human Mobility and Accident and Emergency (A&E) Department: A contribution to the knowledge of invisible flows

    Bertazzoni, Beatrice; Bertazzoni, Giuliano; Montanari, Armando

    2016-01-01

    This article provides a full report of the results of a feasibility study for a project based on the combination of clinical figures with socio-economic data on human mobility within the metropolitan area of Rome. Acknowledging that Accident and Emergency (A&E) Departments represent privileged observatories of health issues of a given territory, the point of departure of this study is the patient register dataset of the A&E Department of the Policlinico Umberto I for the period 2000-2013. The...

  2. Towards integration of general practitioner posts and accident and emergency departments: a case study of two integrated emergency posts in the Netherlands

    Kamphuis Helen CM

    2008-11-01

    Full Text Available Abstract Background Accident and emergency (A&E departments and general practitioner (GP posts are often used inappropriately, leading to overcrowding. In the Netherlands, increasingly more integrated emergency posts (IEPs are being created, integrating the care provided by GP posts and A&E departments, in order to improve the provision of the emergency care. Methods This explorative study compares the efficiency and patient and employee satisfaction in IEPs with those in two GP posts and two A&E departments. To this end, information was retrieved from hospital and GP patient records for the first quarter of the year before and of the year after the creation of IEPs. Patients and employees were sent a questionnaire to measure their satisfaction. Lastly, groups of hospital doctors, GPs, GP assistants, and nurses were interviewed. Results After the creation of IEPs, there was a shift of more than fifteen percent from secondary care to primary care for emergency consultations and waiting/consultation times were shortened by more than ten percent. Compared with the control settings, patients were more satisfied about telephone contact with an IEP, but professionals working at the IEP were less satisfied with several aspects of their work. Conclusion IEPs could be a promising innovation to organize emergency care more efficiently; however, it might take time to convince professionals of the possible advantages. Studies involving more IEPs and longer follow-up times are needed to determine whether such integration should be stimulated.

  3. Assessment of emergency response planning and implementation in the aftermath of major natural disasters and technological accidents

    Emergency planning around nuclear power plants represents some of the most mature and well developed emergency planning in the United States. Since the implementation of NUREG-0654 / FEMA-REP-1, Rev. 1, A Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants (NRC, 1980a) the licensees, local, and State agencies have developed detailed Radiological Emergency Response Programs. An important component of these plans is the evacuation of the population in the event of a general emergency condition at the plant. In January 2005, the U.S. Nuclear Regulatory Commission (NRC) published the landmark report, 'Identification and Analysis of Factors Affecting Emergency Evacuations' (NUREG/CR 6864/), which represented the most comprehensive investigation of public evacuations in the United States in more than 15 years. Since the completion of this research, several high profile evacuations have occurred, including Hurricane Katrina in New Orleans, Hurricane Rita in Houston, as well as major wildfires across the western U.S. The NRC commissioned an update to its 2005 evacuation case study publication to evaluate the evacuation experience of the selected communities (e.g., timeliness, related injuries, hazard avoidance); the level of preplanning that was in place for the affected areas and extent that the pre planned requirements were implemented during the emergency response; the critical factors contributing to the efficiency of or impediments to the evacuations (e.g., training, drills, preparedness, experience, resources, facilities, and organizational structure); and additional factors that may have contributed to less than satisfactory public response (i.e., availability of personal transportation, use of public transportation, lack of availability of shelters, etc.). The comprehensive report will be published in fall of 2008 as NUREG/CR-6981, Assessment of Emergency Response Planning and

  4. Emergency Medical Service (EMS) Stations

    Kansas Data Access and Support Center — EMS Locations in Kansas The EMS stations dataset consists of any location where emergency medical services (EMS) personnel are stationed or based out of, or where...

  5. Development of emergency response support system for accident management

    Specific measures for the accident management (AM) are proposed to prevent the severe accident and to mitigate their effects in order to upgrade the safety of nuclear power plants even further. To ensure accident management effective, it is essential to grasp the plant status accurately. In consideration of the above mentioned background, the Emergency Response Support System (ERSS) was developed as a computer assisted prototype system by a joint study of Japanese BWR group. This system judges and predicts the plant status at the emergency condition in a nuclear power plant. This system displays the results of judgment and prediction. The effectiveness of the system was verified through the test and good prospects for applying the system to a plant was obtained. 7 refs., 10 figs

  6. Mobile Integrated Health Care and Community Paramedicine: An Emerging Emergency Medical Services Concept.

    Choi, Bryan Y; Blumberg, Charles; Williams, Kenneth

    2016-03-01

    Mobile integrated health care and community paramedicine are models of health care delivery that use emergency medical services (EMS) personnel to fill gaps in local health care infrastructure. Community paramedics may perform in an expanded role and require additional training in the management of chronic disease, communication skills, and cultural sensitivity, whereas other models use all levels of EMS personnel without additional training. Currently, there are few studies of the efficacy, safety, and cost-effectiveness of mobile integrated health care and community paramedicine programs. Observations from existing program data suggest that these systems may prevent congestive heart failure readmissions, reduce EMS frequent-user transports, and reduce emergency department visits. Additional studies are needed to support the clinical and economic benefit of mobile integrated health care and community paramedicine. PMID:26169927

  7. Pattern of Sexual Offences Attended at Accident and Emergency Department of HUSM from Year 2000 to 2003: A Retrospective Study

    Islam, Mohammed Nasimul; See, Khoo Lay; Ting, Lai Chin; Khan, Jesmine

    2006-01-01

    This paper investigates the pattern of sexual offence cases attended at the One Stop Crisis Center (OSCC) of the Accident and Emergency Department, Hospital Universiti Sains Malaysia (HUSM), Kelantan. A total of 439 reported sexual offence cases were examined over a period of 4 years from 2000 to 2003. Sexual offence constituted by male partner or boyfriend in 18.9%, by relatives in 27.3% and by “others” in 53.8% of cases. Only 0.7% of victims did not attempt to lodge a police report. There i...

  8. Accidents, risks and consequences

    Although the accident at Chernobyl can be considered as the worst accident in the world, it could have been worse. Other far worse situations are considered, such as a nuclear weapon hitting a nuclear reactor. Indeed the accident at Chernobyl is compared to a nuclear weapon. The consequences of Chernobyl in terms of radiation levels are discussed. Although it is believed that a similar accident could not occur in the United Kingdom, that possibility is considered. It is suggested that emergency plans should be made for just such an eventuality. Even if Chernobyl could not happen in the UK, the effects of accidents are international. The way in which nuclear reactor accidents happen is explored, taking the 1957 Windscale fire, Three Mile Island and Chernobyl as examples. Reactor designs and accident scenarios are considered. The different reactor designs are listed. As well as the Chernobyl RBMK design it is suggested that the light water reactors also have undesirable features from the point of view of safety. (U.K.)

  9. 42 CFR 422.113 - Special rules for ambulance services, emergency and urgently needed services, and maintenance and...

    2010-10-01

    ... representative instructs an enrollee to seek emergency services within or outside the plan; and (v) With a limit... pre-approved ends when— (i) A plan physician with privileges at the treating hospital assumes... 42 Public Health 3 2010-10-01 2010-10-01 false Special rules for ambulance services, emergency...

  10. Use of a virtual learning environment for training in maxillofacial emergencies: impact on the knowledge and attitudes of staff in accident and emergency departments.

    Elledge, Ross; McAleer, Sean; Thakar, Meera; Begum, Fathema; Singhota, Sanjeet; Grew, Nicholas

    2016-02-01

    Many graduates will take up junior roles in accident and emergency (A&E) departments to which a large proportion of patients present with facial injuries caused by interpersonal violence. However, it is widely recognised that undergraduates and postgraduates have few opportunities for training in oral and maxillofacial surgery. We aimed to assess the impact of a specifically designed maxillofacial emergencies virtual learning environment (VLE) on the knowledge and confidence of junior doctors in two A&E departments. They were given free access to the VLE for one month, and were asked to complete multiple choice questions and to rate their confidence to deal with 10 common situations on visual analogue scales (VAS) at baseline and one month after training. A total of 29 doctors agreed to pilot the website, 21 (72%) completed both sets of questions, and 18 (62%) completed both VAS assessments. The mean (SD) multiple choice score improved from 10 (2.52) to 13 (3.56) out of a maximum of 20 (p=0.004) and the mean (SD) VAS improved from 29.2 (19.2) mm to 45.7 (16.6) mm out of a maximum of 100 mm (p=0.007). This was a small pilot study with limited numbers, but it showed improvements in the knowledge of maxillofacial emergencies and in confidence, although the latter remained low. Further work is needed to examine how these brief educational interventions affect the attitudes of frontline staff to maxillofacial emergencies. PMID:26725011

  11. GIS-based emergency response system for sudden water pollution accidents

    Rui, Yikang; Shen, Dingtao; Khalid, Shoaib; Yang, Zaigui; Wang, Jiechen

    The frequent occurrence of sudden water pollution accidents brings enormous risks to water environment safety. Therefore, there is great need for the modeling and development of early warning systems and rapid response procedures for current water pollution situation in China. This paper proposes an emergency response system based on the integration of Geographic Information System (GIS) technology and a hydraulic/water-quality model. Using the spatial analysis and three-dimensional visualization capabilities of GIS technology, we calculated pollutant diffusion measures, and visualized and analyzed the simulation results, in order to provide the services of early warning and emergency response for sudden water pollution accidents in the Xiangjia Dam area on the Yangtze River. The results show that the proposed system offers reliable technological support for emergency response to sudden water pollution events, and it shows good potential for wide applications in various aspects of water resources protection.

  12. Development of supporting system for emergency response to maritime transport accidents involving radioactive material

    National Maritime Research Institute has developed a supporting system for emergency response of competent authority to maritime transport accidents involving radioactive material. The supporting system for emergency response has functions of radiation shielding calculation, marine diffusion simulation, air diffusion simulation and radiological impact evaluation to grasp potential hazard of radiation. Loss of shielding performance accident and loss of sealing ability accident were postulated and impact of the accidents was evaluated based on the postulated accident scenario. Procedures for responding to emergency were examined by the present simulation results

  13. Radiation safety for the emergency situation of the power plant accident. Radiation safety in society and its education

    Great East Japan Earthquake and Tsunamis, and following Fukushima Daiichi Nuclear Power Accident brought about great impact on society in Japan. Accident analysis of inside reactor was studied by reactor physics or reactor engineering knowledge, while dissipation of a large amount of radioactive materials outside reactor facilities, and radiation and radioactivity effects on people by way of atmosphere, water and soil were dealt with radiation safety or radiation protection. Due to extremely low frequency and experience of an emergency, there occurred a great confusion in the response of electric power company concerned, relevant regulating competent authorities, local government and media, and related scholars and researchers, which caused great anxieties amount affected residents and people. This article described radiation safety in the society and its education. Referring to actual examples, how radiation safety or radiation protection knowledge should be dealt with emergency risk management in the society was discussed as well as problem of education related with nuclear power, radiation and prevention of disaster and fostering of personnel for relevant people. (T. Tanaka)

  14. LIVINGSTON COUNTY EMERGENCY SERVICES ANALYSIS

    Shields, William H.; Harvey, Lynn R.

    2001-01-01

    Rapid population growth challenges the ability of local government to keep pace with increasing and changing demand for public services. These challenges may be physical or organizational in nature. Physical challenges arise from the need to upgrade public infrastructure such as water and sewer service, roads, schools, and emergency services. Although installation of new infrastructure is always expensive, growth-related increases in the tax base provide new revenue for installation of new se...

  15. Research on problems in nuclear accident emergency rescue for nuclear power submarine

    This paper presents a description of nuclearpowered submarine accident types and an analysis of accident emergency rescue characteristics, including a special number of problems associated with emergencyrescue, such as emergency situation and emergency planning zone, technical rescue resources and task, protection against compound radiation inside and outside port plume zone, on-sea nuclear rescue equipment and technical assurance capacity, and other problesms related to in-accident nuclear submarine disposal. (authors)

  16. Guidelines for mutual emergency assistance arrangements in connection with a nuclear accident or radiological emergency

    The document contains the recommendations of a group of experts from 22 Member States and three international organizations which met in April 1983. These recommendations may serve as guidelines for use by states for the negotiation of bilateral or regional agreements relating to emergency assistance in the event of a nuclear accident or radiological emergency

  17. 42 CFR 410.66 - Emergency outpatient services furnished by a nonparticipating hospital and services furnished in...

    2010-10-01

    ... nonparticipating hospital and services furnished in a foreign country. 410.66 Section 410.66 Public Health CENTERS... services furnished by a nonparticipating hospital and services furnished in a foreign country. Conditions for payment of emergency inpatient services furnished by a nonparticipating U.S. hospital and...

  18. Lessons learned from Fukushima accident in relation to emergency management

    The latest accident in Fukushima, Japan, which involved concurrent accidents at multiple nuclear facilities due to the earthquakes and tsunami, as well as station blackouts for an extended period of time, demonstrated the need for an overall review of existing prevention measures. These measures include emergency protection measures for residents beyond the emergency planning zone, the application of radiation protection criteria that consider the release of radioactive materials to the environment over an extended period and the disposal of large-scale radioactive wastes and radiation protection criteria to be applied upon recovery. Accordingly, Japan has taken improvement initiatives in the area of prevention by submitting a government report on the Fukushima accident prior to the IAEA Ministerial Conference on Nuclear Safety in June last year, and the US has devised a regulatory system of its own, including directions for improvement through the NRC, which operated a temporary taskforce specifically for this purpose. This study examined how Japan is responding to the Fukushima accident and investigated directions that countries around the world can take to improve the area of nuclear protection in order to enhance Korea's own radiological emergency management system

  19. Individual feature identification method for nuclear accident emergency decision-making

    According to the individual feature identification method and combining with the characteristics of nuclear accident emergency decision-making, the evaluation index system of the nuclear accident emergency decision-making was determined on the basis of investigation and analysis. The effectiveness of the nuclear accident emergency decision-making was evaluated based on the individual standards by solving the individual features of the individual standard identification decisions. The case study shows that the optimization result is reasonable, objective and reliable, and it can provide an effective analysis method and decision-making support for optimization of nuclear accident emergency protective measures. (authors)

  20. Emergency planning and the Control of Major Accident Hazards (COMAH/Seveso II) Directive: an approach to determine the public safety zone for toxic cloud releases.

    O'Mahony, Mary T; Doolan, Donal; O'Sullivan, Alice; Hession, Michael

    2008-06-15

    The EU Control of Major Accidents Hazards Directive (Seveso II) requires an external emergency plan for each top tier site. This paper sets out a method to build the protection of public health into emergency planning for Seveso sites in the EU. The method involves the review of Seveso site details prescribed under the directive. The site safety report sets out the potential accident scenarios. The safety report's worst-case scenario, and chemical involved, is used as the basis for the external emergency plan. A decision was needed on the appropriate threshold value to use as the level of concern to protect public health. The definitions of the regulatory standards (air quality standards and occupational standards) in use were studied, how they are derived and for what purpose. The 10 min acute exposure guideline level (AEGL) for a chemical is recommended as the threshold value to inform decisions taken to protect public health from toxic cloud releases. The area delimited by AEGL 1 defines the population who may be concerned about being exposed. They need information based on comprehensive risk assessment. The area delimited by AEGL 2 defines the population for long-term surveillance when indicated and may include first responders. The area delimited by AEGL 3 defines the population who may present acutely to the medical services. It ensures that the emergency responders site themselves safely. A standard methodology facilitates discussions with plant operators and concerned public. Examples show how the methodology can be adapted to suit explosive risk and response to fire. PMID:18078713

  1. Short-term associations between outdoor air pollution and visits to accident and emergency departments in London for respiratory complaints.

    Atkinson, R W; Anderson, H R; Strachan, D P; Bland, J M; Bremner, S A; Ponce de Leon, A

    1999-02-01

    Many epidemiological studies have shown positive short-term associations between health and current levels of outdoor air pollution. The aim of this study was to investigate the association between air pollution and the number of visits to accident and emergency (A&E) departments in London for respiratory complaints. A&E visits include the less severe cases of acute respiratory disease and are unrestricted by bed availability. Daily counts of visits to 12 London A&E departments for asthma, other respiratory complaints, and both combined for a number of age groups were constructed from manual registers of visits for the period 1992-1994. A Poisson regression allowing for seasonal patterns, meteorological conditions and influenza epidemics was used to assess the associations between the number of visits and six pollutants: nitrogen dioxide, ozone, sulphur dioxide, carbon monoxide, and particles measured as black smoke (BS) and particles with a median aerodynamic diameter of <10 microm (PM10). After making an allowance for the multiplicity of tests, there remained strong associations between visits for all respiratory complaints and increases in SO2: a 2.8% (95% confidence interval (CI) 0.7-4.9) increase in the number of visits for a 18 microg x (-3) increase (10th-90th percentile range) and a 3.0% (95% CI 0.8-5.2) increase for a 31 microg x m(-3) increase in PM10. There were also significant associations between visits for asthma and SO2, NO2 and PM10. No significant associations between O3 and any of the respiratory complaints investigated were found. Because of the strong correlation between pollutants, it was difficult to identify a single pollutant responsible for the associations found in the analyses. This study suggests that the levels of air pollution currently experienced in London are linked to short-term increases in the number of people visiting accident and emergency departments with respiratory complaints. PMID:10065665

  2. Bulgarian emergency response system in case of nuclear accident: description, performance and verification

    A PC-oriented Emergency Response System (ERS) is developed and works in National Institute of Meteorology and Hydrology with Bulgarian Academy of Science. The creation and the development of ERS was highly stimulated by the CEC/IAEA/WMO project ETEX (European Tracer EXperiment). ERS comprises of two main parts - operational and accidental ones, realized for both regions 'Europe' and 'Northern Hemisphere'. The operational part runs automatically. It consists of the following modules: selection of proper meteorological data (analyses and forecast) received via the Global Telecommunication System (GTS) of WMO; preparation of input meteorological files used by both trajectory and dispersion models (so called operational data base); completion of the respective meteorological archives, trajectory calculations for selected NPP in Europe and Northern Hemisphere; visualization of the results and putting the pictures in a specialized Web-site. The operational part runs every 12 hours, after new meteorological information is received. The accidental part is activated manually when a real radioactive releases in occurred or during emergency exercises. Two Bulgarian dispersion models - LED and EMAP are a core of the accidental part, LED (Lagrangean-Eulerian Diffusion) being a typical puff-model, wile EMAP (Eulerian Model for Air Pollution) is a 3-D dispersion model. The source input is specified by the user - Bulgarian emergency authorities, and the visualized output (pollution distribution maps) is sent back via fax and FTP. In the paper, the ERS overall structure and its modules are described and an ERS application in emergency management is shown. (authors)

  3. Emergency response to a nuclear power reactor accident

    The Province of Ontario recently reviewed its plans for an emergency response to a possible nuclear power reactor accident that might contaminate some of the surrounding countryside with radioactivity. The Province requested some comments from a small Panel (the present authors) that was formed for this purpose by the Royal Society of Canada and the Canadian Academy of Engineering. This note is a summary of our findings. It presents, first, a short account of the probabilistic risk assessment of accidents and the probability and severity of accidents for which response training should be undertaken; and second, the mitigation of possible harmful effects of escaped radiation and the radiation level at which action should be taken. (author)

  4. The 2012 derecho: emergency medical services and hospital response.

    Kearns, Randy D; Wigal, Mark S; Fernandez, Antonio; Tucker, March A; Zuidgeest, Ginger R; Mills, Michael R; Cairns, Bruce A; Cairns, Charles B

    2014-10-01

    During the early afternoon of June 29, 2012, a line of destructive thunderstorms producing straight line winds known as a derecho developed near Chicago (Illinois, USA). The storm moved southeast with wind speeds recorded from 100 to 160 kilometers per hour (kph, 60 to 100 miles per hour [mph]). The storm swept across much of West Virginia (USA) later that evening. Power outage was substantial as an estimated 1,300,000 West Virginians (more than half) were without power in the aftermath of the storm and approximately 600,000 citizens were still without power a week later. This was one of the worst storms to strike this area and occurred as residents were enduring a prolonged heat wave. The wind damage left much of the community without electricity and the crippling effect compromised or destroyed critical infrastructure including communications, air conditioning, refrigeration, and water and sewer pumps. This report describes utilization of Emergency Medical Services (EMS) and hospital resources in West Virginia in response to the storm. Also reported is a review of the weather phenomena and the findings and discussion of the disaster and implications. PMID:25231139

  5. Conceptual design of emergency communication system to cope with severe accidents in NPPs and its performance evaluation

    Highlights: • The emergency communication system requires the performances of the throughput of 1 Mbps, BER of 10−6 and network configuration of 1:12 communication. • The emergency communication system consists of the terrestrial communication and satellite communication system. • In the terrestrial communication system, at least two wireless repeaters are needed to secure LOS and the throughput and delay time are 16 Mbps and 16 ms, respectively. • In the satellite communication system, DSSS and FDMA are used and the fade margin range is from 1.3 to 16 dB. - Abstract: The Fukushima accident induced by the great earthquake and tsunami reveals the vulnerability of I and C System. In the severe environment, the normal I and C system did not work properly and results in false information about the internal situation in NPP. Eventually the accident was not properly handled at the early stage. Therefore advanced emergency response system using a wireless channel is necessary to cope with the severe accident. In this paper, we introduce the ERS consisting of the HMS and MCS the ECS linking the HMS with MCS and the performance requirement of the ECS is analyzed. The ECS satisfying the requirement is designed conceptually and the performance of the ECS is evaluated through analysis and simulator. To secure a reliable and diverse configuration, the ECS is configured as the dual system which consists of the terrestrial communication and satellite communication. The terrestrial communication system is designed based on the IEEE 802.11. Analyzed performance results prove that the performance requirement can be sufficiently achieved. But if the scalability of data capacity is considered later, use of the advanced 802.11 standard such as 802.11n and multiple signal paths between the HMS and MCS are necessary. In the satellite communication system, the FDMA is used in the status link and the DSSS is used in the control link. The network supporting various data rates is

  6. Fuel and fuel channel behaviour in loss of coolant accident without the availability of the emergency coolant injection system

    Safety Analysis of CANDU reactors assesses fuel and fuel channel behaviour under high temperature transient accident conditions. The basic purpose of the analysis is to establish the channel integrity (a sufficient, but not necessary condition) even when the Emergency Cooling Injection System is presumed to be unavailable. For such severe accident conditions, the channel is heated to temperatures where it deforms and creates a heat removal path from the fuel through the pressure tube and calandria tube to the moderator. The moderator in CANDU reactor is a separate system and can provide heat removal for the heat produced within the channel. This occurs through pressure tube deformation either by circumferential strain or sag whereby the pressure tube contacts the calandria tube and allowing heat to be conducted directly to the moderator. It is found that the heat generated within the channel is transported to the moderator, and that the implied modes of channel (pressure tube) deformation are physically possible, and do not lead to failure of the pressure tube (i.e. of the pressure boundary). This paper considers the fuel and channel thermal and mechanical behaviour at very high temperatures. It discusses modelling of fission product release from fuel, deformation of the pressure tube and calandria tube, and hydrogen production insofar as it affects the fuel analysis and the containment analysis. (author)

  7. Intentional Poisoning as a Cause of Admission to Accident and Emergency in a Tertiary Care Hospital within a Year

    Niveditha

    2011-10-01

    Full Text Available Introduction: Poisoning is a common medico social problem nowadays and is often distressing for both family members and medical staff. The present study aims to evaluate the pattern of self poisoning with special preference to psychoactive drugs. Methodology: Study sample comprised of all episodes of self poisoning that had resulted in admission between January to December 2008.Pateints taking any toxic/pharmacological substance by accident or ignorance were excluded. Results: Out of 1206 patients admitted to accident and emergency during the study period, 140 were due to intentional poisoning (11.6% Age of the patients varied from 16-65 years. The maximum incidence was between 21-30 years. The male: female ratio was 1.18:1.Most common substance used was organophosphate compound (OPC (31.7% followed by benzodiazepines (BZD (20.7% and household articles comprised of 18.5%. Multiple drug combinations with alcohol was 30%.Around 13.5% had history of mental illness. Conclusion: At present due to vast development in all fields of life like industries, medicine and agriculture, a significant number of new compounds have appeared as new poisonous substances, which have led to more number of poisoning cases. Although there are restrictions on sale of drugs in India, vulnerability to insecticide cannot be ignored.

  8. First Responders and Criticality Accidents

    Valerie L. Putman; Douglas M. Minnema

    2005-11-01

    Nuclear criticality accident descriptions typically include, but do not focus on, information useful to first responders. We studied these accidents, noting characteristics to help (1) first responders prepare for such an event and (2) emergency drill planners develop appropriate simulations for training. We also provide recommendations to help people prepare for such events in the future.

  9. Explanation of procedure on site medical emergency response for nuclear accident

    National occupational health standard-Procedure on Site Medical Emergency Response for Nuclear Accident has been approved and issued by the Ministry of Health. This standard is formulated according to the Emergency Response Law of the People's Republic of China, Law of the People 's Republic of China on Prevention and Control of Occupational Diseases, Regulations on Emergency Measures for Nuclear Accidents at Nuclear Power Plants, and Health Emergency Plans for Nuclear and Radiological Accidents of Ministry of Health, supporting the use of On-site Medical Emergency Planning and Preparedness for Nuclear Accidents and Off-site Medical Emergency Planning and Preparedness for Nuclear Accidents. Nuclear accident on-site medical response procedure is a part of the on-site emergency plan. The standard specifies the basic content and requirements of the nuclear accident on-site medical emergency response procedures of nuclear facilities operating units to guide and regulate the work of nuclear accident on-site medical emergency response of nuclear facilities operating units. The criteria-related contents were interpreted in this article. (authors)

  10. Novel ecosystems and the emergence of cultural ecosystem services

    Collier, Marcus

    2014-01-01

    Many landscapes are severely depleted of ecosystem services, especially industrial ones. Yet, abandoned and, in some cases, regenerating areas are often situated within a wider cultural landscape. With minimal further disturbance these ‘novel ecosystems’ have the potential for recovering some of the ecosystem services that were removed or impeded during and after human management activities, especially cultural services. Novel ecosystems are anthropogenic landscapes that cannot be returned to...

  11. Uncertainties under emergency conditions in Hiroshima and Nagasaki in 1945 and Bikini accident in 1954

    who were trained at Narashino Chemical School were assigned, at least one, to each unit (brigade and higher) of the Japanese Army. Chemical Weapons Control unit was organised at the headquarters in the centre of Hiroshima. After atomic bombing some vessels of mustard gas stored underground were found cracked and leaked. Judging from these findings it may be possible that some chemical weapons were released to the environment from the military facilities on ground at the time they were destroyed by the atomic bombing and the survivors were exposed to poison gases to a smaller or larger extent. There was no drinking water and they had to drink rain water which fell heavily soon after the atomic bombing. It is highly possible that the rainwater was also contaminated by various toxic substances including chemical weapons. These effects combined with the irradiation by atomic radiation are difficult to quantify accurately at present, many years after atomic bombings. But if all these adverse effects were ascribed solely to the ionizing radiation, the effects of radiation may be overestimated in Hiroshima and Nagasaki. In using the Hiroshima and Nagasaki data for establishing radiation safety standard in peaceful uses of atomic energy, we should keep these possibilities of overestimation in mind. At the Bikini accident, where Japanese fishing boat was showered by strongly radioactive ash due to thermonuclear test on March 1, 1954 in the Pacific, some crew tested the ash to see what it is. The amount of intake is uncertain. Depending on the assumption, a widely different result would be obtained. (author)

  12. Uncertainties under emergency conditions in Hiroshima and Nagasaki in 1945 and Bikini accident in 1954

    Nishiwaki, Y. [Universitaet Wien, Institut fuer Medizinische Physik, Vienna (Austria); Kawai, H. [Atomic Energy Research Institute of Kinki Univ., Osaka (Japan); Shono, N. [Hiroshima Jogakuin Univ., Hiroshima (Japan); Fujita, S. [Radiation Effects Research Foundation, Department of Statistics, Hiroshima (Japan); Matsuoka, H. [Japan Atomic Energy Research Institute, Earth Simulator Research and Development Center, Tokyo (Japan); Fujiwara, S. [Japan Nuclear Cycle Development Institute, Ibaraki (Japan); Hosoda, T. [Chiyoda Technol Corporation, Tokyo (Japan)

    2000-05-01

    who were trained at Narashino Chemical School were assigned, at least one, to each unit (brigade and higher) of the Japanese Army. Chemical Weapons Control unit was organised at the headquarters in the centre of Hiroshima. After atomic bombing some vessels of mustard gas stored underground were found cracked and leaked. Judging from these findings it may be possible that some chemical weapons were released to the environment from the military facilities on ground at the time they were destroyed by the atomic bombing and the survivors were exposed to poison gases to a smaller or larger extent. There was no drinking water and they had to drink rain water which fell heavily soon after the atomic bombing. It is highly possible that the rainwater was also contaminated by various toxic substances including chemical weapons. These effects combined with the irradiation by atomic radiation are difficult to quantify accurately at present, many years after atomic bombings. But if all these adverse effects were ascribed solely to the ionizing radiation, the effects of radiation may be overestimated in Hiroshima and Nagasaki. In using the Hiroshima and Nagasaki data for establishing radiation safety standard in peaceful uses of atomic energy, we should keep these possibilities of overestimation in mind. At the Bikini accident, where Japanese fishing boat was showered by strongly radioactive ash due to thermonuclear test on March 1, 1954 in the Pacific, some crew tested the ash to see what it is. The amount of intake is uncertain. Depending on the assumption, a widely different result would be obtained. (author)

  13. Impact of the Fukushima Daiichi nuclear power plant accident on local community and healthcare services

    The Soso region of Japan, located in the northern part of the Pacific side of Fukushima Prefecture, has suffered tremendously from widespread damage caused by the earthquake, tsunami and the Fukushima Dai-ichi nuclear power plant accident. Immediately after the disaster it even seemed that the restoration of this region itself would not be possible. However after six months, the Indoor Restriction Order and evacuation orders within a 20 to 30 km zone from the plant, such as the Evacuation-Prepared Area in Case of Emergency, were lifted and all of those restrictions for the planned evaluation zone has been eased in line with the actual conditions of each region. A year and a month after the earthquake, the Caution Zone, which was declared to prohibit the entry to the zone within the 20 km radius from the plant, was lifted. Thus people can now enter as close as 10 km from the plant. Minami-Soma city is an administrative district which had the largest population (approximately 71,500 residents) within the 20 to 30 km zone prior to the earthquake. It was, also, the only district where the evacuation was not conducted by the municipality. The city is now called the Genpatsu frontline district as it is the closest city to the plant where people have continued to live. Due to the damage caused by the earthquake and Tsunami, the city has suffered both from destruction by the tsunami and radiation, and people are still facing numerous problems despite the fact that the city appears to have been restored on its surface. It is very unfortunate that much of the medical data from the region was lost in the confusion after the Great East Japan Earthquake. In this paper various facts after the disaster based on the data left in the So-so region, Minamisoma city, and Minamisoma municipal general hospital are reported. (author)

  14. Road Accident Prevention with Instant Emergency Warning Message Dissemination in Vehicular Ad-Hoc Network

    P. Gokulakrishnan; Ganeshkumar, P.

    2015-01-01

    A Road Accident Prevention (RAP) scheme based on Vehicular Backbone Network (VBN) structure is proposed in this paper for Vehicular Ad-hoc Network (VANET). The RAP scheme attempts to prevent vehicles from highway road traffic accidents and thereby reduces death and injury rates. Once the possibility of an emergency situation (i.e. an accident) is predicted in advance, instantly RAP initiates a highway road traffic accident prevention scheme. The RAP scheme constitutes the following activities...

  15. Nordic Mutual Emergency Assistance Agreement in Connection with Radiation Accidents

    The text of the Nordic Mutual Emergency Assistance Agreement in Connection with Radiation Accidents, which was signed on 17 October 1963 by the Director General and by representatives of the Governments of Denmark, Finland, Norway and Sweden, is reproduced in this document for the information of all Members. The entry into force of the Agreement in accordance with Article IX will be notified to Members in an Addendum to this document

  16. Summative service and stakeholder evaluation of an NHS-funded community Pharmacy Emergency Repeat Medication Supply Service (PERMSS)

    Nazar, Hamde; Nazar, Zachariah; Simpson, Jill; Yeung, Andre; Whittlesea, Cate

    2016-01-01

    OBJECTIVES: Service and stakeholder evaluation of an NHS-funded service providing out-ofhours (OOH) emergency repeat medications to patients self-presenting at community pharmacies. SETTING: Community pharmacies across the North East of England accredited to provide this service. PARTICIPANTS: Patients self-presenting to community pharmacies during OOH periods with emergency repeat medication supply requests. INTERVENTION: Community pharmacists assessed each request for clinical appropriatene...

  17. Key regulatory and safety issues emerging NEA activities. Lessons Learned from Fukushima Dai-ichi NPS Accident - Key Regulatory and Safety Issues

    intervention and performance under extreme conditions; evaluations of metallic components and structures under high-seismic loads; risks assessments for natural external initiating events; and defence-in-depth, including the robustness of electrical systems. A recent joint research project has also been started that will include a benchmarking study of accident codes and the collection of data from the damaged reactors at the Fukushima Daiichi NPS. CRPPH activities in response to the Fukushima Daiichi NPS accident include an update of report on Short-term Countermeasures in Case of a Nuclear or Radiological Emergency that was last updated in 2003; the performance of a survey on emergency management lessons learned; developing lesson learned in the management of occupational exposure in high-radiation areas; and providing support to the Japanese Government by co-ordination and participation in workshops on decontamination and recovery and other technical topics

  18. Process Modeling and Public Value: Performance Measurement for Emergency Assistance Services?

    Claude Rochet

    2012-12-01

    Full Text Available This paper proposes a process modeling of a cerebrovascular accident (CVA channel, according to the Business Process Modeling Notation (BPMN rules, in order to build a balanced scorecard (BSC. The Fire department in the Bouches-du-Rhône (SDIS and the medical emergency service have coordinated their action and processes with hospitals to set up this kind of specific channel to deal with strokes. According to Hankey and Warlow (1999, each year in a population of 1 million inhabitants of a developed country, 2 400 patients use a care institution because of this pathology. As the window of opportunity for treatment is only 4 hours from first symptoms, swiftness is needed in both diagnosis and intervention. This emphasizes the fluidity of the channel, and thus the coordination of actors, as key success factors. This work upon process modeling is a source of lessons on the role of the information system in organizational innovation in the public services and the required capabilities to be mastered. But it mainly allows us to bring out the relevant indicators to build up the monitoring part of the balance scorecard (BSC and to propose a roadmap to implement such a method for equivalent medical channels.

  19. Build-up forces at Military Institute of Medical Radiology and Oncology for emergency medical response to some eventualities of radiological accidents - some suggestions

    Nowadays, the use of various nuclear sources in some fields of the life has brought many practical advantages in general; especially in the next several years, our country will begin construction of the first nuclear plant. However, if there were user carelessness or objective disadvantageous factors (earthquake, tsunami, etc.), that disadvantages could lead to a radiation accident or nuclear accident which causes damages not only for economy but also for public health. Therefore, the emergency response to radiation accident, especially the emergency medical response that has a great important position. To satisfy this real demand, in 1996, Vietnam Ministry of Defence made the decision to establish Center for Nuclear Medicine and Radiation Protecting (now becomes Military Institute of Medical Radiology and Oncology) with the main missions are research, applying radiation protecting methods and organizing treatments to radiation injured victims. To fulfill above main missions, with the help of Vietnam Atomic Energy Institute (VAEI), Vietnam Agency for Radiation and Nuclear Safety (VARANS), the doctors and staffs of our Institute have been participated in the international training courses and workshops that organized in Vietnam or in regional countries about emergency medical response to radiation accidents, they get valuable information, knowledge and documents from these courses and workshops. Depending on the principles of radiation emergency medical response to nuclear/ radiation accidents that International Atomic Energy Agency (IAEA) guided, and with the experience learned from other countries in Asia region, our Institute have been gradually improving on organization and curing processes for the radiation victims and also setting the preparedness for emergency medical response to radiation accidents if maybe they could occur. (author)

  20. Short-term associations between outdoor air pollution and visits to accident and emergency departments in London for respiratory complaints

    Atkinson, R.W.; Anderson, H.R.; Strachan, D.P.; Bland, J.M.; Bremner, S.A. [St. George`s Hospital Medical School, Dept. of Public Health Sciences, London (United Kingdom); Ponce de Leon, A. [IME/UERJ Rua Sao Francisco Xavier, Dept. de Estatistica, Maracana Rio de Janeiro (Brazil)

    1999-02-01

    Many epidemiological studies have shown positive short-term associations between health and current levels of outdoor air pollution. The aim of this study was to investigate the association between air pollution and the number of visits to accident and emergency (A and E) departments in London for respiratory complaints. A and E visits include the less severe cases of acute respiratory disease and are unrestricted by bed availability. Daily counts of visits to 12 London A and E departments for asthma, other respiratory complaints, and both combined for a number of age groups were constructed from manual registers of visits for the period 1992-1994. A poison regression allowing for seasonal patterns meteorological conditions and influenza epidemics was used to assess the associations between the number of visits and six pollutants: nitrogen dioxide, ozone, sulphur dioxide, carbon monoxide, and particles measured as black smoke (BS) and particles with a median aerodynamic diameter of <10 {mu}m (PM10). After making an allowance for the multiplicity of tests, there remained strong associations between visits for all respiratory complaints and increases in SO{sub 2}: a 2.8% (95% confidence interval (CI) 0.7-4.9) increase in the number of visits for a 18 {mu}g{sup .}m{sup -3} increase (10th-90th percentile range) and a 3.0% (95% Cl 0.8-5.2) increase for a 31 {mu}g{sup .}m{sup -3} increase in PM10. There were also significant associations between visits for asthma and SO{sub 2}, NO{sub 2} and PM10. No significant associations between O{sub 3} and any of the respiratory complaints investigated were found. Because of the strong correlation between pollutants, it was difficult to identify a single pollutant responsible for the associations found in the analyses. This study suggests that the levels of air pollution currently experienced in London are linked to short-term increases in the number of people visiting accident and emergency departments with respiratory complaints

  1. Short-term associations between outdoor air pollution and visits to accident and emergency departments in London for respiratory complaints

    Atkinson, R.W.; Anderson, H.R.; Strachan, D.P.; Bland, J.M.; Bremner, S.A. [St. George' s Hospital Medical School, Dept. of Public Health Sciences, London (United Kingdom); Ponce de Loen, A. [IME/UERJ Rua Sao Francisco Xavier, Dept. de Estatistica, Maracana Rio de Janeiro , RJ (Brazil)

    1999-07-01

    Many epidemiological studies have shown positive short-term associations between health and current levels of outdoor air pollution. The aim of this study was to investigate the association between air pollution and the number of visits to accident and emergency (A and E) departments in London for respiratory complaints. A and E visits include the less severe cases of acute respiratory disease and are unrestricted by bed availability. Daily counts of visits to 12 London A and E departments for asthma, other respiratory complaints, and both combined for a number of age groups were constructed from manual registers of visits for the period 1992-1994. A Poisson regression allowing for seasonal patterns, meteorological conditions and influenza epidemics was used to assess the associations between the number of visits and six pollutants: nitrogen dioxide, ozone, sulphur dioxide, carbon monoxide, and particles measured as black smoke (BS) and particles with a median aerodynamic diameter of <10 {mu}m (PM10). After making an allowance for the multiplicity of tests, there remained strong associations between visits for all respiratory complaints and increases in SO{sub 2}: a 2.8% (95% confidence interval (CI) 0.7-4.9) increase in the number of visits for a 18 {mu}g{sup .}m{sup -3} increase (10th-90th percentile range) and a 3.0% (95% CI 0.8-5.2) increase for a 31 {mu}g{sup .}m{sup -3} increase in PM10. There were also significant associations between visits for asthma and SO{sub 2}, NO{sub 2} and PM10. No significant associations between O{sub 3} and any of the respiratory complaints investigated were found. Because of the strong correlation between pollutants, it was difficult to identify a single pollutant responsible for the associations found in the analyses. This study suggests that the levels of air pollution currently experineced in London are linked to short-term increases in the number of people visiting accident and emergency departments with respiratory

  2. Radiation accidents on human in the nuclear installations and their medical emergency procedures, (1)

    Present nuclear installations are one of the safest installations among industrial facilities, being equipped with various safety instruments. Since X-ray was discovered in 1895, however, many radiation injuries of various degrees and kinds occurred. Among dangerous nuclides often observed as radioactivity pollutions in nuclear installations, the exposure to β-ray such as 90Sr, 106Ru, 95Zr, 131I, 144Ce, etc, is considered to be serious problems. When they affect wounds or are inhaled into lungs, only symptomatic treatment is practicable at present, and usually nothing can be depended upon, but spontaneous eliminating ability. As the mass inhalation of α nuclides, especially transuranium nuclides, is quite dangerous, the treatment by lung-irrigation now under development is most effective as the emergency treatment. When trans-uranium nuclides were accidentally observed from wounds, they should be eliminated by the injection of chelating agent. (Kobatake, H.)

  3. Loss-of-coolant accidents with impaired emergency coolant injection

    This report describes work on loss-of-coolant accidents in CANDU reactors in which emergency coolant injection is indefinitely delayed. Two situations are considered, one in which additional heat sinks (moderator, moderator cooling system, etc.) are available and effective and the other in which they are not. For the situation in which additional heat sinks are available, the computer program IMPECC has been used for the analysis. Certain corrections and modifications to IMPECC are described and recommendations on the maximum time steps to use are given. For CANDU reactors in which calandria tubes remain submerged, should local CHF occur when a pressure tube sags onto a calandria tube, which is highly improbable, the dry patch caused would not spread beyond 100 and rewetting would occur rapidly. Calandria tube and pressure tube integrity will almost certainly be maintained. This conclusion is not affected even if the contact strip between pressure and calandria tubes is very wide, which is unlikely. For the situation in which additional heat sinks are not available, a simplified event tree has been developed to examine possible accident sequences. Two accident sequences have been selected for study: loss of moderator cooling system and loss of moderator heat sink. A detailed description of the analytical steps for the loss of moderator cooling system accident sequence is given

  4. Coping with Unanticipated Accidents using Emergency Operating Procedures

    Kim, Yochan; Jung, Wondea [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2013-05-15

    In, unsafe acts associated with a literal following of a procedure were reported. A report of the Fukushima accident also revealed that a tendency to adhere to procedures and prior practices can impede applying effective countermeasures. To overcome the conflicts between benefit and jeopardy of procedures during unanticipated accidents, we reviewed the literature on the perspectives of cognitive engineering and artificial intelligence. From the insights about human planning of the literatures, we also proposed an approach of how to train operators to effectively use EOPs during unanticipated accidents. There are three key processes required to effectively cope with emergency situations: how correctly the operators are aware of the occurring situations, how properly they develop corresponding plans for the situations, and how accurately they execute the plans. This paper presents a way to develop the plans using EOPs from some literature of human planning. Even if professional operators have implicitly shaped good structures of procedures already, it is expected that this approach will provide a more systematic and concrete training strategy. If the operators are trained with this strategy, a higher level of human reliability would be ensured in unanticipated accidents.

  5. 300-Area accident analysis for Emergency Planning Zones

    The Department of Energy has requested SRL assistance in developing offsite Emergency Planning Zones (EPZs) for the Savannah River Plant, based on projected dose consequences of atmospheric releases of radioactivity from potential credible accidents in the SRP operating areas. This memorandum presents the assessment of the offsite doses via the plume exposure pathway from the 300-Area potential accidents. 8 refs., 3 tabs

  6. Loss of coolant accident analysis and evolution of emergency core cooling system for an inpile irradiation facility

    This paper deals with the Loss of Coolant Accident (LOCA) analysis of an inpile facility using RELAP4/MOD6 computer code. The present study is the culmination of a three part LOCA analysis done earlier by the authors. Blowdown analysis had been extended to include reflood part of the transient. Based on the analysis an Emergency Core Cooling System (ECCS) has been evolved. (author). 5 figs., 2 tabs

  7. Stress in accident and post-accident management at Chernobyl

    The effects of the Chernobyl nuclear accident on the psychology of the affected population have been much discussed. The psychological dimension has been advanced as a factor explaining the emergence, from 1990 onwards, of a post-accident crisis in the main CIS countries affected. This article presents the conclusions of a series of European studies, which focused on the consequences of the Chernobyl accident. These studies show that the psychological and social effects associated with the post-accident situation arise from the interdependency of a number of complex factors exerting a deleterious effect on the population. We shall first attempt to characterise the stress phenomena observed among the population affected by the accident. Secondly, we will be presenting an anlysis of the various factors that have contributed to the emerging psychological and social features of population reaction to the accident and in post-accident phases, while not neglecting the effects of the pre-accident situation on the target population. Thirdly, we shall devote some initial consideration to the conditions that might be conducive to better management of post-accident stress. In conclusion, we shall emphasise the need to restore confidence among the population generally. (Author)

  8. [A guide to successful public relations for hospitals and emergency medical services].

    Ausserer, J; Schwamberger, J; Preloznik, R; Klimek, M; Paal, P; Wenzel, V

    2014-04-01

    Tragic accidents, e.g. involving celebrity patients or severe incidents in hospital occur suddenly without any advance warning, often produce substantial interest by the media and quickly overburden management personnel involved in both hospitals and emergency medical services. While doctors, hospitals and emergency medical services desire objective media reports, the media promote emotionalized and dramatized reports to ensure maximum attention and circulation. When briefing the media, the scales may quickly tilt from professional, well-deliberated information to unfortunate, often unintended disinformation. Such phenomena may result in continuing exaggerated reports in the tabloid press, which in the presence of aggressive lawyers and a competitive hospital environment can turn into image and legal problems. In this article, several aspects are discussed in order to achieve successful public relations.Interviews should be given only after consultation with the responsible press officer and the director of the respective department or hospital director. Requests for information by the media should always be answered as otherwise one-sided, unintentional publications can result that are extremely difficult to correct later. One should be available to be contacted easily by journalists, regular press conferences should be held and critics should be taken seriously and not be brushed off. Questions by journalists should be answered in a timely manner as journalists are continuously under time pressure and do not understand unnecessary delays. Information for the media should always be provided at the same time, no publication should be given preference and an absolutely current list of E-mail contacts is required. When facing big events a press conference is preferred as many questions can be answered at once. Always be well prepared for an interview or even for just a statement. Each interview should be regarded as an opportunity to put a story forward which you

  9. Emergency feature. Great east Japan earthquake disaster Fukushima Daiichi accident

    The Tohoku Pacific Ocean earthquake occurred in March 11, 2011. The disastrous tsunami attacked Fukushima Daiichi nuclear power plants after automatically shutdown by the earthquake and all motor operated pumps became inoperable due to station black out. Despite the strenuous efforts of operators, if caused serious accident such as loss of cooling function, hydrogen explosion and release of large amount of radioactive materials into the environment, leading to nuclear power emergency that ordered resident to evacuate or remain indoors. This emergency feature consisted of four articles. The first was the interview with the president of JAIF (Japan Atomic Industrial Forum) on how to identify the cause of the accident completely, intensify safety assurance measures and promote discussions on a role of nuclear power in the nation's entire energy policy toward the reconstruction. Others were reactor states and events sequence after the accident with trend data of radiation in the reactor site, statement of president of AESJ (Atomic Energy Society of Japan) on nuclear crisis following Tohoku Pacific Ocean earthquake our response and my experience in evacuation life. (T. Tanaka)

  10. Prehospital Emergency Service for Internal Medicine Problems in Pediatrics; Causes, Time Indices and Outcomes

    Hamid Reza Khoddami Vishteh

    Full Text Available Objective: Although pediatric pre-hospital emergency medical services (EMS are a main challenge of health care systems, few data exists over it. Current study of ambulance calls for medical causes relating to children in Tehran was conducted with the following aims: 1 assessment of the frequency of causes of EMS call, 2 assessment of time indices of service providing by EMS, and 3 to assess the correlation between outcomes and time indices.Material & Methods: In this retrospective study, all calls to Tehran EMS system (Dial 115 for medical causes of children =<15 years old in Tehran between December 2005 and May 2006 were extracted. Demographic variables, accident type, patient outcome before hospital arrival, and ambulance time indices (response time, scene time, total run time, total run time hospital, transport time, round trip time were registered.Findings: 1052 (15.5% calls were for children. From these, 717 (68% were due to problems of medic problems. The most frequent problem was epilepsy (26.8%, unconsciousness (18.1% and respiratory disorders (15.2%. 12 (5. 6% subjects died before ambulance arrival, but no one died between scene and hospital arrival. Mean (SD delay time, response time and scene time were 3.8 ± 1.8, 15.1 ± 6.9, and 23.5 ± 10.9, respectively. The pre-hospital mortality was not correlated with any of the time intervals. Conclusion: One of six ambulance calls in Tehran is related to pediatric patients, most of them with a medical cause. Epilepsy, unconsciousness and respiratory disorders as the most frequent causes for EMS calls for medical problems highlights the need for planning for training of the EMS personnel with these problems. There is still a need for further improvement in time intervals of EMS services, which may be possible by proper management and equipping by more ambulances.

  11. Violence and verbal abuse against staff in accident and emergency departments: a survey of consultants in the UK and the Republic of Ireland.

    Jenkins, M. G.; Rocke, L G; McNicholl, B P; Hughes, D M

    1998-01-01

    OBJECTIVES: To determine the incidence of verbal abuse and physical violence in accident and emergency (A&E) departments and to discover the extent of provision of security measures and instructions for staff on how to deal with these problems. DESIGN: A postal questionnaire. SETTING: A&E departments in the UK and the Republic of Ireland. SUBJECTS: Two hundred and seventy three consultants named in charge of 310 departments. MAIN OUTCOME MEASURES: Frequency of physical violence and verbal abu...

  12. Addams, Day, and Dewey: The Emergence of Community Service in American Culture.

    Morton, Keith; Saltmarsh, John

    1997-01-01

    Chronicles the emergence of community service in the United States, beginning with the turn-of-the-century collision of capitalism and democracy which generated a crisis of community and profound rethinking of the meaning and practice of charity. Three service "paths" are identified: nonprofit human services organizations; active citizenship…

  13. Radiological accidents: education for prevention and confrontation

    The purpose of this work is to train and inform on radiological accidents as a preventive measure to improve the people life quality. Radiological accidents are part of the events of technological origin which are composed of nuclear and radiological accidents. As a notable figure is determined that there have been 423 radiological accidents from 1944 to 2005 and among the causes prevail industrial accidents, by irradiations, medical accidents and of laboratories, among others. Latin American countries such as Argentina, Brazil, Mexico and Peru are some where most accidents have occurred by radioactivity. The radiological accidents can have sociological, environmental, economic, social and political consequences. In addition, there are scenarios of potential nuclear accidents and in them the potential human consequences. Also, the importance of the organization and planning in a nuclear emergency is highlighted. Finally, the experience that Cuba has lived on the subject of radiological accidents is described

  14. Retirement Policies and Support for Emergency Service Personnel: The Transition to Retirement.

    Bracken-Scally, Mairéad; McGilloway, Sinéad; Mitchell, Jeffrey T

    2016-06-01

    The aim of this study was to explore policies and procedures to support employees who retire from the emergency services. Interviews were conducted with participants who were familiar with existing policies and procedures in a large ambulance (n = 8) and fire (n = 6) service in Ireland. Four key themes were identified: (1) "I don't think it's a job at 65 to be running out on an emergency ambulance"; (2) "They do genuinely feel a wee bit isolated"; (3) improving the "cultural shock"; and (4) "I just keep going and hope for the best". Findings point towards retirement as a major life change and highlight a need for more structured, effective pre-retirement preparation. Factors unique to emergency service personnel include the physical and emotional stress involved in emergency service; a strong identification with the service; and a lack of clarity about rules and entitlements, requiring better information and preparation. PMID:27112913

  15. Emergency response and nuclear risk governance. Nuclear safety at nuclear power plant accidents; Notfallschutz und Risk Governance. Zur nuklearen Sicherheit bei Kernkraftwerksunfaellen

    Kuhlen, Johannes

    2014-07-01

    The present study entitled ''Emergency Response and Nuclear Risk Governance: nuclear safety at nuclear power plant accidents'' deals with issues of the protection of the population and the environment against hazardous radiation (the hazards of nuclear energy) and the harmful effects of radioactivity during nuclear power plant accidents. The aim of this study is to contribute to both the identification and remediation of shortcomings and deficits in the management of severe nuclear accidents like those that occurred at Chernobyl in 1986 and at Fukushima in 2011 as well as to the improvement and harmonization of plans and measures taken on an international level in nuclear emergency management. This thesis is divided into a theoretical part and an empirical part. The theoretical part focuses on embedding the subject in a specifically global governance concept, which includes, as far as Nuclear Risk Governance is concerned, the global governance of nuclear risks. Due to their characteristic features the following governance concepts can be assigned to these risks: Nuclear Safety Governance is related to safety, Nuclear Security Governance to security and NonProliferation Governance to safeguards. The subject of investigation of the present study is as a special case of the Nuclear Safety Governance, the Nuclear Emergency governance, which refers to off-site emergency response. The global impact of nuclear accidents and the concepts of security, safety culture and residual risk are contemplated in this context. The findings (accident sequences, their consequences and implications) from the analyses of two reactor accidents prior to Fukushima (Three Mile Iceland in 1979, Chernobyl in 1986) are examined from a historical analytical perspective and the state of the Nuclear Emergency governance and international cooperation aimed at improving nuclear safety after Chernobyl is portrayed by discussing, among other topics, examples of &apos

  16. MORBIDITY AND MORTALITY AMONG EMERGENCY WORKERS OF THE CHERNOBYL ACCIDENT: ASSESSMENT OF RADIATION RISKS FOR THE FOLLOW-UP PERIOD OF 1992-2008

    V. K. Ivanov

    2011-01-01

    Full Text Available Morbidity and mortality among emergency workers of the Chernobyl accident for the follow- up period of 199Morbidity and mortality among the emergency workers of the Chernobyl accident for the follow-up period of 1992-2008 is analyzed in the article. The cohort consists of 47141 emergency workers of 1986-1987. Radiation risks for cancer morbidity (ERR/Gy is 0.76; 95% CI: 0.19; 1.42, p-value=0008 and cancer mortality (ERR/Gy is 0.95; 95% CI: 0.19; 1.89, p-value=0.01 are statistically significant. Radiation risk for vascular diseases is assessed as well.

  17. IAEA assistance services in the case of emergency

    This paper provides a general outline of the convention on Early Notification of a Nuclear Accident and of the convention on Assistance in the case of a Nuclear Accident or Radiological Emergency. The purpose of these 2 conventions is to support and improve international cooperation in case of a nuclear accident or a radiological emergency involving transfrontier contamination and to provide the necessary legal framework for cooperation and assistance (4 figs)

  18. Climate Change Consequences for Iowa'S Economy, Infrastructure, and Emergency Services

    Swenson, David A.

    2011-01-01

    This is Chapter 6 in the state-mandated Regent's institution collaborative report, "Climate Change Impacts on Iowa, 2010: Report to the Governor and the Iowa General Assembly."Iowa's climate is changing, and that means Iowa's economy is changing. A changing Iowa economy will have consequences for agriculture, food production, Iowa's vaunted insurance agency, general energy use, Iowa's households, Iowa governments, and disaster services. This chapter profiles near and longer term consequences ...

  19. Study on the offsite emergency planning against an accident in NPP

    - Proposing effective local nuclear emergency preparedness system against nuclear/radiological accidents. - Proposing improved preparation/operation scheme on emergency response facilities, installations and equipment. - Establishing protection scheme on the general public against nuclear/radiological accidents. - Proposing effective preparation/operation scheme on local radioactive monitoring system. - Establishing effective training/drill scheme on the nuclear emergency preparedness. - Proposing effective technical administrative system of the local government (Busan metropolitan city)

  20. The accident analysis in the framework of emergency provisions

    The first part of the report describes the demands on and bases of a reactor emergency plan and outlines the technical characteristics of a nuclear power plant with light-water moderated pressurized-water reactor with special regard to reactor safety. In the second part the failure and risk potentials of a pressurized-water plant are described and discussed. The third part is dedicated to a representation of the analytical method in a stricter sense, according to the current state of technology. Finally the current degree of effectiveness of the reactor accident analysis method is critically discussed and perspectives of future development are pointed out. (orig.)

  1. 核或辐射事故应急威胁评估兼论其它%On Nuclear or Radiological Accident Emergency Threat Assessment and Related Aspects

    卢盛甲

    2013-01-01

    It was presented for object of nuclear or radiological accident emergency, according to national regulations of nuclear or radiological emergency, and base on IAEA Safety Standards for requirement for preparedness of a nuclear or radiological emergency in the paper. To avoid empty in nuclear or radiological accident emergency arrangement, propose to set up regions arrangement for nuclear or radiological accidents emergency in on threat I or II of provinces according to IAEA threat category IV exist situation in Sino.%  本文根据国家核或辐射应急相关法规,参照国际子能机构有关安全出版物对核或辐射应急准备与响应的要求,提出国内核或辐射事故应急准备和应急响应的目标。鉴国际子能机构划分的核或辐射威胁类型 IV 各国和地区都存在的事实,建议我国在无威胁类型 I 和 II 的省份,考虑区应急管理,避免部分省或地区核或辐射事故应急管理出现盲区。

  2. Synthesis of public authorities organisation in case of emergency and in a post-event situation (following a nuclear accident or a radiological attack) in France and abroad

    After having briefly recalled how an emergency situation (notably in case of nuclear accident or radiological attack) is taken into account in the organisation of public authorities through specific plans (PPI or plans particuliers d'intervention, intervention specific plans), this report also describes how the situation is handled by these authorities after the end of the emergency situation (i.e. when the risk of new radioactive releases is over). This post-event stage is split into two phases: a transition phase which lasts several weeks or months, and a long term consequence management phase (over months or years). The author first describes the specificities of a nuclear or radiological event (accident or attack). He recalls the global public organisation and the involved actors. For the post-event period, he indicates the various actions, describes the interdepartmental coordination and the various aspects of the program designed to manage accident consequences on the long term. He also describes the roles of permanent bodies, agencies and institutes (ASN, ASND, MSNR, IRSN, INVS, ADEME, AFSSA, Meteo France, CEA, ANDRA, AREVA, EDF, ministries). The last part describes the action of public authorities in case of a nuclear accident occurring abroad. This includes relationship with European and international bodies

  3. Leukaemia and thyroid cancer in emergency workers of the Chernobyl accident:. Estimation of radiation risks (1986-1995)

    Ivanov, V.K. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Tsyb, A.F. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Gorsky, A.I. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Maksyutov, M.A. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Rastopchin, E.M. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Konogorov, A.P. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Korelo, A.M. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Biryukov, A.P. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation); Matyash, V.A. [Russian Academy of Medical Sciences, Medical Radiological Research Center, Obninsk (Russian Federation)

    1997-02-01

    This work focuses on the direct epidemiological assessment of the risks of radiation-induced leukaemia and thyroid cancer in emergency workers (EW) after the Chernobyl accident. The Russian National Medical Dosimetric Registry (RNMDR) contains data for 168 000 EW as of January 1, 1996. The analysis relates to 48 leukaemias and 47 thyroid cancers, diagnosed and verified. Radiation risks are estimated by comparing the EW data with national data for a male population of the same age distribution. For leukaemia, an excess relative risk per Gy (ERR/Gy) of 4.30 (95% CI: 0.83, 7.75) is obtained, while the excess absolute risk per 10{sup 4} person-years (PY) Gy (EAR/10{sup 4} PY Gy) is found to be 1.31 (95% CI: 0.23, 2.39); for thyroid cancer an ERR/Gy of 5.31 (95% CI: 0.04, 10.58) is obtained, and an EAR/10{sup 4} PY Gy of 1.15 (95% CI: 0.08, 2.22). (orig.). With 9 figs., 10 tabs.

  4. Modeling and assessment of accident consequences; development of RODOS, a real-time on-line decision support system for nuclear emergencies in Europe

    In cooperation with NRPB (UK), the first version 1.0 of PC COSYMA for use on advanced PCs has been released; during a training course in mid 1993, future users were educated in operating the software. The main frame version of the program package COSYMA has been up-dated with new dose conversion factors and fodd-chain data and was distributed to some 20 institutes in Europe and abroad. The comparative calculations performed within the international OECD(NEA)/CEC intercomparison of accident consequence assessment codes were analysed and documented in three reports. Furtheron, consequence assessments have been performed for the research reactor BER II (two source terms) and documented; the influence on individual doses and emergency actions of inplant accident management measures in future EPRs was quantified; within th scope of a EC/US-study on the external costs of the energy cycle, accident consequences were assessed for three source terms. (orig.)

  5. Objective standards for the emergency services: emergency admission to hospital.

    West, R.

    2001-01-01

    The primary objectives of the emergency services are to minimize early mortality and complications, although longer-term morbidity, quality of life and late mortality may also be influenced by early actions. Evaluation of the emergency services and demonstration of quality need to reflect these objectives by appropriate choice of outcome measures. This brief review of leading measures of quality in emergency admissions discusses population-based 30-day mortality, after examining some limitati...

  6. Risk analysis of emergent water pollution accidents based on a Bayesian Network.

    Tang, Caihong; Yi, Yujun; Yang, Zhifeng; Sun, Jie

    2016-01-01

    To guarantee the security of water quality in water transfer channels, especially in open channels, analysis of potential emergent pollution sources in the water transfer process is critical. It is also indispensable for forewarnings and protection from emergent pollution accidents. Bridges above open channels with large amounts of truck traffic are the main locations where emergent accidents could occur. A Bayesian Network model, which consists of six root nodes and three middle layer nodes, was developed in this paper, and was employed to identify the possibility of potential pollution risk. Dianbei Bridge is reviewed as a typical bridge on an open channel of the Middle Route of the South to North Water Transfer Project where emergent traffic accidents could occur. Risk of water pollutions caused by leakage of pollutants into water is focused in this study. The risk for potential traffic accidents at the Dianbei Bridge implies a risk for water pollution in the canal. Based on survey data, statistical analysis, and domain specialist knowledge, a Bayesian Network model was established. The human factor of emergent accidents has been considered in this model. Additionally, this model has been employed to describe the probability of accidents and the risk level. The sensitive reasons for pollution accidents have been deduced. The case has also been simulated that sensitive factors are in a state of most likely to lead to accidents. PMID:26433361

  7. Isolated scaphotrapeziotrapezoid osteoarthritis: Prevalence, symptomatology and associated scapholunate ligament disruption in a population presenting to an accident and emergency department with acute wrist injuries

    AIM: To determine the prevalence of isolated scaphotrapeziotrapezoid osteoarthritis in a population presenting to an Accident and Emergency Department of Leicester Royal Infirmary with acute wrist injuries. Also to identify the presence of scapholunate ligament disruption in this patient group and quantify symptoms and loss of function in terms of the modified system of Green and O'Brien, a recognized clinical scoring system. MATERIALS AND METHODS: A total of 1711 radiographs of patients attending the Accident and Emergency Department were prospectively reviewed over a 5-month period. Those patients with isolated scaphotrapeziotrapezoid osteoarthritis were invited for clinical review. RESULTS: Sixteen patients were identified with isolated scaphotrapeziotrapezoid osteoarthritis. Two had a poor Green and O'Brien score and evidence of scapholunate ligament disruption (P < 0.05). CONCLUSION: Isolated scaphotrapeziotrapezoid osteoarthritis has a prevalence of 1% in a population presenting to an Accident and Emergency Department with acute wrist injuries over the age of 30 years. Isolated scaphotrapeziotrapezoid osteoarthritis may be asymptomatic even though the changes in the joint are severe. Scapholunate ligament disruption is associated with a poor Green and O'Brien score, but is not present in the majority of cases. Higginson, A.P. et al. (2001)

  8. Psychological emergency attendance as a psychological service in educational psychology: limits and possibilities

    Edson do Nascimento Bezerra

    2014-04-01

    Full Text Available The School Psychology Emergency Practices differs from others School Psychology practices, is more than type of psychology service and should have more institutional visibility. This paper reflects on these references from both the practice of the author and the currently literature in school psychology. To this purpose, we use as reference the concept of Extended Clinic and its relation with Psychology Emergency Service area. We discuss the opportunity of the school psychologist has, among other things, to be able to listen and to welcome spontaneously anyone in the school community seeking for support in case of emergency. In so doing, the author reflects on the condition of psychological emergency service as service and as a type of treatment at school, and school psychology as an area of expertise inserted in this complex environment different of views and perspectives.

  9. Dose limit for emergency workers. Application of Fukushima-Daiichi NPP accident and problems for the future

    Described are details of management for workers' personal exposure dose, of problems raised and of their solutions taken under various complicated conditions of Fukushima Daiichi Nuclear Power Plant (NPP) Accident (Mar. 2011). As the entrance/exit (en/ex) for the NPP site with regular control were impossible due to the hydrogen explosion which expanded the control area to 20 km distance from the site, Japan Football Village (J-Village) localizing at the border and Important Anti-seismic Building in the site were defined to be the bases of en/ex and of their control, respectively. Flooded 5,000 alarm pocket dosimeters (APD) by tsunami were not usable and only 320 APD remained available. At the quite early stage of working at the site, one representative worker in a group had only one APD. Management of internal exposure was also difficult essentially because the power source of the whole body counter was unavailable. At an early emergent stage alone, workers with higher dose than the limit (100 mSv for emergency) were observed, but >90% of workers were exposed to <50 mSv (the limit for the radiation worker). Six male Tokyo Electric Power Company (TEPCO) personnel were exposed to 250 mSv (specially defined dose limit) or more with the maximum 678.80 mSv, in whom the internal exposure due to radioiodine largely attributed. They were examined for their health by the expert doctors in National Institute of Radiological Sciences, were found free of abnormality and were to be followed up thereafter. Out of 19 female TEPCO personnel, two had exceeded the dose limit 5 mSv/3 mo and other 2, the annual limit 1 mSv. They received the examination by the industrial doctor, were found free of abnormality, but were decided not to work at the site. Recently, about 5,000 APD have been purchased for personal usage and dose management is conducted by bar-coding of individual workers, and internal exposure is managed with 11 whole body counters by once a month measurement in J

  10. Elements of a national emergency response system for nuclear accidents

    The purpose of this paper is to suggest elements for a general emergency response system, employed at a national level, to detect, evaluate and assess the consequences of a radiological atmospheric release occurring within or outside of national boundaries. These elements are focused on the total aspect of emergency response ranging from providing an initial alarm to a total assessment of the environmental and health effects. Elements of the emergency response system are described in such a way that existing resources can be directly applied if appropriate; if not, newly developed or an expansion of existing resources can be employed. The major thrust of this paper is toward a philosophical discussion and general description of resources that would be required to implementation. If the major features of this proposal system are judged desirable for implementation, then the next level of detail can be added. The philosophy underlying this paper is preparedness - preparedness through planning, awareness and the application of technology. More specifically, it is establishment of reasonable guidelines including the definition of reference and protective action levels for public exposure to accidents involving nuclear material; education of the public, government officials and the news media; and the application of models and measurements coupled to computer systems to address a series of questions related to emergency planning, response and assessment. It is the role of a proven national emergency response system to provide reliable, quality-controlled information to decision makers for the management of environmental crises

  11. Accuracy of radiographers red dot or triage of accident and emergency radiographs in clinical practice: a systematic review

    AIM: To determine the accuracy of radiographers red dot or triage of accident and emergency (A and E) radiographs in clinical practice. MATERIALS AND METHODS: Eligible studies assessed radiographers red dot or triage of A and E radiographs in clinical practice compared with a reference standard and provided accuracy data to construct 2x2 tables. Data were extracted on study eligibility and characteristics, quality, and accuracy. Pooled sensitivities and specificities and chi-square tests of heterogeneity were calculated. RESULT: Three red dot and five triage studies were eligible for inclusion. Radiographers' red dot of A and E radiographs in clinical practice compared with a reference standard is 0.87 [95% confidence interval (CI) 0.85-0.89] and 0.92 (0.91-0.93) sensitivity and specificity, respectively. Radiographers' triage of A and E radiographs of the skeleton is 0.90 (0.89-0.92) and 0.94 (0.93-0.94) sensitivity and specificity, respectively; and for chest and abdomen is 0.78 (0.74-0.82) and 0.91 (0.88-0.93). Radiographers' red dot of skeletal A and E radiographs without training is 0.71 (0.62-0.79) and 0.96 (0.93-0.97) sensitivity and specificity, respectively; and with training is 0.81 (0.72-0.87) and 0.95 (0.93-0.97). Pooled sensitivity and specificity for radiographers without training for the triage of skeletal A and E radiographs is 0.89 (0.88-0.91) and 0.93 (0.92-0.94); and with training is 0.91 (0.88-0.94) and 0.95 (0.93-0.96). CONCLUSION: Radiographers red dot or triage of A and E radiographs in clinical practice is affected by body area, but not by training

  12. Traffic Congestion and Accidents

    Schrage, Andrea

    2006-01-01

    Obstructions caused by accidents can trigger or exacerbate traffic congestion. This paper derives the efficient traffic pattern for a rush hour with congestion and accidents and the corresponding road toll. Compared to the model without accidents, where the toll equals external costs imposed on drivers using the road at the same time, a new insight arises: An optimal toll also internalizes the expected increase in future congestion costs. Since accidents affect more drivers if traffic volumes...

  13. Psychological emergency attendance as a psychological service in educational psychology: limits and possibilities

    Edson do Nascimento Bezerra

    2014-01-01

    The School Psychology Emergency Practices differs from others School Psychology practices, is more than type of psychology service and should have more institutional visibility. This paper reflects on these references from both the practice of the author and the currently literature in school psychology. To this purpose, we use as reference the concept of Extended Clinic and its relation with Psychology Emergency Service area. We discuss the opportunity of the school psychologist has, among o...

  14. ACCIDENT AT «FUKUSHIMA-I» NPP: FIRST RESULTS OF EMERGENCY RESPONSE. REPORT 1: GENERAL INFORMATION ABOUT THE ACCIDENT AND RADIATION SITUATION

    G. G. Onischenko

    2011-01-01

    Full Text Available The article presents preliminary assessment of the accident scale, level of its radiation effect on the population and response of national authorities of various countries for the population radiation protection provisions. High levels of the environmental radioactive contamination demanded the application of complex measures for the radiation protection of the population from adjacent territories of Japan. Radionuclides from the region of damaged NPP can get to the other countries by means of the long-distant air and sea water mass transfer. Specific activity of cesium radionuclides in the sea biota can reach the level recommended by the Codex Alimentarius Commission as the safe level for the international trade or exceed it. Significant radioactive contamination of the territories of other countries resulting from the «Fukushima-I» NPP accident did not occur. Many world countries applied measures of the Japanese food products import control on the base of the radiation monitoring data. These prohibitions are consequently remitted following the radiation situation improvement.

  15. Emergency response to a highway accident in Springfield, Massachusetts, on December 16, 1991

    On December 16, 1991, a truck carrying unirradiated (fresh) nuclear fuel was involved in an accident on US Interstate 91, in Springfield, Massachusetts. This report describes the emergency response measures undertaken by local, State, Federal, and private parties. The report also discusses ''lessons learned'' from the response to the accident and suggests areas where improvements might be made

  16. Emergency response to a highway accident in Springfield, Massachusetts, on December 16, 1991

    1992-06-01

    On December 16, 1991, a truck carrying unirradiated (fresh) nuclear fuel was involved in an accident on US Interstate 91, in Springfield, Massachusetts. This report describes the emergency response measures undertaken by local, State, Federal, and private parties. The report also discusses lessons learned'' from the response to the accident and suggests areas where improvements might be made.

  17. Emergency response to a highway accident in Springfield, Massachusetts, on December 16, 1991

    1992-06-01

    On December 16, 1991, a truck carrying unirradiated (fresh) nuclear fuel was involved in an accident on US Interstate 91, in Springfield, Massachusetts. This report describes the emergency response measures undertaken by local, State, Federal, and private parties. The report also discusses ``lessons learned`` from the response to the accident and suggests areas where improvements might be made.

  18. Severe hypoglycaemia requiring the assistance of emergency medical services - frequency, causes and symptoms

    Krnačová, V.; Kuběna, Aleš Antonín; Macek, K.; Bezděk, M.; Šmahelová, A.; Vlček, J.

    2012-01-01

    Roč. 156, č. 3 (2012), s. 271-277. ISSN 1213-8118 Grant ostatní: GA UK(CZ) SVV-2010-261-004 Keywords : regression trees * causes * symptoms * incidence * emergency medical service * severe hypoglycaemia Subject RIV: EI - Biotechnology ; Bionics Impact factor: 0.990, year: 2012 http://library.utia.cas.cz/separaty/2013/E/kubena-severe hypoglycaemia requiring the assistance of emergency medical services - frequency causes and symptoms.pdf

  19. Emerging new services for the gas and electricity economy

    This article reports on a postgraduate study at the Swiss Institute of Technology (EPFL) in Lausanne, Switzerland, addressing the prospects for new energy technologies and their development, according to bankers, industry managers and international organisations. The study merges macro-economic, financial and technological views and focusses especially on electricity and natural gas including cogeneration and decentralised, small and middle-size energy production units. The world energy market is changing pace, moving from various monopolies to a dynamic system, with growing decentralisation and networking. The study reveals that constraints are changing due to the economy globalization as well as to the growing internet-based economy, and that new prospects for the development of promising energy technologies are emerging. The demand for more specific energy products like for example uninterruptible power supplies will stimulate new sectors in the energy economy. Growing environmental concern will also be an important factor for the energy market remodelling. For the gas and electricity markets, a considerable rise in sales is expected

  20. Prophylaxis and pharmacologic correction of body functions under influence of emergency factors of large-scale radioactive accidents

    The experience of Chernobyl's accidents response showed the necessity of adaptation of troops radiative protection medical system to the conditions of peacetime. The article describes the tests working out the optimal use scheme of time-table medical means of protection under conditions of large-scale radiative accidents. The state of neuropsychical activity, cardiovascular, respiratory, hemopoietic, immune and other body systems have been studied, perspective ways of drug application as means of body resistance increase under such conditions have been estimated. 6 figs

  1. The use of action research as an appropriate method of introducing and evaluating change in nursing care in an accident & emergency unit in Durban – Part 2

    Kerr, D.

    1996-01-01

    This 2-part article discussed firstly in Curationis 19.3 this year, the general characteristics of action research, compares several strategies of approach and describes the author's chosen method of applying action research to particular aspects of nursing care in an Accident & Emergency Unit in a Durban hospital. This second part describes identification of problems within the unit, the implementation of change and the limitations and potential of such study to nursing practice.

  2. Statutory Instrument No 144 of 1992. Convention on assistance in the case of a nuclear accident or radiological emergency (privileges and immunities) order, 1992

    This Order is made by the power conferred on the Government by Section 42A of the Diplomatic Relations and Immunities Acts, 1967 and 1976. It enables the Government to afford immunity from legal action and exemption from taxes to foreign rescue workers as required under Article 8 of the Convention on Assistance in the case of a Nuclear Accident or Radiological Emergency to which the State is a party

  3. Paciente vítima de violência no trânsito: análise do perfil socioeconômico, características do acidente e intervenção do Serviço Social na emergência A patient victim of car traffic violence: an analysis of socioeconomic profile, accident characteristics and Social Services intervention in the emergency room

    Kátia Campos dos Anjos

    2007-01-01

    Full Text Available OBJETIVO: Identificar e analisar o perfil dos pacientes; o meio de transporte que causou o acidente; as normas do Código de Trânsito Brasileiro, se foram ou não seguidas; a rede de apoio e as intervenções do Serviço Social. MÉTODO: A pesquisa foi realizada com 100% dos pacientes internados nesta Instituição no período de 15/08/04 a 19/11/04, que foram vítimas de acidente no trânsito. Entrevistamos: 37 condutores de motocicletas, 26 pedestres, 15 condutores de veículo a motor e 06 passageiros, totalizando 84 pacientes. Foram utilizados formulários com questões abertas e fechadas de abordagem quantitativa e qualitativa. Resultado: A maior demanda foi de motociclistas, sendo que 83% são do sexo masculino, jovens com escolaridade até o ensino médio e renda mensal de dois salários mínimos. 62% residem em São Paulo e somente 36,5% possuem vínculo formal de trabalho. A maior parte das fraturas ocorreu nos membros inferiores (54%. Todos os pacientes necessitaram de cuidados após alta hospitalar, sendo que 98% contaram com o apoio familiar. CONCLUSÃO: Os elevados números de acidentes nos indicam que a violência no trânsito pode ser considerada um problema de saúde pública e estudos devem ser realizados para subsidiar as políticas públicas nesta área.OBJECTIVE: To identify and analyze patients' profile; the means of transportation that caused the accident; whether the rules of the Brazilian Traffic Code were respected or not; and the support network and actions of social services. METHODS: A survey was conducted with 100% of the patients admitted in this institution between August 15th and November 19th, 2004, who were victims of car accidents. We interviewed 37 motorcycle riders, 26 pedestrians, 15 drivers and 6 passengers, totaling 84 patients. Forms with open and closed questions, adopting both a quantitative and a qualitative approach were used. RESULTS: The greatest demand was from motorcyclists, of whom 83% were male

  4. Pattern of Sexual Offences Attended at Accident and Emergency Department of HUSM from Year 2000 to 2003: A Retrospective Study.

    Islam, Mohammed Nasimul; See, Khoo Lay; Ting, Lai Chin; Khan, Jesmine

    2006-01-01

    This paper investigates the pattern of sexual offence cases attended at the One Stop Crisis Center (OSCC) of the Accident and Emergency Department, Hospital Universiti Sains Malaysia (HUSM), Kelantan. A total of 439 reported sexual offence cases were examined over a period of 4 years from 2000 to 2003. Sexual offence constituted by male partner or boyfriend in 18.9%, by relatives in 27.3% and by "others" in 53.8% of cases. Only 0.7% of victims did not attempt to lodge a police report. There is a significant relationship between occupation and the risk of experiencing sexual violence. Students were mostly targeted by the perpetrator throughout the study period. Among the offences, rape cases were the highest in number, among those who attended at the OSCC, HUSM with a total of 72.7%; followed by 27.3% of incest; 26.4% of child sexual abuse; 4.8% of sodomy and lastly 1.6% of gerontophilia cases. Only 70% of the specimens obtained from sexual offences victims were sent for laboratory analysis. The result remained negative in 82.4% specimens and thus the laboratory analysis result is merely functioning as a supportive evidence for sexual offence cases attended at OSCC. The studies showed that most of the sexual assault perpetrators were known to the victims. The place of crime was also known to the perpetrators. Health sectors of various levels should be working in conjunction to promote a societal changes to improve more of the women's right and thus to reduce the violence crime. PMID:22589588

  5. RaCon: a software tool serving to predict radiological consequences of various types of accident in support of emergency management and radiation monitoring management

    The RaCon software system, developed by the Nuclear Research Institute Rez, is described and its application when addressing various tasks in the domain of radiation accidents and nuclear safety (accidents at nuclear facilities, transport of radioactive material, terrorist attacks) are outlined. RaCon is intended for the prediction and evaluation of radiological consequences to population and rescue teams and for optimization of monitoring actions. The system provides support to emergency management when evaluating and devising actions to mitigate the consequences of radiation accidents. The deployment of RaCon within the system of radiation monitoring by mobile emergency teams or remote controlled UAV is an important application. Based on a prediction of the radiological situation, RaCon facilitates decision-making and control of the radiation monitoring system, and in turn, refines the prediction based on observed values. Furthermore, the system can perform simulations of evacuation patterns at the Dukovany NPP and at schools in the vicinity of the power plant and can provide support to emergency management should any such situation arise. (orig.)

  6. Industrial accidents in radiological controlled areas: the importance of radiation protection in the organisation of the emergency aid

    After some disappointments when the first French nuclear units were started, it became clear that all the aspects linked to radio-protection needed to be taken into account in the context of emergency aid in the case of an industrial accident in radiological controlled area. In the case of an accident involving people, on-site first aid is provided by permanent services of the power plant. These teams are trained in first aid and fire-fighting. They are well trained in radioprotection. The specificity of an industrial event in controlled zone is that the victims' conventional injuries, whether it be a wound, a burn or a fracture, can be complicated by radioactive contamination. If it is justified, the exterior emergency services (firemen and medical teams) sire immediately called in. These teams are not necessarily trained in radioprotection. (authors)

  7. Psychological reactions to catastrophes: fear as a reaction to accidents and emergencies in industriel complexes

    This paper addresses the subject 'stress' and its effects on the personality. Specific types of behavior, which the human develops in a fearful situation are demonstrated by means of the psychoanalytical personality model. In the conclusion possible methods of alleviating fear, shock and panic reactions are described. 7 figs., 2 tabs., 9 refs

  8. Axillary brachial plexus block--an underused technique in the accident and emergency department.

    MacKay, C A; Bowden, D F

    1997-01-01

    OBJECTIVE: To compare axillary brachial plexus block and Bier's block as methods of providing upper limb anaesthesia. METHODS: Axillary brachial plexus or Bier's blocks were performed on all patients requiring upper limb anaesthesia in a three month period. For Bier's block, a single cuff tourniquet and 3 mg/kg 0.5% prilocaine were used. For axillary plexus block, 40 ml 1% lignocaine with adrenaline (1:200,000) were used, given by perivascular or transarterial technique. Prospective analysis ...

  9. Mathematical modelling of patient flow through an accident and emergency department

    Coats, T; Michalis, S

    2001-01-01

    Objectives—The objectives of this project; (1) to evaluate the method, (2) to assess the information required for a more detailed model, and (3) to determine if it was worthwhile to undertake the data collection needed for a more detailed model.

  10. The Milch technique for reduction of anterior shoulder dislocations in an accident and emergency department.

    Johnson, G; Hulse, W; Mcgowan, A.

    1992-01-01

    Following the introduction of the Milch technique as the preferred method of reduction of anterior shoulder dislocations in an A&E department, a retrospective study of the technique was carried out. A total of 187 patients with anterior shoulder dislocations were included. The Milch technique was attempted in 142 cases with a success rate of 86%. There was no statistical difference in the success rates of junior and senior staff. In 73% of the Milch cases either no analgesia or sedation or En...

  11. Cloud-based Emerging Services Systems

    Sharma, Sugam; Chang, Victor; Tim, U Sunday; Wong, Johnny; Gadia, Shashi

    2016-01-01

    The emerging services and analytics advocate the service delivery in a polymorphic view that successfully serves a variety of audience. The amalgamation of numerous modern technologies such as cloud computing, Internet of Things (IoT) and Big Data is the potential support behind the emerging services Systems. Today, IoT, also dubbed as ubiquitous sensing is taking the center stage over the traditional paradigm. The evolution of IoT necessitates the expansion of cloud horizon to deal with emer...

  12. Acidentes e violência na infância: evidências do inquérito sobre atendimentos de emergência por causas externas - Brasil, 2009 Accidents and violence in childhood: survey evidence of emergency care for external causes - Brazil, 2009

    Deborah Carvalho Malta

    2012-09-01

    Full Text Available Compreender as características e a magnitude das causas externas (acidentes e violência em crianças de 0 a 9 anos de idade torna-se cada vez mais importante em Saúde Pública. O objetivo do presente artigo foi analisar os atendimentos de emergência por causas externas em crianças. Utilizaram-se dados do Sistema de Vigilância de Violências e Acidentes em Serviços Sentinelas de Urgência e Emergência (Inquérito VIVA, realizado em 74 serviços de urgência do Distrito Federal e 23 capitais no ano 2009. Analisaram-se dados de 7.123 crianças: 6.897 (96,7% vítimas de acidentes e 226 (3,3% de violência. Em comparação às vítimas de violência, os atendimentos por acidentes foram mais frequentes entre crianças de 2 a 5 anos, de pele branca e ocorridos no domicílio (p Understanding the characteristics and magnitude of accidents and violence due to external causes in children from 0 to 9 years of age is becoming ever more important in Public Health. The scope of this paper was to analyze emergency care for accidents due to external causes in children. The Sentinel Urgency and Emergency Services of the Violence and Accident Vigilance System (VIVA Survey, performed in 74 urgency services in the Federal District and 23 State capitals in 2009 was used. Data of 7,123 children were analyzed: 6,897 (96.7% victims of accidents and 226 (3.3% of violence. In comparison with victims of violence, the visits for accidents were more frequent among white children from 2 to 5 years old occurring in the home (p < 0.05. Among the accidents, falls and burns predominated in the 0 to 1group, while traffic accidents were most frequent in the 6 to 9-year-old age group (p < 0.001. With respect to violence, the visits for neglect and physical assault predominated, respectively, in extreme age groups, with someone in the family being the perpetrator (p < 0.001. Information on the occurrence of external causes in children may support health promotion policies

  13. The analysis outlining the occurrence and consequences of accidents in the work environment of the firefighters employed by the State Fire Service in Poland in 2008–2013

    Agata Pawlak

    2016-02-01

    Full Text Available Background: Due to the specifics of their work and to being exposed to a wide range of hazards, firefighters working for the State Fire Service (SFS face the risk of work-related accidents more often than members of other occupational groups. The aim of this paper is to analyze the occurrence and consequences of accidents in the work environment of the SFS officers in Poland between the years 2008–2013. Material and Methods: The material analyzed is based on aggregate data collected by the Headquarters of the State Fire Service. Figures regarding accidents in the period between 1 January 2008 and 31 December 2013 show that 8518 workrelated accidents occurred in that period and 8635 people were injured. Results: The data shows that neither the number of accidents nor their frequency indicator underwent any significant fluctuations over the 6 years under consideration. The group that is most exposed to accidents on duty in the profession includes active firefighters serving in rescue and fire extinguishment divisions. According to the data, the greatest number of trauma incidents in the SFS between the years 2008–2013 occurred during sporting activities. The predominant cause of these was inappropriate behavior or the lack of proper care. The most frequent injuries sustained during the accidents were broken or fractured bones and sprained joints. Conclusions: Accidents on duty occur significantly more often when firefighters are at their stations, during sporting classes, exercises or maneuvers, than in the course of actual rescue operations. The firefighters of the State Fire Services are insufficiently prepared for their sporting activities. Med Pr 2016;67(1:1–9

  14. Survival benefit of physician-staffed Helicopter Emergency Medical Services (HEMS) assistance for severely injured patients

    D. den Hartog (Dennis); J. Romeo (Jamie); A.N. Ringburg (Akkie); M.H.J. Verhofstad (Michiel); E.M.M. van Lieshout (Esther)

    2015-01-01

    markdownabstractBackground: Physician-staffed Helicopter Emergency Medical Services (HEMS) provide specialist medical care to the accident scene and aim to improve survival of severely injured patients. Previous studies were often underpowered and showed heterogeneous results, leaving the subject at

  15. Emergency treatment and nursing management of group patients of traffic accident%成批车祸事故患者的急救与护理管理

    黄宁静

    2015-01-01

    目的 分析成批车祸事故患者的急救与护理.方法 采取2013年7月份至2014年10月份本院收治的4批车祸事故患者共94例,回顾性分析这94例患者的临床资料,总结患者的急救与护理措施.结果 通过采取相应的急救与护理管理后,94例患者中,88例抢救脱险,2例现场死亡,4例抢救无效死亡,死亡率为6.4%.结论 有效的急救与护理管理能有效地降低成批车祸事故中的死亡率,提高车祸事故患者的生存率.%Objective analyze emergency treatment and nursing of group patients of trafifc accident.Method review and analyze 94 patients treated in our hospital from July 2013 to October 2014, 4 groups of patients with trafifc accidents. Summarize their clinical data and emergency treatment and nursing measures.Result after taking corresponding measures of emergency treatment and nursing management, 88 cases of 94 patients survived, 2 cases died on the spot, 4 cases died after emergency treatment, mortality was 6.4%.Conclusion effective emergency management and nursing management can effectively reduce mortality and improve survival rate of patients with trafifc accident.

  16. National radiological emergency response to the Fukushima Daiichi Nuclear Power Plant accident

    The Fukushima nuclear power plant accident occurred on March 11, 2011, when two natural disasters of unprecedented strengths, an earthquake with magnitude 9 followed one hour later by a powerful tsunami struck northeastern Japan and felled the external power supply and the emergency diesel generators of the Fukushima Daiichi nuclear power station, resulting in a loss of coolant accident. There were core meltdowns in three nuclear reactors with the release of radioactivity estimated to be 1/10 of what was released to the environment during the Chernobyl nuclear power plant accident in April 1986. The Fukushima nuclear accident tested the capability of the Philippine Nuclear Research Institute (PNRI) and the National Disaster Risk Reduction and Management Council (NDRRMC) in responding to such radiological emergency as a nuclear power plant accident. The PNRI and NDRRMC activated the RADPLAN for possible radiological emergency. The emergency response was calibrated to the status of the nuclear reactors on site and the environmental monitoring undertaken around the site and off-site, including the marine environment. This orchestrated effort enabled the PNRI and the national agencies concerned to reassure the public that the nuclear accident does not have a significant impact on the Philippines, both on the health and safety of the people and on the safety of the environment. National actions taken during the accident will be presented. The role played by the International Atomic Energy Agency as the central UN agency for nuclear matters will be discussed. (author)

  17. Nuclear power plant accident handbook. A CNSC emergency operations centre tool

    In response to the Fukushima Nuclear Emergency and the subsequent Emergency Operations Centre (EOC) response, the Canadian Nuclear Safety Commission (CNSC) Fukushima Task Force recommended that hardcopy and electronic version reference packages for all Canadian nuclear reactor sites are readily available to the Technical Support Team. CNSC staff, in a cooperative agreement with Atomic Energy of Canada Limited at Chalk River Laboratories (AECL-CRL), has begun implementing this recommendation through the development of the Nuclear Power Plant (NPP) Accident Handbook. The NPP Accident Handbook will provide readily available reference material for technical staff involved in EOC operations. The NPP Accident Handbook will assist technical staff in finding site-specific and accident-specific details that will help them provide expert advice to the EOC team during a nuclear power plant accident. (author)

  18. Nuclear power plant accident handbook: a CNSC emergency operations centre tool

    In response to the Fukushima Nuclear Emergency and the subsequent Emergency Operations Centre (EOC) response, the Canadian Nuclear Safety Commission (CNSC) Fukushima Task Force recommended that hardcopy and electronic version reference packages for all Canadian nuclear reactor sites are readily available to the Technical Support Team. CNSC staff, in a cooperative agreement with Atomic Energy of Canada Limited at Chalk River Laboratories (AECL-CRL), has begun implementing this recommendation through the development of the Nuclear Power Plant (NPP) Accident Handbook. The NPP Accident Handbook will provide readily available reference material for technical staff involved in EOC operations. The NPP Accident Handbook will assist technical staff in finding site-specific and accident-specific details that will help them provide expert advice to the EOC team during a nuclear power plant accident. (author)

  19. Differences between attendance in emergency care of male and female victims of traffic accidents in Porto alegre, Rio Grande do Sul state, Brazil

    Raquel Forgiarini Saldanha

    2014-09-01

    Full Text Available Driving under the influence of alcohol/ drugs (DUI is a well-established risk factor for traffic accidents, and men and women have different consumption patterns. The scope of this paper is to analyze differences in alcohol and drug consumption, as well as on behavior associated with traffic accidents among men and women. A cross-sectional study was conducted with 609 sequential traffic accident victims attended in emergency care from Porto Alegre. Subjects gave a structured interview, were breathalyzed and had a saliva test for alcohol/drug screening. Results showed that women were mainly passengers or pedestrians (p < 0.001. There was no significant difference in positive blood alcohol concentration. However, men reported more binge drinking and THC use, while women had more benzodiazepine in their saliva (p<0.05. This is the first Brazilian study to compare alcohol and drug use among men and women who were the victims of traffic accidents. Results point to differences in the pattern of substance abuse, as well on risk behavior. Data may be useful for specific prevention strategies that take gender differences into consideration.

  20. Trauma-related dispatch criteria for Helicopter Emergency Medical Services in Europe

    L.D. Wigman (Laura); E.M.M. van Lieshout (Esther); G. de Ronde (Gijs); P. Patka (Peter); I.B. Schipper (Inger)

    2011-01-01

    textabstractIntroduction: Helicopter Emergency Medical Services (HEMS) are used worldwide in order to provide potentially life-saving pre-hospital medical support to trauma patients at the accident scene. It is currently unclear how much overlap exists regarding the number and type of dispatch crite

  1. Soil sampling and analytical strategies for mapping fallout in nuclear emergencies based on the Fukushima Dai-ichi Nuclear Power Plant accident

    The Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident resulted in extensive radioactive contamination of the environment via deposited radionuclides such as radiocesium and 131I. Evaluating the extent and level of environmental contamination is critical to protecting citizens in affected areas and to planning decontamination efforts. However, a standardized soil sampling protocol is needed in such emergencies to facilitate the collection of large, tractable samples for measuring gamma-emitting radionuclides. In this study, we developed an emergency soil sampling protocol based on preliminary sampling from the FDNPP accident-affected area. We also present the results of a preliminary experiment aimed to evaluate the influence of various procedures (e.g., mixing, number of samples) on measured radioactivity. Results show that sample mixing strongly affects measured radioactivity in soil samples. Furthermore, for homogenization, shaking the plastic sample container at least 150 times or disaggregating soil by hand-rolling in a disposable plastic bag is required. Finally, we determined that five soil samples within a 3 m × 3-m area are the minimum number required for reducing measurement uncertainty in the emergency soil sampling protocol proposed here. - Highlights: • Emergency soil sampling protocol was proposed for nuclear hazards. • Various sampling procedures were tested and evaluated in Fukushima area. • Soil sample mixing procedure was of key importance for measured radioactivity. • Minimum number of sampling was determined for reducing measurement uncertainty

  2. Social Networking and eDating: Charting the Boundaries of an Emerging Self-Service Arena

    Romm, Celia T.; Oliver, Dave

    This chapter focuses on social networking and eDating as emerging areas of self-service. Following an overview of the theoretical aspects of self-service, two models or typologies for categorizing business models in the two areas are presented, namely, one typology for social networking services and another for eDating services. The chapter concludes with a discussion of the psychological, social, legal, and other implications from the models, as well as suggestions for future research that emanate from the issues presented in the chapter.

  3. Communication and industrial accidents

    As, Sicco van

    2001-01-01

    This paper deals with the influence of organizational communication on safety. Accidents are actually caused by individual mistakes. However the underlying causes of accidents are often organizational. As a link between these two levels - the organizational failures and mistakes - I suggest the concept of role distance, which emphasizes the organizational characteristics. The general hypothesis is that communication failures are a main cause of role distance and accident-proneness within orga...

  4. Evaluating the Linkage Between Emergency Medical Services and the Provision of Scarce Resources Through Simulation

    Klafehn, Keith A.; Owens, Deborah L.; Felter, Robert A.; Vonneman, Nancy; McKinnon, Carla J.

    1989-01-01

    A simulation model of the flow of patients in the emergency room of a pediatric hospital was used to investigate the linkage between the emergency medical services provided and the efficient mix of scarce resources. Specific attention was given to the results of the patient flows as they were affected by whether there was one or two triage nurses, the nurse complement for non-urgent patients, and the number of orthopedic groups available for diagnosis and prescription.

  5. Nuclear accidents and epidemiology

    A consultation on epidemiology related to the Chernobyl accident was held in Copenhagen in May 1987 as a basis for concerted action. This was followed by a joint IAEA/WHO workshop in Vienna, which reviewed appropriate methodologies for possible long-term effects of radiation following nuclear accidents. The reports of these two meetings are included in this volume, and cover the subjects: 1) Epidemiology related to the Chernobyl nuclear accident. 2) Appropriate methodologies for studying possible long-term effects of radiation on individuals exposed in a nuclear accident. Figs and tabs

  6. [The emergence of China's Railway Health Services and its motivation in the late Qing Dynasty].

    Huang, Huaping

    2014-03-01

    In the late Qing Dynasty, the railway authority of China commenced establishing their self-run medical institutions, setting up the hygienic standards of railway system, and opening a new prospects of railway health services and epidemic prevention, reflecting the emergence of China's Railway Health Services. The motivations of all these approaches were related to three factors, that is,"the eastward dissemination of western medicine","the medical requirement of railway employees", and"the emergent situation of railway health and epidemic prevention". PMID:24989806

  7. 22 CFR 102.13 - Protective services with respect to deceased victims of accidents.

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Protective services with respect to deceased victims of accidents. 102.13 Section 102.13 Foreign Relations DEPARTMENT OF STATE ECONOMIC AND OTHER FUNCTIONS CIVIL AVIATION United States Aircraft Accidents Abroad § 102.13 Protective services with...

  8. Implementation Research in Mental Health Services: an Emerging Science with Conceptual, Methodological, and Training challenges

    Proctor, Enola K; LANDSVERK, JOHN; Aarons, Gregory; Chambers, David; Glisson, Charles; Mittman, Brian

    2008-01-01

    One of the most critical issues in mental health services research is the gap between what is known about effective treatment and what is provided to consumers in routine care. Concerted efforts are required to advance implementation science and produce skilled implementation researchers. This paper seeks to advance implementation science in mental health services by over viewing the emergence of implementation as an issue for research, by addressing key issues of language and conceptualizati...

  9. Design of nuclear accident emergency monitoring system based on GPS/CDMA

    A mobile real-time data monitoring system is designed for nuclear accident emergency, and is composed of three subsystems: vehicle-mounted radiation environment field data monitoring system, wireless data transmission system, and data processing system in the monitoring center. It is confirmed, by many times practical test, that such system satisfies the requirements of nuclear emergency monitoring. (authors)

  10. ECONO-MARC: A method for assessing the cost of emergency countermeasures after an accident

    A method is proposed for assessing the cost of emergency countermeasures taken to reduce radiation exposures after an accidental release of radionuclides into the environment. The cost is estimated as the potential loss of goods and services due to the imposition of countermeasures, measured by a lost contribution to the nation's Gross Domestic Product (GDP). A primary aim in developing such a method is to provide the basis for clear quantitative inputs to difficult decisions in emergency planning; decisions on whether to apply countermeasures, and on the extent to which they should be applied. The method should also provide useful inputs to nuclear siting policy and to safety design assessments. While the method should aid decision-making, it does not measure all the costs; other major costs of nuclear accidents, such as the loss of nuclear plant capacity and the social disruption caused by countermeasures require separate additional assessment. The models in the MARC procedure for accident assessment are under continuing review. This memorandum records the method currently included in ECONO-MARC; additional models and improved procedures will be incorporated, as appropriate, in the future. (author)

  11. Rating of the efficiency of alarm systems in reactor accident emergencies

    Experience made with alarm systems designed to alert the population in the Federal Republik of Germany and in the US is discussed. German law on a national and regional level does not deal with alerting the population to the same degree as with alerting the disaster control agency, voluntary services and their members. The local disaster control agencies have to decide for themselves which alarm systems are to be used in an emergency caused by a nuclear accident. In order to clarify fundamentals for decision-making, the efficiency of existing alarm systems was analyzed. It was valuated according to six criteria. It became apparent that the system 'sirens/radio/TV' included in alarm plans so far can not ensure alerting of the population in an emergency caused by a nuclear accident, whereas the system using laudspeaker vans needs further inquiry and testing to determine its efficiency. Suggestions are made to improve the above alarm systems, and an alternative to existing systems is shown. (orig./HP)

  12. Frequent users of emergency services: associated factors and reasons for seeking care

    Aline Marques Acosta

    2015-04-01

    Full Text Available Aim: to identify the profile of frequent users of emergency services, to verify the associated factors and to analyze the reasons for the frequent use of the services. METHOD: An explanatory sequential type mixed method was adopted. Quantitative data were collected from the electronic medical records, with a sample of 385 users attended four or more times in an emergency service, during the year 2011. Qualitative data were collected through semi-structured interviews with 18 users, intentionally selected from the results of the quantitative stage. Quantitative data were analyzed using descriptive and inferential statistics and qualitative data using thematic analysis. RESULTS: It was found that 42.9% were elderly, 84.9% had chronic diseases, 63.5% were classified as urgent, 42.1% stayed for more than 24 hours in the service and 46.5% were discharged. Scheduled follow-up appointment, risk classification, length of stay and outcome were factors associated with frequent use. The reasons for seeking the services were mainly related to the exacerbation of chronic diseases, to easier access and concentration of technology, to the bond, and to the scheduled appointments. CONCLUSIONS: The results contribute to comprehending the repeated use of emergency services and provide additional data to plan alternatives to reduce frequent use.

  13. Modularity and network integration: emergent sustainable services in mobile payment systems

    Liebenau, Jonathan; Elaluf-Calderwood, Silvia; Bonina, Carla M.

    2014-01-01

    This paper introduces the concept of modularity in financial services, discusses how new value chains are created and addresses emerging opportunities for innovative business models in the digital economy. We argue that innovation occurred in the banking sector despite the lagging adoption of new operational practices but due to technology drive for new ways to provide services. Banking innovation is commonly a matter of case facilitation vs. lock-in, in which the systemic effects of balancin...

  14. Chernobyl accident and Danmark

    The report describes the Chernobyl accident and its consequences for Denmark in particular. It was commissioned by the Secretary of State for the Environment. Volume 1 contains copies of original documents issued by Danish authorities during the first accident phase and afterwards. Evaluations, monitoring data, press releases, legislation acts etc. are included. (author)

  15. Chernobyl accident and Denmark

    The report describes the Chernobyl accident and its consequences for Denmark in particular. It was commissioned by The Secretary of State for the Environment. Volume 2 contains copies of original documents issued by Danish authorities during the first accident phase and afterwards. Evaluations, monitoring data, press releases, legislation acts etc. are included. (author)

  16. Courses on emergency preparedness and medical procedures in case of a nuclear accident organised in Zagreb, Croatia

    As a part of the postgraduate education at the Medical School of the University of Zagreb, different short courses are offered. It has been realised that the knowledge about radiation and its uses among the Croatian doctors is more than insufficient, especially if any action for treatment of radiation victims will ever be needed. The specialised courses of the I. category, offered and described bellow, are meant to provide the sufficient theoretical knowledge about ionising radiations as well as practical workshops and exercises in treatment of persons accidentally injured in a nuclear power plant or similar accident. (author)

  17. Soil sampling and analytical strategies for mapping fallout in nuclear emergencies based on the Fukushima Dai-ichi Nuclear Power Plant accident.

    Onda, Yuichi; Kato, Hiroaki; Hoshi, Masaharu; Takahashi, Yoshio; Nguyen, Minh-Long

    2015-01-01

    The Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident resulted in extensive radioactive contamination of the environment via deposited radionuclides such as radiocesium and (131)I. Evaluating the extent and level of environmental contamination is critical to protecting citizens in affected areas and to planning decontamination efforts. However, a standardized soil sampling protocol is needed in such emergencies to facilitate the collection of large, tractable samples for measuring gamma-emitting radionuclides. In this study, we developed an emergency soil sampling protocol based on preliminary sampling from the FDNPP accident-affected area. We also present the results of a preliminary experiment aimed to evaluate the influence of various procedures (e.g., mixing, number of samples) on measured radioactivity. Results show that sample mixing strongly affects measured radioactivity in soil samples. Furthermore, for homogenization, shaking the plastic sample container at least 150 times or disaggregating soil by hand-rolling in a disposable plastic bag is required. Finally, we determined that five soil samples within a 3 m × 3-m area are the minimum number required for reducing measurement uncertainty in the emergency soil sampling protocol proposed here. PMID:24965965

  18. Communication and industrial accidents

    As, Sicco van

    2001-01-01

    This paper deals with the influence of organizational communication on safety. Accidents are actually caused by individual mistakes. However the underlying causes of accidents are often organizational. As a link between these two levels - the organizational failures and mistakes - I suggest the conc

  19. Emergency medical management of radiation accident. Lessons learned from the JCO criticality accident

    A criticality accident occurred at the JCO nuclear fuel processing plant in Tokai-mura, Japan at 10:35 am on September 30, 1999. Three workers while working nearby were exposed to high doses of radiation, especially rich in neutron. They suffered from the acute radiation syndrome and two of them were still under medical treatment. This criticality accident taught us significant lessons of radiation protection for the personnels, e.g. physicians, nurses and firemen who are expected to rescue radiation-exposed patients in radiation accidents. In this article, medical management of radiation accident, e.g. treatment of patient, with high-dosed radiation-exposure and with internal contamination of radioactive nuclides and estimation of individual radiation dose, were briefly explained. The Japanese Association for Medical Management of Radiation Accident was founded on August 29, 1997, in order to promote the mutual communication of physicians who have to be engaged in treatment of radiation-exposed patients. (author)

  20. 42 CFR 438.114 - Emergency and poststabilization services.

    2010-10-01

    ... severe pain) that a prudent layperson, who possesses an average knowledge of health and medicine, could... management system regardless of whether the case manager referred the enrollee to the provider that...

  1. Rider injury rates and emergency medical services at equestrian events

    Paix, B. R.

    1999-01-01

    BACKGROUND: Horse riding is a hazardous pastime, with a number of studies documenting high rates of injury and death among horse riders in general. This study focuses on the injury experience of cross country event riders, a high risk subset of horse riders. METHOD: Injury data were collected at a series of 35 equestrian events in South Australia from 1990 to 1998. RESULTS: Injury rates were found to be especially high among event riders, with frequent falls, injuries, and even deaths. ...

  2. Post-war Kosovo: Part 3. Development and rehabilitation of emergency services.

    Lis, J; Eliades, M J; Benishi, D; Koci, B; Gettle, D; VanRooyen, M J

    2001-01-01

    The recent crisis in Kosovo led to nearly complete destruction of a healthcare system serving the needs of approximately 2 million people. Even prior to the crisis, the pre-existing healthcare system had inadequate provisions for the delivery of Emergency Medical Services. More than 440 diverse governmental and non-governmental organizations (NGOs) arrived to assist (and often compete) in the rehabilitation of Kosovo's healthcare needs. Each brought with them individual biases and strategies for how this rehabilitation should occur, and each faced numerous unforeseen barriers to the implementation of its programs. The authors used a four-step, multi-modal, needs assessment to gather information on the needs and potential barriers to the implementation of a program to rehabilitate emergency services as discussed in Part II. This paper chronicles the phases of the Emergency Medicine program development and the process of responding to barriers and changing needs. The program's successes and failures are noted, and the actual barriers encountered are reviewed. Overall, the needs assessment tool employed in this program was useful in the implementation of a program to restore and rehabilitate Emergency Services in Kosovo. The authors recommend the use of combined quantitative and qualitative methods for developing priorities for interventions in post-conflict settings following complex emergencies. PMID:12090210

  3. Updated tool for nuclear criticality accident emergency response

    Some 20 yr ago a hand-held slide rule was developed at the Oak Ridge Y-12 Plant to aid in the response to several postulated nuclear criticality accidents. These assumed accidents involved highly enriched uranium in either a bare metal or a uranyl nitrate system. The slide rule consisted of a sliding scale based on the total fission yield and four corresponding dose indicators: (1) a prompt radiation dose relationship as a function of distance; (2) a delayed fission product gamma dose rate relationship as a function of time and distance; (3) the total dose relationship with time and distance; and (4) the I-min integrated dose relationship with time and distance. The original slide rule was generated assuming very simplistic numerical procedures such as the inverse-square relationship of dose with distance and the Way-Wigner relationship to express the time dependence of the dose. The simple prescriptions were tied to actual dose measurements from similar systems to yield a meaningful, yet simple approach to emergency planning and response needs. This paper describes the application of an advanced procedure to the updating of the original slide rule for five critical systems. These five systems include (a) an unreflected sphere of 93.2 wt% enriched uranium metal, (b) an unreflected sphere of 93.2 wt% enriched uranyl nitrate solution with a H/235U ratio of 500, (c) an unreflected sphere of damp 93.2 wt% enriched uranium oxide with a H/235U ratio of 10, (d) an unreflected sphere of 4.95 wt% enriched uranyl fluoride solution having a H/235U ratio of 410, and (e) an unreflected sphere of damp 5 wt% enriched uranium dioxide having a H/235U ratio of 200

  4. Service-Learning and Emergent Communities of Practice: A Teacher Education Case Study

    Kaschak, Jennifer Cutsforth; Letwinsky, Karim Medico

    2015-01-01

    This study investigates the unexpected emergence of a community of practice in a middle level mathematics and science methods course. The authors describe how preservice teacher participation in a collaborative, project-based service-learning experience resulted in the formation of a community of practice characterized by teamwork, meaningful…

  5. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review.

    Cocker, Fiona; Joss, Nerida

    2016-01-01

    Compassion fatigue (CF) is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS) and cumulative burnout (BO), a state of physical and mental exhaustion caused by a depleted ability to cope with one's everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD), anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10). Three included studies focused on community service workers (social workers, disability sector workers), while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4) or STS (n = 3). This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes. PMID:27338436

  6. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review

    Fiona Cocker

    2016-06-01

    Full Text Available Compassion fatigue (CF is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS and cumulative burnout (BO, a state of physical and mental exhaustion caused by a depleted ability to cope with one’s everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD, anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10. Three included studies focused on community service workers (social workers, disability sector workers, while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4 or STS (n = 3. This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes.

  7. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review

    Cocker, Fiona; Joss, Nerida

    2016-01-01

    Compassion fatigue (CF) is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS) and cumulative burnout (BO), a state of physical and mental exhaustion caused by a depleted ability to cope with one’s everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD), anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10). Three included studies focused on community service workers (social workers, disability sector workers), while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4) or STS (n = 3). This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes. PMID:27338436

  8. Accident management in the case of serious emergencies in nuclear power plant

    On-site emergency planning comprises all action taken in a nuclear power station to identify beyond-design base accidents at an early stage and reliably, to keep it under control and overcome it with the minimum of damage. The individual papers set out the basic terminology, the thermohydraulic processes in the cooling circuits during severe incidents, action to maintain the integrity of the containment, the potential of expert systems, simulator training and new developments for simulating accident conditions. (DG)

  9. Status of the RODOS system for off-site emergency management after nuclear and radiological accidents and its enhancement under the EURANOS project

    Full text: Under the auspices of its Euratom Research Framework Programmes, the European Commission (EC) has supported the development of the RODOS (Real-time On-line Decision Support) system for off-site emergency management after nuclear accidents for more than a decade. Significant additional funds have been provided by many national RTD programmes, research institutes and industrial collaborators. In particular, the German Ministry of Environment, Nature Conservation and Reactor Safety (BMU) financially contributed to the project with emphasis on early emergency response. As a result of these collaborative actions, a comprehensive decision support system (RODOS) has been developed which can be applied generally within and across Europe. The current version of the system has been, or is being, installed in national emergency centres in several European countries for (pre-operational) use (Germany, Finland, Spain, Portugal, Austria, the Netherlands, Poland, Hungary, Slovakia, Ukraine, Slovenia, and the Czech Republic). Installation is foreseen or under consideration in Switzerland, Greece, Romania, Bulgaria, and Russia within the next few years. RODOS provides coherent support at all stages of an accident (i.e., before, during and after a release), including the long term management and restoration of contaminated areas. The system is able to support decisions about the introduction of a wide range of potentially useful countermeasures (e.g., sheltering and evacuation of people, distribution of iodine tablets, food restrictions, agricultural countermeasures, relocation, decontamination, restoration, etc.) mitigating the consequences of an accident with respect to health, the environment, and the economy. It can be applied to accidental releases into the atmosphere and into various aquatic environments. Appropriate interfaces exist with local and national radiological monitoring data, meteorological measurements and forecasts, and for adaptation to local, regional

  10. Frequent visitors to psychiatric emergency services: staff attitudes and temporal patterns.

    Arfken, Cynthia; Zeman, Lori Lackman; Yeager, Lindsay; Mischel, Edward; Amirsadri, Alireza

    2002-11-01

    Providing quality psychiatric emergency services is becoming more difficult as utilization rates soar, especially by individuals who are frequent visitors. To address this issue, a staff survey and analysis of admission patterns were conducted. Staff were more likely to believe that frequent visitors sought care because they had difficulty accessing alternative services, had basic needs unmet, were substance abusers, wanted inpatient admission, and were noncompliant with treatment plans. The 1999 temporal admission pattern documented that frequent visitors' admissions were higher during the first week of the month and inclement weather. Surprisingly, the infrequent visitors' admissions also were higher during the first week of the month. Together, these findings suggest that, in this urban location, frequent visitors are disadvantaged individuals lacking support and alternative treatment settings who use psychiatric emergency services to meet basic needs. PMID:12404943

  11. Emergency preparation and maneuver of HFETR

    The report presents the emergency document formation, emergency organization establishment, emergency facilities preparation and emergency accident maneuver onsite of High Flux Engineering Test Reactor (HFETR). The result of emergency preparations and maneuver is summarized. (authors)

  12. Status of the Real-time On-line Decision Support (RODOS) system for off-site emergency management after nuclear and radiological accidents

    Under the auspices of its EURATOM Research Framework Programmes, the European Commission (EC) has supported the development of the comprehensive decision support system RODOS (Real-time On-line Decision Support) for off-site emergency management after nuclear accidents for more than a decade. Many national research programmes, research institutes and industrial collaborators contributed to the project, in particular the German Ministry of Environment, Nature Conservation and Reactor Safety (B MU). The RODOS system can be applied to accidental releases into the atmosphere and various aquatic environments within and across Europe. It provides coherent support before, during and after such a release to assist analysis of the situation and decision making about short and long-term countermeasures for mitigating the consequences with respect to health, the environment, and the economy. Appropriate interfaces exist with local and national radiological monitoring data systems, meteorological measurements and forecasts, and for the adaptation to local, regional and national conditions in Europe. Within the European Integrated Project EURANOS of the sixth Framework Programme, the RODOS system is being enhanced, among others, for radiological emergencies such as dirty bombs attacks, transport accidents and satellite crashes by extensions of the nuclide list, the source term characteristics and the atmospheric dispersion model

  13. Mobile real-time data monitoring system for nuclear accident emergency

    A mobile real-time data monitoring system is designed for nuclear accident emergency, accomplished real-time data acquisition and transmission. For its special application, the system realized the real-time data acquisition of multi-serial device, GPS orientation and route record of the emergency monitoring vehicle, wireless data communications based on CDMA 1X network, database, etc. It is confirmed, by many times practical test, that such system satisfies the requirements of nuclear emergency monitoring. (authors)

  14. Evaluation and Prediction present of radionuclide for surface wipe sample in Emergency Related with Fukushima Nuclear Accident

    Surface wipe samples of aircraft and container from Japan that were exposed to radioactive dust fallout due to Fukushima nuclear accident has been analysed using gamma spectrometry systems. The samples were analysed to determine their contamination levels. The surface of aircraft and container might be exposed to short and long lived fission and activation products. Thus, good evaluations, as well as a reliable and reasonable judgment were needed in order to determine the presence of fission and activation products. A work procedure has been developed to evaluate and predict the presence of fission and activation products in surface wipe samples. Good references, skilled and experienced level in analysis, a well calibrated and validated detector system were the important factors in determining the presence of fission and activation products in surface wipe samples. (author)

  15. Medical procedures in the event of nuclear power plant accidents. Guidelines for: Medical consultants for emergency response commander; physicians in emergency care centres; physicians in outpatient and inpatient care

    The author of the contribution under consideration reports on medical procedures in the event of nuclear power plant accidents. This contribution consists of the following sections: protective measures, tasks of radiation protection physicians, emergency care centres. It has been pointed out that differentiation of the hospitals is acquired which accept radiation accident patients. However, only a small number of hospitals will be able to professionally treat patients with suspected gastrointestinal or pronounced (muco)cutaneous type of hospitals with haemotological-oncological departments. Thus they should be able to treat patients who have been exposed to radiation doses between 1 and 6 Gy without any difficulties. Even larger is the number of hospitals which can accept patients who were exposed to a radiation dose of less than 1 Gy, but suffer from other complicating diseases (injuries, general diseases)

  16. European Gravity Service for Improved Emergency Management - Status and project highlights

    Mayer-Guerr, Torsten; Adrian, Jäggi; Meyer, Ulrich; Jean, Yoomin; Susnik, Andreja; Weigelt, Matthias; van Dam, Tonie; Flechtner, Frank; Gruber, Christian; Güntner, Andreas; Gouweleeuw, Ben; Kvas, Andreas; Klinger, Beate; Flury, Jakob; Bruinsma, Sean; Lemoine, Jean-Michel; Zwenzner, Hendrik; Bourgogne, Stephane; Bandikova, Tamara

    2016-04-01

    The European Gravity Service for Improved Emergency Management (EGSIEM) is a project of the Horizon 2020 Framework Programme for Research and Innovation of the European Commission. EGSIEM shall demonstrate that observations of the redistribution of water and ice mass derived from the current GRACE mission, the future GRACE-FO mission, and additional data provide critical and complementary information to more traditional Earth Observation products and open the door for innovative approaches to flood and drought monitoring and forecasting. In the frame of EGSIEM three key services should established: 1) a scientific combination service to deliver the best gravity products for applications in Earth and environmental science research based on the unified knowledge of the European GRACE community, 2) a near real-time and regional service to reduce the latency and increase the temporal resolution of the mass redistribution products, and 3) a hydrological and early warning service to develop gravity-based indicators for extreme hydrological events and to demonstrate their value for flood and drought forecasting and monitoring services. All of these services shall be tailored to the various needs of the respective communities. Significant efforts shall also be devoted to transform the service products into user-friendly and easy-to-interpret data sets and the development of visualization tools. In this talk the status of the ongoing project is presented and selected results are discussed.

  17. Developing and implementing a computer assisted emergency facility for assessing off-site consequences due to accidents in UK nuclear power reactors

    This paper outlines considerations in the development of the RAD computer code as used in the Emergency Room at HM NII for assessing off-site consequences of accidents in UK civil nuclear power reactors. A wide range of requirements have been accommodated within the facility, particularly the need of HM NII to meet its responsibilities by producing realistic and timely estimates of a suitably high quality for propagating advice. The development of the computer code has required the balancing of many competing factors. Valuable experience has been gained by using the code during emergency exercises. Importance is laid on the feedback of field measurements to enhance the accuracy of estimated radiological consequences. (author)

  18. Medical emergency planning in case of severe nuclear power plant accidents

    This paper is an attempt to discuss a three-step-plan on medical emergency planning in case of severe accidents at nuclear power plants on the basis of own experiences in the regional area as well as on the basis of recommendations of the Federal Minister of the Interior. The medical considerations take account of the severity and extension of an accident whereby the current definitions used in nuclear engineering for accident situations are taken as basis. A comparison between obligatory and actual state is made on the possibilities of medical emergency planning, taking all capacities of staff, facilities, and equipment available in the Federal Republic of Germany into account. To assure a useful and quick utilization of the existing infra-structure as well as nation-wide uniform training of physicians and medical assistants in the field of medical emergency in case of a nuclear catastrophe, a federal law for health protection is regarded urgently necessary. (orig.)

  19. Help guides for post-accident consequence management: farm activities and exiting the emergency phase; Les guides d'aide a la gestion des consequences post-accidentelles: activites agricoles et sortie de la phase d'urgence

    Cessac, B.; Reales, N. [Institut de Radioprotection et de Surete Nucleaire, BP 17 - 92262 Fontenay-aux-Roses (France); Mehl-Auget, I. [Autorite de Surete Nucleaire - 6, place du Colonel Bourgoin - 75012 Paris (France)

    2010-07-01

    After having recalled the main actions foreseen in the PPIs (plans particuliers d'intervention, intervention specific plans) in case of radionuclide release in the environment after a nuclear accident, i.e. sheltering and ingestion of steady iodine, and also indicated the different phases of consequence management (preparation, emergency and post-accident phases), this report describes and comments the contents of two guides published by the IRSN (the French Radioprotection and Nuclear Safety Institute) and dealing with the management of post-accident consequences. The first one is a guide to aid to decision-making for the management of the agricultural sector in case of nuclear accident, and the second one is a guide for the preparation of the end of the emergency phase in which actions to be performed during the first week after the end of accidental releases are described

  20. Recovery operations in the event of a nuclear accident or radiological emergency

    Much progress has been made over the last decade in the field of emergency planning and preparedness, including the development of guidance, criteria, training programmes, regulations and comprehensive plans in the support of nuclear facilities. To provide a forum for international review and discussion of actual experiences gained and lessons learned from the different aspects of recovery techniques and operations in response to serious accidents at nuclear facilities and accidents associated with radioactive materials, the IAEA organized the International Symposium on Recovery Operations in the Event of a Nuclear Accident or Radiological Emergency. The symposium was held from 6 to 10 November 1989 in Vienna, Austria, and was attended by over 250 experts from 35 Member State and 7 international organizations. Although the prime focus was on on-site and off-site recovery from nuclear reactor accidents and on recovery from radiological accidents unrelated to nuclear power plants, development of emergency planning and preparedness resources was covered as well. From the experiences reported, lessons learned were identified. While further work remains to be done to improve concepts, plans, materials, communications and mechanisms to assemble quickly all the special resources needed in the event of an accident, there was general agreement that worldwide preparations to handle any possible future radiological emergencies had vastly improved. A special feature of the symposium programme was the inclusion of a full session on an accident involving a chemical explosion in a high level waste tank a a plutonium extraction plant in the Southern Urals in the USSR in 1957. Information was presented on the radioactive release, its dissemination and deposition, the resultant radiation situation, dose estimates, health effects follow-up, and the rehabilitation of contaminated land. This volume contains the full text of the 49 papers presented at the symposium together with a

  1. European Gravity Service for Improved Emergency Management - Project Overview and First Results

    Jaeggi, A.; Jean, Y.; Weigelt, M. L. B.; Flechtner, F.; Gruber, C.; Guntner, A.; Gouweleeuw, B.; Mayer-Gürr, T.; Kvas, A.; Martinis, S.; Zwenzer, H.; Bruinsma, S.; Lemoine, J. M.; Flury, J.; Bourgogne, S.

    2015-12-01

    The project European Gravity Service for Improved Emergency Management (EGSIEM) of the Horizon 2020 Framework Programme for Research and Innovation of the European Commission has started in January 2015. EGSIEM shall demonstrate that observations of the redistribution of water and ice mass derived from the current GRACE mission, the future GRACE-FO mission, and additional data provide critical and complementary information to more traditional Earth Observation products and open the door for innovative approaches to flood and drought monitoring and forecasting. We give an overview of the project and present first results from the three key objectives that EGSIEM shall address: 1) to establish a scientific combination service to deliver the best gravity products for applications in Earth and environmental science research based on the unified knowledge of the European GRACE community, 2) to establish a near real-time and regional service to reduce the latency and increase the temporal resolution of the mass redistribution products, and 3) to establish a hydrological and early warning service to develop gravity-based indicators for extreme hydrological events and to demonstrate their value for flood and drought forecasting and monitoring services. All of these services shall be tailored to the various needs of the respective communities. Significant efforts shall also be devoted to transform the service products into user-friendly and easy-to-interpret data sets and the development of visualization tools.

  2. About the tasks of the state sanitary-epidemiological service in public health protection and sanitary-epidemiological well-being of population and environment in case of radiation emergency situations

    The paper has stated the role of the State Sanitary-Epidemiological Service in the controlled radiation-emergency process on large, medium and small scale. The study reviews the phase character of radiation-emergency process, some typical features of their contents and the actions of the State Sanitary-Epidemiological Service, including non-radiation hygienic aspects; the characteristic features of supervision in case of small accidents are pointed out. Several scientific and practical problems on the raised subject which regarded to be urgent in the opinion of the authors are offered for consideration. 13 refs

  3. Organization of fire protection services and fire fighting tactics in nuclear power plants taking into account conclusions from the Chernobyl accident

    The paper deals with the problems of organizing fire services to protect nuclear power plants, and gives an overview of their structure and the basic tasks they perform. Operational documentation on the extinguishing of fires and the elimination of the consequences of accidents is examined, as are the principles governing co-operation between plant operating personnel and other services drawn on for such work (dosimetric, health, etc.). The problems of training firemen to combat fires under conditions specific to nuclear power plants are reviewed, as are those relating to the organization and carrying out of joint fire fighting training work with plant service personnel, and to the psychological aspects of firemen's training. The paper discusses the most characteristic types of fire, where they occur and how they develop, together with fire fighting conditions under high levels of radiation. In the light of the experience gained while extinguishing the fire and eliminating the consequences of the accident at the Chernobyl nuclear power plant, a description is given of the special technical equipment and resources used for the personal monitoring of firemen and for their protection against the effects of radioactive substances. The fire extinguishing techniques and methods used at the Chernobyl plant are described, as well as the measures which have been implemented in fire service as a result of the experience accumulated during this accident. (author). 5 figs, 1 tab

  4. The operational emergency response model at the Swedish Meteorological and Hydrological Institute: validation using data from ETEX and the Chernobyl accident

    The Eulerian atmospheric tracer transport model MATCH (Mesoscale Atmospheric Transport and Chemistry model) has been extended with a Lagrangian particle model treating the initial dispersion of pollutants from point sources. The model has been implemented at SMHI in an emergency response system for nuclear accidents and can be activated on short notice to provide forecast concentration and deposition fields. This information is then forwarded to the Swedish Radiation Protection Agency (SSI) as a basis for further actions. The model has been used to simulate the transport of the inert species released during the first ETEX experiment and the transport and deposition of 137Cs from the Chernobyl accident. Visual inspection of the results as well as statistical analysis shows that the extent, time of arrival and duration of the cloud, is in good agreement with the observations for both cases, with a tendency to overprediction for the first ETEX release. For the Chernobyl case also the simulated deposition pattern over Scandinavia agrees with observations. (author)

  5. Internet protocol-based emergency services

    Schulzrinne, Henning

    2013-01-01

    Written by international experts in the field, this book covers the standards, architecture and deployment issues related to IP-based emergency services This book brings together contributions from experts on technical and operational aspects within the international standardisation and regulatory processes relating to routing and handling of IP-based emergency calls.  Readers will learn how these standards work, how various standardization organizations contributed to them and about pilot projects, early deployment and current regulatory situation. Key Featur

  6. Nuclear emergencies and protective actions

    Although technical improvements have increased the safety of new and old nuclear power plants, many simultaneous component failures and/or human errors are improbable but possible. Both the plant (on-site) and the nearby area (off-site) have emergency plans. Rescue service authorities are responsible of the off-site. The main protective actions are sheltering, evacuation and iodine ingestion. The Loviisa off-site emergency plan assumes that a major part of this population takes care of their own protective actions; Rescue service authorities can then concentrate on the coordination activities and to those people who need help. To be able to carry out the protective actions timely and effectively the people should have information on radiation risk and emergency planning. In case of a potential accident the local population should follow the rescue service information and know how to shelter and how to evacuate themselves. Though there are many stockpiles of iodine pellets in the area the rescue service authorities recommend that each household should purchase iodine pellets for their own need. The utility and the rescue service authorities have distributed information brochures to all homes within 30 km from Loviisa NPP since 1990. This brochure gives information on radiation and protective actions in case of an accident. Because the brochures might not stay available and so also the local telephone book contains this information

  7. 76 FR 63353 - Proposed Information Collection (Payment and Reimbursement for Emergency Services for Non Service...

    2011-10-12

    ....harvey- pryor@va.gov . Please refer to ``OMB Control No. 2900-0620'' in any correspondence. During the...-Connected Conditions in Non-VA Facilities); Comment Request AGENCY: Veterans Health Administration... reimbursement or payment for emergency medical treatment at a non-VA facility. DATES: Written comments...

  8. Make emergency department 'a hub for other services'.

    Blakemore, Sophie

    2016-06-10

    A LANDMARK event to debate the problems facing emergency care services was hosted by the RCN's Emergency Care Association (ECA) and the Royal College of Emergency Medicine (RCEM) last month. PMID:27286012

  9. Barriers to Accessing Emergency Medical Services in Accra, Ghana: Development of a Survey Instrument and Initial Application in Ghana

    Mould-Millman, Nee-Kofi; Rominski, Sarah D; Bogus, Joshua; Ginde, Adit A; Ahmed N. Zakariah; Boatemaah, Christiana A; Yancey, Arthur H; Akoriyea, Samuel Kaba; Thomas B. Campbell

    2015-01-01

    Background: Emergency medical services (EMS) systems provide professional prehospital emergency medical care and transportation to help improve outcomes from emergency conditions. Ghana’s national ambulance service has relatively low public utilization in comparison with the large burden of acute disease. Methods: A survey instrument was developed using Pechansky and Thomas’s model of access covering 5 dimensions of availability, accessibility, accommodation, affordability, and acceptability....

  10. Acidentes e violências: caracterização dos atendimentos no pronto-socorro de um hospital universitário Accidents and violence: characteristics of the medical cares in the emergency room's university hospital

    José Luís Guedes dos Santos

    2008-09-01

    Full Text Available Este artigo, de caráter exploratório-descritivo, tem como objetivo caracterizar os atendimentos por acidentes e violências realizados no pronto-socorro de um hospital universitário localizado no interior do Rio Grande do Sul (RS. Os dados foram obtidos a partir dos registros de um sistema de vigilância, denominado "Observatório de Acidentes e Violência", existente nos serviços de urgência e emergência no RS, que atuam como sentinela desses agravos. Os resultados mostraram que os adultos jovens, com baixo nível de instrução e não-trabalhadores são as principais vítimas de acidentes e violências. Quanto ao tipo de ocorrência, destacaram-se os acidentes de trânsito e acidentes domésticos, gerando como agravos mais constantes ferimentos na cabeça e fraturas de fêmur. Com relação ao sexo, embora para alguns tipos de acidentes e violências a predominância tenha variado entre eles, o conjunto dos dados mostrou maior vulnerabilidade masculina, em especial nos casos de violência interpessoal. Nesse sentido, as consequências dos acidentes e violências para o sistema de saúde e para a sociedade apontam a necessidade de aprimoramento dos sistemas de informações de morbimortalidade por causas externas, visando subsidiar políticas públicas de prevenção e melhoria no atendimento às vítimas.This article, of an exploratory-descriptive character, aims to characterize the medical care provided in cases of accidents and violence in the emergency room of a university hospital, located in the interior of the state of Rio Grande do Sul (RS. The data were obtained from the registers of a monitoring system called "Observatório de Acidentes e Violência" (Observatory of Accidents and Violence, which exists in the urgency and emergency services in RS and acts as a sentry of these injuries. The results showed that young adults who are non-workers and have low schooling are the main victims of accidents and violence. The most frequent

  11. Development of a retrospective/fortuitous accident dosimetry service based on OSL of mobile phones

    Work is presented on the development of a retrospective/fortuitous accident dosimetry service using optically stimulated luminescence of resistors found in mobile phones to determine the doses of radiation to members of the public following a radiological accident or terrorist incident. The system is described and discussed in terms of its likely accuracy in a real incident. (authors)

  12. [Emergency medical services for the elderly: present fact and future challenge].

    Aruga, Yuichiro

    2013-06-01

    The Tokyo Fire Department (TFD) ambulance units are transporting more people than ever before with elderly patients on the increase. The TFD then set up the Emergency Telephone Consultation Center in 2007 to help citizens properly use EMS services, asking non-emergency cases to go to the hospital by themselves or sending the ambulance to serious cases. Transportation of all "home patients" (receiving medical services at home, not in the hospital) by fire department ambulances would leave really serious patients behind. Consequently, it is important to make the most of private sector ambulances and hospital ones. For community life safety, making the most of local resources, as well as the fire department-hospital cooperation, is much more needed now. PMID:23855196

  13. The Impacts of Payments for Watershed Services in Ecuador: Emerging lessons from Pimampiro and Cuenca

    Echavarria, M.; Vogel, J.; Albán, M.; Meneses, F.

    2004-01-01

    Payments for environmental services (PES) is a topic of increasing interest in Ecuador, particularly as a way to leverage funding for environmental protection. Payments systems are emerging, but as Ecuador's experience of PES is only recent, the implications for national and local welfare are not yet clear. Thus, the objective of this study was to provide guidance in order to ensure that policies support payments systems that are beneficial to the poor, as well as to the environment. This rep...

  14. Radiation Accident Experience: Causes and Lessons Learned

    Since inception of the nuclear energy program in the United States of America, the Atomic. Energy Commission (USAEC) has maintained an extensive system for the reporting and review of radiation accidents in USAEC federal and licensing activities. Accidents required to be reported fall-into two main categories: (1) Accidents causing or threatening to cause radiation exposure to industrial workers or to the general public; (2) Accidents causing damage to or shutdown of facilities, or damage to public property. While many of the reported accidents carry with them the potential for exposure of persons to radioactivity, the cases reported, in this analysis are limited to those where certain prescribed levels of exposure have been exceeded or where significant uptake by the critical organ has occurred. This paper presents detailed analyses of the accident experience encountered in USAEC programs over the past nine years, including: (1) A breakdown of the types of work activities in the nuclear industry under which radiation accidents have occurred; (2) Characterization of the causes of such accidents as related to the types of work activities; (3) Lessons to be learned both in avoiding such accidents and in emergency planning, should such accidents occur. (author)

  15. Composition of emergency medical services teams and the problem of specialisation of emergency medical services physicians in the opinions of occupationally active paramedics

    Dorota Rębak

    2015-01-01

    Full Text Available Introduction: Emergency medicine includes prevention, prehospital care, specialised treatment, rehabilitation, and education. Aim of the research: The objective of the analysis was to determine the opinions of paramedics concerning the problem of the composition of emergency medical services (EMS teams and specialisation of EMS system physicians according to their education level and sense of coherence. Material and methods: The study was conducted among 336 occupationally active paramedics working in EMS teams delivering prehospital care in selected units in Poland. The study was conducted at Ambulance Stations and in Hospital Emergency Departments, which within their structure had an out-of-hospital EMS team. The study was conducted by the method of a diagnostic survey, and the research instrument was the Orientation to Life Questionnaire SOC-29 and a questionnaire designed by the author. Results: The respondents who had licentiate education relatively more frequently indicated paramedics with licentiate education level as persons most suitable to undertake medical actions (26.32% rather than physicians (21.05%. Paramedics with 2-year post-secondary school education relatively more often mentioned physicians (33.07% than those with licentiate education (17.32%. As many as 89.58% of the paramedics reported the need for a physician in the composition of the EMS team delivering prehospital care, while only 10.42% of them expressed an opinion that there should be teams composed of paramedics only. According to 30.65% of respondents, EMS team delivering prehospital care should include a physician with the specialty in emergency medicine, whereas 8.04% of respondents reported the need for a physician, irrespective of specialisation. However, 42.56% of the paramedics expressed an opinion that a physician is needed only in a specialist team with a specialisation in emergency medicine. The opinions of the paramedics concerning the need for a

  16. Using Participatory and Service Design to Identify Emerging Needs and Perceptions of Library Services among Science and Engineering Researchers Based at a Satellite Campus

    Johnson, Andrew; Kuglitsch, Rebecca; Bresnahan, Megan

    2015-01-01

    This study used participatory and service design methods to identify emerging research needs and existing perceptions of library services among science and engineering faculty, post-graduate, and graduate student researchers based at a satellite campus at the University of Colorado Boulder. These methods, and the results of the study, allowed us…

  17. Demand and supply of emergency help: an economic analysis of Red Cross services.

    Hackl, Franz; Pruckner, Gerald Josef

    2006-08-01

    This paper analyzes supply and demand side characteristics of (voluntary) Red Cross services in Austria. The demand side analysis is based on a contingent valuation study on people's willingness to pay for emergency treatment, transportation services and disaster relief activities. The supply side is identified by a high percentage of volunteers in the Red Cross organization which makes the provision of emergency help at low cost possible. We find that aggregate benefits of Red Cross services exceed their cost of production. Policy conclusions are drawn with respect to future recruitment and funding: whereas intrinsic motivation is important for the decision to volunteer, and financial incentives play a minor role in general, the young Red Cross activists work voluntarily for self-realization reasons and to continue their education. Age-specific recruitment strategies accompanied by word-of-mouth advertising are recommended to address potential volunteers. As long as the volunteering character of Red Cross services will be maintained and cost of production will not go up an increase of funds does not seem necessary in the future. Moreover, a radical change in the structure of funding may crowd out both donations and voluntary labor supply. PMID:16242807

  18. The system of emergency cards for primary actions in accident at radioactive material transport in Russia

    In the paper are reviewed the current and new designed system of the emergency cards for consignments of radioactive materials in Russian Federation, within the framework of a uniform state system of warning and liquidation of consequences of extraordinary situations and functional subsystem of warning and liquidation of accident situations of Federal Agency for Atomic Energy

  19. The system of emergency cards for primary actions in accident at radioactive material transport in Russia

    Ananiev, V.V. [Div. of the Decommission of Nuclear and Radiation-Hazardous Object of the Federal Agency for Atomic Energy, Moscow (Russian Federation); Ermakov, S.V.; Ershov, V.N.; Stovbur, V.I. [FGUP ' ' Emergency Response Centre of Minatom of Russia' ' , St-Petersburg (Russian Federation); Shvedov, M.O. [Div. of Nuclear and Radiation Safety of the Federal Agency for Atomic Energy, Moscow (Russian Federation)

    2004-07-01

    In the paper are reviewed the current and new designed system of the emergency cards for consignments of radioactive materials in Russian Federation, within the framework of a uniform state system of warning and liquidation of consequences of extraordinary situations and functional subsystem of warning and liquidation of accident situations of Federal Agency for Atomic Energy.

  20. Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China

    Weili Duan; Bin He

    2015-01-01

    In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the ...

  1. Promoting Science Literacy through Research Service-Learning--An Emerging Pedagogy with Significant Benefits for Students, Faculty, Universities, and Communities

    Reynolds, Julie A.; Ahern-Dodson, Jennifer

    2010-01-01

    Research service-learning (RSL) is an emerging pedagogy in which students engage in research within a service-learning context. This approach has great potential to promote science literacy because it teaches students how to use scientific knowledge and scientific ways of thinking in the service of society and helps them to better appreciate the…

  2. Development of emergency plans for accidents at civil nuclear sites in the United Kingdom

    This paper is about the management of the off-site consequences of an accident at a UK civil nuclear installation. It describes the measures that would be taken to protect the public in the vicinity of an installation after an emergency had been declared; and it sets out the respective responsibilities of the operator and the various authorities who would be involved in the emergency. (author)

  3. Radiation accidents and dosimetry

    On September 2nd 1982 one of the employees of the gamma-irradiation facility at Institute for Energy Technology, Kjeller, Norway entered the irradiation cell with a 65.7 kCi *sp60*Co- source in unshielded position. The victim received an unknown radiation dose and died after 13 days. Using electron spin resonance spectroscopy, the radiation dose in this accident was subsequently determined based on the production of longlived free radicals in nitroglycerol tablets borne by the operator during the accident. He used nitroglycerol for heart problems and free radical are easily formed and trapped in sugar which is the main component of the tablets. Calibration experiments were carried out and the dose given to the tablets during the accident was determined to 37.2 +- 0.5 Gy. The general use of free radicals for dose determinations is discussed. (Auth.)

  4. On-site emergency intervention plan for nuclear accident situation at INR-Pitesti TRIGA reactor

    A nuclear incident is defined as a series of events leading to release of radioactive materials into the environment of sufficient concentration to make necessary protective actions. The decision to initiate a protective action is a complex process. The benefits of taking the action is weighed against the involved risk and constraints. In addition the decision will be made under difficult emergency conditions, probably with little detailed information available. Therefore, considerable planing is necessary to reduce to manageable levels the types of decisions leading to effective responses to protect the public in the event of a nuclear incident. The sequence of events for developing emergency plans and responding to nuclear incidents will vary according to individual circumstances, because the international recommendations and site-specific emergency plans cannot provide detailed guidance for all accident scenarios and variations in local conditions. Flexibility must be maintained in emergency response to reflect the actual circumstances encountered (e.g. source term characteristics, the large number of possible weather conditions and environmental situation such as time of the day, season of the year, land use and soil types, population distribution and economic structures, uncertainties in the availability of technical and administrative support and the behaviour of the population). This further complicates the decision-making process, especially under accident conditions where there are time pressures and psychological stress. Therefore one the most important problems in the case of a nuclear emergency is quantifying all these very different types of off-site consequences. Last years, and in particular since the Chernobyl accident, there has been a considerable increase in the resources allocated to development of computerised systems which allow for predicting the radiological impact of accidents and to provide information in a manageable and effective form to

  5. Characterization of motorcycle accident victims attended by the mobile emergency service (SAMU-192, Recife, Pernambuco State, Brazil = Caracterização das vítimas de acidentes de motocicleta atendidas pelo serviço de atendimento móvel de urgência (SAMU-192, Recife, Estado de Pernambuco, Brasil

    Flávia Gomes Medeiros Fernandes da Costa

    2012-10-01

    Full Text Available This study described the epidemiological characteristics of victims of accidents involving motorcycles, attended by the Mobile Emergency Service (SAMU-192 in the city of Recife (PE in 2006. This is a descriptive cross-sectional study that analyzed a sample of 703 cases. The results showed that 81.8% were male, aged 20 to 29 years. It was noted that 406 of them were wearing a helmet at the time of the accident. The accidents occurred most frequently on Sundays (19.3% between 18:00 and 24:00 hours (0.28%. The extremities were the most affected body segment, with 341 occurrences. Regarding the severity of injuries, it was found that 37.6% were superficial or mild (scrapes, cuts and bruises. These results demonstrate the need for educational campaigns to encourage the use of personal protective equipment among motorcyclists. The best way to reduce the risks and damages from motorcycle accidents is through primary prevention. For this, are needed integrated intersectoral actions aimed at reducing the incidence and severity of injuries.Descrevem-se as características epidemiológicas das vítimas de acidentes envolvendo motocicletas atendidas pelo Serviço de Atendimento Móvel de Urgência (SAMU-192, da cidade do Recife (PE, no ano de 2006. Trata-se de um estudo descritivo de corte transversal, no qual foi analisada uma amostra de 703 atendimentos. Os resultados mostraram que 81,8% eram do sexo masculino, na faixa etária entre 20 e 29 anos. Observou-se que 406 motociclistas utilizavam o capacete no momento do acidente. Os acidentes ocorreram com maior frequência no domingo (19,3%, no horário compreendido entre as 18h e 24h (0,28%. As extremidades foram o segmento do corpo mais atingidos com 341 ocorrências. Quanto à gravidade das lesões, verificou-se que 37,6% eram superficiais ou de baixa gravidade (escoriações, cortes e contusões. Esses resultados são importantes para demonstrar a necessidade de campanhas educativas incentivando o uso

  6. A comparative review of accident studies from recent assessments of emergency planning zone boundaries

    Hazards assessments and accompanying accident and human health and risk calculations are routinely done to establish Emergency Planning Zone (EPZ) boundaries for facilities managing hazardous and/or radioactive materials. This paper reviews the underlying US DOE guidance, assesses the degree of conformance to the guidance in recent hazards assessments performed to support selection of EPZ boundaries, and compares the consistency of the accident analysis approaches and underlying key assumptions. Recommendations are made on the basis of these reviews, as well as from knowledge of the approaches used in safety assessments performed in support of safety analysis reports (SARs) and environmental impact statements (EISs)

  7. Typical pedestrian accident scenarios for the development of autonomous emergency braking test protocols.

    Lenard, James; Badea-Romero, Alexandro; Danton, Russell

    2014-12-01

    An increasing proportion of new vehicles are being fitted with autonomous emergency braking systems. It is difficult for consumers to judge the effectiveness of these safety systems for individual models unless their performance is evaluated through track testing under controlled conditions. This paper aimed to contribute to the development of relevant test conditions by describing typical circumstances of pedestrian accidents. Cluster analysis was applied to two large British databases and both highlighted an urban scenario in daylight and fine weather where a small pedestrian walks across the road, especially from the near kerb, in clear view of a driver who is travelling straight ahead. For each dataset a main test configuration was defined to represent the conditions of the most common accident scenario along with test variations to reflect the characteristics of less common accident scenarios. Some of the variations pertaining to less common accident circumstances or to a minority of casualties in these scenarios were proposed as optional or supplementary test elements for an outstanding performance rating. Many considerations are incorporated into the final design and implementation of an actual testing regime, such as cost and the state of development of technology; only the representation of accident data lay within the scope of this paper. It would be desirable to ascertain the wider representativeness of the results by analysing accident data from other countries in a similar manner. PMID:25180785

  8. Mutual emergency assistance in the event of accident during transport of radioactive materials within the member states of the European Community

    The study consist of a compilation of information on the relevant emergency response plans that are at present in existence in the ten countries of the European Community. Consideration is given to the development of proposals for facilitating co-operation between the emergency services in different countries, particularly with regard to accidents that might occur near national boundaries or in countries in which all the necessary resources might not be available. The particular items of interest covered in this study are: compilation of information on existing organizational emergency response arrangements within each Member State relating to accidents in the transport of radioactive materials by all modes, including road, rail, inland waterways, air and compilation of information on existing arrangements for receiving or providing assistance from or to other Member States. Identification of any avoidable incompatibilities on an international scale. Recommendations for improving the existing arrangements and for encouraging the development of adequate systems of mutual emergency notification, liaison and assistance as required by the circumstances, recommendations should be compatible with the broader framework of emergency response for all types of accidents developed within Member States and envisaged in the IAEA system for mutual emergency assistance

  9. Chernobylsk accident (Causes and Consequences)- Part 2

    The causes and consequences of the nuclear accident at Chernobylsk-4 reactor are shortly described. The informations were provided by Russian during the specialist meeting, carried out at seat of IAEA. The Russian nuclear panorama; the site, nuclear power plant characteristics and sequence of events; the immediate measurements after accident; monitoring/radioactive releases; environmental contamination and ecological consequences; measurements of emergency; recommendations to increase the nuclear safety; and recommendations of work groups, are presented. (M.C.K.)

  10. ARAC: a computer-based emergency dose-assessment service

    Over the past 15 years, the Lawrence Livermore National Laboratory's Atmospheric Release Advisory Capability (ARAC) has developed and evolved a computer-based, real-time, radiological-dose-assessment service for the United States Departments of Energy and Defense. This service is built on the integrated components of real-time computer-acquired meteorological data, extensive computer databases, numerical atmospheric-dispersion models, graphical displays, and operational-assessment-staff expertise. The focus of ARAC is the off-site problem where regional meteorology and topography are dominant influences on transport and dispersion. Through application to numerous radiological accidents/releases on scales from small accidental ventings to the Chernobyl reactor disaster, ARAC has developed methods to provide emergency dose assessments from the local to the hemispheric scale. As the power of computers has evolved inversely with respect to cost and size, ARAC has expanded its service and reduced the response time from hours to minutes for an accident within the United States. Concurrently the quality of the assessments has improved as more advanced models have been developed and incorporated into the ARAC system. Over the past six years, the number of directly connected facilities has increased from 6 to 73. All major U.S. Federal agencies now have access to ARAC via the Department of Energy. This assures a level of consistency as well as experience. ARAC maintains its real-time skills by participation in approximately 150 exercises per year; ARAC also continuously validates its modeling systems by application to all available tracer experiments and data sets

  11. Identifying Frequent Users of an Urban Emergency Medical Service Using Descriptive Statistics and Regression Analyses

    Chenelle Norman, MPH; Michael Mello, MD, MPH; Bryan Choi, MD, MPH

    2016-01-01

    This retrospective cohort study provides a descriptive analysis of a population that frequently uses an urban emergency medical service (EMS) and identifies factors that contribute to use among all frequent users. For purposes of this study we divided frequent users into the following groups: low- frequent users (4 EMS transports in 2012), medium-frequent users (5 to 6 EMS transports in 2012), high-frequent users (7 to 10 EMS transports in 2012) and super-frequent users (11 or more EMS transp...

  12. A decision support system for emergency response to major nuclear accidents

    A methodology for the optimization of the short-term emergency response in the event of a nuclear accident is presented. The method seeks an optimum combination of protective actions in the presence of a multitude of conflicting objectives and under uncertainty. Conflicting objectives arise in the attempt to minimize simultaneously the potential adverse effects of an accident and the associated socioeconomic impacts. Additional conflicting objectives arise whenever an emergency plan tends to decrease a particular health effect, such as acute deaths, while it increases another, such as latent deaths. The uncertainty is due to the multitude of possible accident scenarios and their respective probability of occurrence, the stochastic variability in the weather conditions, and the variability and/or lack of knowledge of the parameters of the risk assessment models. A multiobjective optimization approach is adopted. An emergency protection plan consists of defining a protective action at each spatial cell around the plant. Three criteria are used as the objective functions of the problem, namely, acute fatalities, latent effects, and socioeconomic cost. The optimization procedure defines the efficient frontier, i.e., all emergency plans that are not dominated by another in all three criteria. No value trade-offs are necessary up to this point. The most preferred emergency plan is then chosen among the set of efficient plans. Finally, the methodology is integrated into a computerized decision support system, and its use is demonstrated in a realistic application

  13. Improving service quality by understanding emergency department flow: a White Paper and position statement prepared for the American Academy of Emergency Medicine.

    Eitel, Dave R; Rudkin, Scott E; Malvehy, M Albert; Killeen, James P; Pines, Jesse M

    2010-01-01

    Emergency Department (ED) crowding is a common problem in the United States and around the world. Process reengineering methods can be used to understand factors that contribute to crowding and provide tools to help alleviate crowding by improving service quality and patient flow. In this article, we describe the ED as a service business and then discuss specific methods to improve the ED quality and flow. Methods discussed include demand management, critical pathways, process-mapping, Emergency Severity Index triage, bedside registration, Lean and Six Sigma management methods, statistical forecasting, queuing systems, discrete event simulation modeling and balanced scorecards. The purpose of this review is to serve as a background for emergency physicians and managers interested in applying process reengineering methods to improving ED flow, reducing waiting times, and maximizing patient satisfaction. Finally, we present a position statement on behalf of the American Academy of Emergency Medicine addressing these issues. PMID:18514465

  14. Upper respiratory tract illnesses and accidents.

    Smith, A P; Harvey, I; Richmond, P; Peters, T J; Thomas, M; Brockman, P

    1994-07-01

    Anecdotal accounts suggest that colds and influenza may increase human error. This view is supported by laboratory studies of the effects of upper respiratory tract illnesses (URTIs) on performance efficiency, which have shown that both experimentally induced and naturally occurring URTIs reduce aspects of performance efficiency. The present research examined the relationship between accidents and URTIs by studying 923 patients attending an Accident and Emergency department at a time of year when upper respiratory tract viruses were circulating. The results revealed no significant associations between URTIs and workplace accidents, and, similarly, no significant associations emerged when all accidents were compared with other attenders. The only effect which was close to statistical significance was a protective effect of influenza against workplace accidents, which could be explained in terms of a person with influenza or who has recently had influenza being less likely to work and therefore less likely to be at risk of experiencing a workplace accident. Further research must examine this topic with different methodologies, such as selecting controls from fellow workers of the index case, and these studies will provide us with a clearer view as to whether or not there is an association between URTIs and workplace accidents. PMID:7919298

  15. ALWR severe accident issue resolution in support of updated emergency planning

    The Advanced Light Water Reactor (ALWR) Program in the U.S. is a cooperative, cost-sharing undertaking between the U.S. government, industry, and a number of international participants, with the objective of developing the next generation of nuclear power plants. The ALWR designs emphasize improvements in safety and operational reliability through simplification, improved safety margins, innovative passive safety systems, enhanced man-machine interfaces, and incorporation of the lessons learned from the operation of existing LWR plants. An important component of the improved safety characteristics of ALWRs is the consideration of severe accidents in the plant design. The U.S. Department of Energy (DOE) initiated the Advanced Reactor Severe Accident Program (ARSAP) to assist in the transfer of severe accident technology from the U.S. national laboratories to the industry to implement this approach. The basic design requirements for this new generation of nuclear power plants were developed, under the management of the Electric Power Research Institute (EPRI) by the utilities and documented in the Utility Requirements Document (URD). The URD safety policy is based on the traditional 'defense-in-depth' approach, which emphasizes prevention through safety systems which prevent accidents from progressing to core damage, and mitigation to ensure that accidents are mitigated and contained. In a major departure from previous practice, severe accidents, including postulated core melt events, are specifically included in the defense-in-depth design considerations for ALWRs. As a result of this approach, the emergency planning assumptions and criteria warrant a review and reevaluation for ALWR designs. ALWRs present a risk profile that is significantly different than that which served as the basis for the emergency planning requirements for operating plants. The determination of this profile necessarily requires the characterization of the severe accident response of ALWRs

  16. Rethinking the engineering concept in response of the severe nuclear accident: the idea of emergency engineering

    The chaotic situation on a site that has suffered a severe nuclear accident gives the feeling of an enduring and endless accident. The resilience of a system is its capacity to adapt its operations in order to keep on assuring very specific functions whatever the situation is or becomes. For instance for a nuclear power plant, one of the specific functions is the cooling of the reactor core. Emergency engineering is defined as a whole of measures that would enable the plant to be resilient. Emergency engineering would imply the use of innovative technology means to face unexpected situations (for instance an ice wall to stop radionuclide ground migration) or temporary organisational changes to get timely decisions and adequate ressources. Emergency engineering may become a new concept of nuclear safety. (A.C.)

  17. Improving quality measures in the emergency services.

    Armitage, M; Flanagan, D

    2001-01-01

    A large and continuing increase in medical emergency admissions has coincided with a reduction in hospital beds, putting the acute medical services under great pressure. Increasing specialization among physicians creates a conflict between the need to cover acute unselected medical emergencies and the pressure to offer specialist care. The shortage of trained nursing staff and changes in the training of junior doctors and the fall in their working hours contribute to the changing role of the consultant physician. The organization of the acute medical service is of paramount importance and requires multi-disciplinary teamwork on an admissions unit with full support services. Excellent bed management is essential. There must be guidelines for all the common medical emergencies and all units must undertake specific audits of the acute medical service. Continuing professional development (CPD) and continuing medical education (CME) should reflect the workload of the physician; that is, it must include time specifically focused on acute medicine and general (internal) medicine, as well as the specialty interest. PMID:11383434

  18. Radiological accidents, scenarios, planning and answers

    Radiological accidents, scenarios and the importance of a good planning to prevent and control these types of accidents are presented. The radiation can be only one of the risks in an accident, most of dominant radiological risks are not radiological (fire, toxic gases, etc.). The common causes of radiological accidents, potential risks such as external irradiation, internal contamination and the environment pollution are highlighted. In addition, why accidents happen and how they evolve is explained. It describes some incidents with the radiation occurred in Costa Rica from 1993 to 2007. The coordination of emergency management in Costa Rica in relation to a radiological accident, and some mechanisms of action that have practiced in other places are focuses. Among the final considerations are the need to finalize the national plan for radiological emergencies as a tool of empowerment for the teams of emergency care and the availability of information. Likewise the processes of communication, coordination and cooperation to avoid chaos, confusion and crisis are also highlighted

  19. On a scale of a nuclear power plant accident resulting in emergency radiation doses

    Described is the technique to determine an accident scale resulting in emergency radiation doses on area, which do not require special emergency protection (Emergency Reference Level - ERL). Calculation results depend on the following parameters: amount of isotopes released from molten fuel element, amount of activity released from technological equipment; amount of activity released from technological space. It is shown that at 50 km distance a gamma radiation field created by the radioactive inert gases cloud does not produce a dose above 25 rem in the open areas, whatever meteorological conditions. Dangerous is iodine-131 effect through inhalation. At 50 km distance, according to Paskville, under A, B and C weather conditions, dose for children thyroid glands will be below 75 rem whatever accident, under D, E and F conditions, the establisched doses could be exceeded, although that would require 11 - 65% molten fuel elements. The most dangerous is the possible way of irradiation of children thyroid gland through contaminated grass-lands (along food chain: air - grass -cowmilk - thyroid gland). The worst conditions at the 50 km distance will be in F weather condition when accident scale is equal to 0.06%. If contaminated milk is excluded from the food at the settlement beginning from 50 km distance there is no need for activity localization special system. Presented radiation effect evaluations for 4 km distance from nuclear power plant in case of different accident scales show, that the protection against iodine isotopes shoubd be main task in providing technical nuclear power plant safety

  20. Elderly and Nonelderly Use of a Dedicated Ambulance Corps’ Emergency Medical Services in Taiwan

    Chien-Chia Huang

    2016-01-01

    Full Text Available Backgrounds and Aim. Taiwan’s population is gradually aging; however, there are no comparative data on emergency medical services (EMS use between the elderly and nonelderly. Methods. We analyzed the emergency calls dealt with between January 1 and April 4, 2014, by EMS in one city in Taiwan. All calls were divided into two groups: elderly (≥65 years and nonelderly (<65 years. Nontransport and transport calls were compared between the groups for demographic characteristics, transport time, reasons for calling EMS, vital signs, and emergency management. Results. There were 1,001 EMS calls: 226 nontransport and 775 transport calls. The elderly accounted for significantly (P<0.05 fewer (28 (9.2% nontransport calls than did the nonelderly (136 (21.4%. In the transport calls, 276 (35.6% were the elderly. The elderly had a higher proportion of histories for cardiovascular disease, cerebrovascular disease, hypertension, diabetes, end-stage renal disease, cancer, Parkinson’s disease, and Alzheimer’s disease. In addition, the elderly had significantly longer total transport time, more nontrauma reasons, and poorer consciousness levels and lower oxygen saturation and needed more respiratory management and more frequent resuscitation during transport than did the nonelderly. Conclusion. The elderly have more specific needs than do the nonelderly. Adapting EMS training, operations, and government policies to aging societies is mandatory and should begin now.

  1. Report on audit of fire and emergency medical services cost sharing between the Department of Energy and Los Alamos County

    NONE

    1995-10-02

    Los Alamos County was created in 1964 as a response to a Congressional mandate, promulgated in the Atomic Energy Act of 1954. Because the county came into existence via the Atomic Energy Act, the Department provided fire and emergency medical services. In the intervening years, however, the Department and the county have worked toward making the county self-sufficient. The contract for fire and emergency medical services represented a step in the direction of self-sufficiency by requiring the county to begin paying for its share of the related costs. The purpose of the audit was to determine if the costs for fire and emergency medical services were shared appropriately commensurate with the use of the services.

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

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

    2016-04-01

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

  3. The Role of Emergency Medical Services in Geriatrics: Bridging the Gap between Primary and Acute Care.

    Goldstein, Judah; McVey, Jennifer; Ackroyd-Stolarz, Stacy

    2016-01-01

    Caring for older adults is a major function of emergency medical services (EMS). Traditional EMS systems were designed to treat single acute conditions; this approach contrasts with best practices for the care of frail older adults. Care might be improved by the early identification of those who are frail and at highest risk for adverse outcomes. Paramedics are well positioned to play an important role via a more thorough evaluation of frailty (or vulnerability). These findings may inform both pre-hospital and subsequent emergency department (ED) based decisions. Innovative programs involving EMS, the ED, and primary care could reduce the workload on EDs while improving patient access to care, and ultimately patient outcomes. Some frail older adults will benefit from the resources and specialized knowledge provided by the ED, while others may be better helped in alternative ways, usually in coordination with primary care. Discerning between these groups is a challenge worthy of further inquiry. In either case, care should be timely, with a focus on identifying emergent or acute care needs, frailty evaluation, mobility assessments, identifying appropriate goals for treatment, promoting functional independence, and striving to have the patient return to their usual place of residence if this can be done safely. Paramedics are uniquely positioned to play a larger role in the care of our aging population. Improving paramedic education as it pertains to geriatrics is a critical next step. PMID:26282932

  4. Development of severe accident management advisory and training simulator (SAMAT)

    The most operator support systems including the training simulator have been developed to assist the operator and they cover from normal operation to emergency operation. For the severe accident, the overall architecture for severe accident management is being developed in some developed countries according to the development of severe accident management guidelines which are the skeleton of severe accident management architecture. In Korea, the severe accident management guideline for KSNP was recently developed and it is expected to be a central axis of logical flow for severe accident management. There are a lot of uncertainties in the severe accident phenomena and scenarios and one of the major issues for developing a operator support system for a severe accident is the reduction of these uncertainties. In this paper, the severe accident management advisory system with training simulator, SAMAT, is developed as all available information for a severe accident are re-organized and provided to the management staff in order to reduce the uncertainties. The developed system includes the graphical display for plant and equipment status, the previous research results by knowledge-base technique, and the expected plant behavior using the severe accident training simulator. The plant model used in this paper is oriented to severe accident phenomena and thus can simulate the plant behavior for a severe accident. Therefore, the developed system may make a central role of the information source for decision-making for a severe accident management, and will be used as the training simulator for severe accident management

  5. Characteristics and Outcomes of Patients Injured in Road Traffic Crashes and Transported by Emergency Medical Services

    Chun-Ying Huang

    2016-02-01

    Full Text Available To investigate the injury characteristics and mortality of patients transported by emergency medical services (EMS and hospitalized for trauma following a road traffic crash, data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions between 1 January 2009 and 31 December 2013 in a Level I trauma center. Of 16,548 registered patients, 3978 and 1440 patients injured in road traffic crashes were transported to the emergency department by EMS and non-EMS, respectively. Patients transported by EMS had lower Glasgow coma scale (GCS scores and worse hemodynamic measures. Compared to patients transported by non-EMS, more patients transported by EMS required procedures (intubation, chest tube insertion, and blood transfusion at the emergency department. They also sustained a higher injury severity, as measured by the injury severity score (ISS and the new injury severity score (NISS. Lastly, in-hospital mortality was higher among the EMS than the non-EMS group (1.8% vs. 0.3%, respectively; p < 0.001. However, we found no statistically significant difference in the adjusted odds ratio (AOR for mortality among patients transported by EMS after adjustment for ISS (AOR 4.9, 95% CI 0.33–2.26, indicating that the higher incidence of mortality was likely attributed to the patients’ higher injury severity. In addition, after propensity score matching, logistic regression of 58 well-matched pairs did not show a significant influence of transportation by EMS on mortality (OR: 0.578, 95% CI: 0.132–2.541 p = 0.468.

  6. Aggressive behaviors in the psychiatric emergency service

    Yves Chaput

    2011-03-01

    Full Text Available Yves Chaput1, Lucie Beaulieu2, Michel Paradis3, Edith Labonté41Department of Psychiatry, McGill University, Montreal (presently in private practice; 2Department of Psychiatry, Haut Richelieu Hospital, Saint-Jean-sur-Richelieu, Quebec; 3Department of Psychiatry, University of Montreal, Montreal; 4Department of Psychiatry, Laval University, Quebec, CanadaIntroduction: Studies of aggressive behaviors in a nonforensic mental health setting have focused primarily on the inpatient ward and, on event prediction, using behavior-based clinical rating scales. Few studies have specifically targeted aggressive behaviors in the psychiatric emergency service or determined whether assessing the demographic and clinical characteristics of such patients might prove useful for their more rapid identification.Methods: We used a prospectively acquired database of over 20,900 visits to four services in the province of Quebec, Canada, over a two-year period from September 2002 onwards. A maximum of 72 variables could be acquired per visit. Visits with aggression (any verbally or physically intimidating behavior, both present and past, were tagged. Binary logistic regressions and cross-tabulations were used to determine whether the profile of a variable differed in visits with aggression from those without aggression.Results: About 7% of visits were marked by current aggression (verbal 49%, physical 12%, verbal and physical 39%. Including visits with a “past only” history of aggression increased this number to 20%. Variables associated with aggression were gender (male, marital status (single/separated, education (high school or less, employment (none, judicial history (any type, substance abuse (prior or active, medication compliance (poor, type of arrival to psychiatric emergency services (involuntary, police, judiciary, landlord, reason for referral (behavioral dyscontrol, diagnosis (less frequent in anxiety disorders, and outcome (more frequently placed under

  7. Predictors of unintentional childhood injuries seen at the Accident and Emergency Units of three tertiary health care centres in Jos

    Bulus J

    2015-12-01

    Full Text Available Background: Unintentional childhood injuries pose a major health challenge especially in developing countries. Aim: This study sought to determine the predictors of unintentional childhood injuries in the three tertiary health centres studied. Methods: The study was a cross- sectional study. Sociodemographic data, history and physical examination, type of injury and the outcomes were obtained using structured questionnaire. Results: A total of 174 children were enrolled, 108 (62.1% were males and 66 (37.9% were females; 63 (36.2% were 10 years. Of the injuries observed; 99 (56.9% were by vehicular objects, 15 (8.6% were burns, 41 (23.6% were from falls and 19 (10.9% poisoning. Those who were treated as outpatients were 141 (81.0% and 25 (14.4% were admitted for inpatient care. About ninety four percent (94.3% of the children had no significant effect or disability, 3.4% had short-term disability while 2.3% had long term disabilities or died post-injury. There was no statistically significant relationship between the age of the subjects, gender, duration of the injury prior to presentation and the educational status of their care givers with the pattern of the injury. Conclusion: This study showed that 81% (141 of the children studied were treated as outpatients, 56.9% were by vehicular objects, 62.1% were in males and the pattern of injuries were not related to age, gender, educational status of care givers, place or time of injuries. There is need to incorporate these findings in the provision of preventive messages in school health services and in the interventions targeting the safety of children against injuries. Further studies to identify risk factors and plan necessary interventions will also be necessary.

  8. Critical examination of emergency plans for nuclear accidents

    An analysis of emergency plans of various countries for nuclear installations on- and off-site emergency preparedness is presented. The analysis is focused on the off-site organization and countermeasures to protect public health and safety. A critical examination of the different approaches is performed and recommendations for effectiveness improvement and optimization are formulated. (author)

  9. Accidents and human factors

    When the TMI accident occurred it was 4 a.m., an hour when the error potential of the operators would have been very high. The frequency of car and train accidents in Japan is also highest between 4 a.m. and 6 a.m. The error potential may be classified into five phases corresponding to the electroencephalogramic pattern (EEG). At phase 0, when the delta wave appears, a person is unconscious and in deep sleep; at phase I, when the theta wave appears, he is very tired, sleepy and subnormal; at phase II, when the alpha wave appears, he is normal, relaxed and passive; at phase III, when the beta wave appears, he is normal, clear-minded and active; at phase IV, when the strong beta or epileptic wave appears, he is hypernormal, excited and incapable of normal judgement. Should an accident occur at phase II, the brain condition may jump to phase IV. At this phase the error or accident potential is maximum. The response of the human brain to different types of noises and signals may vary somewhat for different individuals and for different groups of people. Therefore, the possibility that such differences in brain functions may influence the mental structure would be worthy of consideration in human factors and in the design of man-machine systems. Human reliability and performance would be affected by many factors: medical, physiological and psychological, etc. The uncertainty involved in human factors may not necessarily be probabilistic, but fuzzy. Therefore, it would be important to develop a theory by which both non-probabilistic uncertainties, or fuzziness, of human factors and the probabilistic properties of machines can be treated consistently. From the mathematical point of view, probabilistic measure is considered a special case of fuzzy measure. Therefore, fuzzy set theory seems to be an effective tool for analysing man-machine systems. To minimize human error and the possibility of accidents, new safety systems should not only back up man and make up for his

  10. Emergency planning lessons learned from a review of past major radiological accidents

    In examining a range of nuclear accidents from the 1950s to the present that were reported in the literature, the authors have identified a number of contributing factors which affected human judgement during these events. One common thread found in a large number of accidents is the time of occurrence; a second is the adequacy of emergency training. The data show that events, whether severe accidents or operational incidents, appear to occur more frequently during off-normal hours such as the early morning shift, weekends, or holidays. Accidents seldom occur during the day shift when the full management team and senior operations personnel are present. As a result, those facility employees most expert in coping with the situation may not be available, and the normal chain of command may be disrupted. At several nuclear power plants, it was also observed that new or less experienced technicians are often assigned to night shifts. The lack of experienced human resources and the pressure of an accident situation can have an adverse impact on individuals who are faced with making important decisions

  11. Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China.

    Duan, Weili; He, Bin

    2015-07-01

    In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP) was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency. PMID:26184260

  12. Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China

    Weili Duan

    2015-07-01

    Full Text Available In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs is a significant issue in China. An emergency response system (ERS was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency.

  13. Emerging framework of safety management after Fukushima accident

    Since the Fukushima accident onset, concerned organizations and experts have tried to identify the causes and effects of the incident. Many have formulated new national regulatory measures to strengthen nuclear safety in an effort to protect the general public to the extent of probabilistic cases of the most severe or extreme accidents. The Japanese government is set to install a regulatory authority, comparable to the US NRC, which is completely independent from the promotion of nuclear energy. An official report of the National Diet (or Senate) of Japan in June of 2012 laments a lack of safety culture and insists the accident could have been prevented if due consideration and attention had been provided. Both France and other European countries have performed stress tests to their operating units, and have identified many areas for improvement including that of their regulatory framework. The US NRC also conducted special inspections of all operating reactors. In addition, the NRC established both near and long term specific goals, and issued a policy statement for streamlining patch worked regulatory framework. It is also applying the Risk informed Defense in Depth Design which includes the extended design basis requirements. The IAEA General Conference adopted a Nuclear Safety Action Plan in September 2011 and organized an International Expert Meeting in March 2012 in order to analyze all relevant technical aspects from the Japanese incident in order to prevent a reoccurrence. Korea is not an exception to this trend. She was swift to conduct a special inspection of operating reactors and is now implementing many scheduled measures. Numerous facts and insights are now available, not only those gained from the Japanese incident, but also those gleaned from experts worldwide concerning a wide array of information. Therefore, this is an opportunistic time to summarize the insights that have been identified with respect to nuclear safety management and to overview

  14. Emerging framework of safety management after Fukushima accident

    Lee, Joo Sang [TUV SUD KOCEN, Yongin (Korea, Republic of); Rawls, Scott [EXCEL, JP (United States)

    2012-10-15

    Since the Fukushima accident onset, concerned organizations and experts have tried to identify the causes and effects of the incident. Many have formulated new national regulatory measures to strengthen nuclear safety in an effort to protect the general public to the extent of probabilistic cases of the most severe or extreme accidents. The Japanese government is set to install a regulatory authority, comparable to the US NRC, which is completely independent from the promotion of nuclear energy. An official report of the National Diet (or Senate) of Japan in June of 2012 laments a lack of safety culture and insists the accident could have been prevented if due consideration and attention had been provided. Both France and other European countries have performed stress tests to their operating units, and have identified many areas for improvement including that of their regulatory framework. The US NRC also conducted special inspections of all operating reactors. In addition, the NRC established both near and long term specific goals, and issued a policy statement for streamlining patch worked regulatory framework. It is also applying the Risk informed Defense in Depth Design which includes the extended design basis requirements. The IAEA General Conference adopted a Nuclear Safety Action Plan in September 2011 and organized an International Expert Meeting in March 2012 in order to analyze all relevant technical aspects from the Japanese incident in order to prevent a reoccurrence. Korea is not an exception to this trend. She was swift to conduct a special inspection of operating reactors and is now implementing many scheduled measures. Numerous facts and insights are now available, not only those gained from the Japanese incident, but also those gleaned from experts worldwide concerning a wide array of information. Therefore, this is an opportunistic time to summarize the insights that have been identified with respect to nuclear safety management and to overview

  15. Emergency control system based on the analytical hierarchy process and coordinated development degree model for sudden water pollution accidents in the Middle Route of the South-to-North Water Transfer Project in China.

    Long, Yan; Xu, Guobin; Ma, Chao; Chen, Liang

    2016-06-01

    Water transfer projects are important for realizing reasonable allocation of water resources, but once a water pollution accident occurs during such a project, the water environment is exposed to enormous risks. Therefore, it is critical to determine an appropriate emergency control system (ECS) for sudden water pollution accidents that occur in water transfer projects. In this study, the analytical hierarchy process (AHP) integrated with the coordinated development degree model (CDDM) was used to develop the ECS. This ECS was developed into two parts, including the emergency risk assessment and the emergency control. Feasible emergency control targets and control technology were also proposed for different sudden water pollution accidents. A demonstrative project was conducted in the Fangshui to Puyang channel, which is part of the Beijing-Shijiazhuang Emergency Water Supply Project (BSP) in the Middle Route of the South-to-North Water Transfer Project (MR-SNWTP) in China. However, we could not use an actual toxic soluble pollutant to validate our ECS, so we performed the experiment with sucrose to test the ECS based on its concentration variation. The relative error of peak sucrose concentration was less than 20 %. PMID:26979314

  16. Evaluation of overweight and obesity in Helicopter Emergency Medical Service (HEMS worker

    Robert Gałązkowski

    2015-09-01

    Full Text Available [b][/b]Introduction. Obesity now affects people from all walks of life, including those who work in the field of medical aid provision on a daily basis. So far, there has been no research assessing the nutrition status of Helicopter Emergency Medical Service (HEMS crews. Objectives. To evaluate the degree to which overweight and obesity prevail among Helicopter Emergency Medical Service Air Ambulances (HEMS LPR crew members, and determine the overall excess body fat and fatty tissue distribution in the subjects. Material and methods. In order to evaluate the prevalence of overweight and obesity in HEMS crew members, the following anthropometric measurements were used: height, body mass, waist and hip circumferences. Assessment of their nutritional status was made by using some generally used indicators, i.e. calculating the subjects’ BMI, WHR and WHtR. Results. Pilots were older than the paramedics in a statistically significant way. On the basis of using the BMI indicator, it was shown that only 36% of HEMS crew members had normal body weight. Analysis of the percentage of body fat determined that 61.5% of the paramedics and 39.4% of the pilots had normal weight. 26.2% paramedics and 28.8% pilots were diagnosed as overweight. Obesity characterised 12.3% of paramedics and 31.8% of pilots. The above were statistically significant differences (p= 0.0117. Waist circumference exceeded 102 cm in 25.9% of the subjects and WHR>1 characterised 20.6% of those examined. Conclusions. Analysis of the results obtained revealed that an alarmingly high percentage of crew members suffer from excessive body mass and fat, particularly in the group of pilots. Immediate action should be taken in order to reduce the body mass and introduce preventive measures among the subjects.

  17. Medical direction of wilderness and other operational emergency medical services programs.

    Warden, Craig R; Millin, Michael G; Hawkins, Seth C; Bradley, Richard N

    2012-03-01

    Within a healthcare system, operational emergency medical services (EMS) programs provide prehospital emergency care to patients in austere and resource-limited settings. Some of these programs are additionally considered to be wilderness EMS programs, a specialized type of operational EMS program, as they primarily function in a wilderness setting (eg, wilderness search and rescue, ski patrols, water rescue, beach patrols, and cave rescue). Other operational EMS programs include urban search and rescue, air medical support, and tactical law enforcement response. The medical director will help to ensure that the care provided follows protocols that are in accordance with local and state prehospital standards, while accounting for the unique demands and needs of the environment. The operational EMS medical director should be as qualified as possible for the specific team that is being supervised. The medical director should train and operate with the team frequently to be effective. Adequate provision for compensation, liability, and equipment needs to be addressed for an optimal relationship between the medical director and the team. PMID:22441087

  18. A two-stage optimization model for emergency material reserve layout planning under uncertainty in response to environmental accidents.

    Liu, Jie; Guo, Liang; Jiang, Jiping; Jiang, Dexun; Liu, Rentao; Wang, Peng

    2016-06-01

    In the emergency management relevant to pollution accidents, efficiency emergency rescues can be deeply influenced by a reasonable assignment of the available emergency materials to the related risk sources. In this study, a two-stage optimization framework is developed for emergency material reserve layout planning under uncertainty to identify material warehouse locations and emergency material reserve schemes in pre-accident phase coping with potential environmental accidents. This framework is based on an integration of Hierarchical clustering analysis - improved center of gravity (HCA-ICG) model and material warehouse location - emergency material allocation (MWL-EMA) model. First, decision alternatives are generated using HCA-ICG to identify newly-built emergency material warehouses for risk sources which cannot be satisfied by existing ones with a time-effective manner. Second, emergency material reserve planning is obtained using MWL-EMA to make emergency materials be prepared in advance with a cost-effective manner. The optimization framework is then applied to emergency management system planning in Jiangsu province, China. The results demonstrate that the developed framework not only could facilitate material warehouse selection but also effectively provide emergency material for emergency operations in a quick response. PMID:26897572

  19. The Nuclear Emergency Assistance Team, a mobile intervention facility for nuclear accidents

    A nuclear emergency assistance team consisting of a vehicle pool and a stock of technical equipment was set up for operation in case of major reactor accidents. The equipment is kept in 6 containers which can be shipped on trucks, by rail or by helicopter or plane. Technical equipment and tasks of each container are briefly explained. Special transport vehicles for remote handling of contaminated material are described. (ORU)

  20. National Trends in the Utilization of Emergency Medical Services for Acute Myocardial Infarction and Stroke

    Katie Tataris

    2014-11-01

    Full Text Available Introduction: The emergency medical services (EMS system plays a crucial role in the chain of survival for acute myocardial infarction (AMI and stroke. While regional studies have shown underutilization of the 911 system for these time-sensitive conditions, national trends have not been studied. Our objective was to describe the national prevalence of EMS use for AMI and stroke, examine trends over a six-year period, and identify patient factors that may contribute to utilization. Methods: Using the National Hospital Ambulatory Medical Care Survey-ED (NHAMCS dataset from 2003-2009, we looked at patients with a discharge diagnosis of AMI or stroke who arrived to the emergency department (ED by ambulance. We used a survey-weighted χ2 test for trend and logistic regression analysis. Results: In the study, there were 442 actual AMI patients and 220 (49.8% presented via EMS. There were 1,324 actual stroke patients and 666 (50.3% presented via EMS. There was no significant change in EMS usage for AMI or stroke over the six-year period. Factors independently associated with EMS use for AMI and stroke included age (OR 1.21; 95% CI 1.12-1.31, Non-Hispanic black race (OR 1.72; 95% CI 1.16-2.29, and nursing home residence (OR 11.50; 95% CI 6.19-21.36. Conclusion: In a nationally representative sample of ED visits from 20003-2009, there were no trends of increasing EMS use for AMI and stroke. Efforts to improve access to care could focus on patient groups that underutilize the EMS system for such conditions. [West J Emerg Med. 2014;15(7:–0.

  1. Urgent and Nonurgent Presentations to a Psychiatric Emergency Service in Nigeria: Pattern and Correlates

    Increase Ibukun Adeosun; Abosede Adekeji Adegbohun; Oyetayo Oyewunmi Jeje; Olufemi Oyeleke Oyekunle; Modupeola Olugbemisola Omoniyi

    2014-01-01

    Psychiatric emergencies are acute mental health disturbances that require immediate intervention. However, the emergency department is increasingly being utilised for nonurgent mental health problems, thereby compromising the quality of care available for patients with urgent problems. This study assessed the level and correlates of urgency of mental health problems among patients presenting to an emergency department in Nigeria. The Crisis Triage Rating Scale, Clinical Global Impression Scal...

  2. Nuclear accident and medical staff

    Described is the commentary concerning normative action of medical staff at radiation emergency and actual actions taken/to be taken for the Nuclear Power Plant Accident (NPPA) in Fukushima. The normative medical staff's action at radiation emergency is essentially based on rules defined by such international authorities as United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), International Commission of Radiological Protection (ICRP), International Atomic Energy Agency (IAEA) and Basic Safety Standard (BSS) and by network in IAEA, World Health Organization (WHO) and so on. The rules stand on past atomic events like those in Hiroshima, Nagasaki, Three Mile Isl., Chernobyl, and in Japanese Tokai JCO accident. The action above is required as a medical teamwork over specialized doctors. At Fukushima NPPA, medicare flowed from the on-site first-aid station (doctors for industry and labors), then the base for patient transfer (doctors of Japanese Association of Acute Medicine and Tokyo Electric Power Comp.), to the primary hospital for acute exposure (Iwaki Kyoritsu Hos.), from which patients were further transported to the secondary (contamination detected or severe trauma, Fukushima Medical Univ.) and/or tertiary facilities (serious contamination or acute radiation injury, National Institute of Radiological Sciences (NIRS) and Hiroshima Univ.). The flow was built up by the previous lead of national official guidance and by urgent spontaneous network among medical facilities; exempli gratia (e.g.), Fukushima Medical Univ. rapidly specialized in coping with the radiation medicare by partial discontinuance of daily clinical practice. Specialists of acute radiation medicare are generally rare, for which measures for it are more desirable along with health risk communication in facilities concerned. The professional function and endowment required for medical staff at emergency are concluded to be their guts and devotion as well as medical

  3. PREPARE: innovative integrated tools and platforms for radiological emergency preparedness and post-accident response in Europe.

    Raskob, Wolfgang; Schneider, Thierry; Gering, Florian; Charron, Sylvie; Zhelezniak, Mark; Andronopoulos, Spyros; Heriard-Dubreuil, Gilles; Camps, Johan

    2015-04-01

    The PREPARE project that started in February 2013 and will end at the beginning of 2016 aims to close gaps that have been identified in nuclear and radiological preparedness in Europe following the first evaluation of the Fukushima disaster. Among others, the project will address the review of existing operational procedures for dealing with long-lasting releases and cross-border problems in radiation monitoring and food safety and further develop missing functionalities in decision support systems (DSS) ranging from improved source-term estimation and dispersion modelling to the inclusion of hydrological pathways for European water bodies. In addition, a so-called Analytical Platform will be developed exploring the scientific and operational means to improve information collection, information exchange and the evaluation of such types of disasters. The tools developed within the project will be partly integrated into the two DSS ARGOS and RODOS. PMID:25227442

  4. PREPARE: innovative integrated tools and platforms for radiological emergency preparedness and post-accident response in Europe

    The PREPARE project that started in February 2013 and will end at the beginning of 2016 aims to close gaps that have been identified in nuclear and radiological preparedness in Europe following the first evaluation of the Fukushima disaster. Among others, the project will address the review of existing operational procedures for dealing with long-lasting releases and cross-border problems in radiation monitoring and food safety and further develop missing functionalities in decision support systems (DSS) ranging from improved source-term estimation and dispersion modelling to the inclusion of hydrological pathways for European water bodies. In addition, a so-called Analytical Platform will be developed exploring the scientific and operational means to improve information collection, information exchange and the evaluation of such types of disasters. The tools developed within the project will be partly integrated into the two DSS ARGOS and RODOS. (authors)

  5. Responses of Emergency Unit Physicians and Administrators to Q-Statements Regarding Quality of Medical Services at Emergency Unit at Al Kindy Teaching Hospital

    Lujain A. Al-Khazragy

    2008-01-01

    Full Text Available The aim of this study is to evaluate the quality of medical services applied at the emergency unit at Al-kindy teaching hospital. Data were collected during one month duration through a survey using special form of questioner; the total number of studied sample was 51, which includes all the resident doctors working in the emergency unit including the post graduate residency doctors. The first part of the study shows lack of organization in many fields of the emergency unit including the arrival of patients and classification of severity of the injuries. absence of defined protocol for management of emergency cases in addition to lack of enough staff and supplies, yet other fields like the availability of functioning unit along 24 h a day and availability of radio communication with the ambulance and other departments of hospital shows good organization.

  6. Septic and non-septic olecranon bursitis in the accident and emergency department--an approach to management.

    Stell, I M

    1996-01-01

    Olecranon bursitis is relatively common. One third of episodes are septic. Most of the remainder are non-septic, with occasional rheumatological causes. Trauma can cause both septic and non-septic olecranon bursitis. Clinical features are helpful in separating septic from non-septic olecranon bursitis, but there may be local erythema in both. Aspiration should be carried out in all cases, and if the presence of infection is still in doubt, microscopy, Gram staining, and culture of the aspirat...

  7. Appropriate and safe utilization of helicopter emergency medical services: a joint position statement with resource document.

    Floccare, Douglas J; Stuhlmiller, David F E; Braithwaite, Sabina A; Thomas, Stephen H; Madden, John F; Hankins, Daniel G; Dhindsa, Harinder; Millin, Michael G

    2013-01-01

    This position statement with accompanying resource document is the result of a collaborative effort of a writing group comprised of members of the Air Medical Physician Association (AMPA), the American College of Emergency Physicians (ACEP), the National Association of EMS Physicians (NAEMSP), and the American Academy of Emergency Medicine (AAEM). This document has been jointly approved by the boards of all four organizations. Patients benefit from the appropriate utilization of helicopter emergency medical services (HEMS). EMS and regional health care systems must have and follow guidelines for HEMS utilization to facilitate proper patient selection and ensure clinical benefit. Clinical benefit can be provided by Meaningfully shortening the time to delivery of definitive care to patients with time-sensitive medical conditions Providing necessary specialized medical expertise or equipment to patients before and/or during transport Providing transport to patients inaccessible by other means of transport The decision to use HEMS is a medical decision, separate from the aviation determination whether a transport can be completed safely. Physicians with specialized training and experience in EMS and air medical transport must be integral to HEMS utilization decisions, including guideline development and quality improvement activities. Safety management systems must be developed, adopted, and adhered to by air medical operators when making decisions to accept and continue every HEMS transport. HEMS must be fully integrated within the local, regional, and state emergency health care systems. HEMS programs cannot operate independently of the surrounding health care environment. The EMS and health care systems must be involved in the determination of the number of HEMS assets necessary to provide appropriate coverage for their region. Excessive resources may lead to competitive practices that can affect utilization and negatively impact safety. Inadequate resources will

  8. 46 CFR 108.141 - Boundary bulkheads and decks between the emergency power source and service generators.

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Boundary bulkheads and decks between the emergency power source and service generators. 108.141 Section 108.141 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT Construction and Arrangement Structural Fire Protection § 108.141...

  9. Optimal Bundle of Multimedia Services in Emerging Mobile Markets

    Lee, ChanGi; Lee, SeongCheol; Lee, DeockHee; Lee, HyeongJik

    2006-01-01

    Although various emerging technologies have been launched, they present limitations as far as offering full-scale ubiquitous services independently is concerned. In view of this fact, service providers are likely to provide bundled services among possible combinations of services. Indeed, making a timely decision regarding the value maximization of bundled service is directly related to service providers' future growth and success in the turbulent market environment. This paper aims to find t...

  10. 核事故后果评价与应急决策支持系统研究%Study on Nuclear Accident Consequence Assessment and Emergency Decision Support System

    王川; 周昌; 郑谦

    2013-01-01

    The research and development of Nuclear Accident Consequence Assessment System(NACAS)and Nuclear Accident Emergency Decision Support System(NAEDSS)is analyzed all over the world,the paper especially describes the exploitation situation and main features of NARAC(USA),the WSPEEDI(Japan)and RODOS(European Communities).In the paper,development of NAEDSS is discussed through introducing development of nuclear accident emergency decision support system and existing problems all over the world.With more and more attention to nuclear energy in society,we still have a long road to improve our nuclear accident consequence assessment and NAEDSS in recent years.%对比分析了国内外在核事故后果评价/应急决策支持系统领域开展的研究进展与成果,重点介绍了美国的NARAC系统、日本的WSPEEDI系统以及欧共体的RODOS系统的开发情况及主要性能.通过回顾我国核事故决策支持系统的发展概况,以及国内外现有核事故应急决策支持系统亟待解决的问题,讨论了下一代核事故应急决策支持系统的发展方向.

  11. Who killed Rambhor?: The state of emergency medical services in India

    Rajesh H Garg

    2012-01-01

    Full Text Available In India, the healthcare delivery system starts up from the sub-center at the village level and reaches up to super specialty medical centers providing state of the art emergency medical services (EMS. These highest centers, located in big cities, are considered the last referral points for the patients from nearby cities and states. As the incidents of rail and road accidents have increased in recent years, the role of EMS becomes critical in saving precious lives. But when the facilities and management of these emergency centers succumbs before the patient, then the question arises regarding the adequate availability and quality of EMS. The death of an unknown common man, Rambhor, for want of EMS in three big hospitals in the national capital of India put a big question on the "health" of the emergency health services in India. The emergency services infrastructure seems inadequate and quality and timely provision of EMS to critical patients appears unsatisfactory. There is lack of emergency medicine (EM specialists in India and also the postgraduation courses in EM have not gained foot in our medical education system. Creation of a Centralized Medical Emergency Body, implementation of management techniques, modification of medical curriculum, and fixing accountability are some of the few steps which are required to improve the EMS in India.

  12. Prototype for Integrating Internet of Things and Emergency Service in an IP Multimedia Subsystem for Wireless Body Area Networks

    KaiDi Chang; JiannLiang Chen; HanChieh Chao

    2014-01-01

    In recent years, the application of the Internet of Things (IoT) has become an emerging business. The most important concept of next-generation network for providing a common global IT platform is combining seamless networks and networked things, objects or sensors. Also, wireless body area networks (WBANs) are becoming mature with the widespread usage of the IoT. In order to support WBAN, the platform, scenario and emergency service are necessary due to the sensors in WBAN being related to wearer's life. The sensors on the body detect a lot of information about bioinformatics and medical signals, such as heartbeat and blood. Thus, the integration of IoT and network communication in daily life is important. However, there is not only a lack of common fabric for integrating IoT with current Internet and but also no emergency call process in the current network communication envi-ronment. To overcome such situations, the prototype of integrating IoT and emergency call process is discussed. A simulated boot-strap platform to provide the discussion of open challenges and solutions for deploying IoT in Internet and the emergency commu-nication system are analyzed by using a service of 3GPP IP multimedia subsystem. Finally, the prototype for supporting WBAN with emergence service is also addressed and the performance results are useful to service providers and network operators that they can estimate their migration to IoT by referring to this experience and experiment results. Furthermore, the queuing model used to achieve the performance of emergency service in IMS and the delay time of the proposed model is analyzed.

  13. Barriers to emergency obstetric care services

    Echoka, Elizabeth; Makokha, Anselimo; Dubourg, Dominique;

    2014-01-01

    Introduction: Pregnancy-related mortality and morbidity in most low and middle income countries can be reduced through early recognition of complications, prompt access to care and appropriate medical interventions following obstetric emergencies. We used the three delays framework to explore...... barriers to emergency obstetric care (EmOC) services by women who experienced life threatening obstetric complications in Malindi District, Kenya. Methods: A facility-based qualitative study was conducted between November and December 2010. In-depth interviews were conducted with 30 women who experienced...... the hospital, contribute to ineffective treatment upon arrival at the hospital. Interventions to reduce maternal mortality and morbidity must adequately consider the pre-hospital challenges faced by pregnant women in order to influence decision making towards addressing the three delays....

  14. Smart vital signs and accident monitoring system for motorcyclists embedded in helmets and garments for advanced eCall emergency assistance and health analysis monitoring

    Melcher, Vivien; Diederichs, Frederik; Maestre, Rafael; Hofmann, Christian; Nacenta, Jose-Maria; Gent, Jos van; Kusic, Dragan; Zagar, Bostjan

    2015-01-01

    The EU funded project i-VITAL investigates an advanced eCall system for motorcycles. Within the consortium three participating SME companies, NZI (helmet manufacturer), Lookwell (garment manufacturer) and CAP (polymer manufacturer) are working together with three research institutes (CETEM, Fraunhofer and TECOS) on a novel vital sign monitoring and accident detection system to be seamlessly integrated into helmets and garments. The project develops and tests sensors to measure vital data of r...

  15. National atmospheric release advisory center (NARAC) tools and services for emergency management

    Full text: This paper describes recent scientific and technological advances in the National Atmospheric Release Advisory Center (NARAC) that aid emergency management. The U.S. Department of Energy's NARAC system provides tools and services that help map the probable spread of hazardous material accidentally or intentionally released into the atmosphere. Located at Lawrence Livermore National Laboratory, NARAC is a national support and resource center for planning, real-time assessment and detailed studies of incidents involving a wide variety of hazards, including nuclear, radiological, chemical, or biological emissions. In recent years, the DOE National Nuclear Security Agency (NNSA) Office of Emergency Response and Chemical and Biological National Security Program (CBNP) have supported major upgrades and modernization of NARAC that have advanced the accuracy and utility of NARAC products for emergency planning and management. A new NARAC central modeling system, which became operational in the year 2000, has provided a higher-resolution suite of diagnostic and prognostic meteorological models, and a Lagrangian particle dispersion model, for producing predictions of air concentration, ground deposition, and dose. The 3-D meteorological data assimilation model, ADAPT, and Lagrangian particle dispersion model, LODI, allow the simulation of mean wind advection, turbulent diffusion, radioactive decay and production, bio-agent degradation, first-order chemical reactions, wet deposition, gravitational settling, dry deposition, and buoyant/momentum plume rise. The functions performed by this system have been fully automated to minimized response time for emergencies. An in-house version of the Naval Research Laboratory's COAMPS numerical weather prediction model is used to provide mesoscale forecasts. The final plume predictions are plotted with key geographical information (including estimates of the counts of affected population), and with applicable U

  16. Improvements in emergency management in nuclear power plants after the Fukushima accident: ORE, CAE and CAGE; Mejoras en la gestion de emergencias en centrales nucleares tras el accidente de Fukushima: ORE, CAE y CAGE

    Gimenez Gonzalez, S.; Sanchez Lombardia, A.; Martin Calvarro, J. M.; Calvin Cuartero, M.

    2016-08-01

    After Fukushima accident European NPP safety was checked by means of homogenous stress test promoted by European council. At Spain CSN issued Technical instructions to confirm safety NPP margins were appropriate . As a result of this assessment licensees promoted improving NPP safety by strengthen ERO; a new Support Emergency center (CAE) and construction of a new alternative management centre (CAGE) at each site. European countries have been improving and reinforced NPP safety in a similar way to Spain. (Author)

  17. 49 CFR 835.11 - Obtaining Board accident reports, factual accident reports, and supporting information.

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Obtaining Board accident reports, factual accident... Board accident reports, factual accident reports, and supporting information. It is the responsibility... obtain Board accident reports, factual accident reports, and accompanying accident docket files....

  18. Epidemiology of Sepsis and Its Recognition by Emergency Medical Services Personnel in the Netherlands.

    van der Wekken, Lena C W; Alam, Nadia; Holleman, Frits; van Exter, Pieternel; Kramer, Mark H H; Nanayakkara, Prabath W B

    2016-01-01

    Little is known about the epidemiology of sepsis in the Netherlands. In addition, information regarding the ability of emergency medical services (EMS) personnel to recognize sepsis is lacking. The aim of this study is to determine epidemiological characteristics of sepsis and the recognition of sepsis by EMS personnel in an urban area in the Netherlands. We conducted a retrospective cohort study using transport information from EMS Amsterdam and admission diagnoses at the emergency department gathered through discharge data from two academic hospitals in Amsterdam for the year 2012. A total of 253 patients with sepsis were evaluated, of which 131 were transported by ambulance. The in-hospital mortality rate of the total population was 21% and a mean length of hospital stay was of 13.5 days. Sixty-seven patients (26.5%) were admitted to the intensive care unit. Almost half of the patients were assigned to the internal medicine ward (117; 46.2%). The most common site of infection was the urinary tract (30%). E. coli was the most frequent cause of infections. EMS staff recognized 18/131 (13.7%) transported patients with (severe) sepsis or septic shock. In 52 cases (39.7%) sepsis went unrecognized, probably due to an incomplete primary survey. In 60 cases (45.8%) sepsis went unrecognized, although enough systemic inflammatory response syndrome criteria were present at initial presentation. Recognition of sepsis by EMS staff in the Netherlands is low, probably due to a lack of awareness of the syndrome and infrequent measurement of temperature and respiratory rate. As early initiation of treatment is crucial, the EMS staff, general practitioners, and other specialties could benefit from more education on this critical illness. PMID:26024065

  19. Militarised violence in the service of state-imposed emergencies over Palestine and Kenya

    Annie Pfingst

    2015-02-01

    Full Text Available States of Emergency are declared against the disorder-ing of state sovereign power by acts of resistance, rebellion and revolt and are characterised by the technologies of control, containment and punishment. Through spatial, archival and visual encounters with emergency landscapes and the geographies of resistance, the essay considers the historic and contemporary operations, provisions, regulations and practices authorised under state-imposed emergencies. It does so in order firstly, to bring attention to the practices authorised through state-imposed emergencies and the currency and saliency of their ongoing effects, and secondly to re-frame the militarised violence of settlement/occupation as an integral part of state-imposed emergencies in which all that is necessary will be done to protect the sovereign state from the resistance of the colonised/occupied and to effect a return to ‘order’.     Through encounters with the archival record, and the architectures, remnants and territorial arrangements found in post-colonial Kenya and across the multiple geographies of Palestine, the essay draws out seven clusters of state imposed emergency practices and effects. The work grapples with a number of questions: what is it that a declared state of emergency performs for the state? Does a state of emergency enable particular forms of militarised violence? Are there common practices to be found across different modes of state-imposed emergencies? What is the genealogy to the states of emergency across Palestine and Kenya? Does our excavation of the practices of state-imposed emergency shed light on the ways we apprehend state violence in colonial, post-colonial and neo-colonial geographies?

  20. Essential basic and emergency obstetric and newborn care: from education and training to service delivery and quality of care.

    Otolorin, Emmanuel; Gomez, Patricia; Currie, Sheena; Thapa, Kusum; Dao, Blami

    2015-06-01

    Approximately 15% of expected births worldwide will result in life-threatening complications during pregnancy, delivery, or the postpartum period. Providers skilled in emergency obstetric and newborn care (EmONC) services are essential, particularly in countries with a high burden of maternal and newborn mortality. Jhpiego and its consortia partners have implemented three global programs to build provider capacity to provide comprehensive EmONC services to women and newborns in these resource-poor settings. Providers have been educated to deliver high-impact maternal and newborn health interventions, such as prevention and treatment of postpartum hemorrhage and pre-eclampsia/eclampsia and management of birth asphyxia, within the broader context of quality health services. This article describes Jhpiego's programming efforts within the framework of the basic and expanded signal functions that serve as indicators of high-quality basic and emergency care services. Lessons learned include the importance of health facility strengthening, competency-based provider education, global leadership, and strong government ownership and coordination as essential precursors to scale-up of high impact evidence-based maternal and newborn interventions in low-resource settings. PMID:26115858

  1. An evidence-based guideline in preventing hypothermia for adult trauma patients in accident and emergency department

    Wong, Lai-hung; 黃麗虹

    2013-01-01

    Hypothermia is commonly found in injured victims who suffer from central nervous system injury, hypovolemic shock, exposure to environment, administration of anesthetic drugs and cold intravenous fluid. All these factors decrease the abilities of trauma victims to maintain normothermia and conserve body heat. Hypothermia in injured victim is a significant contributor to a well known cycle—triad of death and associated with increased mortality, morbidity and length of hospital stay. Hypothermi...

  2. Medical response and management of radiation accidents

    An overview is provided of educational programs and principles essential to the appropriate medical management of radiation accident victims. Such an education program will provide details of the physical properties of radiation, of the sources of radiation exposure, of radiation protection standards and of biological radiation effects. The medical management of individuals involved in radiation accidents is discussed. Such management includes emergency medical stabilization, locating and quantitating the level and degree of internal and/or external contamination, wound decontamination, medical surveillance and the evaluation and treatment of local radiation injuries

  3. Accidents, probabilities and consequences

    Following brief discussion of the safety of wind-driven power plants and solar power plants, some aspects of the safety of fast breeder and thermonuclear power plants are presented. It is pointed out that no safety evaluation of breeders comparable to the Rasmussen investigation has been carried out and that discussion of the safety aspects of thermonuclear power is only just begun. Finally, as an illustration of the varying interpretations of risk and safety analyses, four examples are given of predicted probabilities and consequences in Copenhagen of the maximum credible accident at the Barsebaeck plant, under the most unfavourable meterological conditions. These are made by the Environment Commission, Risoe Research Establishment, REO (a pro-nuclear group) and OOA (an anti-nuclear group), and vary by a factor of over 1000. (JIW)

  4. Counterregulatory hormones in insulin-treated diabetic patients admitted to an accident and emergency department with hypoglycaemia

    Hvidberg, A; Christensen, N J; Hilsted, Jannik

    1998-01-01

    and 30-120 min after treatment. Pre-treatment counterregulatory hormone concentrations were significantly lower than hormone concentrations during induced hypoglycaemia in healthy control subjects but significantly higher than healthy fasting concentrations for plasma adrenaline (p = 0.020), glucagon......, although to a lesser degree than might be expected. Plasma glucose did not differ significantly between the two treatments at any time point. Despite access to food, one of four patients in group B and one of five patients in group A had plasma glucose below 4.0 mmol l(-1) after 120 min. In conclusion, low...

  5. ACTIVITIES OF THE ADMINISTRATION OF FEDERAL SERVICE FOR SURVEILLANCE ON CONSUMER RIGHTS PROTECTION AND HUMAN WELL-BEING IN KHABAROVSKY KRAI IN CONDITIONS OF THE FUKUSHIMA ACCIDENT AND MEASURES UNDERTAKEN TO PROTECT THE TERRITORY AND POPULATION THE REGION

    V. A. Ott

    2011-01-01

    Full Text Available The article analyzes activities of the Administration of Federal Service for Surveillance on Consumer Rights Protection and Human Well-being in Khabarovsky Krai and the Federal Health Organization "Center of Hygiene and Epidemiology in Khabarovsky Krai" in the situation related to the Fukushima accident in Japan

  6. 47 CFR Appendix B to Part 64 - Priority Access Service (PAS) for National Security and Emergency Preparedness (NSEP)

    2010-10-01

    ... PAS to affected entities and individuals. 8. Enlarge the role of the Telecommunications Service... Assessment Team Leaders; (iii) Federal, state and local personnel with continuity of government... leaders; (v) Search and rescue team leaders; and (vi) Emergency communications coordinators. D. Priority...

  7. Emergency preparedness and response

    After the Chernobyl accident, it became painfully obvious to the international community that there was an urgent need to establish a system for the coordination of international disaster assistance. It became the task of the United Nations Office for Disaster Relief (UNDRO) to develop such a system. The former UNDRO was subsumed into the Department of Humanitarian Affairs (DHA), established in January 1992 on the basis of UN General Assembly Resolution 46/182 adopted in December 1991, and the disaster relief system presently found in DHA is a further evolution of the system established by UNDRO. One particular importance in relation to nuclear accidents is the fact that UNDRO and the International Atomic Energy Agency (IAEA) signed a Memorandum of Understanding defining their respective responsibilities and the need for cooperation in case of accidents involving the unintentional release of nuclear radiation. In essence, the MOU makes it clear that the responsibilities of the IAEA, in connection with accidents at Nuclear Power Plants, related to the technical and radiological aspects, in particular to accident prevention, to the on-site preparedness, and to remedial measures within the 30-km zone outside the NPP. DHA's responsibilities, on the other hand, relate to the general preparedness and the rescue efforts outside the 30 km zone. In this respect, the preparedness and emergency response system is no different from the system employed in any other type of sudden-onset emergency

  8. A Rare and Serious Syndrome That Requires Attention in Emergency Service: Traumatic Asphyxia

    Gultekin Gulbahar

    2015-01-01

    Full Text Available Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized by cyanosis, edema, and subconjunctival and petechial hemorrhage on the face, neck, upper extremities, and the upper parts of the thorax. Traumatic asphyxia is usually diagnosed by history and inspection; however, the patient should be monitored more closely due to probable complications of thoracoabdominal injuries. Treatment is conservative, but the prognosis depends on the severity of the associated injuries. Herein we present a traumatic asphyxia due to an elevator accident in a 32-year-old male patient and discuss the diagnosis, treatment, and prognosis by reviewing the relevant literature.

  9. Emergency Measures in the Event of a Nuclear Accident at the Boris Kidrič Institute, Vinča

    This paper describes the fields of study at the Boris Kidrič Institute of Nuclear Sciences at Vinča that are important for the evaluation of potential accidents, and also the obligations imposed by law on the Institute as regards its own service for protection against ionizing radiations. Also described is the organization of radiological protection at the Boris Kidrič Institute, where specialized services - the Radioprotection Laboratory and the Medical Protection Laboratory - take the appropriate action and provide technical equipment in the event of an accident with ionizing radiation sources. Finally the paper describes the necessary planning, the action to be taken to identify the nature and extent of the accident, and operations required to eliminate the consequences of the accident. (author)

  10. How to operate a university institute as a radiological emergency service?

    The Institute of Radiation Physics (IRA) is attached to the Department of Medical Radiology at the Vaud University Hospital Center (CHUV) in Lausanne. The Institute's main tasks are strongly linked to the medical activities of the Department: radiotherapy, radiodiagnostics, interventional radiology and nuclear medicine. The Institute also works in the fields of operational radiation protection, radiation metrology and radioecology. In the case of an accident involving radioactive materials, the emergency services are able to call on the assistance of radiation protection specialists. In order to avoid having to create and maintain a specific structure, both burdensome and rarely needed, Switzerland decided to unite all existing emergency services for such events. Thus, the IRA was invited to participate in this network. The challenge is therefore to integrate a university structure, used to academic collaborations and the scientific approach, to an interventional organization accustomed to strict policies, a military-style command structure and 'drilled' procedures. The IRA's solution entails mobilizing existing resources and the expertise developed through professional experience. The main asset of this solution is that it involves the participation of committed collaborators who remain in a familiar environment, and are able to use proven materials and mastered procedures, even if the atmosphere of an accident situation differs greatly from regular laboratory routines. However, this solution requires both a commitment to education and training in emergency situations, and a commitment in terms of discipline by each collaborator in order to be integrated into a response plan supervised by an operational command center. (authors)

  11. Emergency planning and preparedness

    This bulletin contains information about activities of the Nuclear Regulatory Authority of the Slovak Republic (UJD). In this leaflet the role of UJD in Emergency planning and preparedness is presented. Emergency planning is the set of measures with the aim to find out and to get under control incidents and accidents at nuclear installation, and to find out and to master releases of radioactive materials into the environment. At the national level the Governmental National Emergency Commission for Radiation Accidents (KRH SR) is responsible for the emergency preparedness. This Commission consists of representatives from Ministry of Interior; Ministry of Health, Ministry of Economy, Ministry of Foreign Affairs, Ministry of Transportation, Posts, and Telecommunications, Ministry of Defence, and institutions participating in the emergency planning, including UJD. The UJD Chairman acts as Vice-chairman of this Commission. The assessment of the course and consequences of serious incident and accidents of nuclear installations is carried out by the Emergency Response Centre (KKC) established in 1995 by UJD, which manages its activities according to the Emergency Plan. The Emergency Plan of UJD is the set of technical and organisational measures with the aim to suggest optimal measures for protection of population and environment. In order to fulfill the tasks of the emergency planning UJD established its Emergency Response Group, which consists of four professional groups: (1) Reactor safety group; (2) Radiation protection group; (3) Logistic group; (4) Information group. UJD closely co-operates in the area of emergency planning on the international level. Agreements on co-operation have been signed with all neighbouring countries, International Atomic Energy Agency (IAEA), and other European countries. The emergency preparedness is verified by various types of emergency exercises at national or international level. UJD approved on-site emergency plans of nuclear

  12. Medical emergency provisions in case of large-scale radiation accidents (literature review)

    Problems of planning population protection in case of severe radiation accidents are considered. Attention is paid to the state of these problems in the USSR and other contries as well as to IAEA directives. The Three Mile Island and Chernobyl accidents are used for illustration purposes. Organization of medical help during radiation accidents, provided for in national regulations and experience gained during Chernobyl NPP accident are considered. Conclusion is made on the necessity of forcasting accident consequences with regard to local, social, economical, geographic and other conditions. Availability of medical provision plans, related to elimination of accident aftereffects and skill training, is obligatory

  13. Convention on early notification of a nuclear accident. Convention on assistance in the case of a nuclear accident or radiological emergency

    The document refers to the Convention on early notification of a nuclear accident (INFCIRC-335) and to the Convention on assistance in the case of a nuclear accident or radiological emergency (INFCIRC-336). Part I contains reservations/declarations made upon or following signature and Part II contains reservations/declarations made upon or following deposit of instrument expressing consent to be bound. The status of signature, ratification, acceptance, approval or accession by States or organizations as of 31 July 1989 for the conventions is presented in two attachments

  14. Convention on early notification of a nuclear accident. Convention on assistance in the case of a nuclear accident or radiological emergency

    The document refers to the Convention on Early Notification of a Nuclear Accident (IAEA-INFCIRC-335) and to the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (IAEA-INFCIRC-336). Part I contains reservations/declarations made upon or following signature and Part II contains reservations/declarations made upon or following deposit of instrument expressing consent to be bound. The status of signature, ratification, acceptance, approval or accession by States or organizations as of 31 July 1990 is presented in two attachments

  15. Timeline for emergency response to a nuclear criticality accident

    In the development of the draft American National Standards Institute/American Nuclear Society (ANSI/ANS) Standard 8.23, open-quotes Nuclear Criticality Emergency Planning and Response,close quotes the writing group found it useful to develop a timeline of the sequence of the major activities. This paper describes that timeline

  16. Road Accident Prevention with Instant Emergency Warning Message Dissemination in Vehicular Ad-Hoc Network.

    P Gokulakrishnan

    Full Text Available A Road Accident Prevention (RAP scheme based on Vehicular Backbone Network (VBN structure is proposed in this paper for Vehicular Ad-hoc Network (VANET. The RAP scheme attempts to prevent vehicles from highway road traffic accidents and thereby reduces death and injury rates. Once the possibility of an emergency situation (i.e. an accident is predicted in advance, instantly RAP initiates a highway road traffic accident prevention scheme. The RAP scheme constitutes the following activities: (i the Road Side Unit (RSU constructs a Prediction Report (PR based on the status of the vehicles and traffic in the highway roads, (ii the RSU generates an Emergency Warning Message (EWM based on an abnormal PR, (iii the RSU forms a VBN structure and (iv the RSU disseminates the EWM to the vehicles that holds the high Risk Factor (RF and travels in High Risk Zone (HRZ. These vehicles might reside either within the RSU's coverage area or outside RSU's coverage area (reached using VBN structure. The RAP scheme improves the performance of EWM dissemination in terms of increase in notification and decrease in end-to-end delay. The RAP scheme also reduces infrastructure cost (number of RSUs by formulating and deploying the VBN structure. The RAP scheme with VBN structure improves notification by 19 percent and end-to-end delay by 14.38 percent for a vehicle density of 160 vehicles. It is also proved from the simulation experiment that the performance of RAP scheme is promising in 4-lane highway roads.

  17. Road Accident Prevention with Instant Emergency Warning Message Dissemination in Vehicular Ad-Hoc Network.

    Gokulakrishnan, P; Ganeshkumar, P

    2015-01-01

    A Road Accident Prevention (RAP) scheme based on Vehicular Backbone Network (VBN) structure is proposed in this paper for Vehicular Ad-hoc Network (VANET). The RAP scheme attempts to prevent vehicles from highway road traffic accidents and thereby reduces death and injury rates. Once the possibility of an emergency situation (i.e. an accident) is predicted in advance, instantly RAP initiates a highway road traffic accident prevention scheme. The RAP scheme constitutes the following activities: (i) the Road Side Unit (RSU) constructs a Prediction Report (PR) based on the status of the vehicles and traffic in the highway roads, (ii) the RSU generates an Emergency Warning Message (EWM) based on an abnormal PR, (iii) the RSU forms a VBN structure and (iv) the RSU disseminates the EWM to the vehicles that holds the high Risk Factor (RF) and travels in High Risk Zone (HRZ). These vehicles might reside either within the RSU's coverage area or outside RSU's coverage area (reached using VBN structure). The RAP scheme improves the performance of EWM dissemination in terms of increase in notification and decrease in end-to-end delay. The RAP scheme also reduces infrastructure cost (number of RSUs) by formulating and deploying the VBN structure. The RAP scheme with VBN structure improves notification by 19 percent and end-to-end delay by 14.38 percent for a vehicle density of 160 vehicles. It is also proved from the simulation experiment that the performance of RAP scheme is promising in 4-lane highway roads. PMID:26636576

  18. Sociological and medical aspects of Chernobyl accident

    The sociological survey data, the results of the state of health service in some districts of Gomel and Mogilev regions as well as of the completeness of the fulfillment of state resolutions concerning the liquidation of the Chernobyl accident after effects are given

  19. Severe sepsis and septic shock in pre-hospital emergency medicine: survey results of medical directors of emergency medical services concerning antibiotics, blood cultures and algorithms.

    Casu, Sebastian; Häske, David

    2016-06-01

    Delayed antibiotic treatment for patients in severe sepsis and septic shock decreases the probability of survival. In this survey, medical directors of different emergency medical services (EMS) in Germany were asked if they are prepared for pre-hospital sepsis therapy with antibiotics or special algorithms to evaluate the individual preparations of the different rescue areas for the treatment of patients with this infectious disease. The objective of the survey was to obtain a general picture of the current status of the EMS with respect to rapid antibiotic treatment for sepsis. A total of 166 medical directors were invited to complete a short survey on behalf of the different rescue service districts in Germany via an electronic cover letter. Of the rescue districts, 25.6 % (n = 20) stated that they keep antibiotics on EMS vehicles. In addition, 2.6 % carry blood cultures on the vehicles. The most common antibiotic is ceftriaxone (third generation cephalosporin). In total, 8 (10.3 %) rescue districts use an algorithm for patients with sepsis, severe sepsis or septic shock. Although the German EMS is an emergency physician-based rescue system, special opportunities in the form of antibiotics on emergency physician vehicles are missing. Simultaneously, only 10.3 % of the rescue districts use a special algorithm for sepsis therapy. Sepsis, severe sepsis and septic shock do not appear to be prioritized as highly as these deadly diseases should be in the pre-hospital setting. PMID:26719078

  20. [Accidents with caterpillar Lonomia obliqua (Walker, 1855). An emerging problem].

    Sánchez, Matías N; Mignone Chagas, Mariana A; Casertano, Sergio A; Cavagnaro, Luis E; Peichoto, María E

    2015-01-01

    Lonomia obliqua (Walker, 1855) is a moth from the family Saturniidae, widely distributed in tropical rainforests of South America. In its larval stage (caterpillar) it is characterized by bristles that cover the animal's body. These structures are hard and branched spiny evaginations of the cuticle, underneath which a complex mixture of toxic molecules is stored. When spicules are brought into contact with the skin of people, toxins enter passively through the injury, causing not only local but also systemic poisoning (primarily hemorrhagic manifestations). When the whole animal is accidentally crushed, the insect's chitinous bristles are broken and the venomous secretions penetrate the human skin, reaching the blood circulation. Due to the numerous registered cases of erucism in Southern Brazil, the Butantan Institute has produced an antivenom able to neutralize the deleterious effects produced by contact with L. obliqua caterpillar bristles. In Argentina, these kinds of accidents are rare and restricted to the province of Misiones. Taking into account that to date there is no report in this country about clinical cases submitted to a specific treatment (antivenom), our aim is to communicate here six cases of Lonomia caterpillar-induced bleeding syndrome that were treated in the Hospital SAMIC of Puerto Iguazú (Misiones, Argentina) during 2014 with the antilonomic serum produced in Brazil. It is worthy to note that all patients evolved favorably within the first few hours, and for this reason, the use of this antivenom is recommended to treat the cases of Lonomia erucism in Argentina. PMID:26502471

  1. Integrating geographical information and augmented reality techniques for mobile escape guidelines on nuclear accident sites

    During nuclear accidents, when radioactive materials spread into the environment, the people in the affected areas should evacuate immediately. However, few information systems are available regarding escape guidelines for nuclear accidents. Therefore, this study constructs escape guidelines on mobile phones. This application is called Mobile Escape Guidelines (MEG) and adopts two techniques. One technique is the geographical information that offers multiple representations; the other is the augmented reality that provides semi-realistic information services. When this study tested the mobile escape guidelines, the results showed that this application was capable of identifying the correct locations of users, showing the escape routes, filtering geographical layers, and rapidly generating the relief reports. Users could evacuate from nuclear accident sites easily, even without relief personnel, since using slim devices to access the mobile escape guidelines is convenient. Overall, this study is a useful reference for a nuclear accident emergency response.

  2. MDCT findings in sports and recreational accidents

    Background. Sports and recreational accidents involving critical areas of the body occur commonly in the general population. Reports on their demographics and recommendations for screening procedures are, however, few. Purpose. To assess injuries of the craniofacial area, spine, and torso resulting from sports and recreational accidents with multidetector computed tomography (MDCT) as primary imaging method in a Level I trauma center. Material and Methods. All emergency room CT requests over a time span of 105 months were reviewed retrospectively for trauma mechanism and injury. Patients were identified using an electronic picture archiving and communications system (PACS), and MDCT studies interpreted by two radiologists independently. Results. Of a total of 5898 patients, 492 patients (301 boys/men, 191 girls/women, age range 2-76 years, mean 33.5 years, median 29.5 years) with sports or recreational accidents emerged. A total of 102 traumatic findings were diagnosed, thereof 72 (71%) serious. The three most commonly encountered serious injuries were intracranial injury, fractures of facial bones, and vertebral injuries. The three most common injury mechanisms were bicycling, horseback riding, and team ball sports. Patients from recreational activities were on average significantly younger (29.2 years) than those from sports accidents (36.9 years; P < 0.001). Only age groups <21 years and 41-50 years differed in injury severity from the other age groups (P = 0.004 and P = 0.063, respectively). Of all trauma mechanisms, only bicycling had a significantly increased risk of injury (P < 0.001). Conclusion. Injuries in sports and recreational accidents presented with an overall incidence of 21%, of which 71% are serious. The most common mechanisms of injury were bicycling, horseback riding, and team ball sports. The largest incidence of serious injury involved bicycling. Because of the high probability of a serious injury and the high energies that are often involved

  3. MDCT findings in sports and recreational accidents

    Bensch, Frank V; Koivikko, Mika P; Koskinen, Seppo K (Dept. of Radiology, Toeoeloe Hospital, Helsinki (Finland)), email: frank.bensch@hus.fi

    2011-12-15

    Background. Sports and recreational accidents involving critical areas of the body occur commonly in the general population. Reports on their demographics and recommendations for screening procedures are, however, few. Purpose. To assess injuries of the craniofacial area, spine, and torso resulting from sports and recreational accidents with multidetector computed tomography (MDCT) as primary imaging method in a Level I trauma center. Material and Methods. All emergency room CT requests over a time span of 105 months were reviewed retrospectively for trauma mechanism and injury. Patients were identified using an electronic picture archiving and communications system (PACS), and MDCT studies interpreted by two radiologists independently. Results. Of a total of 5898 patients, 492 patients (301 boys/men, 191 girls/women, age range 2-76 years, mean 33.5 years, median 29.5 years) with sports or recreational accidents emerged. A total of 102 traumatic findings were diagnosed, thereof 72 (71%) serious. The three most commonly encountered serious injuries were intracranial injury, fractures of facial bones, and vertebral injuries. The three most common injury mechanisms were bicycling, horseback riding, and team ball sports. Patients from recreational activities were on average significantly younger (29.2 years) than those from sports accidents (36.9 years; P < 0.001). Only age groups <21 years and 41-50 years differed in injury severity from the other age groups (P = 0.004 and P = 0.063, respectively). Of all trauma mechanisms, only bicycling had a significantly increased risk of injury (P < 0.001). Conclusion. Injuries in sports and recreational accidents presented with an overall incidence of 21%, of which 71% are serious. The most common mechanisms of injury were bicycling, horseback riding, and team ball sports. The largest incidence of serious injury involved bicycling. Because of the high probability of a serious injury and the high energies that are often involved

  4. Severe accident management. Prevention and Mitigation

    Effective planning for the management of severe accidents at nuclear power plants can produce both a reduction in the frequency of such accidents as well as the ability to mitigate their consequences if and when they should occur. This report provides an overview of accident management activities in OECD countries. It also presents the conclusions of a group of international experts regarding the development of accident management methods, the integration of accident management planning into reactor operations, and the benefits of accident management

  5. Are accident flying squads also worthwhile for medical emergencies?

    Cope, A R; Dove, A F; Kulendrarajah, T; McLauchlan, C A

    1991-01-01

    A retrospective analysis of 208 flying squad attendances was performed to assess the effect of pre-hospital care by the team on outcome in emergency medical conditions, and in the trauma victim. Sixty-two (26%) of these cases were medical, but only 24 (11.5%) required immediate cardiopulmonary resuscitation. Only one out of the four successful resuscitations finally left hospital alive. In trauma, there was no significant enhancement of survival due to the presence of the team by comparing th...

  6. Intelligent emergency service system based on wireless sensor and actuator networks%基于无线传感执行网络的智能应急服务系统

    张颖; 张军; 宋光明; 乔贵方; 宋爱国

    2016-01-01

    An intelligent emergency service IES system is designed for indoor environments based on a wireless sensor and actuator network WSAN composed of a gateway sensor nodes and a multi-robot system MRS .If the MRS receives accident alarm information the group of robots will navigate to the accident sites and provide corresponding emergency services.According to the characteristics of the MRS a distributed consensus formation protocol is designed which can assure that the multiple robots arrive at the accident site in a specified formation.The prototype emergency service system was designed and implemented and some relevant simulations and experiments were carried out. The results show that the MRS can successfully provide emergency lighting and failure node replacement services when accidents happen.The effectiveness of the algorithm and the feasibility of the system are verified.%基于由网关、静态传感器节点和多移动机器人系统组成的无线传感和执行网络,设计了一种用于室内环境的应急服务系统。当网络中多机器人系统接收到事故报警信息时,多机器人将导航至事故地点并提供相应的应急服务。根据网络中多移动机器人系统的特点,设计了一种分布式一致性编队算法,使得多机器人系统能够保持队形到达目标位置。最后设计并实现了这种应急服务系统,并进行了仿真和实验测试。结果表明当发生事故时,多机器人系统可以成功提供应急照明和故障检测节点的替换服务。算法的有效性和系统的可行性得到了验证。

  7. Compilation and response key points of emergency plan for dangerous chemical poisoning accident attention and response points%危险化学品中毒事故应急预案编制与响应关注要点

    邢娟娟

    2011-01-01

    大工业的发展导致各类职业中毒事件的发生日益严重,除人员伤亡等影响外,也会对于社会公众安全带来影响.应急预案编制中强调应急准备的重要性和针对性.职业危害事故识别和分类分级处理以及对于社会公共安全影响的危机处理能力是应急工作中应该关注的重要内容.应急响应中强调第一目击者的处理能力的培养、现场的实时监测、事故报告与事态演变的持续预警、有效应急资源应对危机处理的能力.%The development of great industry lead to the occurrence of all kinds of occupational poisoning event, in addition to the increasingly serious casualties, the social public security will also be affected. Emergency plancom-pilation stressed in the the importance and relevance of emergency preparedness. Occupational hazard accidents I-dentification, classification and grading disposal, and the ability of handling crisis for public safety influence were the important content that should be focused on in emergency work. Emergency response stressed in the training of first witnesses processing ability that should be focused on in emergency work, on-site real-time monitoring, the accident report and the early warning of evolution, and the ability to effectively deal with crisis disposal of emergency resources.

  8. Hazard perception in emergency medical service responders.

    Johnston, K A; Scialfa, C T

    2016-10-01

    The perception of on-road hazards is critically important to emergency medical services (EMS) professionals, the patients they transport and the general public. This study compared hazard perception in EMS and civilian drivers of similar age and personal driving experience. Twenty-nine EMS professionals and 24 non-professional drivers were given a dynamic hazard perception test (HPT). The EMS group demonstrated an advantage in HPT that was independent of simple reaction time, another indication of the validity of the test. These results are also consistent with the view that professional driving experience results in changes in the ability to identify and respond to on-road hazards. Directions for future research include the development of a profession-specific hazard perception tool for both assessment and training purposes. PMID:27415813

  9. Implementation of the Service for Radiological Emergency Response of CRCN-NE/CNEN-PE, Recife, PE, Brazil

    In 1998, it was created in the Centro Regional de Ciencias Nucleares (CRCN-NE) - the Brazilian regional center of nuclear sciences -, Recife, PE, Brazil, the Service for Radiological Emergency Response with the objective of providing the population of Pernambuco and neighboring States a team of professionals specialized in emergency situations and radiological protection. This action has the purpose of decentralization of actions of the Brazilian National Nuclear Energy Commission (CNEN), an agency responsible for licensing and safety of radioactive sources in Brazil. With this study we can conclude that the settlement of SAER/CRCN came to meet initial expectations, having in the last years provided assistance in situations with suspected radioactive material and participated actively: with radioactive load simulation; of the Exercicio de Emergencia Aeronautica Completo (EXEAC) - an emergency simulated training in airports- from the Guararapes-Gilberto Freire Airport; trained, every two years, the services of emergency for accidents and participated in events of the area

  10. Emergence of Mobility Services in Urban China

    Jean-Francois Doulet

    2010-01-01

    This article points out the limits of top-down strategies in China rooted in the construction of large-scale transportation facilities, primarily road networks. It helps to identify emerging trends that show a shift from a "hardware" approach, which focuses mainly on heavy in- frastructure investments, to a "software" approach, which rather relies on improving travel conditions. Based on the description of three existing mobility services that won awards in the 2010 "Better Mobility, Better Life" Prize for Innovative Urban Mobility Solutions, this article assesses these bottom-up, multi-participation strategies, and the effects of these "soft strategies" on improving travel conditions, reducing car dependency, building communities, etc. Finally, it concludes that these soft measures can contribute to the building of a harmonious society and low-carbon cities, and should receive more attention and support.

  11. Development of a decision support system for off-site emergency management in the early phase of a nuclear accident

    Full text: Experience gained after the Chernobyl accident clearly demonstrated the importance of improving administrative, organizational and technical emergency management arrangements in India. The more important areas where technical improvements were needed were early warning monitoring, communication networks for the rapid and reliable exchange of radiological and other information and decision support systems for off-site emergency management. A PC based artificial intelligent software has been developed to have a decision support system that can easily implement to manage off-site nuclear emergency and subsequently analyze the off-site consequences of the nuclear accident. A decision support tool, STEPS (source term estimate based on plant status), that provides desired input to the present software was developed. The tool STEPS facilitates meta knowledge of the system. The paper describes the details of the design of the software, functions of various modules, tuning of respective knowledge base and overall its scope in real sense in nuclear emergency preparedness and response

  12. Pre-test on butt joint between quality control system of nuclear power plant emergency management under accident and ISO9000 series

    Based on prototype of ISO9000 QMS, its serviceability with NPP emergency management is analyzed, positive impact of implying ISO9001 is approached in addition to its equivalence effect on the latter, equivalence transformation between them is established. Preliminary analysis indicate that ISO9000 series is fit for this research field. The transformation comprehension of ISO9000 terms article is given here, looking forward to foreshadow the successor research. (authors)

  13. The experiences of emergency department use by street-involved youth: Perspectives of health care and community service providers.

    Nicholas, David B; Newton, Amanda S; Kilmer, Christopher; Calhoun, Avery; deJong-Berg, Margaret A; Dong, Kathryn; Hamilton, Faye; McLaughlin, Anne Marie; Shankar, Janki; Smyth, Peter

    2016-08-01

    Street-involved (SI) youth represent a significant proportion of urban homeless populations. While previous research has identified SI youth as substantial users of emergency department (ED) services and has examined their experiences of ED care, little is known about the experiences and perceptions of the service providers who assist these youth with health care related issues. Using grounded theory, individual interviews and focus groups were conducted with 20 community agency staff serving SI youth, 17 health service providers, two hospital administrators, and two hospital security personnel regarding their experiences in providing or facilitating ED care for SI youth. Results identify differences in expectations between SI youth and hospital staff, along with service issues and gaps, including relational barriers and resource constraints. Implications for practice and policy development are offered. PMID:27351791

  14. 急诊护理常见纠纷原因探析及防范对策%Investigation and precaution measure on the common causes of emergency medical accidents

    傅清华

    2012-01-01

      Emergency treatment is the high risk area for medical accidents and disputes, ease to mistakes and accidents. In this paper, the reason was analyzed and the corresponding improvement measures were proposed. The purpose is to improve nurses' awareness and reduce nursing disputes.%  急诊是医疗事故和纠纷的高风险区,容易发生差错事故。现对其原因进行分析并提出相应改进措施,目的在于提高护士的认识,减少护理纠纷的发生。

  15. Severe accident management. Optimized guidelines and strategies

    the accident progression in near future, to identify the currently most critical tasks as well as upcoming tasks, and to qualify the emergency response team to make informed decisions for the severe accident mitigation based on state-of-the-art knowledge. In this paper, this severe accident management concept is introduced and explained. It is also shown that AREVA is able to apply this methodology to other (including non-OEM) plant types, thus providing a comprehensive safety analysis of the existing plant state with already available safety systems and instrumentation. In addition, the possible need and potential for hardware refitting can be assessed as well. Finally, the severe accident management procedures are then established or updated accordingly. (author)

  16. 50 CFR 401.17 - Safety and accident prevention.

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Safety and accident prevention. 401.17 Section 401.17 Wildlife and Fisheries JOINT REGULATIONS (UNITED STATES FISH AND WILDLIFE SERVICE... FISHERIES CONSERVATION, DEVELOPMENT AND ENHANCEMENT § 401.17 Safety and accident prevention. In...

  17. Development of the french accident management and procedures - role of operators in accident and incident management

    This paper gives a brief overview of the set of emergency operating procedures for French NPPs and the method used to built and validate these procedures. Particular emphasis is put on the role and organisation of the operating team during an incident or accident. (orig.)

  18. Assisting emergency operating procedures execution with AMAS, an Accident Management Advisor System

    In an accident situation, because any decisions that the operators make will depend on how instrumentation readings are ultimately interpreted, the issue of instrument uncertainty is of paramount importance. This uncertainty exists because instrument readings may not be available in the desired form - i.e., only indirect readings for a parameter of interest may exist, with uncertainty on which physical models may be used to deduce its value from these indirect indications -, or because readings may be coming from instruments whose accuracy and reliability in the face of the severe conditions produced by the accident are far from what may be expected under normal operating conditions. In following the EOPs, the operators must rely on instrumentation whose readings may not reflect the real situation. The Accident Management Advisor System (AMAS) is a decision aid intended to supplement plant Emergency Operating Procedures (EOPs) by accounting for instrumentation uncertainty, and by alerting the operators if they are on the wrong procedures, or otherwise performing an action that is not optimal in terms of preventing core damage. In AMAS, the availability and reliability of certain important instrument readings is treated in probabilistic, rather than deterministic terms. This issue is discussed in greater detail later in the paper, since it relates to one of the key characteristics of the AMAS decision aid. (author)

  19. Analysis of the experience in participation of army medical service in medical arrangement in case of radiation accident

    The paper presented calculations of manpower and money funds for rendering aid to the injured persons in case of radiation accident. The authors offered a scheme of using medical anti-radial aids on various stages of radiation accident; immediately after the accident in case of non-predicted and controlled radiation exposure. Army Medical Service is capable of solving promptly the tasks of medical aid with the help of highly mobile specialized medical units, the use of which is stipulated in the system of the Russian Service of disaster medicine. 10 refs.; 1 tab

  20. Creating Regional Advantage: The Emergence of IT-Enabled Services in Nairobi and Cape Town

    Bell, Bob

    2015-01-01

    Since the early-to-mid 2000's, South Africa's Western Cape and Kenya's capital city Nairobi have been attracting flows of trade and investments in information technology-enabled services (ITES). The flows are small but significant and growing, with multinational companies like Amazon, Google, IBM, and others locating and developing market niches in these regions. Why have these regions managed to attract IT-enabled services investments, given their regional economic challenges and marginality...

  1. Knowledge and attitude regarding standard precautions in a Brazilian public emergency service: a cross-sectional study Conocimiento y actitud sobre las precauciones estándar en un servicio público de emergencia brasileño: un estudio transversal Conhecimento e atitude sobre precauções-padrão em um serviço público de emergência brasileiro: um estudo transversal

    Adriana Cristina de Oliveira; Maria Helena Palucci Marziale; Maria Henriqueta Rocha Siqueira Paiva; Aline Cristine Souza Lopes

    2009-01-01

    The purpose of this study was to assess the knowledge and attitude of health care professionals regarding their use of universal precaution measures at a public emergency service. The study also aimed to assess the rates of occupational accidents involving biological substances among those workers. This study was performed with 238 workers, from June to November 2006, using univariate and multivariate analysis. The chance of not adopting precaution measures was 20.7 (95% CI: 5.68 - 75.14) tim...

  2. Congestion by accident? Traffic and accidents in England

    Pasidis, Ilias-Nikiforos

    2015-01-01

    The goal of this paper is the estimation of the effect of accidents on traffic congestion and vice versa. In order to do this, I use ?big data? of highway traffic and accidents in England for the period 2007-2013. The data exhibit some remarkably stable cyclical pattern of highway traffic which is used as a research setting that enables the identification of the causal effect of accidents on traffic congestion and vice versa. The estimation draws on panel data methods that have previously bee...

  3. Nuclear laws and radiologic accidents

    Some aspects of the nuclear activities in Brazil, specially concerning the Goiania s accident are demonstrated using concepts from environmental and nuclear law. Nuclear and environmental competence, the impossibility of the states of making regional laws, as the lack of regulation about the nuclear waste, are discussed. The situation of Goiania when the accident happened, the present situation of the victims and the nuclear waste provisionally stored in Abadia de Goias is reported

  4. Usage of psychiatric emergency services by asylum seekers

    Reko, Amra; Bech, Per; Wohlert, Cathrine;

    2015-01-01

    given at the initial evaluation was ICD-10 F43.9 "reaction to severe stress, unspecified" (50%). Evaluations were made primarily by non-psychiatrists. No standardized screening or diagnostic instrument was used. CONCLUSION: This first description of the use of an acute psychiatric emergency service by......BACKGROUND: Asylum seekers are found to be at high risk of mental health problems. Little is known about the use of acute psychiatric emergency services by asylum seekers. AIM: To describe the usage of an inpatient/outpatient psychiatric emergency service in Denmark by adult asylum seekers, and...... predominantly male and married. The group consisted primarily (61%) of failed asylum seekers. Most patients (81%) presented with relevant mental health problems. The main reasons for presenting to the acute psychiatric emergency service were suicidal ideation and/or behaviour (60%). The most frequent diagnosis...

  5. Balancing Academic Teaching, Research, and Service: a Paradigm Emerging from NSF-TUES Sponsored Project Experiences

    De Paor, D. G.

    2012-12-01

    training. Our policy has lead to the emergence of a paradigm for academic inquiry. We develop and test learning resources to cover the gamut of earth and planetary sciences, which we view as the science of four-dimensional place-time. Our learning objects emphasize the role of visualization in promoting understanding. If these resources fail to achieve desired outcomes, we look into their design but also examine our own understanding of topics, since instructor misconceptions are an obvious hindrance to learning. Redesign of visualizations may improve outcomes but sometimes the problem lies not with presentation or content knowledge, but rather with gaps in the science itself. Thus teaching and public outreach can become vehicles for the discovery of fertile research questions. Dissemination of a policy that eastablishes teaching and service as bridges leading to research products has the potential to generate transformative changes in the education that graduate students deliver and thus the education that undergraduate students receive.

  6. Identifying Frequent Users of an Urban Emergency Medical Service Using Descriptive Statistics and Regression Analyses

    Chenelle Norman, MPH

    2016-01-01

    Full Text Available This retrospective cohort study provides a descriptive analysis of a population that frequently uses an urban emergency medical service (EMS and identifies factors that contribute to use among all frequent users. For purposes of this study we divided frequent users into the following groups: low- frequent users (4 EMS transports in 2012, medium-frequent users (5 to 6 EMS transports in 2012, high-frequent users (7 to 10 EMS transports in 2012 and super-frequent users (11 or more EMS transports in 2012. Overall, we identified 539 individuals as frequent users. For all groups of EMS frequent users (i.e. low, medium, high and super one or more hospital admissions, receiving a referral for follow-up care upon discharge, and having no insurance were found to be statistically significant with frequent EMS use (P<0.05. Within the diagnostic categories, 41.61% of super-frequent users had a diagnosis of “primarily substance abuse/misuse” and among low-frequent users a majority, 53.33%, were identified as having a “reoccurring (medical diagnosis.” Lastly, relative risk ratios for the highest group of users, super-frequent users, were 3.34 (95% CI [1.90-5.87] for obtaining at least one referral for follow-up care, 13.67 (95% CI [5.60-33.34] for having four or more hospital admissions and 5.95 (95% CI [1.80-19.63] for having a diagnoses of primarily substance abuse/misuse. Findings from this study demonstrate that among low- and medium-frequent users a majority of patients are using EMS for reoccurring medical conditions. This could potentially be avoided with better care management. In addition, this study adds to the current literature that illustrates a strong correlation between substance abuse/misuse and high/super-frequent EMS use. For the subgroup analysis among individuals 65 years of age and older, we did not find any of the independent variables included in our model to be statistically significant with frequent EMS use.

  7. Identifying Frequent Users of an Urban Emergency Medical Service Using Descriptive Statistics and Regression Analyses

    Norman, Chenelle; Mello, Michael; Choi, Bryan

    2016-01-01

    This retrospective cohort study provides a descriptive analysis of a population that frequently uses an urban emergency medical service (EMS) and identifies factors that contribute to use among all frequent users. For purposes of this study we divided frequent users into the following groups: low- frequent users (4 EMS transports in 2012), medium-frequent users (5 to 6 EMS transports in 2012), high-frequent users (7 to 10 EMS transports in 2012) and super-frequent users (11 or more EMS transports in 2012). Overall, we identified 539 individuals as frequent users. For all groups of EMS frequent users (i.e. low, medium, high and super) one or more hospital admissions, receiving a referral for follow-up care upon discharge, and having no insurance were found to be statistically significant with frequent EMS use (P<0.05). Within the diagnostic categories, 41.61% of super-frequent users had a diagnosis of “primarily substance abuse/misuse” and among low-frequent users a majority, 53.33%, were identified as having a “reoccurring (medical) diagnosis.” Lastly, relative risk ratios for the highest group of users, super-frequent users, were 3.34 (95% CI [1.90–5.87]) for obtaining at least one referral for follow-up care, 13.67 (95% CI [5.60–33.34]) for having four or more hospital admissions and 5.95 (95% CI [1.80–19.63]) for having a diagnoses of primarily substance abuse/misuse. Findings from this study demonstrate that among low- and medium-frequent users a majority of patients are using EMS for reoccurring medical conditions. This could potentially be avoided with better care management. In addition, this study adds to the current literature that illustrates a strong correlation between substance abuse/misuse and high/super-frequent EMS use. For the subgroup analysis among individuals 65 years of age and older, we did not find any of the independent variables included in our model to be statistically significant with frequent EMS use. PMID:26823929

  8. CBR in the service of accident cases evaluating

    Lassaâd Mejri

    2013-01-01

    Full Text Available This paper introduces a research aiming at the development of a decision support system concerning the approval of automated railway transportation systems. The objective is to implement a valuation method for the degree of compliance of the automated transportation system in-group of safety standards by the analysis of the scenarios of accident. To reach this target, we envisaged an approach Rex (Return of experience who draws the lessons of accidents / incidents lived and/or imagined by the experts of the analysis of security in the IFSTAAR. Our approach consists in offering a decision support in the side of the experts of the certification based on a reuse of the scenarios of accidents already validated historically on other approved transportation systems. This approach Rex is very useful since it provides to the experts a class of scenarios of accidents similar to the new case treated and getting closer to the context of new case. The Case-based reasoning is then exploited as a mode of reasoning by analogy allowing to choose and to recollect one under group of historical cases that can help in the resolution of the new case introduced by the experts. Process-Oriented Case-Based Reasoning (PO-CBR is a growing application area in which CBR is used to address problems involving process data in a variety of specialized domains. PO-CBR systems often use structured cases. Our approach is characterized by a two-phased retrieval strategy. A first phase consists in retrieving a set of cases to be considered (a class of cases most similar to a problem to resolve. In a second phase, a more fine grained strategy is then applied to the pool of candidate cases already selected by the mean of similarity measures. This approach can enhance the process of retrieving cases compared to an exhaustive case-by-case comparison.

  9. Psychical and social effects related to post-accident situations: some training of Chernobyl accident

    Some preliminary considerations on the psychic and societal dimensions related to post-accident situations connected to large scale and heavy land contamination are presented. This is done with the objective of exploring the role that these dimensions could play in the elaboration of new radiological protection principles and concepts in order to restore confidence among affected populations after a nuclear accident. It is important to facilitate the return to normal or, at least, acceptable living conditions, as soon as reasonably achievable, and to prevent the possible emergence of a post-accident crisis. A scheme is proposed for understanding the dynamics of the various phases after an accident, taking into account the collective response to the consequences as well as, the response to the countermeasures. (Author)

  10. Study on generic intervention levels for protecting the public in a nuclear accident or radiological emergency

    After a nuclear accident or radiological emergency, several social and economical factors shall be considered for the actions to protect the public and to recover the environment. The application of the radiological protection principles on practices in intervention situations may lead to adoption of protective measures disproportional to the involved risk, compromising the resources available to more effective actions. This causes a negative impact on the population and may conduct to discredit about the protective measures and the lost of confidence on the authorities. In this context, the principles of radiological protection for interventions should be studied and analyzed for being adequately applied in accident situations or radiological emergencies that involves the country. These principles are constantly improved and the concept of generic intervention level plays an important role in the decision-making to protect the public. The costs involved to the protective measures for the public in Brazil were studied and cost benefit analysis techniques were applied to estimate the generic intervention levels for public protection applicable in the country. These results were compared to those values internationally recommended, as well to values obtained in a similar study accomplished for Japan. It was also performed a sensibility analysis of the results regarding a value and a simple analysis of the results considering the costs of the several protective measures. (author)

  11. A Model for Emergency Service of VoIP Through Certification and Labeling

    Douglas Sicker; Tom Lookabaugh

    2004-01-01

    Voice over Internet Protocol (VoIP) will transform many aspects of traditional telephony service including technology, the business models and the regulatory constructs that govern such service. This transformation is generating a host of technical, business, social and policy problems. The Federal Communications Commission (FCC) could attempt to mandate obligations or specific solutions to the policy issues around VoIP, but is instead looking first to industry initiatives focused on key func...

  12. Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project

    Janelle Hippe

    2014-06-01

    Full Text Available Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1 targeted distribution of a survey to communities throughout the region, and (2 informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs,  developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research. Keywords: rural, remote, healthcare, health services, social determinants of health

  13. 'Present nuclear emergency responses in India: tracing requirements and guidelines suggested after Fukushima accident in regards to public and plant safety

    In this poster the primary initiative is to educate the public at large and instill confidence about the present Emergency Response Systems of DAE and the imminent agencies in India. Poster attempts to analyse present regulatory and safety systems, mechanisms like plant and site emergency response plans are in place to handle radiation emergencies and how public will not be affected in any manner. In India also we needed some supplementary provisions to cope up with major disasters in Nuclear Power Plants (NPP) apart from the existing one. Some of the NPPs are not under the UN safeguards, which can not import Uranium also need extra care and protection. Regulatory and safety functions of Atomic Energy in India are carried out by the Atomic Energy Regulatory Board (Atomic Energy Regulatory Board), the poster attempts to explain the present regulatory and safety mechanism under Atomic Energy Regulatory Board. We have the plant and site emergency response plans in place. The well planned functioning of these is demonstrated here. India is equipped with detail plans of emergency response system, to handle the radiation emergencies in public domain even at the locations where DAE facility is not available

  14. Triage effect on wait time of receiving treatment services and patients satisfaction in the emergency department: Example from Iran

    Khankeh, Hamid-Reza; Khorasani-Zavareh, Davoud; Azizi-Naghdloo, Farah; Hoseini, Mohammad-Ali; Rahgozar, Mahdi

    2013-01-01

    Background: Long wait time interval in emergency department (ED) of hospitals, from the patients’ point of view in ED is a major problem causing patients’ dissatisfaction and may result increasing in patient morbidity and indirectly nurses dissatisfaction. Evaluation of wait time intervals in ED and giving nursing feedback may improve the quality of services, as well as patient satisfaction. The present study was designed to investigate the effect of nursing triage on receiving treatment of w...

  15. Electricity-caused deathly accidents in households and their misinterpretation

    Erkrath, K.D.; Weiler, G.

    1982-12-17

    In this report results are presented which indicate the problems which are connected with the primary diagnosis and to which the emergency physician finds himself confronted. Comparable with a wrong diagnosis in the case of a fatal CO intoxication, the source of danger remains also in case of an undetected fatal accidents due to electricity which occured in the household, and consequently the physician might one day be accused of manslaughter caused by criminal negligence, if another fatal accident occurs. This article gives five selected examples which shall help the emergency physician and the coroner to consider the death due to electric shock as a possible cause of death when a fatal accident occurs in a household. Between 1974 and 1981 autopsy was made in 40 persons, who had died in accidents due to electric shock, in the Institut fuer Rechtsmedizin des Universitaetsklinikums Essen. Of these cases 26 were identified as accidents which had occurred in the household.

  16. Emergency management in nuclear accident situations the disaster exercise 1995 'Northern Light'

    Emergency management does not only start after something has happened. Initially, a feasibility study usually assesses the risk for technologically critical processes and applications. Preventive strategies will be employed both in the administrative and technical field to minimize risk. Technical solutions will increase inherent safety or provide monitoring of critical components. Administrative action would result e.g. in restricted access, training programs, or detailed operating protocols. A final stage would be preparation for remedial action and defining the groundwork for emergency management in cooperation with civil defense forces. Appropriate precautions will be based on hazard potential, which is inherently substantial when dealing with nuclear accidents. Being the last line of defence, the civil or military defense forces will be involved if a major disaster occurs despite all precautions, overpowering on-site crew capabilities. For major disasters requiring even international assistance, the United Nations Department of Humanitarian Affairs has started to conduct disaster preparedness exercises to improve cooperation and communication among the international relief teams and the local authorities. The EXERCISE '95 was organized by the Russian ministry for disaster management simulating a major accident in an atomic power plant located on the Kola peninsula. (author)

  17. Emergency preparedness: medical management of nuclear accidents involving large groups of victims

    The treatment of overexposed individuals implies hospitalisation in a specialized unit applying hematological intense care. If the accident results in a small number of casualties, the medical management does not raise major problems in most of the countries, where specialized units exist, as roughly 7% of the beds are available at any time. But an accident which would involved tens or hundreds of people raises much more problems for hospitalization. Such problems are also completely different and will involve steps in the medical handling, mainly triage, (combined injuries), determination of whole body dose levels, transient hospitalization. In this case, preplanning is necessary, adapted to the system of medical care in case of a catastrophic event in the given Country, with the main basic principles : emergency concerns essentially the classical injuries (burns and trauma) - and contamination problems in some cases - treatment of radiation syndrome is not an emergency during the first days but some essential actions have to be taken such as early blood sampling for biological dosimetry and for HLa typing

  18. A Review of the Courses on Emergency Preparedness and Medical Procedures in Case of a Nuclear Accident Organised in Zagreb, Croatia

    As a part of the postgraduate education at the Medical School of the University of Zagreb different short courses are offered. It has been realised that the knowledge about radiation and its uses among the doctors is more than insufficient, especially if any action for treatment of radiation victims will ever be needed. The specialized courses of the I. category offered and described bellow are meant to provide the sufficient theoretical knowledge about ionising radiations as well as practical workshops and exercises in treatment of persons accidentally injured in a nuclear power plant or similar accident. (author)

  19. Organisational Sustainability Modelling – an emerging service and analytics model for evaluating Cloud Computing adoption with two case studies

    Chang, Victor; Walters, Robert; Wills, Gary

    2016-01-01

    Cloud computing is an emerging technology which promises to bring with it great benefits to all types of computing activities including business support. However, the full commitment to Cloud computing necessary to gain the full benefit is a major project for any organisation, since it necessitates adoption of new business processes and attitudes to computing services in addition to the immediately obvious systems changes. Hence the evaluation of a Cloud computing project needs to consider th...

  20. Modeling, simulation and emergency response

    Sullivan, T.J.

    1985-01-01

    The Department of Energy's Atmospheric Release Advisory Capability (ARAC) has been developed at the Lawrence Livermore National Laboratory to provide a national capability in emergency response to radiological accidents. For the past two years the system has been undergoing a complete redesign and upgrade in software and hardware. Communications, geophysical databases, atmospheric transport and diffusion models and experienced staff form the core of this rapid response capability. The ARAC system has been used to support DOE commitments to radiological accidents including the Three Mile Island accident, the COSMOS satellite reentries, the TITAN II missile accident and several others. This paper describes the major components of the ARAC system, presents example calculations and discusses the interactive process of the man-machine environment in an emergency response system.

  1. Security Risks of Cloud Computing and Its Emergence as 5th Utility Service

    Ahmad, Mushtaq

    Cloud Computing is being projected by the major cloud services provider IT companies such as IBM, Google, Yahoo, Amazon and others as fifth utility where clients will have access for processing those applications and or software projects which need very high processing speed for compute intensive and huge data capacity for scientific, engineering research problems and also e- business and data content network applications. These services for different types of clients are provided under DASM-Direct Access Service Management based on virtualization of hardware, software and very high bandwidth Internet (Web 2.0) communication. The paper reviews these developments for Cloud Computing and Hardware/Software configuration of the cloud paradigm. The paper also examines the vital aspects of security risks projected by IT Industry experts, cloud clients. The paper also highlights the cloud provider's response to cloud security risks.

  2. National Weather Service, Emergency Medical Services, Scripps Institution of Oceanography/UCSD and California EPA Collaboration on Heat Health Impact and Public Notification for San Diego County

    Tardy, A. O.; Corcus, I.; Guirguis, K.

    2015-12-01

    The National Weather Service (NWS) has issued official heat alerts in the form of either a heat advisory or excessive heat warning product to the public and core partners for many years. This information has traditionally been developed through the use of triggers for heat indices which combine humidity and temperature. The criteria typically used numeric thresholds and did not consider impact from a particular heat episode, nor did it factor seasonality or population acclimation. In 2013, the Scripps Institution of Oceanography, University of California, San Diego in collaboration with the Office of Environmental Health Hazard Assessment, of the California Environmental Protection Agency and the NWS completed a study of heat health impact in California, while the NWS San Diego office began modifying their criteria towards departure from climatological normal with much less dependence on humidity or heat index. The NWS changes were based on initial findings from the California Department of Public Health, EpiCenter California Injury Data Online system which documents heat health impacts. Results from the UCSD study were finalized and published in 2014; they supported the need for significant modification of the traditional criteria. In order to better understand the impacts of heat on community health, medical outcome data were provided by the County of San Diego Emergency Medical Services Branch, which is charged by the County's Public Health Officer to monitor heat-related illness and injury daily from June through September. The data were combined with UCSD research to inform the modification of local NWS heat criteria and establish trigger points to pilot new procedures for the issuance of heat alerts. Finally, practices and procedures were customized for each of the county health departments in the NWS area of responsibility across extreme southwest California counties in collaboration with their Office of Emergency Services. The end result of the

  3. Customer perceived value of emerging technology-intensive business service

    Komulainen, H

    2010-01-01

    Abstract This study explores customer perceived value in the context of emerging technology-intensive business service, in particular a mobile advertising service that is at the application phase of development. The purpose of the study is to conceptualise customer perceived value as a multidimensional concept by exploring 1) the complex interaction between benefits and sacrifices 2) temporality and 3) learning. This way the study contributes to the existing research within services marke...

  4. Advanced payload concepts and system architecture for emerging services in Indian National Satellite Systems

    Balasubramanian, E. P.; Rao, N. Prahlad; Sarkar, S.; Singh, D. K.

    2008-07-01

    Over the past two decades Indian Space Research Organization (ISRO) has developed and operationalized satellites to generate a large capacity of transponders for telecommunication service use in INSAT system. More powerful on-board transmitters are built to usher-in direct-to-home broadcast services. These have transformed the Satcom application scenario in the country. With the proliferation of satellite technology, a shift in the Indian market is witnessed today in terms of demand for new services like Broadband Internet, Interactive Multimedia, etc. While it is imperative to pay attention to market trends, ISRO is also committed towards taking the benefits of technological advancement to all round growth of our population, 70% of which dwell in rural areas. The initiatives already taken in space application related to telemedicine, tele-education and Village Resource Centres are required to be taken to a greater height of efficiency. These targets pose technological challenges to build a large capacity and cost-effective satellite system. This paper addresses advanced payload concepts and system architecture along with the trade-off analysis on design parameters in proposing a new generation satellite system capable of extending the reach of the Indian broadband structure to individual users, educational and medical institutions and enterprises for interactive services. This will be a strategic step in the evolution of INSAT system to employ advanced technology to touch every human face of our population.

  5. Nuclear emergency plan and preparedness in Japan

    The Japanese nuclear emergency plan and preparedness has been reinforced on the basis of lessons learned from the accident at the Three Mile Island-2 nuclear power plant in March 1079 and the Chernobyl accident in 1986. The framework for measures against a nuclear emergency, currently in place is briefly presented. In Japan, the responsibility for the population's protection in case of accidents lies upon prefectural governments. The national government is providing financial and technical support to prefectural governments. To facilitate the technical support for emergency situations, a significant effort has been made to develop computerized support systems: a radiological dose prediction code system SPEEDI and an accident evaluation code COSTA. This enables the prefectural governments to prepare their local emergency response systems by establishing communication networks, emergency medical treatment organizations and radiation monitoring schemes, and also nuclear emergency education, training and exercises. 2 tab., 2 figs., 2 refs

  6. Nuclear law and radiological accidents

    Nuclear activities in Brazil, and particularly the radiological accident of Goiania, are examined in the light of the environmental and nuclear laws of Brazil and the issue of responsibility. The absence of legislation covering radioactive wastes as well as the restrictions on Brazilian States to issue regulations covering nuclear activities are reviewed. The radiological accident and its consequences, including the protection and compensation of the victims, the responsibility of the shareholders of the Instituto Goiano de Radioterapia, operator of the radioactive source, the provisional storage and the final disposal at Abadia de Goias of the radioactive waste generated by the accident are reviewed. Finally, nuclear responsibility, the inapplicability of the Law 6453/77 which deals with nuclear damages, and the state liability regime are analysed in accordance with the principles of the Brazilian Federal Constitution. (author)

  7. Nuclear accidents - Liabilities and guarantees

    The 1992 Symposium on Nuclear Accidents - Liabilities and guarantees, organized by the OECD NUCLEAR Energy Agency in collaboration with the international Atomic Energy Agency, discussed the nuclear third party liability regime established by the Paris and Vienna Conventions, its advantages and shortcomings, and assessed the teachings of the Chernobyl accident in the context of that regime. The topics included the geographical scope of the Conventions, the definition of nuclear damage, in particular environmental damage, insurance cover and capacity, supplementary compensation by means of a collective contribution from the nuclear industry or governments, and finally, the international liability of States in case of a nuclear accident. This proceeding contains 26 papers which have been selected

  8. A Comparative Study of Compression Methods and the Development of CODEC Program of Biological Signal for Emergency Telemedicine Service

    Yoon, T.S.; Kim, J.S. [Changwon National University, Changwon (Korea); Lim, Y.H. [Visionite Co., Ltd., Seoul (Korea); Yoo, S.K. [Yonsei University, Seoul (Korea)

    2003-05-01

    In an emergency telemedicine system such as the High-quality Multimedia based Real-time Emergency Telemedicine(HMRET) service, it is very important to examine the status of the patient continuously using the multimedia data including the biological signals(ECG, BP, Respiration, S{sub p}O{sub 2}) of the patient. In order to transmit these data real time through the communication means which have the limited transmission capacity, it is also necessary to compress the biological data besides other multimedia data. For this purpose, we investigate and compare the ECG compression techniques in the time domain and in the wavelet transform domain, and present an effective lossless compression method of the biological signals using JPEG Huffman table for an emergency telemedicine system. And, for the HMRET service, we developed the lossless compression and reconstruction program of the biological signals in MSVC++ 6.0 using DPCM method and JPEG Huffman table, and tested in an internet environment. (author). 15 refs., 17 figs., 7 tabs.

  9. Wireless Reporting System for Accident Detection at Higher Speeds u

    Peddi Anudeep; K. Hari Bab

    2014-01-01

    Speed is one of the basic reasons for vehicle accident. Many lives could have been saved if emergency service could get accident information and reach in time. Nowadays, GPS has become an integral part of a vehicle system. This paper proposes to utilize the capability of a GPS receiver to monitor speed of a vehicle and detect accident basing on monitored speed and send accident location to an Alert Service Center. The GPS will monitor speed of a vehicle and compare with the pr...

  10. Ensuring good governance to address emerging and re-emerging animal disease threats: supporting the veterinary services of developing countries to meet OIE international standards on quality.

    Vallat, B; Mallet, E

    2006-04-01

    As an effect of increased globalisation, animal diseases, in particular those transmissible to man, have an immediate global economic and social impact. This fact, dramatically illustrated by the current avian influenza epizootic in South-East Asia and Eastern Europe, clearly demonstrates the crucial importance of the national Veterinary Services (VS) for the prevention, early detection and response for the efficient control of animal diseases. Complying with this mission for the VS presupposes the existence of appropriate governance and legislation and of an official system to control their quality and reliability- an obvious weakness in many developing and in transition countries. The World Organisation for Animal Health (OIE) has therefore developed a project aiming at strengthening the VS in those countries facing the greatest animal health threats and to bring them into line with OIE international standards already adopted by the same countries. Based on the evaluation of the VS and subsequent actions at the global, regional and national levels, the project will have a significant beneficial impact on the targeted countries as well as the international community as a whole, not only in the fields of agriculture, food security and production, and food safety, but also for the local and global prevention of emerging and re-emerging diseases of veterinary and public health importance. The project will be implemented in strong collaboration with the Food and Agriculture Organization. The actions proposed must be considered eligible for the concept of International Public Good. PMID:16796063

  11. Emerging Tools for Evaluating Digital Library Services: Conceptual Adaptations of LibQUAL+ and CAPM

    Heath, Fred; Kyrillidou, Martha; Webster, Duane; Choudhury, Sayeed; Hobbs, Ben; Lorie, Mark; Flores, Nicholas

    2006-01-01

    The paper describes ways to examine how digital libraries are valued by their users, and explores ways of permitting the allocation of resources to areas of user-identified need. Pertinent models from marketing, economics, and library assessment and evaluation are reviewed, focussing on the application of the LibQUAL+TM and CAPM methodologies. Each methodology, which was developed independently, provides a useful framework for evaluating digital library services. The paper discusses the benef...

  12. ABUSE OF INTERNET SERVICES IN THE WORKPLACE AND THE EMERGENCE OF ADDICTION

    Mateja Gorenc

    2016-05-01

    Full Text Available Employees who abuse Internet privileges have become a major concern among today's employers. Employees misuse Internet at the workplace due to the overcrowded schedule, pressures at work, etc. Internet for private purposes is also used as a release or escape from work, escape from the reality of the workplace or due to poor organizational climate; it can be used as an efficient use of time at work but it can also be excessively used when the employees are not monitored. The survey results show that there is a correlation between Internet addiction and misuse of the Internet in the workplace. Electronic monitoring has a strong impact on the abuse of the Internet. More electronic monitoring will decrease the abuse of the internet services in the workplace and vice versa. Organizational climate, relations in the working organization, the Internet policy and demographic factors do not affect the abuse of Internet services in the workplace.

  13. Emergency procedures in London

    This chapter discusses the following: emergency services (fire brigade, ambulance and police) that would be involved in dealing with an accident to a nuclear fuel flask in transport through London, with special reference to procedures used by the Metropolitan Police; geographical area covered by Metropolitan Police; initiation of action; decision whether to evacuate the area of the accident; examples of action taken to deal with non-radiation accidents (in absence of any example of relevant radiation accident); specific instructions, or advice, to police relating to the movement of irradiated fuel; training exercises. (U.K.)

  14. Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service

    Laurent Boyer; Jean-Marc Henry; Jean-Claude Samuelian; Raoul Belzeaux; Pascal Auquier; Christophe Lancon; David Da Fonseca

    2013-01-01

    The aim of this study was to describe the characteristics of children and adolescents admitted to the psychiatric emergency department (ED) of a French public teaching hospital over a six-year study period (2001–2006). Data for all episodes of care in the psychiatric ED from January 1, 2001, to December 31, 2006, delivered to adolescents aged less than 18 years were retrospectively analyzed. During the six-year study period, 335 episodes of care in the psychiatric ED were experienced by 264 d...

  15. Convention of early notification of a nuclear accident. Convention of assistance in the case of a nuclear accident or radiological emergency

    The document refers to the Convention on early notification of a nuclear accident (INFCIRC-335) and to the Convention on assistance in the case of a nuclear accident or radiological emergency (INFCIRC-336). Part I of the document contains reservations/declarations made upon or following signature made by Algeria, Iraq and Thailand. Part II contains reservations/declarations made upon or following deposit of instrument expressing consent to be bound made by Australia, Bulgaria, China, India, Japan, Malaysia, Mongolia, Poland, South Africa, United Arab Emirates and Socialist Republic of Viet Nam. The status of signature, notification, acceptance, approval or accession of the two conventions as of 13 May 1988 is presented in two attachments

  16. 47 CFR 25.284 - Emergency Call Center Service.

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Emergency Call Center Service. 25.284 Section... SATELLITE COMMUNICATIONS Technical Operations § 25.284 Emergency Call Center Service. (a) Providers of mobile satellite service to end-user customers (part 25, subparts A-D) must provide Emergency Call...

  17. Aerosol behavior modeling. Task 3: support services for research and evaluation of severe accident phenomena and mitigation

    The purpose of this task was to assess the importance of a number of phenomena that can play a role in the behavior of aerosols in containment. These phenomena are either currently not being considered by the NRC aerosol containment codes (CONTAIN, MAEROS) or are, because of the constraints on such large systems codes, not treated in a fully mechanistic and synergistic fashion. Much of this assessment was pursued by development and modification of the QUICKM aerosol behavior code as a reference code for the much larger systems codes. Such code development is necessary because the complex nature of aerosol dynamics precludes a purely analytical assessment. Because QUICKM addresses but a small subset of the phenomena considered by the systems codes and because only a few characteristic containment scenarios need be addressed, long computer running times are acceptable. QUICKM therefore allows a more complete assessment of the phenomena in question than is possible or desirable with a full systems code. 19 refs., 14 figs

  18. Rural-Urban Inequity in Unmet Obstetric Needs and Functionality of Emergency Obstetric Care Services in a Zambian District.

    Selia Ng'anjo Phiri

    Full Text Available Zambia has a high maternal mortality ratio, 398/100,000 live births. Few pregnant women access emergency obstetric care services to handle complications at childbirth. We aimed to assess the deficit in life-saving obstetric services in the rural and urban areas of Kapiri Mposhi district.A cross-sectional survey was conducted in 2011 as part of the 'Response to Accountable priority setting for Trust in health systems' (REACT project. Data on all childbirths that occurred in emergency obstetric care facilities in 2010 were obtained retrospectively. Sources of information included registers from maternity ward admission, delivery and operation theatre, and case records. Data included age, parity, mode of delivery, obstetric complications, and outcome of mother and the newborn. An approach using estimated major obstetric interventions expected but not done in health facilities was used to assess deficit of life-saving interventions in urban and rural areas.A total of 2114 urban and 1226 rural childbirths occurring in emergency obstetric care facilities (excluding abortions were analysed. Facility childbirth constituted 81% of expected births in urban and 16% in rural areas. Based on the reference estimate that 1.4% of childbearing women were expected to need major obstetric intervention, unmet obstetric need was 77 of 106 women, thus 73% (95% CI 71-75% in rural areas whereas urban areas had no deficit. Major obstetric interventions for absolute maternal indications were higher in urban 2.1% (95% CI 1.60-2.71% than in rural areas 0.4% (95% CI 0.27-0.55%, with an urban to rural rate ratio of 5.5 (95% CI 3.55-8.76.Women in rural areas had deficient obstetric care. The likelihood of under-going a life-saving intervention was 5.5 times higher for women in urban than rural areas. Targeting rural women with life-saving services could substantially reduce this inequity and preventable deaths.

  19. Wireless Reporting System for Accident Detection at Higher Speeds u

    Peddi Anudeep

    2014-09-01

    Full Text Available Speed is one of the basic reasons for vehicle accident. Many lives could have been saved if emergency service could get accident information and reach in time. Nowadays, GPS has become an integral part of a vehicle system. This paper proposes to utilize the capability of a GPS receiver to monitor speed of a vehicle and detect accident basing on monitored speed and send accident location to an Alert Service Center. The GPS will monitor speed of a vehicle and compare with the previous speed in every second through a Microcontroller Unit. Whenever the speed will be below the specified speed, it will assume that an accident has occurred. The system will then send the accident location acquired from the GPS along with the time and the speed by utilizing the GSM network. This will help to reach the rescue service in time and save the valuable human life.

  20. Organization of the French emergency teams in the event of a radiological accident

    Nowadays, the intervention in ionizing environment is increasingly probable. It is still rare, but with the development of the nuclear programme of electricity production which was held in the french past and the significant rise in the use of the radioelements, as well in the medical field as industrial, the radioactive risk cannot be neglected. Technical and human resources, brought by mobile emergency teams called CMIR, were thus implemented to ensure either the safety of only hard-working exposed to the ionizing radiations, but also that of the population. In France, the organization of the public authorities in the event of nuclear accident, fixed by Directives of the Prime Minister which relate to nuclear safety, protection against radiation, the law and order and the civil safety, is described in Particular Plan for Intervention (PPI). (author)