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Sample records for llnl emergency training

Spill exercise 1980: an LLNL emergency training exercise

International Nuclear Information System (INIS)

Morse, J.L.; Gibson, T.A.; Vance, W.F.

1981-01-01

An emergency training exercise at Lawrence Livermore National Laboratory (LLNL) demonstrated that off-hours emergency personnel can respond promptly and effecively to an emergency situation involving radiation, hazardous chemicals, and injured persons. The exercise simulated an explosion in a chemistry laboratory and a subsequent toxic-gas release
Training the Masses ? Web-based Laser Safety Training at LLNL

Energy Technology Data Exchange (ETDEWEB)

Sprague, D D

2004-12-17

The LLNL work smart standard requires us to provide ongoing laser safety training for a large number of persons on a three-year cycle. In order to meet the standard, it was necessary to find a cost and performance effective method to perform this training. This paper discusses the scope of the training problem, specific LLNL training needs, various training methods used at LLNL, the advantages and disadvantages of these methods and the rationale for selecting web-based laser safety training. The tools and costs involved in developing web-based training courses are also discussed, in addition to conclusions drawn from our training operating experience. The ILSC lecture presentation contains a short demonstration of the LLNL web-based laser safety-training course.
LLNL Site 200 Risk Management Plan

International Nuclear Information System (INIS)

Pinkston, D.; Johnson, M.

2008-01-01

It is the Lawrence Livermore National Laboratory's (LLNL) policy to perform work in a manner that protects the health and safety of employees and the public, preserves the quality of the environment, and prevents property damage using the Integrated Safety Management System. The environment, safety, and health are to take priority in the planning and execution of work activities at the Laboratory. Furthermore, it is the policy of LLNL to comply with applicable ES and H laws, regulations, and requirements (LLNL Environment, Safety and Health Manual, Document 1.2, ES and H Policies of LLNL). The program and policies that improve LLNL's ability to prevent or mitigate accidental releases are described in the LLNL Environment, Health, and Safety Manual that is available to the public. The laboratory uses an emergency management system known as the Incident Command System, in accordance with the California Standardized Emergency Management System (SEMS) to respond to Operational Emergencies and to mitigate consequences resulting from them. Operational Emergencies are defined as unplanned, significant events or conditions that require time-urgent response from outside the immediate area of the incident that could seriously impact the safety or security of the public, LLNL's employees, its facilities, or the environment. The Emergency Plan contains LLNL's Operational Emergency response policies, commitments, and institutional responsibilities for managing and recovering from emergencies. It is not possible to list in the Emergency Plan all events that could occur during any given emergency situation. However, a combination of hazard assessments, an effective Emergency Plan, and Emergency Plan Implementing Procedures (EPIPs) can provide the framework for responses to postulated emergency situations. Revision 7, 2004 of the above mentioned LLNL Emergency Plan is available to the public. The most recent revision of the LLNL Emergency Plan LLNL-AM-402556, Revision 11, March
Joint research and development and exchange of technology on toxic material emergency response between LLNL and ENEA. 1985 progress report

International Nuclear Information System (INIS)

Dickerson, M.H.; Caracciolo, R.

1986-01-01

For the past six years, the US Department of Energy, LLNL, and the ENEA, Rome, Italy, have participated in cooperative studies for improving a systems approach to an emergency response following nuclear accidents. Technology exchange between LLNL and the ENEA was initially confined to the development, application, and evaluation of atmospheric transport and diffusion models. With the emergence of compatible hardware configurations between LLNL and ENEA, exchanges of technology and ideas for improving the development and implementation of systems are beginning to emerge. This report describes cooperative work that has occurred during the past three years, the present state of each system, and recommendations for future exchanges of technology
Joint research and development on toxic-material emergency response between ENEA and LLNL. 1982 progress report

International Nuclear Information System (INIS)

Gudiksen, P.; Lange, R.; Dickerson, M.; Sullivan, T.; Rosen, L.; Walker, H.; Boeri, G.B.; Caracciolo, R.; Fiorenza, R.

1982-11-01

A summary is presented of current and future cooperative studies between ENEA and LLNL researchers designed to develop improved real-time emergency response capabilities for assessing the environmental consequences resulting from an accidental release of toxic materials into the atmosphere. These studies include development and evaluation of atmospheric transport and dispersion models, interfacing of data processing and communications systems, supporting meteorological field experiments, and integration of radiological measurements and model results into real-time assessments
Emergency Response Capability Baseline Needs Assessment - Compliance Assessment

Energy Technology Data Exchange (ETDEWEB)

Sharry, John A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-09-01

This document was prepared by John A. Sharry, LLNL Fire Marshal and Division Leader for Fire Protection and was reviewed by LLNL Emergency Management Department Head, James Colson. This document is the second of a two-part analysis on Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2016 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2016 BNA, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures. The 2013 BNA was approved by NNSA’s Livermore Field Office on January 22, 2014.
LLNL 1981: technical horizons

International Nuclear Information System (INIS)

1981-07-01

Research programs at LLNL for 1981 are described in broad terms. In his annual State of the Laboratory address, Director Roger Batzel projected a $481 million operating budget for fiscal year 1982, up nearly 13% from last year. In projects for the Department of Energy and the Department of Defense, the Laboratory applies its technical facilities and capabilities to nuclear weapons design and development and other areas of defense research that include inertial confinement fusion, nonnuclear ordnances, and particle-beam technology. LLNL is also applying its unique experience and capabilities to a variety of projects that will help the nation meet its energy needs in an environmentally acceptable manner. A sampling of recent achievements by LLNL support organizations indicates their diversity
2016 LLNL Nuclear Forensics Summer Program

Energy Technology Data Exchange (ETDEWEB)

Zavarin, Mavrik [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-11-15

The Lawrence Livermore National Laboratory (LLNL) Nuclear Forensics Summer Program is designed to give graduate students an opportunity to come to LLNL for 8–10 weeks for a hands-on research experience. Students conduct research under the supervision of a staff scientist, attend a weekly lecture series, interact with other students, and present their work in poster format at the end of the program. Students also have the opportunity to meet staff scientists one-on-one, participate in LLNL facility tours (e.g., the National Ignition Facility and Center for Accelerator Mass Spectrometry), and gain a better understanding of the various science programs at LLNL.
2016 LLNL Nuclear Forensics Summer Program

International Nuclear Information System (INIS)

Zavarin, Mavrik

2016-01-01

The Lawrence Livermore National Laboratory (LLNL) Nuclear Forensics Summer Program is designed to give graduate students an opportunity to come to LLNL for 8-10 weeks for a hands-on research experience. Students conduct research under the supervision of a staff scientist, attend a weekly lecture series, interact with other students, and present their work in poster format at the end of the program. Students also have the opportunity to meet staff scientists one-on-one, participate in LLNL facility tours (e.g., the National Ignition Facility and Center for Accelerator Mass Spectrometry), and gain a better understanding of the various science programs at LLNL.
LLNL NESHAPs, 1993 annual report

International Nuclear Information System (INIS)

Harrach, R.J.; Surano, K.A.; Biermann, A.H.; Gouveia, F.J.; Fields, B.C.; Tate, P.J.

1994-06-01

The standard defined in NESHAPSs CFR Part 61.92 limits the emission of radionuclides to the ambient air from DOE facilities to those that would cause any member of the public to receive in any year an effective dose equivalent of 10 mrem. In August 1993 DOE and EPA signed a Federal Facility Compliance Agreement which established a schedule of work for LLNL to perform to demonstrate compliance with NESHAPs, 40 CFR part 61, Subpart H. The progress in LLNL's NESHAPs program - evaluations of all emission points for the Livermore site and Site 300, of collective EDEs for populations within 80 km of each site, status in reguard to continuous monitoring requirements and periodic confirmatory measurements, improvements in the sampling and monitoring systems and progress on a NESHAPs quality assurance program - is described in this annual report. In April 1994 the EPA notified DOE and LLNL that all requirements of the FFCA had been met, and that LLNL was in compliance with the NESHAPs regulations
2017 LLNL Nuclear Forensics Summer Internship Program

Energy Technology Data Exchange (ETDEWEB)

Zavarin, Mavrik [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2017-12-13

The Lawrence Livermore National Laboratory (LLNL) Nuclear Forensics Summer Internship Program (NFSIP) is designed to give graduate students an opportunity to come to LLNL for 8-10 weeks of hands-on research. Students conduct research under the supervision of a staff scientist, attend a weekly lecture series, interact with other students, and present their work in poster format at the end of the program. Students can also meet staff scientists one-on-one, participate in LLNL facility tours (e.g., the National Ignition Facility and Center for Accelerator Mass Spectrometry), and gain a better understanding of the various science programs at LLNL.
The LLNL AMS facility

International Nuclear Information System (INIS)

Roberts, M.L.; Bench, G.S.; Brown, T.A.

1996-05-01

The AMS facility at Lawrence Livermore National Laboratory (LLNL) routinely measures the isotopes 3 H, 7 Be, 10 Be, 14 C, 26 Al, 36 Cl, 41 Ca, 59,63 Ni, and 129 I. During the past two years, over 30,000 research samples have been measured. Of these samples, approximately 30% were for 14 C bioscience tracer studies, 45% were 14 C samples for archaeology and the geosciences, and the other isotopes constitute the remaining 25%. During the past two years at LLNL, a significant amount of work has gone into the development of the Projectile X-ray AMS (PXAMS) technique. PXAMS uses induced characteristic x-rays to discriminate against competing atomic isobars. PXAMS has been most fully developed for 63 Ni but shows promise for the measurement of several other long lived isotopes. During the past year LLNL has also conducted an 129 I interlaboratory comparison exercise. Recent hardware changes at the LLNL AMS facility include the installation and testing of a new thermal emission ion source, a new multianode gas ionization detector for general AMS use, re-alignment of the vacuum tank of the first of the two magnets that make up the high energy spectrometer, and a new cryo-vacuum system for the AMS ion source. In addition, they have begun design studies and carried out tests for a new high-resolution injector and a new beamline for heavy element AMS
FY16 LLNL Omega Experimental Programs

International Nuclear Information System (INIS)

Heeter, R. F.; Ali, S. J.; Benstead, J.; Celliers, P. M.; Coppari, F.; Eggert, J.; Erskine, D.; Panella, A. F.; Fratanduono, D. E.; Hua, R.; Huntington, C. M.; Jarrott, L. C.; Jiang, S.; Kraus, R. G.; Lazicki, A. E.; LePape, S.; Martinez, D. A.; McNaney, J. M.; Millot, M. A.; Moody, J.; Pak, A. E.; Park, H. S.; Ping, Y.; Pollock, B. B.; Rinderknecht, H.; Ross, J. S.; Rubery, M.; Sio, H.; Smith, R. F.; Swadling, G. F.; Wehrenberg, C. E.; Collins, G. W.; Landen, O. L.; Wan, A.; Hsing, W.

2016-01-01

In FY16, LLNL's High-Energy-Density Physics (HED) and Indirect Drive Inertial Confinement Fusion (ICF-ID) programs conducted several campaigns on the OMEGA laser system and on the EP laser system, as well as campaigns that used the OMEGA and EP beams jointly. Overall, these LLNL programs led 430 target shots in FY16, with 304 shots using just the OMEGA laser system, and 126 shots using just the EP laser system. Approximately 21% of the total number of shots (77 OMEGA shots and 14 EP shots) supported the Indirect Drive Inertial Confinement Fusion Campaign (ICF-ID). The remaining 79% (227 OMEGA shots and 112 EP shots) were dedicated to experiments for High-Energy-Density Physics (HED). Highlights of the various HED and ICF campaigns are summarized in the following reports. In addition to these experiments, LLNL Principal Investigators led a variety of Laboratory Basic Science campaigns using OMEGA and EP, including 81 target shots using just OMEGA and 42 shots using just EP. The highlights of these are also summarized, following the ICF and HED campaigns. Overall, LLNL PIs led a total of 553 shots at LLE in FY 2016. In addition, LLNL PIs also supported 57 NLUF shots on Omega and 31 NLUF shots on EP, in collaboration with the academic community.
Train operation in emergencies

CERN Document Server

Jia, Limin; Qin, Yong

2017-01-01

This book presents the latest findings on train operation theories and methods in the context of emergencies. It examines and assesses a range of aspects—including the definition of a railway emergency, transport organization modes in emergencies, calculating railway transport capacity in emergencies, line planning in emergencies, train re-pathing in emergencies and train re-scheduling in emergencies—that are urgently needed in the railway transportation field, which faces the serious challenge of dealing with emergencies worldwide. The book highlights the latest research results in an integrated and systematic way, and the methodology presented is oriented on real-world problems, allowing it to be used not only directly in railway operational management, but also as the point of departure for further applications or theoretical research. As such, the book will be of considerable interest to graduate students and researchers in the field of traffic and transportation engineering.>.
Evaluation of LLNL's Nuclear Accident Dosimeters at the CALIBAN Reactor September 2010

International Nuclear Information System (INIS)

Hickman, D.P.; Wysong, A.R.; Heinrichs, D.P.; Wong, C.T.; Merritt, M.J.; Topper, J.D.; Gressmann, F.A.; Madden, D.J.

2011-01-01

participants were limited in what they were allowed to do at the Caliban and Silene exercises and testing of various elements of the nuclear accident dosimetry programs cannot always be performed as guests at other sites, it has become evident that DOE needs its own capability to test nuclear accident dosimeters. Angular dependence determination and correction factors for NADs desperately need testing as well as more evaluation regarding the correct determination of gamma doses. It will be critical to properly design any testing facility so that the necessary experiments can be performed by DOE laboratories as well as guest laboratories. Alternate methods of dose assessment such as using various metals commonly found in pockets and clothing have yet to be evaluated. The DOE is planning to utilize the Godiva or Flattop reactor for testing nuclear accident dosimeters. LLNL has been assigned the primary operational authority for such testing. Proper testing of nuclear accident dosimeters will require highly specific characterization of the pulse fields. Just as important as the characterization of the pulsed fields will be the design of facilities used to process the NADs. Appropriate facilities will be needed to allow for early access to dosimeters to test and develop quick sorting techniques. These facilities will need appropriate laboratory preparation space and an area for measurements. Finally, such a facility will allow greater numbers of LLNL and DOE laboratory personnel to train on the processing and interpretation of nuclear accident dosimeters and results. Until this facility is fully operational for test purposes, DOE laboratories may need to continue periodic testing as guests of other reactor facilities such as Silene and Caliban.
Laser wakefields at UCLA and LLNL

International Nuclear Information System (INIS)

Mori, W.B.; Clayton, C.E.; Joshi, C.; Dawson, J.M.; Decker, C.B.; Marsh, K.; Katsouleas, T.; Darrow, C.B.; Wilks, S.C.

1991-01-01

The authors report on recent progress at UCLA and LLNL on the nonlinear laser wakefield scheme. They find advantages to operating in the limit where the laser pulse is narrow enough to expel all the plasma electrons from the focal region. A description of the experimental program for the new short pulse 10 TW laser facility at LLNL is also presented
Emergency Response Capability Baseline Needs Assessment - Requirements Document

Energy Technology Data Exchange (ETDEWEB)

Sharry, J A

2016-10-04

This document was prepared by John A. Sharry, LLNL Fire Marshal and LLNL Division Leader for Fire Protection and reviewed by LLNL Emergency Management Department Head James Colson. The document follows and expands upon the format and contents of the DOE Model Fire Protection Baseline Capabilities Assessment document contained on the DOE Fire Protection Web Site, but only addresses emergency response.
Final report for the 1996 DOE grant supporting research at the SLAC/LBNL/LLNL B factory

International Nuclear Information System (INIS)

Judd, D.; Wright, D.

1997-01-01

This final report discusses Department of Energy-supported research funded through Lawrence Livermore National Laboratory (LLNL) which was performed as part of a collaboration between LLNL and Prairie View A and M University to develop part of the BaBar detector at the SLAC B Factory. This work focuses on the Instrumented Flux Return (IFR) subsystem of BaBar and involves a full range of detector development activities: computer simulations of detector performance, creation of reconstruction algorithms, and detector hardware R and D. Lawrence Livermore National Laboratory has a leading role in the IFR subsystem and has established on-site computing and detector facilities to conduct this research. By establishing ties with the existing LLNL Research Collaboration Program and leveraging LLNL resources, the experienced Prairie View group was able to quickly achieve a more prominent role within the BaBar collaboration and make significant contributions to the detector design. In addition, this work provided the first entry point for Historically Black Colleges and Universities into the B Factory collaboration, and created an opportunity to train a new generation of minority students at the premier electron-positron high energy physics facility in the US
Dispersion of Radionuclides and Exposure Assessment in Urban Environments: A Joint CEA and LLNL Report

International Nuclear Information System (INIS)

Glascoe, Lee; Gowardhan, Akshay; Lennox, Kristin; Simpson, Matthew; Yu, Kristen; Armand, Patrick; Duchenne, Christophe; Mariotte, Frederic; Pectorin, Xavier

2014-01-01

In the interest of promoting the international exchange of technical expertise, the US Department of Energy’s Office of Emergency Operations (NA-40) and the French Commissariat à l'Energie Atomique et aux énergies alternatives (CEA) requested that the National Atmospheric Release Advisory Center (NARAC) of Lawrence Livermore National Laboratory (LLNL) in Livermore, California host a joint table top exercise with experts in emergency management and atmospheric transport modeling. In this table top exercise, LLNL and CEA compared each other's flow and dispersion models. The goal of the comparison is to facilitate the exchange of knowledge, capabilities, and practices, and to demonstrate the utility of modeling dispersal at different levels of computational fidelity. Two modeling approaches were examined, a regional scale modeling approach, appropriate for simple terrain and/or very large releases, and an urban scale modeling approach, appropriate for small releases in a city environment. This report is a summary of LLNL and CEA modeling efforts from this exercise. Two different types of LLNL and CEA models were employed in the analysis: urban-scale models (Aeolus CFD at LLNL/NARAC and Parallel- Micro-SWIFT-SPRAY, PMSS, at CEA) for analysis of a 5,000 Ci radiological release and Lagrangian Particle Dispersion Models (LODI at LLNL/NARAC and PSPRAY at CEA) for analysis of a much larger (500,000 Ci) regional radiological release. Two densely-populated urban locations were chosen: Chicago with its high-rise skyline and gridded street network and Paris with its more consistent, lower building height and complex unaligned street network. Each location was considered under early summer daytime and nighttime conditions. Different levels of fidelity were chosen for each scale: (1) lower fidelity mass-consistent diagnostic, intermediate fidelity Navier-Stokes RANS models, and higher fidelity Navier-Stokes LES for urban-scale analysis, and (2) lower-fidelity single
Dispersion of Radionuclides and Exposure Assessment in Urban Environments: A Joint CEA and LLNL Report

Energy Technology Data Exchange (ETDEWEB)

Glascoe, Lee [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Gowardhan, Akshay [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Lennox, Kristin [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Simpson, Matthew [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Yu, Kristen [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Armand, Patrick [Alternative Energies and Atomic Energy Commission (CEA), Paris (France); Duchenne, Christophe [Alternative Energies and Atomic Energy Commission (CEA), Paris (France); Mariotte, Frederic [Alternative Energies and Atomic Energy Commission (CEA), Paris (France); Pectorin, Xavier [Alternative Energies and Atomic Energy Commission (CEA), Paris (France)

2014-12-19

In the interest of promoting the international exchange of technical expertise, the US Department of Energy’s Office of Emergency Operations (NA-40) and the French Commissariat à l'Energie Atomique et aux énergies alternatives (CEA) requested that the National Atmospheric Release Advisory Center (NARAC) of Lawrence Livermore National Laboratory (LLNL) in Livermore, California host a joint table top exercise with experts in emergency management and atmospheric transport modeling. In this table top exercise, LLNL and CEA compared each other’s flow and dispersion models. The goal of the comparison is to facilitate the exchange of knowledge, capabilities, and practices, and to demonstrate the utility of modeling dispersal at different levels of computational fidelity. Two modeling approaches were examined, a regional scale modeling approach, appropriate for simple terrain and/or very large releases, and an urban scale modeling approach, appropriate for small releases in a city environment. This report is a summary of LLNL and CEA modeling efforts from this exercise. Two different types of LLNL and CEA models were employed in the analysis: urban-scale models (Aeolus CFD at LLNL/NARAC and Parallel- Micro-SWIFT-SPRAY, PMSS, at CEA) for analysis of a 5,000 Ci radiological release and Lagrangian Particle Dispersion Models (LODI at LLNL/NARAC and PSPRAY at CEA) for analysis of a much larger (500,000 Ci) regional radiological release. Two densely-populated urban locations were chosen: Chicago with its high-rise skyline and gridded street network and Paris with its more consistent, lower building height and complex unaligned street network. Each location was considered under early summer daytime and nighttime conditions. Different levels of fidelity were chosen for each scale: (1) lower fidelity mass-consistent diagnostic, intermediate fidelity Navier-Stokes RANS models, and higher fidelity Navier-Stokes LES for urban-scale analysis, and (2) lower-fidelity single

FY16 LLNL Omega Experimental Programs

Energy Technology Data Exchange (ETDEWEB)

Heeter, R. F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ali, S. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Benstead, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Celliers, P. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Coppari, F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Eggert, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Erskine, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Panella, A. F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Fratanduono, D. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hua, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Huntington, C. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Jarrott, L. C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Jiang, S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kraus, R. G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Lazicki, A. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); LePape, S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Martinez, D. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); McNaney, J. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Millot, M. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Moody, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pak, A. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Park, H. S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ping, Y. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pollock, B. B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Rinderknecht, H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ross, J. S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Rubery, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Sio, H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Smith, R. F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Swadling, G. F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wehrenberg, C. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Collins, G. W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Landen, O. L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wan, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hsing, W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-12-01

In FY16, LLNL’s High-Energy-Density Physics (HED) and Indirect Drive Inertial Confinement Fusion (ICF-ID) programs conducted several campaigns on the OMEGA laser system and on the EP laser system, as well as campaigns that used the OMEGA and EP beams jointly. Overall, these LLNL programs led 430 target shots in FY16, with 304 shots using just the OMEGA laser system, and 126 shots using just the EP laser system. Approximately 21% of the total number of shots (77 OMEGA shots and 14 EP shots) supported the Indirect Drive Inertial Confinement Fusion Campaign (ICF-ID). The remaining 79% (227 OMEGA shots and 112 EP shots) were dedicated to experiments for High-Energy-Density Physics (HED). Highlights of the various HED and ICF campaigns are summarized in the following reports. In addition to these experiments, LLNL Principal Investigators led a variety of Laboratory Basic Science campaigns using OMEGA and EP, including 81 target shots using just OMEGA and 42 shots using just EP. The highlights of these are also summarized, following the ICF and HED campaigns. Overall, LLNL PIs led a total of 553 shots at LLE in FY 2016. In addition, LLNL PIs also supported 57 NLUF shots on Omega and 31 NLUF shots on EP, in collaboration with the academic community.
Training for emergency management

International Nuclear Information System (INIS)

Grauf, E.

1993-01-01

There are specific boundary conditions where preparedness for in-plant emergency management is as necessary and useful as is the training for the management of design-based accidents. The shift personnel has to be trained to cope particularly with the difficult and demanding initial phase of an emergency, and care must be taken to be very close to reality. Only thus can weak points be discovered and removed by pinpointed measures such as organisational changes, optimization of emergency management procedures, or hardware conditions. (orig.) [de
Planning and training in emergency preparedness

International Nuclear Information System (INIS)

Perkins, T.G.

1985-01-01

Link Simulation Systems Division of the Singer Company is combining its tactical simulation and display system with state-of-the-art decision and control technology to provide a combined operations, planning, and training (COPAT) system. This system provides for the total integration of the three primary responsibilities of emergency managers: planning and training for and decision and control of an emergency. The system is intended to be a complete operations center for emergency management personnel. In the event of a natural disaster or man-made emergency, the national, state, county, and city emergency managers require a secure and reliable operations center. The COPAT system combines the decision and control capabilities with proven simulation techniques allowing for integrated planning and training. The hardware system, software, data bases, and maps used during planning and training are the same as those used during actual emergencies
Emergency Response Capability Baseline Needs Assessment Compliance Assessment

Energy Technology Data Exchange (ETDEWEB)

Sharry, John A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2013-09-16

This document is the second of a two-part analysis of Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2013 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2009 BNA, the 2012 BNA document, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures.
Emergency Medical Care Training and Adolescents.

Science.gov (United States)

Topham, Charles S.

1982-01-01

Describes an 11-week emergency medical care training program for adolescents focusing on: pretest results; factual emergency instruction and first aid; practical experience training; and assessment. (RC)
LLNL Waste Minimization Program Plan

International Nuclear Information System (INIS)

1990-01-01

This document is the February 14, 1990 version of the LLNL Waste Minimization Program Plan (WMPP). The Waste Minimization Policy field has undergone continuous changes since its formal inception in the 1984 HSWA legislation. The first LLNL WMPP, Revision A, is dated March 1985. A series of informal revision were made on approximately a semi-annual basis. This Revision 2 is the third formal issuance of the WMPP document. EPA has issued a proposed new policy statement on source reduction and recycling. This policy reflects a preventative strategy to reduce or eliminate the generation of environmentally-harmful pollutants which may be released to the air, land surface, water, or ground water. In accordance with this new policy new guidance to hazardous waste generators on the elements of a Waste Minimization Program was issued. In response to these policies, DOE has revised and issued implementation guidance for DOE Order 5400.1, Waste Minimization Plan and Waste Reduction reporting of DOE Hazardous, Radioactive, and Radioactive Mixed Wastes, final draft January 1990. This WMPP is formatted to meet the current DOE guidance outlines. The current WMPP will be revised to reflect all of these proposed changes when guidelines are established. Updates, changes and revisions to the overall LLNL WMPP will be made as appropriate to reflect ever-changing regulatory requirements. 3 figs., 4 tabs
Nuclear physics and heavy element research at LLNL

Energy Technology Data Exchange (ETDEWEB)

Stoyer, M A; Ahle, L E; Becker, J A; Bernstein, L A; Bleuel, D L; Burke, J T; Dashdorj, D; Henderson, R A; Hurst, A M; Kenneally, J M; Lesher, S R; Moody, K J; Nelson, S L; Norman, E B; Pedretti, M; Scielzo, N D; Shaughnessy, D A; Sheets, S A; Stoeffl, W; Stoyer, N J; Wiedeking, M; Wilk, P A; Wu, C Y

2009-05-11

This paper highlights some of the current basic nuclear physics research at Lawrence Livermore National Laboratory (LLNL). The work at LLNL concentrates on investigating nuclei at the extremes. The Experimental Nuclear Physics Group performs research to improve our understanding of nuclei, nuclear reactions, nuclear decay processes and nuclear astrophysics; an expertise utilized for important laboratory national security programs and for world-class peer-reviewed basic research.
Joint FAM/Line Management Assessment Report on LLNL Machine Guarding Safety Program

Energy Technology Data Exchange (ETDEWEB)

Armstrong, J. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-07-19

The LLNL Safety Program for Machine Guarding is implemented to comply with requirements in the ES&H Manual Document 11.2, "Hazards-General and Miscellaneous," Section 13 Machine Guarding (Rev 18, issued Dec. 15, 2015). The primary goal of this LLNL Safety Program is to ensure that LLNL operations involving machine guarding are managed so that workers, equipment and government property are adequately protected. This means that all such operations are planned and approved using the Integrated Safety Management System to provide the most cost effective and safest means available to support the LLNL mission.
LLNL NESHAPs 2014 Annual Report

Energy Technology Data Exchange (ETDEWEB)

Wilson, K. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bertoldo, N. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Gallegos, G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); MacQueen, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wegrecki, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2015-07-01

Lawrence Livermore National Security, LLC operates facilities at Lawrence Livermore National Laboratory (LLNL) where radionuclides are handled and stored. These facilities are subject to the U.S. Environmental Protection Agency (EPA) National Emission Standards for Hazardous Air Pollutants (NESHAPs) in Code of Federal Regulations (CFR) Title 40, Part 61, Subpart H, which regulates radionuclide emissions to air from Department of Energy (DOE) facilities. Specifically, NESHAPs limits the emission of radionuclides to the ambient air to levels resulting in an annual effective dose equivalent of 10 mrem (100 μSv) to any member of the public. Using measured and calculated emissions, and building-specific and common parameters, LLNL personnel applied the EPA-approved computer code, CAP88-PC, Version 4.0.1.17, to calculate the dose to the maximally exposed individual member of the public for the Livermore Site and Site 300.
Training programs for emergency response personnel at Hanford

International Nuclear Information System (INIS)

Oscarson, E.E.

1979-01-01

The Three Mile Island reactor accident has focused attention on emergency planning and preparedness including selection and training of personnel. At Hanford, Pacific Northwest Laboratory (PNL) is in the unique position of providing emergency response personnel, planning, training and equipment not only for its own organization and facilities but also for the Hanford Site in general, as well as the Interagency Radiological Assistance Plan (IRAP) Region 8 Team. Team members are chosen for one or more of the emergency teams based upon professional education and/or experience as well as interest, aptitude and specialized knowledge. Consequently, the initial training orientation of each new team member is not directed toward general professional ability, but rather toward specialized knowledge required to carry out their assigned emergency tasks. Continual training and practice is necessary to maintain the interest and skills for effectively coping with major emergencies. The types of training which are conducted include: tests of emergency systems and/or procedures; drills involving plant employees and/or emergency team members (e.g., activation of emergency notification systems); short training sessions on special topics; and realistic emergency exercises involving the simulation of major accidents wherein the emergency team must solve specific problems on a real time basis
Probabilistic Seismic Hazards Update for LLNL

Energy Technology Data Exchange (ETDEWEB)

Menchawi, O. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Fernandez, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-03-30

Fugro Consultants, Inc. (FCL) completed the Probabilistic Seismic Hazard Analysis (PSHA) performed for Building 332 at the Lawrence Livermore National Laboratory (LLNL), near Livermore, CA. The study performed for the LLNL site includes a comprehensive review of recent information relevant to the LLNL regional tectonic setting and regional seismic sources in the vicinity of the site and development of seismic wave transmission characteristics. The Seismic Source Characterization (SSC), documented in Project Report No. 2259-PR-02 (FCL, 2015b), and Ground Motion Characterization (GMC), documented in Project Report No. 2259-PR-06 (FCL, 2015a) were developed in accordance with ANS/ANSI 2.29- 2008 Level 2 PSHA guidelines. The ANS/ANSI 2.29-2008 Level 2 PSHA framework is documented in Project Report No. 2259-PR-05 (FCL, 2016a). The Hazard Input Document (HID) for input into the PSHA developed from the SSC and GMC is presented in Project Report No. 2259-PR-04 (FCL, 2016b). The site characterization used as input for development of the idealized site profiles including epistemic uncertainty and aleatory variability is presented in Project Report No. 2259-PR-03 (FCL, 2015c). The PSHA results are documented in Project Report No. 2259-PR-07 (FCL, 2016c).
Development of positron diffraction and holography at LLNL

International Nuclear Information System (INIS)

Hamza, A.; Asoka-Kumar, P.; Stoeffl, W.; Howell, R.; Miller, D.; Denison, A.

2003-01-01

A low-energy positron diffraction and holography spectrometer is currently being constructed at the Lawrence Livermore National Laboratory (LLNL) to study surfaces and adsorbed structures. This instrument will operate in conjunction with the LLNL intense positron beam produced by the 100 MeV LINAC allowing data to be acquired in minutes rather than days. Positron diffraction possesses certain advantages over electron diffraction which are discussed. Details of the instrument based on that of low-energy electron diffraction are described
Capabilities required to conduct the LLNL plutonium mission

International Nuclear Information System (INIS)

Kass, J.; Bish, W.; Copeland, A.; West, J.; Sack, S.; Myers, B.

1991-01-01

This report outlines the LLNL plutonium related mission anticipated over the next decade and defines the capabilities required to meet that mission wherever the Plutonium Facility is located. If plutonium work is relocated to a place where the facility is shared, then some capabilities can be commonly used by the sharing parties. However, it is essential that LLNL independently control about 20000 sq ft of net lab space, filled with LLNL controlled equipment, and staffed by LLNL employees. It is estimated that the cost to construct this facility should range from $140M to $200M. Purchase and installation of equipment to replace that already in Bldg 332 along with additional equipment identified as being needed to meet the mission for the next ten to fifteen years, is estimated to cost $118M. About $29M of the equipment could be shared. The Hardened Engineering Test Building (HETB) with its additional 8000 sq ft of unique test capability must also be replaced. The fully equipped replacement cost is estimated to be about $10M. About 40000 sq ft of setup and support space are needed along with office and related facilities for a 130 person resident staff. The setup space is estimated to cost $8M. The annual cost of a 130 person resident staff (100 programmatic and 30 facility operation) is estimated to be $20M
Tactical training of emergency management - the MUSTER concept

International Nuclear Information System (INIS)

Andersen, Verner.

1996-08-01

The efficiency with which complex, large-scale organisations respon d to emergencies and critical situations depends crucially on the co-ordination of actions and communication among decision makers. However, decision makers have typically few opportunities to train distributed crisis management under artificial, yet realistic conditions; and at the same time, real emergencies occur fortunately so relatively infrequently that few decision makers have a chance of establishing a useful real-life experience of crisis management. There is therefore a need for having available realistic and flexible multi-user training environments in which co-ordinated response to crises or emergencies may be trained. The objective of the MUSTER project (Multi-User System for Training and Evaluating Environmental Emergency Response) is to produce specifications for a training system supporting collaborative training and evaluation directed to the special needs of environmental emergency management. The MUSTER project was partially funced by CEC
LLNL/YMP Waste Container Fabrication and Closure Project

International Nuclear Information System (INIS)

1990-10-01

The Department of Energy's Office of Civilian Radioactive Waste Management (OCRWM) Program is studying Yucca Mountain, Nevada as a suitable site for the first US high-level nuclear waste repository. Lawrence Livermore National Laboratory (LLNL) has the responsibility for designing and developing the waste package for the permanent storage of high-level nuclear waste. This report is a summary of the technical activities for the LLNL/YMP Nuclear Waste Disposal Container Fabrication and Closure Development Project. Candidate welding closure processes were identified in the Phase 1 report. This report discusses Phase 2. Phase 2 of this effort involved laboratory studies to determine the optimum fabrication and closure processes. Because of budget limitations, LLNL narrowed the materials for evaluation in Phase 2 from the original six to four: Alloy 825, CDA 715, CDA 102 (or CDA 122) and CDA 952. Phase 2 studies focused on evaluation of candidate material in conjunction with fabrication and closure processes
Emergency preparedness training for local communities

International Nuclear Information System (INIS)

Cooley, M.J.; Thompson, K.K.

1987-01-01

Detroit Edison, in cooperation with Monroe County, has developed a comprehensive training program for local emergency workers in the area surrounding the Fermi 2 Nuclear Power Plant. Using expertise from both organizations, a program consisting of two videotapes, two slide-tapes and nine narrated slide series was produced to address the worker-specific training needs of county emergency workers. In June of 185, the program was approved by Detroit Edison and the Monroe County Board of Commissioners. To date, Monroe County has trained more than 1000 emergency workers. This program has been so well received that the county staff has developed and presented a modified version of this program to the general public. The result of this cooperative effort is increased public confidence in emergency preparedness at the state, local and utility level and a renewed spirit of cooperation and trust between the utility and local units of government
Fire science at LLNL: A review

Energy Technology Data Exchange (ETDEWEB)

Hasegawa, H.K. (ed.)

1990-03-01

This fire sciences report from LLNL includes topics on: fire spread in trailer complexes, properties of welding blankets, validation of sprinkler systems, fire and smoke detectors, fire modeling, and other fire engineering and safety issues. (JEF)
LLNL Compliance Plan for TRUPACT-2 Authorized Methods for Payload Control

International Nuclear Information System (INIS)

1995-03-01

This document describes payload control at LLNL to ensure that all shipments of CH-TRU waste in the TRUPACT-II (Transuranic Package Transporter-II) meet the requirements of the TRUPACT-II SARP (safety report for packaging). This document also provides specific instructions for the selection of authorized payloads once individual payload containers are qualified for transport. The physical assembly of the qualified payload and operating procedures for the use of the TRUPACT-II, including loading and unloading operations, are described in HWM Procedure No. 204, based on the information in the TRUPACT-II SARP. The LLNL TRAMPAC, along with the TRUPACT-II operating procedures contained in HWM Procedure No. 204, meet the documentation needs for the use of the TRUPACT-II at LLNL. Table 14-1 provides a summary of the LLNL waste generation and certification procedures as they relate to TRUPACT-II payload compliance
Emergency response training with the BNL plant analyzer

International Nuclear Information System (INIS)

Cheng, H.S.; Guppy, J.G.; Mallen, A.N.; Wulff, W.

1987-01-01

Presented is the experience in the use of the BNL Plant Analyzer for NRC emergency response training to simulated accidents in a BWR. The unique features of the BNL Plant Analyzer that are important for the emergency response training are summarized. A closed-loop simulation of all the key systems of a power plant in question was found essential to the realism of the emergency drills conducted at NRC. The faster than real-time simulation speeds afforded by the BNL Plant Analyzer have demonstrated its usefulness for the timely conduct of the emergency response training
LLNL Waste Minimization Program Plan

International Nuclear Information System (INIS)

1990-05-01

This document is the February 14, 1990 version of the LLNL Waste Minimization Program Plan (WMPP). Now legislation at the federal level is being introduced. Passage will result in new EPA regulations and also DOE orders. At the state level the Hazardous Waste Reduction and Management Review Act of 1989 was signed by the Governor. DHS is currently promulgating regulations to implement the new law. EPA has issued a proposed new policy statement on source reduction and recycling. This policy reflects a preventative strategy to reduce or eliminate the generation of environmentally-harmful pollutants which may be released to the air, land surface, water, or ground water. In accordance with this policy new guidance to hazardous waste generators on the elements of a Waste Minimization Program was issued. This WMPP is formatted to meet the current DOE guidance outlines. The current WMPP will be revised to reflect all of these proposed changes when guidelines are established. Updates, changes and revisions to the overall LLNL WMPP will be made as appropriate to reflect ever-changing regulatory requirements

Medical intervention in radiological emergencies, formation and training

International Nuclear Information System (INIS)

Cardenas H, J.

2006-01-01

The work exposes the national experience in the development of training programs in medical aspects of the radiological emergencies. Implemented after valuing the existent situation, identified the necessities and the reach of the training, additionally it was elaborated the content of the training program whose purpose is guided to the invigoration of the medical answer capacity in radiological emergencies The content of the modular program it approaches theoretical- practical aspects on preparation and medical answer in radiological emergencies. The program includes an exercise that simulates a radiological accident, to evaluate during the same one, the answer capacity before this situation. The training concludes with the design of a strategy for the preparation and answer in radiological emergencies in correspondence with the potential accidental scenarios that the participants can face. (Author)
High intensity positron program at LLNL

International Nuclear Information System (INIS)

Asoka-Kumar, P.; Howell, R.; Stoeffl, W.; Carter, D.

1999-01-01

Lawrence Livermore National Laboratory (LLNL) is the home of the world's highest current beam of keV positrons. The potential for establishing a national center for materials analysis using positron annihilation techniques around this capability is being actively pursued. The high LLNL beam current will enable investigations in several new areas. We are developing a positron microprobe that will produce a pulsed, focused positron beam for 3-dimensional scans of defect size and concentration with submicron resolution. Below we summarize the important design features of this microprobe. Several experimental end stations will be available that can utilize the high current beam with a time distribution determined by the electron linac pulse structure, quasi-continuous, or bunched at 20 MHz, and can operate in an electrostatic or (and) magnetostatic environment. Some of the planned early experiments are: two-dimensional angular correlation of annihilation radiation of thin films and buried interfaces, positron diffraction holography, positron induced desorption, and positron induced Auger spectroscopy
High intensity positron program at LLNL

International Nuclear Information System (INIS)

Asoka-Kumar, P.; Howell, R.H.; Stoeffl, W.

1998-01-01

Lawrence Livermore National Laboratory (LLNL) is the home of the world's highest current beam of keV positrons. The potential for establishing a national center for materials analysis using positron annihilation techniques around this capability is being actively pursued. The high LLNL beam current will enable investigations in several new areas. We are developing a positron microprobe that will produce a pulsed, focused positron beam for 3-dimensional scans of defect size and concentration with submicron resolution. Below we summarize the important design features of this microprobe. Several experimental end stations will be available that can utilize the high current beam with a time distribution determined by the electron linac pulse structure, quasi-continuous, or bunched at 20 MHz, and can operate in an electrostatic or (and) magnetostatic environment. Some of the planned early experiments are: two-dimensional angular correlation of annihilation radiation of thin films and buried interfaces, positron diffraction holography, positron induced desorption, and positron induced Auger spectra
Thermochemical hydrogen production studies at LLNL: a status report

International Nuclear Information System (INIS)

Krikorian, O.H.

1982-01-01

Currently, studies are underway at the Lawrence Livermore National Laboratory (LLNL) on thermochemical hydrogen production based on magnetic fusion energy (MFE) and solar central receivers as heat sources. These areas of study were described earlier at the previous IEA Annex I Hydrogen Workshop (Juelich, West Germany, September 23-25, 1981), and a brief update will be given here. Some basic research has also been underway at LLNL on the electrolysis of water from fused phosphate salts, but there are no current results in that area, and the work is being terminated
Short radiological emergency response training program

International Nuclear Information System (INIS)

Williams, R.D.; Greenhouse, N.A.

1977-01-01

This paper presents an outline of a radiological emergency response training program conducted at Brookhaven National Laboratory by the health physics and safety training staff. This course is given to groups from local, county, state, and federal agencies and industrial organizations. It is normally three days in length, although the structure is flexible to accommodate individual needs and prior training. An important feature of the course is an emergency exercise utilizing a short lived radionuclide to better simulate real accident conditions. Groups are encouraged to use their own instruments to gain better familiarity with their operating characteristics under field conditions. Immediately following the exercise, a critical review of the students' performance is conducted
Review of LLNL Mixed Waste Streams for the Application of Potential Waste Reduction Controls

International Nuclear Information System (INIS)

Belue, A; Fischer, R P

2007-01-01

In July 2004, LLNL adopted the International Standard ISO 14001 as a Work Smart Standard in lieu of DOE Order 450.1. In support of this new requirement the Director issued a new environmental policy that was documented in Section 3.0 of Document 1.2, ''ES and H Policies of LLNL'', in the ES and H Manual. In recent years the Environmental Management System (EMS) process has become formalized as LLNL adopted ISO 14001 as part of the contract under which the laboratory is operated for the Department of Energy (DOE). On May 9, 2005, LLNL revised its Integrated Safety Management System Description to enhance existing environmental requirements to meet ISO 14001. Effective October 1, 2005, each new project or activity is required to be evaluated from an environmental aspect, particularly if a potential exists for significant environmental impacts. Authorizing organizations are required to consider the management of all environmental aspects, the applicable regulatory requirements, and reasonable actions that can be taken to reduce negative environmental impacts. During 2006, LLNL has worked to implement the corrective actions addressing the deficiencies identified in the DOE/LSO audit. LLNL has begun to update the present EMS to meet the requirements of ISO 14001:2004. The EMS commits LLNL--and each employee--to responsible stewardship of all the environmental resources in our care. The generation of mixed radioactive waste was identified as a significant environmental aspect. Mixed waste for the purposes of this report is defined as waste materials containing both hazardous chemical and radioactive constituents. Significant environmental aspects require that an Environmental Management Plan (EMP) be developed. The objective of the EMP developed for mixed waste (EMP-005) is to evaluate options for reducing the amount of mixed waste generated. This document presents the findings of the evaluation of mixed waste generated at LLNL and a proposed plan for reduction
GAMA-LLNL Alpine Basin Special Study: Scope of Work

Energy Technology Data Exchange (ETDEWEB)

Singleton, M J; Visser, A; Esser, B K; Moran, J E

2011-12-12

For this task LLNL will examine the vulnerability of drinking water supplies in foothills and higher elevation areas to climate change impacts on recharge. Recharge locations and vulnerability will be determined through examination of groundwater ages and noble gas recharge temperatures in high elevation basins. LLNL will determine whether short residence times are common in one or more subalpine basin. LLNL will measure groundwater ages, recharge temperatures, hydrogen and oxygen isotopes, major anions and carbon isotope compositions on up to 60 samples from monitoring wells and production wells in these basins. In addition, a small number of carbon isotope analyses will be performed on surface water samples. The deliverable for this task will be a technical report that provides the measured data and an interpretation of the data from one or more subalpine basins. Data interpretation will: (1) Consider climate change impacts to recharge and its impact on water quality; (2) Determine primary recharge locations and their vulnerability to climate change; and (3) Delineate the most vulnerable areas and describe the likely impacts to recharge.
LLNL X-ray Calibration and Standards Laboratory

International Nuclear Information System (INIS)

Anon.

1982-01-01

The LLNL X-ray Calibration and Standards Laboratory is a unique facility for developing and calibrating x-ray sources, detectors, and materials, and for conducting x-ray physics research in support of our weapon and fusion-energy programs
LLNL NESHAPs 2015 Annual Report - June 2016

Energy Technology Data Exchange (ETDEWEB)

Wilson, K. R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Gallegos, G. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); MacQueen, D. H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wegrecki, A. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-06-01

Lawrence Livermore National Security, LLC operates facilities at Lawrence Livermore National Laboratory (LLNL) in which radionuclides are handled and stored. These facilities are subject to the U.S. Environmental Protection Agency (EPA) National Emission Standards for Hazardous Air Pollutants (NESHAPs) in Code of Federal Regulations (CFR) Title 40, Part 61, Subpart H, which regulates radionuclide emissions to air from Department of Energy (DOE) facilities. Specifically, NESHAPs limits the emission of radionuclides to the ambient air to levels resulting in an annual effective dose equivalent of 10 mrem (100 μSv) to any member of the public. Using measured and calculated emissions, and building-specific and common parameters, LLNL personnel applied the EPA-approved computer code, CAP88-PC, Version 4.0.1.17, to calculate the dose to the maximally exposed individual member of the public for the Livermore Site and Site 300.
LLNL high-field coil program

International Nuclear Information System (INIS)

Miller, J.R.

1986-01-01

An overview is presented of the LLNL High-Field Superconducting Magnet Development Program wherein the technology is being developed for producing fields in the range of 15 T and higher for both mirror and tokamak applications. Applications requiring less field will also benefit from this program. In addition, recent results on the thermomechanical performance of cable-in-conduit conductor systems are presented and their importance to high-field coil design discussed
LLNL pure positron plasma program

International Nuclear Information System (INIS)

Hartley, J.H.; Beck, B.R.; Cowan, T.E.; Howell, R.H.; McDonald, J.L.; Rohatgi, R.R.; Fajans, J.; Gopalan, R.

1995-01-01

Assembly and initial testing of the Positron Time-of-Flight Trap at the Lawrence Livermore National Laboratory (LLNL) Increase Pulsed Positron Facility has been completed. The goal of the project is to accumulate at high-density positron plasma in only a few seconds., in order to facilitate study that may require destructive diagnostics. To date, densities of at least 6 x 10 6 positrons per cm 3 have been achieved
PHMC post-NPH emergency response training

International Nuclear Information System (INIS)

Conrads, T.J.

1997-01-01

This document describes post-Natural Phenomena Hazard (NPH) emergency response training that was provided to two teams of Project Hanford Management Contractors (PHMC) staff that will be used to assess potential structural damage that may occur as a result of a significant natural phenomena event. This training supports recent plans and procedures to use trained staff to inspect structures following an NPH event on the Hanford Site
PHMC post-NPH emergency response training

Energy Technology Data Exchange (ETDEWEB)

Conrads, T.J.

1997-04-08

This document describes post-Natural Phenomena Hazard (NPH) emergency response training that was provided to two teams of Project Hanford Management Contractors (PHMC) staff that will be used to assess potential structural damage that may occur as a result of a significant natural phenomena event. This training supports recent plans and procedures to use trained staff to inspect structures following an NPH event on the Hanford Site.
A multi disciplinary obstetric emergency training programme.

LENUS (Irish Health Repository)

Whelan, Mary

2012-09-01

The Rotunda Hospital (Dublin) obstetric emergency training programme (RHOET) was designed, in 2008, to meet the ongoing education and training needs of the local multidisciplinary team. Prior to its implementation, senior midwives attended the advanced life support in obstetrics (ALSO) course, and many of the obstetricians attended the Management of obstetric emergencies and trauma (MOET) and\\/or ALSO courses. Attendance at these off site courses meant that the only opportunity for team training was the informal and ad hoc \\'drills and skills\\' that took place in the birthing suite. This paper documents our journey since RHOET was implemented.
High intensity positron program at LLNL

International Nuclear Information System (INIS)

Asoka-Kumar, P.; Howell, R.; Stoeffl, W.; Carter, D.

1999-01-01

Lawrence Livermore National Laboratory (LLNL) is the home of the world close-quote s highest current beam of keV positrons. The potential for establishing a national center for materials analysis using positron annihilation techniques around this capability is being actively pursued. The high LLNL beam current will enable investigations in several new areas. We are developing a positron microprobe that will produce a pulsed, focused positron beam for 3-dimensional scans of defect size and concentration with submicron resolution. Below we summarize the important design features of this microprobe. Several experimental end stations will be available that can utilize the high current beam with a time distribution determined by the electron linac pulse structure, quasi-continuous, or bunched at 20 MHz, and can operate in an electrostatic or (and) magnetostatic environment. Some of the planned early experiments are: two-dimensional angular correlation of annihilation radiation of thin films and buried interfaces, positron diffraction holography, positron induced desorption, and positron induced Auger spectroscopy. copyright 1999 American Institute of Physics
Emergency medical personnel training: I. An historical perspective.

Science.gov (United States)

Sytkowski, P A; Jacobs, L M; Meany, M

1983-01-01

The status of Emergency Medical Technicians has evolved from an undefined role with few rules, regulations, or standards to an established health care profession and a nationally administered program. The evolution of this profession received major impetus from the 1966 report by the National Academy of Science/National Research Council that provided recommended training standards. Development of a training course curriculum for basic life support (BLS) followed. The need for coordinated training of Emergency Medical Technical Technicians was recognized, and funds became available to aid in the national standardization of education, examination, certification, and recertification procedures for EMTs. Concomitant with the attempt to standardize BLS training, advanced life support (ALS) programs grew in number. By 1977 the National Standard Training Curriculum became available and was soon followed by a national certification exam. As states have the option to accept or reject the federal standards embodied in the national training course, there remains variation among programs offered by each state. Because of the difference in need for specific emergency services among the states at a time of increased professional mobility, arguments still exist regarding the desirability of federally mandated training and certification programs.
Hazardous-waste analysis plan for LLNL operations

Energy Technology Data Exchange (ETDEWEB)

Roberts, R.S.

1982-02-12

The Lawrence Livermore National Laboratory is involved in many facets of research ranging from nuclear weapons research to advanced Biomedical studies. Approximately 80% of all programs at LLNL generate hazardous waste in one form or another. Aside from producing waste from industrial type operations (oils, solvents, bottom sludges, etc.) many unique and toxic wastes are generated such as phosgene, dioxin (TCDD), radioactive wastes and high explosives. One key to any successful waste management program must address the following: proper identification of the waste, safe handling procedures and proper storage containers and areas. This section of the Waste Management Plan will address methodologies used for the Analysis of Hazardous Waste. In addition to the wastes defined in 40 CFR 261, LLNL and Site 300 also generate radioactive waste not specifically covered by RCRA. However, for completeness, the Waste Analysis Plan will address all hazardous waste.
Hazardous-waste analysis plan for LLNL operations

International Nuclear Information System (INIS)

Roberts, R.S.

1982-01-01

The Lawrence Livermore National Laboratory is involved in many facets of research ranging from nuclear weapons research to advanced Biomedical studies. Approximately 80% of all programs at LLNL generate hazardous waste in one form or another. Aside from producing waste from industrial type operations (oils, solvents, bottom sludges, etc.) many unique and toxic wastes are generated such as phosgene, dioxin (TCDD), radioactive wastes and high explosives. One key to any successful waste management program must address the following: proper identification of the waste, safe handling procedures and proper storage containers and areas. This section of the Waste Management Plan will address methodologies used for the Analysis of Hazardous Waste. In addition to the wastes defined in 40 CFR 261, LLNL and Site 300 also generate radioactive waste not specifically covered by RCRA. However, for completeness, the Waste Analysis Plan will address all hazardous waste
Experience with Emergency Ultrasound Training by Canadian Emergency Medicine Residents

Directory of Open Access Journals (Sweden)

Daniel J. Kim

2014-05-01

Full Text Available Introduction: Starting in 2008, emergency ultrasound (EUS was introduced as a core competency to the Royal College of Physicians and Surgeons of Canada (Royal College emergency medicine (EM training standards. The Royal College accredits postgraduate EM specialty training in Canada through 5-year residency programs. The objective of this study is to describe both the current experience with and the perceptions of EUS by Canadian Royal College EM senior residents. Methods: This was a web-based survey conducted from January to March 2011 of all 39 Canadian Royal College postgraduate fifth-year (PGY-5 EM residents. Main outcome measures were characteristics of EUS training and perceptions of EUS. Results: Survey response rate was 95% (37/39. EUS was part of the formal residency curriculum for 86% of respondents (32/37. Residents most commonly received training in focused assessment with sonography for trauma, intrauterine pregnancy, abdominal aortic aneurysm, cardiac, and procedural guidance. Although the most commonly provided instructional material (86% [32/37] was an ultrasound course, 73% (27/37 of residents used educational resources outside of residency training to supplement their ultrasound knowledge. Most residents (95% [35/37] made clinical decisions and patient dispositions based on their EUS interpretation without a consultative study by radiology. Residents had very favorable perceptions and opinions of EUS. Conclusion: EUS training in Royal College EM programs was prevalent and perceived favorably by residents, but there was heterogeneity in resident training and practice of EUS. This suggests variability in both the level and quality of EUS training in Canadian Royal College EM residency programs.
Dehydration treatment practices among pediatrics-trained and non-pediatrics trained emergency physicians.

Science.gov (United States)

Nunez, Jeranil; Liu, Deborah R; Nager, Alan L

2012-04-01

We sought to survey emergency physicians in the United States regarding the management of pediatric dehydration secondary to acute gastroenteritis. We hypothesized that responses from physicians with dedicated pediatric training (PT), that is, board certification in pediatrics or pediatric emergency medicine, would differ from responses of physicians with no dedicated pediatric training (non-PT). An anonymous survey was mailed to randomly selected members of the American College of Emergency Physicians and sent electronically to enrollees of Brown University pediatric emergency medicine listserv. The survey consisted of 17 multiple-choice questions based on a clinical scenario depicting a 2-year-old with acute gastroenteritis and moderate dehydration. Questions asked related to treatment preferences, practice setting, and training information. One thousand sixty-nine surveys were received: 997 surveys were used for data analysis, including 269 PT physicians and 721 non-PT physicians. Seventy-nine percent of PT physicians correctly classified the scenario patient as moderately dehydrated versus 71% of non-PT physicians (P = 0.063). Among those who correctly classified the patient, 121 PT physicians (58%) and 350 non-PT physicians (68%) would initially hydrate the patient with intravenous fluids. Pediatrics-trained physicians were more likely to initially choose oral or nasogastric hydration compared with non-PT physicians (P = 0.0127). Pediatrics-trained physicians were less likely to perform laboratory testing compared with the non-PT group (n = 92, 45%, vs n = 337, 66%; P dehydrated children, significantly more PT physicians, compared with non-PT physicians, follow established guidelines.

LLNL Chemical Kinetics Modeling Group

Energy Technology Data Exchange (ETDEWEB)

Pitz, W J; Westbrook, C K; Mehl, M; Herbinet, O; Curran, H J; Silke, E J

2008-09-24

The LLNL chemical kinetics modeling group has been responsible for much progress in the development of chemical kinetic models for practical fuels. The group began its work in the early 1970s, developing chemical kinetic models for methane, ethane, ethanol and halogenated inhibitors. Most recently, it has been developing chemical kinetic models for large n-alkanes, cycloalkanes, hexenes, and large methyl esters. These component models are needed to represent gasoline, diesel, jet, and oil-sand-derived fuels.
Astronaut Stephen Oswald during emergency bailout training

Science.gov (United States)

1994-01-01

Suited in a training version of the Shuttle partial-pressure launch and entry garment, astronaut Stephen S. Oswald, STS-67 commander, gets help with a piece of gear from Boeing's David Brandt. The scene was photographed prior to a session of emergency bailout training in the 25-feet deep pool at JSC's Weightless Environment Training Facility (WETF).
Probabilistic Seismic Hazards Update for LLNL: PSHA Results Report

Energy Technology Data Exchange (ETDEWEB)

Fernandez, Alfredo [Fugro Consultants, Inc., Houston, TX (United States); Altekruse, Jason [Fugro Consultants, Inc., Houston, TX (United States); Menchawi, Osman El [Fugro Consultants, Inc., Houston, TX (United States)

2016-03-11

This report presents the Probabilistic Seismic Hazard Analysis (PSHA) performed for Building 332 at the Lawrence Livermore National Laboratory (LLNL), near Livermore, CA by Fugro Consultants, Inc. (FCL). This report is specific to Building 332 only and not to other portions of the Laboratory. The study performed for the LLNL site includes a comprehensive review of recent information relevant to the LLNL regional tectonic setting and regional seismic sources in the vicinity of the site and development of seismic wave transmission characteristics. The Seismic Source Characterization (SSC), documented in Project Report No. 2259-PR-02 (FCL, 2015a), and Ground Motion Characterization (GMC), documented in Project Report No. 2259-PR-06 (FCL, 2015c) were developed in accordance with ANS/ANSI 2.29-2008 Level 2 PSHA guidelines. The ANS/ANSI 2.29-2008 Level 2 PSHA framework is documented in Project Report No. 2259-PR-05 (FCL, 2016a). The Hazard Input Document (HID) for input into the PSHA developed from the SSC is presented in Project Report No. 2259-PR-04 (FCL, 2016b). The site characterization used as input for development of the idealized site profiles including epistemic uncertainty and aleatory variability is presented in Project Report No. 2259-PR-03 (FCL, 2015b).
Diversification and strategic management of LLNL's R ampersand D portfolio

International Nuclear Information System (INIS)

Glinsky, M.E.

1994-12-01

Strategic management of LLNL's research effort is addressed. A general framework is established by presenting the McKinsey/BCG Matrix Analysis as it applies to the research portfolio. The framework is used to establish the need for the diversification into new attractive areas of research and for the improvement of the market position of existing research in those attractive areas. With the need for such diversification established, attention is turned to optimizing it. There are limited resources available. It is concluded that LLNL should diversify into only a few areas and try to obtain full market share as soon as possible
LIFTERS-hyperspectral imaging at LLNL

Energy Technology Data Exchange (ETDEWEB)

Fields, D. [Lawrence Livermore National Lab., CA (United States); Bennett, C.; Carter, M.

1994-11-15

LIFTIRS, the Livermore Imaging Fourier Transform InfraRed Spectrometer, recently developed at LLNL, is an instrument which enables extremely efficient collection and analysis of hyperspectral imaging data. LIFTIRS produces a spatial format of 128x128 pixels, with spectral resolution arbitrarily variable up to a maximum of 0.25 inverse centimeters. Time resolution and spectral resolution can be traded off for each other with great flexibility. We will discuss recent measurements made with this instrument, and present typical images and spectra.
LLNL Mercury Project Trinity Open Science Final Report

Energy Technology Data Exchange (ETDEWEB)

Brantley, Patrick [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Dawson, Shawn [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); McKinley, Scott [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); O' Brien, Matt [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Peters, Doug [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pozulp, Mike [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Becker, Greg [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Mohror, Kathryn [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Moody, Adam [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-04-20

The Mercury Monte Carlo particle transport code developed at Lawrence Livermore National Laboratory (LLNL) is used to simulate the transport of radiation through urban environments. These challenging calculations include complicated geometries and require significant computational resources to complete. As a result, a question arises as to the level of convergence of the calculations with Monte Carlo simulation particle count. In the Trinity Open Science calculations, one main focus was to investigate convergence of the relevant simulation quantities with Monte Carlo particle count to assess the current simulation methodology. Both for this application space but also of more general applicability, we also investigated the impact of code algorithms on parallel scaling on the Trinity machine as well as the utilization of the Trinity DataWarp burst buffer technology in Mercury via the LLNL Scalable Checkpoint/Restart (SCR) library.
Advanced simulation and management software for nuclear emergency training and response

International Nuclear Information System (INIS)

Rose, K.W.

2011-01-01

The importance of training of safety personnel to deal with real world scenarios is prevalent amongst nuclear emergency preparedness and response organizations. For the development of training tools we have committed to ensure that field procedures, data collection software and decision making tools be identical during training sessions as they would be during a real emergency. By identifying the importance of a fully integrated tool, we have developed a safety support system capable of both functioning in training mode and real mode, enabling emergency response organizations to train more efficiently and effectively. This new fully integrated emergency management tool is called S3-FAST also known as Safety Support Systems - Field Assessment Survey Tool. (orig.)
Integrated surgical emergency training plan in the internship: A step toward improving the quality of training and emergency center management.

Science.gov (United States)

Akhlaghi, Mohammad Reza; Vafamehr, Vajiheh; Dadgostarnia, Mohammad; Dehghani, Alireza

2013-01-01

In this study, by using a problem-oriented approach in the needs assessment, identifying the defects and deficiencies in emergency health training centers has been determined as the basis for the requirements. The main objective of the study was the implementation of surgical emergencies integration of the five surgical groups (general surgery, urology, orthopedics, neurosurgery, and ENT) to meet the needs and determining its efficacy. THIS INTERVENTIONAL STUDY WAS CONDUCTED IN THREE PHASES: (1) Phase I (design and planning): Needs assessment, recognition of implementation barriers and providing the objectives and training program for integrated emergencies. (2) Phase II (implementation): Justification of the main stakeholders of the project, preparation of students' duties in the emergency department, preparation of on-duty plans, supervising the implementation of the program, and reviewing the plan in parallel with the implementation based on the problems. (3) Phase III (evaluation): Reviewing the evidences based on the amount of efficiency of the plan and justification for its continuation. In the first and the second phase, the data were collected through holding focus group meetings and interviews. In the third phase, the opened-reply and closed-reply researcher-made questionnaires were used. The questionnaire face and content validity were confirmed by experts and the reliability was assessed by calculating the Cronbach's alpha. ACCORDING TO THE VIEWS OF THE INTERNS, ASSISTANTS, TEACHERS, AND EMERGENCY PERSONNEL, THE POSITIVE FEATURES OF THE PLAN INCLUDED THE FOLLOWING: Increasing the patients' satisfaction, reducing the patients' stay in the Emergency Department, increasing the speed of handling the patients, balancing the workloads of the interns, direct training of interns by young teachers of emergency medicine, giving the direct responsibility of the patient to the intern, practical and operational training of emergency issues, increasing the teamwork
Evaluating an australian emergency nurse practitioner candidate training program.

Science.gov (United States)

Plath, Sharyn J; Wright, Mary; Hocking, Julia

2017-11-01

Nurse Practitioners (NPs) receive core clinical training at master's level, with their employer providing the opportunity to upskill in clinical and procedural competencies. It is increasingly recognised that this generic education requires supplementary training for operating effectively within a specific clinical environment. In this paper we describe a pilot program designed to train Australian NP Candidates to work effectively within the Emergency Department Fast Track model of care. The training program consisted of a 12-month period: four hours in-house training per week over two semesters, running concurrently with the NP candidate's University semesters, and 3 months' clinical practice to consolidate. The training team defined milestones for Semesters one and two, and developed a case review form to assess application of the candidate's knowledge in new clinical situations, as well as check for gaps in understanding. A clinical skills guide was developed for the candidate to work toward, and a comprehensive assessment was carried out at two time points in the training program. Feedback was obtained from the mentors and the candidate at the end point of the training program, and has been used to refine the program for 2017. This in-house training program provided specialised, evidence-based training for the emergency department environment, resulting in development of the nurse practitioner candidate as a high functioning team member. Copyright © 2017 College of Emergency Nursing Australasia. All rights reserved.
Status of LLNL granite projects

International Nuclear Information System (INIS)

Ramspott, L.D.

1980-01-01

The status of LLNL Projects dealing with nuclear waste disposal in granitic rocks is reviewed. This review covers work done subsequent to the June 1979 Workshop on Thermomechanical Modeling for a Hardrock Waste Repository and is prepared for the July 1980 Workshop on Thermomechanical-Hydrochemical Modeling for a Hardrock Waste Repository. Topics reviewed include laboratory determination of thermal, mechanical, and transport properties of rocks at conditions simulating a deep geologic repository, and field testing at the Climax granitic stock at the USDOE Nevada Test Site
Interprofessional Emergency Training Leads to Changes in the Workplace.

Science.gov (United States)

Eisenmann, Dorothea; Stroben, Fabian; Gerken, Jan D; Exadaktylos, Aristomenis K; Machner, Mareen; Hautz, Wolf E

2018-01-01

Preventable mistakes occur frequently and can lead to patient harm and death. The emergency department (ED) is notoriously prone to such errors, and evidence suggests that improving teamwork is a key aspect to reduce the rate of error in acute care settings. Only a few strategies are in place to train team skills and communication in interprofessional situations. Our goal was to conceptualize, implement, and evaluate a training module for students of three professions involved in emergency care. The objective was to sensitize participants to barriers for their team skills and communication across professional borders. We developed a longitudinal simulation-enhanced training format for interprofessional teams, consisting of final-year medical students, advanced trainees of emergency nursing and student paramedics. The training format consisted of several one-day training modules, which took place twice in 2016 and 2017. Each training module started with an introduction to share one's roles, professional self-concepts, common misconceptions, and communication barriers. Next, we conducted different simulated cases. Each case consisted of a prehospital section (for paramedics and medical students), a handover (everyone), and an ED section (medical students and emergency nurses). After each training module, we assessed participants' "Commitment to Change." In this questionnaire, students were anonymously asked to state up to three changes that they wished to implement as a result of the course, as well as the strength of their commitment to these changes. In total, 64 of 80 participants (80.0%) made at least one commitment to change after participating in the training modules. The total of 123 commitments was evenly distributed over four emerging categories: communication , behavior , knowledge and attitude . Roughly one third of behavior- and attitude-related commitments were directly related to interprofessional topics (e.g., "acknowledge other professions' work
Interprofessional Emergency Training Leads to Changes in the Workplace

Directory of Open Access Journals (Sweden)

Dorothea Eisenmann

2017-12-01

Full Text Available Introduction Preventable mistakes occur frequently and can lead to patient harm and death. The emergency department (ED is notoriously prone to such errors, and evidence suggests that improving teamwork is a key aspect to reduce the rate of error in acute care settings. Only a few strategies are in place to train team skills and communication in interprofessional situations. Our goal was to conceptualize, implement, and evaluate a training module for students of three professions involved in emergency care. The objective was to sensitize participants to barriers for their team skills and communication across professional borders. Methods We developed a longitudinal simulation-enhanced training format for interprofessional teams, consisting of final-year medical students, advanced trainees of emergency nursing and student paramedics. The training format consisted of several one-day training modules, which took place twice in 2016 and 2017. Each training module started with an introduction to share one’s roles, professional self-concepts, common misconceptions, and communication barriers. Next, we conducted different simulated cases. Each case consisted of a prehospital section (for paramedics and medical students, a handover (everyone, and an ED section (medical students and emergency nurses. After each training module, we assessed participants’ “Commitment to Change.” In this questionnaire, students were anonymously asked to state up to three changes that they wished to implement as a result of the course, as well as the strength of their commitment to these changes. Results In total, 64 of 80 participants (80.0% made at least one commitment to change after participating in the training modules. The total of 123 commitments was evenly distributed over four emerging categories: communication, behavior, knowledge and attitude. Roughly one third of behavior- and attitude-related commitments were directly related to interprofessional topics
Lawrence Livermore National Laboratory (LLNL) Waste Minimization Program Plan

International Nuclear Information System (INIS)

Heckman, R.A.; Tang, W.R.

1989-01-01

This Program Plan document describes the background of the Waste Minimization field at Lawrence Livermore National Laboratory (LLNL) and refers to the significant studies that have impacted on legislative efforts, both at the federal and state levels. A short history of formal LLNL waste minimization efforts is provided. Also included are general findings from analysis of work to date, with emphasis on source reduction findings. A short summary is provided on current regulations and probable future legislation which may impact on waste minimization methodology. The LLN Waste Minimization Program Plan is designed to be dynamic and flexible so as to meet current regulations, and yet is able to respond to an everchanging regulatory environment. 19 refs., 12 figs., 8 tabs
[Simulation as possible training for palliative emergencies: prospective initial data analysis of participants from two simulation training sessions].

Science.gov (United States)

Wiese, C H R; Bosse, G; Schröder, T; Lassen, C L; Bundscherer, A C; Graf, B M; Zausig, Y A

2015-01-01

Palliative emergencies describe an acute situation in patients with a life-limiting illness. At present defined curricula for prehospital emergency physician training for palliative emergencies are limited. Simulation-based training (SBT) for such palliative emergency situations is an exception both nationally and internationally. This article presents the preparation of recommendations in the training and development of palliative care emergency situations. A selected literature search was performed using PubMed, EMBASE, Medline and the Cochrane database (1990-2013). Reference lists of included articles were checked by two reviewers. Data of the included articles were extracted, evaluated und summarized. In the second phase the participants of two simulated scenarios of palliative emergencies were asked to complete an anonymous 15-item questionnaire. The results of the literature search and the questionnaire-based investigation were compared and recommendations were formulated based on the results. Altogether 30 eligible national and international articles were included. Overall, training curricula in palliative emergencies are currently being developed nationally and internationally but are not yet widely integrated into emergency medical training and education. In the second part of the investigation, 25 participants (9 male, 16 female, 20 physicians and 5 nurses) were included in 4 multiprofessional emergency medical simulation training sessions. The most important interests of the participants were the problems for training and further education concerning palliative emergencies described in the national and international literature. The literature review and the expectations of the participants underlined that the development and characteristics of palliative emergencies will become increasingly more important in outpatient emergency medicine. All participants considered palliative care to be very important concerning the competency for end-of-life decisions
LLNL Livermore site Groundwater Surveillance Plan

International Nuclear Information System (INIS)

1992-04-01

Department of Energy (DOE) Order 5400.1 establishes environ-mental protection program requirements, authorities, and responsibilities for DOE operations to assume compliance with federal, state, and local environmental protection laws and regulations; Federal Executive Orders; and internal DOE policies. ne DOE Order contains requirements and guidance for environmental monitoring programs, the objectives of which are to demonstrate compliance with legal and regulatory requirements imposed by federal, state, and local agencies; confirm adherence to DOE environmental protection polices; and support environmental management decisions. The environmental monitoring programs consist of two major activities: (1) measurement and monitoring of effluents from DOE operations, and (2) surveillance through measurement, monitoring, and calculation of the effects of those operations on the environment and public health. The latter concern, that of assessing the effects, if any, of Lawrence Livermore National Laboratory (LLNL) operations and activities on on-site and off-site surface waters and groundwaters is addressed by an Environmental Surveillance Program being developed by LLNL. The Groundwater Surveillance Plan presented here has been developed on a sitespecific basis, taking into consideration facility characteristics, applicable regulations, hazard potential, quantities and concentrations of materials released, the extent and use of local water resources, and specific local public interest and concerns
LLNL medical and industrial laser isotope separation: large volume, low cost production through advanced laser technologies

International Nuclear Information System (INIS)

Comaskey, B.; Scheibner, K. F.; Shaw, M.; Wilder, J.

1998-01-01

The goal of this LDRD project was to demonstrate the technical and economical feasibility of applying laser isotope separation technology to the commercial enrichment (>lkg/y) of stable isotopes. A successful demonstration would well position the laboratory to make a credible case for the creation of an ongoing medical and industrial isotope production and development program at LLNL. Such a program would establish LLNL as a center for advanced medical isotope production, successfully leveraging previous LLNL Research and Development hardware, facilities, and knowledge
Once upon a time (training for emergency situations)

International Nuclear Information System (INIS)

Olsen, W.C.

1979-01-01

Taking the pretend out of the emergency is discussed in this manual on emergency response training. The following suggestions are made: (1) plan credible emergency situations, (2) select plausible locations, (3) write scenarios, (4) tailor situations to locations, (5) involve other organizations, (6) make injuries look realistic, and (7) let employees take part
Astronauts and cosmonauts during emergency bailout training session

Science.gov (United States)

1994-01-01

Using small life rafts, several cosmonauts and astronauts participating in joint Russia - United States space missions take part in an emergency bailout training session in the JSC Weightless Environment Training Facility (WETF) 25-feet-deep pool. In the
Assessment of the proposed decontamination and waste treatment facility at LLNL

International Nuclear Information System (INIS)

Cohen, J.J.

1987-01-01

To provide a centralized decontamination and waste treatment facility (DWTF) at LLNL, the construction of a new installation has been planned. Objectives for this new facility were to replace obsolete, structurally and environmentally sub-marginal liquid and solid waste process facilities and decontamination facility and to bring these facilities into compliance with existing federal, state and local regulations as well as DOE orders. In a previous study, SAIC conducted a preliminary review and evaluation of existing facilities at LLNL and cost effectiveness of the proposed DWTF. This document reports on a detailed review of specific aspects of the proposed DWTF
LLNL/YMP Waste Container Fabrication and Closure Project; GFY technical activity summary

Energy Technology Data Exchange (ETDEWEB)

NONE

1990-10-01

The Department of Energy`s Office of Civilian Radioactive Waste Management (OCRWM) Program is studying Yucca Mountain, Nevada as a suitable site for the first US high-level nuclear waste repository. Lawrence Livermore National Laboratory (LLNL) has the responsibility for designing and developing the waste package for the permanent storage of high-level nuclear waste. This report is a summary of the technical activities for the LLNL/YMP Nuclear Waste Disposal Container Fabrication and Closure Development Project. Candidate welding closure processes were identified in the Phase 1 report. This report discusses Phase 2. Phase 2 of this effort involved laboratory studies to determine the optimum fabrication and closure processes. Because of budget limitations, LLNL narrowed the materials for evaluation in Phase 2 from the original six to four: Alloy 825, CDA 715, CDA 102 (or CDA 122) and CDA 952. Phase 2 studies focused on evaluation of candidate material in conjunction with fabrication and closure processes.

Lawrence Livermore National Laboratory Emergency Response Capability Baseline Needs Assessment Requirement Document

Energy Technology Data Exchange (ETDEWEB)

Sharry, J A

2009-12-30

This revision of the LLNL Fire Protection Baseline Needs Assessment (BNA) was prepared by John A. Sharry, LLNL Fire Marshal and LLNL Division Leader for Fire Protection and reviewed by Martin Gresho, Sandia/CA Fire Marshal. The document follows and expands upon the format and contents of the DOE Model Fire Protection Baseline Capabilities Assessment document contained on the DOE Fire Protection Web Site, but only address emergency response. The original LLNL BNA was created on April 23, 1997 as a means of collecting all requirements concerning emergency response capabilities at LLNL (including response to emergencies at Sandia/CA) into one BNA document. The original BNA documented the basis for emergency response, emergency personnel staffing, and emergency response equipment over the years. The BNA has been updated and reissued five times since in 1998, 1999, 2000, 2002, and 2004. A significant format change was performed in the 2004 update of the BNA in that it was 'zero based.' Starting with the requirement documents, the 2004 BNA evaluated the requirements, and determined minimum needs without regard to previous evaluations. This 2010 update maintains the same basic format and requirements as the 2004 BNA. In this 2010 BNA, as in the previous BNA, the document has been intentionally divided into two separate documents - the needs assessment (1) and the compliance assessment (2). The needs assessment will be referred to as the BNA and the compliance assessment will be referred to as the BNA Compliance Assessment. The primary driver for separation is that the needs assessment identifies the detailed applicable regulations (primarily NFPA Standards) for emergency response capabilities based on the hazards present at LLNL and Sandia/CA and the geographical location of the facilities. The needs assessment also identifies areas where the modification of the requirements in the applicable NFPA standards is appropriate, due to the improved fire protection
Emergency medical technician education and training.

Science.gov (United States)

Lauro, Joseph; Sullivan, Francis; Williams, Kenneth A

2013-12-03

Emergency Medical Services (EMS) training and education are vital and vibrant aspects of a young and evolving profession. This article provides a perspective on this effort in the United States and reviews current activity in Rhode Island.
National Uranium Resource Evaluation Program: the Hydrogeochemical Stream Sediment Reconnaissance Program at LLNL

International Nuclear Information System (INIS)

Higgins, G.H.

1980-08-01

From early 1975 to mid 1979, Lawrence Livermore National Laboratory (LLNL) participated in the Hydrogeochemical Stream Sediment Reconnaissance (HSSR), part of the National Uranium Resource Evaluation (NURE) program sponsored by the Department of Energy (DOE). The Laboratory was initially responsible for collecting, analyzing, and evaluating sediment and water samples from approximately 200,000 sites in seven western states. Eventually, however, the NURE program redefined its sampling priorities, objectives, schedules, and budgets, with the increasingly obvious result that LLNL objectives and methodologies were not compatible with those of the NURE program office, and the LLNL geochemical studies were not relevant to the program goal. The LLNL portion of the HSSR program was consequently terminated, and all work was suspended by June 1979. Of the 38,000 sites sampled, 30,000 were analyzed by instrumental neutron activation analyses (INAA), delayed neutron counting (DNC), optical emission spectroscopy (OES), and automated chloride-sulfate analyses (SC). Data from about 13,000 sites have been formally reported. From each site, analyses were published of about 30 of the 60 elements observed. Uranium mineralization has been identified at several places which were previously not recognized as potential uranium source areas, and a number of other geochemical anomalies were discovered
Emergency department operations and management education in emergency medicine training

Institute of Scientific and Technical Information of China (English)

Bret A Nicks; Darrell Nelson

2012-01-01

BACKGROUND:This study was undertaken to examine the current level of operations and management education within US-based Emergency Medicine Residency programs.METHODS:Residency program directors at all US-based Emergency Medicine Residency programs were anonymously surveyed via a web-based instrument.Participants indicated their levels of residency education dedicated to documentation,billing/coding,core measure/quality indicator compliance,and operations management.Data were analyzed using descriptive statistics for the ordinal data/Likert scales.RESULTS:One hundred and six(106)program directors completed the study instrument of one hundred and fifty-six(156)programs(70%).Of these,82.6%indicated emergency department(ED)operations and management education within the training curriculum.Dedicated documentation training was noted in all but 1 program(99%).Program educational offerings also included billing/coding(83%),core measure/quality indicators(78%)and operations management training(71%).In all areas,the most common means of educating came through didactic sessions and direct attending feedback or 69%-94%and 72%-98%respectively.Residency leadership was most confident with resident understanding of quality documentation(80%)and less so with core measures(72%),billing/coding/RVUs(58%),and operations management tools(23%).CONCLUSIONS:While most EM residency programs integrate basic operational education related to documentation and billing/coding,a smaller number provide focused education on the dayto-day management and operations of the ED.Residency leadership perceives graduating resident understanding of operational management tools to be limited.All respondents value further resident curriculum development of ED operations and management.
The LLNL portable tritium processing system

International Nuclear Information System (INIS)

Anon.

1995-01-01

The end of the Cold War significantly reduced the need for facilities to handle radioactive materials for the US nuclear weapons program. The LLNL Tritium Facility was among those slated for decommissioning. The plans for the facility have since been reversed, and it remains open. Nevertheless, in the early 1990s, the cleanup (the Tritium Inventory Removal Project) was undertaken. However, removing the inventory of tritium within the facility and cleaning up any pockets of high-level residual contamination required that we design a system adequate to the task and meeting today's stringent standards of worker and environmental protection. In collaboration with Sandia National Laboratory and EG ampersand G Mound Applied Technologies, we fabricated a three-module Portable Tritium Processing System (PTPS) that meets current glovebox standards, is operated from a portable console, and is movable from laboratory to laboratory for performing the basic tritium processing operations: pumping and gas transfer, gas analysis, and gas-phase tritium scrubbing. The Tritium Inventory Removal Project is now in its final year, and the portable system continues to be the workhorse. To meet a strong demand for tritium services, the LLNL Tritium Facility will be reconfigured to provide state-of-the-art tritium and radioactive decontamination research and development. The PTPS will play a key role in this new facility
Just-In-Time eTraining Applied To Emergency Medical Services

OpenAIRE

Vico Vela, Francisco José; Sánchez Canteli, Vicente; Lobo Fernández, Daniel; Fernández Rodríguez, Jose David; Bandera, César; Rivas, Ramón; Rosen, M.; Schlegel, M.

2013-01-01

While the applications of just-in-time training are more and more spread, the ubiquitous mobile technology has not found practical uses of this training strategy. As an original example of services for healthcare, we present in this work an application of eTraining that makes use of mobile telephones to transmit medical and on-site information content to emergency medical personnel that attend and emergency. The state-of-the-art in related technologies, overall architectu...
Evaluation of LLNL BSL-3 Maximum Credible Event Potential Consequence to the General Population and Surrounding Environment

Energy Technology Data Exchange (ETDEWEB)

Johnson, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2010-08-16

The purpose of this evaluation is to establish reproducibility of the analysis and consequence results to the general population and surrounding environment in the LLNL Biosafety Level 3 Facility Environmental Assessment (LLNL 2008).
Mobile Phone Training Platform for the Nursing Staff in the Emergency Department.

Science.gov (United States)

Liu, Xueqing; Cheng, Jing; Huang, Sufang

2018-05-09

Continuous education is required for nursing staff, but continuous education can be complicated for nurses working shifts, such as those in the emergency department (ED). To explore the effectiveness of the ED Training Platform of Tongji Hospital for conventional continuing education of emergency nurses. The training completion rate and training outcomes were validated. This was a retrospective study of all in-service emergency nurses working at the Tongji Medical College of Huazhong University of Science and Technology between August 2016 and August 2017. The training results of the previous year of the same group were used as controls. The platform used was an online system called JikeXuetang ( www.jkxuetang.com/ ), using the WeChat application as a carrier. The training completion rate and pass rate were compared with the control data. Among 124 nurses, the training completion rate increased from training course; 89.7% believed it as an effective tool of learning, and intended to join public courses after completion; and 63.4% nurses expressed the wish to receive push services once or twice weekly for training course. The outcome of emergency nurse training was improved using the mobile training platform. This approach was more feasible and easier for training.
Development of a Real-Time Radiological Area Monitoring Network for Emergency Response at Lawrence Livermore National Laboratory

International Nuclear Information System (INIS)

Bertoldo, N; Hunter, S; Fertig, R; Laguna, G; MacQueen, D

2004-01-01

A real-time radiological sensor network for emergency response was developed and deployed at the Lawrence Livermore National Laboratory (LLNL). The Real-Time Radiological Area Monitoring (RTRAM) network is comprised of 16 Geiger-Mueller (GM) sensors positioned on the LLNL Livermore site perimeter to continuously monitor for a radiological condition resulting from a terrorist threat to site security and the health and safety of LLNL personnel. The RTRAM network sensor locations coincide with wind sector directions to provide thorough coverage of the one square mile site. These loW--power sensors are supported by a central command center (CCC) and transmit measurement data back to the CCC computer through the LLNL telecommunications infrastructure. Alarm conditions are identified by comparing current data to predetermined threshold parameters and are validated by comparison with plausible dispersion modeling scenarios and prevailing meteorological conditions. Emergency response personnel are notified of alarm conditions by automatic radio and computer based notifications. A secure intranet provides emergency response personnel with current condition assessment data that enable them to direct field response efforts remotely. The RTRAM network has proven to be a reliable system since initial deployment in August 2001 and maintains stability during inclement weather conditions
Conceptual design report, Hazardous Materials Management and Emergency Response (HAMMER) Training Center

Energy Technology Data Exchange (ETDEWEB)

Kelly, K.E. [Westinghouse Hanford Co., Richland, WA (United States)

1994-11-09

For the next 30 years, the main activities at the US Department of Energy (DOE) Hanford Site will involve the management, handling, and cleanup of toxic substances. If the DOE is to meet its high standards of safety, the thousands of workers involved in these activities will need systematic training appropriate to their tasks and the risks associated with these tasks. Furthermore, emergency response for DOE shipments is the primary responsibility of state, tribal, and local governments. A collaborative training initiative with the DOE will strengthen emergency response at the Hanford Site and within the regional communities. Local and international labor has joined the Hazardous Materials Management and Emergency Response (HAMMER) partnership, and will share in the HAMMER Training Center core programs and facilities using their own specialized trainers and training programs. The HAMMER Training Center will provide a centralized regional site dedicated to the training of hazardous material, emergency response, and fire fighting personnel.
Conceptual design report, Hazardous Materials Management and Emergency Response (HAMMER) Training Center

International Nuclear Information System (INIS)

Kelly, K.E.

1994-01-01

For the next 30 years, the main activities at the US Department of Energy (DOE) Hanford Site will involve the management, handling, and cleanup of toxic substances. If the DOE is to meet its high standards of safety, the thousands of workers involved in these activities will need systematic training appropriate to their tasks and the risks associated with these tasks. Furthermore, emergency response for DOE shipments is the primary responsibility of state, tribal, and local governments. A collaborative training initiative with the DOE will strengthen emergency response at the Hanford Site and within the regional communities. Local and international labor has joined the Hazardous Materials Management and Emergency Response (HAMMER) partnership, and will share in the HAMMER Training Center core programs and facilities using their own specialized trainers and training programs. The HAMMER Training Center will provide a centralized regional site dedicated to the training of hazardous material, emergency response, and fire fighting personnel
Proceedings of the LLNL Technical Women`s Symposium

Energy Technology Data Exchange (ETDEWEB)

von Holtz, E. [ed.

1993-12-31

This report documents events of the LLNL Technical Women`s Symposium. Topics include; future of computer systems, environmental technology, defense and space, Nova Inertial Confinement Fusion Target Physics, technical communication, tools and techniques for biology in the 1990s, automation and robotics, software applications, materials science, atomic vapor laser isotope separation, technical communication, technology transfer, and professional development workshops.
The LLNL Multiuser Tandem Laboratory computer-controlled radiation monitoring system

International Nuclear Information System (INIS)

Homann, S.G.

1992-01-01

The Physics Department of the Lawrence Livermore National Laboratory (LLNL) recently constructed a Multiuser Tandem Laboratory (MTL) to perform a variety of basic and applied measurement programs. The laboratory and its research equipment were constructed with support from a consortium of LLNL Divisions, Sandia National Laboratories Livermore, and the University of California. Primary design goals for the facility were inexpensive construction and operation, high beam quality at a large number of experimental stations, and versatility in adapting to new experimental needs. To accomplish these goals, our main design decisions were to place the accelerator in an unshielded structure, to make use of reconfigured cyclotrons as effective switching magnets, and to rely on computer control systems for both radiological protection and highly reproducible and well-characterized accelerator operation. This paper addresses the radiological control computer system
Identification of training and emergency-planning needs through job-safety analysis

Energy Technology Data Exchange (ETDEWEB)

Veltrie, J.

1987-01-01

Training and emergency-planning needs within the photovoltaic industry may be more accurately determined through the performance of detailed job-safety analysis. This paper outlines the four major components of such an analysis, namely operational review, hazards evaluation, personnel review and resources evaluation. It then shows how these may be developed into coherent training and planning recommendations, for both emergency and non-emergency situations.
Audit of Childbirth Emergency Referrals by Trained Traditional Birth ...

African Journals Online (AJOL)

Medicine, Enugu State University of Science and Technology, 5Department of Obstetrics and ... Aim: The aim was to audit childbirth emergency referrals by trained TBAs to a ..... training of TBAs has been documented by previous African.
LLNL-G3Dv3: Global P wave tomography model for improved regional and teleseismic travel time prediction: LLNL-G3DV3---GLOBAL P WAVE TOMOGRAPHY

Energy Technology Data Exchange (ETDEWEB)

Simmons, N. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Myers, S. C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Johannesson, G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Matzel, E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2012-10-06

[1] We develop a global-scale P wave velocity model (LLNL-G3Dv3) designed to accurately predict seismic travel times at regional and teleseismic distances simultaneously. The model provides a new image of Earth's interior, but the underlying practical purpose of the model is to provide enhanced seismic event location capabilities. The LLNL-G3Dv3 model is based on ∼2.8 millionP and Pnarrivals that are re-processed using our global multiple-event locator called Bayesloc. We construct LLNL-G3Dv3 within a spherical tessellation based framework, allowing for explicit representation of undulating and discontinuous layers including the crust and transition zone layers. Using a multiscale inversion technique, regional trends as well as fine details are captured where the data allow. LLNL-G3Dv3 exhibits large-scale structures including cratons and superplumes as well numerous complex details in the upper mantle including within the transition zone. Particularly, the model reveals new details of a vast network of subducted slabs trapped within the transition beneath much of Eurasia, including beneath the Tibetan Plateau. We demonstrate the impact of Bayesloc multiple-event location on the resulting tomographic images through comparison with images produced without the benefit of multiple-event constraints (single-event locations). We find that the multiple-event locations allow for better reconciliation of the large set of direct P phases recorded at 0–97° distance and yield a smoother and more continuous image relative to the single-event locations. Travel times predicted from a 3-D model are also found to be strongly influenced by the initial locations of the input data, even when an iterative inversion/relocation technique is employed.
Summary of the LLNL one-dimensional transport-kinetics model of the troposphere and stratosphere: 1981

International Nuclear Information System (INIS)

Wuebbles, D.J.

1981-09-01

Since the LLNL one-dimensional coupled transport and chemical kinetics model of the troposphere and stratosphere was originally developed in 1972 (Chang et al., 1974), there have been many changes to the model's representation of atmospheric physical and chemical processes. A brief description is given of the current LLNL one-dimensional coupled transport and chemical kinetics model of the troposphere and stratosphere
Train Repathing in Emergencies Based on Fuzzy Linear Programming

Directory of Open Access Journals (Sweden)

Xuelei Meng

2014-01-01

Full Text Available Train pathing is a typical problem which is to assign the train trips on the sets of rail segments, such as rail tracks and links. This paper focuses on the train pathing problem, determining the paths of the train trips in emergencies. We analyze the influencing factors of train pathing, such as transferring cost, running cost, and social adverse effect cost. With the overall consideration of the segment and station capability constraints, we build the fuzzy linear programming model to solve the train pathing problem. We design the fuzzy membership function to describe the fuzzy coefficients. Furthermore, the contraction-expansion factors are introduced to contract or expand the value ranges of the fuzzy coefficients, coping with the uncertainty of the value range of the fuzzy coefficients. We propose a method based on triangular fuzzy coefficient and transfer the train pathing (fuzzy linear programming model to a determinate linear model to solve the fuzzy linear programming problem. An emergency is supposed based on the real data of the Beijing-Shanghai Railway. The model in this paper was solved and the computation results prove the availability of the model and efficiency of the algorithm.
Train repathing in emergencies based on fuzzy linear programming.

Science.gov (United States)

Meng, Xuelei; Cui, Bingmou

2014-01-01

Train pathing is a typical problem which is to assign the train trips on the sets of rail segments, such as rail tracks and links. This paper focuses on the train pathing problem, determining the paths of the train trips in emergencies. We analyze the influencing factors of train pathing, such as transferring cost, running cost, and social adverse effect cost. With the overall consideration of the segment and station capability constraints, we build the fuzzy linear programming model to solve the train pathing problem. We design the fuzzy membership function to describe the fuzzy coefficients. Furthermore, the contraction-expansion factors are introduced to contract or expand the value ranges of the fuzzy coefficients, coping with the uncertainty of the value range of the fuzzy coefficients. We propose a method based on triangular fuzzy coefficient and transfer the train pathing (fuzzy linear programming model) to a determinate linear model to solve the fuzzy linear programming problem. An emergency is supposed based on the real data of the Beijing-Shanghai Railway. The model in this paper was solved and the computation results prove the availability of the model and efficiency of the algorithm.
Proceedings of the LLNL technical women`s symposium

Energy Technology Data Exchange (ETDEWEB)

von Holtz, E. [ed.

1994-12-31

Women from institutions such as LLNL, LBL, Sandia, and SLAC presented papers at this conference. The papers deal with many aspects of global security, global ecology, and bioscience; they also reflect the challenges faced in improving business practices, communicating effectively, and expanding collaborations in the industrial world. Approximately 87 ``abstracts`` are included in six sessions; more are included in the addendum.

A knowledge based system for training radiation emergency response personnel

International Nuclear Information System (INIS)

Kuriakose, K.K.; Peter, T.U.; Natarajan, A.

1992-01-01

One of the important aspects of radiation emergency preparedness is to impart training to emergency handling staff. Mock exercises are generally used for this purpose. But practical considerations limit the frequency of such exercises. A suitably designed computer software can be effectively used to impart training. With the advent of low cost personal computers, the frequency with which the training programme can be conducted is unlimited. A computer software with monotonic behaviour is inadequate for such training. It is necessary to provide human like tutoring capabilities. With the advances in knowledge based computer systems, it is possible to develop such a system. These systems have the capability of providing individualized training. This paper describes the development of such a system for training and evaluation of agencies associated with the management of radiation emergency. It also discusses the utility of the software as a general purpose tutor. The details required for the preparation of data files and knowledge base files are included. It uses a student model based on performance measures. The software is developed in C under MS-DOS. It uses a rule based expert system shell developed in C. The features of this shell are briefly described. (author). 5 refs
LLNL Contribution to LLE FY09 Annual Report: NIC and HED Results

International Nuclear Information System (INIS)

Heeter, R.F.; Landen, O.L.; Hsing, W.W.; Fournier, K.B.

2009-01-01

In FY09, LLNL led 238 target shots on the OMEGA Laser System. Approximately half of these LLNL-led shots supported the National Ignition Campaign (NIC). The remainder was dedicated to experiments for the high-energy-density stewardship experiments (HEDSE). Objectives of the LLNL led NIC campaigns at OMEGA included: (1) Laser-plasma interaction studies in physical conditions relevant for the NIF ignition targets; (2) Demonstration of Tr = 100 eV foot symmetry tuning using a reemission sphere; (3) X-ray scattering in support of conductivity measurements of solid density Be plasmas; (4) Experiments to study the physical properties (thermal conductivity) of shocked fusion fuels; (5) High-resolution measurements of velocity nonuniformities created by microscopic perturbations in NIF ablator materials; (6) Development of a novel Compton Radiography diagnostic platform for ICF experiments; and (7) Precision validation of the equation of state for quartz. The LLNL HEDSE campaigns included the following experiments: (1) Quasi-isentropic (ICE) drive used to study material properties such as strength, equation of state, phase, and phase-transition kinetics under high pressure; (2) Development of a high-energy backlighter for radiography in support of material strength experiments using Omega EP and the joint OMEGA-OMEGA-EP configuration; (3) Debris characterization from long-duration, point-apertured, point-projection x-ray backlighters for NIF radiation transport experiments; (4) Demonstration of ultrafast temperature and density measurements with x-ray Thomson scattering from short-pulse laser-heated matter; (5) The development of an experimental platform to study nonlocal thermodynamic equilibrium (NLTE) physics using direct-drive implosions; (6) Opacity studies of high-temperature plasmas under LTE conditions; and (7) Characterization of copper (Cu) foams for HEDSE experiments.
The Evolution of On-Board Emergency Training for the International Space Station Crew

Science.gov (United States)

LaBuff, Skyler

2015-01-01

The crew of the International Space Station (ISS) receives extensive ground-training in order to safely and effectively respond to any potential emergency event while on-orbit, but few people realize that their training is not concluded when they launch into space. The evolution of the emergency On- Board Training events (OBTs) has recently moved from paper "scripts" to an intranet-based software simulation that allows for the crew, as well as the flight control teams in Mission Control Centers across the world, to share in an improved and more realistic training event. This emergency OBT simulator ensures that the participants experience the training event as it unfolds, completely unaware of the type, location, or severity of the simulated emergency until the scenario begins. The crew interfaces with the simulation software via iPads that they keep with them as they translate through the ISS modules, receiving prompts and information as they proceed through the response. Personnel in the control centers bring up the simulation via an intranet browser at their console workstations, and can view additional telemetry signatures in simulated ground displays in order to assist the crew and communicate vital information to them as applicable. The Chief Training Officers and emergency instructors set the simulation in motion, choosing the type of emergency (rapid depressurization, fire, or toxic atmosphere) and specific initial conditions to emphasize the desired training objectives. Project development, testing, and implementation was a collaborative effort between ISS emergency instructors, Chief Training Officers, Flight Directors, and the Crew Office using commercial off the shelf (COTS) hardware along with simulation software created in-house. Due to the success of the Emergency OBT simulator, the already-developed software has been leveraged and repurposed to develop a new emulator used during fire response ground-training to deliver data that the crew receives
Operating characteristics and modeling of the LLNL 100-kV electric gun

International Nuclear Information System (INIS)

Osher, J.E.; Barnes, G.; Chau, H.H.; Lee, R.S.; Lee, C.; Speer, R.; Weingart, R.C.

1989-01-01

In the electric gun, the explosion of an electrically heated metal foil and the accompanying magnetic forces drive a thin flyer plate up a short barrel. Flyer velocities of up to 18 km/s make the gun useful for hypervelocity impact studies. The authors briefly review the technological evolution of the exploding-metal circuit elements that power the gun, describe the 100-kV electric gun designed at Lawrence Livermore National Laboratory (LLNL) in some detail, and present the general principles of electric gun operation. They compare the experimental performance of the LLNL gun with a simple model and with predictions of a magnetohydrodynamics code
Application and evaluation of training for response to emergency situations

Energy Technology Data Exchange (ETDEWEB)

Kidwell, M.D.

1979-01-01

At Washington Gas Light Co., a magnetic situation-simulation board has become an effective tool for training field personnel in emergency procedures and decisionmaking. Class participants use magnetic disks - symbolizing physical features and components of the distribution system and service equipment - to visually describe the step-by-step procedures applied to specific emergency scenarios. A manually operated clock keeps a running account of the time estimated for each step, emphasizing the need for quick response. Situation-board programs of typical problems, complete with script and drawings, are available to all training foremen to ensure uniform training throughout the department.
Hazardous Materials Management and Emergency Response training Center needs assessment

International Nuclear Information System (INIS)

McGinnis, K.A.; Bolton, P.A.; Robinson, R.K.

1993-09-01

For the Hanford Site to provide high-quality training using simulated job-site situations to prepare the 4,000 Site workers and 500 emergency responders for known and unknown hazards a Hazardous Materials Management and Emergency Response Training Center is needed. The center will focus on providing classroom lecture as well as hands-on, realistic training. The establishment of the center will create a partnership among the US Department of Energy; its contractors; labor; local, state, and tribal governments; and Xavier and Tulane Universities of Louisiana. This report presents the background, history, need, benefits, and associated costs of the proposed center
Contingency plan for the Lawrence Livermore National Laboratory's hazardous-waste operations

International Nuclear Information System (INIS)

Roberts, R.S.

1981-01-01

The Lawrence Livermore National Laboratory (LLNL) has the necessary equipment and trained personnel to respond to a large number of hazardous material spills and fires or other emergencies resulting from these spills including injured personnel. This response capability is further expanded by the agreements that LLNL has with a number of outside response agencies. The Hazards Control Department at LLNL functions as the central point for coordinating the response of the equipment and personnel. Emergencies involving hazardous waste are also coordinated through the Hazards Control Department, but the equipment and personnel in the Toxic Waste Control Group would be activated for large volume waste pumpouts. Descriptions of response equipment, hazardous waste locations communication systems, and procedures for personnel involved in the emergency are provided
Project management plan, Hazardous Materials Management and Emergency Response Training Center

International Nuclear Information System (INIS)

Borgeson, M.E.

1994-01-01

For the next 30 years, the main activities at the Hanford Site will involve the handling and cleanup of toxic substances. Thousands of workers involved in these new activities will need systematic training appropriate to their tasks and associated risks. This project is an important part of the Hanford Site mission and will enable the US Department of Energy (DOE) to meet high standards for safety. The Hazardous Materials Management and Emergency Response Training Center (HAMMER) project will construct a centralized regional training center dedicated to training hazardous materials workers and emergency responders in classrooms and with hands-on, realistic training aids representing actual field conditions. The HAMMER Training Center will provide a cost-effective, high-quality way to meet the Hanford Site training needs. The training center creates a partnership among DOE; government contractors; labor; local, state, and tribal governments; and selected institutions of higher education
Effect of simulated emergency skills training and assessments on ...

African Journals Online (AJOL)

... of emergency skills in simulation was highly effective in enhancing the competence and confidence of medical students when managing a clinical emergency. However, students appeared to be overconfident, which could be ascribed to ignorance, and possibly indicates that feedback during training should be improved.
Contamination control training for biomedical facilities

International Nuclear Information System (INIS)

Trinoskey, P.A.

1994-10-01

In 1991, a contamination control course was developed for the Biology and Biotechnology Research Program (BBRP) at the Lawrence Livermore National Laboratory (LLNL). This course was based on the developer's experience in Radiation Safety at the University of Utah and University of Kansas Medical Center. This course has been well received at LLNL because it addresses issues that are important to individuals handling small quantities of radioactive materials. This group of users is often overlooked. They are typically very well educated and are expected to ''know'' what they should do. Many of these individuals are not initially comfortable working with radioactive materials. They appreciate the opportunity to be introduced to contamination control techniques and to discuss issues they may have. In addition, the authors benefit by experience that researchers bring from other facilities. The training course will address the specific radiological training requirements for chemists, biologists, and medical researchers who are using small amounts of dispersible radionuclides in tabletop experiments, and will not be exposed to other radiation sources. The training will include: the potential hazards of typical radionuclides, contamination control procedures, and guidance for developing and including site-specific information. The training course will eliminate the need for Radiological Worker II training for bio-medical researchers. The target audience for this training course is bio-medical researchers
The National Ignition Facility (NIF) and High Energy Density Science Research at LLNL (Briefing Charts)

Science.gov (United States)

2013-06-21

The National Ignition Facility ( NIF ) and High Energy Density Science Research at LLNL Presentation to: IEEE Pulsed Power and Plasma Science...Conference C. J. Keane Director, NIF User Office June 21, 2013 1491978-1-4673-5168-3/13/$31.00 ©2013 IEEE Report Documentation Page Form ApprovedOMB No...4. TITLE AND SUBTITLE The National Ignition Facility ( NIF ) and High Energy Density Science Research at LLNL 5a. CONTRACT NUMBER 5b. GRANT
Performance of HEPA filters at LLNL following the 1980 and 1989 earthquakes

International Nuclear Information System (INIS)

Bergman, W.; Elliott, J.; Wilson, K.

1995-01-01

The Lawrence Livermore National Laboratory has experienced two significant earthquakes for which data is available to assess the ability of HEPA filters to withstand seismic conditions. A 5.9 magnitude earthquake with an epicenter 10 miles from LLNL struck on January 24, l980. Estimates of the peak ground accelerations ranged from 0.2 to 0.3 g. A 7.0 magnitude earthquake with an epicenter about 50 miles from LLNL struck on October 17, 1989. Measurements of the ground accelerations at LLNL averaged 0.1 g. The results from the in-place filter tests obtained after each of the earthquakes were compiled and studied to determine if the earthquakes had caused filter leakage. Our study showed that only the 1980 earthquake resulted in a small increase in the number of HEPA filters developing leaks. In the 12 months following the 1980 and 1989 earthquakes, the in-place filter tests showed 8.0% and 4.1% of all filters respectively developed leaks. The average percentage of filters developing leaks from 1980 to 1993 was 3.3%+/-1.7%. The increase in the filter leaks is significant for the 1980 earthquake, but not for the 1989 earthquake. No contamination was detected following the earthquakes that would suggest transient releases from the filtration system
Performance of HEPA filters at LLNL following the 1980 and 1989 earthquakes

Energy Technology Data Exchange (ETDEWEB)

Bergman, W.; Elliott, J.; Wilson, K. [Lawrence Livermore National Laboratory, CA (United States)

1995-02-01

The Lawrence Livermore National Laboratory has experienced two significant earthquakes for which data is available to assess the ability of HEPA filters to withstand seismic conditions. A 5.9 magnitude earthquake with an epicenter 10 miles from LLNL struck on January 24, l980. Estimates of the peak ground accelerations ranged from 0.2 to 0.3 g. A 7.0 magnitude earthquake with an epicenter about 50 miles from LLNL struck on October 17, 1989. Measurements of the ground accelerations at LLNL averaged 0.1 g. The results from the in-place filter tests obtained after each of the earthquakes were compiled and studied to determine if the earthquakes had caused filter leakage. Our study showed that only the 1980 earthquake resulted in a small increase in the number of HEPA filters developing leaks. In the 12 months following the 1980 and 1989 earthquakes, the in-place filter tests showed 8.0% and 4.1% of all filters respectively developed leaks. The average percentage of filters developing leaks from 1980 to 1993 was 3.3%+/-1.7%. The increase in the filter leaks is significant for the 1980 earthquake, but not for the 1989 earthquake. No contamination was detected following the earthquakes that would suggest transient releases from the filtration system.
The design and implementation of the LLNL gigabit testbed

Energy Technology Data Exchange (ETDEWEB)

Garcia, D. [Lawrence Livermore National Labs., CA (United States)

1994-12-01

This paper will look at the design and implementation of the LLNL Gigabit testbed (LGTB), where various high speed networking products, can be tested in one environment. The paper will discuss the philosophy behind the design of and the need for the testbed, the tests that are performed in the testbed, and the tools used to implement those tests.
Counter Trafficking System Development "Analysis Training Program"

Energy Technology Data Exchange (ETDEWEB)

Peterson, Dennis C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2010-12-01

This document will detail the training curriculum for the Counter-Trafficking System Development (CTSD) Analysis Modules and Lesson Plans are derived from the United States Military, Department of Energy doctrine and Lawrence Livermore National Laboratory (LLNL), Global Security (GS) S Program.
Experience with simulator training for emergency conditions

International Nuclear Information System (INIS)

1987-12-01

The training of operators by the use of simulators is common to most countries with nuclear power plants. Simulator training programmes are generally well developed, but their value can be limited by the age, type, size and capability of the simulator. Within these limits, most full scope simulators have a capability of training operators for a range of design basis accidents. It is recognized that human performance under accident conditions is difficult to predict or analyse, particularly in the area of severe accidents. These are rare events and by their very nature, unpredictable. Of importance, therefore, is to investigate the training of operators for severe accident conditions, and to examine ways in which simulators may be used in this task. The International Nuclear Safety Advisory Group (INSAG) has reviewed this field and the associated elements of human behaviour. It has recommended that activities are concentrated on this area. Initially it is encouraging the following objectives: i) To train operators for accident conditions including severe accidents and to strongly encourage the development and use of simulators for this purpose; ii) To improve the man-machine interface by the use of computer aids to the operator; iii) To develop human performance requirements for plant operating staff. As part of this work, the IAEA convened a technical committee on 15-19 September 1986 to review the experience with simulator training for emergency conditions, to review simulator modelling for severe accident training, to examine the role of human cognitive behaviour modelling, and to review guidance on accident scenarios. A substantial deviation may be a major fuel failure, a Loss of Coolant Accident (LOCA), etc. Examples of engineered safety features are: an Emergency Core Cooling System (ECCS), and Containment Systems. This report was prepared by the participants during the meeting and reviewed further in a Consultant's Meeting. It also includes papers which were
Project plan, Hazardous Materials Management and Emergency Response Training Center: Project 95L-EWT-100

International Nuclear Information System (INIS)

Borgeson, M.E.

1994-01-01

The Hazardous Materials Management and Emergency Response (HAMMER) Training Center will provide for classroom lectures and hands-on practical training in realistic situations for workers and emergency responders who are tasked with handling and cleanup of toxic substances. The primary objective of the HAMMER project is to provide hands-on training and classroom facilities for hazardous material workers and emergency responders. This project will also contribute towards complying with the planning and training provisions of recent legislation. In March 1989 Title 29 Code of Federal Regulations Occupational Safety and Health Administration 1910 Rules and National Fire Protection Association Standard 472 defined professional requirements for responders to hazardous materials incidents. Two general types of training are addressed for hazardous materials: training for hazardous waste site workers and managers, and training for emergency response organizations
Comprehensive Angular Response Study of LLNL Panasonic Dosimeter Configurations and Artificial Intelligence Algorithm

Energy Technology Data Exchange (ETDEWEB)

Stone, D. K. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2017-06-30

In April of 2016, the Lawrence Livermore National Laboratory External Dosimetry Program underwent a Department of Energy Laboratory Accreditation Program (DOELAP) on-site assessment. The assessment reported a concern that the study performed in 2013 Angular Dependence Study Panasonic UD-802 and UD-810 Dosimeters LLNL Artificial Intelligence Algorithm was incomplete. Only the responses at ±60° and 0° were evaluated and independent data from dosimeters was not used to evaluate the algorithm. Additionally, other configurations of LLNL dosimeters were not considered in this study. This includes nuclear accident dosimeters (NAD) which are placed in the wells surrounding the TLD in the dosimeter holder.
A national survey of terrorism preparedness training among pediatric, family practice, and emergency medicine programs.

Science.gov (United States)

Martin, Shelly D; Bush, Anneke C; Lynch, Julia A

2006-09-01

Domestic terrorism is a real threat focusing on a need to engage in effective emergency preparedness planning and training. Front-line physicians are an important component of any emergency preparedness plan. Potential victims of an attack include children who have unique physiologic and psychological vulnerabilities in disasters. Front-line providers need to have adequate training to effectively participate in local planning initiatives and to recognize and treat casualties including children. The goal of the survey was to assess the current state of terrorism preparedness training, including child victims, by emergency medicine, family practice, and pediatric residency programs in the United States and to assess methods of training and barriers to establishing effective training. A survey was e-mailed to a comprehensive list of all US pediatric, family practice, and emergency medicine residency programs 3 times between September 2003 and January 2004. The survey measured the perceived risk of terrorist attack, level of training by type of attack, level of training regarding children, method of training, and barriers to training. Overall, 21% of programs responded (46 of 182 pediatric, 75 of 400 family practice, and 29 of 125 emergency medicine programs). Across all of the event types, emergency medicine programs were more likely to report adequate/comprehensive training. However, terrorism preparedness funding, these data suggest that we are failing to provide adequate training to front-line providers who may care for children in a catastrophic domestic terrorist event.
Emergence of tacts following mand training in young children with autism.

LENUS (Irish Health Repository)

Egan, Claire E

2009-01-01

This study sought to examine the effects of training mands on the emergence of tacts with the same response forms. Results indicated that training adjective sets as mands resulted in the emergence of adjective sets as tacts under modified, but not standard, antecedent conditions. The findings suggested that the apparent functional independence of mands and tacts may be explained by a lack of appropriate antecedent control over responding.

LLNL Site plan for a MOX fuel lead assembly mission in support of surplus plutonium disposition

Energy Technology Data Exchange (ETDEWEB)

Bronson, M.C.

1997-10-01

The principal facilities that LLNL would use to support a MOX Fuel Lead Assembly Mission are Building 332 and Building 334. Both of these buildings are within the security boundary known as the LLNL Superblock. Building 332 is the LLNL Plutonium Facility. As an operational plutonium facility, it has all the infrastructure and support services required for plutonium operations. The LLNL Plutonium Facility routinely handles kilogram quantities of plutonium and uranium. Currently, the building is limited to a plutonium inventory of 700 kilograms and a uranium inventory of 300 kilograms. Process rooms (excluding the vaults) are limited to an inventory of 20 kilograms per room. Ongoing operations include: receiving SSTS, material receipt, storage, metal machining and casting, welding, metal-to-oxide conversion, purification, molten salt operations, chlorination, oxide calcination, cold pressing and sintering, vitrification, encapsulation, chemical analysis, metallography and microprobe analysis, waste material processing, material accountability measurements, packaging, and material shipping. Building 334 is the Hardened Engineering Test Building. This building supports environmental and radiation measurements on encapsulated plutonium and uranium components. Other existing facilities that would be used to support a MOX Fuel Lead Assembly Mission include Building 335 for hardware receiving and storage and TRU and LLW waste storage and shipping facilities, and Building 331 or Building 241 for storage of depleted uranium.
LLNL Site plan for a MOX fuel lead assembly mission in support of surplus plutonium disposition

International Nuclear Information System (INIS)

Bronson, M.C.

1997-01-01

The principal facilities that LLNL would use to support a MOX Fuel Lead Assembly Mission are Building 332 and Building 334. Both of these buildings are within the security boundary known as the LLNL Superblock. Building 332 is the LLNL Plutonium Facility. As an operational plutonium facility, it has all the infrastructure and support services required for plutonium operations. The LLNL Plutonium Facility routinely handles kilogram quantities of plutonium and uranium. Currently, the building is limited to a plutonium inventory of 700 kilograms and a uranium inventory of 300 kilograms. Process rooms (excluding the vaults) are limited to an inventory of 20 kilograms per room. Ongoing operations include: receiving SSTS, material receipt, storage, metal machining and casting, welding, metal-to-oxide conversion, purification, molten salt operations, chlorination, oxide calcination, cold pressing and sintering, vitrification, encapsulation, chemical analysis, metallography and microprobe analysis, waste material processing, material accountability measurements, packaging, and material shipping. Building 334 is the Hardened Engineering Test Building. This building supports environmental and radiation measurements on encapsulated plutonium and uranium components. Other existing facilities that would be used to support a MOX Fuel Lead Assembly Mission include Building 335 for hardware receiving and storage and TRU and LLW waste storage and shipping facilities, and Building 331 or Building 241 for storage of depleted uranium
Physics of laser fusion. Volume II. Diagnostics of experiments on laser fusion targets at LLNL

Energy Technology Data Exchange (ETDEWEB)

Ahlstrom, H.G.

1982-01-01

These notes present the experimental basis and status for laser fusion as developed at LLNL. There are two other volumes in this series: Vol. I, by C.E. Max, presents the theoretical laser-plasma interaction physics; Vol. III, by J.F. Holzrichter et al., presents the theory and design of high-power pulsed lasers. A fourth volume will present the theoretical implosion physics. The notes consist of six sections. The first, an introductory section, provides some of the history of inertial fusion and a simple explanation of the concepts involved. The second section presents an extensive discussion of diagnostic instrumentation used in the LLNL Laser Fusion Program. The third section is a presentation of laser facilities and capabilities at LLNL. The purpose here is to define capability, not to derive how it was obtained. The fourth and fifth sections present the experimental data on laser-plasma interaction and implosion physics. The last chapter is a short projection of the future.
Physics of laser fusion. Volume II. Diagnostics of experiments on laser fusion targets at LLNL

International Nuclear Information System (INIS)

Ahlstrom, H.G.

1982-01-01

These notes present the experimental basis and status for laser fusion as developed at LLNL. There are two other volumes in this series: Vol. I, by C.E. Max, presents the theoretical laser-plasma interaction physics; Vol. III, by J.F. Holzrichter et al., presents the theory and design of high-power pulsed lasers. A fourth volume will present the theoretical implosion physics. The notes consist of six sections. The first, an introductory section, provides some of the history of inertial fusion and a simple explanation of the concepts involved. The second section presents an extensive discussion of diagnostic instrumentation used in the LLNL Laser Fusion Program. The third section is a presentation of laser facilities and capabilities at LLNL. The purpose here is to define capability, not to derive how it was obtained. The fourth and fifth sections present the experimental data on laser-plasma interaction and implosion physics. The last chapter is a short projection of the future
NNSA/NV Consequence Management Capabilities for Radiological Emergency Response

International Nuclear Information System (INIS)

Bowman, D. R.

2002-01-01

The U.S. Department of Energy's National Nuclear Security Administration Nevada Operations Office (NNSA/NV) provides an integrated Consequence Management (CM) response capability for the (NNSA) in the event of a radiological emergency. This encompasses planning, technical operations, and home team support. As the lead organization for CM planning and operations, NNSA/NV coordinates the response of the following assets during the planning and operational phases of a radiological accident or incident: (1) Predictive dispersion modeling through the Atmospheric Release Advisory Capability (ARAC) at Lawrence Livermore National Laboratory (LLNL) and the High Consequence Assessment Group at Sandia National Laboratories (SNL); (2) Regional radiological emergency assistance through the eight Radiological Assistance Program (RAP) regional response centers; (3) Medical advice and assistance through the Radiation Emergency Assistance Center/Training Site (REAC/TS) in Oak Ridge, Tennessee; (4) Aerial radiological mapping using the fixed-wing and rotor-wing aircraft of the Aerial Measuring System (AMS); (5) Consequence Management Planning Teams (CMPT) and Consequence Management Response Teams (CMRT) to provide CM field operations and command and control. Descriptions of the technical capabilities employed during planning and operations are given below for each of the elements comprising the integrated CM capability
Radiological transportation emergency response training course funding and timing in the southern states

International Nuclear Information System (INIS)

1991-10-01

The following is a review of the enabling statutes of 16 southern states regarding training for personnel preparing for or responding to a transportation-related emergency involving highway route-controlled quantities of spent fuel and high-level radioactive waste. This report outlines the funding sources and procedures for administering funds for programs attended by state and local officials. Additionally, the report outlines the views of emergency response officials in the southem states concerning the timing and administration of future federal assistance to be provided under section 180(c) of the Nuclear Waste Policy Amendments Act. Under section 180(c) of the Nuclear Waste Policy Amendments Act of 1987, the US Department of Energy (DOE) is required to provide technical assistance and funds to states for training public safety officials of appropriate units of local government and Indian tribes when spent nuclear fuel or high-level radioactive waste is transported through their jurisdictions. The Comprehensive Cooperative Agreement (CCA) is the primary funding mechanism for federal assistance to states for the development of their overall emergency management capabilities. FEMA supports 12 separate emergency management programs including the Emergency Management Training program (EMT). This program provides funds for emergency management training and technical assistance to states for unique state training needs. Funds may be used for instructors, students and other related costs
Interactive, Computer-Based Training Program for Radiological Workers

International Nuclear Information System (INIS)

Trinoskey, P.A.; Camacho, P.I.; Wells, L.

2000-01-01

Lawrence Livermore National Laboratory (LLNL) is redesigning its Computer-Based Training (CBT) program for radiological workers. The redesign represents a major effort to produce a single, highly interactive and flexible CBT program that will meet the training needs of a wide range of radiological workers--from researchers and x-ray operators to individuals working in tritium, uranium, plutonium, and accelerator facilities. The new CBT program addresses the broad diversity of backgrounds found at a national laboratory. When a training audience is homogeneous in terms of education level and type of work performed, it is difficult to duplicate the effectiveness of a flexible, technically competent instructor who can tailor a course to the express needs and concerns of a course's participants. Unfortunately, such homogeneity is rare. At LLNL, they have a diverse workforce engaged in a wide range of radiological activities, from the fairly common to the quite exotic. As a result, the Laboratory must offer a wide variety of radiological worker courses. These include a general contamination-control course in addition to radioactive-material-handling courses for both low-level laboratory (i.e., bench-top) activities as well as high-level work in tritium, uranium, and plutonium facilities. They also offer training courses for employees who work with radiation-generating devices--x-ray, accelerator, and E-beam operators, for instance. However, even with the number and variety of courses the Laboratory offers, they are constrained by the diversity of backgrounds (i.e., knowledge and experience) of those to be trained. Moreover, time constraints often preclude in-depth coverage of site- and/or task-specific details. In response to this situation, several years ago LLNL began moving toward computer-based training for radiological workers. Today, that CBT effort includes a general radiological safety course developed by the Department of Energy's Hanford facility and a
Role of first responder's training in the management of nuclear and radiological emergencies

International Nuclear Information System (INIS)

Nagarajan, V.; Sankhla, Rajesh; Verma, R.K.

2008-01-01

Consequent to the terrorist attacks on WTC in USA and other similar terrorist attacks worldwide, there has been increasing public concern regarding the use of radioactive materials in a malevolent act. As the radioactive sources are widely used in the industries, terrorists may have access to these facilities and obtain the radioactive material suitable for making Radioactive Dispersal Device (RDD) often called as dirty bomb. Response to nuclear or radiological emergency may involve highly specialized agencies or technical experts. Hence well-coordinated arrangements must be integrated with those required for any other conventional emergencies. During radiological emergencies, emergency service personnel are expected to play a major role in the early response. Though these personnel are well equipped and trained in tackling the normal emergencies it is essential to train them to deal with the radiological emergencies due to inherent characteristics of radioactivity. For the effective management of radiological emergencies, these first responders are required to be trained in such a way that they understand the concept of radiation protection. This objective can be achieved by using a typical training module consisting of interactive class room lectures, practical sessions to use the instruments and handling of radioactive sources, demonstration of radiation protection practices, exhibition of all radiation survey instruments and protective equipment etc., display of various posters and RDD Emergency Exercise. (author)
Global teaching and training initiatives for emerging cohort studies

Directory of Open Access Journals (Sweden)

Jessica K. Paulus

2012-09-01

Full Text Available A striking disparity exists across the globe, with essentially no large-scale longitudinal studies ongoing in regions that will be significantly affected by the oncoming non-communicable disease epidemic. The successful implementation of cohort studies in most low-resource research environments presents unique challenges that may be aided by coordinated training programs. Leaders of emerging cohort studies attending the First World Cohort Integration Workshop were surveyed about training priorities, unmet needs and potential cross-cohort solutions to these barriers through an electronic pre-workshop questionnaire and focus groups. Cohort studies representing India, Mexico, Nigeria, South Africa, Sweden, Tanzania and Uganda described similar training needs, including on-the-job training, data analysis software instruction, and database and bio-bank management. A lack of funding and protected time for training activities were commonly identified constraints. Proposed solutions include a collaborative cross-cohort teaching platform with web-based content and interactive teaching methods for a range of research personnel. An international network for research mentorship and idea exchange, and modifying the graduate thesis structure were also identified as key initiatives. Cross-cohort integrated educational initiatives will efficiently meet shared needs, catalyze the development of emerging cohorts, speed closure of the global disparity in cohort research, and may fortify scientific capacity development in low-resource settings.
The impact of emergency obstetric care training in Somaliland, Somalia.

Science.gov (United States)

Ameh, Charles; Adegoke, Adetoro; Hofman, Jan; Ismail, Fouzia M; Ahmed, Fatuma M; van den Broek, Nynke

2012-06-01

To provide and evaluate in-service training in "Life Saving Skills - Emergency Obstetric and Newborn Care" in order to improve the availability of emergency obstetric care (EmOC) in Somaliland. In total, 222 healthcare providers (HCPs) were trained between January 2007 and December 2009. A before-after study was conducted using quantitative and qualitative methods to evaluate trainee reaction and change in knowledge, skills, and behavior, in addition to functionality of healthcare facilities, during and immediately after training, and at 3 and 6 months post-training. The HCPs reacted positively to the training, with a significant improvement in 50% of knowledge and 100% of skills modules assessed. The HCPs reported improved confidence in providing EmOC. Basic and comprehensive EmOC healthcare facilities provided 100% of expected signal functions-compared with 43% and 56%, respectively, at baseline-with trained midwives performing skills usually performed by medical doctors. Lack of drugs, supplies, medical equipment, and supportive policy were identified as barriers that could contribute to nonuse of new skills and knowledge acquired. The training impacted positively on the availability and quality of EmOC and resulted in "up-skilling" of midwives. Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Author Contribution to the Pu Handbook II: Chapter 37 LLNL Integrated Sample Preparation Glovebox (TEM) Section

Energy Technology Data Exchange (ETDEWEB)

Wall, Mark A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-10-25

The development of our Integrated Actinide Sample Preparation Laboratory (IASPL) commenced in 1998 driven by the need to perform transmission electron microscopy studies on naturally aged plutonium and its alloys looking for the microstructural effects of the radiological decay process (1). Remodeling and construction of a laboratory within the Chemistry and Materials Science Directorate facilities at LLNL was required to turn a standard radiological laboratory into a Radiological Materials Area (RMA) and Radiological Buffer Area (RBA) containing type I, II and III workplaces. Two inert atmosphere dry-train glove boxes with antechambers and entry/exit fumehoods (Figure 1), having a baseline atmosphere of 1 ppm oxygen and 1 ppm water vapor, a utility fumehood and a portable, and a third double-walled enclosure have been installed and commissioned. These capabilities, along with highly trained technical staff, facilitate the safe operation of sample preparation processes and instrumentation, and sample handling while minimizing oxidation or corrosion of the plutonium. In addition, we are currently developing the capability to safely transfer small metallographically prepared samples to a mini-SEM for microstructural imaging and chemical analysis. The gloveboxes continue to be the most crucial element of the laboratory allowing nearly oxide-free sample preparation for a wide variety of LLNL-based characterization experiments, which includes transmission electron microscopy, electron energy loss spectroscopy, optical microscopy, electrical resistivity, ion implantation, X-ray diffraction and absorption, magnetometry, metrological surface measurements, high-pressure diamond anvil cell equation-of-state, phonon dispersion measurements, X-ray absorption and emission spectroscopy, and differential scanning calorimetry. The sample preparation and materials processing capabilities in the IASPL have also facilitated experimentation at world-class facilities such as the
Author Contribution to the Pu Handbook II: Chapter 37 LLNL Integrated Sample Preparation Glovebox (TEM) Section

International Nuclear Information System (INIS)

Wall, Mark A.

2016-01-01

The development of our Integrated Actinide Sample Preparation Laboratory (IASPL) commenced in 1998 driven by the need to perform transmission electron microscopy studies on naturally aged plutonium and its alloys looking for the microstructural effects of the radiological decay process (1). Remodeling and construction of a laboratory within the Chemistry and Materials Science Directorate facilities at LLNL was required to turn a standard radiological laboratory into a Radiological Materials Area (RMA) and Radiological Buffer Area (RBA) containing type I, II and III workplaces. Two inert atmosphere dry-train glove boxes with antechambers and entry/exit fumehoods (Figure 1), having a baseline atmosphere of 1 ppm oxygen and 1 ppm water vapor, a utility fumehood and a portable, and a third double-walled enclosure have been installed and commissioned. These capabilities, along with highly trained technical staff, facilitate the safe operation of sample preparation processes and instrumentation, and sample handling while minimizing oxidation or corrosion of the plutonium. In addition, we are currently developing the capability to safely transfer small metallographically prepared samples to a mini-SEM for microstructural imaging and chemical analysis. The gloveboxes continue to be the most crucial element of the laboratory allowing nearly oxide-free sample preparation for a wide variety of LLNL-based characterization experiments, which includes transmission electron microscopy, electron energy loss spectroscopy, optical microscopy, electrical resistivity, ion implantation, X-ray diffraction and absorption, magnetometry, metrological surface measurements, high-pressure diamond anvil cell equation-of-state, phonon dispersion measurements, X-ray absorption and emission spectroscopy, and differential scanning calorimetry. The sample preparation and materials processing capabilities in the IASPL have also facilitated experimentation at world-class facilities such as the
LLNL radioactive waste management plan as per DOE Order 5820.2

International Nuclear Information System (INIS)

1984-01-01

The following aspects of LLNL's radioactive waste management plan are discussed: program administration; description of waste generating processes; radioactive waste collection, treatment, and disposal; sanitary waste management; site 300 operations; schedules and major milestones for waste management activities; and environmental monitoring programs (sampling and analysis)
Management and training aspects of the emergency plan

International Nuclear Information System (INIS)

Lakey, J.R.A.

1996-01-01

The main objectives of an emergency management system are to prevent or reduce the likelihood of consequential loss in the event of an emergency occurring. In the event of a nuclear accident the effectiveness of measures for the protection of the public will depend on the advance preparation especially in education and training. This paper reviews two recent initiatives and concludes with comments on the future development of this subject. There is an increasing requirement in legal and moral terms for industry to inform the population of health hazards to which they are exposed. In a report published by the Nuclear Energy Agency (NEA/OECD) radiation protection was described as a subject which is impenetrable to the layman and as wide as it is complex. For this and other reasons radiation hazards are perceived to exceed all others and the public appear to have a poor image of the radiation protection specialists. Communication with the public and the media is widely recognized as a key pan of an emergency plan. This view is supported in the European Union which has sponsored the book on 'Radiation and Radiation Protection - a course for primary and secondary schools' which is described in this paper. The training of emergency teams includes the use of drills and exercises to maintain skills and can also be used to test the adequacy of plans. Every effort should be made to simulate the pressure on time and resources which would occur in a real event. Radiation emergencies are fortunately rare and so there is little practical experience of these events. The emergency worker must gain some radiation protection skills and must be able to use some technical language when communicating with specialist advisors. For this reason the European Union has sponsored the book 'Radiation Protection for Emergency Workers' which is also described in this paper. (author)
Training for the medical response in radiological emergency experiences and results

International Nuclear Information System (INIS)

Cardenas Herrera, J.; Lopez Forteza, Y.

2003-01-01

The use of the nuclear techniques int he social practice confers a special imporatnce to the relative aspects to the safety of the practices and radiationsources, for what the implementation of efficient programs of radiation protection constitutes a priority. However in spite of the will before expressed, regrettably radiological situations happen accidental assocaited to multiple causes taht suggest the creation of response capacities to intervention before these fortuitous facts. The experiences accumulated in the last decades related with accidental exposures have evidenced the convenience of having properly qualified human resources for the Medical Response in Radiological Emergencies. The training in the medical aspects of the radiological emergencies acquires a singular character. In such a sense when valuing the national situation put onof manifest deficiences as for the training in medical aspects of the radiological emergencies that advised the development of training programs in such aspects for the different response groups linked to the topic. After identified the training necessities and the scope of the same ones, the contents of the training program were elaborated. The program has as general purpose the invigoration of the capacity of the medical response in front of accidental radiological situations, by means of actions that they bear to prepare groups of medical response in the handling of people accident victims and to the identification of potentials,accidental scenarios, as well as of the necessary resources to confront them. The program content approaches theoretical and paractical aspects to the medical aspect to radiological emergencies. The program include the different topics about fundamental of physical biological to radiation protection, radiation protection during exposure of radiological accidents, medical care for overexposed or contaminated persons, drill, exercises and concludes with designation of a strategy as preparation and
LLNL Center of Excellence Work Items for Q9-Q10 period

Energy Technology Data Exchange (ETDEWEB)

Neely, J. R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-09-02

This work plan encompasses a slice of effort going on within the ASC program, and for projects utilizing COE vendor resources, describes work that will be performed by both LLNL staff and COE vendor staff collaboratively.
Training programmes and experiences of medical emergency preparedness for radiation accident in Japan

Energy Technology Data Exchange (ETDEWEB)

Suzuki-Yasumoto, M

1982-01-01

Our policy of training programmes for medical radiation emergency preparedness is described. We found it is necessary to have two approaches to the training of relevant personnel. The first approach was to conduct adequate basic training of nurses and health physics personnel in large nuclear installations for medical radiation emergency preparedness. We found it was necessary to have courses for basic knowledge of nuclear radiation and industrial activities, radiation monitoring procedures, radiation injuries, human counters and wound monitors, first aid practices, and radiation medical emergency procedures including practices. The second approach was to make a simple and introductory training program on the subject using lectures and visual presentations in the vicinity of big nuclear installations for personnel relating to the nuclear industrial activities and for concerned local personnel, including medical doctors and nurses. These two training courses and approaches were planned and have been conducted. 2 refs. (DT)
Training in Emergency Obstetrics: A Needs Assessment of U.S. Emergency Medicine Program Directors

Directory of Open Access Journals (Sweden)

Daniel W. Robinson

2017-12-01

Full Text Available Introduction Obstetrical emergencies are a high-risk yet infrequent occurrence in the emergency department. While U.S. emergency medicine (EM residency graduates are required to perform 10 low-risk normal spontaneous vaginal deliveries, little is known about how residencies prepare residents to manage obstetrical emergencies. We sought to profile the current obstetrical training curricula through a survey of U.S. training programs. Methods We sent a web-based survey covering the four most common obstetrical emergencies (pre-eclampsia/eclampsia, postpartum hemorrhage (PPH, shoulder dystocia, and breech presentation through email invitations to all program directors (PD of U.S. EM residency programs. The survey focused on curricular details as well as the comfort level of the PDs in the preparation of their graduating residents to treat obstetrical emergencies and normal vaginal deliveries. Results Our survey had a 55% return rate (n=105/191. Of the residencies responding, 75% were in the academic setting, 20.2% community, 65% urban, and 29.8% suburban, and the obstetrical curricula were 2–4 weeks long occurring in post-graduate year one. The most common teaching method was didactics (84.1–98.1%, followed by oral cases for pre-eclampsia (48% and PPH (37.2%, and homemade simulation for shoulder dystocia (37.5% and breech delivery (33.3%. The PDs’ comfort about residency graduate skills was highest for normal spontaneous vaginal delivery, pre-eclampsia, and PPH. PDs were not as comfortable about their graduates’ skill in handling shoulder dystocia or breech delivery. Conclusion Our survey found that PDs are less comfortable in their graduates’ ability to perform non-routine emergency obstetrical procedures.
Cooperative approach to training for radiological emergency preparedness and response in Southeast Asia

International Nuclear Information System (INIS)

Bus, John; Popp, Andrew; Holland, Brian; Murray, Allan

2011-01-01

The paper describes the collaborative and systematic approach to training for nuclear and radiological emergency preparedness and response and the outcomes of this work with ANSTO's Southeast Asian counterparts, particularly in the Philippines. The standards and criteria being applied are discussed, along with the methods, design and conduct of workshops, table-top and field exercises. The following elements of this training will be presented: (a) identifying the priority areas for training through needs analysis;(b) strengthening individual profesional expertise through a structured approach to training; and (c) enhancing individual Agency and National nuclear and radiological emergency preparedness and response arrangements and capabilities. Whilst the work is motivated by nuclear security concerns, the implications for effective and sustainable emergency response to any nuclear or radiological incidents are noted. (author)
Implementing necessary and sufficient standards for radioactive waste management at LLNL

International Nuclear Information System (INIS)

Sims, J.M.; Ladran, A.; Hoyt, D.

1995-01-01

Lawrence Livermore National Laboratory (LLNL) and the U.S. Department of Energy, Oakland Field Office (DOE/OAK), are participating in a pilot program to evaluate the process to develop necessary and sufficient sets of standards for contractor activities. This concept of contractor and DOE jointly and locally deciding on what constitutes the set of standards that are necessary and sufficient to perform work safely and in compliance with federal, state, and local regulations, grew out of DOE's Department Standards Committee (Criteria for the Department's Standards Program, August 1994, DOE/EH/-0416). We have chosen radioactive waste management activities as the pilot program at LLNL. This pilot includes low-level radioactive waste, transuranic (TRU) waste, and the radioactive component of low-level and TRU mixed wastes. Guidance for the development and implementation of the necessary and sufficient set of standards is provided in open-quotes The Department of Energy Closure Process for Necessary and Sufficient Sets of Standards,close quotes March 27, 1995 (draft)

Advanced information technology for training and emergency management

International Nuclear Information System (INIS)

Wahlstroem, B.

1989-01-01

Modern information technology provides many possibilities for improving both the safety and the availability of nuclear installations. A Nordic research programme was started in 1977, in which several organizations in Denmark, Finland, Norway and Sweden has been participating. The work has on a general level been addressing control rooms, human reliability and information technology for nuclear power plants. The research has had impact on the development of the control room solutions and the training simulators in Finland and also in the other Nordic countries. The present phase of the Nordic cooperation is investigating the use of advanced information technology in emergency management. The paper gives a brief introduction to the use of advance information technology for training and emergency management, which is based on the experience from the Nordic projects and other similar application projects in Finland. The paper includes also references to results from several of the projects. (author)
Characteristics of training and motivation of physicians working in emergency medicine

Directory of Open Access Journals (Sweden)

Gilson Soares Feitosa-Filho

Full Text Available Summary Introduction: Emergency medicine is an area in which correct decisions often need to be made fast, thus requiring a well-prepared medical team. There is little information regarding the profile of physicians working at emergency departments in Brazil. Objective: To describe general characteristics of training and motivation of physicians working in the emergency departments of medium and large hospitals in Salvador, Brazil. Method: A cross-sectional study with standardized interviews applied to physicians who work in emergency units in 25 medium and large hospitals in Salvador. At least 75% of the professionals at each hospital were interviewed. One hospital refused to participate in the study. Results: A total of 659 physicians were interviewed, with a median age of 34 years (interquartile interval: 29-44 years, 329 (49.9% were female and 96 (14.6% were medical residents working at off hours. The percentage of physicians who had been trained with Basic Life Support, Advanced Cardiovascular Life Support and Advanced Trauma Life Support courses was 5.2, 18.4 and 11.0%, respectively, with a greater frequency of Advanced Cardiovascular Life Support training among younger individuals (23.6% versus 13.9%; p<0.001. Thirteen percent said they were completely satisfied with the activity, while 81.3% expressed a desire to stop working in emergency units in the next 15 years, mentioning stress levels as the main reason. Conclusion: The physicians interviewed had taken few emergency immersion courses. A low motivational level was registered in physicians who work in the emergency departments of medium and large hospitals in Salvador.
Report on the B-Fields at NIF Workshop Held at LLNL October 12-13, 2015

International Nuclear Information System (INIS)

Fournier, K. B.; Moody, J. D.

2015-01-01

A national ICF laboratory workshop on requirements for a magnetized target capability on NIF was held by NIF at LLNL on October 12 and 13, attended by experts from LLNL, SNL, LLE, LANL, GA, and NRL. Advocates for indirect drive (LLNL), magnetic (Z) drive (SNL), polar direct drive (LLE), and basic science needing applied B (many institutions) presented and discussed requirements for the magnetized target capabilities they would like to see. 30T capability was most frequently requested. A phased operation increasing the field in steps experimentally can be envisioned. The NIF management will take the inputs from the scientific community represented at the workshop and recommend pulse-powered magnet parameters for NIF that best meet the collective user requests. In parallel, LLNL will continue investigating magnets for future generations that might be powered by compact laser-B-field generators (Moody, Fujioka, Santos, Woolsey, Pollock). The NIF facility engineers will start to analyze compatibility of the recommended pulsed magnet parameters (size, field, rise time, materials) with NIF chamber constraints, diagnostic access, and final optics protection against debris in FY16. The objective of this assessment will be to develop a schedule for achieving an initial Bfield capability. Based on an initial assessment, room temperature magnetized gas capsules will be fielded on NIF first. Magnetized cryo-ice-layered targets will take longer (more compatibility issues). Magnetized wetted foam DT targets (Olson) may have somewhat fewer compatibility issues making them a more likely choice for the first cryo-ice-layered target fielded with applied Bz.
EM Talk: communication skills training for emergency medicine patients with serious illness.

Science.gov (United States)

Grudzen, Corita R; Emlet, Lillian L; Kuntz, Joanne; Shreves, Ashley; Zimny, Erin; Gang, Maureen; Schaulis, Monique; Schmidt, Scott; Isaacs, Eric; Arnold, Robert

2016-06-01

The emergency department visit for a patient with serious illness represents a sentinel event, signalling a change in the illness trajectory. By better understanding patient and family wishes, emergency physicians can reinforce advance care plans and ensure the hospital care provided matches the patient's values. Despite their importance in care at the end of life, emergency physicians have received little training on how to talk to seriously ill patients and their families about goals of care. To expand communication skills training to emergency medicine, we developed a programme to give emergency medicine physicians the ability to empathically deliver serious news and to talk about goals of care. We have built on lessons from prior studies to design an intervention employing the most effective pedagogical techniques, including the use of simulated patients/families, role-playing and small group learning with constructive feedback from master clinicians. Here, we describe our evidence-based communication skills training course EM Talk using simulation, reflective feedback and deliberate practice. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
CAEP 2014 Academic Symposium: "How to make research succeed in your emergency department: How to develop and train career researchers in emergency medicine".

Science.gov (United States)

Perry, Jeffrey J; Snider, Carolyn E; Artz, Jennifer D; Stiell, Ian G; Shaeri, Sedigheh; McLeod, Shelley; Le Sage, Natalie; Hohl, Corinne; Calder, Lisa A; Vaillancourt, Christian; Holroyd, Brian; Hollander, Judd E; Morrison, Laurie J

2015-05-01

We sought to 1) identify best practices for training and mentoring clinician researchers, 2) characterize facilitators and barriers for Canadian emergency medicine researchers, and 3) develop pragmatic recommendations to improve and standardize emergency medicine postgraduate research training programs to build research capacity. We performed a systematic review of MEDLINE and Embase using search terms relevant to emergency medicine research fellowship/graduate training. We conducted an email survey of all Canadian emergency physician researchers. The Society for Academic Emergency Medicine (SAEM) research fellowship program was analysed, and other similar international programs were sought. An expert panel reviewed these data and presented recommendations at the Canadian Association of Emergency Physicians (CAEP) 2014 Academic Symposium. We refined our recommendations based on feedback received. Of 1,246 potentially relevant citations, we included 10 articles. We identified five key themes: 1) creating training opportunities; 2) ensuring adequate protected time; 3) salary support; 4) infrastructure; and 5) mentorship. Our survey achieved a 72% (67/93) response rate. From these responses, 42 (63%) consider themselves clinical researchers (i.e., spend a significant proportion of their career conducting research). The single largest constraint to conducting research was funding. Factors felt to be positive contributors to a clinical research career included salary support, research training (including an advanced graduate degree), mentorship, and infrastructure. The SAEM research fellowship was the only emergency medicine research fellowship program identified. This 2-year program requires approval of both the teaching centre and each applying fellow. This program requires training in 15 core competencies, manuscript preparation, and submission of a large grant to a national peer-review funding organization. We recommend that the CAEP Academic Section create a
Beam-beam studies for the proposed SLAC/LBL/LLNL B Factory

International Nuclear Information System (INIS)

Furman, M.A.

1991-05-01

We present a summary of beam-beam dynamics studies that have been carried out to date for the proposed SLAC/LBL/LLNL B Factory. Most of the material presented here is contained in the proposal's Conceptual Design Report, although post-CDR studies are also presented. 15 refs., 6 figs., 2 tabs
Development and evaluation of a leadership training program for public health emergency response: results from a Chinese study

Directory of Open Access Journals (Sweden)

Xu Yihua

2008-10-01

Full Text Available Abstract Background Since the 9/11 attack and severe acute respiratory syndrome (SARS, the development of qualified and able public health leaders has become a new urgency in building the infrastructure needed to address public health emergencies. Although previous studies have reported that the training of individual leaders is an important approach, the systemic and scientific training model need further improvement and development. The purpose of this study was to develop, deliver, and evaluate a participatory leadership training program for emergency response. Methods Forty-one public health leaders (N = 41 from five provinces completed the entire emergency preparedness training program in China. The program was evaluated by anonymous questionnaires and semi-structured interviews held prior to training, immediately post-training and 12-month after training (Follow-up. Results The emergency preparedness training resulted in positive shifts in knowledge, self-assessment of skills for public health leaders. More than ninety-five percent of participants reported that the training model was scientific and feasible. Moreover, the response of participants in the program to the avian influenza outbreak, as well as the planned evaluations for this leadership training program, further demonstrated both the successful approaches and methods and the positive impact of this integrated leadership training initiative. Conclusion The emergency preparedness training program met its aims and objectives satisfactorily, and improved the emergency capability of public health leaders. This suggests that the leadership training model was effective and feasible in improving the emergency preparedness capability.
A Novel Approach to Semantic and Coreference Annotation at LLNL

Energy Technology Data Exchange (ETDEWEB)

Firpo, M

2005-02-04

A case is made for the importance of high quality semantic and coreference annotation. The challenges of providing such annotation are described. Asperger's Syndrome is introduced, and the connections are drawn between the needs of text annotation and the abilities of persons with Asperger's Syndrome to meet those needs. Finally, a pilot program is recommended wherein semantic annotation is performed by people with Asperger's Syndrome. The primary points embodied in this paper are as follows: (1) Document annotation is essential to the Natural Language Processing (NLP) projects at Lawrence Livermore National Laboratory (LLNL); (2) LLNL does not currently have a system in place to meet its need for text annotation; (3) Text annotation is challenging for a variety of reasons, many related to its very rote nature; (4) Persons with Asperger's Syndrome are particularly skilled at rote verbal tasks, and behavioral experts agree that they would excel at text annotation; and (6) A pilot study is recommend in which two to three people with Asperger's Syndrome annotate documents and then the quality and throughput of their work is evaluated relative to that of their neuro-typical peers.
Student tutors for hands-on training in focused emergency echocardiography – a randomized controlled trial

Directory of Open Access Journals (Sweden)

Kühl Matthias

2012-10-01

Full Text Available Abstract Background Focused emergency echocardiography performed by non-cardiologists has been shown to be feasible and effective in emergency situations. During resuscitation a short focused emergency echocardiography has been shown to narrow down potential differential diagnoses and to improve patient survival. Quite a large proportion of physicians are eligible to learn focused emergency echocardiography. Training in focused emergency echocardiography usually comprises a lecture, hands-on trainings in very small groups, and a practice phase. There is a shortage of experienced echocardiographers who can supervise the second step, the hands-on training. We thus investigated whether student tutors can perform the hands-on training for focused emergency echocardiography. Methods A total of 30 volunteer 4th and 5th year students were randomly assigned to a twelve-hour basic echocardiography course comprising a lecture followed by a hands-on training in small groups taught either by an expert cardiographer (EC or by a student tutor (ST. Using a pre-post-design, the students were evaluated by an OSCE. The students had to generate two still frames with the apical five-chamber view and the parasternal long axis in five minutes and to correctly mark twelve anatomical cardiac structures. Two blinded expert cardiographers rated the students’ performance using a standardized checklist. Students could achieve a maximum of 25 points. Results Both groups showed significant improvement after the training (p Conclusions Hands-on training by student tutors led to a significant gain in echocardiography skills, although inferior to teaching by an expert cardiographer.
Conference attendance does not correlate with emergency medicine residency in-training examination scores.

Science.gov (United States)

Gene Hern, H; Wills, Charlotte; Alter, Harrison; Bowman, Steven H; Katz, Eric; Shayne, Philip; Vahidnia, Farnaz

2009-12-01

The residency review committee for emergency medicine (EM) requires residents to have greater than 70% attendance of educational conferences during residency training, but it is unknown whether attendance improves clinical competence or scores on the American Board of Emergency Medicine (ABEM) in-training examination (ITE). This study examined the relationship between conference attendance and ITE scores. The hypothesis was that greater attendance would correlate to a higher examination score. This was a multi-center retrospective cohort study using conference attendance data and examination results from residents in four large county EM residency training programs. Longitudinal multi-level models, adjusting for training site, U.S. Medical Licensing Examination (USMLE) Step 1 score, and sex were used to explore the relationship between conference attendance and in-training examination scores according to year of training. Each year of training was studied, as well as the overall effect of mean attendance as it related to examination score. Four training sites reported data on 405 residents during 2002 to 2008; 386 residents had sufficient data to analyze. In the multi-level longitudinal models, attendance at conference was not a significant predictor of in-training percentile score (coefficient = 0.005, 95% confidence interval [CI] = -0.053 to 0.063, p = 0.87). Score on the USMLE Step 1 examination was a strong predictor of ITE score (coefficient = 0.186, 95% CI = 0.155 to 0.217; p ITE scores. Conference attendance may represent an important part of EM residency training but perhaps not of ITE performance. (c) 2009 by the Society for Academic Emergency Medicine.
Training and exercises of the Emergency Response Team at the Los Alamos Plutonium Facility

International Nuclear Information System (INIS)

Yearwood, D.D.

1988-01-01

The Los Alamos National Laboratory Plutonium Facility has an active Emergency Response Team. The Emergency Response Team is composed of members of the operating and support groups within the Plutonium Facility. In addition to their initial indoctrination, the members are trained and certified in first-aid, CPR, fire and rescue, and the use of self-contained-breathing-apparatus. Training exercises, drills, are conducted once a month. The drills consist of scenarios which require the Emergency Response Team to apply CPR and/or first aid. The drills are performed in the Plutonium Facility, they are video taped, then reviewed and critiqued by site personnel. Through training and effective drills and the Emergency Response Team can efficiently respond to any credible accident which may occur at the Plutonium Facility. 3 tabs
LLNL (Lawrence Livermore National Laboratory) research on cold fusion

Energy Technology Data Exchange (ETDEWEB)

Thomassen, K I; Holzrichter, J F [eds.

1989-09-14

With the appearance of reports on Cold Fusion,'' scientists at the Lawrence Livermore National Laboratory (LLNL) began a series of increasingly sophisticated experiments and calculations to explain these phenomena. These experiments can be categorized as follows: (a) simple experiments to replicate the Utah results, (b) more sophisticated experiments to place lower bounds on the generation of heat and production of nuclear products, (c) a collaboration with Texas A M University to analyze electrodes and electrolytes for fusion by-products in a cell producing 10% excess heat (we found no by-products), and (d) attempts to replicate the Frascati experiment that first found neutron bursts when high-pressure deuterium gas in a cylinder with Ti chips was temperature-cycled. We failed in categories (a) and (b) to replicate either the Pons/Fleischmann or the Jones phenomena. We have seen phenomena similar to the Frascati results, (d) but these low-level burst signals may not be coming from neutrons generated in the Ti chips. Summaries of our experiments are described in Section II, as is a theoretical effort based on cosmic ray muons to describe low-level neutron production. Details of the experimental groups' work are contained in the six appendices. At LLNL, independent teams were spontaneously formed in response to the early announcements on cold fusion. This report's format follows this organization.
Functional design criteria for the Hazardous Materials Management and Emergency Response (HAMMER) Training Center. Revision 1

International Nuclear Information System (INIS)

Sato, P.K.

1995-01-01

Within the United States, there are few hands-on training centers capable of providing integrated technical training within a practical application environment. Currently, there are no training facilities that offer both radioactive and chemical hazardous response training. There are no hands-on training centers that provide training for both hazardous material operations and emergency response that also operate as a partnership between organized labor, state agencies, tribes, and local emergency responders within the US Department of Energy (DOE) complex. Available facilities appear grossly inadequate for training the thousands of people at Hanford, and throughout the Pacific Northwest, who are required to qualify under nationally-mandated requirements. It is estimated that 4,000 workers at the Hanford Site alone need hands-on training. Throughout the Pacific Northwest, the potential target audience would be over 30,000 public sector emergency response personnel, as well as another 10,000 clean-up workers represented by organized labor. The HAMMER Training Center will be an interagency-sponsored training center. It will be designed, built, and operated to ensure that clean-up workers, fire fighters, and public sector management and emergency response personnel are trained to handle accidental spills of hazardous materials. Training will cover wastes at clean-up sites, and in jurisdictions along the transportation corridors, to effectively protect human life, property, and the environment
Seismic evaluation of the LLNL plutonium facility (Building 332)

International Nuclear Information System (INIS)

Hall, W.J.; Sozen, M.A.

1982-03-01

The expected performance of the Lawrence Livermore National Laboratory (LLNL) Plutonium Facility (Building 332) subjected to earthquake ground motion has been evaluated. Anticipated behavior of the building, glove boxes, ventilation system and other systems critical for containment of plutonium is described for three severe postulated earthquake excitations. Based upon this evaluation, some damage to the building, glove boxes and ventilation system would be expected but no collapse of any structure is anticipated as a result of the postulated earthquake ground motions
Instructor qualification for radiation safety training at a national laboratory

International Nuclear Information System (INIS)

Trinoskey, P.A.

1994-10-01

Prior to 1993, Health Physics Training (HPT) was conducted by the Lawrence Livermore National Laboratory (LLNL) health physics group. The job requirements specified a Masters Degree and experience. In fact, the majority of Health Physicists in the group were certified by the American Board of Health Physics. Under those circumstances, it was assumed that individuals in the group were technically qualified and the HPT instructor qualification stated that. In late 1993, the Health Physics Group at the LLNL was restructured and the training function was assigned to the training group. Additional requirements for training were mandated by the Department of Energy (DOE), which would necessitate increasing the existing training staff. With the need to hire, and the policy of reassignment of employees during downsizing, it was imperative that formal qualification standards be developed for technical knowledge. Qualification standards were in place for instructional capability. In drafting the new training qualifications for instructors, the requirements of a Certified Health Physicists had to be modified due to supply and demand. Additionally, for many of the performance-based training courses, registration by the National Registry of Radiation Protection Technologists is more desirable. Flexibility in qualification requirements has been incorporated to meet the reality of ongoing training and the compensation for desirable skills of individuals who may not meet all the criteria. The qualification requirements for an instructor rely on entry-level requirements and emphasis on goals (preferred) and continuing development of technical and instructional capabilities
Institute of Geophysics and Planetary Physics (IGPP), Lawrence Livermore National Laboratory (LLNL): Quinquennial report, November 14-15, 1996

Energy Technology Data Exchange (ETDEWEB)

Tweed, J.

1996-10-01

This Quinquennial Review Report of the Lawrence Livermore National Laboratory (LLNL) branch of the Institute for Geophysics and Planetary Physics (IGPP) provides an overview of IGPP-LLNL, its mission, and research highlights of current scientific activities. This report also presents an overview of the University Collaborative Research Program (UCRP), a summary of the UCRP Fiscal Year 1997 proposal process and the project selection list, a funding summary for 1993-1996, seminars presented, and scientific publications. 2 figs., 3 tabs.
Hybrid Decision-making Method for Emergency Response System of Unattended Train Operation Metro

Directory of Open Access Journals (Sweden)

Bobo Zhao

2016-04-01

Full Text Available Suitable selection of the emergency alternatives is a critical issue in emergency response system of Unattended Train Operation (UTO metro system of China. However, there is no available method for dispatcher group in Operating Control Center (OCC to evaluate the decision under emergency situation. It was found that the emergency decision making in UTO metro system is relative with the preferences and the importance of multi-dispatcher in emergency. Regarding these factors, this paper presents a hybrid method to determinate the priority weights of emergency alternatives, which aggregates the preference matrix by constructing the emergency response task model based on the Weighted Ordered Weighted Averaging (WOWA operator. This calculation approach derives the importance weights depending on the dispatcher emergency tasks and integrates it into the Ordered Weighted Averaging (OWA operator weights based on a fuzzy membership relation. A case from train fire is given to demonstrate the feasibility and practicability of the proposed methods for Group Multi-Criteria Decision Making (GMCDM in emergency management of UTO metro system. The innovation of this research is paving the way for a systematic emergency decision-making solution which connects the automatic metro emergency response system with the GMCDM theory.
A 'mixed reality' simulator concept for future Medical Emergency Response Team training.

Science.gov (United States)

Stone, Robert J; Guest, R; Mahoney, P; Lamb, D; Gibson, C

2017-08-01

The UK Defence Medical Service's Pre-Hospital Emergency Care (PHEC) capability includes rapid-deployment Medical Emergency Response Teams (MERTs) comprising tri-service trauma consultants, paramedics and specialised nurses, all of whom are qualified to administer emergency care under extreme conditions to improve the survival prospects of combat casualties. The pre-deployment training of MERT personnel is designed to foster individual knowledge, skills and abilities in PHEC and in small team performance and cohesion in 'mission-specific' contexts. Until now, the provision of airborne pre-deployment MERT training had been dependent on either the availability of an operational aircraft (eg, the CH-47 Chinook helicopter) or access to one of only two ground-based facsimiles of the Chinook 's rear cargo/passenger cabin. Although MERT training has high priority, there will always be competition with other military taskings for access to helicopter assets (and for other platforms in other branches of the Armed Forces). This paper describes the development of an inexpensive, reconfigurable and transportable MERT training concept based on 'mixed reality' technologies-in effect the 'blending' of real-world objects of training relevance with virtual reality reconstructions of operational contexts. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Medical intervention in radiological emergencies, formation and training; Intervencion medica en emergencias radiologicas, formacion y adiestramiento

Energy Technology Data Exchange (ETDEWEB)

Cardenas H, J. [CPHR, Calle 20 No. 4113, e/41 y 47 Playa, CP 11300, La Habana (Cuba)]. e-mail: cardenas@cphr.edu.cu

2006-07-01

The work exposes the national experience in the development of training programs in medical aspects of the radiological emergencies. Implemented after valuing the existent situation, identified the necessities and the reach of the training, additionally it was elaborated the content of the training program whose purpose is guided to the invigoration of the medical answer capacity in radiological emergencies The content of the modular program it approaches theoretical- practical aspects on preparation and medical answer in radiological emergencies. The program includes an exercise that simulates a radiological accident, to evaluate during the same one, the answer capacity before this situation. The training concludes with the design of a strategy for the preparation and answer in radiological emergencies in correspondence with the potential accidental scenarios that the participants can face. (Author)
Implementing blended learning in emergency airway management training: a randomized controlled trial.

Science.gov (United States)

Kho, Madeleine Huei Tze; Chew, Keng Sheng; Azhar, Muhaimin Noor; Hamzah, Mohd Lotfi; Chuah, Kee Man; Bustam, Aida; Chan, Hiang Chuan

2018-01-15

While emergency airway management training is conventionally conducted via face-to-face learning (F2FL) workshops, there are inherent cost, time, place and manpower limitations in running such workshops. Blended learning (BL) refers to the systematic integration of online and face-to-face learning aimed to facilitate complex thinking skills and flexible participation at a reduced financial, time and manpower cost. This study was conducted to evaluate its effectiveness in emergency airway management training. A single-center prospective randomised controlled trial involving 30 doctors from Sarawak General Hospital, Malaysia was conducted from September 2016 to February 2017 to compare the effectiveness of BL versus F2FL for emergency airway management training. Participants in the BL arm were given a period of 12 days to go through the online materials in a learning management system while those in the F2FL arm attended a-day of face-to-face lectures (8 h). Participants from both arms then attended a day of hands-on session consisting of simulation skills training with airway manikins. Pre- and post-tests in knowledge and practical skills were administered. E-learning experience and the perception towards BL among participants in the BL arm were also assessed. Significant improvements in post-test scores as compared to pre-test scores were noted for participants in both BL and F2FL arms for knowledge, practical, and total scores. The degree of increment between the BL group and the F2FL arms for all categories were not significantly different (total scores: 35 marks, inter-quartile range (IQR) 15.0 - 41.0 vs. 31 marks, IQR 24.0 - 41.0, p = 0.690; theory scores: 18 marks, IQR 9 - 24 vs. 19 marks, IQR 15 - 20, p = 0.992; practical scores: 11 marks, IQR 5 -18 vs. 10 marks, IQR 9 - 20, p = 0.461 respectively). The overall perception towards BL was positive. Blended learning is as effective as face-to-face learning for emergency airway management training

Training Librarians for 21st Century Repository Services: Emerging Trends

Directory of Open Access Journals (Sweden)

Helen Emasealu

2016-05-01

Full Text Available The paper reviewed the emerging roles of the 21st century librarians, charged with the responsibility to manage repository services across libraries in present-day information technology environment. Librarians need to be trained and empowered with requisite skills and knowledge needed for successful management of the ICT driven repository initiatives that the 21st century demands. Literature was reviewed on the roles and responsibilities of librarians, training needs and opportunities, career path and recruitment of librarians, and community support necessary for effective and efficient implementation and management of repository initiatives. This entails the ability to comprehend trends and change patterns which are essential for providing research focused and user-friendly models in open repository services that are based on thorough analytical understanding of the challenges of emerging trends. To achieve this requires the training and retraining of librarians to reposition them as information specialists in their career path. The role of the library as an integral part of its social environment is to educate the community about the existence of an open repository by building partnership with community-oriented research centres through seminars, workshops, symposium, training, and awareness programmes. The study recommends that librarians should strategize and collaborate with researchers to make open repository an essential research tool.
Over Batch Analysis for the LLNL Plutonium Packaging System (PuPS)

International Nuclear Information System (INIS)

Riley, D.; Dodson, K.

2007-01-01

This document addresses the concern raised in the Savannah River Site (SRS) Acceptance Criteria (Reference 1, Section 6.a.3) about receiving an item that is over batched by 1.0 kg of fissile materials. This document shows that the occurrence of this is incredible. Some of the Department of Energy Standard 3013 (DOE-STD-3013) requirements are described in Section 2.1. The SRS requirement is discussed in Section 2.2. Section 2.3 describes the way fissile materials are handled in the Lawrence Livermore National Laboratory (LLNL) Plutonium Facility (B332). Based on the material handling discussed in Section 2.3, there are only three errors that could result in a shipping container being over batched. These are: incorrect measurement of the item, selecting the wrong item to package, and packaging two items into a single shipping container. The analysis in Section 3 shows that the first two events are incredible because of the controls that exist at LLNL. The third event is physically impossible. Therefore, it is incredible for an item to be shipped to SRS that is more than 1.0 kg of fissile materials over batched
Over Batch Analysis for the LLNL DOE-STD-3013 Packaging System

International Nuclear Information System (INIS)

Riley, D.C.; Dodson, K.

2009-01-01

This document addresses the concern raised in the Savannah River Site (SRS) Acceptance Criteria about receiving an item that is over batched by 1.0 kg of fissile materials. This document shows that the occurrence of this is incredible. Some of the Department of Energy Standard 3013 (DOE-STD-3013) requirements are described in Section 2.1. The SRS requirement is discussed in Section 2.2. Section 2.3 describes the way fissile materials are handled in the Lawrence Livermore National Laboratory (LLNL) Plutonium Facility (B332). Based on the material handling discussed in Section 2.3, there are only three errors that could result in a shipping container being over batched. These are: incorrect measurement of the item, selecting the wrong item to package, and packaging two items into a single shipping container. The analysis in Section 3 shows that the first two events are incredible because of the controls that exist at LLNL. The third event is physically impossible. Therefore, it is incredible for an item to be shipped to SRS that is more than 1.0 kg of fissile materials over batched.
Training student pharmacists to administer emergency pediatric influenza vaccine: A comparison of traditional vs. just-in-time training.

Science.gov (United States)

Terriff, Colleen M; McKeirnan, Kimberly

2017-07-01

This study compared traditional training (TT) and just-in-time training (JITT) of P3 student pharmacists regarding interest, confidence, and comfort pre- and post-training (primary objective); and assessment and administration competency (secondary objective) during a simulated influenza vaccination clinic. Student pharmacists were randomized 1:1 to receive either TT or JITT, completed pre- and post-training surveys assessing interest, confidence and comfort; and evaluated on performance during a simulated emergency infant vaccination. An infant manikin simulated a child <1 year of age, and an actor role-played the mother. All students received a briefing about the simulated mass vaccination prior to their performance assessment. Survey differences between groups were analyzed by ANOVA. The competency assessment was analyzed by a Chi-square or Fisher's exact test for individual steps and Student t-test for mean scores. Pre-training interest was high and maintained post-training. Pre-training confidence and comfort levels were low and improved in both groups. Mean competency scores were comparable between the TT and JITT groups. Comparing groups, TT students more commonly missed proper injection site selection and care; while JITT missed distracting the infant and administration documentation. JITT for student pharmacists to learn skills required to immunize infants elicits similar outcomes (interest, confidence, comfort, and administration competency) as TT for emergency pediatric influenza vaccination. Copyright © 2017 Elsevier Inc. All rights reserved.
Development of emergency response training focusing on non-technical skills. (1) Development and Trial of 'TAIKAN Training'

International Nuclear Information System (INIS)

Hikono, Masaru; Matsui, Yuko; Kanayama, Masaki

2017-01-01

Since the Great East Japan Earthquake of 2011, there have been increasing calls for developing the leadership capabilities of managers who are in charge of command and control of the on-site emergency response center at nuclear power plants. Training programs to improve non-technical skills are being developed and introduced. The authors developed an active learning exercise 'TAIKAN Training' that can be repeatedly performed on-site, targeting on-site commander teams in charge of the initial response in an emergency situation. The exercise forms the core element of a non-technical skills training curriculum. This paper outlines the developed exercise, evaluates the stress on the participants caused by the exercise, and identifies any issues before actually introducing it to a site. (author)
PRONTO training for obstetric and neonatal emergencies in Mexico.

Science.gov (United States)

Walker, Dilys M; Cohen, Susanna R; Estrada, Fatima; Monterroso, Marcia E; Jenny, Alisa; Fritz, Jimena; Fahey, Jenifer O

2012-02-01

To evaluate the acceptability, feasibility, rating, and potential impact of PRONTO, a low-tech and high-fidelity simulation-based training for obstetric and neonatal emergencies and teamwork using the PartoPants low-cost birth simulator. A pilot project was conducted from September 21, 2009, to April 9, 2010, to train interprofessional teams from 5 community hospitals in the states of Mexico and Chiapas. Module I (teamwork, neonatal resuscitation, and obstetric hemorrhage) was followed 3 months later by module II (dystocia and pre-eclampsia/eclampsia) and an evaluation. Four elements were assessed: acceptability; feasibility and rating; institutional goal achievement; teamwork improvement; and knowledge and self-efficacy. The program was rated highly both by trainees and by non-trainees who completed a survey and interview. Hospital goals identified by participants in the module I strategic-planning sessions were achieved for 65% of goals in 3 months. Teamwork, knowledge, and self-efficacy scores improved. PRONTO brings simulation training to low-resource settings and can empower interprofessional teams to respond more effectively within their institutional limitations to emergencies involving women and newborns. Further study is warranted to evaluate the potential impact of the program on obstetric and neonatal outcome. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Final report on the LLNL compact torus acceleration project

International Nuclear Information System (INIS)

Eddleman, J.; Hammer, J.; Hartman, C.; McLean, H.; Molvik, A.

1995-01-01

In this report, we summarize recent work at LLNL on the compact torus (CT) acceleration project. The CT accelerator is a novel technique for projecting plasmas to high velocities and reaching high energy density states. The accelerator exploits magnetic confinement in the CT to stably transport plasma over large distances and to directed kinetic energies large in comparison with the CT internal and magnetic energy. Applications range from heating and fueling magnetic fusion devices, generation of intense pulses of x-rays or neutrons for weapons effects and high energy-density fusion concepts
A simulator-based nuclear reactor emergency response training exercise.

Science.gov (United States)

Waller, Edward; Bereznai, George; Shaw, John; Chaput, Joseph; Lafortune, Jean-Francois

Training offsite emergency response personnel basic awareness of onsite control room operations during nuclear power plant emergency conditions was the primary objective of a week-long workshop conducted on a CANDU® virtual nuclear reactor simulator available at the University of Ontario Institute of Technology, Oshawa, Canada. The workshop was designed to examine both normal and abnormal reactor operating conditions, and to observe the conditions in the control room that may have impact on the subsequent offsite emergency response. The workshop was attended by participants from a number of countries encompassing diverse job functions related to nuclear emergency response. Objectives of the workshop were to provide opportunities for participants to act in the roles of control room personnel under different reactor operating scenarios, providing a unique experience for participants to interact with the simulator in real-time, and providing increased awareness of control room operations during accident conditions. The ability to "pause" the simulator during exercises allowed the instructors to evaluate and critique the performance of participants, and to provide context with respect to potential offsite emergency actions. Feedback from the participants highlighted (i) advantages of observing and participating "hands-on" with operational exercises, (ii) their general unfamiliarity with control room operational procedures and arrangements prior to the workshop, (iii) awareness of the vast quantity of detailed control room procedures for both normal and transient conditions, and (iv) appreciation of the increased workload for the operators in the control room during a transient from normal operations. Based upon participant feedback, it was determined that the objectives of the training had been met, and that future workshops should be conducted.
Current level of training, experience and perceptions of emergency physicians as expert witnesses: a pilot study.

Science.gov (United States)

Cunningham, Nicola Y; Weiland, Tracey J

2009-12-01

The objective of the present study was to determine emergency physicians' training, experience and perceptions as expert witnesses. Emergency physicians of an adult tertiary referral and teaching hospital participated in a pilot survey regarding their experiences in report writing and in court as expert witnesses. The 28-item survey also examined the amount of formalized forensic medical teaching that emergency physicians had received during their training. Of the participants, 41% (95% CI 21.6-64.1; 7/17) had never received any undergraduate or postgraduate training in forensic medicine, 11/17 (65%, 95% CI 41.2-82.8) had provided a written expert opinion for court, and 12/17 (71%, 95% CI 46.6-87.0) had attended court as an expert witness. All participants considered themselves 'skilled in attending an emergency resuscitation', whereas 3/13 (23%, 95% CI 7.5-50.9) considered themselves 'skilled in attending a courtroom trial'. Nearly 90% (95% CI 64.7-98.0; 15/17) thought that medical evidence training should be a requirement of emergency speciality training. The most commonly preferred forms of medical evidence training were mock court sessions (76%, 95% CI 52.2-91.0; 13/17) and forensic workshops (76%, 95% CI 52.2-91.0; 13/17). From 10 non-technical skills required of an EP, 'appearing in court as an expert witness' was perceived to be the second most difficult skill by most respondents. Emergency physicians in this pilot study have limited training for the role of expert witness and see it as one of the most difficult non-technical skills they have to perform. Further research is required regarding the current and future scope of forensic training.
FY14 LLNL OMEGA Experimental Programs

Energy Technology Data Exchange (ETDEWEB)

Heeter, R. F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Fournier, K. B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Baker, K. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Barrios, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bernstein, L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Brown, G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Celliers, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Chen, H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Coppari, F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Fratanduono, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Johnson, M. G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Huntington, C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Jenei, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kraus, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ma, T. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Martinez, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); McNabb, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Millot, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Moore, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Nagel, S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Park, H. S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Patel, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Perez, F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ping, Y. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pollock, B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ross, J. S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Rygg, J. R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Smith, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Zylstra, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Collins, G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Landen, O. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wan, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hsing, W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2014-10-13

In FY14, LLNL’s High-Energy-Density Physics (HED) and Indirect Drive Inertial Confinement Fusion (ICF-ID) programs conducted several campaigns on the OMEGA laser system and on the EP laser system, as well as campaigns that used the OMEGA and EP beams jointly. Overall these LLNL programs led 324 target shots in FY14, with 246 shots using just the OMEGA laser system, 62 shots using just the EP laser system, and 16 Joint shots using Omega and EP together. Approximately 31% of the total number of shots (62 OMEGA shots, 42 EP shots) shots supported the Indirect Drive Inertial Confinement Fusion Campaign (ICF-ID). The remaining 69% (200 OMEGA shots and 36 EP shots, including the 16 Joint shots) were dedicated to experiments for High- Energy-Density Physics (HED). Highlights of the various HED and ICF campaigns are summarized in the following reports.
FY15 LLNL OMEGA Experimental Programs

Energy Technology Data Exchange (ETDEWEB)

Heeter, R. F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Baker, K. L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Barrios, M. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Beckwith, M. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Casey, D. T. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Celliers, P. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Chen, H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Coppari, F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Fournier, K. B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Fratanduono, D. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Frenje, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Huntington, C. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kraus, R. G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Lazicki, A. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Martinez, D. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); McNaney, J. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Millot, M. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pak, A. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Park, H. S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ping, Y. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pollock, B. B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Smith, R. F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wehrenberg, C. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Widmann, K. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Collins, G. W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Landen, O. L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wan, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hsing, W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2015-12-04

In FY15, LLNL’s High-Energy-Density Physics (HED) and Indirect Drive Inertial Confinement Fusion (ICF-ID) programs conducted several campaigns on the OMEGA laser system and on the EP laser system, as well as campaigns that used the OMEGA and EP beams jointly. Overall these LLNL programs led 468 target shots in FY15, with 315 shots using just the OMEGA laser system, 145 shots using just the EP laser system, and 8 Joint shots using Omega and EP together. Approximately 25% of the total number of shots (56 OMEGA shots and 67 EP shots, including the 8 Joint shots) supported the Indirect Drive Inertial Confinement Fusion Campaign (ICF-ID). The remaining 75% (267 OMEGA shots and 86 EP shots) were dedicated to experiments for High-Energy-Density Physics (HED). Highlights of the various HED and ICF campaigns are summarized in the following reports.
Identifying and training non-technical skills of nuclear emergency response teams

International Nuclear Information System (INIS)

Crichton, M.T.; Flin, R.

2004-01-01

Training of the non-technical (social and cognitive) skills that are crucial to safe and effective management by teams in emergency situations is an issue that is receiving increasing emphasis in many organisations, particularly in the nuclear power industry. As teams play a major role in emergency response organisations (ERO), effective functioning and interactions within, between and across teams is crucial, particularly as the management of an emergency situation often requires that teams are extended by members from various other sections and strategic groups throughout the company, as well as members of external agencies. A series of interviews was recently conducted with members of a UK nuclear emergency response organisation to identify the non-technical skills required by team members that would be required for managing an emergency. Critical skills have been identified as decision making and situation assessment, as well as communication, teamwork, and stress management. A number of training strategies are discussed which can be tailored to the roles and responsibilities of the team members and the team leader, based on the roles within the team being defined as either Decision Maker, Evaluator, or Implementor, according to Nuclear Energy Institute (NEI) classifications. It is anticipated that enhanced learning of the necessary non-technical skills, through experience and directed practice, will improve the skills of members of emergency response teams
Identifying and training non-technical skills of nuclear emergency response teams

Energy Technology Data Exchange (ETDEWEB)

Crichton, M.T. E-mail: m.crichton@abdn.ac.uk; Flin, R

2004-08-01

Training of the non-technical (social and cognitive) skills that are crucial to safe and effective management by teams in emergency situations is an issue that is receiving increasing emphasis in many organisations, particularly in the nuclear power industry. As teams play a major role in emergency response organisations (ERO), effective functioning and interactions within, between and across teams is crucial, particularly as the management of an emergency situation often requires that teams are extended by members from various other sections and strategic groups throughout the company, as well as members of external agencies. A series of interviews was recently conducted with members of a UK nuclear emergency response organisation to identify the non-technical skills required by team members that would be required for managing an emergency. Critical skills have been identified as decision making and situation assessment, as well as communication, teamwork, and stress management. A number of training strategies are discussed which can be tailored to the roles and responsibilities of the team members and the team leader, based on the roles within the team being defined as either Decision Maker, Evaluator, or Implementor, according to Nuclear Energy Institute (NEI) classifications. It is anticipated that enhanced learning of the necessary non-technical skills, through experience and directed practice, will improve the skills of members of emergency response teams.
Calming the campus: training school staff and crisis teams to manage student behavior during emergencies.

Science.gov (United States)

Johnson, Kendall

2007-01-01

Conversations with school and crisis personnel following large scale emergencies in and around schools, such as shootings, wildfires, and the attack on the World Trade Center on September 11, 2001, indicated a need for pre-incident training in managing student behavior during emergencies. This article outlines a training program of this kind and offers suggestions regarding both content and process of this training. The suggestions follow discussion of the unique context and needs of the school setting.
DOE/LLNL verification symposium on technologies for monitoring nuclear tests related to weapons proliferation

International Nuclear Information System (INIS)

Nakanishi, K.K.

1993-01-01

The rapidly changing world situation has raised concerns regarding the proliferation of nuclear weapons and the ability to monitor a possible clandestine nuclear testing program. To address these issues, Lawrence Livermore National Laboratory's (LLNL) Treaty Verification Program sponsored a symposium funded by the US Department of Energy's (DOE) Office of Arms Control, Division of Systems and Technology. The DOE/LLNL Symposium on Technologies for Monitoring Nuclear Tests Related to Weapons Proliferation was held at the DOE's Nevada Operations Office in Las Vegas, May 6--7,1992. This volume is a collection of several papers presented at the symposium. Several experts in monitoring technology presented invited talks assessing the status of monitoring technology with emphasis on the deficient areas requiring more attention in the future. In addition, several speakers discussed proliferation monitoring technologies being developed by the DOE's weapons laboratories
Major incidents in Kenya: the case for emergency services development and training.

Science.gov (United States)

Wachira, Benjamin W; Smith, Wayne

2013-04-01

Kenya's major incidents profile is dominated by droughts, floods, fires, terrorism, poisoning, collapsed buildings, accidents in the transport sector and disease/epidemics. With no integrated emergency services and a lack of resources, many incidents in Kenya escalate to such an extent that they become major incidents. Lack of specific training of emergency services personnel to respond to major incidents, poor coordination of major incident management activities, and a lack of standard operational procedures and emergency operation plans have all been shown to expose victims to increased morbidity and mortality. This report provides a review of some of the major incidents in Kenya for the period 2000-2012, with the hope of highlighting the importance of developing an integrated and well-trained Ambulance and Fire and Rescue service appropriate for the local health care system.
Defining our destiny: trainee working group consensus statement on the future of emergency surgery training in the United Kingdom.

Science.gov (United States)

Sharrock, A E; Gokani, V J; Harries, R L; Pearce, L; Smith, S R; Ali, O; Chu, H; Dubois, A; Ferguson, H; Humm, G; Marsden, M; Nepogodiev, D; Venn, M; Singh, S; Swain, C; Kirkby-Bott, J

2015-01-01

The United Kingdom National Health Service treats both elective and emergency patients and seeks to provide high quality care, free at the point of delivery. Equal numbers of emergency and elective general surgical procedures are performed, yet surgical training prioritisation and organisation of NHS institutions is predicated upon elective care. The increasing ratio of emergency general surgery consultant posts compared to traditional sub-specialities has yet to be addressed. How should the capability gap be bridged to equip motivated, skilled surgeons of the future to deliver a high standard of emergency surgical care? The aim was to address both training requirements for the acquisition of necessary emergency general surgery skills, and the formation of job plans for trainee and consultant posts to meet the current and future requirements of the NHS. Twenty nine trainees and a consultant emergency general surgeon convened as a Working Group at The Association of Surgeons in Training Conference, 2015, to generate a united consensus statement to the training requirement and delivery of emergency general surgery provision by future general surgeons. Unscheduled general surgical care provision, emergency general surgery, trauma competence, training to meet NHS requirements, consultant job planning and future training challenges arose as key themes. Recommendations have been made from these themes in light of published evidence. Careful workforce planning, education, training and fellowship opportunities will provide well-trained enthusiastic individuals to meet public and societal need.
A national survey of prevalence of cardiopulmonary resuscitation training and knowledge of the emergency number in Ireland.

LENUS (Irish Health Repository)

Jennings, S

2009-07-06

AIM: The aim of this survey was to establish prevalence of cardiopulmonary resuscitation (CPR) training within the last 5 years and reasons preventing training and initiation of CPR in Ireland as well as awareness of the emergency numbers. METHODS: An in-home omnibus survey was undertaken in 2008 with quota sampling reflecting the age, gender, social class and geography of Ireland. RESULTS: Of the 974 respondents, 23.5% had undergone CPR training in the previous 5 years with lower social class and age 65 years and older significantly less likely to be trained. The workplace was both a major source of awareness as well as training for those trained. In the untrained group lack of awareness of the need for CPR training was the most significant reason for non-training. Cost was not cited as a barrier. 88.9% of people gave a correct emergency number with geographical variation. Notably, the European emergency number 112 was not well known. CONCLUSION: Previous Irish and American population targets for CPR training have been surpassed in Ireland in 2008. New internationally agreed targets are now required. Meanwhile older people and those in lower socio-economic groups should be targeted for training. Awareness of at least one emergency number is very high in Ireland. Some geographical variation was found and this should be studied further.
Simulation training for medical emergencies in the dental setting using an inexpensive software application.

Science.gov (United States)

Kishimoto, N; Mukai, N; Honda, Y; Hirata, Y; Tanaka, M; Momota, Y

2017-11-09

Every dental provider needs to be educated about medical emergencies to provide safe dental care. Simulation training is available with simulators such as advanced life support manikins and robot patients. However, the purchase and development costs of these simulators are high. We have developed a simulation training course on medical emergencies using an inexpensive software application. The purpose of this study was to evaluate the educational effectiveness of this course. Fifty-one dental providers participated in this study from December 2014 to March 2015. Medical simulation software was used to simulate a patient's vital signs. We evaluated participants' ability to diagnose and treat vasovagal syncope or anaphylaxis with an evaluation sheet and conducted a questionnaire before and after the scenario-based simulation training. The median evaluation sheet score for vasovagal syncope increased significantly from 7/9 before to 9/9 after simulation training. The median score for anaphylaxis also increased significantly from 8/12 to 12/12 (P simulation training. This simulation course improved participants' ability to diagnose and treat medical emergencies and improved their confidence. This course can be offered inexpensively using a software application. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Training and qualification of health and safety technicians at a national laboratory

International Nuclear Information System (INIS)

Egbert, W.F.; Trinoskey, P.A.

1994-10-01

Over the last 30 years, Lawrence Livermore National Laboratory (LLNL) has successfully implemented the concept of a multi-disciplined technician. LLNL Health and Safety Technicians have responsibilities in industrial hygiene, industrial safety, health physics, as well as fire, explosive, and criticality safety. One of the major benefits to this approach is the cost-effective use of workers who display an ownership of health and safety issues which is sometimes lacking when responsibilities are divided. Although LLNL has always promoted the concept of a multi-discipline technician, this concept is gaining interest within the Department of Energy (DOE) community. In November 1992, individuals from Oak Ridge Institute of Science and Education (ORISE) and RUST Geotech, joined by LLNL established a committee to address the issues of Health and Safety Technicians. In 1993, the DOE Office of Environmental, Safety and Health, in response to the Defense Nuclear Facility Safety Board Recommendation 91-6, stated DOE projects, particularly environmental restoration, typically present hazards other than radiation such as chemicals, explosives, complex construction activities, etc., which require additional expertise by Radiological Control Technicians. They followed with a commitment that a training guide would be issued. The trend in the last two decades has been toward greater specialization in the areas of health and safety. In contrast, the LLNL has moved toward a generalist approach integrating the once separate functions of the industrial hygiene and health physics technician into one function

Education and training of physicians for radiation emergency management

International Nuclear Information System (INIS)

Reiners, Christoph; Schneider, Rita

2012-01-01

The project orders implied the development, testing, and evaluation of a curriculum for educating and training physicians in prehospital radiation accident management and the development of a master curriculum. Objectives were to develop, preserve, and enlarge medical competence concerning prehospital care of radiation accident patients. The project is expected to contribute to qualify emergency physicians challenged by scenarios related to radiological and nuclear hazards. The development and the content of the curriculum for educating and training physicians in prehospital radiation accident management are being described. The conduction and evaluation of two pilot training courses with a total of 40 participating physicians are being presented. Successful testing of the pilot courses proves the value of the curriculum developed. Self-contained courses can be performed according to the master curriculum and the respective master presentations. Moreover, single modules can be integrated in existing education and training programmes. Suggestions for the implementation and accreditation of the curriculum are being made. (orig.)
Results of LLNL investigation of NYCT data sets

International Nuclear Information System (INIS)

Sale, K; Harrison, M; Guo, M; Groza, M

2007-01-01

Upon examination we have concluded that none of the alarms indicate the presence of a real threat. A brief history and results from our examination of the NYCT ASP occupancy data sets dated from 2007-05-14 19:11:07 to 2007-06-20 15:46:15 are presented in this letter report. When the ASP data collection campaign at NYCT was completed, rather than being shut down, the Canberra ASP annunciator box was unplugged leaving the data acquisition system running. By the time it was discovered that the ASP was still acquiring data about 15,000 occupancies had been recorded. Among these were about 500 alarms (classified by the ASP analysis system as either Threat Alarms or Suspect Alarms). At your request, these alarms have been investigated. Our conclusion is that none of the alarm data sets indicate the presence of a real threat (within statistics). The data sets (ICD1 and ICD2 files with concurrent JPEG pictures) were delivered to LLNL on a removable hard drive labeled FOUO. The contents of the data disk amounted to 53.39 GB of data requiring over two days for the standard LLNL virus checking software to scan before work could really get started. Our first step was to walk through the directory structure of the disk and create a database of occupancies. For each occupancy, the database was populated with the occupancy date and time, occupancy number, file path to the ICD1 data and the alarm ('No Alarm', 'Suspect Alarm' or 'Threat Alarm') from the ICD2 file along with some other incidental data. In an attempt to get a global understanding of what was going on, we investigated the occupancy information. The occupancy date/time and alarm type were binned into one-hour counts. These data are shown in Figures 1 and 2
Development of emergency response training program for on-site commanders (1)

International Nuclear Information System (INIS)

Hikono, Masaru; Matsui, Yuko; Kanayama, Masaki

2017-01-01

Since the Great East Japan Earthquake of 2011, there have been increasing calls for developing the leadership capabilities of managers who are in charge of command and control of the on-site emergency response center at nuclear power plants. Training programs to improve non-technical skills are being developed and introduced. The authors developed an active learning exercise that can be repeatedly performed on-site, targeting on-site commander teams in charge of the initial response in an emergency situation. The exercise forms the core element of a non-technical skills training curriculum. This paper outlines the developed exercise, evaluates the stress on the participants caused by the exercise, and identifies any issues before actually introducing it to a site. (author)
Virtual reality and simulation: training the future emergency physician.

Science.gov (United States)

Reznek, Martin; Harter, Phillip; Krummel, Thomas

2002-01-01

The traditional system of clinical education in emergency medicine relies on practicing diagnostic, therapeutic, and procedural skills on live patients. The ethical, financial, and practical weaknesses of this system are well recognized, but the alternatives that have been explored to date have shown even greater flaws. However, ongoing progress in the area of virtual reality and computer-enhanced simulation is now providing educational applications that show tremendous promise in overcoming most of the deficiencies associated with live-patient training. It will be important for academic emergency physicians to become more involved with this technology to ensure that our educational system benefits optimally.
Proposed LLNL electron beam ion trap

International Nuclear Information System (INIS)

Marrs, R.E.; Egan, P.O.; Proctor, I.; Levine, M.A.; Hansen, L.; Kajiyama, Y.; Wolgast, R.

1985-01-01

The interaction of energetic electrons with highly charged ions is of great importance to several research fields such as astrophysics, laser fusion and magnetic fusion. In spite of this importance there are almost no measurements of electron interaction cross sections for ions more than a few times ionized. To address this problem an electron beam ion trap (EBIT) is being developed at LLNL. The device is essentially an EBIS except that it is not intended as a source of extracted ions. Instead the (variable energy) electron beam interacting with the confined ions will be used to obtain measurements of ionization cross sections, dielectronic recombination cross sections, radiative recombination cross sections, energy levels and oscillator strengths. Charge-exchange recombinaion cross sections with neutral gasses could also be measured. The goal is to produce and study elements in many different charge states up to He-like xenon and Ne-like uranium. 5 refs., 2 figs
Proposals for ORNL [Oak Ridge National Laboratory] support to Tiber LLNL [Lawrence Livermore National Laboratory

International Nuclear Information System (INIS)

Berry, L.A.; Rosenthal, M.W.; Saltmarsh, M.J.; Shannon, T.E.; Sheffield, J.

1987-01-01

This document describes the interests and capabilities of Oak Ridge National Laboratory in their proposals to support the Lawrence Livermore National Laboratory (LLNL) Engineering Test Reactor (ETR) project. Five individual proposals are cataloged separately. (FI)
Release isentrope measurements with the LLNL electric gun

Energy Technology Data Exchange (ETDEWEB)

Gathers, G.R.; Osher, J.E.; Chau, H.H.; Weingart, R.C.; Lee, C.G.; Diaz, E.

1987-06-01

The liquid-vapor coexistence boundary is not well known for most metals because the extreme conditions near the critical point create severe experimental difficulties. The isentropes passing through the liquid-vapor region typically begin from rather large pressures on the Hugoniot. We are attempting to use the high velocities achievable with the Lawrence Livermore National Laboratory (LLNL) electric gun to obtain these extreme states in aluminum and measure the release isentropes by releasing into a series of calibrated standards with known Hugoniots. To achieve large pressure drops needed to explore the liquid-vapor region, we use argon gas for which Hugoniots have been calculated using the ACTEX code, as one of the release materials.
Sexual Assault Training in Emergency Medicine Residencies: A Survey of Program Directors

Directory of Open Access Journals (Sweden)

Margaret K Sande

2013-09-01

Full Text Available Introduction: There is currently no standard forensic medicine training program for emergency medicine residents. In the advent of sexual assault nurse examiner (SANE programs aimed at improving the quality of care for sexual assault victims, it is also unclear how these programs impact emergency medicine (EM resident forensic medicine training. The purpose of this study was togather information on EM residency programs’ training in the care of sexual assault patients and determine what impact SANE programs may have on the experience of EM resident training from the perspective of residency program directors (PDs.Methods: This was a cross-sectional survey. The study cohort was all residency PDs from approved EM residency training programs who completed a closed-response self-administered survey electronically.Results: We sent surveys to 152 PDs, and 71 responded for an overall response rate of 47%. Twenty-two PDs (31% reported that their residency does not require procedural competency for the sexual assault exam, and 29 (41% reported their residents are required only to observe sexual assault exam completion to demonstrate competency. Residency PDs were asked how their programs established resident requirements for sexual assault exams. Thirty-seven PDs (52% did not know how their sexual assault exam requirement was established.Conclusion: More than half of residency PDs did not know how their sexual assault guidelines were established, and few were based upon recommendations from the literature. There is no clear consensus as to how PDs view the effect of SANE programs on resident competency with the sexual assault exam. This study highlights both a need for increased awareness of EM resident sexual assault education nationally and also a possible need for a training curriculum defining guidelines forEM residents performing sexual assault exams. [West J Emerg Med. 2013;14(5:461–466.
Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 5. CPR, Oxygen Therapy. Revised.

Science.gov (United States)

Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

This student manual, the fifth in a set of 14 modules, is designed to train emergency medical technicians (EMTs) in Ohio. The module contains two sections covering the following course content; cardiopulmonary resuscitation (CPR) (including artificial ventilation, foreign body obstructions, adjunctive equipment and special techniques, artificial…
Compilation of LLNL CUP-2 Data

Energy Technology Data Exchange (ETDEWEB)

Eppich, G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kips, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Lindvall, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-07-31

The CUP-2 uranium ore concentrate (UOC) standard reference material, a powder, was produced at the Blind River uranium refinery of Eldorado Resources Ltd. in Canada in 1986. This material was produced as part of a joint effort by the Canadian Certified Reference Materials Project and the Canadian Uranium Producers Metallurgical Committee to develop a certified reference material for uranium concentration and the concentration of several impurity constituents. This standard was developed to satisfy the requirements of the UOC mining and milling industry, and was characterized with this purpose in mind. To produce CUP-2, approximately 25 kg of UOC derived from the Blind River uranium refinery was blended, homogenized, and assessed for homogeneity by X-ray fluorescence (XRF) analysis. The homogenized material was then packaged into bottles, containing 50 g of material each, and distributed for analysis to laboratories in 1986. The CUP-2 UOC standard was characterized by an interlaboratory analysis program involving eight member laboratories, six commercial laboratories, and three additional volunteer laboratories. Each laboratory provided five replicate results on up to 17 analytes, including total uranium concentration, and moisture content. The selection of analytical technique was left to each participating laboratory. Uranium was reported on an “as-received” basis; all other analytes (besides moisture content) were reported on a “dry-weight” basis. A bottle of 25g of CUP-2 UOC standard as described above was purchased by LLNL and characterized by the LLNL Nuclear Forensics Group. Non-destructive and destructive analytical techniques were applied to the UOC sample. Information obtained from short-term techniques such as photography, gamma spectrometry, and scanning electron microscopy were used to guide the performance of longer-term techniques such as ICP-MS. Some techniques, such as XRF and ICP-MS, provided complementary types of data. The results
Evaluation of the neutron dose received by personnel at the LLNL

International Nuclear Information System (INIS)

Hankins, D.E.

1982-01-01

This report was prepared to document the techniques being used to evaluate the neutron exposures received by personnel at the LLNL. Two types of evaluations are discussed covering the use of the routine personnel dosimeter and of the albedo neutron dosimeter. Included in the report are field survey results which were used to determine the calibration factors being applied to the dosimeter readings. Calibration procedures are discussed and recommendations are made on calibration and evaluation procedures
Evaluating the effect of emergency residency training on productivity in the emergency department.

Science.gov (United States)

Henning, Daniel J; McGillicuddy, Daniel C; Sanchez, Leon D

2013-09-01

Resident productivity, defined as patients seen per unit time, is one measure that is used to assess the performance and educational progress of residents in the emergency department (ED). One published study suggested that emergency residency training (EM) does not improve productivity compared with that in other specialties, including internal medicine (IM). This study assesses how EM and IM trainees perform in the ED and illustrates how resident productivity changes through the academic year. A retrospective review of attending physicians and residents working 8-h shifts in the higher acuity zone of a large-volume, tertiary, academic health care center was performed for July 2009, October 2009, January 2010, and April 2010. The total number of patients seen primarily and admitted during each shift was recorded. ED volume was approximated by the number of patients seen by the attending physician, and acuity was approximated by admission rate. A mixed model regression assessed the impact of year and type of residency training (e.g., EM1, EM2, IM1, and IM2), ED volume, and acuity on resident productivity (number of patients per shift). The study was granted waiver of informed consent by our institutional review board. We reviewed 936 shifts. After adjusting for acuity and ED volume, the EM1 group had a significant increase in patients per shift over the year, from 6.11 in July to 10.3 in April (p increased productivity significantly. The first EM training year leads to a significant change in productivity that separates EM from IM residents. This contradicts the previous assertion that non-EM residents have the same productivity as EM residents in the ED. Copyright © 2013 Elsevier Inc. All rights reserved.
[The importance of simulation in team training on obstetric emergencies: results of the first phase of the national plan for continuous medical training].

Science.gov (United States)

Maio Matos, Francisco; Sousa Gomes, Andrea; Costa, Fernando Jorge; Santos Silva, Isabel; Carvalhas, Joana

2012-01-01

Obstetric emergencies are unexpected and random. The traditional model for medical training of these acute events has included lectures combined with sporadic clinical experiences, but this educational method has inherent limitations. Given the variety of manual skills that must be learned and high-risk environment, Obstetrics is uniquely suited for simulation. New technological educational tools provide an opportunity to learn and master technical skills needed in emergent situations as well as the opportunity to rehearse and learn from mistakes without risks to patients. The goals of this study are to assess which are the factors that trainees associate to human fallibility before and after clinical simulation based training; to compare the confidence level to solve emergent obstetric situations between interns and experts with up to 5 years of experience before and after training, and to determine the value that trainees give to simulation as a teaching tool on emergent events. 31 physicians participated at this course sessions. After the course, we verified changes in the factores that trainees associate to human fallibility, an increase in confidence level to solve emergent obstetric and an increase in the value that trainees give to simulation as a teaching tool.
A simulation-based training program improves emergency department staff communication.

Science.gov (United States)

Sweeney, Lynn A; Warren, Otis; Gardner, Liz; Rojek, Adam; Lindquist, David G

2014-01-01

The objectives of this study were to evaluate the effectiveness of Project CLEAR!, a novel simulation-based training program designed to instill Crew Resource Management (CRM) as the communication standard and to create a service-focused environment in the emergency department (ED) by standardizing the patient encounter. A survey-based study compared physicians' and nurses' perceptions of the quality of communication before and after the training program. Surveys were developed to measure ED staff perceptions of the quality of communication between staff members and with patients. Pretraining and posttraining survey results were compared. After the training program, survey scores improved significantly on questions that asked participants to rate the overall communication between staff members and between staff and patients. A simulation-based training program focusing on CRM and standardizing the patient encounter improves communication in the ED, both between staff members and between staff members and patients.
Description and application of the AERIN Code at LLNL

International Nuclear Information System (INIS)

King, W.C.

1986-01-01

The AERIN code was written at the Lawrence Livermore National Laboratory in 1976 to compute the organ burdens and absorbed dose resulting from a chronic or acute inhalation of transuranic isotopes. The code was revised in 1982 to reflect the concepts of ICRP-30. This paper will describe the AERIN code and how it has been used at LLNL to study more than 80 cases of internal deposition and obtain estimates of internal dose. A comparison with the computed values of the committed organ dose is made with ICRP-30 values. The benefits of using the code are described. 3 refs., 3 figs., 6 tabs
Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 3--Anatomy and Physiology. Revised.

Science.gov (United States)

Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

This student manual, the third in a set of 14 modules, is designed to train emergency medical technicians (EMTs) in Ohio. The module contains one section covering the following topics: general anatomical terms, the body cavities and contents, the integumentary system, the skeletal system, the muscular system, the nervous system, the respiratory…
LLNL Experimental Test Site (Site 300) Potable Water System Operations Plan

Energy Technology Data Exchange (ETDEWEB)

Ocampo, R. P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bellah, W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2015-09-14

The existing Lawrence Livermore National Laboratory (LLNL) Site 300 drinking water system operation schematic is shown in Figures 1 and 2 below. The sources of water are from two Site 300 wells (Well #18 and Well #20) and San Francisco Public Utilities Commission (SFPUC) Hetch-Hetchy water through the Thomas shaft pumping station. Currently, Well #20 with 300 gallons per minute (gpm) pump capacity is the primary source of well water used during the months of September through July, while Well #18 with 225 gpm pump capacity is the source of well water for the month of August. The well water is chlorinated using sodium hypochlorite to provide required residual chlorine throughout Site 300. Well water chlorination is covered in the Lawrence Livermore National Laboratory Experimental Test Site (Site 300) Chlorination Plan (“the Chlorination Plan”; LLNL-TR-642903; current version dated August 2013). The third source of water is the SFPUC Hetch-Hetchy Water System through the Thomas shaft facility with a 150 gpm pump capacity. At the Thomas shaft station the pumped water is treated through SFPUC-owned and operated ultraviolet (UV) reactor disinfection units on its way to Site 300. The Thomas Shaft Hetch- Hetchy water line is connected to the Site 300 water system through the line common to Well pumps #18 and #20 at valve box #1.
Radiation safety training for accelerator facilities

International Nuclear Information System (INIS)

Trinoskey, P.A.

1997-02-01

In November 1992, a working group was formed within the U.S. Department of Energy's (DOE's) accelerator facilities to develop a generic safety training program to meet the basic requirements for individuals working in accelerator facilities. This training, by necessity, includes sections for inserting facility-specific information. The resulting course materials were issued by DOE as a handbook under its technical standards in 1996. Because experimenters may be at a facility for only a short time and often at odd times during the day, the working group felt that computer-based training would be useful. To that end, Lawrence Livermore National Laboratory (LLNL) and Argonne National Laboratory (ANL) together have developed a computer-based safety training program for accelerator facilities. This interactive course not only enables trainees to receive facility- specific information, but time the training to their schedule and tailor it to their level of expertise
Status of the SLAC/LBL/LLNL B-factory and the BABAR detector

International Nuclear Information System (INIS)

Oddone, P.

1994-10-01

After a brief introduction on the physics reach of the SLAC/LBL/LLNL Asymmetric B-Factory, the author describes the status of the accelerator and the detector as of the end of 1994. At this time, essentially all major decisions have been made, including the choice of particle identification for the detector. The author concludes this report with the description of the schedule for the construction of both accelerator and detector
The new LLNL AMS sample changer

International Nuclear Information System (INIS)

Roberts, M.L.; Norman, P.J.; Garibaldi, J.L.; Hornady, R.S.

1993-01-01

The Center for Accelerator Mass Spectrometry at LLNL has installed a new 64 position AMS sample changer on our spectrometer. This new sample changer has the capability of being controlled manually by an operator or automatically by the AMS data acquisition computer. Automatic control of the sample changer by the data acquisition system is a necessary step towards unattended AMS operation in our laboratory. The sample changer uses a fiber optic shaft encoder for rough rotational indexing of the sample wheel and a series of sequenced pneumatic cylinders for final mechanical indexing of the wheel and insertion and retraction of samples. Transit time from sample to sample varies from 4 s to 19 s, depending on distance moved. Final sample location can be set to within 50 microns on the x and y axis and within 100 microns in the z axis. Changing sample wheels on the new sample changer is also easier and faster than was possible on our previous sample changer and does not require the use of any tools

Medical Preparedness and Response for a Nuclear or Radiological Emergency. Training Materials

International Nuclear Information System (INIS)

2014-01-01

In almost all nuclear and radiological emergencies, local emergency services (e.g. local medical, law enforcement, and fire brigades) will have the most important role in the early response. Within hours, hospitals may also have an important role to play in the response at the local level. Since nuclear and radiological emergencies are rare, medical responders often have little or no experience in dealing with this type of emergency and inexperience may lead to an inadequate response. For this reason, training in medical preparedness and response for a nuclear or radiological emergency is an important aspect of preparedness and response activities. These materials are designed for use at a training course on medical preparedness and response for a nuclear or radiological emergency. They contain a wide range of lectures and supporting materials, which cover the basic topics and more specific areas of medical preparedness and response. Therefore, in planning their specific courses, organizers are encouraged to choose those lectures and supportive materials from the CD-ROM that best match their training priorities. Materials on the CD-ROM address the following areas: • Terrorism in Perspective; • Malicious Act Scenarios; • Providing Information to the Medical Community and the Public; • Medical Response to a Radiation Mass Casualty Event; • Handling of Contaminated Persons in Malicious Events; • Planning and Preparedness for Medical Response to Malicious Events with Radioactive Material; • Handling the Bodies of Decedents Contaminated with Radioactive Material; • Radiation Emergencies: Scope of the Problem; • Common Sources of Radiation; • Basic Concepts of Ionizing Radiation; • Basic Concepts of Radiation Protection; • Biological Effects of Ionizing Radiation – Basic Notions; • Basics of Radiopathology; • External Radioactive Contamination; • Internal Radioactive Contamination; • Acute Radiation Syndrome; • Cutaneous Radiation
Evaluating emergency ultrasound training in India

Directory of Open Access Journals (Sweden)

Gupta Amit

2010-01-01

Full Text Available Background : In countries with fully developed emergency medicine systems, emergency ultrasound (EUS plays an important role in the assessment and treatment of critically ill patients. Methods : The authors sought to introduce EUS to a group of doctors working in the emergency departments (EDs in India through an intensive 4-day adult and pediatric ultrasound course held at the Apex Trauma Center and EM division of the All India Institute of Medical Sciences in New Delhi. The workshop was evaluated with a survey questionnaire and a hands-on practical test. The questionnaire was designed to assess the current state of EUS in India′s EDs, and to identify potential barriers to the incorporation of EUS into current EM practice. The EUS course consisted of a general introductory didactic session followed by pediatric, abdominal and trauma, cardiothoracic, obstetrical and gynecologic, and vascular modules. Each module had a didactic session followed by hands-on applications with live models and/or simulators. A post-course survey questionnaire was given to the participants, and there was a practical test on the final day of the course. The ultrasound images taken by the participants were digitally recorded, and were subsequently graded for their accuracy by independent observers, residency, and/or fellowship trained in EUS. Results : There were a total of 42 participants who completed the workshop and took the practical examination; 32 participants filled in the course evaluation survey. Twenty-four (75% participants had no prior experience with EUS, 5 (16% had some experience, and 3 (9% had significant experience. During the practical examination, 38 of 42 participants (90% were able to identify Morison′s pouch on the focused abdominal sonography for trauma (FAST examination, and 32 (76% were able to obtain a parasternal long axis cardiac view and identify the left ventricle. The inferior vena cava was identified as it crosses the diaphragm into
Annual report of Nuclear Emergency Assistance and Training Center. April 1, 2008 - March 31, 2009

International Nuclear Information System (INIS)

Kanamori, Masashi; Hashimoto, Kazuichiro; Terunuma, Hiroshi; Ikeda, Takeshi; Ohmura, Akiko; Terakado, Naoya; Nagakura, Tomohiro; Fukumoto, Masahiro; Watanabe, Fumitaka; Yamamoto, Kazuya; Abe, Minako; Kikuchi, Masayuki; Sumiya, Akihiro; Matsusaka, Masaru

2009-09-01

When a nuclear emergency occurs in Japan, the Japan Atomic Energy Agency (JAEA) provides technical support to the National government, local governments, police, fire station and license holder etc. They are Designated Public Organizations conforming to the Basic Law on Emergency Preparedness and the Basic Plan for Disaster Countermeasures. The Nuclear Emergency Assistance and Training Center (NEAT) of JAEA provides a comprehensive range of technical support activities to an Off-Site Center in case of a nuclear emergency. Specifically, NEAT gives technical advice and information, provides for the dispatch of specialist as required, supplies emergency equipments and materials to the Joint Council of Nuclear Disaster Countermeasures, which meets at the Off-Site Center. NEAT provide various lectures and training course concerning nuclear disaster prevention for those personnel taking an active part in emergency response organizations at normal time. And NEAT researches on nuclear disaster prevention and also cooperate with international organizations. This annual report summarized the activities of JAEA/NEAT in the fiscal year 2008. (author)
Astronaut Curtis L. Brown, Jr., pilot, works with his life raft during emergency bailout training

Science.gov (United States)

1996-01-01

STS-77 TRAINING VIEW --- Astronaut Curtis L. Brown, Jr., pilot, works with his life raft during emergency bailout training for crew members in the Johnson Space Centers (JSC) Weightless Environment Training Facility (WET-F). Brown will join five other astronauts for nine days aboard the Space Shuttle Endeavour next month.
OMICRON, LLNL ENDL Charged Particle Data Library Processing

International Nuclear Information System (INIS)

Mengoni, A.; Panini, G.C.

2002-01-01

1 - Description of program or function: The program has been designed to read the Evaluated Charged Particle Library (ECPL) of the LLNL Evaluated Nuclear Data Library (ENDL) and generate output in various forms: interpreted listing, ENDF format and graphs. 2 - Method of solution: A file containing ECPL in card image transmittal format is scanned to retrieve the requested reactions from the requested materials; in addition selections can be made by data type or incident particle. 3 - Restrictions on the complexity of the problem: The Reaction Property Designator I determines the type of data in the ENDL library (e.g. cross sections, angular distributions, Maxwellian averages, etc.); the program does not take into account the data for I=3,4 (energy-angle-distributions) since there are no data in the current ECPL version
Implementation of a Sustainable Training System for Emergency in Vietnam.

Science.gov (United States)

Kang, Sunjoo; Seo, Hyejin; Ho, Binh Duy; Nguyen, Phuong Thi Anh

2018-01-01

This study analyzed the project outcomes to share lessons regarding the development of an emergency medicine education system in Vietnam. Retrospective evaluation was implemented using project outcome indicators. A total of 13 training courses were administered, with the collaboration of international experts in Korea and Vietnam. A total of 23 kinds of emergency medicine education equipment were purchased, and a basic life support (BLS) and two advanced cardiac life support labs were remodeled to provide appropriate simulation training. Throughout the 2 years of the project, nine Vietnamese BLS instructors were approved by the Korea Association of Cardiopulmonary Resuscitation under American Heart Association. Results of evaluation by Korean international development experts were based on five criteria, provided by the Development Assistance Committee of the Organization for Economic Co-operation and Development, were excellent. Success factors were identified as partnership, ownership, commitment, government support, and global networking. Project indicators were all accomplished and received an excellent evaluation by external experts. For sustainable success, healthcare policy and legal regulation to promote high quality and safe service to the Vietnamese people are recommended.
Training for the Future? A Case Study of Emerging Education, Training and Development Practitioners in the South African Clothing Manufacturing Industry

Science.gov (United States)

Jones, Barbara; Cooper, Linda; McMillan, Janice

2006-01-01

This article investigates how training instructors in the South African clothing industry were prepared for their roles as Education, Training and Development Practitioners (ETDPs) by a university adult education programme. The key focus is on how these emerging ETDPs experienced their changing roles, identities and approaches to teaching and the…
Hazardous materials emergency response training program at Texas A ampersand M University

International Nuclear Information System (INIS)

Stirling, A.G.

1989-01-01

The Texas Engineering Extension Service (TEEX) as the engineering vocational training arm of the Texas A ampersand M University system has conducted oil-spill, hazardous-material, and related safety training for industry since 1976 and fire suppression training since 1931. In 1987 TEEX conducted training for some 66,000 persons, of which some 6000 were in hazardous-materials safety training and 22,000 in fire suppression or related fields. Various laws and regulations exist relative to employee training at an industrial facility, such as the Hazard Communication Act, the Resource Conservation and Recovery Act (RCRA), the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA or more commonly Superfund), the Community Right to Know Law, and the Superfund Amendments and Reauthorization Act (SARA), Titles I and III. The TEEX programs developed on the foundation emphasize the hands-on approach (60% field exercises) to provide a comprehensive training curriculum resulting in regulatory compliance, an effective emergency response capability, a prepared community, and a safe work environment
Simulation training for emergency obstetric and neonatal care in Senegal preliminary results.

Science.gov (United States)

Gueye, M; Moreira, P M; Faye-Dieme, M E; Ndiaye-Gueye, M D; Gassama, O; Kane-Gueye, S M; Diouf, A A; Niang, M M; Diadhiou, M; Diallo, M; Dieng, Y D; Ndiaye, O; Diouf, A; Moreau, J C

2017-06-01

To describe a new training approach for emergency obstetric and neonatal care (EmONC) introduced in Senegal to strengthen the skills of healthcare providers. The approach was based on skills training according to the so-called "humanist" method and on "lifesaving skills". Simulated practice took place in the classroom through 13 clinical stations summarizing the clinical skills needed for EmONC. Evaluation took place in all phases, and the results were recorded in a database to document the progress of each learner. This approach was used to train 432 providers in 10 months and to document the increase in each participants' technical achievements. The combination of training with the "learning by doing" model ensured that providers learned and mastered all EmONC skills and reduced the missed learning opportunities observed in former EmONC training sessions. Assessing the impact of training on EmONC indicators and introducing this learning modality in basic training are the two major challenges we currently face.
Training to the Nuclear emergency plans

International Nuclear Information System (INIS)

Vera Navascues, I.

2003-01-01

In 1994 the Civil Protection Directorate outlined a formation plan related to the Nuclear emergency plans with the purpose of guaranteeing for the communities involved in this material a basic and homogeneous formation. In the preparation of this Plan the following phases had been developed: 1. Study of formative needs of the different participant communities involved in nuclear plans. This has been done throw the information collected by: nuclear emergency plans and procedures that develop them, questionnaires, observation list, exercise, drills, etc. 2. With all the needs detected and in function of them was designed the objectives to teach in relation with the knowledge and the abilities that the formation can give to the participants. 3. Definition of thematic areas related with the different matters to teach, derived from the different objectives. 4. Organization: The development of the formative activities through a specific material with orientations for the professors (content of material to impart, didactic resources, etc.) and a short summary of the Didactic Units imparted to the students. The methodology is based in short theoretical classes and in the active implication through practice activities exercises and drills to train its functions and the coordination of the different implied organizations. 5. Evaluation: the implantation of the formation plan contributes new formative needs. (Author)
A study of advanced training technology: Emerging answers to tough questions

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-03-01

This study reports the result of an extensive nationwide review of military, private sector, and other federal agencies and organizations that are implementing a wide variety of advanced training technologies. This report classifies the general categories of advanced training technologies found and provides an overview of each, including specific types and examples. In addition, the research findings present an organizational model for training development linking overall organizational maturity to readiness to implement specific kinds of advanced training technologies. It also presents proposed methods for selecting media, describes the organizations and the data gathered, and provides a summary of implementation success at each organization. This study is organized as a set of five topics. Each topic raises a number of important questions and provides complete or emerging answers. For organizations who have made advanced training selections, this study is a resource to benchmark their success with other organizations who have made similar selections. For new or developing training organizations, this study will help plan their future technology selections by comparing their level of organizational maturity to the documented experiences of similar organizations.
Responding to the deaf in disasters: establishing the need for systematic training for state-level emergency management agencies and community organizations

Science.gov (United States)

2013-01-01

Background Deaf and hard-of-hearing (Deaf/HH) individuals have been underserved before and during emergencies. This paper will assess Deaf/HH related emergency preparedness training needs for state emergency management agencies and deaf-serving community-based organizations (CBOs). Methods Four approaches were used: 1) a literature review; 2) results from 50 key informant (KI) interviews from state and territorial-level emergency management and public health agencies; 3) results from 14 KI interviews with deaf-serving CBOs in the San Francisco Bay Area; and 4) a pilot program evaluation of an emergency responder training serving the Deaf/HH in one urban community. Results Results from literature review and state and territorial level KIs indicate that there is a substantive gap in emergency preparedness training on serving Deaf/HH provided by state agencies. In addition, local KI interviews with 14 deaf-serving CBOs found gaps in training within deaf-serving CBOs. These gaps have implications for preparing for and responding to all-hazards emergencies including weather-related or earthquake-related natural disasters, terrorist attacks, and nuclear-chemical disasters. Conclusion Emergency preparedness trainings specific to responding to or promoting preparedness of the Deaf/HH is rare, even for state agency personnel, and frequently lack standardization, evaluation, or institutionalization in emergency management infrastructure. This has significant policy and research implications. Similarly, CBOs are not adequately trained to serve the needs of their constituents. PMID:23497178
Annual report of Nuclear Emergency Assistance and Training Center. April 1, 2006 - March 31, 2008

International Nuclear Information System (INIS)

2008-12-01

When a nuclear emergency occurs in Japan, the Japan Atomic Energy Agency (JAEA) provides technical support to the National government, local governments, police, fire station and license holder etc. They are Designated Public Organizations conforming to the Basic Law on Emergency Preparedness and the Basic Plan for Disaster Countermeasures. The Nuclear Emergency Assistance and Training Center (NEAT) of JAEA provides a comprehensive range of technical support activities to an off-site center in case of a nuclear emergency. Specifically, NEAT gives technical advice and information, provides for the dispatch of specialist as required, supplies emergency equipments and materials to the Joint Council of Nuclear Disaster Countermeasures, which meets at the off-site center. NEAT provide various lectures and training course concerning nuclear disaster prevention for those personnel taking an active part in emergency response organizations at normal time. And NEAT researches on nuclear disaster prevention and also cooperate with international organizations. This annual report summarized the activities of JAEA/NEAT in the fiscal year 2006 and 2007. (author)
Development of a virtual reality training system. An application to emergency response in radioactive materials transport

International Nuclear Information System (INIS)

Watabe, Naohito

2003-01-01

A virtual reality (VR) training system was developed for the purpose of confirming the applicability of virtual reality on training systems for emergency response of radioactive materials transport. This system has following features; 1) Accident scenarios were derived from an event tree analysis. 2) Instructors can edit the training scenario. 3) Three VR scenes were prepared: vehicle and equipment checks, vehicle travel on an expressway, and emergency response in a tunnel fire accident. 4) every action by users is recorded automatically. 5) Instructors and users hold briefing session after the training, and they can review and confirm the results with VR animation. 6) A support database is provided for the convenience of users. The applicability of the system was validated through some trial applications and demonstrations. (author)
Cytogenetic Dosimetry: Applications in Preparedness for and Response to Radiation Emergencies - Training Materials

International Nuclear Information System (INIS)

2013-01-01

These materials are designed for use at a four day training course on the application of cytogenetic dosimetry in preparedness for and response to radiation emergencies. They contain information on: (1) Basics of biological effects of ionizing radiation: Parts 1+2; (2) Basics of dosimetry; (3) dicentric assay; (4) Retrospective dosimetry by translocation analysis; (5) Premature chromosome condensation analysis; (6) Cytokinesis block micronucleus assay; (7) Applied statistics for biodosimetry; (8) Automatic analysis of chromosomal assays; (9) Biodosimetry in mass casualty events; (10) Safety of laboratory staff and quality programmes; (11) Examples of accident investigations; (12) Cytogenetic dose estimation in the criticality accident in Tokaimura; (13) Radiological accidents in Latin America; (14) Radiological accidents in Georgia. Additionally, the CD contains two working sessions with the reference materials for use and a standard training programme. This training course consists of lectures and work sessions that can easily be utilized by a State to build a basic capability in biodosimetry application in a nuclear or radiological emergency
Web-Based Learning for Emergency Airway Management in Anesthesia Residency Training.

Science.gov (United States)

Hindle, Ada; Cheng, Ji; Thabane, Lehana; Wong, Anne

2015-01-01

Introduction. Web-based learning (WBL) is increasingly used in medical education; however, residency training programs often lack guidance on its implementation. We describe how the use of feasibility studies can guide the use of WBL in anesthesia residency training. Methods. Two case-based WBL emergency airway management modules were developed for self-directed use by anesthesia residents. The feasibility of using this educational modality was assessed using a single cohort pretest/posttest design. Outcome measures included user recruitment and retention rate, perceptions of educational value, and knowledge improvement. The differences between pre- and postmodule test scores and survey Likert scores were analysed using the paired t test. Results. Recruitment and retention rates were 90% and 65%, respectively. User-friendliness of the modules was rated highly. There was a significant improvement in perceptions of the value of WBL in the postsurvey. There was a significant knowledge improvement of 29% in the postmodule test. Conclusions. Feasibility studies can help guide appropriate use of WBL in curricula. While our study supported the potential feasibility of emergency airway management modules for training, collaboration with other anesthesia residency programs may enable more efficient development, implementation, and evaluation of this resource-intensive modality in anesthesia education and practice.
Web-Based Learning for Emergency Airway Management in Anesthesia Residency Training

Directory of Open Access Journals (Sweden)

Ada Hindle

2015-01-01

Full Text Available Introduction. Web-based learning (WBL is increasingly used in medical education; however, residency training programs often lack guidance on its implementation. We describe how the use of feasibility studies can guide the use of WBL in anesthesia residency training. Methods. Two case-based WBL emergency airway management modules were developed for self-directed use by anesthesia residents. The feasibility of using this educational modality was assessed using a single cohort pretest/posttest design. Outcome measures included user recruitment and retention rate, perceptions of educational value, and knowledge improvement. The differences between pre- and postmodule test scores and survey Likert scores were analysed using the paired t test. Results. Recruitment and retention rates were 90% and 65%, respectively. User-friendliness of the modules was rated highly. There was a significant improvement in perceptions of the value of WBL in the postsurvey. There was a significant knowledge improvement of 29% in the postmodule test. Conclusions. Feasibility studies can help guide appropriate use of WBL in curricula. While our study supported the potential feasibility of emergency airway management modules for training, collaboration with other anesthesia residency programs may enable more efficient development, implementation, and evaluation of this resource-intensive modality in anesthesia education and practice.
Evaluation of staff cultural awareness before and after attending cultural awareness training in an Australian emergency department.

Science.gov (United States)

Chapman, Rose; Martin, Catherine; Smith, Tammy

2014-10-01

Cultural awareness of emergency department staff is important to ensure delivery of appropriate health care to people from all ethnic groups. Cultural awareness training has been found to increase knowledge about other cultures and is widely used as a means of educating staff, however, debate continues as to the effectiveness of these programs. To determine if an accredited cultural awareness training program affected emergency department staff knowledge, familiarity, attitude of and perception towards Australian Aboriginal and Torres Strait Islander people. One group pre-test and post-test intervention study compared the cultural awareness of 44 emergency department staff towards Aboriginal and Torres Strait Islander people before and after training. The cultural awareness training was delivered in six hours over three sessions and was taught by an accredited cultural awareness trainer. The cultural awareness training changed perception but did not affect attitude towards Aboriginal and Torres Strait Islander people in this group. Future strategies to improve staff cultural awareness need to be investigated, developed, implemented and evaluated. Copyright © 2013 Elsevier Ltd. All rights reserved.
Table-top trainings in radiation protection. Educational element or emergency planning?

International Nuclear Information System (INIS)

Stolar, A.

2009-01-01

Education plays an important role in emergency management to prepare members of all levels of management for the worst case scenario. The mission that organizations have to deal with, is based on the application of fundamental knowledge, accumulated know-how and knowledge of the intersections and abilities of the participating organizations. An effective, safe and resource-saving way to get effective help in preparing disasters are table-top trainings. What great warlords helped to win centuries ago, is now increasingly anchored on a statutory basis and introduced in the emergency planning. (orig.)
LLNL/JNC repository collaboration interim progress report

International Nuclear Information System (INIS)

Bourcier, W.L.; Couch, R.G.; Gansemer, J.; Halsey, W.G.; Palmer, C.E.; Sinz, K.H.; Stout, R.B.; Wijesinghe, A.; Wolery, T.J.

1999-01-01

Under this Annex, a research program on the near-field performance assessment related to the geological disposal of radioactive waste will be carried out at the Lawrence Livermore National Laboratory (LLNL) in close collaboration with the Power Reactor and Nuclear Fuel Development Corporation of Japan (PNC). This program will focus on activities that provide direct support for PNC's near-term and long-term needs that will, in turn, utilize and further strengthen US capabilities for radioactive waste management. The work scope for two years will be designed based on the PNC's priorities for its second progress report (the H12 report) of research and development for high-level radioactive waste disposal and on the interest and capabilities of the LLNL. The work will focus on the chemical modeling for the near-field environment and long-term mechanical modeling of engineered barrier system as it evolves. Certain activities in this program will provide for a final iteration of analyses to provide additional technical basis prior to the year 2000 as determined in discussions with the PNC's technical coordinator. The work for two years will include the following activities: Activity 1: Chemical Modeling of EBS Materials Interactions--Task 1.1 Chemical Modeling of Iron Effects on Borosilicate Glass Durability; and Task 1.2 Changes in Overpack and Bentonite Properties Due to Metal, Bentonite and Water Interactions. Activity 2: Thermodynamic Database Validation and Comparison--Task 2.1 Set up EQ3/6 to Run with the Pitzer-based PNC Thermodynamic Data Base; Task 2.2 Provide Expert Consultation on the Thermodynamic Data Base; and Task 2.3 Provide Analysis of Likely Solubility Controls on Selenium. Activity 3: Engineered Barrier Performance Assessment of the Unsaturated, Oxidizing Transient--Task 3.1 Apply YMIM to PNC Transient EBS Performance; Task 3.2 Demonstrate Methods for Modeling the Return to Reducing Conditions; and Task 3.3 Evaluate the Potential for Stress Corrosion

STS-54 Astronaut Crew Emergency Egress Training, Press Q&A, TCDT

Science.gov (United States)

1992-01-01

The crew of STS-54, Commander John H. Casper, Pilot Donald R. McMonagle, and Mission Specialists Mario Runco, Jr., Gregory J. Harbaugh, and Susan J. Helms, is seen during a question and answer session with the press and during the Terminal Countdown and Demonstration Test (TCDT), including Emergency Egress Training.
A Simulation Learning Approach to Training First Responders for Radiological Emergencies

International Nuclear Information System (INIS)

Sanders, Robert Lon; Rhodes, Graham S.

2007-01-01

This paper describes the application of simulation learning technology, popularized by the emerging serious games industry, for training first responders to properly act in the event of a radiological emergency. Using state-of-the-art video game production tools and runtime engines as an enabling technology, simulation learning combines interactive virtual worlds based on validated engineering models with engaging storylines and scenarios that invoke the emotional response-and the corresponding human stress level-that first responders would encounter during a real-world emergency. For the application discussed here, in addition to providing engaging instruction about the fundamentals of radiological environments and the proper usage of radiological equipment, simulation learning prepares first responders to perform effectively under high stress and enables them to practice in teams
The LLNL [Lawrence Livermore National Laboratory] ICF [Inertial Confinement Fusion] Program: Progress toward ignition in the Laboratory

International Nuclear Information System (INIS)

Storm, E.; Batha, S.H.; Bernat, T.P.; Bibeau, C.; Cable, M.D.; Caird, J.A.; Campbell, E.M.; Campbell, J.H.; Coleman, L.W.; Cook, R.C.; Correll, D.L.; Darrow, C.B.; Davis, J.I.; Drake, R.P.; Ehrlich, R.B.; Ellis, R.J.; Glendinning, S.G.; Haan, S.W.; Haendler, B.L.; Hatcher, C.W.; Hatchett, S.P.; Hermes, G.L.; Hunt, J.P.; Kania, D.R.; Kauffman, R.L.; Kilkenny, J.D.; Kornblum, H.N.; Kruer, W.L.; Kyrazis, D.T.; Lane, S.M.; Laumann, C.W.; Lerche, R.A.; Letts, S.A.; Lindl, J.D.; Lowdermilk, W.H.; Mauger, G.J.; Montgomery, D.S.; Munro, D.H.; Murray, J.R.; Phillion, D.W.; Powell, H.T.; Remington, B.R.; Ress, D.B.; Speck, D.R.; Suter, L.J.; Tietbohl, G.L.; Thiessen, A.R.; Trebes, J.E.; Trenholme, J.B.; Turner, R.E.; Upadhye, R.S.; Wallace, R.J.; Wiedwald, J.D.; Woodworth, J.G.; Young, P.M.; Ze, F.

1990-01-01

The Inertial Confinement Fusion (ICF) Program at the Lawrence Livermore National Laboratory (LLNL) has made substantial progress in target physics, target diagnostics, and laser science and technology. In each area, progress required the development of experimental techniques and computational modeling. The objectives of the target physics experiments in the Nova laser facility are to address and understand critical physics issues that determine the conditions required to achieve ignition and gain in an ICF capsule. The LLNL experimental program primarily addresses indirect-drive implosions, in which the capsule is driven by x rays produced by the interaction of the laser light with a high-Z plasma. Experiments address both the physics of generating the radiation environment in a laser-driven hohlraum and the physics associated with imploding ICF capsules to ignition and high-gain conditions in the absence of alpha deposition. Recent experiments and modeling have established much of the physics necessary to validate the basic concept of ignition and ICF target gain in the laboratory. The rapid progress made in the past several years, and in particular, recent results showing higher radiation drive temperatures and implosion velocities than previously obtained and assumed for high-gain target designs, has led LLNL to propose an upgrade of the Nova laser to 1.5 to 2 MJ (at 0.35 μm) to demonstrate ignition and energy gains of 10 to 20 -- the Nova Upgrade
Implementation of a Sustainable Training System for Emergency in Vietnam

Directory of Open Access Journals (Sweden)

Sunjoo Kang

2018-01-01

Full Text Available PurposeThis study analyzed the project outcomes to share lessons regarding the development of an emergency medicine education system in Vietnam.MethodsRetrospective evaluation was implemented using project outcome indicators.ResultsA total of 13 training courses were administered, with the collaboration of international experts in Korea and Vietnam. A total of 23 kinds of emergency medicine education equipment were purchased, and a basic life support (BLS and two advanced cardiac life support labs were remodeled to provide appropriate simulation training. Throughout the 2 years of the project, nine Vietnamese BLS instructors were approved by the Korea Association of Cardiopulmonary Resuscitation under American Heart Association. Results of evaluation by Korean international development experts were based on five criteria, provided by the Development Assistance Committee of the Organization for Economic Co-operation and Development, were excellent. Success factors were identified as partnership, ownership, commitment, government support, and global networking.ConclusionProject indicators were all accomplished and received an excellent evaluation by external experts. For sustainable success, healthcare policy and legal regulation to promote high quality and safe service to the Vietnamese people are recommended.
EDA-EMERGE : An FP7 initial training network to equip the next generation of young scientists with the skills to address the complexity of environmental contamination with emerging pollutants

NARCIS (Netherlands)

Brack, Werner; Govender, Selvan; Schulze, Tobias; Krauss, Martin; Hu, Meng; Muz, Melis; Hollender, Juliane; Schirmer, Kristin; Schollee, Jennifer; Hidasi, Anita; Slobodnik, Jaroslav; Rabova, Zuzana; Ait-Aissa, Selim; Sonavane, Manoj; Carere, Mario; Lamoree, Marja; Leonards, Pim; Tufi, Sara; Ouyang, Xiyu; Schriks, Merijn; Thomas, Kevin; De Almeida, Ana Catarina; Froment, Jean; Hammers-Wirtz, Monika; Ahel, Marijan; Koprivica, Sanja; Hollert, Henner; Seiler, Thomas Benjamin; Di Paolo, Carolina; Tindall, Andrew; Spirhanzlova, Petra

2013-01-01

The initial training network consortium novel tools in effect-directed analysis to support the identification and monitoring of emerging toxicants on a European scale (EDA-EMERGE) was formed in response to the seventh EU framework program call to train a new generation of young scientists (13 PhD
Epidemiologic comparison of injured high school basketball athletes reporting to emergency departments and the athletic training setting.

Science.gov (United States)

Fletcher, Erica N; McKenzie, Lara B; Comstock, R Dawn

2014-01-01

Basketball is a popular US high school sport with more than 1 million participants annually. To compare patterns of athletes with basketball-related injuries presenting to US emergency departments from 2005 through 2010 and the high school athletic training setting from the 2005-2011 seasons. Descriptive epidemiology study. Data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission and the High School Reporting Information Online database. Complex sample weights were used to calculate national estimates of basketball-related injuries for comparison. Adolescents from 13 to 19 years of age treated in US emergency departments for basketball-related injuries and athletes from 13 to 19 years of age from schools participating in High School Reporting Information Online who were injured while playing basketball. Nationally, an estimated 1,514,957 (95% confidence interval = 1,337,441, 1,692,474) athletes with basketball-related injuries reported to the emergency department and 1,064,551 (95% confidence interval = 1,055,482, 1,073,620) presented to the athletic training setting. Overall, the most frequent injuries seen in the emergency department were lacerations and fractures (injury proportion ratios [IPRs] = 3.45 and 1.72, respectively), whereas those seen in the athletic training setting were more commonly concussions and strains/sprains (IPRs = 2.23 and 1.19, respectively; all P values training setting (IPR = 1.18; all P values basketball players presenting for treatment in the emergency department and the athletic training setting. Understanding differences specific to clinical settings is crucial to grasping the full epidemiologic and clinical picture of sport-related injuries. Certified athletic trainers play an important role in identifying, assessing, and treating athletes with sport-related injuries who might otherwise present to clinical settings with higher costs, such as the emergency department.
Annual report of Nuclear Emergency Assistance and Training Center. April 1, 2013 - March 31, 2014

International Nuclear Information System (INIS)

Sato, Takeshi; Muto, Shigeo; Akiyama, Kiyomitsu; Aoki, Kazufumi; Okamoto, Akiko; Kawakami, Takeshi; Kume, Nobuhide; Nakanishi, Chika; Koie, Masahiro; Kawamata, Hiroyuki; Nemotouchi, Toshimasa; Saito, Toru; Kato, Tadashi; Sumiya, Akio; Yamamoto, Kazuya; Sato, Sohei; Sumiya, Akihiro; Okuno, Hiroshi; Yoshida, Hiroshi; Kikuchi, Masayuki; Matsusaka, Masaru

2015-02-01

The Japan Atomic Energy Agency, which will be abbreviated as JAEA hereafter, was assigned as a designated public institution under the Disaster Countermeasures Basic Act and under the Armed Attack Situations Response Act. Based on these Acts, the JAEA has the responsibility of providing technical support to the national government and/or local governments in case of disaster responses or response in the event of a military attack, etc. In order to fulfill the tasks, the JAEA has established the Emergency Action Plan and the Civil Protection Action Plan. In case of a nuclear emergency, the Nuclear Emergency Assistance and Training Center (NEAT) dispatches specialists of JAEA, supplies the national government and local governments with emergency equipment and materials, and gives technical advice and information. In normal time, NEAT provides various exercises and training courses concerning nuclear disaster prevention to those personnel taking an active part in emergency response institutions of the national and local governments, police, fire fighters, self-defense forces, etc. in addition to the JAEA itself. The NEAT also researches nuclear disaster preparedness and response, and cooperates with international organizations. In the FY2013, the NEAT accomplished the following tasks: (1) Technical support activities as a designated public institution in cooperation with the national and local governments, etc. (2) Human resource development, exercise and training of nuclear emergency response personnel for the national and local governments, etc. (3) Researches on nuclear disaster preparedness and response, and sending useful information. (4) International contributions to Asian countries on nuclear disaster preparedness and response in collaboration with the international organizations. (author)
Three-year emergency medicine training program in The Netherlands: first evaluation from the residents' perspective.

Science.gov (United States)

Koning, Salomon Willem; Gaakeer, Menno Iskander; Veugelers, Rebekka

2013-07-26

The Netherlands' 3-year training in Emergency Medicine (EM) was formally approved and introduced in November 2008. To identify areas for improvement, we conducted the first evaluation of this curriculum from the residents' perspective. A questionnaire was composed on ten aspects of the curriculum. It contained multiple-choice, open and opinion questions; answers to the latter were classified using the Likert scale. The questionnaires were mailed to all enrolled residents. We mailed questionnaires to all 189 enrolled residents, and 105 responded (55.6%). Although they were satisfied with their training overall, 96.2% thought it was currently too short: 18.3% desired extension to 4 years, 76.0% to 5 and 1.9% to 6 years. Nevertheless, residents expected that they would function effectively as emergency physicians (EPs) after finishing their 3-year training program. Bedside teaching was assessed positively by 35.2%. All rotations were assessed positively, with the general practice rotation seen as contributing the least to the program. According to 43.7%, supervising EPs were available for consultation; 40.7% thought that, in a clinical capacity, the EP was sufficiently present during residents' shifts. When EPs were present, 82.5% found them to be easily accessible, and 66.6% viewed them as role models. In the Emergency Medicine Departments (EDs) with a higher number of EPs employed, residents tended to perceive better supervision and were more likely to see their EPs as role models. While residents were stimulated to do research, actual support and assistance needed to be improved. Although overall, the current training program was evaluated positively, the residents identified four areas for improvement: (1) in training hospitals, trained EPs should be present more continuously for clinical supervision; (2) bedside teaching should be improved, (3) scientific research should be facilitated more and (4) the training program should be extended.
The role of musical training in emergent and event-based timing

Directory of Open Access Journals (Sweden)

Lawrence eBaer

2013-05-01

Full Text Available Musical performance is thought to rely predominantly on event-based timing involving a clock-like neural process and an explicit internal representation of the time interval. Some aspects of musical performance may rely on emergent timing, which is established through the optimization of movement kinematics, and can be maintained without reference to any explicit representation of the time interval. We predicted that musical training would have its largest effect on event-based timing, supporting the dissociability of these timing processes and the dominance of event-based timing in musical performance. We compared 22 musicians and 17 non-musicians on the prototypical event-based timing task of finger tapping and on the typically emergently timed task of circle drawing. For each task, participants first responded in synchrony with a metronome (Paced and then responded at the same rate without the metronome (Unpaced. Analyses of the Unpaced phase revealed that non-musicians were more variable in their inter-response intervals for finger tapping compared to circle drawing. Musicians did not differ between the two tasks. Between groups, non-musicians were more variable than musicians for tapping but not for drawing. We were able to show that the differences were due to less timer variability in musicians on the tapping task. Correlational analyses of movement jerk and inter-response interval variability revealed a negative association for tapping and a positive association for drawing in non-musicians only. These results suggest that musical training affects temporal variability in tapping but not drawing. Additionally, musicians and non-musicians may be employing different movement strategies to maintain accurate timing in the two tasks. These findings add to our understanding of how musical training affects timing and support the dissociability of event-based and emergent timing modes.
Economic evaluation of emergency obstetric care training: a systematic review.

Science.gov (United States)

Banke-Thomas, Aduragbemi; Wilson-Jones, Megan; Madaj, Barbara; van den Broek, Nynke

2017-12-04

Training healthcare providers in Emergency Obstetric Care (EmOC) has been shown to be effective in improving their capacity to provide this critical care package for mothers and babies. However, little is known about the costs and cost-effectiveness of such training. Understanding costs and cost-effectiveness is essential in guaranteeing value-for-money in healthcare spending. This study systematically reviewed the available literature on cost and cost-effectiveness of EmOC trainings. Peer-reviewed and grey literature was searched for relevant papers published after 1990. Studies were included if they described an economic evaluation of EmOC training and the training cost data were available. Two reviewers independently searched, screened, and selected studies that met the inclusion criteria, with disagreements resolved by a third reviewer. Quality of studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards statement. For comparability, all costs in local currency were converted to International dollar (I$) equivalents using purchasing power parity conversion factors. The cost per training per participant was calculated. Narrative synthesis was used to summarise the available evidence on cost effectiveness. Fourteen studies (five full and nine partial economic evaluations) met the inclusion criteria. All five and two of the nine partial economic evaluations were of high quality. The majority of studies (13/14) were from low- and middle-income countries. Training equipment, per diems and resource person allowance were the most expensive components. Cost of training per person per day ranged from I$33 to I$90 when accommodation was required and from I$5 to I$21 when training was facility-based. Cost-effectiveness of training was assessed in 5 studies with differing measures of effectiveness (knowledge, skills, procedure cost and lives saved) making comparison difficult. Economic evaluations of EmOC training are limited. There is a
Analyses in Support of Z-IFE LLNL Progress Report for FY-05

International Nuclear Information System (INIS)

Moir, R W; Abbott, R P; Callahan, D A; Latkowski, J F; Meier, W R; Reyes, S

2005-01-01

The FY04 LLNL study of Z-IFE [1] proposed and evaluated a design that deviated from SNL's previous baseline design. The FY04 study included analyses of shock mitigation, stress in the first wall, neutronics and systems studies. In FY05, the subject of this report, we build on our work and the theme of last year. Our emphasis continues to be on alternatives that hold promise of considerable improvements in design and economics compared to the base-line design. Our key results are summarized here
Examining the importance of incorporating emergency preparedness and disaster training core competencies into allied health curricula.

Science.gov (United States)

Curtis, Tammy

2015-01-01

Preparation for responding to emergency events that does not warrant outside help beyond the local community resources or responding to disaster events that is beyond the capabilities of the local community both require first responders and healthcare professionals to have interdisciplinary skills needed to function as a team for saving lives. To date, there is no core emergency preparedness and disaster planning competencies that have been standardized at all levels across the various allied health curricula disciplines. To identify if emergency preparedness and disaster training content are currently being taught in allied health program courses, to identify possible gaps within allied health curricula, and to explore the perceptions of allied health college educators for implementing emergency preparedness and disaster training core competencies into their existing curricula, if not already included. A quantitative Internet-based survey was conducted in 2013. Convenient sample. Fifty-one allied health college educators completed the survey. Descriptive statistics indicated that the majority of allied health college instructors do not currently teach emergency preparedness and disaster training core competency content within their current allied health discipline; however, their perceived level of importance for inclusion of the competencies was high. The results of this study supported the need for developing and establishing a basic national set of standardized core emergency preparedness and disaster planning competencies at all levels across various allied health curricula disciplines to ensure victims receive the best patient care and have the best possible chance of survival.
A systematic review of the effectiveness of training in emergency obstetric care in low-resource environments

NARCIS (Netherlands)

van Lonkhuijzen, L.; Dijkman, A.; van Roosmalen, J.; Zeeman, G.; Scherpbier, A.

Background Training of healthcare workers can play an important role in improving quality of care, and reducing maternal and perinatal mortality and morbidity. Objectives To assess the effectiveness of training programmes aimed at improving emergency obstetric care in low-resource environments.
Development of knowledge tests for multi-disciplinary emergency training

DEFF Research Database (Denmark)

Sorensen, J. L.; Thellesen, L.; Strandbygaard, J.

2015-01-01

and evaluating a multiple-choice question(MCQ) test for use in a multi-disciplinary training program inobstetric-anesthesia emergencies. Methods: A multi-disciplinary working committee with 12members representing six professional healthcare groups andanother 28 participants were involved. Recurrent revisions......, 40 out of originally50 items were included in the final MCQ test. The MCQ test wasable to distinguish between levels of competence, and good con-struct validity was indicated by a significant difference in the meanscore between consultants and first-year trainees, as well as betweenfirst...
Effects of a training workshop on suicide prevention among emergency room nurses.

Science.gov (United States)

Kishi, Yasuhiro; Otsuka, Kotaro; Akiyama, Keiko; Yamada, Tomoki; Sakamoto, Yumiko; Yanagisawa, Yaeko; Morimura, Hiroshi; Kawanishi, Chiaki; Higashioka, Hiroaki; Miyake, Yasushi; Thurber, Steven

2014-01-01

Suicide attempts are frequently encountered by emergency department nurses. Such encounters can potentially provide a foundation for secondary suicide prevention. The aim of the present investigation was to evaluate the effect of a 7-hr training program for emergency room nursing personnel in Japan. In all, 52 nurses completed the questionnaires before the workshop and 1 month after the workshop. The nurses' understanding of and willingness to care for suicidal patients positively changed. It is feasible to provide a 7-hr, relatively short, workshop on suicidal prevention aimed at emergency medical staff and to improve attitudes during a follow-up of 1 month. It is uncertain whether the positive attitudes of emergency nurses toward suicide and/or educational interventions could impact the outcomes of these interventions. Further studies are needed to address these important questions in this field.
Annual report of Nuclear Emergency Assistance and Training Center. April 1, 2010 - March 31, 2011

International Nuclear Information System (INIS)

Katagiri, Hiromi; Okuno, Hiroshi; Sawahata, Masayoshi; Ikeda, Takeshi; Sato, Sohei; Terakado, Naoya; Nagakura, Tomohiro; Nakanishi, Chika; Fukumoto, Masahiro; Yamamoto, Kazuya; Abe, Minako; Kawakami, Takeshi; Kikuchi, Masayuki; Sumiya, Akihiro; Matsusaka, Masaru

2011-12-01

When a nuclear emergency occurs in Japan, the Japan Atomic Energy Agency (JAEA) has the responsibility of providing technical support to the National government, local governments, police, fire station and license holders etc., because the JAEA is designated a Public Organization conforming to the Basic Law on Emergency Preparedness and the Basic Plan for Disaster Countermeasures. The Nuclear Emergency Assistance and Training Center (NEAT) of JAEA provides a comprehensive range of technical support activities to an Off-Site Center in case of a nuclear emergency. Specifically, NEAT gives technical advice and information, dispatch specialists as required, supplies emergency equipment and materials to the National Government and local governments. NEAT provides various lectures and training courses concerning nuclear disaster prevention for those personnel taking an active part in emergency response organizations at normal time. NEAT also researches on nuclear disaster prevention and cooperates with international organizations. Concerning about the assistance to the Accident of Fukushima No.1 Nuclear Power Station caused by the Great East Japan Earthquake at 11 March, 2011, JAEA assisted activities including environmental radiation monitoring, environmental radioactivity analyses, resident public consulting etc., with its full scale effort. NEAT served as the center of these supporting activities of JAEA. This annual report summarized these activities of JAEA/NEAT in the fiscal year 2010. (author)
Experiences and findings from the operators' point of view 'Emergency protection training'

International Nuclear Information System (INIS)

Grauf, E.

1992-01-01

To exercise in-plant emergency measures, under special marginal conditions, proves to be as useful and necessary as the training of design basis accidents. The strating phase which is particularly difficult for shift personnel, because it is labour-intensive, has to be exercised and considered with special attention and close to reality. That is the only way to detect weak spots and to get rid of them if necessary also in hardware installations, by well-aimed measures, such as modification of organizational sequences, optimization of emergency procedures. (orig.) [de
Summary of Environmental Data Analysis and Work Performed by Lawrence Livermore National Laboratory (LLNL) in Support of the Navajo Nation Abandoned Mine Lands Project at Tse Tah, Arizona

Energy Technology Data Exchange (ETDEWEB)

Taffet, Michael J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Esser, Bradley K. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Madrid, Victor M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2017-05-17

This report summarizes work performed by Lawrence Livermore National Laboratory (LLNL) under Navajo Nation Services Contract CO9729 in support of the Navajo Abandoned Mine Lands Reclamation Program (NAMLRP). Due to restrictions on access to uranium mine waste sites at Tse Tah, Arizona that developed during the term of the contract, not all of the work scope could be performed. LLNL was able to interpret environmental monitoring data provided by NAMLRP. Summaries of these data evaluation activities are provided in this report. Additionally, during the contract period, LLNL provided technical guidance, instructional meetings, and review of relevant work performed by NAMLRP and its contractors that was not contained in the contract work scope.
Creation and implementation of an emergency medicine education and training program in Turkey: an effective educational intervention to address the practitioner gap.

Science.gov (United States)

Bellows, Jennifer Whitfield; Douglass, Katherine; Atilla, Ridvan; Smith, Jeffrey; Kapur, G Bobby

2013-07-22

The specialty of Emergency Medicine has enjoyed recognition for nearly 20 years in Turkey. However, the majority of underserved and rural Turkish emergency departments are staffed by general practitioners who lack formal training in the specialty and have few opportunities to increase emergency medicine-specific knowledge and skills. To address this "practitioner gap," the authors developed a four-phase comprehensive emergency medicine education and training program for general practitioners practicing in government hospitals in Turkey. From April 2006 until June 2009, 42 courses were taught by 62 trainers across seven regions in Turkey. A total of 2,262 physicians were trained. The mean course pre-test score for all regions was 42.3 (95% CI 39.8 to 44.7). The mean course post-test score was 70.1 (95% CI 67.2 to 72.9). The difference between the mean scores was 27.8 (95% CI 25.3 to 30.4, P emergency medicine department and an emergency medicine society to implement country-wide training of physicians practicing in public emergency departments can serve as a successful model for capacity-building global emergency medicine endeavors.
Dielectronic Satellite Spectra of Na-like Mo Ions Benchmarked by LLNL EBIT with Application to HED Plasmas

Science.gov (United States)

Stafford, A.; Safronova, A. S.; Kantsyrev, V. L.; Safronova, U. I.; Petkov, E. E.; Shlyaptseva, V. V.; Childers, R.; Shrestha, I.; Beiersdorfer, P.; Hell, H.; Brown, G. V.

2017-10-01

Dielectronic recombination (DR) is an important process for astrophysical and laboratory high energy density (HED) plasmas and the associated satellite lines are frequently used for plasma diagnostics. In particular, K-shell DR satellite lines were studied in detail in low-Z plasmas. L-shell Na-like spectral features from Mo X-pinches considered here represent the blend of DR and inner shell satellites and motivated the detailed study of DR at the EBIT-1 electron beam ion trap at LLNL. In these experiments the beam energy was swept between 0.6 - 2.4 keV to produce resonances at certain electron beam energies. The advantages of using an electron beam ion trap to better understand atomic processes with highly ionized ions in HED Mo plasma are highlighted. This work was supported by NNSA under DOE Grant DE-NA0002954. Work at LLNL was performed under the auspices of the U.S. DOE under Contract No. DE-AC52-07NA27344.

The psychological effects of widespread emergencies and a first responder training course on a violent, developing community

Directory of Open Access Journals (Sweden)

Jared H. Sun

2011-12-01

Conclusion: Violence and emergencies are having a deep, negative impact on the psychology of the Cape Flats’ community members. First responder training is one intervention that can provide stress relief to the community, increase the likeliness community members will help each other during an emergency, and increase their confidence while helping. This was true even for those who were not trained voluntarily, and the more a trainee learned in the course the more likely they improved in initiative and confidence.
Evacuation emergency response model coupling atmospheric release advisory capability output

International Nuclear Information System (INIS)

Rosen, L.C.; Lawver, B.S.; Buckley, D.W.; Finn, S.P.; Swenson, J.B.

1983-01-01

A Federal Emergency Management Agency (FEMA) sponsored project to develop a coupled set of models between those of the Lawrence Livermore National Laboratory (LLNL) Atmospheric Release Advisory Capability (ARAC) system and candidate evacuation models is discussed herein. This report describes the ARAC system and discusses the rapid computer code developed and the coupling with ARAC output. The computer code is adapted to the use of color graphics as a means to display and convey the dynamics of an emergency evacuation. The model is applied to a specific case of an emergency evacuation of individuals surrounding the Rancho Seco Nuclear Power Plant, located approximately 25 miles southeast of Sacramento, California. The graphics available to the model user for the Rancho Seco example are displayed and noted in detail. Suggestions for future, potential improvements to the emergency evacuation model are presented
Effects of stratospheric aerosol surface processes on the LLNL two-dimensional zonally averaged model

International Nuclear Information System (INIS)

Connell, P.S.; Kinnison, D.E.; Wuebbles, D.J.; Burley, J.D.; Johnston, H.S.

1992-01-01

We have investigated the effects of incorporating representations of heterogeneous chemical processes associated with stratospheric sulfuric acid aerosol into the LLNL two-dimensional, zonally averaged, model of the troposphere and stratosphere. Using distributions of aerosol surface area and volume density derived from SAGE 11 satellite observations, we were primarily interested in changes in partitioning within the Cl- and N- families in the lower stratosphere, compared to a model including only gas phase photochemical reactions
LLNL Containment Program nuclear test effects and geologic data base: glossary and parameter definitions

International Nuclear Information System (INIS)

Howard, N.W.

1983-01-01

This report lists, defines, and updates Parameters in DBASE, an LLNL test effects data bank in which data are stored from experiments performed at NTS and other test sites. Parameters are listed by subject and by number. Part 2 of this report presents the same information for parameters for which some of the data may be classified; it was issued in 1979 and is not being reissued at this time as it is essentially unchanged
Creation and implementation of an emergency medicine education and training program in Turkey: an effective educational intervention to address the practitioner gap

OpenAIRE

Bellows, Jennifer Whitfield; Douglass, Katherine; Atilla, Ridvan; Smith, Jeffrey; Kapur, G Bobby

2013-01-01

Background The specialty of Emergency Medicine has enjoyed recognition for nearly 20 years in Turkey. However, the majority of underserved and rural Turkish emergency departments are staffed by general practitioners who lack formal training in the specialty and have few opportunities to increase emergency medicine-specific knowledge and skills. Methods To address this ?practitioner gap,? the authors developed a four-phase comprehensive emergency medicine education and training program for gen...
Superconducting magnet development capability of the LLNL [Lawrence Livermore National Laboratory] High Field Test Facility

International Nuclear Information System (INIS)

Miller, J.R.; Shen, S.; Summers, L.T.

1990-02-01

This paper discusses the following topics: High-Field Test Facility Equipment at LLNL; FENIX Magnet Facility; High-Field Test Facility (HFTF) 2-m Solenoid; Cryogenic Mechanical Test Facility; Electro-Mechanical Conductor Test Apparatus; Electro-Mechanical Wire Test Apparatus; FENIX/HFTF Data System and Network Topology; Helium Gas Management System (HGMS); Airco Helium Liquefier/Refrigerator; CTI 2800 Helium Liquefier; and MFTF-B/ITER Magnet Test Facility
A Virtual Emergency Telemedicine Serious Game in Medical Training: A Quantitative, Professional Feedback-Informed Evaluation Study.

Science.gov (United States)

Nicolaidou, Iolie; Antoniades, Athos; Constantinou, Riana; Marangos, Charis; Kyriacou, Efthyvoulos; Bamidis, Panagiotis; Dafli, Eleni; Pattichis, Constantinos S

2015-06-17

Serious games involving virtual patients in medical education can provide a controlled setting within which players can learn in an engaging way, while avoiding the risks associated with real patients. Moreover, serious games align with medical students' preferred learning styles. The Virtual Emergency TeleMedicine (VETM) game is a simulation-based game that was developed in collaboration with the mEducator Best Practice network in response to calls to integrate serious games in medical education and training. The VETM game makes use of data from an electrocardiogram to train practicing doctors, nurses, or medical students for problem-solving in real-life clinical scenarios through a telemedicine system and virtual patients. The study responds to two gaps: the limited number of games in emergency cardiology and the lack of evaluations by professionals. The objective of this study is a quantitative, professional feedback-informed evaluation of one scenario of VETM, involving cardiovascular complications. The study has the following research question: "What are professionals' perceptions of the potential of the Virtual Emergency Telemedicine game for training people involved in the assessment and management of emergency cases?" The evaluation of the VETM game was conducted with 90 professional ambulance crew nursing personnel specializing in the assessment and management of emergency cases. After collaboratively trying out one VETM scenario, participants individually completed an evaluation of the game (36 questions on a 5-point Likert scale) and provided written and verbal comments. The instrument assessed six dimensions of the game: (1) user interface, (2) difficulty level, (3) feedback, (4) educational value, (5) user engagement, and (6) terminology. Data sources of the study were 90 questionnaires, including written comments from 51 participants, 24 interviews with 55 participants, and 379 log files of their interaction with the game. Overall, the results were
Cross Domain Deterrence: Livermore Technical Report, 2014-2016

Energy Technology Data Exchange (ETDEWEB)

Barnes, Peter D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bahney, Ben [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Matarazzo, Celeste [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Markey, Michael [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pearl, Jonathan [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-08-03

Lawrence Livermore National Laboratory (LLNL) is an original collaborator on the project titled “Deterring Complex Threats: The Effects of Asymmetry, Interdependence, and Multi-polarity on International Strategy,” (CDD Project) led by the UC Institute on Global Conflict and Cooperation at UCSD under PIs Jon Lindsay and Erik Gartzke , and funded through the DoD Minerva Research Initiative. In addition to participating in workshops and facilitating interaction among UC social scientists, LLNL is leading the computational modeling effort and assisting with empirical case studies to probe the viability of analytic, modeling and data analysis concepts. This report summarizes LLNL work on the CDD Project to date, primarily in Project Years 1-2, corresponding to Federal fiscal year 2015. LLNL brings two unique domains of expertise to bear on this Project: (1) access to scientific expertise on the technical dimensions of emerging threat technology, and (2) high performance computing (HPC) expertise, required for analyzing the complexity of bargaining interactions in the envisioned threat models. In addition, we have a small group of researchers trained as social scientists who are intimately familiar with the International Relations research. We find that pairing simulation scientists, who are typically trained in computer science, with domain experts, social scientists in this case, is the most effective route to developing powerful new simulation tools capable of representing domain concepts accurately and answering challenging questions in the field.
Health effects of training laypeople to deliver emergency care in underserviced populations: a systematic review protocol.

Science.gov (United States)

Orkin, Aaron M; Curran, Jeffrey D; Fortune, Melanie K; McArthur, Allison; Mew, Emma J; Ritchie, Stephen D; Van de Velde, Stijn; VanderBurgh, David

2016-05-18

The Disease Control Priorities Project recommends emergency care training for laypersons in low-resource settings, but evidence for these interventions has not yet been systematically reviewed. This review will identify the individual and community health effects of educating laypeople to deliver prehospital emergency care interventions in low-resource settings. This systematic review addresses the following question: in underserviced populations and low-resource settings (P), does first aid or emergency care training or education for laypeople (I) confer any individual or community health benefit for emergency health conditions (O), in comparison with no training or other forms of education (C)? We restrict this review to studies reporting quantitatively measurable outcomes, and search 12 electronic bibliographic databases and grey literature sources. A team of expert content and methodology reviewers will conduct title and abstract screening and full-text review, using a custom-built online platform. Two investigators will independently extract methodological variables and outcomes related to patient-level morbidity and mortality and community-level effects on resilience or emergency care capacity. Two investigators will independently assess external validity, selection bias, performance bias, measurement bias, attrition bias and confounding. We will summarise the findings using a narrative approach to highlight similarities and differences between the gathered studies. Formal ethical approval is not required. The results will be disseminated through a peer-reviewed publication and knowledge translation strategy. CRD42014009685. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Overview of the LBL/LLNL negative-ion-based neutral beam program

International Nuclear Information System (INIS)

Pyle, R.V.

1980-01-01

The LBL/LLNL negative-ion-based neutral beam development program and status are described. The emphasis has shifted in some details since the first symposium in 1977, but our overall objectives remain the same, namely, the development of megawatt d.c. injection systems. Previous emphasis was on a system in which the negative ions were produced by double charge exchange in sodium vapor. At present, the emphasis is on a self-extraction source in which the negative ions are produced on a biased surface imbedded in a plasma. A one-ampere beam will be accelerated to at least 40 keV next year. Studies of negative-ion formation and interactions help provide a data base for the technology program
Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 2. Equipment, Safe Driving Practices, Legal Aspects, Controlling the Situation, Action Evaluation Conference. Revised.

Science.gov (United States)

Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

This student manual, the second in a set of 14 modules, is designed to train emergency medical technicians (EMTs) in Ohio. The module contains five sections that cover the following course content: ambulance equipment, safe driving practices for emergency vehicle drivers, legal aspects of the EMT's job, how to maintain control at an accident scene…
Autogenic-feedback training improves pilot performance during emergency flying conditions

Science.gov (United States)

Kellar, Michael A.; Folen, Raymond A.; Cowings, Patricia S.; Toscano, William B.; Hisert, Glen L.

1994-01-01

Studies have shown that autonomous mode behavior is one cause of aircraft fatalities due to pilot error. In such cases, the pilot is in a high state of psychological and physiological arousal and tends to focus on one problem, while ignoring more critical information. This study examined the effect of training in physiological self-recognition and regulation, as a means of improving crew cockpit performance. Seventeen pilots were assigned to the treatment and control groups matched for accumulated flight hours. The treatment group comprised three pilots of HC-130 Hercules aircraft and four HH-65 Dolphin helicopter pilots; the control group comprised three pilots of HC-130's and six Dolphin helicopter pilots. During an initial flight, physiological data were recorded for each crew member and individual crew performance was rated by an instructor pilot. Eight crewmembers were then taught to regulate their own physiological response levels using Autogenic-Feedback Training (AFT). The remaining subjects received no training. During a second flight, treatment subjects showed significant improvement in performance, while controls did not improve. The results indicate that AFT management of high states of physiological arousal may improve pilot performance during emergency flying conditions.
[Simulation-based training in anesthesia and emergency medicine: preparation for the unexpected: on the way to new standards of education in Germany].

Science.gov (United States)

Issleib, Malte; Zöllner, C

2015-01-01

Medical expertise consists of knowledge, professional skills and individual attitudes. Training and education of this expertise starts in medical school and develops throughout the qualification process of anesthesists and emergency physicians. Medical decisions are not only rational but also intuitive. The combination of these characteristics cannot and should not be trained on patients. The implementation of modern simulation techniques offers the opportunity to train for emergency situations similar to training systems in the energy industry and aviation. Repetitive training of rare emergency situations brings routine to seldomly used procedures. In simulation training mistakes can be detected and systematically corrected. The team interactions and soft skills can also be focussed on. Video analysis gives the participant the opportunity for self-reflection and can lead to correction of individual behavior patterns. This dimension of education cannot be done in real patient care. This training goes far beyond the level of skills training. Through simulation training involves the whole team, the communication and the interaction between the team members in medically challenging situations. Crisis resource management leads to measurable improvements in patient safety and safety culture as well as personnel satisfaction.
An international fellowship training program in pediatric emergency medicine: establishing a new subspecialty in the Land of the Dragon.

Science.gov (United States)

Goldman, Ran D; Cheng, Adam; Jarvis, Anna; Keogh, Kelly; Lu, Guo-ping; Wang, Jian-she; Kissoon, Niranjan; Larson, Charles

2011-12-01

The health care system reform in the People's Republic of China has brought plans for establishment of a universal coverage for basic health services, including services for children. This effort demands significant change in health care planning. Pediatric emergency medicine (PEM) is not currently identified as a specialty in China, and emergency medicine systems suffer from lack of appropriate training.In 2006, the Centre for International Child Health and the Department of Pediatrics, British Columbia Children's Hospital, Vancouver, Canada, initiated a fellowship training program in PEM for pediatricians working in emergency departments or critical care settings with the Children's Hospital of Fudan University, China. The main objective was to upgrade the professional and clinical experience of emergency physicians practicing PEM and build PEM capacity throughout China by training the future trainers. After selecting trainees, the program included a structured curriculum over 2 years of training in China by Canadian and Australian PEM faculty and then practical exposure to PEM in Canada. All trainees underwent a structured evaluation after their final rotation in Canada. A total of 12 trainees completed the first 2 program cycles. The trainees considered the "overall rating of the training experience" as "excellent" (10/12) or "good" (2/12). All trainees considered the program as a relevant training to their practice and felt it will change their practice. They reported the program to be effective, with excellent complexity of content. Despite its current success, the program faces challenges in the development of the new subspecialty and ensuring its acceptance among other health care providers and decision makers. Identification and preparation of a capable training force to lead educational activities in China are daunting tasks. Time constraints, funding, and language barriers are other challenges. Future effort should be focused on improving and sustaining
Child abuse training and knowledge: a national survey of emergency medicine, family medicine, and pediatric residents and program directors.

Science.gov (United States)

Starling, Suzanne P; Heisler, Kurt W; Paulson, James F; Youmans, Eren

2009-04-01

The objective of this study was to determine the level of knowledge, comfort, and training related to the medical management of child abuse among pediatrics, emergency medicine, and family medicine residents. Surveys were administered to program directors and third-year residents at 67 residency programs. The resident survey included a 24-item quiz to assess knowledge regarding the medical management of physical and sexual child abuse. Sites were solicited from members of a network of child abuse physicians practicing at institutions with residency programs. Analyzable surveys were received from 53 program directors and 462 residents. Compared with emergency medicine and family medicine programs, pediatric programs were significantly larger and more likely to have a medical provider specializing in child abuse pediatrics, have faculty primarily responsible for child abuse training, use a written curriculum for child abuse training, and offer an elective rotation in child abuse. Exposure to child abuse training and abused patients was highest for pediatric residents and lowest for family medicine residents. Comfort with managing child abuse cases was lowest among family medicine residents. On the knowledge quiz, pediatric residents significantly outperformed emergency medicine and family medicine residents. Residents with high knowledge scores were significantly more likely to come from larger programs and programs that had a center, provider, or interdisciplinary team that specialized in child abuse pediatrics; had a physician on faculty responsible for child abuse training; used a written curriculum for child abuse training; and had a required rotation in child abuse pediatrics. By analyzing the relationship between program characteristics and residents' child abuse knowledge, we found that pediatric programs provide far more training and resources for child abuse education than emergency medicine and family medicine programs. As leaders, pediatricians must
A probabilistic risk assessment of the LLNL Plutonium facility's evaluation basis fire operational accident

International Nuclear Information System (INIS)

Brumburgh, G.

1994-01-01

The Lawrence Livermore National Laboratory (LLNL) Plutonium Facility conducts numerous involving plutonium to include device fabrication, development of fabrication techniques, metallurgy research, and laser isotope separation. A Safety Analysis Report (SAR) for the building 332 Plutonium Facility was completed rational safety and acceptable risk to employees, the public, government property, and the environment. This paper outlines the PRA analysis of the Evaluation Basis Fire (EDF) operational accident. The EBF postulates the worst-case programmatic impact event for the Plutonium Facility
Annual report of Nuclear Emergency Assistance and Training Center. April 1, 2011 - March 31, 2012

International Nuclear Information System (INIS)

Katagiri, Hiromi; Okuno, Hiroshi; Okamoto, Akiko; Ikeda, Takeshi; Tamura, Kenichi; Nagakura, Tomohiro; Nakanishi, Chika; Yamamoto, Kazuya; Abe, Minako; Sato, Sohei; Kawakami, Takeshi; Kikuchi, Masayuki; Sumiya, Akihiro; Matsusaka, Masaru

2012-08-01

When a nuclear emergency occurs in Japan, the Japan Atomic Energy Agency (JAEA) has the responsibility of providing technical support to the National government, local governments, police, fire stations and nuclear operators etc., because the JAEA has been designated as the Designated Public Institution under the Basic Act on Disaster Control Measures and the Act on Response to Armed Attack Situations, etc.. The Nuclear Emergency Assistance and Training Center (NEAT) of JAEA provides a comprehensive range of technical support activities to an Off-Site Center in case of a nuclear emergency. Specifically, NEAT gives technical advice and information, dispatches specialists as required, and supplies the National Government and local governments with emergency equipments and materials. NEAT provides various exercise and training courses concerning nuclear disaster prevention to those personnel taking an active part in emergency response organizations at normal times. NEAT also researches on nuclear disaster prevention and cooperates with international organizations. Concerning the assistance to the Accident at Fukushima Nuclear Power Station caused by the Great East Japan Earthquake on 11 March, 2011, JAEA has assisted activities including environmental radiation monitoring, environmental radioactivity analyses, and response to telephone inquiries from residents etc., with utmost effort. NEAT has served as the center of these supporting activities of JAEA. This annual report summarized these activities of JAEA/NEAT in the fiscal year 2011. (author)
Does Sexual Assault Nurse Examiner (SANE) Training Affect Attitudes of Emergency Department Nurses Toward Sexual Assault Survivors?

Science.gov (United States)

Nielson, Mary Hugo; Strong, Linda; Stewart, Julie G

2015-01-01

There are over 243,800 female sexual assaults in the United States annually. Of those who seek healthcare services after being sexually assaulted, 90% present to hospitals. Unfortunately, care and services for women who have been sexually assaulted are inconsistent. Increased burnout, frustration, and feelings of inadequacy can lead healthcare providers to exhibit personal biases or negative attitudes toward their patients. The Joint Commission, responsible for accreditation of healthcare organizations, has stated that nurses must provide competent care to all patients. Therefore, Sexual Assault Nurse Examiner (SANE) training needs to be available for emergency department (ED) nurses who care for patients who have been sexually assaulted. A survey using the Attitude Toward Rape Victims Scale was sent to 1503 ED nurses throughout the United States, from the Emergency Nursing Association's mailing list. The results of the survey showed that there was a significant difference in attitudes toward the patients between SANE-trained emergency nurses and those without training. This study also showed that 35.5% of hospitals represented by the respondents did not have SANE services available for adult patients who had been sexually assaulted, and furthermore, 85.5% of the respondents who cared for adult patients who had been sexually assaulted were not SANE trained. The negative attitudes held toward such patients as found in this study, coupled with a lack of training provides evidence that ED nurses may benefit from education related to appropriate treatment for patients who have been sexually assaulted. As evidence-based practice becomes the gold standard of care, ensuring that nurses are properly trained to care for all patients must be the goal.
Methodology for determining the value of complexity parameter for emergency situation during driving of the train

Directory of Open Access Journals (Sweden)

O. M. Horobchenko

2015-12-01

Full Text Available Purpose. During development of intelligent control systems for locomotive there is a need in the evaluation of the current train situation in the terms of traffic safety. In order to estimate the probability of the development of various emergency situations in to the traffic accidents, it is necessary to determine their complexity. The purpose of this paper is to develop the methodology for determining the complexity of emergency situations during the locomotive operation. Methodology. To achieve this purpose the statistical material of traffic safety violations was accumulated. The causes of violations are divided into groups: technical factors, human factors and external influences. Using the theory of hybrid networks it was obtained a model that gives the output complexity parameter of the emergency situation. Network type: multilayer perceptron with hybrid neurons of the first layer and the sigmoid activation function. The methods of the probability theory were used for the analysis of the results. Findings. The approach to the formalization of manufacturing situations that can only be described linguistically was developed, that allowed to use them as input data to the model for emergency situation. It was established and proved that the exponent of complexity for emergency situation during driving the train is a random quantity and obeys to the normal distribution law. It was obtained the graph of the cumulative distribution function, which identified the areas for safe operation and an increased risk of accident. Originality. It was proposed theoretical basis for determining the complexity of emergency situations in the train work and received the maximum complexity value of emergency situations that can be admitted in the operating conditions. Practical value. Constant monitoring of this value allows not only respond to the threat of danger, but also getting it in numerical form and use it as one of the input parameters for the
Retrospective evaluation of urological admissions to emergency service of a training and research hospital.

Science.gov (United States)

Topaktaş, Ramazan; Altın, Selçuk; Aydın, Cemil; Akkoç, Ali; Yılmaz, Yakup

2014-12-01

Many patients consult emergency services with urological complaints. The aim of this study was to investigate the epidemiology, clinical presentation and treatments of urological emergency cases in a training and research hospital. We retrospectively evaluated urological emergency patients referred to the emergency unit between July 2012 and July 2013 according to age, gender, affected organ, radiological imaging techniques and treatment. Among 141.844 emergency cases, 3.113 (2.19%) were urological emergencies and 53.2% of the patients were male (mean age: 49.1), and 46.8% of them were female (median age: 42.8). The most frequent illness was genitourinary infection constituting 41.2% of the cases followed by renal colic (36.9%). Among the urological emergencies 483 (15.5%) patients were hospitalized and 152 surgical operations were performed. The mostly performed procedure was the placement of a suprapubic catheter in 34 patients constituting (22.3%) of the cases. Totally eight patients were referred to another experienced health center due to different reasons. Most of the urological emergency patients do not require emergency surgical interventions however, timely identification and management of urological emergencies with in-depth clinical evaluation are important to prevent late complications. Therefore the doctors working in emergency services must be heedful of urological emergencies.

Multidisciplinary team training in a simulation setting for acute abstetric emergencies : a systematic review

NARCIS (Netherlands)

Merién, A.E.R.; Ven, van de J.; Mol, B.W.J.; Houterman, S.; Oei, S.G.

2010-01-01

OBJECTIVE: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from
Multidisciplinary Team Training in a Simulation Setting for Acute Obstetric Emergencies A Systematic Review

NARCIS (Netherlands)

Merién, A. E. R.; van de Ven, J.; Mol, B. W.; Houterman, S.; Oei, S. G.

2010-01-01

OBJECTIVE: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from
The Effects of Listener Training on the Emergence of Categorization and Speaker Behavior in Children with Autism

Science.gov (United States)

Kobari-Wright, Vissy V.; Miguel, Caio F.

2014-01-01

We evaluated the effects of listener training on the emergence of categorization and speaker behavior (i.e., tacts) using a nonconcurrent multiple baseline design. Four children with autism learned to select pictures given their dictated category names. We assessed whether they could match and tact pictures by category. After training, 3…
Training and training simulators for emergency situations in France

International Nuclear Information System (INIS)

Petit, G.

1990-01-01

The aim of this paper is to present principles and means set up by Electricite de France (E.D.F.) to provide the required tailor-made training. Today, recent advantages in computing capacities and software engineering along with the completion of Research and Development Training Division programs in the reactor safety (R+D) field (CATHARE, BETHSY..) give E.D.F. the opportunity to conceive and operate new tools for training which are described in the paper: RTGV-SEPIA: a simulator devoted to self training in SGTR field, thanks to a powerful expert system. SIPA: a 'generator of simulators' aiming at control and engineering studies and training, provided with a software able to give in real time a relevant description of complex topologies with diphasic flow patterns (up to a 12'' break in the primary coolant system of a reactor). (orig./DG) [de
Training teams for emergency management

NARCIS (Netherlands)

Schaafstal, A.M.; Johnston, J.H.; Oser, R.L.

2001-01-01

Emergency management (EM), the decision making involved in directing the relief operation after a disaster or otherwise catastrophic accident is an issue of great public and private concern because of the high stakes involved. Due to the nature of emergencies, and especially mass emergencies, EM
Otolaryngology-specific emergency room as a model for resident training.

Science.gov (United States)

Sethi, Rosh K V; Kozin, Elliott D; Remenschneider, Aaron K; Lee, Daniel J; Gliklich, Richard E; Shrime, Mark G; Gray, Stacey T

2015-01-01

There is a paucity of data on junior resident training in common otolaryngology procedures such as ear debridement, nasal and laryngeal endoscopy, epistaxis management, and peritonsillar abscess drainage. These common procedures represent a critical aspect of training and are necessary skills in general otolaryngology practice. We sought to determine how a dedicated otolaryngology emergency room (ER) staffed by junior residents and a supervising attending provides exposure to common otolaryngologic procedures. Retrospective review. Diagnostic and procedural data for all patients examined in the Massachusetts Eye and Ear Infirmary ER between January 2011 and September 2013 were evaluated. A total of 12,234 patients were evaluated. A total of 5,673 patients (46.4%) underwent a procedure. Each second-year resident performed over 450 procedures, with the majority seen Monday through Friday (75%). The most common procedures in our study included diagnostic nasolaryngoscopy (52.0%), ear debridement (34.4%), and epistaxis control (7.0%) An otolaryngology-specific ER provides junior residents with significant diagnostic and procedural volume in a concentrated period of time. This study demonstrates utility of a unique surgical education model and provides insight into new avenues of investigation for otolaryngology training. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.
Managing emergencies in primary care: does real-world simulation-based training have any lasting impact?

OpenAIRE

Forde, Emer; Bromilow, J.; Jackson, S.; Wedderburn, Clare

2017-01-01

General Practitioners (GPs) have a responsibility to provide prompt and effective care when attending to life threatening emergencies in their GP surgeries. Primary care staff undertake mandatory, annual basic life support training. However, most emergencies are peri-arrest situations, and this is an area where GPs lack confidence and competence [1, 2]. The importance of effective, early intervention in peri-arrest scenarios was highlighted by the NCEPOD report “Time to Intervene (2012)” [3]....
Training of medical teams on-site for individual and coordinated response in emergency management

DEFF Research Database (Denmark)

Andersen, Verner

2003-01-01

A system for training of coordination and cooperation of decision makers in emergency management has been under construction for some time. A first prototype of the system was developed in the MUSTER system. The system is being developed modularly with one module for each of the suborganisations...... involved in the complete preparedness: fire brigade, police, medical team, civil defence, etc. All these modules will in the end be integrated on a common integration platform, either to a fully-fledged system covering all aspects of training for the complete preparedness, or for creating a dedicated...
An ergonomics study of computerized emergency operating procedures: Presentation style, task complexity, and training level

International Nuclear Information System (INIS)

Xu Song; Song Fei; Li Zhizhong; Zhao Qianyi; Luo Wei; He Xuhong; Salvendy, Gavriel

2008-01-01

Emergency operating procedures (EOPs) are widely used in nuclear power plants (NPPs). With the development of information technology, computerized EOPs are taking the place of paper-based ones. Unlike paper-based EOPs, the industrial practice of computerized EOPs is still quite limited. Ergonomics issues of computerized EOPs have not been studied adequately. This study focuses on the effects of EOP presentation style, task complexity, and training level on the performance of the operators in the execution of computerized EOPs. One simulated computerized EOP system was developed to present two EOPs, each with different task complexity levels, by two presentation styles (Style A: one- and two-dimensional flowcharts combination; Style B: two-dimensional flowchart and success logic tree combination). Forty subjects participated in the experiment of EOP execution using the simulated system. Statistical analysis of the experimental results indicates that: (1) complexity, presentation style, and training level all can significantly influence the error rate. High-complexity tasks and lack of sufficient training may lead to a higher error rate. Style B caused a significantly higher error rate than style A did in the skilled phase. So the designers of computerized procedures should take the presentation styles of EOPs into account. (2) Task complexity and training level can significantly influence operation time. No significant difference was found in operation time between the two presentation styles. (3) Training level can also significantly influence the subjective workload of EOPs operations. This implies that adequate training is very important for the performance of computerized EOPs even if emergency responses with computerized EOPs are much more simple and easy than that with paper-based EOPs
An ergonomics study of computerized emergency operating procedures: Presentation style, task complexity, and training level

Energy Technology Data Exchange (ETDEWEB)

Xu Song; Song Fei [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China); Li Zhizhong [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China)], E-mail: zzli@tsinghua.edu.cn; Zhao Qianyi; Luo Wei [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China); He Xuhong [Scanpower Risk Management China Inc., Towercrest International Plaza, No. 3 Maizidian West Road, Chaoyang District, Beijing 100016 (China); Salvendy, Gavriel [Department of Industrial Engineering, Tsinghua University, Beijing 100084 (China)

2008-10-15

Emergency operating procedures (EOPs) are widely used in nuclear power plants (NPPs). With the development of information technology, computerized EOPs are taking the place of paper-based ones. Unlike paper-based EOPs, the industrial practice of computerized EOPs is still quite limited. Ergonomics issues of computerized EOPs have not been studied adequately. This study focuses on the effects of EOP presentation style, task complexity, and training level on the performance of the operators in the execution of computerized EOPs. One simulated computerized EOP system was developed to present two EOPs, each with different task complexity levels, by two presentation styles (Style A: one- and two-dimensional flowcharts combination; Style B: two-dimensional flowchart and success logic tree combination). Forty subjects participated in the experiment of EOP execution using the simulated system. Statistical analysis of the experimental results indicates that: (1) complexity, presentation style, and training level all can significantly influence the error rate. High-complexity tasks and lack of sufficient training may lead to a higher error rate. Style B caused a significantly higher error rate than style A did in the skilled phase. So the designers of computerized procedures should take the presentation styles of EOPs into account. (2) Task complexity and training level can significantly influence operation time. No significant difference was found in operation time between the two presentation styles. (3) Training level can also significantly influence the subjective workload of EOPs operations. This implies that adequate training is very important for the performance of computerized EOPs even if emergency responses with computerized EOPs are much more simple and easy than that with paper-based EOPs.
Health effects of training laypeople to deliver emergency care in underserviced populations: a systematic review protocol

OpenAIRE

Orkin, Aaron M; Curran, Jeffrey D; Fortune, Melanie K; McArthur, Allison; Mew, Emma J; Ritchie, Stephen D; Van de Velde, Stijn; VanderBurgh, David

2016-01-01

Introduction The Disease Control Priorities Project recommends emergency care training for laypersons in low-resource settings, but evidence for these interventions has not yet been systematically reviewed. This review will identify the individual and community health effects of educating laypeople to deliver prehospital emergency care interventions in low-resource settings. Methods and analysis This systematic review addresses the following question: in underserviced populations and low-reso...
Improvement of the Nuclear Radiation Protection Training for the Simulator and on sharing method of the Safety Parameter with the Emergency Organization

Energy Technology Data Exchange (ETDEWEB)

Ahn, Sungjin; Park, Daeseung [KHNP Central Research Institute, Daejeon (Korea, Republic of)

2016-10-15

Radiation Emergency alert will be announced when the radiological impact is limited within the NPP or radiological impact to go out of the NPP. Radiation Protection Training is scheduled and proceeded to prevent for the radiation accidents, possibility of the radiation accidents, or radiation accident expansion, the training is to reduce the damage to property and health for the nuclear power plant worker and the people near the nuclear power plant. This paper shows the improvement of the nuclear radiation protection training for the simulator and on sharing method of the safety parameter with the emergency organization. Accident shall be correctly and quickly prevented when the NPP accident is inevitable. Therefore the radiation protection training for the operator and the emergency organization will be effective when the accident happens if the simulator has the same environment as the NPP.
Net Weight Issue LLNL DOE-STD-3013 Containers

International Nuclear Information System (INIS)

Wilk, P

2008-01-01

The following position paper will describe DOE-STD-3013 container sets No.L000072 and No.L000076, and how they are compliant with DOE-STD-3013-2004. All masses of accountable nuclear materials are measured on LLNL certified balances maintained under an MC and A Program approved by DOE/NNSA LSO. All accountability balances are recalibrated annually and checked to be within calibration on each day that the balance is used for accountability purposes. A statistical analysis of the historical calibration checks from the last seven years indicates that the full-range Limit of Error (LoE, 95% confidence level) for the balance used to measure the mass of the contents of the above indicated 3013 containers is 0.185 g. If this error envelope, at the 95% confidence level, were to be used to generate an upper-limit to the measured weight of the containers No.L000072 and No.L000076, the error-envelope would extend beyond the 5.0 kg 3013-standard limit on the package contents by less than 0.3 g. However, this is still well within the intended safety bounds of DOE-STD-3013-2004
Regional training course on medical response on radiological emergencies. Annex

International Nuclear Information System (INIS)

2000-01-01

This short information is an annex of the documentation distributed to the participants to the International Atomic Energy Agency (IAEA) Regional Training Course on Medical Response on Radiological Emergencies, organised by the IAEA in co-operation with the Government of Argentina thought the Nuclear Regulatory Authority, held in Buenos Aires, Argentina, 16-20 October 2000. The course was intended to people from IAEA Member State in the Latin American and Caribbean region, and to professionals and workers on medicine related with the radiation protection. This annex present information about: Radioactive materials transport; Internal and external contamination; Radiation accidents; Physical dosimetry
Wide Area Recovery and Resiliency Program (WARRP) Knowledge Enhancement Events: CBR Workshop After Action Report

Science.gov (United States)

2012-01-01

National Guard Graham Richard EPA Region VIII Greenwalt Robert Lawrence Livermore National Laboratory Hard Dave Colorado Department of Emergency...Jefferson County Office of Emergency Management Smedley Chuck Denver Public Health Stein Steve Pacific Northwest National Laboratory Steinhour LeeAnn...Laboratory Brooke Buddemeier brooke2@llnl.gov Chris Campbell campbell48@llnl.gov Robert Greenwalt greenwalt1@llnl.gov Wilthea Hibbard hibbard3
Annual report of Nuclear Emergency Assistance and Training Center. April 1, 2012 - March 31, 2013

International Nuclear Information System (INIS)

Sato, Takeshi; Muto, Shigeo; Okuno, Hiroshi; Katagiri, Hiromi; Akiyama, Kiyomitsu; Okamoto, Akiko; Koie, Masahiro; Ikeda, Takeshi; Nemotouchi, Toshimasa; Saito, Toru; Sumiya, Akio; Kawamata, Hiroyuki; Nakanishi, Chika; Hirayama, Yusuke; Yamamoto, Kazuya; Sato, Sohei; Sumiya, Akihiro; Kawakami, Takeshi; Kikuchi, Masayuki; Aoki, Kazufumi; Matsusaka, Masaru; Nagakura, Tomohiro; Nakamura, Koichi

2014-02-01

The Japan Atomic Energy Agency, which will be abbreviated as JAEA hereafter, was assigned as a designated public institution under the Disaster Countermeasures Basic Act and under the Armed Attack Situations Response Act. Based on these Acts, the JAEA has the responsibility of providing technical support to the National government and/or local governments in case of disaster responses or response in the event of a military attack, etc. In order to fulfill the tasks, the JAEA has established the Emergency Action Plan and the Civil Protection Action Plan. In case of a nuclear emergency, the Nuclear Emergency Assistance and Training Center (NEAT) of JAEA provides technical support activities to an Off-Site Center in any prefecture. Specifically, NEAT dispatches specialists, supplies the National Government and local governments with emergency equipment and materials, and gives technical advice and information. In normal time, NEAT provides various exercises and training courses concerning nuclear disaster prevention to those personnel taking an active part in emergency response institutions of the national and local governments, police, fire fighters, self-defense forces, etc. in addition to the JAEA itself. The NEAT also researches nuclear disaster preparedness and response, and cooperates with international organizations. In the FY2012, the NEAT accomplished the following tasks: (1) Technical support activities as a designated public institution in cooperation with the national and local governments, etc. (2) Human resource development, exercise and training of nuclear emergency response personnel for the national and local governments, etc. (3) Researches on nuclear disaster preparedness and response, and sending useful information. (4) International contributions to Asian countries on nuclear disaster preparedness and response in collaboration with the international organizations. The responses of the JAEA to the accident of TEPCO's Fukushima Daiichi Nuclear Power
Training induces cognitive bias: the case of a simulation-based emergency airway curriculum.

Science.gov (United States)

Park, Christine S; Stojiljkovic, Ljuba; Milicic, Biljana; Lin, Brian F; Dror, Itiel E

2014-04-01

Training-induced cognitive bias may affect performance. Using a simulation-based emergency airway curriculum, we tested the hypothesis that curriculum design would induce bias and affect decision making. Twenty-three novice anesthesiology residents were randomized into 2 groups. The primary outcome measure was the initiation of supraglottic airway and cricothyroidotomy techniques in a simulated cannot-ventilate, cannot-intubate scenario during 3 evaluation sessions. Secondary outcomes were response times for device initiation. After a baseline evaluation and didactic lecture, residents received an initial practical training in either surgical cricothyroidotomy (CRIC group) or supraglottic airway (SGA group). After the midtest, the groups switched to receive the alternate training. From baseline to midtest, the SGA group increased initiation of supraglottic airway but not cricothyroidotomy. The CRIC group increased initiation of cricothyroidotomy but not supraglottic airway. After completion of training in both techniques, the SGA group increased initiation of both supraglottic airway and cricothyroidotomy. In contrast, the CRIC group increased initiation of cricothyroidotomy but failed to change practice in supraglottic airway. Final test response times showed that the CRIC group was slower to initiate supraglottic airway and faster to initiate cricothyroidotomy. Practical training in only 1 technique caused bias in both groups despite a preceding didactic lecture. The chief finding was an asymmetrical effect of training sequence even after training in both techniques. Initial training in cricothyroidotomy caused bias that did not correct despite subsequent supraglottic airway training. Educators must be alert to the risk of inducing cognitive bias when designing curricula.
Southern State Radiological Transportation Emergency Response Training Course Summary

International Nuclear Information System (INIS)

1990-09-01

The Southern States Energy Board (SSEB) is an interstate compact organization that serves 16 states and the commonwealth of Puerto Rico with information and analysis in energy and environmental matters. Nuclear waste management is a topic that has garnered considerable attention in the SSEB region in the last several years. Since 1985, SSEB has received support from the US Department of Energy for the regional analysis of high-level radioactive waste transportation issues. In the performance of its work in this area, SSEB formed the Advisory Committee on High-Level Radioactive Materials Transportation, which comprises representatives from impacted states and tribes. SSEB meets with the committee semi-annually to provide issue updates to members and to solicit their views on activities impacting their respective states. Among the waste transportation issues considered by SSEB and the committee are shipment routing, the impacts of monitored retrievable storage, state liability in the event of an accident and emergency preparedness and response. This document addresses the latter by describing the radiological emergency response training courses and programs of the southern states, as well as federal courses available outside the southern region
Developing Training Programs to Save Lives: Serving Students with Complex or Emergency Healthcare Needs

Science.gov (United States)

Urso, Annmarie; Rozalski, Michael

2014-01-01

The number of students with special health care needs (SHCN; McPherson, Arango & Fox, 1998) and the frequency of life-threatening health emergencies in schools (e.g., asthma, diabetes, severe allergic reactions, cardiac arrest, seizure disorders), continues to increase. It has become increasingly important for teachers to be trained in…
Update of the Nuclear Criticality Slide Rule for the Emergency Response to a Nuclear Criticality Accident

Science.gov (United States)

Duluc, Matthieu; Bardelay, Aurélie; Celik, Cihangir; Heinrichs, Dave; Hopper, Calvin; Jones, Richard; Kim, Soon; Miller, Thomas; Troisne, Marc; Wilson, Chris

2017-09-01

AWE (UK), IRSN (France), LLNL (USA) and ORNL (USA) began a long term collaboration effort in 2015 to update the nuclear criticality Slide Rule for the emergency response to a nuclear criticality accident. This document, published almost 20 years ago, gives order of magnitude estimates of key parameters, such as number of fissions and doses (neutron and gamma), useful for emergency response teams and public authorities. This paper will present, firstly the motivation and the long term objectives for this update, then the overview of the initial configurations for updated calculations and preliminary results obtained with modern 3D codes.

Update of the Nuclear Criticality Slide Rule for the Emergency Response to a Nuclear Criticality Accident

Directory of Open Access Journals (Sweden)

Duluc Matthieu

2017-01-01

Full Text Available AWE (UK, IRSN (France, LLNL (USA and ORNL (USA began a long term collaboration effort in 2015 to update the nuclear criticality Slide Rule for the emergency response to a nuclear criticality accident. This document, published almost 20 years ago, gives order of magnitude estimates of key parameters, such as number of fissions and doses (neutron and gamma, useful for emergency response teams and public authorities. This paper will present, firstly the motivation and the long term objectives for this update, then the overview of the initial configurations for updated calculations and preliminary results obtained with modern 3D codes.
The 2015 Academic College of Emergency Experts in India's INDO-US Joint Working Group White Paper on Establishing an Academic Department and Training Pediatric Emergency Medicine Specialists in India

Science.gov (United States)

Mahajan, Prashant; Batra, Prerna; Shah, Binita R; Saha, Abhijeet; Galwankar, Sagar; Aggrawal, Praveen; Hassoun, Ameer; Batra, Bipin; Bhoi, Sanjeev; Kalra, Om Prakash; Shah, Dheeraj

2015-01-01

The concept of pediatric emergency medicine (PEM) is virtually nonexistent in India. Suboptimally, organized prehospital services substantially hinder the evaluation, management, and subsequent transport of the acutely ill and/or injured child to an appropriate facility. Furthermore, the management of the ill child at the hospital level is often provided by overburdened providers who, by virtue of their training, lack experience in the skills required to effectively manage pediatric emergencies. Finally, the care of the traumatized child often requires the involvement of providers trained in different specialities, which further impedes timely access to appropriate care. The recent recognition of Doctor of Medicine (MD) in Emergency Medicine (EM) as an approved discipline of study as per the Indian Medical Council Act provides an unprecedented opportunity to introduce PEM as a formal academic program in India. PEM has to be developed as a 3-year superspeciality course (in PEM) after completion of MD/Diplomate of National Board (DNB) Pediatrics or MD/DNB in EM. The National Board of Examinations (NBE) that accredits and administers postgraduate and postdoctoral programs in India also needs to develop an academic program – DNB in PEM. The goals of such a program would be to impart theoretical knowledge, training in the appropriate skills and procedures, development of communication and counseling techniques, and research. In this paper, the Joint Working Group of the Academic College of Emergency Experts in India (JWG-ACEE-India) gives its recommendations for starting 3-year DM/DNB in PEM, including the curriculum, infrastructure, staffing, and training in India. This is an attempt to provide an uniform framework and a set of guiding principles to start PEM as a structured superspeciality to enhance emergency care for Indian children. PMID:26807394
The 2014 Academic College of Emergency Experts in India's Education Development Committee (EDC) White Paper on establishing an academic department of Emergency Medicine in India - Guidelines for Staffing, Infrastructure, Resources, Curriculum and Training.

Science.gov (United States)

Aggarwal, Praveen; Galwankar, Sagar; Kalra, Om Prakash; Bhalla, Ashish; Bhoi, Sanjeev; Sundarakumar, Sundarajan

2014-07-01

Emergency medicine services and training in Emergency Medicine (EM) has developed to a large extent in developed countries but its establishment is far from optimal in developing countries. In India, Medical Council of India (MCI) has taken great steps by notifying EM as a separate specialty and so far 20 medical colleges have already initiated 3-year training program in EM. However, there has been shortage of trained faculty, and ambiguity regarding curriculum, rotation policy, infrastructure, teachers' eligibility qualifications and scheme of examination. Academic College of Emergency Experts in India (ACEE-India) has been a powerful advocate for developing Academic EM in India. The ACEE's Education Development Committee (EDC) was created to chalk out guidelines for staffing, infrastructure, resources, curriculum, and training which may be of help to the MCI and the National Board of Examinations (NBE) to set standards for starting 3-year training program in EM and develop the departments of EM as centers of quality education, research, and treatment across India. This paper has made an attempt to give recommendations so as to provide a uniform framework to the institutions, thus guiding them towards establishing an academic Department of EM for starting the 3-year training program in the specialty of EM.
Test results from the LLNL 250 GHz CARM experiment

International Nuclear Information System (INIS)

Kulke, B.; Caplan, M.; Bubp, D.; Houck, T.; Rogers, D.; Trimble, D.; VanMaren, R.; Westenskow, G.; McDermott, D.B.; Luhmann, N.C. Jr.; Danly, B.

1991-05-01

We have completed the initial phase of a 250 GHz CARM experiment, driven by the 2 MeV, 1 kA, 30 ns induction linac at the LLNL ARC facility. A non-Brillouin, solid, electron beam is generated from a flux-threaded, thermionic cathode. As the beam traverses a 10 kG plateau produced by a superconducting magnet, ten percent of the beam energy is converted into rotational energy in a bifilar helix wiggler that produces a spiraling, 50 G, transverse magnetic field. The beam is then compressed to a 5 mm diameter as it drifts into a 30 kG plateau. For the present experiment, the CARM interaction region consisted of a single Bragg section resonator, followed by a smooth-bore amplifier section. Using high-pass filters, we have observed broadband output signals estimated to be at the several megawatt level in the range 140 to over 230 GHz. This is consistent with operation as a superradiant amplifier. Simultaneously, we also observed K a band power levels near 3 MW
Test results from the LLNL 250 GHz CARM experiment

International Nuclear Information System (INIS)

Kulke, B.; Caplan, M.; Bubp, D.; Houck, T.; Rogers, D.; Trimble, D.; VanMaren, R.; Westenskow, G.; McDermott, D.B.; Luhmann, N.C. Jr.; Danly, B.

1991-01-01

The authors have completed the initial phase of a 250 GHz CARM experiment, driven by the 2 MeV, 1 kA, 30 ns induction linac at the LLNL ARC facility. A non-Brillouin, solid, electron beam is generated from a flux-threaded, thermionic cathode. As the beam traverses a 10 kG plateau produced by a superconducting magnet, ten percent of the beam energy is converted into rotational energy in a bifilar helix wiggler that produces a spiraling, 50 G, transverse magnetic field. The beam is then compressed to a 5 mm diameter as it drifts into a 30 kG plateau. For the present experiment, the CARM interaction region consisted of a single Bragg section resonator, followed by a smooth-bore amplifier section. Using high-pass filters, they have observed broadband output signals estimated to be at the several megawatt level in the range 140 to over 230 GHz. This is consistent with operation as a superradiant amplifier. Simultaneously, they also observed K a band power levels near 3 MW
Status of the SLAC/LBL/LLNL B-Factory and the BaBar detector

International Nuclear Information System (INIS)

Oddone, P.

1994-08-01

The primary motivation of the Asymmetric B-Factory is the study of CP violation. The decay of B mesons and, in particular, the decay of neutral B mesons, offers the possibility of determining conclusively whether CP violation is part and parcel of the Standard Model with three generations of quarks and leptons. Alternatively, the authors may discover that CP violation lies outside the present framework. In this paper the authors briefly describe the physics reach of the SLAC/LBL/LLNL Asymmetric B-Factory, the progress on the machine design and construction, the progress on the detector design, and the schedule to complete both projects
Impact of Training on General Practitioner?s Knowledge, Attitude and Practices Regarding Emergency Contraception in Hyderabad

OpenAIRE

Bibi, Seema; Mustafa Abbasi, Razia; Awan, Shazia; Ara Qazi, Roshan; Ashfaque, Sanober

2013-01-01

Objectives: To elaborate the impact of family planning training on general practitioners? knowledge, attitude and practices regarding emergency contraception. Methods: A cross sectional survey involving 270 general practitioners was conducted in Hyderabad from 1st Oct to 31st Dec 2010. Participants were divided into two groups on the basis of attending family planning training course after graduation and were interviewed face to face. Data was noted on questionnaire asking their knowledge, at...
[Experience in training in emergencies, Division of Special Projects in Health, Instituto Mexicano del Seguro Social].

Science.gov (United States)

Cruz-Vega, Felipe; Loría-Castellanos, Jorge; Hernández-Olivas, Irma Patricia; Franco-Bey, Rubén; Ochoa-Avila, César; Sánchez-Badillo, Victoria

2016-01-01

There has been interest in the Division of Special Projects in Health to offer the Instituto Mexicano del Seguro Social personnel resources for training and quality thereby respond to potential contingencies. Presented here is their experience in this field. To describe and analyse the productivity in different training programs in emergencies and disasters developed by the Division of Special Projects in Health, Mexican Social Security Institute (IMSS). Observational study in which different training activities conducted by the Division of Special Projects in Health between 1989 and 2014 are described. Descriptive statistics were used. In these 25 years have trained 20,674 participants; 19.451 IMSS and 1,223 other health institutions. The most productive courses were life support (BLS/ACLS) (47.17%), distance courses "Hospital medical evacuation plans and units" (14.17%), the workshop-run "Evacuation of hospital units with an emphasis on critical areas" (5.93%) and course "Programme Evaluators of Hospital Insurance" (8.43%). Although the Special Projects Division Health has primarily operational functions, it nevertheless has neglected its responsibility to maintain constantly trained and updated institute staff that every day is in a position to face any type of emergency and disaster. This increases the chance that the answer to any contingency is more organised and of higher quality, always to the benefit of the population. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.
The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives

DEFF Research Database (Denmark)

Avnstorp, M. B.; Jensen, P. V. F.; Dzongodza, T.

2016-01-01

and neck progressing to cardiac arrest. Cardiopulmonary resuscitation was initiated and a secure surgical airway was established via an emergency cricothyroidotomy, saving the patient. A 70-year-old male presented with upper airway obstruction secondary to intubation for an elective procedure. When...... extubated, the patient exhibited severe stridor followed by respiratory arrest. Re-intubation attempts were unsuccessful and emergency cricothyroidotomy was performed to secure the airway, preserving the life of the patient. Conclusion: Emergency cricothyroidotomy training should be considered for all......Background: In developing countries with limited access to ENT services, performing emergency cricothyroidotomy in patients with upper airway obstruction may be a life-saving last resort. An established Danish-Zimbabwean collaboration of otorhinolaryngologists enrolled Zimbabwean doctors...
'Nuclear emergency preparedness' for local residents. Support of on-site training of many kinds of places and people

International Nuclear Information System (INIS)

Kameda, Kazuhisa

2005-01-01

In order to support and ensure the nuclear emergency preparedness system and safety of residents in cities, towns and villages, NPO Nuclear Emergency Preparedness Support Center was established in May, 2003. 130 on-site training and education classes were held and above 2,000 participants attended to them for two years. Objects of the countermeasure of nuclear emergency preparedness in local area and residents, what is nuclear emergency for inhabitants, what is use of Table of International Nuclear Event Scale (INES)?, a use of INES, relation between INES level and the nuclear emergency preparedness system are discussed. (S.Y.)
Knowledge and training in paediatric medical traumatic stress and trauma-informed care among emergency medical professionals in low- and middle-income countries.

Science.gov (United States)

Hoysted, Claire; Babl, Franz E; Kassam-Adams, Nancy; Landolt, Markus A; Jobson, Laura; Van Der Westhuizen, Claire; Curtis, Sarah; Kharbanda, Anupam B; Lyttle, Mark D; Parri, Niccolò; Stanley, Rachel; Alisic, Eva

2018-01-01

Background : Provision of psychosocial care, in particular trauma-informed care, in the immediate aftermath of paediatric injury is a recommended strategy to minimize the risk of paediatric medical traumatic stress. Objective : To examine the knowledge of paediatric medical traumatic stress and perspectives on providing trauma-informed care among emergency staff working in low- and middle-income countries (LMICs). Method : Training status, knowledge of paediatric medical traumatic stress, attitudes towards incorporating psychosocial care and barriers experienced were assessed using an online self-report questionnaire. Respondents included 320 emergency staff from 58 LMICs. Data analyses included descriptive statistics, t -tests and multiple regression. Results : Participating emergency staff working in LMICs had a low level of knowledge of paediatric medical traumatic stress. Ninety-one percent of respondents had not received any training or education in paediatric medical traumatic stress, or trauma-informed care for injured children, while 94% of respondents indicated they wanted training in this area. Conclusions : There appears to be a need for training and education of emergency staff in LMICs regarding paediatric medical traumatic stress and trauma-informed care, in particular among staff working in comparatively lower income countries.
A historical perspective on fifteen years of laser damage thresholds at LLNL

International Nuclear Information System (INIS)

Rainer, F.; De Marco, F.P.; Staggs, M.C.; Kozlowski, M.R.; Atherton, L.J.; Sheehan, L.M.

1993-01-01

We have completed a fifteen year, referenced and documented compilation of more than 15,000 measurements of laser-induced damage thresholds (LIDT) conducted at the Lawrence Livermore National Laboratory (LLNL). These measurements cover the spectrum from 248 to 1064 nm with pulse durations ranging from < 1 ns to 65 ns and at pulse-repetition frequencies (PRF) from single shots to 6.3 kHz. We emphasize the changes in LIDTs during the past two years since we last summarized our database. We relate these results to earlier data concentrating on improvements in processing methods, materials, and conditioning techniques. In particular, we highlight the current status of anti-reflective (AR) coatings, high reflectors (HR), polarizers, and frequency-conversion crystals used primarily at 355 nm and 1064 nm
The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department.

Science.gov (United States)

Kessler, Chad S; Tadisina, Kashyap Komarraju; Saks, Mark; Franzen, Doug; Woods, Rob; Banh, Kenny V; Bounds, Richard; Smith, Michael; Deiorio, Nicole; Schwartz, Alan

2015-11-01

Effective communication is critical for health care professionals, particularly in the Emergency Department (ED). However, currently, there is no standardized consultation model that is consistently practiced by physicians or used for training medical graduates. Recently, the 5Cs of Consultation model (Contact, Communicate, Core Question, Collaborate, and Close the Loop) has been studied in Emergency Medicine residents using simulated consultation scenarios. Using an experimental design, we aimed to evaluate the efficacy of the 5Cs consultation model in a novel learner population (medical students) and in a "real time and real world" clinical setting. A prospective, randomized, controlled study was conducted at eight large, academic, urban, tertiary-care medical centers (U.S. and Canada). Intervention involved two experimental groups (asynchronous and live training) compared to a baseline control group. All participants placed up to four consult phone calls. A senior physician observed and assessed each call using a preapproved 5Cs checklist and a Global Rating Scale (GRS). Participants who received training (asynchronous or live) scored significantly higher on the 5Cs checklist total and GRS than the control group. Both training methods (asynchronous and live) were equally effective. Importantly, learning gains were sustained as students' 5Cs checklist total and GRS scores remained consistently higher at their second, third, and fourth consult (relative to their first consult). At posttest, all participants reported feeling more confident and competent in relaying patient information. Medical students can be trained to use the 5Cs model in a timely, inexpensive, and convenient manner and increase effectiveness of physician consultations originating from the ED. Published by Elsevier Inc.
The role of the LLNL Atmospheric Release Advisory Capability in a FRMAC response to a nuclear power plant incident

International Nuclear Information System (INIS)

Baskett, R.L.; Sullivan, T.J.; Ellis, J.S.; Foster, C.S.

1994-01-01

The Federal Radiological Emergency Response Plan (FRERP) can provide several emergency response resources in response to a nuclear power plant (NPP) accident if requested by a state or local agency. The primary FRERP technical resources come from the US Department of Energy's (DOE) Federal Radiological Monitoring and Assessment Center (FRMAC). Most of the FRMAC assets are located at the DOE Remote Sensing Laboratory (RSL) at Nellis Air Force Base, Las Vegas, Nevada. In addition, the primary atmospheric dispersion modeling and dose assessment asset, the Atmospheric Release Advisory Capability (ARAC) is located at Lawrence Livermore National Laboratory (LLNL) in Livermore, California. In the early stages of a response, ARAC relies on its automatic worldwide meteorological data acquisition via the Air Force Global Weather Center (AFGWC). The regional airport data are supplemented with data from on-site towers and sodars and the National Oceanographic ampersand Atmospheric Administration's (NOAA) field-deployable real-time rawinsonde system. ARAC is prepared with three-dimensional regional-scale diagnostic dispersion model to simulate the complex mixed fission product release from a reactor accident. The program has been operational for 18 years and is presently developing its third generation system. The current modernization includes faster central computers, a new site workstation system. The current modernization includes faster central computers, a new site workstation system, improvements in its diagnostic dispersion models, addition of a new hybrid-particle source term, and implementation of a mesoscale prognostic model. AS these new capabilities evolve, they will be integrated into the FRMAC's field-deployable assets
Combined residency training in emergency medicine and internal medicine: an update on career outcomes and job satisfaction.

Science.gov (United States)

Kessler, Chad S; Stallings, Leonard A; Gonzalez, Andrew A; Templeman, Todd A

2009-09-01

This study was designed to provide an update on the career outcomes and experiences of graduates of combined emergency medicine-internal medicine (EM-IM) residency programs. The graduates of the American Board of Emergency Medicine (ABEM) and American Board of Internal Medicine (ABIM)-accredited EM-IM residencies from 1998 to 2008 were contacted and asked to complete a survey concerning demographics, board certification, fellowships completed, practice setting, academic affiliation, and perceptions about EM-IM training and careers. There were 127 respondents of a possible 163 total graduates for a response rate of 78%. Seventy graduates (55%) practice EM only, 47 graduates (37%) practice both EM and IM, and nine graduates (7%) practice IM or an IM subspecialty only. Thirty-one graduates (24%) pursued formal fellowship training in either EM or IM. Graduates spend the majority of their time practicing clinical EM in an urban (72%) and academic (60%) environment. Eighty-seven graduates (69%) spend at least 10% of their time in an academic setting. Most graduates (64%) believe it practical to practice both EM and IM. A total of 112 graduates (88%) would complete EM-IM training again. Dual training in EM-IM affords a great deal of career opportunities, particularly in academics and clinical practice, in a number of environments. Graduates hold their training in high esteem and would do it again if given the opportunity.
Moving toward New Horizons for Marketing Education: Designing a Marketing Training for the Poor in Developing and Emerging Markets

Science.gov (United States)

Teklehaimanot, Mebrahtu L.; Ingenbleek, Paul T. M.; Tessema, Workneh K.; van Trijp, Hans C. M.

2017-01-01

In recent years, marketing education has broadened to poor people in developing and emerging countries. In this article, the authors use four empirical studies that apply well-established training design procedures to design a marketing training program for Ethiopian pastoralists. Because pastoralists operate in extremely remote, traditional, and…
The 2014 Academic College of Emergency Experts in India′s Education Development Committee (EDC White Paper on establishing an academic department of Emergency Medicine in India - Guidelines for Staffing, Infrastructure, Resources, Curriculum and Training

Directory of Open Access Journals (Sweden)

Praveen Aggarwal

2014-01-01

Full Text Available Emergency medicine services and training in Emergency Medicine (EM has developed to a large extent in developed countries but its establishment is far from optimal in developing countries. In India, Medical Council of India (MCI has taken great steps by notifying EM as a separate specialty and so far 20 medical colleges have already initiated 3-year training program in EM. However, there has been shortage of trained faculty, and ambiguity regarding curriculum, rotation policy, infrastructure, teachers′ eligibility qualifications and scheme of examination. Academic College of Emergency Experts in India (ACEE-India has been a powerful advocate for developing Academic EM in India. The ACEE′s Education Development Committee (EDC was created to chalk out guidelines for staffing, infrastructure, resources, curriculum, and training which may be of help to the MCI and the National Board of Examinations (NBE to set standards for starting 3-year training program in EM and develop the departments of EM as centers of quality education, research, and treatment across India. This paper has made an attempt to give recommendations so as to provide a uniform framework to the institutions, thus guiding them towards establishing an academic Department of EM for starting the 3-year training program in the specialty of EM.
Report About a New Standard for Radiation Protection Training of Intervention Persons. In the Case of Radiological emergency Situations

International Nuclear Information System (INIS)

Geringer, T.; Steurer, A.; Schmitzer, C.

2004-01-01

In autumn 2003 the Austrian standard OENORM S 5207 with the title R adiation protection training of intervention persons in the case of radiological emergency situations w ill be published. The standard is directed to persons who have to invent in case of a radiological emergency, security forces and as well training centres. The standard has to fulfil three objectives: 1. Regulation of the minimum requirements for the radiation protection training and education of intervention persons. 2. Harmonization of the radiation protection and training of different security forces, for instance Austrian army, Red Cross Austria, Fire Department, Police Department. 3. Mutual recognition of parts of the education between the different security forces. To fulfil these aims the standard is structured in different education modules. If , for instance, a person attended a special training module at the Austrian military, this part of the education is also valid for a career at the Fire Department. Further the modular structure of the education gives the possibility for persons of a special security force to attend one or more modules at another security force. This will lead to an improved cooperation between the different security forces in case of a radiological emergency situation. The education is structured in four levels. The topics of the standard are: 1. Requirements for training centres 2. Guidelines for the examinations of the candidates 3. Topics and goals of the basic education 4. Topics and goals of the advanced education level one 5. Topics and goals of the advanced education level two 6. Topics and examples of specialised education 7. Obligatory further education once every year. (Author)
M4FT-15LL0806062-LLNL Thermodynamic and Sorption Data FY15 Progress Report

Energy Technology Data Exchange (ETDEWEB)

Zavarin, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wolery, T. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2015-08-31

This progress report (Milestone Number M4FT-15LL0806062) summarizes research conducted at Lawrence Livermore National Laboratory (LLNL) within Work Package Number FT-15LL080606. The focus of this research is the thermodynamic modeling of Engineered Barrier System (EBS) materials and properties and development of thermodynamic databases and models to evaluate the stability of EBS materials and their interactions with fluids at various physicochemical conditions relevant to subsurface repository environments. The development and implementation of equilibrium thermodynamic models are intended to describe chemical and physical processes such as solubility, sorption, and diffusion.
The relationship between faculty performance assessment and results on the in-training examination for residents in an emergency medicine training program.

Science.gov (United States)

Ryan, James G; Barlas, David; Pollack, Simcha

2013-12-01

Medical knowledge (MK) in residents is commonly assessed by the in-training examination (ITE) and faculty evaluations of resident performance. We assessed the reliability of clinical evaluations of residents by faculty and the relationship between faculty assessments of resident performance and ITE scores. We conducted a cross-sectional, observational study at an academic emergency department with a postgraduate year (PGY)-1 to PGY-3 emergency medicine residency program, comparing summative, quarterly, faculty evaluation data for MK and overall clinical competency (OC) with annual ITE scores, accounting for PGY level. We also assessed the reliability of faculty evaluations using a random effects, intraclass correlation analysis. We analyzed data for 59 emergency medicine residents during a 6-year period. Faculty evaluations of MK and OC were highly reliable (κ = 0.99) and remained reliable after stratification by year of training (mean κ = 0.68-0.84). Assessments of resident performance (MK and OC) and the ITE increased with PGY level. The MK and OC results had high correlations with PGY level, and ITE scores correlated moderately with PGY. The OC and MK results had a moderate correlation with ITE score. When residents were grouped by PGY level, there was no significant correlation between MK as assessed by the faculty and the ITE score. Resident clinical performance and ITE scores both increase with resident PGY level, but ITE scores do not predict resident clinical performance compared with peers at their PGY level.

Acrylonitrile exposure assessment in the emergency responders of a major train accident in Belgium: a human biomonitoring study.

Science.gov (United States)

Van Nieuwenhuyse, A; Fierens, S; De Smedt, T; De Cremer, K; Vleminckx, C; Mertens, B; Van Overmeire, I; Bader, M; De Paepe, P; Göen, T; Nemery, B; Schettgen, T; Stove, C; Van Oyen, H; Van Loco, J

2014-12-15

On May 4, 2013, a train transporting chemicals derailed in Wetteren, Belgium. Several tanks loaded with acrylonitrile (ACN) exploded, resulting in a fire and a leakage of ACN. To determine exposure to ACN and to assess discriminating factors for ACN exposure in the emergency responders involved in the on-site management of the train accident. The study population consisted of 841 emergency responders. Between May 21 and June 28, they gave blood for the determination of N-2-cyanoethylvaline (CEV) hemoglobin adducts and urine for the measurement of cotinine. They also filled in a short questionnaire. 163 (26%) non-smokers and 55 (27%) smokers showed CEV concentrations above the reference values of 10 and 200 pmol/g globin, respectively. The 95th percentile in the non-smokers was 73 pmol/g globin and the maximum was 452 pmol/g globin. ACN exposure among the non-smokers was predicted by (1) the distance to the accident, (2) the duration of exposure, and (3) the occupational function. Emergency responders involved in the on-site management of the train accident were clearly exposed to ACN from the accident. However, the extent of exposure remained relatively moderate with CEV concentrations staying within the ranges described in literature as background for a smoking population. Moreover, the exposure was less pronounced in the emergency responders as compared to that in the local population. Copyright © 2014. Published by Elsevier Ireland Ltd.
Design and construction of a 208-L drum containing representative LLNL transuranic and low-level wastes

International Nuclear Information System (INIS)

Camp, D.C.; Pickering, J.; Martz, H.E.

1994-01-01

At the Lawrence Livermore National Laboratory (LLNL), we are developing the nondestructive analysis (NDA) technique of active (A) computed tomography (CT) to measure waste matrix attenuation as a function of gamma-ray energy (ACT); and passive. (P) Cr to locate and identify all gamma-ray emitting isotopes within a waste container. Coupling the ACT and PCT results will quantify each isotope identified, thereby categorize the amount of radioactivity within waste drums having volumes up to 416-liters (L), i.e., 110-gallon drums
Summary Statistics for Homemade ?Play Dough? -- Data Acquired at LLNL

Energy Technology Data Exchange (ETDEWEB)

Kallman, J S; Morales, K E; Whipple, R E; Huber, R D; Martz, A; Brown, W D; Smith, J A; Schneberk, D J; Martz, Jr., H E; White, III, W T

2010-03-11

Using x-ray computerized tomography (CT), we have characterized the x-ray linear attenuation coefficients (LAC) of a homemade Play Dough{trademark}-like material, designated as PDA. Table 1 gives the first-order statistics for each of four CT measurements, estimated with a Gaussian kernel density estimator (KDE) analysis. The mean values of the LAC range from a high of about 2700 LMHU{sub D} 100kVp to a low of about 1200 LMHUD at 300kVp. The standard deviation of each measurement is around 10% to 15% of the mean. The entropy covers the range from 6.0 to 7.4. Ordinarily, we would model the LAC of the material and compare the modeled values to the measured values. In this case, however, we did not have the detailed chemical composition of the material and therefore did not model the LAC. Using a method recently proposed by Lawrence Livermore National Laboratory (LLNL), we estimate the value of the effective atomic number, Z{sub eff}, to be near 10. LLNL prepared about 50mL of the homemade 'Play Dough' in a polypropylene vial and firmly compressed it immediately prior to the x-ray measurements. We used the computer program IMGREC to reconstruct the CT images. The values of the key parameters used in the data capture and image reconstruction are given in this report. Additional details may be found in the experimental SOP and a separate document. To characterize the statistical distribution of LAC values in each CT image, we first isolated an 80% central-core segment of volume elements ('voxels') lying completely within the specimen, away from the walls of the polypropylene vial. All of the voxels within this central core, including those comprised of voids and inclusions, are included in the statistics. We then calculated the mean value, standard deviation and entropy for (a) the four image segments and for (b) their digital gradient images. (A digital gradient image of a given image was obtained by taking the absolute value of the difference
Proposal for the conclusion of a partnership agreement, without competitive tendering, for the management of medical emergencies on the CERN site and the training of CERN's medical staff and firefighters in emergency situations

CERN Document Server

2014-01-01

Proposal for the conclusion of a partnership agreement, without competitive tendering, for the management of medical emergencies on the CERN site and the training of CERN's medical staff and firefighters in emergency situations
Cultural Competence Training for Law Enforcement Responding to Domestic Violence Emergencies With the Deaf and Hard of Hearing: A Mixed-Methods Evaluation.

Science.gov (United States)

Engelman, Alina; Deardorff, Julianna

2016-03-01

To evaluate a training workshop for law enforcement as first responders for the purpose of increasing officers' cultural competency in working with Deaf and hard-of-hearing people (Deaf/HH) during domestic violence (DV) emergencies. This evaluation assesses the efficacy of a 2-hour training workshop for law enforcement. Thirty-four participants completed questionnaires at pre- and postintervention to assess participants' (1) satisfaction with training; (2) skills in responding to Deaf/HH individual(s) in a DV emergency; (3) attitudes toward the Deaf/HH, including bias recognition, self-assessment of cultural competency, and perceived self-efficacy; and (4) knowledge of communication. Focus groups (FGs) were also conducted (n = 6 for FG1, n = 13 for FG2). SPSS software was used to analyze survey data; principal components analysis was conducted on the survey instruments. There were significant differences between pre- and posttests for several targeted outcomes, including knowledge and perceived self-efficacy. Both survey and FG results demonstrated that participants gained cultural competency skills as indicated by changes in attitudes toward the Deaf/HH, both in DV emergencies and in large-scale emergencies. Significant differences were evident between pre and posttest results in terms of knowledge and perceived self-efficacy. Nonetheless, survey participants demonstrated a lack of knowledge about policy and the law. Survey findings also suggest that while a onetime training can improve the perceived self-efficacy of participants, shifting attitudes about the capabilities of the Deaf/HH may require different training strategies. FG participants demonstrated a greater awareness of the complexity of working with this population in a DV emergency. © 2015 Society for Public Health Education.
Audit of Childbirth Emergency Referrals by Trained Traditional Birth Attendants in Enugu, Southeast, Nigeria.

Science.gov (United States)

Okafor, I I; Arinze-Onyia, S U; Ohayi, Sar; Onyekpa, J I; Ugwu, E O

2015-01-01

The essence of training traditional birth attendants (TBAs) is to attend to women in uncomplicated labor and to refer them immediately to hospitals when complications develop. The aim was to audit childbirth emergency referrals by trained TBAs to a specialist hospital in Enugu, Nigeria. A retrospective study of 205 childbirth emergencies referred to Semino Hospital and Maternity (SHM), Enugu by trained TBAs from August 1, 2011 to January 31, 2014. Data analysis was descriptive and inferential at 95% confidence level. Most of the patients (185/205, 90.2%) were married and (100/205, 48.8%) had earlier booked for antenatal care in formal health facilities. There were obstetric danger signs or previous bad obstetric histories (pregnancies with unfavorable outcome) in 110 (110/205, 53.7%) women on admission at SHM. One hundred and fifteen (115/205, 56.1%) women walked into the hospital by themselves while 50 (50/205, 24.39%) could not walk. The fetal heart sounds were normal in 94 (94/205, 45.6%), abnormal in 65 (65/205, 31.8%) and absent in 42 (42/205, 20.4%) of the women on admission. Five healthy babies were delivered by the TBAs before referring their mothers. Delays of more than 12 h had occurred in 155 (155/205, 76.6%) of the women before referrals. Prolonged labor (100/205, 48.8%), obstructed labor (40/205, 19.5%), attempted vaginal birth after previous cesarean delivery (40/205, 19.5%) and malpresentation (30/205, 14.6%) were the common indications for referrals. The maternal mortality and perinatal mortality ratios were 610/100,000 live births and 228/1000 total births respectively. Delays at TBA centers are common before referral and most patients are referred in poor clinical state. Further training and re-training of the TBAs with more emphasis on recognition of obstetric danger signs and bad obstetric histories may help in screening high-risk patients for prompt referral to hospitals before complications develop.
Optimal training for emergency needle thoracostomy placement by prehospital personnel: didactic teaching versus a cadaver-based training program.

Science.gov (United States)

Grabo, Daniel; Inaba, Kenji; Hammer, Peter; Karamanos, Efstathios; Skiada, Dimitra; Martin, Matthew; Sullivan, Maura; Demetriades, Demetrios

2014-09-01

Tension pneumothorax can rapidly progress to cardiac arrest and death if not promptly recognized and appropriately treated. We sought to evaluate the effectiveness of traditional didactic slide-based lectures (SBLs) as compared with fresh tissue cadaver-based training (CBT) for placement of needle thoracostomy (NT). Forty randomly selected US Navy corpsmen were recruited to participate from incoming classes of the Navy Trauma Training Center at the LAC + USC Medical Center and were then randomized to one of two NT teaching methods. The following outcomes were compared between the two study arms: (1) time required to perform the procedure, (2) correct placement of the needle, and (3) magnitude of deviation from the correct position. During the study period, a total of 40 corpsmen were enrolled, 20 randomized to SBL and 20 to CBT arms. When outcomes were analyzed, time required to NT placement was not different between the two arms. Examination of the location of needle placement revealed marked differences between the two study groups. Only a minority of the SBL group (35%) placed the NT correctly in the second intercostal space. In comparison, the majority of corpsmen assigned to the CBT group demonstrated accurate placement in the second intercostal space (75%). In a CBT module, US Navy corpsmen were better trained to place NT accurately than their traditional didactic SBL counterparts. Further studies are indicated to identify the optimal components of effective simulation training for NT and other emergent interventions.
Considerations in Emergency Preparedness and Response for a State Embarking on a Nuclear Power Programme, Training Materials

International Nuclear Information System (INIS)

2013-01-01

The aim of these training materials is to provide a practical tool for emergency planning for a State embarking on a nuclear power programme, and to fulfil, in part, functions assigned to the IAEA under the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the Assistance Convention). Under Article 5.a(ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and available results of research relating to such emergencies. One of the concerns associated with nuclear power is the possibility that a State embarking on a nuclear power programme might not have sufficient capabilities and therefore would not be adequately prepared to respond to a radiation emergency caused by severe accident conditions. Protecting the public, the environment and property in the event of a failure of any level of defence in depth is the most important safety objective. A robust framework for emergency preparedness and response to a radiation emergency forms the last level of defence in depth and, as such, must be developed and implemented by any State embarking on a nuclear power programme, using best international practices. The establishment of capabilities and arrangements for emergency preparedness and response to severe accident conditions is one of the principal tasks in the development of a national infrastructure for nuclear power. State of the art emergency preparedness and response is a key element in achieving overall plant safety. This training course complements the IAEA publication 'Considerations in Emergency Preparedness and Response for a State Embarking on a Nuclear Power Programme' (EPR-Embarking 2012). These materials are designed to help States apply the guidance in EPR-Embarking 2012, in order to develop the capability to adequately prepare for and respond to a radiation emergency after the commissioning and start of
Training for the medical response in radiological emergency experiences and results; Capacitacion para la respuesta medica en emergencias radiologicas experiencias y resultados

Energy Technology Data Exchange (ETDEWEB)

Cardenas Herrera, J.; Lopez Forteza, Y.

2003-07-01

The use of the nuclear techniques in the social practice confers a special imporatnce to the relative aspects to the safety of the practices and radiationsources, for what the implementation of efficient programs of radiation protection constitutes a priority. However in spite of the will before expressed, regrettably radiological situations happen accidental assocaited to multiple causes taht suggest the creation of response capacities to intervention before these fortuitous facts. The experiences accumulated in the last decades related with accidental exposures have evidenced the convenience of having properly qualified human resources for the Medical Response in Radiological Emergencies. The training in the medical aspects of the radiological emergencies acquires a singular character. In such a sense when valuing the national situation put onof manifest deficiences as for the training in medical aspects of the radiological emergencies that advised the development of training programs in such aspects for the different response groups linked to the topic. After identified the training necessities and the scope of the same ones, the contents of the training program were elaborated. The program has as general purpose the invigoration of the capacity of the medical response in front of accidental radiological situations, by means of actions that they bear to prepare groups of medical response in the handling of people accident victims and to the identification of potentials,accidental scenarios, as well as of the necessary resources to confront them. The program content approaches theoretical and paractical aspects to the medical aspect to radiological emergencies. The program include the different topics about fundamental of physical biological to radiation protection, radiation protection during exposure of radiological accidents, medical care for overexposed or contaminated persons, drill, exercises and concludes with designation of a strategy as preparation and
Use of a virtual learning environment for training in maxillofacial emergencies: impact on the knowledge and attitudes of staff in accident and emergency departments.

Science.gov (United States)

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. Copyright © 2015 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Simulation in Canadian postgraduate emergency medicine training - a national survey.

Science.gov (United States)

Russell, Evan; Hall, Andrew Koch; Hagel, Carly; Petrosoniak, Andrew; Dagnone, Jeffrey Damon; Howes, Daniel

2018-01-01

Simulation-based education (SBE) is an important training strategy in emergency medicine (EM) postgraduate programs. This study sought to characterize the use of simulation in FRCPC-EM residency programs across Canada. A national survey was administered to residents and knowledgeable program representatives (PRs) at all Canadian FRCPC-EM programs. Survey question themes included simulation program characteristics, the frequency of resident participation, the location and administration of SBE, institutional barriers, interprofessional involvement, content, assessment strategies, and attitudes about SBE. Resident and PR response rates were 63% (203/321) and 100% (16/16), respectively. Residents reported a median of 20 (range 0-150) hours of annual simulation training, with 52% of residents indicating that the time dedicated to simulation training met their needs. PRs reported the frequency of SBE sessions ranging from weekly to every 6 months, with 15 (94%) programs having an established simulation curriculum. Two (13%) of the programs used simulation for resident assessment, although 15 (94%) of PRs indicated that they would be comfortable with simulation-based assessment. The most common PR-identified barriers to administering simulation were a lack of protected faculty time (75%) and a lack of faculty experience with simulation (56%). Interprofessional involvement in simulation was strongly valued by both residents and PRs. SBE is frequently used by Canadian FRCPC-EM residency programs. However, there exists considerable variability in the structure, frequency, and timing of simulation-based activities. As programs transition to competency-based medical education, national organizations and collaborations should consider the variability in how SBE is administered.
Modeling and simulation for training and support of emergency management teams:the development of CrisisKit

NARCIS (Netherlands)

Schaafstal, A.M.; Post, W.

2002-01-01

Emergency management (EM), the decision making involved in directing the relief operation after a disaster or otherwise catastrophic accident is an issue of great public and private concern because of the high stakes involved. It is important to consider what can be done to optimize training and
A probabilistic risk assessment of the LLNL Plutonium Facility's evaluation basis fire operational accident. Revision 1

International Nuclear Information System (INIS)

Brumburgh, G.P.

1995-01-01

The Lawrence Livermore National Laboratory (LLNL) Plutonium Facility conducts numerous programmatic activities involving plutonium to include device fabrication, development of improved and/or unique fabrication techniques, metallurgy research, and laser isotope separation. A Safety Analysis Report (SAR) for the building 332 Plutonium Facility was completed in July 1994 to address operational safety and acceptable risk to employees, the public, government property, and the environmental. This paper outlines the PRA analysis of the Evaluation Basis Fire (EBF) operational accident. The EBF postulates the worst-case programmatic impact event for the Plutonium Facility
MBRRACE in simulation: an evaluation of a multi-disciplinary simulation training for medical emergencies in obstetrics (MEmO).

Science.gov (United States)

Lavelle, Mary; Abthorpe, Jennifer; Simpson, Thomas; Reedy, Gabriel; Little, Fiona; Banerjee, Anita

2018-03-21

The majority of maternal deaths in the UK are due to pre-existing or new-onset medical conditions, known as 'indirect deaths'. The MBRRACE report identified serious gaps in clinicians' human factors skills, including communication, leadership and teamwork, which contributed to maternal death. In response, we developed the first multi-disciplinary simulation-based training programme designed to address Medical Emergencies in Obstetrics (MEmO). Employing a mixed methods design, this study evaluated the educational impact of this training programme on the healthcare staff (n = 140), including the medical doctors (n = 91) and the midwives (n = 49). The training improved participants' clinical management of medical deterioration in pregnancy (p=.003) alongside improving their human factors skills (p=.004). Furthermore, participants reported the translation of these skills to their routine clinical practice. This flexible training is responsive to the changing national needs and contextualises the MBRRACE findings for healthcare staff. It is a promising avenue for reducing the rates of in-direct death in pregnancy. Impact statement What is already known on this subject? The majority of maternal deaths in the UK are due to pre-existing or new-onset medical conditions. The management of medical conditions in pregnancy relies on a multi-professional approach. However, serious gaps in clinicians' human factors skills, highlighted by the MBRRACE report, may contribute to maternal death. What do the results of this study add? This study evaluated the first multi-disciplinary, simulation-based training programme designed to address Medical Emergencies in Obstetrics (MEmO). Training significantly improved participants' management of medical deterioration in pregnancy and human factors skills, particularly in the areas of leadership, communication and teamwork. Moreover, the participants learning translated into their clinical practice. What are the implications of
American Dreaming: Critical Perspectives on a Media Training Program for Emerging Democracies

Directory of Open Access Journals (Sweden)

Miglena Mantcheva Sternadori

2010-08-01

Full Text Available Since the end of the Cold War, the International Media Training Center has brought dozens of Eastern European journalists to study in non-degree programs at U.S. universities. This study is a cultural critique of one such program. The analysis is based on in-depth interviews, participant observation, and articles from university newsletters. The trainees reveal that support from mentors is often insufficient, and some participants face significant hostility after returning to their native countries. The fast-paced media environments in those countries have not forgiven their yearlong absence: organizational power has been redistributed, connections have been weakened, and new colleagues have aggressively taken over one's old turf. The findings suggest that training a few journalists from disparate media outlets is unlikely to have much effect on media professionalism in emerging democracies, unless the trainees are guaranteed an opportunity to become trainers. URN: urn:nbn:de:0114-fqs100376
LLNL's Regional Seismic Discrimination Research

International Nuclear Information System (INIS)

Hanley, W; Mayeda, K; Myers, S; Pasyanos, M; Rodgers, A; Sicherman, A; Walter, W

1999-01-01

As part of the Department of Energy's research and development effort to improve the monitoring capability of the planned Comprehensive Nuclear-Test-Ban Treaty international monitoring system, Lawrence Livermore Laboratory (LLNL) is testing and calibrating regional seismic discrimination algorithms in the Middle East, North Africa and Western Former Soviet Union. The calibration process consists of a number of steps: (1) populating the database with independently identified regional events; (2) developing regional boundaries and pre-identifying severe regional phase blockage zones; (3) measuring and calibrating coda based magnitude scales; (4a) measuring regional amplitudes and making magnitude and distance amplitude corrections (MDAC); (4b) applying the DOE modified kriging methodology to MDAC results using the regionalized background model; (5) determining the thresholds of detectability of regional phases as a function of phase type and frequency; (6) evaluating regional phase discriminant performance both singly and in combination; (7) combining steps 1-6 to create a calibrated discrimination surface for each stations; (8) assessing progress and iterating. We have now developed this calibration procedure to the point where it is fairly straightforward to apply earthquake-explosion discrimination in regions with ample empirical data. Several of the steps outlined above are discussed in greater detail in other DOE papers in this volume or in recent publications. Here we emphasize the results of the above process: station correction surfaces and their improvement to discrimination results compared with simpler calibration methods. Some of the outstanding discrimination research issues involve cases in which there is little or no empirical data. For example in many cases there is no regional nuclear explosion data at IMS stations or nearby surrogates. We have taken two approaches to this problem, first finding and using mining explosion data when available, and
Are Simulation Stethoscopes a Useful Adjunct for Emergency Residents' Training on High-Fidelity Mannequins?

Directory of Open Access Journals (Sweden)

Steven J Warrington

2013-05-01

Full Text Available Introduction: Emergency medicine residents use simulation training for many reasons, such as gaining experience with critically ill patients and becoming familiar with disease processes. Residents frequently criticize simulation training using current high-fidelity mannequins due to the poor quality of physical exam findings present, such as auscultatory findings, as it may lead them down an alternate diagnostic or therapeutic pathway. Recently wireless remote programmed stethoscopes (simulation stethoscopes have been developed that allow wireless transmission of any sound to a stethoscope receiver, which improves the fidelity of a physical examination and the simulation case. Methods: Following institutional review committee approval, 14 PGY1-3 emergency medicine residents were assessed during 2 simulation-based cases using pre-defined scoring anchors on multiple actions, such as communication skills and treatment decisions (Appendix 1. Each case involved a patient presenting with dyspnea requiring management based off physical examination findings. One case was a patient with exacerbation of heart failure, while the other was a patient with a tension pneumothorax. Each resident was randomized into a case associated with the simulation stethoscope. Following the cases residents were asked to fill out an evaluation questionnaire. Results: Residents perceived the most realistic physical exam findings on those associated with the case using the simulation stethoscope (13/14, 93%. Residents also preferred the simulation stethoscope as an adjunct to the case (13/14, 93%, and they rated the simulation stethoscope case to have significantly more realistic auscultatory findings (4.4/5 vs. 3.0/5 difference of means 1.4, P = 0.0007. Average scores of residents were significantly better in the simulation stethoscope-associated case (2.5/3 vs. 2.3/3 difference of means 0.2, P = 0.04. There was no considerable difference in the total time taken per case
Tact training versus bidirectional intraverbal training in teaching a foreign language.

Science.gov (United States)

Dounavi, Katerina

2014-01-01

The current study involved an evaluation of the emergence of untrained verbal relations as a function of 3 different foreign-language teaching strategies. Two Spanish-speaking adults received foreign-language (English) tact training and native-to-foreign and foreign-to-native intraverbal training. Tact training and native-to-foreign intraverbal training resulted in the emergence of a greater number of untrained responses, and may thus be more efficient than foreign-to-native intraverbal training. © Society for the Experimental Analysis of Behavior.
On-site and off-site emergency planning at Cekmece Nuclear Research and Training Centre

International Nuclear Information System (INIS)

Soyberk, O.A.

1986-01-01

An emergency plan was prepared for minimizing the consequences of any unforeseen radiation accident in Cekmece Nuclear Research and Training Centre (CNAEM) in Istanbul, Turkey. CNAEM is situated near Kucukcekmece Lake, which is about 30 km to the west of Istanbul. It includes two pool-type research reactors of 1 MW(th) and 5 MW(th). The population in the nearest inhabited areas varies from 1000 to 50,000. Accidents are classified, according to their severity, into three categories at CNAEM: (a) local emergency, (b) on-site emergency, (c) off-site emergency. During local emergency situations evacuation is not necessary. An on-site emergency situation requires the evacuation of personnel from the plant. Personnel hearing the emergency alarm should move directly to the preselected place as soon as possible. An off-site emergency is any accident that leads to widespread contamination outside the boundary. In this situation the Turkish Atomic Energy Authority and governmental authorities are notified immediately. The emergency organization group consists of: (a) Plant Superintendent, (b) Emergency Director, (c) Reactor Supervisor, (d) Senior Health Physicist, (e) Reactor Shift Operator, (f) Health Physicists. The administration building will be used as the Emergency Control Centre. The emergency teams working under the direction of the Emergency Director consist of: (a) Health Physics, (b) Fire and Rescue, (c) First Aid and Decontamination, (d) Transportation, (e) Security and Patrol. The emergency situation is evaluated in three phases at CNAEM. The first phase is the first few hours after the beginning of the accident. The second phase is between 8-10 hours or more following the first phase. The third phase is the recovery phase. The integrated doses over periods of two hours and two days are calculated according to the situation of the core, i.e. total or partial melting, and weather conditions. The results of the calculated parameters can be adapted to possible
LLNL's Big Science Capabilities Help Spur Over $796 Billion in U.S. Economic Activity Sequencing the Human Genome

Energy Technology Data Exchange (ETDEWEB)

Stewart, Jeffrey S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2015-07-28

LLNL’s successful history of taking on big science projects spans beyond national security and has helped create billions of dollars per year in new economic activity. One example is LLNL’s role in helping sequence the human genome. Over $796 billion in new economic activity in over half a dozen fields has been documented since LLNL successfully completed this Grand Challenge.

Production of High Harmonic X-Ray Radiation from Non-linear Thomson at LLNL PLEIADES

CERN Document Server

Lim, Jae; Betts, Shawn; Crane, John; Doyuran, Adnan; Frigola, Pedro; Gibson, David J; Hartemann, Fred V; Rosenzweig, James E; Travish, Gil; Tremaine, Aaron M

2005-01-01

We describe an experiment for production of high harmonic x-ray radiation from Thomson backscattering of an ultra-short high power density laser by a relativistic electron beam at the PLEIADES facility at LLNL. In this scenario, electrons execute a figure-8 motion under the influence of the high-intensity laser field, where the constant characterizing the field strength is expected to exceed unity: $aL=e*EL/m*c*ωL ≥ 1$. With large $aL$ this motion produces high harmonic x-ray radiation and significant broadening of the spectral peaks. This paper is intended to give a layout of the PLEIADES experiment, along with progress towards experimental goals.
Emergency Medical Services

Science.gov (United States)

... 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 ...
A multi-method approach to curriculum development for in-service training in China's newly established health emergency response offices.

Directory of Open Access Journals (Sweden)

Yadong Wang

Full Text Available To describe an innovative approach for developing and implementing an in-service curriculum in China for staff of the newly established health emergency response offices (HEROs, and that is generalisable to other settings.The multi-method training needs assessment included reviews of the competency domains needed to implement the International Health Regulations (2005 as well as China's policies and emergency regulations. The review, iterative interviews and workshops with experts in government, academia, the military, and with HERO staff were reviewed critically by an expert technical advisory panel.Over 1600 participants contributed to curriculum development. Of the 18 competency domains identified as essential for HERO staff, nine were developed into priority in-service training modules to be conducted over 2.5 weeks. Experts from academia and experienced practitioners prepared and delivered each module through lectures followed by interactive problem-solving exercises and desktop simulations to help trainees apply, experiment with, and consolidate newly acquired knowledge and skills.This study adds to the emerging literature on China's enduring efforts to strengthen its emergency response capabilities since the outbreak of SARS in 2003. The multi-method approach to curriculum development in partnership with senior policy-makers, researchers, and experienced practitioners can be applied in other settings to ensure training is responsive and customized to local needs, resources and priorities. Ongoing curriculum development should reflect international standards and be coupled with the development of appropriate performance support systems at the workplace for motivating staff to apply their newly acquired knowledge and skills effectively and creatively.
A multi-method approach to curriculum development for in-service training in China's newly established health emergency response offices.

Science.gov (United States)

Wang, Yadong; Li, Xiangrui; Yuan, Yiwen; Patel, Mahomed S

2014-01-01

To describe an innovative approach for developing and implementing an in-service curriculum in China for staff of the newly established health emergency response offices (HEROs), and that is generalisable to other settings. The multi-method training needs assessment included reviews of the competency domains needed to implement the International Health Regulations (2005) as well as China's policies and emergency regulations. The review, iterative interviews and workshops with experts in government, academia, the military, and with HERO staff were reviewed critically by an expert technical advisory panel. Over 1600 participants contributed to curriculum development. Of the 18 competency domains identified as essential for HERO staff, nine were developed into priority in-service training modules to be conducted over 2.5 weeks. Experts from academia and experienced practitioners prepared and delivered each module through lectures followed by interactive problem-solving exercises and desktop simulations to help trainees apply, experiment with, and consolidate newly acquired knowledge and skills. This study adds to the emerging literature on China's enduring efforts to strengthen its emergency response capabilities since the outbreak of SARS in 2003. The multi-method approach to curriculum development in partnership with senior policy-makers, researchers, and experienced practitioners can be applied in other settings to ensure training is responsive and customized to local needs, resources and priorities. Ongoing curriculum development should reflect international standards and be coupled with the development of appropriate performance support systems at the workplace for motivating staff to apply their newly acquired knowledge and skills effectively and creatively.
A Model Curriculum for an Emergency Medical Services (EMS Rotation for Emergency Medicine Residents

Directory of Open Access Journals (Sweden)

Michael Mancera

2018-01-01

Full Text Available Audience: This EMS curriculum is designed for Emergency Medicine residents at all levels of training. Introduction: Emergency Medicine (EM physicians have routine interaction with Emergency Medical Services (EMS in their clinical practice. Additionally, the American College of Graduate Medical Education (ACGME mandates that all Emergency Medicine resident physicians receive specific training in the area of EMS.1 Historically, EMS training for EM residents has been conducted in the absence of a standardized didactic curriculum. Despite advancements in the area of prehospital training, there remains wide inconsistency in EMS training experiences among EM residency training programs.2 To our knowledge a standardized and reproducible EMS curriculum for EM residents does not exist. Objectives: The aim of this curriculum is to provide a robust learning experience for EM residents around prehospital care and EMS that fulfills the ACGME requirements and which can be easily replicated and implemented in a variety of EM residency training programs. Method: The educational strategies used in this curriculum include didactics, asynchronous learning through online modules and a focused reading list, experiential learning through ride-alongs, structured small group discussion, supervised medical command shifts, and mentored practice in organizing and delivering didactics to EMS providers.
Postgraduate Emergency Medicine Training in India: An Educational Partnership with the Private Sector.

Science.gov (United States)

Douglass, Katherine; Pousson, Amelia; Gidwani, Shweta; Smith, Jeffrey

2015-11-01

Emergency medicine (EM) is a recently recognized specialty in India, still in its infancy. Local training programs are developing, but remain very limited. Private, for-profit hospitals are an important provider of graduate medical education (GME) in India, and are partnering with United States (US) universities in EM to expand training opportunities. Our aim was to describe current private-sector programs affiliated with a US university providing postgraduate EM training in India, the evolution and structure of these programs, and successes and challenges of program implementation. Programs have been established in seven cities in India in partnership with a US academic institution. Full-time trainees have required didactics, clinical rotations, research, and annual examinations. Faculty members affiliated with the US institution visit each program monthly. Regular evaluations have informed program modifications, and a local faculty development program has been implemented. Currently, 240 trainees are enrolled in the EM postgraduate program, and 141 physicians have graduated. A pilot survey conducted in 2012 revealed that 93% of graduates are currently practicing EM, 82% of those in India; 71% are involved in teaching, and 32% in research. Further investigation into programmatic impacts is necessary. Challenges include issues of formal program recognition both in India and abroad. This unique partnership is playing a major early role in EM GME in India. Future steps include official program recognition, expanded numbers of training sites, and a gradual transition of training and education to local faculty. Similar partnership programs may be effective in other settings outside of India. Copyright © 2015 Elsevier Inc. All rights reserved.
Virtual Reality with Virtual Humans simulation for an emergency training in a public sector - An extension of the specialization project TDT4501

OpenAIRE

Nguyen, Anh Chi

2015-01-01

This thesis has three evaluations with Emergency Management students, a civilian group, and NAV personnel to collect quantitative and qualitative data. The overall results show that it is potential to use virtual reality with virtual humans for emergency training in a public sector.
Measuring movement towards improved emergency obstetric care in rural Kenya with implementation of the PRONTO simulation and team training program.

Science.gov (United States)

Dettinger, Julia C; Kamau, Stephen; Calkins, Kimberly; Cohen, Susanna R; Cranmer, John; Kibore, Minnie; Gachuno, Onesmus; Walker, Dilys

2018-02-01

As the proportion of facility-based births increases, so does the need to ensure that mothers and their newborns receive quality care. Developing facility-oriented obstetric and neonatal training programs grounded in principles of teamwork utilizing simulation-based training for emergency response is an important strategy for improving the quality care. This study uses 3 dimensions of the Kirkpatrick Model to measure the impact of PRONTO International (PRONTO) simulation-based training as part of the Linda Afya ya Mama na Mtoto (LAMMP, Protect the Health of mother and child) in Kenya. Changes in knowledge of obstetric and neonatal emergency response, self-efficacy, and teamwork were analyzed using longitudinal, fixed-effects, linear regression models. Participants from 26 facilities participated in the training between 2013 and 2014. The results demonstrate improvements in knowledge, self-efficacy, and teamwork self-assessment. When comparing pre-Module I scores with post-training scores, improvements range from 9 to 24 percentage points (p values strategic goals was high: 95.8% of the 192 strategic goals. Participants rated the PRONTO intervention as extremely useful, with an overall score of 1.4 out of 5 (1, extremely useful; 5, not at all useful). Evaluation of how these improvements affect maternal and perinatal clinical outcomes is forthcoming. © 2018 John Wiley & Sons Ltd.
Estimate of aircraft crash hit frequencies on to facilities at the Lawrence Livermore National Laboratory (LLNL) Site 200

International Nuclear Information System (INIS)

Kimura, C.Y.

1997-01-01

Department of Energy (DOE) nuclear facilities are required by DOE Order 5480.23, Section 8.b.(3)(k) to consider external events as initiating events to accidents within the scope of their Safety Analysis Reports (SAR). One of the external initiating events which should be considered within the scope of a SAR is an aircraft accident, i.e., an aircraft crashing into the nuclear facility with the related impact and fire leading to penetration of the facility and to the release of radioactive and/or hazardous materials. This report presents the results of an Aircraft Crash Frequency analysis performed for the Materials Management Area (MMA), and the National Ignition Facility (NIF) at the Lawrence Livermore National Laboratory (LLNL) Site 200. The analysis estimates only the aircraft crash hit frequency on to the analyzed facilities. No initial aircraft crash hit frequency screening structural response calculations of the facilities to the aircraft impact, or consequence analysis of radioactive/hazardous materials released following the aircraft impact are performed. The method used to estimate the aircraft crash hit frequencies on to facilities at the Lawrence Livermore National Laboratory (LLNL) generally follows the procedure given by the DOE Standard 3014-96 on Aircraft Crash Analysis. However, certain adjustments were made to the DOE Standard procedure because of the site specific fight environment or because of facility specific characteristics
The future of emergency medicine.

Science.gov (United States)

Schneider, Sandra M; Gardner, Angela F; Weiss, Larry D; Wood, Joseph P; Ybarra, Michael; Beck, Dennis M; Stauffer, Arlen R; Wilkerson, Dean; Brabson, Thomas; Jennings, Anthony; Mitchell, Mark; McGrath, Roland B; Christopher, Theodore A; King, Brent; Muelleman, Robert L; Wagner, Mary J; Char, Douglas M; McGee, Douglas L; Pilgrim, Randy L; Moskovitz, Joshua B; Zinkel, Andrew R; Byers, Michelle; Briggs, William T; Hobgood, Cherri D; Kupas, Douglas F; Krueger, Jennifer; Stratford, Cary J; Jouriles, Nicholas J

2010-08-01

The specialty of emergency medicine (EM) continues to experience a significant workforce shortage in the face of increasing demand for emergency care. In July 2009, representatives of the leading EM organizations met in Dallas for the Future of Emergency Medicine Summit. Attendees at the Future of Emergency Medicine Summit agreed on the following: 1) Emergency medical care is an essential community service that should be available to all; 2) An insufficient emergency physician workforce also represents a potential threat to patient safety; 3) Accreditation Council for Graduate Medical Education/American Osteopathic Association (AOA)-accredited EM residency training and American Board of Medical Specialties/AOA EM board certification is the recognized standard for physician providers currently entering a career in emergency care; 4) Physician supply shortages in all fields contribute to-and will continue to contribute to-a situation in which providers with other levels of training may be a necessary part of the workforce for the foreseeable future; 5) A maldistribution of EM residency-trained physicians persists, with few pursuing practice in small hospital or rural settings; 6) Assuring that the public receives high quality emergency care while continuing to produce highly skilled EM specialists through EM training programs is the challenge for EM's future; 7) It is important that all providers of emergency care receive continuing postgraduate education. Copyright 2010. Published by Elsevier Inc.
Use of a web site to enhance criticality safety training

International Nuclear Information System (INIS)

Huang, Song T.; Morman, James A.

2003-01-01

Establishment of the NCSP (Nuclear Criticality Safety Program) website represents one attempt by the NCS (Nuclear Criticality Safety) community to meet the need to enhance communication and disseminate NCS information to a wider audience. With the aging work force in this important technical field, there is a common recognition of the need to capture the corporate knowledge of these people and provide an easily accessible, web-based training opportunity to those people just entering the field of criticality safety. A multimedia-based site can provide a wide range of possibilities for criticality safety training. Training modules could range from simple text-based material, similar to the NCSET (Nuclear Criticality Safety Engineer Training) modules, to interactive web-based training classes, to video lecture series. For example, the Los Alamos National Laboratory video series of interviews with pioneers of criticality safety could easily be incorporated into training modules. Obviously, the development of such a program depends largely upon the need and participation of experts who share the same vision and enthusiasm of training the next generation of criticality safety engineers. The NCSP website is just one example of the potential benefits that web-based training can offer. You are encouraged to browse the NCSP website at http://ncsp.llnl.gov. We solicit your ideas in the training of future NCS engineers and welcome your participation with us in developing future multimedia training modules. (author)
Survey of Emergency Department staff on disaster preparedness and training for Ebola virus disease.

Science.gov (United States)

Siddle, Jennica; Tolleson-Rinehart, Sue; Brice, Jane

2016-01-01

In the domestic response to the outbreak of Ebola virus disease from 2013 to 2015, many US hospitals developed and implemented specialized training programs to care for patients with Ebola. This research reports on the effects of targeted training on Emergency Department (ED) staff's Ebola-related perceptions and attitudes. One hundred fifty-nine members of the UNC Health Care System ED staff participated in a voluntary cross-sectional, anonymous Web survey administered using a one-time "post then pre" design. Participants responded to questions about risk, roles, willingness to provide care, preparedness, and the contributions of media, training, or time to opinion change using a Likert agree-disagree scale. The authors conducted t test comparisons of Likert responses to pretraining and post-training attitudes about Ebola preparedness. The authors conducted multinomial logistic regression analyses of index scores of change and positivity of responses, controlling for the effects of independent variables. ED staff's opinions supported training; 73 percent felt all workers should receive Ebola education, 60 percent agreed all hospitals should prepare for Ebola, 66 percent felt UNC was better prepared, and 66 percent felt it had done enough to be ready for an Ebola case. Most staff (79 percent) said they had gotten more training for Ebola than for other disease outbreaks; 58 percent had experienced prior epidemics. After training, workers' attitudes were more positive about Ebola preparation including perceived risk of transmission, readiness and ability to manage a patient case, understanding team roles, and trust in both personal protective equipment and the hospital system's preparations (13 measures, p training period (Mean Difference [MD] = 17.45, SD = 9.89) and in the intended positive direction (MD = 15.80, SD = 0.91, p training (p = 0.003). Despite different occupations, mean scores were similar. Staff rated training most important and media least important
STS-47 Astronaut Crew at Pad B for TCDT, Emergency Egress Training, and Photo Opportunity

Science.gov (United States)

1992-01-01

The crew of STS-47, Commander Robert L. Gibson, Pilot Curtis L. Brown, Payload Commander Mark C. Lee, Mission Specialists N. Jan Davis, Jay Apt, and Mae C. Jemison, and Payload Specialist Mamoru Mohri are seen during emergency egress training. Then Commander Gibson introduces the members of the crew and they each give a brief statement about the mission and answer questions from the press.
CAI and training system for the emergency operation procedure in the advanced thermal reactor, FUGEN

International Nuclear Information System (INIS)

Kozaki, T.; Imanaga, K.; Nakamura, S.; Maeda, K.; Sakurai, N.; Miyamoto, M.

2003-01-01

In the Advanced Thermal Reactor (ATR ) of the JNC, 'FUGEN', a symptom based Emergency Operating Procedure (EOF) was introduced in order to operate Fugen more safely and it became necessary for the plant operators to master the EOF. However it took a lot of time for the instructor to teach the EOP to operators and to train them. Thus, we have developed a Computer Aided Instruction (CAI) and Training System for the EOP, by which the operators can learn the EOP and can be trained. This system has two major functions, i.e., CAI and training. In the CAI function, there are three learning courses, namely, the EOP procedure, the simulation with guidance and Q and A, and the free simulation. In the training function, all of necessary control instruments (indicators, switches, annunciators and so forth) and physics models for the EOP training are simulated so that the trainees can be trained for all of the EOPs. In addition, 50 kinds of malfunction models are installed in order to perform appropriate accident scenarios for the EOP. The training of the EOP covers the range from AOO (Anticipated Operational Occurrence) to Over-DBAs (Design Based Accidents). This system is built in three personal computers that are connected by the computer network. One of the computers is expected to be used for the instructor and the other two are for the trainees. The EOP is composed of eight guidelines, such as 'Reactor Control' and 'Depression and Cooling', and the operation screens which are corresponded to the guidelines are respectively provided. According to the trial, we have estimated that the efficiency of the learning and the training would be improved about 30% for the trainee and about 75% for the instructor in the actual learning and training. (author)
Dynamic training devices in CRM training

Science.gov (United States)

Lawver, J.

1984-01-01

Pilot training effectiveness and flying safety of a seasonal tour flight company are described. The change from single pilot to two pilot operated twin otters is examined. The use of the ATC 810 training device, its possibilities and training capacity is outlined. Problem areas which may arise, emergency system and pilot/passenger interaction are analyzed.
Development of emergency response training program based on human factors; Developpement d'un programme de formation pour la reaction aux situations d'urgences base sur les facteurs humains

Energy Technology Data Exchange (ETDEWEB)

Nakata, Y. [Osaka Gas Co., Ltd. (Japan)

2000-07-01

A training program has been developed at Osaka Gas Co., Ltd. to improve personal response to emergency situations by enabling plant shift chiefs to understand the unique human behavioral patterns that appear during emergencies. The program provides comprehensive and systematic training consisting of lectures and seminars based on a Human Factor Handbook, simulation training, and feedback training. The program can also be applied to all areas of the process industry. (author)
Are Simulation Stethoscopes a Useful Adjunct for Emergency Residents' Training on High-fidelity Mannequins?

Science.gov (United States)

Warrington, Steven J; Beeson, Michael S; Fire, Frank L

2013-05-01

Emergency medicine residents use simulation training for many reasons, such as gaining experience with critically ill patients and becoming familiar with disease processes. Residents frequently criticize simulation training using current high-fidelity mannequins due to the poor quality of physical exam findings present, such as auscultatory findings, as it may lead them down an alternate diagnostic or therapeutic pathway. Recently wireless remote programmed stethoscopes (simulation stethoscopes) have been developed that allow wireless transmission of any sound to a stethoscope receiver, which improves the fidelity of a physical examination and the simulation case. Following institutional review committee approval, 14 PGY1-3 emergency medicine residents were assessed during 2 simulation-based cases using pre-defined scoring anchors on multiple actions, such as communication skills and treatment decisions (Appendix 1). Each case involved a patient presenting with dyspnea requiring management based off physical examination findings. One case was a patient with exacerbation of heart failure, while the other was a patient with a tension pneumothorax. Each resident was randomized into a case associated with the simulation stethoscope. Following the cases residents were asked to fill out an evaluation questionnaire. Residents perceived the most realistic physical exam findings on those associated with the case using the simulation stethoscope (13/14, 93%). Residents also preferred the simulation stethoscope as an adjunct to the case (13/14, 93%), and they rated the simulation stethoscope case to have significantly more realistic auscultatory findings (4.4/5 vs. 3.0/5 difference of means 1.4, p=0.0007). Average scores of residents were significantly better in the simulation stethoscope-associated case (2.5/3 vs. 2.3/3 difference of means 0.2, p=0.04). There was no considerable difference in the total time taken per case. A simulation stethoscope may be a useful adjunct to
A comparison of simulation-based education versus lecture-based instruction for toxicology training in emergency medicine residents.

Science.gov (United States)

Maddry, Joseph K; Varney, Shawn M; Sessions, Daniel; Heard, Kennon; Thaxton, Robert E; Ganem, Victoria J; Zarzabal, Lee A; Bebarta, Vikhyat S

2014-12-01

Simulation-based teaching (SIM) is a common method for medical education. SIM exposes residents to uncommon scenarios that require critical, timely actions. SIM may be a valuable training method for critically ill poisoned patients whose diagnosis and treatment depend on key clinical findings. Our objective was to compare medical simulation (SIM) to traditional lecture-based instruction (LEC) for training emergency medicine (EM) residents in the acute management of critically ill poisoned patients. EM residents completed two pre-intervention questionnaires: (1) a 24-item multiple-choice test of four toxicological emergencies and (2) a questionnaire using a five-point Likert scale to rate the residents' comfort level in diagnosing and treating patients with specific toxicological emergencies. After completing the pre-intervention questionnaires, residents were randomized to SIM or LEC instruction. Two toxicologists and three EM physicians presented four toxicology topics to both groups in four 20-min sessions. One group was in the simulation center, and the other in a lecture hall. Each group then repeated the multiple-choice test and questionnaire immediately after instruction and again at 3 months after training. Answers were not discussed. The primary outcome was comparison of immediate mean post-intervention test scores and final scores 3 months later between SIM and LEC groups. Test score outcomes between groups were compared at each time point (pre-test, post-instruction, 3-month follow-up) using Wilcoxon rank sum test. Data were summarized by descriptive statistics. Continuous variables were characterized by means (SD) and tested using t tests or Wilcoxon rank sum. Categorical variables were summarized by frequencies (%) and compared between training groups with chi-square or Fisher's exact test. Thirty-two EM residents completed pre- and post-intervention tests and comfort questionnaires on the study day. Both groups had higher post-intervention mean test
Tool-use training in a species of rodent: the emergence of an optimal motor strategy and functional understanding.

Directory of Open Access Journals (Sweden)

Kazuo Okanoya

Full Text Available BACKGROUND: Tool use is defined as the manipulation of an inanimate object to change the position or form of a separate object. The expansion of cognitive niches and tool-use capabilities probably stimulated each other in hominid evolution. To understand the causes of cognitive expansion in humans, we need to know the behavioral and neural basis of tool use. Although a wide range of animals exhibit tool use in nature, most studies have focused on primates and birds on behavioral or psychological levels and did not directly address questions of which neural modifications contributed to the emergence of tool use. To investigate such questions, an animal model suitable for cellular and molecular manipulations is needed. METHODOLOGY/PRINCIPAL FINDINGS: We demonstrated for the first time that rodents can be trained to use tools. Through a step-by-step training procedure, we trained degus (Octodon degus to use a rake-like tool with their forelimbs to retrieve otherwise out-of-reach rewards. Eventually, they mastered effective use of the tool, moving it in an elegant trajectory. After the degus were well trained, probe tests that examined whether they showed functional understanding of the tool were performed. Degus did not hesitate to use tools of different size, colors, and shapes, but were reluctant to use the tool with a raised nonfunctional blade. Thus, degus understood the functional and physical properties of the tool after extensive training. CONCLUSIONS/SIGNIFICANCE: Our findings suggest that tool use is not a specific faculty resulting from higher intelligence, but is a specific combination of more general cognitive faculties. Studying the brains and behaviors of trained rodents can provide insights into how higher cognitive functions might be broken down into more general faculties, and also what cellular and molecular mechanisms are involved in the emergence of such cognitive functions.
Status of experiments at LLNL on high-power X-band microwave generators

International Nuclear Information System (INIS)

Houck, T.L.; Westenskow, G.A.

1994-01-01

The Microwave Source Facility at the Lawrence Livermore National Laboratory (LLNL) is studying the application of induction accelerator technology to high-power microwave generators suitable for linear collider power sources. The authors report on the results of two experiments, both using the Choppertron's 11.4 GHz modulator and a 5-MeV, 1-kA induction beam. The first experimental configuration has a single traveling wave output structure designed to produce in excess of 300 MW in a single fundamental waveguide. This output structure consists of 12 individual cells, the first two incorporating de-Q-ing circuits to dampen higher order resonant modes. The second experiment studies the feasibility of enhancing beam to microwave power conversion by accelerating a modulated beam with induction cells. Referred to as the ''Reacceleration Experiment,'' this experiment consists of three traveling-wave output structures designed to produce about 125 MW per output and two induction cells located between the outputs. Status of current and planned experiments are presented

Summary of LLNL's accomplishments for the FY93 Waste Processing Operations Program

International Nuclear Information System (INIS)

Grasz, E.; Domning, E.; Heggins, D.; Huber, L.; Hurd, R.; Martz, H.; Roberson, P.; Wilhelmsen, K.

1994-04-01

Under the US Department of Energy's (DOE's) Office of Technology Development (OTD)-Robotic Technology Development Program (RTDP), the Waste Processing Operations (WPO) Program was initiated in FY92 to address the development of automated material handling and automated chemical and physical processing systems for mixed wastes. The Program's mission was to develop a strategy for the treatment of all DOE mixed, low-level, and transuranic wastes. As part of this mission, DOE's Mixed Waste Integrated Program (MWIP) was charged with the development of innovative waste treatment technologies to surmount shortcomings of existing baseline systems. Current technology advancements and applications results from cooperation of private industry, educational institutions, and several national laboratories operated for DOE. This summary document presents the LLNL Environmental Restoration and Waste Management (ER and WM) Automation and Robotics Section's contributions in support of DOE's FY93 WPO Program. This document further describes the technological developments that were integrated in the 1993 Mixed Waste Operations (MWO) Demonstration held at SRTC in November 1993
Training center and response to emergencies; Centro de treinamento e resposta a emergencia

Energy Technology Data Exchange (ETDEWEB)

Silva, Paulo Manuel da; Endo, Nelson Yukio [PMS Consultoria em Engenharia de Seguranca e Ambiental S/C Ltda., Sao Paulo, SP (Brazil)

2003-07-01

Accidents with installations and products have troubled companies and governmental authorities too, who are actuating so much by inspecting, and prevention of these events must be intensified. It is clear that all persons involved have to qualify for risks management of his activities and to response satisfactorily when accidents occur. For attending this necessity, a partnership with Petroleo Brasileiro S/A - PETROBRAS and PMS Consultoria em Engenharia de Seguranca e Ambiental S/C Ltda, was established to build and operate a Training Centre and Emergency Response. The philosophy of this project is that the major parts of accidents happen many times at the same conditions, and if the accidents representation will be in real conditions for training, in practice it is faster to control the events, and what is more important to avoid repeated accidents. Another purpose of the Centre is to integrate universities and industries, developing research and news technologies, for attending companies needs in this millennium. (author)
Project T100 -- Hazardous Materials Management and Emergency Response Training Center (HAMMER)

International Nuclear Information System (INIS)

Norton, C.E.

1994-01-01

The scope of this Quality Assurance Program Plan (QAPP) is to provide a system of Quality Assurance reviews and verifications on the design and construction of the Hazardous Materials Management and Emergency Response (HAMMER) Training Center, project 95L-EWT-100 at Hanford. The reviews and verifications will be on activities associated with design, procurement, and construction of the HAMMER project which includes, but is not limited to earthwork, placement of concrete, laying of rail, drilling of wells, water and sewer line fabrication and installation, communications systems, fire protection/detection systems, line tie-ins, building and mock-up (prop) construction, electrical, instrumentation, pump and valves and special coatings
Production of High Harmonic X-ray Radiation from Non-linear Thomson Scattering at LLNL PLEIADES

International Nuclear Information System (INIS)

Lim, J; Doyuran, A; Frigola, P; Travish, G; Rosenzweig, J; Anderson, S; Betts, S; Crane, J; Gibson, D; Hartemann, F; Tremaine, A

2005-01-01

We describe an experiment for production of high harmonic x-ray radiation from Thomson backscattering of an ultra-short high power density laser by a relativistic electron beam at the PLEIADES facility at LLNL. In this scenario, electrons execute a ''figure-8'' motion under the influence of the high-intensity laser field, where the constant characterizing the field strength is expected to exceed unity: a L = eE L /m e cw L (ge) 1. With large a L this motion produces high harmonic x-ray radiation and significant broadening of the spectral peaks. This paper is intended to give a layout of the PLEIADES experiment, along with progress towards experimental goals
Building workforce capacity to detect and respond to child abuse and neglect cases: A training intervention for staff working in emergency settings in Vietnam.

Science.gov (United States)

Flemington, Tara; Fraser, Jennifer

2017-09-01

Too many children are brought to hospital emergency departments on numerous occasions before they are recognised as victims of child abuse and neglect. For this reason, improving knowledge and response behaviors of emergency staff at all levels is likely to have a significant impact on better outcomes. An Australian based training programme was the first of its kind to address this issue in a Vietnamese Emergency Department. Titled 'Safe Children Vietnam', the programme aimed to improve knowledge, attitudes and reporting behaviors concerning child abuse in the emergency setting. A pre-post test design was used to evaluate the impact of 'Safe Children Vietnam' on emergency staff knowledge, attitudes and intentions to report child abuse and neglect. Emergency staff including doctors, nurses and healthcare staff (n=116) participated in the clinical training programme. Linear Mixed Model analyses showed that on programme completion, they were more likely to recognise serious cases of all types of abuse. The 'Safe Children Vietnam' programme was effective at improving emergency staff knowledge of child abuse and neglect. A systems wide approach may be necessary to impact on emergency staff attitudes towards reporting cases of abuse. Copyright © 2017 Elsevier Ltd. All rights reserved.
Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis

Science.gov (United States)

2018-01-11

Background: Fatigue training may be an effective way to mitigate fatigue-related risk. We aimed to critically review and synthesize existing literature on the impact of fatigue training on fatigue-related outcomes for Emergency Medical Services (EMS)...
The Development, Content, Design, and Conduct of the 2011 Piloted US DOE Nuclear Criticality Safety Program Criticality Safety Engineering Training and Education Project

International Nuclear Information System (INIS)

Hopper, Calvin Mitchell

2011-01-01

In May 1973 the University of New Mexico conducted the first nationwide criticality safety training and education week-long short course for nuclear criticality safety engineers. Subsequent to that course, the Los Alamos Critical Experiments Facility (LACEF) developed very successful 'hands-on' subcritical and critical training programs for operators, supervisors, and engineering staff. Since the inception of the US Department of Energy (DOE) Nuclear Criticality Technology and Safety Project (NCT and SP) in 1983, the DOE has stimulated contractor facilities and laboratories to collaborate in the furthering of nuclear criticality as a discipline. That effort included the education and training of nuclear criticality safety engineers (NCSEs). In 1985 a textbook was written that established a path toward formalizing education and training for NCSEs. Though the NCT and SP went through a brief hiatus from 1990 to 1992, other DOE-supported programs were evolving to the benefit of NCSE training and education. In 1993 the DOE established a Nuclear Criticality Safety Program (NCSP) and undertook a comprehensive development effort to expand the extant LACEF 'hands-on' course specifically for the education and training of NCSEs. That successful education and training was interrupted in 2006 for the closing of the LACEF and the accompanying movement of materials and critical experiment machines to the Nevada Test Site. Prior to that closing, the Lawrence Livermore National Laboratory (LLNL) was commissioned by the US DOE NCSP to establish an independent hands-on NCSE subcritical education and training course. The course provided an interim transition for the establishment of a reinvigorated and expanded two-week NCSE education and training program in 2011. The 2011 piloted two-week course was coordinated by the Oak Ridge National Laboratory (ORNL) and jointly conducted by the Los Alamos National Laboratory (LANL) classroom education and facility training, the Sandia National
Effect of training problem-solving skill on decision-making and critical thinking of personnel at medical emergencies

Science.gov (United States)

Heidari, Mohammad; Shahbazi, Sara

2016-01-01

Background: The aim of this study was to determine the effect of problem-solving training on decision-making skill and critical thinking in emergency medical personnel. Materials and Methods: This study is an experimental study that performed in 95 emergency medical personnel in two groups of control (48) and experimental (47). Then, a short problem-solving course based on 8 sessions of 2 h during the term, was performed for the experimental group. Of data gathering was used demographic and researcher made decision-making and California critical thinking skills questionnaires. Data were analyzed using SPSS software. Results: The finding revealed that decision-making and critical thinking score in emergency medical personnel are low and problem-solving course, positively affected the personnel’ decision-making skill and critical thinking after the educational program (P problem-solving in various emergency medicine domains such as education, research, and management, is recommended. PMID:28149823
Veterans Health Administration's Disaster Emergency Medical Personnel System (DEMPS) Training Evaluation: Potential Implications for Disaster Health Care Volunteers.

Science.gov (United States)

Schmitz, Susan; Radcliff, Tiffany A; Chu, Karen; Smith, Robert E; Dobalian, Aram

2018-02-20

The US Veterans Health Administration's Disaster Emergency Medical Personnel System (DEMPS) is a team of employee disaster response volunteers who provide clinical and non-clinical staffing assistance when local systems are overwhelmed. This study evaluated attitudes and recommendations of the DEMPS program to understand the impact of multi-modal training on volunteer perceptions. DEMPS volunteers completed an electronic survey in 2012 (n=2120). Three training modes were evaluated: online, field exercise, and face-to-face. Measures included: "Training Satisfaction," "Attitudes about Training," "Continued Engagement in DEMPS." Data were analyzed using χ2 and logistic regression. Open-ended questions were evaluated in a manner consistent with grounded theory methodology. Most respondents participated in DEMPS training (80%). Volunteers with multi-modal training who completed all 3 modes (14%) were significantly more likely to have positive attitudes about training, plan to continue as volunteers, and would recommend DEMPS to others (P-valuevolunteer engagement. A blended learning environment using multi-modal training methods, could enhance satisfaction and attitudes and possibly encourage continued engagement in DEMPS or similar programs. DEMPS training program modifications in 2015 expanded this blended learning approach through new interactive online learning opportunities. (Disaster Med Public Health Preparedness. 2018; page 1 of 8).
National Training Course. Emergency Medical Technician. Paramedic. Instructor's Lesson Plans. Module II. Human Systems and Patient Assessment.

Science.gov (United States)

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

This instructor's lesson plan guide on human systems and patient assessment is one of fifteen modules designed for use in the training of emergency medical technicians (paramedics). Four units are presented: (1) medical terminology, which covers some common prefixes and suffixes and the use of the medical dictionary; (2) an overview of the…
LNG - emergency control

Energy Technology Data Exchange (ETDEWEB)

Berardinelli, Ricardo Porto; Correa, Kleber Macedo; Moura Filho, Nelson Barboza de; Fernandez, Carlos Antonio [TRANSPETRO, Rio de Janeiro, RJ (Brazil); Matos, Jose Eduardo Nogueira de [PETROBRAS, Rio de Janeiro, RJ (Brazil)

2009-07-01

The operation of liquefied natural gas (LNG) is pioneering within the PETROBRAS System. PETROBRAS Transporte - TRANSPETRO is going to operate two flexible LNG terminals, located in Ceara and Rio de Janeiro. In accordance with the Corporate Health, Safety and Environmental (HSE) Directive - Training, Education and Awareness, PETROBRAS Transporte S.A. - TRANSPETRO has prepared an action plan with the objective of ensuring the operational safety of the undertaking. Among other actions a training program for the emergency control of LNG will be inserted into the timetable. The above mentioned training program was held over a period of 20 hours, and was divided between theory and practice. In the theoretical part, the characteristics of the product, the history of accidents and the emergency response procedures were covered. In the practical part, 3000 gallons of LNG were utilized where the behavior of the product could be confirmed following a confined leak, thereby verifying the efficacy of the emergency control resources. The teaching process of the course was developed in the company through the preparation of specific procedures, emergency plans and the formation of internal instructors. (author)
Hazardous Materials Management and Emergency Response (HAMMER)

Data.gov (United States)

Federal Laboratory Consortium — The Volpentest Hazardous Materials Management and Emergency Response (HAMMER) Federal Training Center is a safety and emergency response training center that offers...
Emerging Organisational Trends in Training & Development in India

OpenAIRE

Khosla, Shelley

2015-01-01

Training and Development is a continuous process for improving the caliber and competence of the employees to meet the current and future performances. Training and development is vital to any business. Training presents a prime opportunity to expand the knowledge base of all employees, but many employers find the development opportunities expensive. A structured training and development program ensures that employees have a consistent experience and background knowledge. All employees need ...
Emergency Medical Technician Training for Medical Students: A Two-Year Experience.

Science.gov (United States)

Blackwell, Thomas H; Halsey, R Maglin; Reinovsky, Jennifer H

2016-01-01

New medical school educational curriculum encourages early clinical experiences along with clinical and biomedical integration. The University of South Carolina School of Medicine Greenville, one of the new expansion schools, was established in 2011 with the first class matriculating in 2012. To promote clinical skills early in the curriculum, emergency medical technician (EMT) training was included and begins in the first semester. Along with the early clinical exposure, the program introduces interprofessional health and teams and provides the opportunity for students to personally see and appreciate the wide variety of environments from which their future patients emanate. This report describes the EMT program and changes that were made after the first class that were designed to integrate EMT training with the biomedical sciences and to assess the value of these integrative changes using objective criteria. A two-year retrospective study was conducted that involved the first two classes of medical students. Baseline student data and pass rates from the psychomotor skill and written components of the State examination were used to determine if students performed better in the integrated, prolonged course. There were 53 students in the first class and 54 in the second. Of the 51 students in the first class and 53 students in the second class completing the state psychomotor and written examination, 20 (39%) in the first class and 17 (32%) in the second passed on the initial psychomotor skill attempt; however, more students passed in the first three attempts in the second class than the first class, 51 (96%) versus 45 (88%) , respectively. All students passed by 5 attempts. For the written examination, 50 (98%) students in the first class and 51 (96%) in the second class passed on the first attempt. All students passed by the third attempt. Pass rates on both components of the State examination were not significantly different between classes. Medical students who
Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors.

Science.gov (United States)

Bank, Ilana; Snell, Linda; Bhanji, Farhan

2014-12-01

Improved pediatric crisis resource management (CRM) training is needed in emergency medicine residencies because of the variable nature of exposure to critically ill pediatric patients during training. We created a short, needs-based pediatric CRM simulation workshop with postactivity follow-up to determine retention of CRM knowledge. Our aims were to provide a realistic learning experience for residents and to help the learners recognize common errors in teamwork and improve their perceived abilities to manage ill pediatric patients. Residents participated in a 4-hour objectives-based workshop derived from a formal needs assessment. To quantify their subjective abilities to manage pediatric cases, the residents completed a postworkshop survey (with a retrospective precomponent to assess perceived change). Ability to identify CRM errors was determined via a written assessment of scripted errors in a prerecorded video observed before and 1 month after completion of the workshop. Fifteen of the 16 eligible emergency medicine residents (postgraduate year 1-5) attended the workshop and completed the surveys. There were significant differences in 15 of 16 retrospective pre to post survey items using the Wilcoxon rank sum test for non-parametric data. These included ability to be an effective team leader in general (P < 0.008), delegating tasks appropriately (P < 0.009), and ability to ensure closed-loop communication (P < 0.008). There was a significant improvement in identification of CRM errors through the use of the video assessment from 3 of the 12 CRM errors to 7 of the 12 CRM errors (P < 0.006). The pediatric CRM simulation-based workshop improved the residents' self-perceptions of their pediatric CRM abilities and improved their performance on a video assessment task.
Theory, training and timing: psychosocial interventions in complex emergencies.

Science.gov (United States)

Yule, William

2006-06-01

The Asian tsunami of December 2004 galvanised mental health and emergency agencies in a way that no other recent disaster has done. The loss of life and forced migration focused national and international agencies on the need to provide appropriate psychosocial care from the very beginning. The prior academic arguments surrounding early intervention paled into insignificance against the urgent need to reduce distress and prevent chronic mental health problems. This chapter notes that there was a major, planned and early intervention following the earthquake in Bam, exactly one year earlier. The lessons from that are only now beginning to filter through and help shape better responses to disasters. It is argued that too many non-governmental organizations (NGOs) and even IGOs are following theoretical positions that have little empirical justification. There is an urgent need for training for mental health and NGO personnel alike to deliver evidence-based psychological first aid. There is no justification for mental health responses to be delayed until weeks after a disaster happens.
Emergency response workers workshop

International Nuclear Information System (INIS)

Agapeev, S.A.; Glukhikh, E.N.; Tyurin, R.L.

2012-01-01

A training workshop entitled Current issues and potential improvements in Rosatom Corporation emergency prevention and response system was held in May-June, 2012. The workshop combined theoretical training with full-scale practical exercise that demonstrated the existing innovative capabilities for radiation reconnaissance, diving equipment and robotics, aircraft, emergency response and rescue hardware and machinery. This paper describes the activities carried out during the workshop [ru
Psychological first aid training for Lebanese field workers in the emergency context of the Syrian refugees in Lebanon.

Science.gov (United States)

Akoury-Dirani, Leyla; Sahakian, Tina S; Hassan, Fahed Y; Hajjar, Ranya V; El Asmar, Khalil

2015-11-01

The Syrian refugee crisis in Lebanon required a fast and efficient comprehensive rescue strategy. Professionals working in emergency response were neither prepared to provide psychological first aid nor prepared to screen for mental health disorders in child refugees. This article examines the efficacy of a national training program in psychological first aid (PFA) to enhance the readiness of mental health field workers in the Syrian refugee response. Participant (N = 109) were recruited from Lebanese ministries and nongovernmental organizations. They received a 2.5-day training on PFA and on screening for mental health disorders in children. Their knowledge and perceived readiness were assessed before the training, immediately after the training, and 1 month after the training using 2 evaluation forms. Evaluation Form A was a multiple choice questionnaire composed of 20 questions and created on the basis of the content of the training, and Evaluation Form B was a Likert-type scale of 20 items created based on the core components of PFA. The data of 60 participants were analyzed. The results showed a significant increase in knowledge and readiness, specifically on the components related to the principles and techniques of PFA. (c) 2015 APA, all rights reserved).
Incremental cost and cost-effectiveness of low-dose, high-frequency training in basic emergency obstetric and newborn care as compared to status quo: part of a cluster-randomized training intervention evaluation in Ghana.

Science.gov (United States)

Willcox, Michelle; Harrison, Heather; Asiedu, Amos; Nelson, Allyson; Gomez, Patricia; LeFevre, Amnesty

2017-12-06

Low-dose, high-frequency (LDHF) training is a new approach best practices to improve clinical knowledge, build and retain competency, and transfer skills into practice after training. LDHF training in Ghana is an opportunity to build health workforce capacity in critical areas of maternal and newborn health and translate improved capacity into better health outcomes. This study examined the costs of an LDHF training approach for basic emergency obstetric and newborn care and calculates the incremental cost-effectiveness of the LDHF training program for health outcomes of newborn survival, compared to the status quo alternative of no training. The costs of LDHF were compared to costs of traditional workshop-based training per provider trained. Retrospective program cost analysis with activity-based costing was used to measure all resources of the LDHF training program over a 3-year analytic time horizon. Economic costs were estimated from financial records, informant interviews, and regional market prices. Health effects from the program's impact evaluation were used to model lives saved and disability-adjusted life years (DALYs) averted. Uncertainty analysis included one-way and probabilistic sensitivity analysis to explore incremental cost-effectiveness results when fluctuating key parameters. For the 40 health facilities included in the evaluation, the total LDHF training cost was $823,134. During the follow-up period after the first LDHF training-1 year at each participating facility-approximately 544 lives were saved. With deterministic calculation, these findings translate to $1497.77 per life saved or $53.07 per DALY averted. Probabilistic sensitivity analysis, with mean incremental cost-effectiveness ratio of $54.79 per DALY averted ($24.42-$107.01), suggests the LDHF training program as compared to no training has 100% probability of being cost-effective above a willingness to pay threshold of $1480, Ghana's gross national income per capita in 2015. This
Surgeons’ and Emergency Physicians’ Perceptions of Trauma Management and Training

Directory of Open Access Journals (Sweden)

Hemphill, Robin R

2009-08-01

Full Text Available Objective: The study objective was to determine whether surgeons and emergency medicine physicians (EMPs have differing opinions on trauma residency training and trauma management in clinical practice.Methods: A survey was mailed to 250 EMPs and 250 surgeons randomly selected.Results: Fifty percent of surgeons perceived that surgery exclusively managed trauma compared to 27% of EMPs. Surgeons were more likely to feel that only surgeons should manage trauma on presentation to the ED. However, only 60% of surgeons currently felt comfortable with caring for the trauma patient, compared to 84% of EMPs. Compared to EMPs, surgeons are less likely to feel that EMPs can initially manage the trauma patient (71% of surgeons vs. 92% of EMPs.Conclusion: EMPs are comfortable managing trauma while many surgeons do not feel comfortable with the complex trauma patient although the majority of surgeons responded that surgeons should manage the trauma.[WestJEM. 2009;10:144-149.

Examining critical factors affecting graduate retention from an emergency medicine training program in Addis Ababa, Ethiopia: a qualitative study of stakeholder perspectives

Directory of Open Access Journals (Sweden)

Meredith Jane Kuipers

2017-04-01

Full Text Available Background: In Ethiopia, improvement and innovation of the emergency care system is hindered by lack of specialist doctors trained in emergency medicine, underdeveloped emergency care infrastructure, and consumable resource limitations. Our aim was to examine the critical factors affecting retention of graduates from the Addis Ababa University (AAU post-graduate emergency medicine (EM training program within the Ethiopian health care system. Methods: Qualitative interviews were conducted with current AAU EM residents and stakeholders in Ethiopian EM. Mixed-methods inductive thematic analysis was performed. Results: Resident and stakeholder participants identified critical factors in three domains: the individual condition, the occupational environment, and the national context. Within each domain, priority themes emerged from the responses, including the importance of career satisfaction over the career continuum (individual condition, the opportunity to be involved in the developing EM program and challenges associated with resource, economic, and employment constraints (occupational environment, and perceptions regarding the state of awareness of EM and the capacity for change at the societal level (national context. Conclusions: This work underscores the need to resolve multiple systemic and cultural issues within the Ethiopian health care landscape in order to address EM graduate retention. It also highlights the potential success of a retention strategy focused on the career ambitions of keen EM doctors.
Emergency control; Kawalan kecemasan

Energy Technology Data Exchange (ETDEWEB)

NONE

1988-12-31

The chapter briefly discussed the following subjects: plans and actions taken in emergency condition. It covers four main elements in planning, command, control center, emergency plans, continuous training and practices.
Contingency planning and emergency response in construction activities: Training the construction worker

International Nuclear Information System (INIS)

Jones, E.

1987-01-01

Construction activities have the potential for environmental and/or health impacts at Oak Ridge National Laboratory (ORNL) particularly as site cleanup and restoration plans are initiated. ORNL has instituted special training for all construction workers and related contractors. Individuals learn how construction activities at ORNL can potentially have adverse effects on the environment and their health, and to learn how to respond to potential chemical and radiation hazards. Workers are given a review of basic information on radiation and chemicals in a framework that emphasizes the situations in which workers or the environment may be exposed to potential risk. Specific instructions are presented on what to do when contamination is suspected, with identification of emergency procedures and response personnel. 5 refs., 1 fig
Preparing for Emergency

DEFF Research Database (Denmark)

Melchiors, Jacob; Todsen, Tobias; Nilsson, Philip

2015-01-01

OBJECTIVE: Emergency cricothyrodotomy (EC) is a lifesaving procedure. Evidence-based assessment of training effects and competency levels is relevant to all departments involved in emergency airway management. As most training uses low-fidelity models, the predictive value of good performance....... Sixteen physicians (7 experienced surgeons and 9 novice physicians) performed an EC on a low-fidelity model and a cadaver. Two blinded raters assessed video recordings of performances using the assessment tool. RESULTS: We found a high interrater reliability, based on a Pearson's r (0.81), and good...
Criticality Safety Support to a Project Addressing SNM Legacy Items at LLNL

International Nuclear Information System (INIS)

Pearson, J S; Burch, J G; Dodson, K E; Huang, S T

2005-01-01

The programmatic, facility and criticality safety support staffs at the LLNL Plutonium Facility worked together to successfully develop and implement a project to process legacy (DNFSB Recommendation 94-1 and non-Environmental, Safety, and Health (ES and H) labeled) materials in storage. Over many years, material had accumulated in storage that lacked information to adequately characterize the material for current criticality safety controls used in the facility. Generally, the fissionable material mass information was well known, but other information such as form, impurities, internal packaging, and presence of internal moderating or reflecting materials were not well documented. In many cases, the material was excess to programmatic need, but such a determination was difficult with the little information given on MC and A labels and in the MC and A database. The material was not packaged as efficiently as possible, so it also occupied much more valuable storage space than was necessary. Although safe as stored, the inadequately characterized material posed a risk for criticality safety noncompliances if moved within the facility under current criticality safety controls. A Legacy Item Implementation Plan was developed and implemented to deal with this problem. Reasonable bounding conditions were determined for the material involved, and criticality safety evaluations were completed. Two appropriately designated glove boxes were identified and criticality safety controls were developed to safely inspect the material. Inspecting the material involved identifying containers of legacy material, followed by opening, evaluating, processing if necessary, characterizing and repackaging the material. Material from multiple containers was consolidated more efficiently thus decreasing the total number of stored items to about one half of the highest count. Current packaging requirements were implemented. Detailed characterization of the material was captured in databases
Can first aid training encourage individuals' propensity to act in an emergency situation? A pilot study.

Science.gov (United States)

Oliver, Emily; Cooper, Jane; McKinney, David

2014-06-01

To explore the effect that different activities included in first aid training can have on an individual's propensity to act in a medical emergency. Additional pilot-developed activities were added to a core first aid training session to create six unique groups, including a control group where no activities were added. Participants rated their agreement to pre-identified fears following the course and scored their self-efficacy and willingness to act before, immediately after and 2 months after the course. Change values were compared between groups. Three locations in the UK (community halls, schools). 554 members of the public were recruited using advertising and community groups. A deliberately broad demographic was sought and achieved using targeted approaches where a particular demographic was deficient. Each participant attended one British Red Cross first aid course lasting 2 h. The same questionnaire was completed by all participants before and after each course. Two months later all participants were asked a series of follow-up questions. All courses showed an increase in self-efficacy and willingness to act immediately following the course. The course, which included both factual information relevant to helping in an emergency and 'helper' identity activities, produced significantly more positive responses to pre-identified fears. Activities which allow the learner to explore and discuss behaviour in an emergency situation can effectively increase the learner's propensity to act. First aid education should be expanded to support the learner to develop both the skill and the will to help. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Emerging technologies in education and training: applications for the laboratory animal science community.

Science.gov (United States)

Ketelhut, Diane Jass; Niemi, Steven M

2007-01-01

This article examines several new and exciting communication technologies. Many of the technologies were developed by the entertainment industry; however, other industries are adopting and modifying them for their own needs. These new technologies allow people to collaborate across distance and time and to learn in simulated work contexts. The article explores the potential utility of these technologies for advancing laboratory animal care and use through better education and training. Descriptions include emerging technologies such as augmented reality and multi-user virtual environments, which offer new approaches with different capabilities. Augmented reality interfaces, characterized by the use of handheld computers to infuse the virtual world into the real one, result in deeply immersive simulations. In these simulations, users can access virtual resources and communicate with real and virtual participants. Multi-user virtual environments enable multiple participants to simultaneously access computer-based three-dimensional virtual spaces, called "worlds," and to interact with digital tools. They allow for authentic experiences that promote collaboration, mentoring, and communication. Because individuals may learn or train differently, it is advantageous to combine the capabilities of these technologies and applications with more traditional methods to increase the number of students who are served by using current methods alone. The use of these technologies in animal care and use programs can create detailed training and education environments that allow students to learn the procedures more effectively, teachers to assess their progress more objectively, and researchers to gain insights into animal care.
Progress in AMS measurements at the LLNL spectrometer

International Nuclear Information System (INIS)

Southon, J.R.; Vogel, J.S.; Trumbore, S.E.; Davis, J.C.; Roberts, M.L.; Caffee, M.; Finkel, R.; Proctor, I.D.; Heikkinen, D.W.; Berno, A.J.; Hornady, R.S.

1991-06-01

The AMS measurement program at LLNL began in earnest in late 1989, and has initially concentrated on 14 C measurements for biomedical and geoscience applications. We have now begun measurements on 10 Be and 36 Cl, are presently testing the spectrometer performance for 26 Al and 3 H, and will begin tests on 7 Be, 41 Ca and 129 I within the next few months. Our laboratory has a strong biomedical AMS program of 14 C tracer measurements involving large numbers of samples (sometimes hundreds in a single experiment) at 14 C concentrations which are typically .5--5 times Modern, but are occasionally highly enriched. The sample preparation techniques required for high throughput and low cross-contamination for this work are discussed elsewhere. Similar demands are placed on the AMS measurement system, and in particular on the ion source. Modifications to our GIC 846 ion source, described below, allow us to run biomedical and geoscience or archaeological samples in the same source wheel with no adverse effects. The source has a capacity for 60 samples (about 45 unknown) in a single wheel and provides currents of 30--60μA of C - from hydrogen-reduced graphite. These currents and sample capacity provide high throughput for both biomedical and other measurements: the AMS system can be started up, tuned, and a wheel of carbon samples measured to 1--1.5% in under a day; and 2 biomedical wheels can be measured per day without difficulty. We report on the present status of the Lawrence Livermore AMS spectrometer, including sample throughput and progress towards routine 1% measurement capability for 14 C, first results on other isotopes, and experience with a multi-sample high intensity ion source. 5 refs
Evaluation of dynamic range for LLNL streak cameras using high contrast pulsed and pulse podiatry on the Nova laser system

International Nuclear Information System (INIS)

Richards, J.B.; Weiland, T.L.; Prior, J.A.

1990-01-01

This paper reports on a standard LLNL streak camera that has been used to analyze high contrast pulses on the Nova laser facility. These pulses have a plateau at their leading edge (foot) with an amplitude which is approximately 1% of the maximum pulse height. Relying on other features of the pulses and on signal multiplexing, we were able to determine how accurately the foot amplitude was being represented by the camera. Results indicate that the useful single channel dynamic range of the instrument approaches 100:1
First experimental results from IBM/TENN/TULANE/LLNL/LBL undulator beamline at the advanced light source

International Nuclear Information System (INIS)

Jia, J.J.; Callcott, T.A.; Yurkas, J.; Ellis, A.W.; Himpsel, F.J.; Samant, M.G.; Stoehr, J.; Ederer, D.L.; Carlisle, J.A.; Hudson, E.A.; Terminello, L.J.; Shuh, D.K.; Perera, R.C.C.

1995-01-01

The IBM/TENN/TULANE/LLNL/LBL Beamline 8.0 at the advanced light source combining a 5.0 cm, 89 period undulator with a high-throughput, high-resolution spherical grating monochromator, provides a powerful excitation source over a spectral range of 70--1200 eV for surface physics and material science research. The beamline progress and the first experimental results obtained with a fluorescence end station on graphite and titanium oxides are presented here. The dispersive features in K emission spectra of graphite excited near threshold, and found a clear relationship between them and graphite band structure are observed. The monochromator is operated at a resolving power of roughly 2000, while the spectrometer has a resolving power of 400 for these fluorescence experiments
Summary Report of Summer 2009 NGSI Human Capital Development Efforts at Lawrence Livermore National Laboratory

Energy Technology Data Exchange (ETDEWEB)

Dougan, A; Dreicer, M; Essner, J; Gaffney, A; Reed, J; Williams, R

2009-11-16

In 2009, Lawrence Livermore National Laboratory (LLNL) engaged in several activities to support NA-24's Next Generation Safeguards Initiative (NGSI). This report outlines LLNL's efforts to support Human Capital Development (HCD), one of five key components of NGSI managed by Dunbar Lockwood in the Office of International Regimes and Agreements (NA-243). There were five main LLNL summer safeguards HCD efforts sponsored by NGSI: (1) A joint Monterey Institute of International Studies/Center for Nonproliferation Studies-LLNL International Safeguards Policy and Information Analysis Course; (2) A Summer Safeguards Policy Internship Program at LLNL; (3) A Training in Environmental Sample Analysis for IAEA Safeguards Internship; (4) Safeguards Technology Internships; and (5) A joint LLNL-INL Summer Safeguards Lecture Series. In this report, we provide an overview of these five initiatives, an analysis of lessons learned, an update on the NGSI FY09 post-doc, and an update on students who participated in previous NGSI-sponsored LLNL safeguards HCD efforts.
Summary Report of Summer 2009 NGSI Human Capital Development Efforts at Lawrence Livermore National Laboratory

International Nuclear Information System (INIS)

Dougan, A.; Dreicer, M.; Essner, J.; Gaffney, A.; Reed, J.; Williams, R.

2009-01-01

In 2009, Lawrence Livermore National Laboratory (LLNL) engaged in several activities to support NA-24's Next Generation Safeguards Initiative (NGSI). This report outlines LLNL's efforts to support Human Capital Development (HCD), one of five key components of NGSI managed by Dunbar Lockwood in the Office of International Regimes and Agreements (NA-243). There were five main LLNL summer safeguards HCD efforts sponsored by NGSI: (1) A joint Monterey Institute of International Studies/Center for Nonproliferation Studies-LLNL International Safeguards Policy and Information Analysis Course; (2) A Summer Safeguards Policy Internship Program at LLNL; (3) A Training in Environmental Sample Analysis for IAEA Safeguards Internship; (4) Safeguards Technology Internships; and (5) A joint LLNL-INL Summer Safeguards Lecture Series. In this report, we provide an overview of these five initiatives, an analysis of lessons learned, an update on the NGSI FY09 post-doc, and an update on students who participated in previous NGSI-sponsored LLNL safeguards HCD efforts.
Reducing errors in health care: cost-effectiveness of multidisciplinary team training in obstetric emergencies (TOSTI study); a randomised controlled trial

NARCIS (Netherlands)

van de Ven, Joost; Houterman, Saskia; Steinweg, Rob A. J. Q.; Scherpbier, Albert J. J. A.; Wijers, Willy; Mol, Ben Willem J.; Oei, S. Guid; Group, The Tosti-Trial

2010-01-01

ABSTRACT: BACKGROUND: There are many avoidable deaths in hospitals because the care team is not well attuned. Training in emergency situations is generally followed on an individual basis. In practice, however, hospital patients are treated by a team composed of various disciplines. To prevent
Development of Educational and Training Simulator for Emergency Response to Chinese Nuclear Accidents

International Nuclear Information System (INIS)

Kim, Juyub; Kim, Juyoul; Kim, Sukhoon; Lee, Seunghee; Yoon, Taebin; Cliff, Li-Chi

2015-01-01

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
Assessing School Emergency Care Preparedness.

Science.gov (United States)

Hale, Charles; Varnes, Jill

A study assessed the emergency health care preparedness of a north central Florida public school district in light of seven criteria: (1) school policies regarding delivery of emergency health care; (2) identification of school personnel responsible for rendering emergency care; (3) training levels of emergency health care providers (first aid and…
Activities of the nuclear emergency assistance and training center. Strengthening co-operation with parties in normal circumstances

International Nuclear Information System (INIS)

Watanabe, Fumitaka; Matsui, Tomoaki; Nomura, Tamotsu

2005-01-01

The Japan Nuclear Cycle Development Institute (JNC) and the Japan Atomic Energy Research Institute (JAERI) established the Nuclear Emergency Assistance and Training Center (NEAT) in March 2002. The center aims to provide various support nuclear safety regulatory bodies, local governments and nuclear facility licenses as specialists about nuclear and radiological issues according to the role shown in the Basic Disaster Management Plan. Upon a nuclear and/or radiological disaster occurring in Japan, NEAT will send specialists to the disaster scene, and offer the use of special equipments. NEAT maintains frequent contact with related organizations in normal circumstance. NEAT also participates in nuclear emergency exercises instructed by the parties concerned, which has contributed to the brewing of mutual trust with related organizations. In October 2005, JNC and JAERI merged into a new organization named the Japan Atomic Energy Agency (JAEA). NEAT, as a section of the organization, continuously deals with nuclear emergencies. (author)
High-fidelity hybrid simulation of allergic emergencies demonstrates improved preparedness for office emergencies in pediatric allergy clinics.

Science.gov (United States)

Kennedy, Joshua L; Jones, Stacie M; Porter, Nicholas; White, Marjorie L; Gephardt, Grace; Hill, Travis; Cantrell, Mary; Nick, Todd G; Melguizo, Maria; Smith, Chris; Boateng, Beatrice A; Perry, Tamara T; Scurlock, Amy M; Thompson, Tonya M

2013-01-01

Simulation models that used high-fidelity mannequins have shown promise in medical education, particularly for cases in which the event is uncommon. Allergy physicians encounter emergencies in their offices, and these can be the source of much trepidation. To determine if case-based simulations with high-fidelity mannequins are effective in teaching and retention of emergency management team skills. Allergy clinics were invited to Arkansas Children's Hospital Pediatric Understanding and Learning through Simulation Education center for a 1-day workshop to evaluate skills concerning the management of allergic emergencies. A Clinical Emergency Preparedness Team Performance Evaluation was developed to evaluate the competence of teams in several areas: leadership and/or role clarity, closed-loop communication, team support, situational awareness, and scenario-specific skills. Four cases, which focus on common allergic emergencies, were simulated by using high-fidelity mannequins and standardized patients. Teams were evaluated by multiple reviewers by using video recording and standardized scoring. Ten to 12 months after initial training, an unannounced in situ case was performed to determine retention of the skills training. Clinics showed significant improvements for role clarity, teamwork, situational awareness, and scenario-specific skills during the 1-day workshop (all P clinics (all P ≤ .004). Clinical Emergency Preparedness Team Performance Evaluation scores demonstrated improved team management skills with simulation training in office emergencies. Significant recall of team emergency management skills was demonstrated months after the initial training. Copyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
Emergency medicine physicians performed ultrasound for pediatric intussusceptions

Directory of Open Access Journals (Sweden)

Yi-Jung Chang

2013-08-01

Full Text Available Background: Intussusception is the common acute abdomen in children with difficult clinical diagnosis. The routine ultrasound has recently been proposed as the initial diagnostic modality with high accuracy, but is not available for 24 h by gastroenterologists. We aimed to evaluate the validation of bedside ultrasound for intussusceptions performed by pediatric emergency physicians with ultrasound training during the night or holiday. Methods: A retrospective study was conducted in children with suspected intussusceptions when routine ultrasounds by gastroenterologists were not available over the period from July 2004 to July 2008. Patients were divided into two groups: those diagnosed by emergency physicians with ultrasound training and without training. The clinical characteristics and course for all patients were reviewed and compared for seeking the difference. Results: A total of 186 children were included. One hundred and thirteen (61% children were diagnosed by pediatric emergency physician with ultrasound training. The clinical symptoms were not statistically different between the two groups. The diagnostic sensitivity of the ultrasound training group was significantly higher (90% vs. 79%, p = 0.034. Children of the training group also had significantly shorter hospital stay duration at emergency departments before reduction (2.41 ± 2.01 vs. 4.58 ± 4.80 h, p = 0.002. Conclusion: Bedside ultrasound performed by pediatric emergency physicians with ultrasound training is a sensitive test for detecting intussusceptions. Knowledge and use of bedside ultrasound can aid the emergency physician in the diagnosis of pediatric intussusceptions with less delay in treatment.
Human Factors in Training: Space Medical Proficiency Training

Science.gov (United States)

Byrne, Vicky E.; Barshi, I.; Arsintescu, L.; Connell, E.

2010-01-01

The early Constellation space missions are expected to have medical capabilities very similar to those currently on the Space Shuttle and the International Space Station (ISS). For Crew Exploration Vehicle (CEV) missions to the ISS, medical equipment will be located on the ISS, and carried into CEV in the event of an emergency. Flight surgeons (FS) on the ground in Mission Control will be expected to direct the crew medical officer (CMO) during medical situations. If there is a loss of signal and the crew is unable to communicate with the ground, a CMO would be expected to carry out medical procedures without the aid of a FS. In these situations, performance support tools can be used to reduce errors and time to perform emergency medical tasks. The space medical training work is part of the Human Factors in Training Directed Research Project (DRP) of the Space Human Factors Engineering (SHFE) Project under the Space Human Factors and Habitability (SHFH) Element of the Human Research Program (HRP). This is a joint project consisting of human factors team from the Ames Research Center (ARC) with Immanuel Barshi as Principal Investigator and the Johnson Space Center (JSC). Human factors researchers at JSC have recently investigated medical performance support tools for CMOs on-orbit, and FSs on the ground, and researchers at the Ames Research Center performed a literature review on medical errors. Work on medical training has been conducted in collaboration with the Medical Training Group at the Johnson Space Center (JSC) and with Wyle Laboratories that provides medical training to crew members, biomedical engineers (BMEs), and to flight surgeons under the Bioastronautics contract. One area of research building on activities from FY08, involved the feasibility of just-in-time (JIT) training techniques and concepts for real-time medical procedures. A second area of research involves FS performance support tools. Information needed by the FS during the ISS mission
Implementation and assessment of a training course for residents in neonatology and pediatric emergency medicine.

Science.gov (United States)

Brossier, D; Bellot, A; Villedieu, F; Fazilleau, L; Brouard, J; Guillois, B

2017-05-01

Residents must balance patient care and the ongoing acquisition of medical knowledge. With increasing clinical responsibilities and patient overload, medical training is often left aside. In 2010, we designed and implemented a training course in neonatology and pediatric emergency medicine for residents in pediatrics, in order to improve their medical education. The course was made of didactic sessions and several simulation-based seminars for each year of residency. We conducted this study to assess the impact of our program on residents' satisfaction and self-assessed clinical skills. A survey was conducted at the end of each seminar. The students were asked to complete a form on a five-point rating scale to evaluate the courses and their impact on their satisfaction and self-assessed clinical skills, following the French National Health Institute's adapted Kirkpatrick model. Sixty-four (84%) of the 76 residents who attended the courses completed the form. The mean satisfaction score for the entire course was 4.78±0.42. Over 80% of the students felt that their clinical skills had improved. Medical education is an important part of residency training. Our training course responded to the perceived needs of the students with consistently satisfactory evaluations. Before the evaluation of the impact of the course on patient care, further studies are needed to assess the acquisition of knowledge and skills through objective evaluations. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

FY 2008 Next Generation Safeguards Initiative International Safeguards Education and Training Pilot Progerams Summary Report

Energy Technology Data Exchange (ETDEWEB)

Dreicer, M; Anzelon, G; Essner, J; Dougan, A; Doyle, J; Boyer, B; Hypes, P; Sokova, E; Wehling, F

2008-10-17

Key component of the Next Generation Safeguards Initiative (NGSI) launched by the National Nuclear Security Administration is the development of human capital to meet present and future challenges to the safeguards regime. An effective university-level education in safeguards and related disciplines is an essential element in a layered strategy to rebuild the safeguards human resource capacity. Two pilot programs at university level, involving 44 students, were initiated and implemented in spring-summer 2008 and linked to hands-on internships at LANL or LLNL. During the internships, students worked on specific safeguards-related projects with a designated Laboratory Mentor to provide broader exposure to nuclear materials management and information analytical techniques. The Safeguards and Nuclear Material Management pilot program was a collaboration between the Texas A&M University (TAMU), Los Alamos National Laboratory (LANL) and Lawrence Livermore National Laboratory (LLNL). It included a 16-lecture course held during a summer internship program. The instructors for the course were from LANL together with TAMU faculty and LLNL experts. The LANL-based course was shared with the students spending their internship at LLNL via video conference. A week-long table-top (or hands-on) exercise on was also conducted at LANL. The student population was a mix of 28 students from a 12 universities participating in a variety of summer internship programs held at LANL and LLNL. A large portion of the students were TAMU students participating in the NGSI pilot. The International Nuclear Safeguards Policy and Information Analysis pilot program was implemented at the Monterey Institute for International Studies (MIIS) in cooperation with LLNL. It included a two-week intensive course consisting of 20 lectures and two exercises. MIIS, LLNL, and speakers from other U.S. national laboratories (LANL, BNL) delivered lectures for the audience of 16 students. The majority of students were
FY 2008 Next Generation Safeguards Initiative International Safeguards Education and Training Pilot Programs Summary Report

International Nuclear Information System (INIS)

Dreicer, M.; Anzelon, G.; Essner, J.; Dougan, A.; Doyle, J.; Boyer, B.; Hypes, P.; Sokova, E.; Wehling, F.

2008-01-01

Key component of the Next Generation Safeguards Initiative (NGSI) launched by the National Nuclear Security Administration is the development of human capital to meet present and future challenges to the safeguards regime. An effective university-level education in safeguards and related disciplines is an essential element in a layered strategy to rebuild the safeguards human resource capacity. Two pilot programs at university level, involving 44 students, were initiated and implemented in spring-summer 2008 and linked to hands-on internships at LANL or LLNL. During the internships, students worked on specific safeguards-related projects with a designated Laboratory Mentor to provide broader exposure to nuclear materials management and information analytical techniques. The Safeguards and Nuclear Material Management pilot program was a collaboration between the Texas A and M University (TAMU), Los Alamos National Laboratory (LANL) and Lawrence Livermore National Laboratory (LLNL). It included a 16-lecture course held during a summer internship program. The instructors for the course were from LANL together with TAMU faculty and LLNL experts. The LANL-based course was shared with the students spending their internship at LLNL via video conference. A week-long table-top (or hands-on) exercise on was also conducted at LANL. The student population was a mix of 28 students from a 12 universities participating in a variety of summer internship programs held at LANL and LLNL. A large portion of the students were TAMU students participating in the NGSI pilot. The International Nuclear Safeguards Policy and Information Analysis pilot program was implemented at the Monterey Institute for International Studies (MIIS) in cooperation with LLNL. It included a two-week intensive course consisting of 20 lectures and two exercises. MIIS, LLNL, and speakers from other U.S. national laboratories (LANL, BNL) delivered lectures for the audience of 16 students. The majority of students
Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 14. Appendix I: Communicating with Deaf and Hearing Impaired Patients. Appendix II: Medical Terminology. Appendix III: EMS Organizations. Appendix IV: Legislation (Ohio). Glossary of Terms. Index. Revised.

Science.gov (United States)

Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

This training manual for emergency medical technicians, one of 14 modules that comprise the Emergency Victim Care textbook, contains appendixes, a glossary, and an index. The first appendix is an article on communicating with deaf and hearing-impaired patients. Appendix 2, the largest section in this manual, is an introduction to medical…
Evaluation of the certificate in emerging infectious disease research and the certificate in one health training programs, University of Florida

Directory of Open Access Journals (Sweden)

Marissa A. Valentine

2015-03-01

Full Text Available In developing countries, public health professionals and scientists need targeted training and practical skills to respond to global emerging infectious disease threats. The Certificate in Emerging Infectious Disease Research was developed in 2008 to aid such professionals to respond to complex emerging disease problems. The short-course was modified slightly in 2013 and renamed the Certificate in One Health. To evaluate the immediate impact of the short-course, an online survey of 176 past participants from both the courses was conducted. The survey tool assessed the program’s process, impact, and outcome measures respectively via assessing the courses’ perceived strengths and weaknesses, perceived skills gained, and the participants’ current position, publication status, funding status, and educational attainment; 85 (48.3% participants completed the survey. Reported program strengths included the curriculum, expertise of lecturers, and diversity of the training cohort. The principal reported weakness was the compressed academic schedule. The most frequently reported benefits included: epidemiological and biostatistical skills, followed by One-Health knowledge, and research skills. Twenty-eight percent of the survey respondents reported publishing one or more manuscripts since completing the course and 21% reported receiving research funding. The course appears to have had a positive, immediate impact on the students’ self-perceived knowledge and capabilities.
A collaborative virtual environment for training of security agents in nuclear emergencies

Energy Technology Data Exchange (ETDEWEB)

Fernandes, Sara I.; Passos, Cláudio A.; Silva, Marcio H.; Carvalho, Paulo Victor R.; Legey, Ana Paula; Mol, Antonio Carlos; Machado, Daniel M.; Cotelli, André; Rocha, Tiago L., E-mail: mol@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil). Departamento de Realidade Virtual

2017-07-01

In face the recently observed security menaces related to terrorist actions and natural disasters, there is a need for a major qualification and training of the agents responsible for avoid any problems regarding to abnormal conditions. In the conventional training procedures, however, field simulations are associated to logistical and operational constraints regarded to the execution of the tests which can expose the user to risk. On the other hand, the use of virtual simulations provides an alternative to such limitations besides of promote the qualifying of professionals with a great reliability. For this reason, this paper proposes the development of a collaborative virtual environment that will be used to prepare the security agents on identifying individuals suspected of carrying radioactive materials. The development of the virtual environment consisted on modeling using Autodesk 3ds Max, where the scene itself and the scene objects were modeled besides the terrain creation and basic features programming using the Game Engine Unity 3D. In the Engine Game were included radiation detectors and avatars. The security agents were able to communicate to each other by means of auxiliary external tools like a headset software that makes possible the communication, coordination and cooperation required for an effective collaboration. Experimental tests of the virtual simulations were performed with the participation of CNEN radiological protection agents and collaborators. The tests have shown that the proposed method can contribute to improve the training results of the basic collaborative skills required for a CNEN agent in an emergency situation without the need to expose him to any kind of risk. In face of that, we hope that it can contribute to minimize the demand for qualified security professionals. (author)
A collaborative virtual environment for training of security agents in nuclear emergencies

International Nuclear Information System (INIS)

Fernandes, Sara I.; Passos, Cláudio A.; Silva, Marcio H.; Carvalho, Paulo Victor R.; Legey, Ana Paula; Mol, Antonio Carlos; Machado, Daniel M.; Cotelli, André; Rocha, Tiago L.

2017-01-01

In face the recently observed security menaces related to terrorist actions and natural disasters, there is a need for a major qualification and training of the agents responsible for avoid any problems regarding to abnormal conditions. In the conventional training procedures, however, field simulations are associated to logistical and operational constraints regarded to the execution of the tests which can expose the user to risk. On the other hand, the use of virtual simulations provides an alternative to such limitations besides of promote the qualifying of professionals with a great reliability. For this reason, this paper proposes the development of a collaborative virtual environment that will be used to prepare the security agents on identifying individuals suspected of carrying radioactive materials. The development of the virtual environment consisted on modeling using Autodesk 3ds Max, where the scene itself and the scene objects were modeled besides the terrain creation and basic features programming using the Game Engine Unity 3D. In the Engine Game were included radiation detectors and avatars. The security agents were able to communicate to each other by means of auxiliary external tools like a headset software that makes possible the communication, coordination and cooperation required for an effective collaboration. Experimental tests of the virtual simulations were performed with the participation of CNEN radiological protection agents and collaborators. The tests have shown that the proposed method can contribute to improve the training results of the basic collaborative skills required for a CNEN agent in an emergency situation without the need to expose him to any kind of risk. In face of that, we hope that it can contribute to minimize the demand for qualified security professionals. (author)
Media and public relation. Part of emergency planning

International Nuclear Information System (INIS)

Jurkovic, I.A.; Debrecin, N.; Feretic, D.; Skanata, D.

2000-01-01

In the event of an emergency, media relation should be considered as one of the most important functions in emergency management. Individuals should be trained to be able to provide factual information to the media and the citizens during nuclear emergencies. Media can be also acquainted with the scope, ways and means of providing information related to nuclear emergencies during the predefined and regular media training or workshops, or as a part of regular training routine of involved organizations and institutions. This paper is through various approaches trying to present one of the possible ways that media and public relation can be treated during the emergencies and inside the developed emergency plans and procedures. It also represents an idea, based on the authors' experience, on a way in which things can be organized in the Croatian Technical Support Center when it comes to the media/public relation issue. (author)
Preparing emergency personnel in dialysis: a just-in-time training program for additional staffing during disasters.

Science.gov (United States)

Stoler, Genevieve B; Johnston, James R; Stevenson, Judy A; Suyama, Joe

2013-06-01

There are 341 000 patients in the United States who are dependent on routine dialysis for survival. Recent large-scale disasters have emphasized the importance of disaster preparedness, including supporting dialysis units, for people with chronic disease. Contingency plans for staffing are important for providing continuity of care for a technically challenging procedure such as dialysis. PReparing Emergency Personnel in Dialysis (PREP-D) is a just-in-time training program designed to train individuals having minimum familiarity with the basic steps of dialysis to support routine dialysis staff during a disaster. A 5-module educational program was developed through a collaborative, multidisciplinary effort. A pilot study testing the program was performed using 20 nontechnician dialysis facility employees and 20 clinical-year medical students as subjects. When comparing pretest and posttest scores, the entire study population showed a mean improvement of 28.9%, with dialysis facility employees and medical students showing improvements of 21.8% and 36.4%, respectively (P just-in-time training format. The knowledge gained by using the PREP-D program during a staffing shortage may allow for continuity of care for critical services such as dialysis during a disaster.
Radiological emergencies - planning and preparedness

Energy Technology Data Exchange (ETDEWEB)

NONE

1986-12-31

This information and training film in three parts deals with the technical background for emergency planning, emergency planning concepts and emergency preparedness. It describes the technical characteristics of radiological emergencies on which important emergency planning concepts are based and the purpose of those concepts. The film also demonstrates how emergency organizations must work together to ensure adequate preparedness. The programme reflects the standards, guidance and recommendations of the International Atomic Energy Agency
Education program for radiation emergency medicine at the Hirosaki University Graduate School of Health Sciences: A training course for medical personnel

International Nuclear Information System (INIS)

Saito, Yoko; Nakamura, Toshiya; Urushizaka, Mayumi; Kitajima, Yu; Itaki, Chieko; Terashima, Shingo; Hosokawa, Yoichiro

2016-01-01

Although nuclear disaster is considered rare, its effects are serious, and we must prepare a system to enable an effective response. Since 2010, we have been offering a two-day seminar to provide current nurses and radiological technologists with basic knowledge and train them in radiation emergency medicine (REM) techniques. This training offers lectures to deepen each specialty from the perspective of REM, as well as exercises on ways to handle irradiated and/or contaminated patients. Participants were expected to treat patients according to the concept of REM. All participants learn to assess and decontaminate contaminated wounds through drills. The questionnaire survey for participants indicated that participants were satisfied with this training and wanted to attend again. We believe that this training course will provide a valuable opportunity for medical professionals to gain knowledge and expertise in REM
Education program for radiation emergency medicine at the Hirosaki University Graduate School of Health Sciences: A training course for medical personnel

Energy Technology Data Exchange (ETDEWEB)

Saito, Yoko; Nakamura, Toshiya; Urushizaka, Mayumi; Kitajima, Yu; Itaki, Chieko; Terashima, Shingo; Hosokawa, Yoichiro [Hirosaki University Graduate School of Health Sciences, Hirosaki (Japan)

2016-12-15

Although nuclear disaster is considered rare, its effects are serious, and we must prepare a system to enable an effective response. Since 2010, we have been offering a two-day seminar to provide current nurses and radiological technologists with basic knowledge and train them in radiation emergency medicine (REM) techniques. This training offers lectures to deepen each specialty from the perspective of REM, as well as exercises on ways to handle irradiated and/or contaminated patients. Participants were expected to treat patients according to the concept of REM. All participants learn to assess and decontaminate contaminated wounds through drills. The questionnaire survey for participants indicated that participants were satisfied with this training and wanted to attend again. We believe that this training course will provide a valuable opportunity for medical professionals to gain knowledge and expertise in REM.
A virtual reality system for the training of volunteers involved in health emergency situations.

Science.gov (United States)

De Leo, Gianluca; Ponder, Michal; Molet, Tom; Fato, Marco; Thalmann, Daniel; Magnenat-Thalmann, Nadia; Bermano, Francesco; Beltrame, Francesco

2003-06-01

In order to guarantee an effective and punctual medical intervention to injured people involved in health emergency situations, where usually both professional and non-professional health operators are involved, a fast and accurate treatment has to be carried out. In case of catastrophic or very critical situations, non-professional operators who did not receive proper training (volunteers are among them) could be affected by psychological inhibitions. Their performances could slow down in such way that would affect the quality of the treatment and increase both direct and indirect costs. Our virtual reality system that is currently in use at the health care emergency center of San Martino Hospital in Genoa, Italy, has been designed and developed to check health emergency operators' capabilities to adopt correct decision-making procedures, to make optimal use of new technological equipment and to overcome psychological barriers. Our system is composed of (1) a high-end simulation PC, whose main functions are execution of the main software module, rendering of 3D scenes in stereo mode, rendering of sound, and control of data transmission from/to VR devices; (2) a low-end control PC, which controls the VR simulation running on the simulation PC, manages medical emergency simulation scenarios, introduces unexpected events to the simulation and controls the simulation difficulty level; (3) a magnetic-based motion tracking device used for head and hand tracking; (4) a wireless pair of shutter glasses together with a cathode ray tube wall projector; and (5) a high-end surround sound system. The expected benefits have been verified through the design and implementation of controlled clinical trials.
External plans for radiological emergency

International Nuclear Information System (INIS)

Suarez, G.; Vizuet G, J.; Benitez S, J.A.

1999-01-01

Since 1989, the National Institute of Nuclear Research in Mexico shares in the task of Food and Water Control corresponding to the FT-86 task force of External Plans for Radiological Emergency (PERE), in charge of the Veracruz Health Services. In the PERE preparation stage previous actions are necessary developed for the preparation and updating of this plan and the task organization with the purpose to maintaining standing and operable in any time and circumstance, the capability to response in the face of an emergency. This stage englobes activities which must be realized before to carry out the Plan as they are the specialized training of personnel which participates and the execution of exercises and simulacrums. Until 1998, training and exercises for this task had been realized under diverse possible sceneries but in conditions that simulated the presence of radioactive material. For this reason, it should be emphasized the training realized during the days 6th, 7th, 8th July, 1999, in the emergency planning zone of the Plan, which to carry out using radioactive material. The National Institute of Nuclear Research had in charge of the training. This work describes all the activities for the realization of this training. (Author)
The training needs of Turkish emergency department personnel regarding intimate partner violence

Science.gov (United States)

Aksan, H Asli Davas; Aksu, Feride

2007-01-01

Background Violence against females is a widespread public health problem in Turkey and the lifetime prevalence of IPV ranges between 34 and 58.7%. Health care workers (HCW) sometimes have the unique opportunity and obligation to identify, treat, and educate females who are abused. The objective of this study was to evaluate the knowledge, attitudes, and experiences of the emergency department (ED) staff regarding intimate partner violence (IPV) at a large university hospital in Turkey. Methods A cross-sectional study was conducted in a large university hospital via questionnaire. The study population consisted of all the nurses and physicians who worked in the ED during a two month period (n = 215). The questionnaire response rate was 80.5% (41 nurses and 132 physicians). The main domains of the questionnaire were knowledge regarding the definition of IPV, clinical findings in victims of IPV, legal aspects of IPV, attitudes towards IPV, knowledge about the characteristics of IPV victims and abusers, and professional and personal experiences and training with respect to IPV. Results One-half of the study group were females, 76.3% were physicians, and 89.8% had no training on IPV. The majority of the nurses (89.5%) and physicians (71.1%) declared that they were aware of the clinical appearance of IPV. The mean of the knowledge scores on clinical knowledge were 8.84 ± 1.73 (range, 0–10) for acute conditions, and 4.51 ± 3.32 for chronic conditions. The mean of the knowledge score on legal procedures and the legal rights of the victims was 4.33 ± 1.66 (range, 0–7). At least one reason to justify physical violence was accepted by 69.0% of females and 84.7% of males, but more males than females tended to justify violence (chi square = 5.96; p = 0.015). However, both genders accepted that females who experienced physical violence should seek professional medical help. Conclusion The study participants' knowledge about IPV was rather low and a training program is
Training of nuclear disasters at Fukui prefecture in 2002

International Nuclear Information System (INIS)

Takayama, Hiromi; Yoshioka, Mitsuo; Hayakawa, Hironobu

2004-01-01

A large scale of training of nuclear disasters was carried out by Fukui prefecture, reference cities, towns, organizations and residents in Japan on November 7, 2003. Its abstract, the nuclear disaster measures system of Fukui and the emergency monitoring system, the principle and characteristics of nuclear disaster measure plans and emergency monitoring, abstract of training of the emergency monitoring from fiscal 2000 to 2002 are described. On the training of emergency monitoring in fiscal 2003, abstract, assumption of accident, training contents and evaluation are stated. Table of training schedule of emergency monitoring, measurement results of the fixed points, Ohi nuclear power plant accident scenario, the conditions of the plant at accident, forecast and simulation of effective dose by external exposure, change of space dose rate at the fixed observation points, measurement values of monitoring cars are illustrated. (S.Y.)
Impact of the Revised 10 CFR 835 on the Neutron Dose Rates at LLNL

International Nuclear Information System (INIS)

Radev, R.

2009-01-01

In June 2007, 10 CFR 835 (1) was revised to include new radiation weighting factors for neutrons, updated dosimetric models, and dose terms consistent with the newer ICRP recommendations. A significant aspect of the revised 10 CFR 835 is the adoption of the recommendations outlined in ICRP-60 (2). The recommended new quantities demand a review of much of the basic data used in protection against exposure to sources of ionizing radiation. The International Commission on Radiation Units and Measurements has defined a number of quantities for use in personnel and area monitoring (3,4,5) including the ambient dose equivalent H*(d) to be used for area monitoring and instrument calibrations. These quantities are used in ICRP-60 and ICRP-74. This report deals only with the changes in the ambient dose equivalent and ambient dose rate equivalent for neutrons as a result of the implementation of the revised 10 CFR 835. In the report, the terms neutron dose and neutron dose rate will be used for convenience for ambient neutron dose and ambient neutron dose rate unless otherwise stated. This report provides a qualitative and quantitative estimate of how much the neutron dose rates at LLNL will change with the implementation of the revised 10 CFR 835. Neutron spectra and dose rates from selected locations at the LLNL were measured with a high resolution spectroscopic neutron dose rate system (ROSPEC) as well as with a standard neutron rem meter (a.k.a., a remball). The spectra obtained at these locations compare well with the spectra from the Radiation Calibration Laboratory's (RCL) bare californium source that is currently used to calibrate neutron dose rate instruments. The measurements obtained from the high resolution neutron spectrometer and dose meter ROSPEC and the NRD dose meter compare within the range of ±25%. When the new radiation weighting factors are adopted with the implementation of the revised 10 CFR 835, the measured dose rates will increase by up to 22%. The
Factors that influence medical student selection of an emergency medicine residency program: implications for training programs.

Science.gov (United States)

Love, Jeffrey N; Howell, John M; Hegarty, Cullen B; McLaughlin, Steven A; Coates, Wendy C; Hopson, Laura R; Hern, Gene H; Rosen, Carlo L; Fisher, Jonathan; Santen, Sally A

2012-04-01

An understanding of student decision-making when selecting an emergency medicine (EM) training program is essential for program directors as they enter interview season. To build upon preexisting knowledge, a survey was created to identify and prioritize the factors influencing candidate decision-making of U.S. medical graduates. This was a cross-sectional, multi-institutional study that anonymously surveyed U.S. allopathic applicants to EM training programs. It took place in the 3-week period between the 2011 National Residency Matching Program (NRMP) rank list submission deadline and the announcement of match results. Of 1,525 invitations to participate, 870 candidates (57%) completed the survey. Overall, 96% of respondents stated that both geographic location and individual program characteristics were important to decision-making, with approximately equal numbers favoring location when compared to those who favored program characteristics. The most important factors in this regard were preference for a particular geographic location (74.9%, 95% confidence interval [CI] = 72% to 78%) and to be close to spouse, significant other, or family (59.7%, 95% CI = 56% to 63%). Factors pertaining to geographic location tend to be out of the control of the program leadership. The most important program factors include the interview experience (48.9%, 95% CI = 46% to 52%), personal experience with the residents (48.5%, 95% CI = 45% to 52%), and academic reputation (44.9%, 95% CI = 42% to 48%). Unlike location, individual program factors are often either directly or somewhat under the control of the program leadership. Several other factors were ranked as the most important factor a disproportionate number of times, including a rotation in that emergency department (ED), orientation (academic vs. community), and duration of training (3-year vs. 4-year programs). For a subset of applicants, these factors had particular importance in overall decision-making. The vast majority
The nuclear emergency plans

International Nuclear Information System (INIS)

Fuertes Menendez, M. J.; Gasco Leonarte, L.; Granada Ferrero, M. J.

2007-01-01

Planning of the response to emergencies in nuclear plants is regulated by the Basic Nuclear Emergency Plan (PLABEN). This basic Plan is the guidelines for drawing up, implementing and maintaining the effectiveness of the nuclear power plant exterior nuclear emergency plans. The five exterior emergency plans approved as per PLABEN (PENGUA, PENCA, PENBU, PENTA and PENVA) place special emphasis on the preventive issues of emergency planning, such as implementation of advance information programs to the population, as well as on training exercises and drills. (Author)
An application of the MEMbrain training module: Pre-hospital rescue operation

DEFF Research Database (Denmark)

Andersen, V.

1998-01-01

A system for training in pre-hospital emergency management is being developed and the first version of a prototype has been completed. The training system fulfils the demands from the domain of hospital emergency planning centres and medical attendants concerning increased efficiency of rescue...... efforts. This includes enhanced first aid on site and improved overall co-ordination amongst the organisations involved in coping with emergency situations. The training system is based on the Multi-User System for Training Emergency Response (MUSTER) concept which is used for the training module...
LLNL Underground-Coal-Gasification Project. Quarterly progress report, July-September 1981

Energy Technology Data Exchange (ETDEWEB)

Stephens, D.R.; Clements, W. (eds.)

1981-11-09

We have continued our laboratory studies of forward gasification in small blocks of coal mounted in 55-gal drums. A steam/oxygen mixture is fed into a small hole drilled longitudinally through the center of the block, the coal is ignited near the inlet and burns toward the outlet, and the product gases come off at the outlet. Various diagnostic measurements are made during the course of the burn, and afterward the coal block is split open so that the cavity can be examined. Development work continues on our mathematical model for the small coal block experiments. Preparations for the large block experiments at a coal outcrop in the Tono Basin of Washington State have required steadily increasing effort with the approach of the scheduled starting time for the experiments (Fall 1981). Also in preparation is the deep gasification experiment, Tono 1, planned for another site in the Tono Basin after the large block experiments have been completed. Wrap-up work continues on our previous gasification experiments in Wyoming. Results of the postburn core-drilling program Hoe Creek 3 are presented here. Since 1976 the Soviets have been granted four US patents on various aspects of the underground coal gasification process. These patents are described here, and techniques of special interest are noted. Finally, we include ten abstracts of pertinent LLNL reports and papers completed during the quarter.

A comparative study of the effect of triage training by role-playing and educational video on the knowledge and performance of emergency medical service staffs in Iran.

Science.gov (United States)

Aghababaeian, Hamidreza; Sedaghat, Soheila; Tahery, Noorallah; Moghaddam, Ali Sadeghi; Maniei, Mohammad; Bahrami, Nosrat; Ahvazi, Ladan Araghi

2013-12-01

Educating emergency medical staffs in triage skills is an important aspect of disaster preparedness. The aim of the study was to compare the effect of role-playing and educational video presentation on the learning and performance of the emergency medical service staffs in Khozestan, Iran A total of 144 emergency technicians were randomly classified into two groups. A researcher trained the first group using an educational video method and the second group with a role-playing method. Data were collected before, immediately, and 15 days after training using a questionnaire covering the three domains of demographic information, triage knowledge, and triage performance. The data were analyzed using defined knowledge and performance parameters. There was no significant difference between the two training methods on performance and immediate knowledge (P = .2), lasting knowledge (P=.05) and immediate performance (P = .35), but there was a statistical advantage for the role-playing method on lasting performance (P = .02). The two educational methods equally increase knowledge and performance, but the role-playing method may have a more desirable and lasting effect on performance.
Approaches to emergency management teaching at the master's level.

Science.gov (United States)

Alexander, David

2013-01-01

Training and education enable emergency managers to deal with complex situations, create durable networks of people with appropriate expertise, and ensure that knowledge is utilized to improve resilience in the face of disaster risk. Although there is a discrete literature on emergency management training, few attempts have been made to create an overview that discusses the key issues and proposes a standardized approach. This article examines the nature of training and education in emergency and disaster management. It analyzes the composition and requirements of courses at the master's degree level, which is considered to be the most appropriate tier for in-depth instruction in this field. This article defines "training" and "education" in the context of emergency management courses. It reviews the developing profile of the emergency manager in the light of training requirements. This article examines the question of whether emergency management is a branch of management science or whether it is something distinct and separate. Attention is given to the composition of a core curriculum and to the most appropriate pedagogical forms of delivering it. The article reviews the arguments for and against standardization of the curriculum and describes some of the pedagogical methods for delivering courses. Briefly, it considers the impact on training and education of new pedagogic methods based on information technology. It is concluded that the master's level is particularly suited to emergency and crisis management education, as it enables students to complement the in-depth knowledge they acquired in their disciplinary first degrees with a broader synthetic approach at the postgraduate level. Some measures of standardization of course offerings are desirable, in favor of creating a core curriculum that will ensure that essential core knowledge is imparted. Education and training in this field should include problem-solving approaches that enable students to learn
Disaster Education: A Survey Study to Analyze Disaster Medicine Training in Emergency Medicine Residency Programs in the United States.

Science.gov (United States)

Sarin, Ritu R; Cattamanchi, Srihari; Alqahtani, Abdulrahman; Aljohani, Majed; Keim, Mark; Ciottone, Gregory R

2017-08-01

The increase in natural and man-made disasters occurring worldwide places Emergency Medicine (EM) physicians at the forefront of responding to these crises. Despite the growing interest in Disaster Medicine, it is unclear if resident training has been able to include these educational goals. Hypothesis This study surveys EM residencies in the United States to assess the level of education in Disaster Medicine, to identify competencies least and most addressed, and to highlight effective educational models already in place. The authors distributed an online survey of multiple-choice and free-response questions to EM residency Program Directors in the United States between February 7 and September 24, 2014. Questions assessed residency background and details on specific Disaster Medicine competencies addressed during training. Out of 183 programs, 75 (41%) responded to the survey and completed all required questions. Almost all programs reported having some level of Disaster Medicine training in their residency. The most common Disaster Medicine educational competencies taught were patient triage and decontamination. The least commonly taught competencies were volunteer management, working with response teams, and special needs populations. The most commonly identified methods to teach Disaster Medicine were drills and lectures/seminars. There are a variety of educational tools used to teach Disaster Medicine in EM residencies today, with a larger focus on the use of lectures and hospital drills. There is no indication of a uniform educational approach across all residencies. The results of this survey demonstrate an opportunity for the creation of a standardized model for resident education in Disaster Medicine. Sarin RR , Cattamanchi S , Alqahtani A , Aljohani M , Keim M , Ciottone GR . Disaster education: a survey study to analyze disaster medicine training in emergency medicine residency programs in the United States. Prehosp Disaster Med. 2017;32(4):368-373.
Fuzzy measurements of a degree of destruction of professional skills at interruptions in training for operations in the emergency cases of flight

Directory of Open Access Journals (Sweden)

А. М. Невиніцин

2000-12-01

Full Text Available The paper deals with the problem of definition of optimal and ultimate-acceptable interruptions in training for operations in emergency cases of flight. The theory of fuzzy sets is applied for this purpose and built are belonging functions of a linguistic variable "professional preparation level". For the 1st, 2nd and 3rd classes of air traffic controllers the optimal and ultimate-acceptable interruptions in learning are determined depending on the type of emergency case of flight
Teaching Guatemalan traditional birth attendants about obstetrical emergencies.

Science.gov (United States)

Garcia, Kimberly; Dowling, Donna; Mettler, Gretchen

2018-06-01

Guatemala's Maternal Mortality Rate is 65th highest in the world at 120 deaths per 100,000 births. Contributing to the problem is traditional birth attendants (TBAs) attend most births yet lack knowledge about obstetrical emergencies. Government trainings in existence since 1955 have not changed TBA knowledge. Government trainings are culturally insensitive because they are taught in Spanish with written material, even though most TBAs are illiterate and speak Mayan dialects. The purpose of the observational study was to evaluate the effect of an oral training, that was designed to be culturally sensitive in TBAs' native language, on TBAs' knowledge of obstetrical emergencies. one hundred ninety-one TBAs participated. The study employed a pretest-posttest design. A checklist was used to compare TBAs' knowledge of obstetrical emergencies before and after the training. the mean pretest score was 5.006±SD 0.291 compared to the mean posttest score of 8.549±SD 0.201. Change in knowledge was a P value of 0.00. results suggest an oral training that was designed to be culturally sensitive in the native language improved TBAs' knowledge of obstetrical emergencies. Future trainings should follow a similar format to meet the needs of illiterate audiences in remote settings. Copyright © 2018 Elsevier Ltd. All rights reserved.
Towards accurate emergency response behavior

International Nuclear Information System (INIS)

Sargent, T.O.

1981-01-01

Nuclear reactor operator emergency response behavior has persisted as a training problem through lack of information. The industry needs an accurate definition of operator behavior in adverse stress conditions, and training methods which will produce the desired behavior. Newly assembled information from fifty years of research into human behavior in both high and low stress provides a more accurate definition of appropriate operator response, and supports training methods which will produce the needed control room behavior. The research indicates that operator response in emergencies is divided into two modes, conditioned behavior and knowledge based behavior. Methods which assure accurate conditioned behavior, and provide for the recovery of knowledge based behavior, are described in detail
Astronaut training plans and training facilities in Japan; Uchu hikoshi tanjo eno michi (kunren to kunren setsubi)

Energy Technology Data Exchange (ETDEWEB)

Harada, C. [National Space Development Agency of Japan, Tokyo (Japan)

1999-10-05

Introduced are the training of astronauts for duties aboard a space shuttle, training provided by NASDA (National Space Development Agency of Japan), and training facilities. The astronaut candidate training course involves space science, space medicine, ocean science, and others, in addition to flight training aboard the T-38 jet trainer, emergency procedure training, shuttle system training, weightlessness training aboard the KC-135 jet plane on a ballistic flight, and SCUBA training. After candidates are named to serve aboard the space shuttle, they are to undergo training related to the shuttle system, emergency exit, adaptation to the surroundings, and the space laboratory system. As for ISS (international space station), astronauts will have to construct the station, and to stay there for a long time operating and maintaining the station and manipulating various experimental apparatuses. The astronaut training process in Japan covers approximately four years, including candidate training, advanced training, and mission dependent training. The training facilities include a weightless environment test system, low-pressure environment adaptation training system, etc., available at NASDA's Tsukuba Space Center. (NEDO)
Knowledge and Confidence of a Convenience Sample of Australasian Emergency Doctors in Managing Dental Emergencies: Results of a Survey

Directory of Open Access Journals (Sweden)

Hossein Samaei

2015-01-01

Full Text Available Background. We aimed to determine Australasian Specialist Emergency Physicians’ and Emergency Physicians in Training (Trainees’ level of knowledge of common dental emergencies. We also explored confidence in managing dental emergencies; predictors of confidence and knowledge; and preferences for further dental education. Methods. A questionnaire was distributed electronically (September 2011 and directly (November 2011 to Fellows and Trainees of the Australasian College for Emergency Medicine. It explored demographics, confidence, knowledge of dental emergencies, and educational preferences. Results. Response rate was 13.6% (464/3405 and college members were proportionally represented by region. Fewer than half (186/446; 42% had received dental training. Sixty-two percent (244/391, 95% CI 57.5–67.1 passed (>50% a knowledge test. More than 60% incorrectly answered questions on dental fracture, periodontal abscess, tooth eruption dates, and ulcerative gingivitis. Forty percent (166/416 incorrectly answered a question about Ludwig’s Angina. Eighty-three percent (360/433 were confident in the pharmacological management of toothache but only 26% (112/434 confident in recognizing periodontal disease. Knowledge was correlated with confidence (r=0.488. Interactive workshops were preferred by most (386/415, 93%. Conclusions. The knowledge and confidence of Australasian Emergency Physicians and Trainees in managing dental emergencies are varied, yet correlated. Interactive training sessions in dental emergencies are warranted.
Overview and applications of the Monte Carlo radiation transport kit at LLNL

International Nuclear Information System (INIS)

Sale, K. E.

1999-01-01

Modern Monte Carlo radiation transport codes can be applied to model most applications of radiation, from optical to TeV photons, from thermal neutrons to heavy ions. Simulations can include any desired level of detail in three-dimensional geometries using the right level of detail in the reaction physics. The technology areas to which we have applied these codes include medical applications, defense, safety and security programs, nuclear safeguards and industrial and research system design and control. The main reason such applications are interesting is that by using these tools substantial savings of time and effort (i.e. money) can be realized. In addition it is possible to separate out and investigate computationally effects which can not be isolated and studied in experiments. In model calculations, just as in real life, one must take care in order to get the correct answer to the right question. Advancing computing technology allows extensions of Monte Carlo applications in two directions. First, as computers become more powerful more problems can be accurately modeled. Second, as computing power becomes cheaper Monte Carlo methods become accessible more widely. An overview of the set of Monte Carlo radiation transport tools in use a LLNL will be presented along with a few examples of applications and future directions
The state of emergency medicine in the United Republic of Tanzania

Directory of Open Access Journals (Sweden)

B.A. Nicks

2012-09-01

Currently at most hospitals, emergency patients are cared for in Emergency Centres (ECs staffed with rotating personnel who are neither trained nor equipped to provide complete resuscitative care, but dedicated emergency care training projects are emerging. The first Emergency Medicine residency in the country was initiated in 2010 and will produce its first graduates in 2013. In 2011, a dedicated Emergency Nursing curriculum was introduced, and the Emergency Medical Association of Tanzania (EMAT, the first Emergency Medicine professional society in the country, was formed and ratified by the Ministry of Health. EMAT has been given a mandate to develop feasible initiatives for the dissemination of emergency care training to district and sub-district facilities. However, significant gaps exist in the capacity for emergency medical care including deficits in human resources, essential equipment and infrastructure – concurrent issues that EMAT must address within its development strategy.
Comparative Review of Endurance Development in Cadets and Students in Track-and-Field Classes and Training at Educational Institutions of State Emergency Service of Ukraine

Directory of Open Access Journals (Sweden)

В. М. Жогло

2016-08-01

Full Text Available The purpose of the research is to provide a comparative review of the endurance development in cadets and students in track-and-field classes and training at educational institutions of the State Emergency Service of Ukraine. Research methods: analysis of scientific and methodological literature, pedagogical testing and methods of mathematical statistics of data reduction. Research results. The study resulted in a comparative analysis of the levels of endurance development in the cadets and the first-year students of the School of Psychology and the School of Emergency Rescue Forces of the National University of Civil Defence of Ukraine. Conclusions. The study results prove that the first-year students of the School of Psychology and the School of Emergency Rescue Forces have a low level of endurance (special and aerobic as compared to the cadets. In this regard, the physical training syllabus ought to include more exercises intended to develop special and aerobic endurance.
Evaluating and Measuring the Return on Investment of an Emergency Center Health Care Professional Picture Archiving and Communication Systems Training Program

Science.gov (United States)

Roelandt, James P.

2012-01-01

Picture archiving and communication system (PACS) workflow directly affects the quality of emergency patient care through radiology exam turn-around times and the speed of delivery of diagnostic radiology results. This study was a mixed methods training and performance improvement study that evaluated the effectiveness and value of a hospital…
Pleiades: A Sub-picosecond Tunable X-ray Source at the LLNL Electron Linac

International Nuclear Information System (INIS)

Slaughter, Dennis; Springer, Paul; Le Sage, Greg; Crane, John; Ditmire, Todd; Cowan, Tom; Anderson, Scott G.; Rosenzweig, James B.

2002-01-01

The use of ultra fast laser pulses to generate very high brightness, ultra short (fs to ps) pulses of x-rays is a topic of great interest to the x-ray user community. In principle, femto-second-scale pump-probe experiments can be used to temporally resolve structural dynamics of materials on the time scale of atomic motion. The development of sub-ps x-ray pulses will make possible a wide range of materials and plasma physics studies with unprecedented time resolution. A current project at LLNL will provide such a novel x-ray source based on Thomson scattering of high power, short laser pulses with a high peak brightness, relativistic electron bunch. The system is based on a 5 mm-mrad normalized emittance photo-injector, a 100 MeV electron RF linac, and a 300 mJ, 35 fs solid-state laser system. The Thomson x-ray source produces ultra fast pulses with x-ray energies capable of probing into high-Z metals, and a high flux per pulse enabling single shot experiments. The system will also operate at a high repetition rate (∼ 10 Hz). (authors)
Psychological first-aid training for paraprofessionals: a systems-based model for enhancing capacity of rural emergency responses.

Science.gov (United States)

McCabe, O Lee; Perry, Charlene; Azur, Melissa; Taylor, Henry G; Bailey, Mark; Links, Jonathan M

2011-08-01

Ensuring the capacity of the public health, emergency preparedness system to respond to disaster-related need for mental health services is a challenge, particularly in rural areas in which the supply of responders with relevant expertise rarely matches the surge of demand for services. This investigation established and evaluated a systems-based partnership model for recruiting, training, and promoting official recognition of community residents as paraprofessional members of the Maryland Medical Professional Volunteer Corps. The partners were leaders of local health departments (LHDs), faith-based organizations (FBOs), and an academic health center (AHC). A one-group, quasi-experimental research design, using both post-test only and pre-/post-test assessments, was used to determine the feasibility, effectiveness, and impact of the overall program and of a one-day workshop in Psychological First Aid (PFA) for Paraprofessionals. The training was applied to and evaluated for 178 citizens drawn from 120 Christian parishes in four local health jurisdictions in rural Maryland. Feasibility-The model was demonstrated to be practicable, as measured by specific criteria to quantify partner readiness, willingness, and ability to collaborate and accomplish project aims. Effectiveness-The majority (93-99%) of individual participants "agreed" or "strongly agreed" that, as a result of the intervention, they understood the conceptual content of PFA and were confident about ("perceived self-efficacy") using PFA techniques with prospective disaster survivors. Impact-Following PFA training, 56 of the 178 (31.5%) participants submitted same-day applications to be paraprofessional responders in the Volunteer Corps. The formal acceptance of citizens who typically do not possess licensure in a health profession reflects a project-engendered policy change by the Maryland Department of Health and Mental Hygiene. These findings are consistent with the conclusion that it is feasible to
Environmental Monitoring Plan

International Nuclear Information System (INIS)

Hunter, S.W.; Gallegos, G.M.; Surano, K.A.; Lamson, K.C.; Tate, P.J.; Balke, B.K.; Biermann, A.H.; Hoppes, W.G.; Fields, B.C.; Gouveia, F.J.; Berger, R.L.; Miller, F.S.; Rueppel, D.W.; Sims, J.M.

1992-04-01

The primary tasks of the environmental monitoring section (EMS) Livermore National Laboratory (LLNL) are: effluent monitoring of air, sewer, and NPDES water. Surveillance monitoring of soil, vegetation and foodstuff, water, air particulate, and air tritium. Radiation monitoring, dose assessment, emergency response, quality assurance, and reporting. This report describes LLNL and the monitoring plan
76 FR 3648 - NIMS Training Plan

Science.gov (United States)

2011-01-20

...] NIMS Training Plan AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice of availability... comments on the NIMS Training Plan. This plan defines National Incident Management System (NIMS) national... sustaining NIMS training. In addition to delineating responsibilities and actions, the NIMS Training Plan...
Evaluation of dynamic range for LLNL streak cameras using high contrast pulses and pulse podiatry'' on the Nova laser system

Energy Technology Data Exchange (ETDEWEB)

Richards, J.B.; Weiland, T.L.; Prior, J.A.

1990-07-01

A standard LLNL streak camera has been used to analyze high contrast pulses on the Nova laser facility. These pulses have a plateau at their leading edge (foot) with an amplitude which is approximately 1% of the maximum pulse height. Relying on other features of the pulses and on signal multiplexing, we were able to determine how accurately the foot amplitude was being represented by the camera. Results indicate that the useful single channel dynamic range of the instrument approaches 100:1. 1 ref., 4 figs., 1 tab.
Emergency preparedness of OSBRA Pipeline

Energy Technology Data Exchange (ETDEWEB)

Magalhaes, Milton P.; Torres, Carlos A.R.; Almeida, Francisco J.C. [TRANSPETRO, Rio de Janeiro, RJ (Brazil)

2009-07-01

This paper presents the experience of PETROBRAS Transporte S. A. - TRANSPETRO in the preparation for emergencies in the OSBRA pipeline, showing specific aspects and solutions developed. The company has a standardized approach for the emergency management, based on risk analysis studies, risk management plan and contingency plans. To cover almost 1,000 km of pipeline, the Company avails of Emergency Response Centers and Environmental Defense Center, located at strategic points. In order to achieve preparation, fire fighting training and oil leakage elimination training are provided. Additionally, simulation exercises are performed, following a schedule worked out according to specific criteria and guidelines. As a conclusion, a picture is presented of the evolution of the preparation for emergencies in the OSBRA System which bears the enormous responsibility of transporting flammable products for almost 1,000 km of pipeline, crossing 40 municipalities, 3 states and the Federal District. (author)
Wireless just-in-time training of mobile skilled support personnel

Science.gov (United States)

Bandera, Cesar; Marsico, Michael; Rosen, Mitchel; Schlegel, Barry

2006-05-01

Skilled Support Personnel (SSP) serve emergency response organizations during an emergency incident, and include laborers, operating engineers, carpenters, ironworkers, sanitation workers and utility workers. SSP called to an emergency incident rarely have recent detailed training on the chemical, biological, radiological, nuclear and/or explosives (CBRNE) agents or the personal protection equipment (PPE) relevant to the incident. This increases personal risk to the SSP and mission risk at the incident site. Training for SSP has been identified as a critical need by the National Institute for Environmental Health Sciences, Worker Education and Training Program. We present a system being developed to address this SSP training shortfall by exploiting a new training paradigm called just-in-time training (JITT) made possible by advances in distance learning and cellular telephony. In addition to the current conventional training at regularly scheduled instructional events, SSP called to an emergency incident will have secure access to short (technologies and wireless service providers, integration with the incident management system, and SCORM compliance.
Evaluation of Knowledge of Emergency Healthcare Workers Regarding Approach to Emergency Patients

Directory of Open Access Journals (Sweden)

Özgür Tanr›verdi

2010-09-01

Full Text Available Aim: Emergency units constitute the most important part of all hospitals. The aim of this study was to evaluate practitioners’ and healthcare providers’ knowledge and experience regarding emergency first aid in a hospital with insufficient facilities. Methods: 17 physicians and 25 assistant staff working at our hospital were evaluated in terms of their knowledge about and experience in “emergency medicine and trauma” by a questionnaire and by observations. Results: The results of observations and questionnaire indicated that knowledge and experience among physicians were inadequate in terms of basic life support and advanced cardiac life support. This lack of knowledge was not associated with age, time of employment, faculty graduated and training on “emergency medicine” in the group of physicians (r=0.301 p>0.05, r=0.317 p>0.06, r=0.228 p>0.05, r=0.284 p>0.05, respectively and in the group of assistant staff (r=0.341 p>0.05, r=0.287 p>0.06, r=0.234 p>0.05, r=0.227 p>0.05, respectively. Conclusion: Considering that the most of the physicians are gathered in certain regions of our country and that there is a lack of emergency medicine specialists in underdeveloped regions, it has been concluded that physicians specialized in other areas and practitioners must attend emergency medicine trainings under the concept of “emergency medicine rotation”. (The Medical Bulletin of Haseki 2010; 48:103-5

Study of laser-generated debris free x-ray sources produced in a high-density linear Ar, Kr, Xe, Kr/Ar and Xe/Kr/Ar mixtures gas jets by 2 ω, sub-ps LLNL Titan laser

Science.gov (United States)

Kantsyrev, V. L.; Schultz, K. A.; Shlyaptseva, V. V.; Safronova, A. S.; Cooper, M. C.; Shrestha, I. K.; Petkov, E. E.; Stafford, A.; Moschella, J. J.; Schmidt-Petersen, M. T.; Butcher, C. J.; Kemp, G. E.; Andrews, S. D.; Fournier, K. B.

2016-10-01

The study of laser-generated debris-free x-ray sources in an underdense plasma produced in a high-density linear gas-puff jet was carried out at the LLNL Titan laser (2 ω, 45 J, sub-ps) with an intensity in the 10 um focal spot of 7 x 1019 W/cm2. A linear nozzle with a fast valve was used for the generation of a clusters/gas jet. X-ray diagnostics for the spectral region of 0.7 - 9 keV include: two spectrometers and pinhole cameras, and 3 groups of fast filtered detectors. Electron beams were measured with the EPPS magnetic spectrometer (>1 MeV) and Faraday cups (>72 keV). Spectralon/spectrometer devices were also used to measure absorption of laser radiation in the jets. New results were obtained on: anisotropic generation of x-rays (laser to x-ray conversion coefficient was >1%) and characteristics of laser-generated electron beams; evolution of x-ray generation with the location of the laser focus in a cluster-gas jet, and observations of a strong x-ray flash in some focusing regimes. Non-LTE kinetic modeling was used to estimate plasma parameters. UNR work supported by the DTRA Basic Research Award # HDTRA1-13-1-0033. Work at LLNL was performed under the auspices of the U.S. DOE by LLNL under Contract DE-AC52-07NA27344.
Hazardous materials management and compliance training

International Nuclear Information System (INIS)

Dalton, T.F.

1991-01-01

OSHA training for hazardous waste site workers is required by the Superfund Amendments and Reauthorization Act of 1986 (SARA). In December 1986, a series of regulations was promulgated by OSHA on an interim basis calling for the training of workers engaged in hazardous waste operations. Subsequent to these interim regulations, final rules were promulgated and these final rules on hazardous waste operations and emergency response became effective on March 6, 1990. OSHA has conducted hearings on the accreditation of training programs. OSHA would like to follow the accreditation process under the AHERA regulations for asbestos, in which the model plan for accreditation of asbestos abatement training was included in Section 206 of Title 11 of the Toxic Substance Control Act (TSCA). OSHA proposed on January 26, 1990, to perform the accreditation of training programs for hazardous waste operations and that proposal suggested that they follow the model plan similar to the one used for AHERA. They did not propose to accredited training programs for workers engaged in emergency response. These new regulations pose a significant problem to the various contractors and emergency responders who deal with hazardous materials spill response, cleanup and site remediation since these programs have expanded so quickly that many people are not familiar with what particular segment of the training they are required to have and whether or not programs that have yet to be accredited are satisfactory for this type of training. Title III of SARA stipulates a training program for first responders which includes local emergency response organizations such as firemen and policemen. The purpose of this paper is to discuss the needs of workers at hazardous waste site remediation projects and workers who are dealing with hazardous substances, spill response and cleanup
Increasing emergency medicine residents' confidence in disaster management: use of an emergency department simulator and an expedited curriculum.

Science.gov (United States)

Franc, Jeffrey Michael; Nichols, Darren; Dong, Sandy L

2012-02-01

Disaster Medicine is an increasingly important part of medicine. Emergency Medicine residency programs have very high curriculum commitments, and adding Disaster Medicine training to this busy schedule can be difficult. Development of a short Disaster Medicine curriculum that is effective and enjoyable for the participants may be a valuable addition to Emergency Medicine residency training. A simulation-based curriculum was developed. The curriculum included four group exercises in which the participants developed a disaster plan for a simulated hospital. This was followed by a disaster simulation using the Disastermed.Ca Emergency Disaster Simulator computer software Version 3.5.2 (Disastermed.Ca, Edmonton, Alberta, Canada) and the disaster plan developed by the participants. Progress was assessed by a pre- and post-test, resident evaluations, faculty evaluation of Command and Control, and markers obtained from the Disastermed.Ca software. Twenty-five residents agreed to partake in the training curriculum. Seventeen completed the simulation. There was no statistically significant difference in pre- and post-test scores. Residents indicated that they felt the curriculum had been useful, and judged it to be preferable to a didactic curriculum. In addition, the residents' confidence in their ability to manage a disaster increased on both a personal and and a departmental level. A simulation-based model of Disaster Medicine training, requiring approximately eight hours of classroom time, was judged by Emergency Medicine residents to be a valuable component of their medical training, and increased their confidence in personal and departmental disaster management capabilities.
Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre

DEFF Research Database (Denmark)

Andersen, Kasper; Mikkelsen, Søren; Jørgensen, Gitte

2018-01-01

with a supporting physician-manned mobile emergency care unit (56.4%). The classification of medical issues and the dispatched pre-hospital units varied with patient age. DISCUSSION: We believe our results might help focus the paediatric training received by emergency medical dispatch staff on commonly encountered......BACKGROUND: Little is known regarding paediatric medical emergency calls to Danish Emergency Medical Dispatch Centres (EMDC). This study aimed to investigate these calls, specifically the medical issues leading to them and the pre-hospital units dispatched to the paediatric emergencies. METHODS: We...... records to establish how the medical issues leading to these calls were classified and which pre-hospital units were dispatched to the paediatric emergencies. We analysed the data using descriptive statistics. RESULTS: Of a total of 7052 emergency calls in February 2016, 485 (6.9%) concerned patients ≤ 15...
Regular in-situ simulation training of paediatric Medical Emergency Team leads to sustained improvements in hospital response to deteriorating patients, improved outcomes in intensive care and financial savings.

Science.gov (United States)

Theilen, Ulf; Fraser, Laura; Jones, Patricia; Leonard, Paul; Simpson, Dave

2017-06-01

The introduction of a paediatric Medical Emergency Team (pMET) was accompanied by weekly in-situ simulation team training. Key ward staff participated in team training, focusing on recognition of the deteriorating child, teamwork and early involvement of senior staff. Following an earlier study [1], this investigation aimed to evaluate the long-term impact of ongoing regular team training on hospital response to deteriorating ward patients, patient outcome and financial implications. Prospective cohort study of all deteriorating in-patients in a tertiary paediatric hospital requiring admission to paediatric intensive care (PICU) the year before, 1year after and 3 years after the introduction of pMET and team training. Deteriorating patients were recognised more promptly (before/1year after/3years after pMET; median time 4/1.5/0.5h, pIntroduction of pMET coincided with significantly reduced hospital mortality (p<0.001). These results indicate that lessons learnt by ward staff during team training led to sustained improvements in the hospital response to critically deteriorating in-patients, significantly improved patient outcomes and substantial savings. Integration of regular in-situ simulation training of medical emergency teams, including key ward staff, in routine clinical care has potential application in all acute specialties. Copyright © 2017. Published by Elsevier B.V.
30 CFR 75.1713 - Emergency medical assistance; first-aid.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Emergency medical assistance; first-aid. 75... Emergency medical assistance; first-aid. [Statutory Provisions] Each operator shall make arrangements in... trained in first-aid and first-aid training shall be made available to all miners. Each coal mine shall...
Challenges in biotechnology at LLNL: from genes to proteins; TOPICAL

International Nuclear Information System (INIS)

Albala, J S

1999-01-01

This effort has undertaken the task of developing a link between the genomics, DNA repair and structural biology efforts within the Biology and Biotechnology Research Program at LLNL. Through the advent of the I.M.A.G.E. (Integrated Molecular Analysis of Genomes and their Expression) Consortium, a world-wide effort to catalog the largest public collection of genes, accepted and maintained within BBRP, it is now possible to systematically express the protein complement of these to further elucidate novel gene function and structure. The work has ensued in four phases, outlined as follows: (1) Gene and System selection; (2) Protein expression and purification; (3) Structural analysis; and (4) biological integration. Proteins to be expressed have been those of high programmatic interest. This includes, in particular, proteins involved in the maintenance of genome integrity, particularly those involved in the repair of DNA damage, including ERCC1, ERCC4, XRCC2, XRCC3, XRCC9, HEX1, APN1, p53, RAD51B, RAD51C, and RAD51. Full-length cDNA cognates of selected genes were isolated, and cloned into baculovirus-based expression vectors. The baculoviral expression system for protein over-expression is now well-established in the Albala laboratory. Procedures have been successfully optimized for full-length cDNA clining into expression vectors for protein expression from recombinant constructs. This includes the reagents, cell lines, techniques necessary for expression of recombinant baculoviral constructs in Spodoptera frugiperda (Sf9) cells. The laboratory has also generated a high-throughput baculoviral expression paradigm for large scale expression and purification of human recombinant proteins amenable to automation
Simulation-based training and assessment of non-technical skills in the Norwegian Helicopter Emergency Medical Services: a cross-sectional survey.

Science.gov (United States)

Abrahamsen, Håkon B; Sollid, Stephen J M; Öhlund, Lennart S; Røislien, Jo; Bondevik, Gunnar Tschudi

2015-08-01

Human error and deficient non-technical skills (NTSs) among providers of ALS in helicopter emergency medical services (HEMS) is a threat to patient and operational safety. Skills can be improved through simulation-based training and assessment. To document the current level of simulation-based training and assessment of seven generic NTSs in crew members in the Norwegian HEMS. A cross-sectional survey, either electronic or paper-based, of all 207 physicians, HEMS crew members (HCMs) and pilots working in the civilian Norwegian HEMS (11 bases), between 8 May and 25 July 2012. The response rate was 82% (n=193). A large proportion of each of the professional groups lacked simulation-based training and assessment of their NTSs. Compared with pilots and HCMs, physicians undergo statistically significantly less frequent simulation-based training and assessment of their NTSs. Fifty out of 82 (61%) physicians were on call for more than 72 consecutive hours on a regular basis. Of these, 79% did not have any training in coping with fatigue. In contrast, 72 out of 73 (99%) pilots and HCMs were on call for more than 3 days in a row. Of these, 54% did not have any training in coping with fatigue. Our study indicates a lack of simulation-based training and assessment. Pilots and HCMs train and are assessed more frequently than physicians. All professional groups are on call for extended hours, but receive limited training in how to cope with fatigue. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
New Graduate Paramedics First and Emergency Aid Formal and Practical Training Levels and Perception of Competency

Directory of Open Access Journals (Sweden)

Cetin Kizilkan

2009-08-01

Full Text Available AIM: The aim of this study is to determine first and emergency aid formal and practical education levels and perception of adequacy of trainee medical noncommissioned officers who graduated from Gulhane Military Medical Academy Medical NCO Vocational School in 2007. METHOD: The study included 54 trainee medical NCOs who had graduated from Gulhane Military Medical Academy Medical NCO Vocational School in 2007. The data were collected by a questionnaire developed by the investigators. RESULTS: Of the participants 79,6 % stated that he had never used the defibrillator, 33,3 % had never made hemorrhage control, 53,7% had never done fracture stabilization, 90,7% expressed himself adequate in Intravenous (IV cannulation, 98,2% in hemorrhage control and 72,2% in Firearms wounds management. In the exam including 10 questions nobody answered all the questions correctly and correct answers average was 5.9 ± 1.3 (minimum 3, maximum 9. CONCLUSION: Having the medical NCOs in a training program before they start service would be useful. Revision of the training program for medical NCOs according to the findings of our study especially in competency giving practical training would help the training of NCOs. Skills related to combat casualty care of NCOs should be promoted. Bu arastirma 13 ncu Balkan Askeri Tip Komitesi Kongresinde poster bildiri olarak sunulmustur. [TAF Prev Med Bull 2009; 8(4.000: 291-296
An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report

Directory of Open Access Journals (Sweden)

Mary S. Jacob

2017-06-01

Full Text Available Introduction: Focused training in transthoracic echocardiography enables emergency physicians (EPs to accurately estimate the left ventricular function. This study aimed to evaluate the efficacy of a brief training program utilizing standardized echocardiography video clips in this regard. Methods: A before and after design was used to determine the efficacy of a 1 hour echocardiography training program using PowerPoint presentation and standardized echocardiography video clips illustrating normal and abnormal left ventricular ejection fraction (LVEF as well as video clips emphasizing the measurement of mitral valve E-point septal separation (EPSS. Pre- and post-test evaluation used unique video clips and asked trainees to estimate LVEF and EPSS based on the viewed video clips. Results: 21 EPs with no prior experience with the echocardiographic technical methods completed this study. The EPs had very limited prior echocardiographic training. The mean score on the categorization of LVEF estimation improved from 4.9 (95% CI: 4.1-5.6 to 7.6 (95%CI: 7-8.3 out of a possible 10 score (p<0.0001. Categorization of EPSS improved from 4.1 (95% CI: 3.1-5.1 to 8.1 (95% CI: 7.6- 8.7 after education (p<0.0001. Conclusions: The results of this study demonstrate a statistically significant improvement of EPs’ ability to categorize left ventricular function as normal or depressed, after a short lecture utilizing a commercially available DVD of standardized echocardiography clips.
Progress Toward Measuring CO2 Isotopologue Fluxes in situ with the LLNL Miniature, Laser-based CO2 Sensor

Science.gov (United States)

Osuna, J. L.; Bora, M.; Bond, T.

2015-12-01

One method to constrain photosynthesis and respiration independently at the ecosystem scale is to measure the fluxes of CO2 isotopologues. Instrumentation is currently available to makes these measurements but they are generally costly, large, bench-top instruments. Here, we present progress toward developing a laser-based sensor that can be deployed directly to a canopy to passively measure CO2 isotopologue fluxes. In this study, we perform initial proof-of-concept and sensor characterization tests in the laboratory and in the field to demonstrate performance of the Lawrence Livermore National Laboratory (LLNL) tunable diode laser flux sensor. The results shown herein demonstrate measurement of bulk CO2 as a first step toward achieving flux measurements of CO2 isotopologues. The sensor uses a Vertical Cavity Surface Emitting Laser (VCSEL) in the 2012 nm range. The laser is mounted in a multi-pass White Cell. In order to amplify the absorption signal of CO2 in this range we employ wave modulation spectroscopy, introducing an alternating current (AC) bias component where f is the frequency of modulation on the laser drive current in addition to the direct current (DC) emission scanning component. We observed a strong linear relationship (r2 = 0.998 and r2 = 0.978 at all and low CO2 concentrations, respectively) between the 2f signal and the CO2 concentration in the cell across the range of CO2 concentrations relevant for flux measurements. We use this calibration to interpret CO2 concentration of a gas flowing through the White cell in the laboratory and deployed over a grassy field. We will discuss sensor performance in the lab and in situ as well as address steps toward achieving canopy-deployed, passive measurements of CO2 isotopologue fluxes. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344. LLNL-ABS-675788
Mobile Integrated Health Care and Community Paramedicine: An Emerging Emergency Medical Services Concept.

Science.gov (United States)

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. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
Radiological emergencies the first response

International Nuclear Information System (INIS)

2011-11-01

This national training course about radiological emergencies first answer include: Targets and preparation for emergency response in case of a nuclear or radiological accident. Operations center, action guide for fire fighting, medical coverage, forensic test, first aid, basic instrumentation for radiation, safety equipment, monitoring radiation, gamma rays, personnel exposed protection , radiation exposure rate, injury and illness for radiation, cancer risk, contamination, decontamination and treatment, markers, personnel dosimetry, training, medical and equipment transportation, shielded and tools. Psychological, physical (health and illness), economical (agriculture and industry) and environment impacts. Terrorist attacks, security belts. Support and international agreements (IAEA)
Emergency Medical Rescue in a Radiation Environment

International Nuclear Information System (INIS)

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

1999-01-01

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

African Journals Online (AJOL)

20 Apr 1974 ... lance services, training programmes that are not geared to the needs of these personnel and, not least, a lack of interest on the part of the medical profession, with a few notable exceptions, in the whole question of emergency care. There is a re- luctance on the part of many doctors to assist in the training of ...
LLNL Radiation Protection Program (RPP) Rev 9.2, Implementation of 10 CFR 835, 'Occupational Radiation Protection'

Energy Technology Data Exchange (ETDEWEB)

Shingleton, K. L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2011-06-15

The Department of Energy (DOE) originally issued Part 10 CFR 835, Occupational Radiation Protection, on January 1, 1994. This regulation, hereafter referred to as “the Rule”, required DOE contractors to develop and maintain a DOE-approved Radiation Protection Program (RPP); DOE approved the initial Lawrence Livermore National Laboratory (LLNL) RPP (Rev 2) on 6/29/95. DOE issued a revision to the Rule on December 4, 1998 and approved LLNL’s revised RPP (Rev 7.1) on 11/18/99. DOE issued a second Rule revision on June 8, 2007 (effective July 9, 2007) and on June 13, 2008 approved LLNL’s RPP (Rev 9.0) which contained plans and measures for coming into compliance with the 2007 Rule changes. DOE issued a correction to the Rule on April 21, 2009.
Highly Realistic Training for Navy Corpsmen: A Follow-up Assessment

Science.gov (United States)

2017-10-12

based training for military medical providers. One such training is highly realistic training. Based on the success of the Infantry Immersion ...observation with minimal participation improves paediatric emergency medicine knowledge, skills and confidence. Emergency Medicine Journal , 32(3), 195... immersive training for Navy corpsmen: Preliminary results. Military Medicine, 179(12), 1439–1443. Booth-Kewley, S., McWhorter, S. K., Dell’Acqua, R
Emerging and Future Computing Paradigms and Their Impact on the Research, Training, and Design Environments of the Aerospace Workforce

Science.gov (United States)

Noor, Ahmed K. (Compiler)

2003-01-01

The document contains the proceedings of the training workshop on Emerging and Future Computing Paradigms and their impact on the Research, Training and Design Environments of the Aerospace Workforce. The workshop was held at NASA Langley Research Center, Hampton, Virginia, March 18 and 19, 2003. The workshop was jointly sponsored by Old Dominion University and NASA. Workshop attendees came from NASA, other government agencies, industry and universities. The objectives of the workshop were to a) provide broad overviews of the diverse activities related to new computing paradigms, including grid computing, pervasive computing, high-productivity computing, and the IBM-led autonomic computing; and b) identify future directions for research that have high potential for future aerospace workforce environments. The format of the workshop included twenty-one, half-hour overview-type presentations and three exhibits by vendors.
Research at Clark in the early '60s and at LLNL in the late '80s

International Nuclear Information System (INIS)

Gatrousis, C.

1993-01-01

Tom Sugihara's scientific leadership over a period of almost four decades covered many areas. His early research at Clark dealt with fission yields measurements and radiochemical separations of fallout species in the marine environment. Tom pioneered many of the methods for detecting soft beta emitters and low levels of radioactivity. Studies of the behavior of radioactivity in the marine ecosystem were important adjuncts to Tom's nuclear science research at Clark University which emphasized investigations of nuclear reaction mechanisms. Among Tom's most important contributions while at Clark was his work with Matsuo and Dudey on the interpretation of isomeric yield ratios and fission studies with Noshkin and Baba. Tom's scientific career oscillated between research and administration. During the latter part of his career his great breadth of interests and his scientific open-quotes tasteclose quotes had a profound influence at LLNL in areas that were new to him, materials science and solid state physics
Development of emergency response training program for on-site commanders (2). Extraction of non-technical skills

International Nuclear Information System (INIS)

Matsui, Yuko; Hikono, Masaru; Iwasaki, Mari; Morita, Miduho

2017-01-01

This study aimed at characterizing a non-technical skill exercise for on-site managers in charge of initial response at an emergency response center by extracting and clarifying the behavior examples of non-technical skills shown in the exercise scenario. From video observations, the non-technical skill examples were identified from seven of the eight non-technical skill categories which had been defined when the training program was developed. At the same time, the limitation when extracting the cases by observations was identified. The extracted non-technical skill cases are expected to be used for characterizing exercise scenarios, as well as provide knowledge to raise the awareness of exercise participants. (author)

Office of Land and Emergency Management (OLEM) Climate Change Adaptation Training

Science.gov (United States)

This training discusses climate vulnerabilities and methods for incorporating adaptation measures into OLEM programs. This training is meant to follow completion of EPA's Introductory Climate Change Training.
Adaptive workflow simulation of emergency response

NARCIS (Netherlands)

Bruinsma, Guido Wybe Jan

2010-01-01

Recent incidents and major training exercises in and outside the Netherlands have persistently shown that not having or not sharing information during emergency response are major sources of emergency response inefficiency and error, and affect incident mitigation outcomes through workflow planning
Managing Obstetric Emergencies and Trauma (MOET structured skills training in Armenia, utilising models and reality based scenarios

Directory of Open Access Journals (Sweden)

Israelyan Musheg

2002-05-01

Full Text Available Abstract Background Mortality rates in Western Europe have fallen significantly over the last 50 years. Maternal mortality now averages 10 maternal deaths per 100,000 live births but in some of the Newly Independent States of the former Soviet Union, the ratio is nearly 4 times higher. The availability of skilled attendants to prevent, detect and manage major obstetric complications may be the single most important factor in preventing maternal deaths. A modern, multidisciplinary, scenario and model based training programme has been established in the UK (Managing Obstetric Emergencies and Trauma (MOET and allows specialist obstetricians to learn or revise the undertaking of procedures using models, and to have their skills tested in scenarios. Methods Given the success of the MOET course in the UK, the organisers were keen to evaluate it in another setting (Armenia. Pre-course knowledge and practice questionnaires were administered. In an exploratory analysis, post-course results were compared to pre-course answers obtained by the same interviewer. Results All candidates showed an improvement in post-course scores. The range was far narrower afterwards (167–188 than before (85–129.5. In the individual score analysis only two scenarios showed a non-significant change (cord prolapse and breech delivery. Conclusion This paper demonstrates the reliability of the model based scenarios, with a highly significant improvement in obstetric emergency management. However, clinical audit will be required to measure the full impact of training by longer term follow up. Audit of delays, specific obstetric complications, referrals and near misses may all be amenable to review.
River Protection Project (RPP) Dangerous Waste Training Plan

Energy Technology Data Exchange (ETDEWEB)

POHTO, R.E.

2000-03-09

This supporting document contains the training plan for dangerous waste management at River Protection Project TSD Units. This document outlines the dangerous waste training program developed and implemented for all Treatment, Storage, and Disposal (TSD) Units operated by River Protection Project (RPP) in the Hanford 200 East, 200 West and 600 Areas and the <90 Day Accumulation Area at 209E. Operating TSD Units managed by RPP are: the Double-Shell Tank (DST) System, 204-AR Waste Unloading Facility, Grout, and the Single-Shell Tank (SST) System. The program is designed in compliance with the requirements of Washington Administrative Code (WAC) 173-303-330 and Title 40 Code of Federal Regulations (CFR) 265.16 for the development of a written dangerous waste training program and the Hanford Facility Permit. Training requirements were determined by an assessment of employee duties and responsibilities. The RPP training program is designed to prepare employees to operate and maintain the Tank Farms in a safe, effective, efficient, and environmentally sound manner. In addition to preparing employees to operate and maintain the Tank Farms under normal conditions, the training program ensures that employees are prepared to respond in a prompt and effective manner should abnormal or emergency conditions occur. Emergency response training is consistent with emergency responses outlined in the following Building Emergency Plans: HNF-IP-0263-TF and HNF-=IP-0263-209E.
River Protection Project (RPP) Dangerous Waste Training Plan

International Nuclear Information System (INIS)

POHTO, R.E.

2000-01-01

This supporting document contains the training plan for dangerous waste management at River Protection Project TSD Units. This document outlines the dangerous waste training program developed and implemented for all Treatment, Storage, and Disposal (TSD) Units operated by River Protection Project (RPP) in the Hanford 200 East, 200 West and 600 Areas and the <90 Day Accumulation Area at 209E. Operating TSD Units managed by RPP are: the Double-Shell Tank (DST) System, 204-AR Waste Unloading Facility, Grout, and the Single-Shell Tank (SST) System. The program is designed in compliance with the requirements of Washington Administrative Code (WAC) 173-303-330 and Title 40 Code of Federal Regulations (CFR) 265.16 for the development of a written dangerous waste training program and the Hanford Facility Permit. Training requirements were determined by an assessment of employee duties and responsibilities. The RPP training program is designed to prepare employees to operate and maintain the Tank Farms in a safe, effective, efficient, and environmentally sound manner. In addition to preparing employees to operate and maintain the Tank Farms under normal conditions, the training program ensures that employees are prepared to respond in a prompt and effective manner should abnormal or emergency conditions occur. Emergency response training is consistent with emergency responses outlined in the following Building Emergency Plans: HNF-IP-0263-TF and HNF-=IP-0263-209E
Emergency Planning and Preparedness in Belgium

International Nuclear Information System (INIS)

Degueldre, D.; Maris, M.

1998-01-01

The present Belgian nuclear emergency planning and preparedness is based on experience cumulated since the early eighties. This paper describes the organisation, actuation process, the emergency planning zones and the applicable intervention guidance levels. The role of AVN as on-site inspector, nuclear emergency adviser and emergency assessor is explained as well as its human and technical resources. Finally the paper presents briefly the experience feedback on emergency exercises and training in Belgium as well as AVN's views on some debatable topics. (author)
Answering the request for emergency assistance worldwide. The Incident and Emergency Centre (IEC)

International Nuclear Information System (INIS)

2007-01-01

In 2005, the IAEA announced the establishment of a fully integrated Incident and Emergency Centre (IEC). The functions of the IEC include coordinating prompt assistance to requesting States in the case of a nuclear security incident. As the global focal point for international preparedness, communication and response to nuclear and radiological incidents or emergencies irrespective of their cause, the IEC stands at the centre of coordinating effective and efficient activities worldwide. The IEC's work includes the evaluation of emergency plans and assistance in their development. The Centre also develops accident classifications based on plant conditions and supports effective communication between neighbouring countries. In addition, it develops various response procedures and facilitates national exercises on response to reactor emergencies. This includes training a broad range of IAEA staff to respond to emergencies as well as training of external experts. Response to incidents and emergencies can involve the exchange of information, provision of advice and/or the coordination of field response. In order to coordinate a global response, the IEC hosts a Response Assistance Network (RANET) under which Member States, Parties to the Emergency Conventions and relevant international organizations are able to register their response capabilities. This network aims to facilitate assistance in case of a nuclear or radiological incident or emergency in a timely and effective manner. An important component of the global emergency response system is the notification and reporting arrangements and systems operated by the IEC. The IEC operates systems that are reliable and secure. Member States, Non-Member States and international organizations have historically reported events and requests for assistance to the IAEA through the ENATOM arrangements using the ENAC web site, phone or fax. Under these arrangements, States have nominated Competent Authorities and National Warning
Linear collider research and development at SLAC, LBL and LLNL

International Nuclear Information System (INIS)

Mattison, T.S.

1988-10-01

The study of electron-positron (e + e/sup /minus//) annihilation in storage ring colliders has been very fruitful. It is by now well understood that the optimized cost and size of e + e/sup /minus// storage rings scales as E(sub cm//sup 2/ due to the need to replace energy lost to synchrotron radiation in the ring bending magnets. Linear colliders, using the beams from linear accelerators, evade this scaling law. The study of e/sup +/e/sup /minus// collisions at TeV energy will require linear colliders. The luminosity requirements for a TeV linear collider are set by the physics. Advanced accelerator research and development at SLAC is focused toward a TeV Linear Collider (TLC) of 0.5--1 TeV in the center of mass, with a luminosity of 10/sup 33/--10/sup 34/. The goal is a design for two linacs of less than 3 km each, and requiring less than 100 MW of power each. With a 1 km final focus, the TLC could be fit on Stanford University land (although not entirely within the present SLAC site). The emphasis is on technologies feasible for a proposal to be framed in 1992. Linear collider development work is progressing on three fronts: delivering electrical energy to a beam, delivering a focused high quality beam, and system optimization. Sources of high peak microwave radio frequency (RF) power to drive the high gradient linacs are being developed in collaboration with Lawrence Berkeley Laboratory (LBL) and Lawrence Livermore National Laboratory (LLNL). Beam generation, beam dynamics and final focus work has been done at SLAC and in collaboration with KEK. Both the accelerator physics and the utilization of TeV linear colliders were topics at the 1988 Snowmass Summer Study. 14 refs., 4 figs., 1 tab
Attenuation Drift in the Micro-Computed Tomography System at LLNL

Energy Technology Data Exchange (ETDEWEB)

Dooraghi, Alex A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Brown, William [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Seetho, Isaac [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kallman, Jeff [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Lennox, Kristin [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Glascoe, Lee [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-01-12

The maximum allowable level of drift in the linear attenuation coefficients (μ) for a Lawrence Livermore National Laboratory (LLNL) micro-computed tomography (MCT) system was determined to be 0.1%. After ~100 scans were acquired during the period of November 2014 to March 2015, the drift in μ for a set of six reference materials reached or exceeded 0.1%. Two strategies have been identified to account for or correct the drift. First, normalizing the 160 kV and 100 kV μ data by the μ of water at the corresponding energy, in contrast to conducting normalization at the 160 kV energy only, significantly compensates for measurement drift. Even after the modified normalization, μ of polytetrafluoroethylene (PTFE) increases linearly with scan number at an average rate of 0.00147% per scan. This is consistent with PTFE radiation damage documented in the literature. The second strategy suggested is the replacement of the PTFE reference with fluorinated ethylene propylene (FEP), which has the same effective atomic number (Ze) and electron density (ρe) as PTFE, but is 10 times more radiation resistant. This is important as effective atomic number and electron density are key parameters in analysis. The presence of a material with properties such as PTFE, when taken together with the remaining references, allows for a broad range of the (Ze, ρe) feature space to be used in analysis. While FEP is documented as 10 times more radiation resistant, testing will be necessary to assess how often, if necessary, FEP will need to be replaced. As radiation damage to references has been observed, it will be necessary to monitor all reference materials for radiation damage to ensure consistent x-ray characteristics of the references.
Emergency medicine in Dubai, UAE.

Science.gov (United States)

Partridge, Robert; Abbo, Michael; Virk, Alamjit

2009-08-18

Dubai has rapidly risen to prominence in the Persian Gulf region as a center of global commerce and tourism and as a cultural crossroad between East and West. The health-care infrastructure has undergone rapid development. Collaborations with academic medical centers now exist to advance clinical care, teaching and research. Emergency medicine has also advanced and is undergoing dynamic change. Dubai may soon emerge as a regional leader in emergency medicine training and practice.
Emergency medicine in Dubai, UAE

OpenAIRE

Partridge, Robert; Abbo, Michael; Virk, Alamjit

2009-01-01

Dubai has rapidly risen to prominence in the Persian Gulf region as a center of global commerce and tourism and as a cultural crossroad between East and West. The health-care infrastructure has undergone rapid development. Collaborations with academic medical centers now exist to advance clinical care, teaching and research. Emergency medicine has also advanced and is undergoing dynamic change. Dubai may soon emerge as a regional leader in emergency medicine training and practice.
Knowledge and Skills of Healthcare Providers in Sub-Saharan Africa and Asia before and after Competency-Based Training in Emergency Obstetric and Early Newborn Care.

Science.gov (United States)

Ameh, Charles A; Kerr, Robert; Madaj, Barbara; Mdegela, Mselenge; Kana, Terry; Jones, Susan; Lambert, Jaki; Dickinson, Fiona; White, Sarah; van den Broek, Nynke

2016-01-01

Healthcare provider training in Emergency Obstetric and Newborn Care (EmOC&NC) is a component of 65% of intervention programs aimed at reducing maternal and newborn mortality and morbidity. It is important to evaluate the effectiveness of this. We evaluated knowledge and skills among 5,939 healthcare providers before and after 3-5 days 'skills and drills' training in emergency obstetric and newborn care (EmOC&NC) conducted in 7 sub-Saharan Africa countries (Ghana, Kenya, Malawi, Nigeria, Sierra Leone, Tanzania, Zimbabwe) and 2 Asian countries (Bangladesh, Pakistan). Standardised assessments using multiple choice questions and objective structured clinical examination (OSCE) were used to measure change in knowledge and skills and the Improvement Ratio (IR) by cadre and by country. Linear regression was performed to identify variables associated with pre-training score and IR. 99.7% of healthcare providers improved their overall score with a median (IQR) increase of 10.0% (5.0% - 15.0%) for knowledge and 28.8% (23.1% - 35.1%) for skill. There were significant improvements in knowledge and skills for each cadre of healthcare provider and for each country (phealthcare providers working in maternity wards in both sub-Saharan Africa and Asia. Additional support and training is needed for use of the partograph as a tool to monitor progress in labour. Further research is needed to assess if this is translated into improved service delivery.
The Effect of Emergency Department Overcrowding on Efficiency of Emergency Medicine Residents’ Education

Directory of Open Access Journals (Sweden)

Anita Sabzghabaei

2014-09-01

Full Text Available Introduction: Creating a calm and stress-free environment affects education significantly. The effects of the emergency department overcrowding (EDO on the training of emergency medicine residents (EMR is a highly debated subject. Therefore, this study aimed to evaluate the effect of EDO on efficiency of EMR’s education. Methods: In this cross-sectional study, the effects of overcrowding on EMR’s education in the resuscitation room and acute care unit. Data collection was done using a questionnaire, which was filled out by the second year EMRs. The crowding level was calculated based on the national emergency department overcrowding scale (NEDOCS. The relationship between the two studied variables was evaluated using independent sample t-test and SPSS 21 statistical software. Results: 130 questionnaires were filled out during 61 shifts. 47 (77.05% shifts were overcrowded. The attend’s ability to teach was not affected by overcrowding in the resuscitation room (p=0.008. The similar results were seen regarding the attend’s training ability in the acute care unit. Conclusion: It seems that the emergency department overcrowding has no effect on the quality of education to the EMRs.
14 CFR 135.331 - Crewmember emergency training.

Science.gov (United States)

2010-01-01

... REQUIREMENTS: COMMUTER AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Training... of crew and passenger oxygen. (6) Removal of life rafts from the aircraft, inflation of the life rafts, use of life lines, and boarding of passengers and crew, if applicable. (7) Donning and inflation...
Virtual reality: emerging role of simulation training in vascular access.

Science.gov (United States)

Davidson, Ingemar J A; Lok, Charmaine; Dolmatch, Bart; Gallieni, Maurizio; Nolen, Billy; Pittiruti, Mauro; Ross, John; Slakey, Douglas

2012-11-01

Evolving new technologies in vascular access mandate increased attention to patient safety; an often overlooked yet valuable training tool is simulation. For the end-stage renal disease patient, simulation tools are effective for all aspects of creating access for peritoneal dialysis and hemodialysis. Based on aviation principles, known as crew resource management, we place equal emphasis on team training as individual training to improve interactions between team members and systems, cumulating in improved safety. Simulation allows for environmental control and standardized procedures, letting the trainee practice and correct mistakes without harm to patients, compared with traditional patient-based training. Vascular access simulators range from suture devices, to pressurized tunneled conduits for needle cannulation, to computer-based interventional simulators. Simulation training includes simulated case learning, root cause analysis of adverse outcomes, and continual update and refinement of concepts. Implementation of effective human to complex systems interaction in end-stage renal disease patients involves a change in institutional culture. Three concepts discussed in this article are as follows: (1) the need for user-friendly systems and technology to enhance performance, (2) the necessity for members to both train and work together as a team, and (3) the team assigned to use the system must test and practice it to a proficient level before safely using the system on patients. Copyright © 2012 Elsevier Inc. All rights reserved.
ISD Designed Medical Specialist Training.

Science.gov (United States)

Rock, Samuel K., Jr.; Chagalis, George P.

The Basic Medical Specialist course has one of the largest enrollments of the U.S. Army's Academy of Health Sciences; 11,000 soldiers were trained in this course in 1977 and 1978. Training encompasses both emergency first aid (for field medics) and basic nursing skills. A task force working to improve Army training developed this course, in…
Risk perception of different emergencies in a sample of European firefighters.

Science.gov (United States)

Prati, Gabriele; Pietrantoni, Luca; Saccinto, Elisa; Kehl, Doris; Knuth, Daniela; Schmidt, Silke

2013-01-01

Firefighters frequently incur injuries while providing emergency services. Risk perception has been found to be associated with injury and safety behavior. This study examined risk perception of different emergency situations among firefighters. Along with risk perceptions, we investigated the role of practical experience, perceived training, tenure, and acute stress related to different emergency situations. Participants were a sample of 1324 firefighters from Germany and Italy. A questionnaire was administered to participants on risk perceptions, practical experience, perceived training, tenure, and acute stress. The results showed that different levels of risk perception are related to different practical experience, acute stress reactions, and training. Higher risk perception was associated with higher perceived training, practical experience, and acute stress reactions. A significant difference was found between the German and the Italian sample in risk perceptions. More specifically the Italian sample perceived disasters (e.g., earthquakes) as more risky. Moreover, there were some differences in perceived training and practical experience about the different emergency situations, in the two samples. The results underline the importance of considering organizational factors in the prediction of risk perception among firefighters.
Sense and purpose of radiation protection training

International Nuclear Information System (INIS)

Malasek, A.

1992-04-01

Training in radiation protection is of great significance in connection with the activities of the executive, the federal army and emergency organizations in emergency operations for the protection of the population in the case of large-scale radioactive contamination due to diverse causes. The presently valid legal situation of radiation protection training is presented in connection with the expected modification in the amendment to the SSVO. The special situation of radiation protection training for the executive, the federal army and emergency organizations is described and discussed in connection with the new aspects outlined in the draft of the new radiation protection regulation. In conclusion, problems arising in the conveyance of basic knowledge in radiation protection are illustrated by means of a concrete example. (author)
Use of a Web Site to Enhance Criticality Safety Training

International Nuclear Information System (INIS)

Huang, S T; Morman, J

2003-01-01

Currently, a website dedicated to enhancing communication and dissemination of criticality safety information is sponsored by the U.S. Department of Energy (DOE) Nuclear Criticality Safety Program (NCSP). This website was developed as part of the DOE response to the Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 97-2, which reflected the need to make criticality safety information available to a wide audience. The website is the focal point for DOE nuclear criticality safety (NCS) activities, resources and references, including hyperlinks to other sites actively involved in the collection and dissemination of criticality safety information. The website is maintained by the Lawrence Livermore National Laboratory (LLNL) under auspices of the NCSP management. One area of the website contains a series of Nuclear Criticality Safety Engineer Training (NCSET) modules. During the past few years, many users worldwide have accessed the NCSET section of the NCSP website and have downloaded the training modules as an aid for their training programs. This trend was remarkable in that it points out a continuing need of the criticality safety community across the globe. It has long been recognized that training of criticality safety professionals is a continuing process involving both knowledge-based training and experience-based operations floor training. As more of the experienced criticality safety professionals reach retirement age, the opportunities for mentoring programs are reduced. It is essential that some method be provided to assist the training of young criticality safety professionals to replenish this limited human expert resource to support on-going and future nuclear operations. The main objective of this paper is to present the features of the NCSP website, including its mission, contents, and most importantly its use for the dissemination of training modules to the criticality safety community. We will discuss lessons learned and several ideas
Training simulator for operations at LNG terminals

International Nuclear Information System (INIS)

Tsuta, T.; Yamamoto, K.; Tetsuka, S.; Koyama, K.

1997-01-01

The Tokyo Gas LNG terminals are among the major energy centers of the Tokyo area, supplying 8 million customers with city gas, and also supplying fuel for thermal power generation at the neighboring thermal power plant operated by the Tokyo Electric Power Company. For this reason, in the event of an emergency at the terminal operators have to be able to respond quickly and accurately to restore operations and prevent secondary damage. Modern LNG terminals are highly reliable and are equipped with backup systems, and occurrences of major trouble are now almost nil. Operators therefore have to be trained to respond to emergencies using simulators, in order to heighten their emergency response capabilities. Tokyo Gas Co., Ltd. has long been aware of the need for simulators and has used them in training, but a new large-scale, real-time simulator has now developed in response to new training needs, applying previously accumulated expertise to create a model of an entire LNG terminal incorporating new features. The development of this new simulator has made possible training for emergencies affecting an entire terminal, and this has been very effective in raising the standards of operators. (au)

Promoting cultural humility during labor and birth: putting theory into action during PRONTO obstetric and neonatal emergency training.

Science.gov (United States)

Fahey, Jenifer O; Cohen, Susanna R; Holme, Francesca; Buttrick, Elizabeth S; Dettinger, Julia C; Kestler, Edgar; Walker, Dilys M

2013-01-01

Maternal and neonatal mortality in Northern Guatemala, a region with a high percentage of indigenous people, is disproportionately high. Initiatives to improve quality of care at local health facilities equipped for births, and increasing the number of births attended at these facilities will help address this problem. PRONTO (Programa de Rescate Obstétrico y Neonatal: Tratamiento Óptimo y Oportuno) is a low-tech, high-fidelity, simulation-based, provider-to-provider training in the management of obstetric and neonatal emergencies. This program has been successfully tested and implemented in Mexico. PRONTO will now be implemented in Guatemala as part of an initiative to decrease maternal and perinatal mortality. Guatemalan health authorities have requested that the training include training on cultural humility and humanized birth. This article describes the process of curricular adaptation to satisfy this request. The PRONTO team adapted the existing program through 4 steps: (a) analysis of the problem and context through a review of qualitative data and stakeholder interviews, (b) literature review and adoption of a theoretical framework regarding cultural humility and adult learning, (c) adaptation of the curriculum and design of new activities and simulations, and (d) implementation of adapted and expanded curriculum and further refinement in response to participant response.
Planning for nuclear emergencies

International Nuclear Information System (INIS)

Lakey, J.R.A.

1989-01-01

This paper aims to stimulate discussions between nuclear engineers and the radiological protection professions in order to facilitate planning for nuclear emergencies. A brief review is given of the response to nuclear accidents. Studying accidents can lead to prevention, but some effort must be put into emergency response. Such issues as decontamination and decommissioning, socio-economic consequences, education and training for nuclear personnel and exercises and drills, are raised. (UK)
Interprofessional Learning - Development and Implementation of Joint Medical Emergency Team Trainings for Medical and Nursing Students at Universitätsmedizin Greifswald.

Science.gov (United States)

Partecke, Maud; Balzer, Claudius; Finkenzeller, Ingmar; Reppenhagen, Christiane; Hess, Ulrike; Hahnenkamp, Klaus; Meissner, Konrad

2016-01-01

Interprofessional collaboration is of great importance in clinical practice, particularly in the field of emergency medicine. The professions involved in providing emergency care must work hand in hand, and tasks and routines must be coordinated effectively. However, medical and nursing students have only few opportunities to experience interprofessional cooperation during their formal training. Addressing this situation, the Department of Anesthesiology and the Vocational School of Greifswald University Medical School initiated a project to increase patient safety by integrating interprofessional human factor training into the curriculum of both health professions. This manuscript addresses how an interprofessional course module focusing on clinical emergency medicine can be taught with an emphasis on competency and problem-solving. In addition, it was important to identify suitable instruments for systematic quality development and assurance of this teaching and learning format. The aim of the project, which took place from October 2013 to September 2015, was the development, implementation and evaluation of a simulation-based, interprofessional course module on clinical emergency medicine. Target groups were medical and nursing students. Modern pedagogical models and methods were applied to the design and teaching of the course content. The project was carried out in separate phases: definition, planning, practical implementation, evaluation and documentation. The project was accompanied by systematic quality development. Established guidelines for quality-centered school development were applied to quality development, assurance and evaluation. Over two years, a 16 credit-hour course module was developed and then taught and evaluated during the 2014 and 2015 summer semesters. A total of 120 medical students and 120 nursing students participated in the course module. Eighteen teachers from medicine and nursing were trained as instructors and assisted by 12
Real-time monitoring/emergency response modeling workstation for a tritium facility

International Nuclear Information System (INIS)

Lawver, B.S.; Sims, J.M.; Baskett, R.L.

1993-01-01

At Lawrence Livermore National Laboratory (LLNL) we have developed a real-time system to monitor two stacks on our tritium handling facility. The monitors transmit the stack data to a workstation, which computes a three-dimensional numerical model of atmospheric dispersion. The workstation also collects surface and upper air data from meteorological towers and a sodar. The complex meteorological and terrain setting in the Livermore Valley demands more sophisticated resolution of the three-dimensional structure of the atmosphere to reliably calculate plume dispersion than afforded by Gaussian models. We experience both mountain valley and sea breeze flows. To address these complexities, we have implemented the three-dimensional diagnostic MATHEW mass-adjusted wind field and ADPIC particle-in-cell dispersion models on the workstation for use in real-time emergency response modeling. Both MATHEW and ADPIC have shown their utility in a variety of complex settings over the last 15 yr within the U.S. Department of Energy's Atmospheric Release Advisory Capability (ARAC) project. Faster workstations and real-time instruments allow utilization of more complex three-dimensional models, which provides a foundation for building a real-time monitoring and emergency response workstation for a tritium facility. The stack monitors are two ion chambers per stack
The state of emergency care in Democratic Republic of Congo

Directory of Open Access Journals (Sweden)

Luc Malemo Kalisya

2015-12-01

Full Text Available The Democratic Republic of Congo (DRC is the second largest country on the African continent with a population of over 70 million. It is also a major crossroad through Africa as it borders nine countries. Unfortunately, the DRC has experienced recurrent political and social instability throughout its history and active fighting is still prevalent today. At least two decades of conflict have devastated the civilian population and collapsed healthcare infrastructure. Life expectancy is low and government expenditure on health per capita remains one of the lowest in the world. Emergency Medicine has not been established as a specialty in the DRC. While the vast majority of hospitals have emergency rooms or salle des urgences, this designation has no agreed upon format and is rarely staffed by doctors or nurses trained in emergency care. Presenting complaints include general and obstetric surgical emergencies as well as respiratory and diarrhoeal illnesses. Most patients present late, in advanced stages of disease or with extreme morbidity, so mortality is high. Epidemics include HIV, cholera, measles, meningitis and other diarrhoeal and respiratory illnesses. Lack of training, lack of equipment and fee-for-service are cited as barriers to care. Pre-hospital care is also not an established specialty. New initiatives to improve emergency care include training Congolese physicians in emergency medicine residencies and medic ranger training within national parks.
The EBIT Calorimeter Spectrometer: a new, permanent user facility at the LLNL EBIT

International Nuclear Information System (INIS)

Porter, F.S.; Beiersdorfer, P.; Brown, G.V.; Doriese, W.; Gygax, J.; Kelley, R.L.; Kilbourne, C.A.; King, J.; Irwin, K.; Reintsema, C.; Ullom, J.

2007-01-01

The EBIT Calorimeter Spectrometer (ECS) is currently being completed and will be installed at the EBIT facility at the Lawrence Livermore National Laboratory in October 2007. The ECS will replace the smaller XRS/EBIT microcalorimeter spectrometer that has been in almost continuous operation since 2000. The XRS/EBIT was based on a spare laboratory cryostat and an engineering model detector system from the Suzaku/XRS observatory program. The new ECS spectrometer was built to be a low maintenance, high performance implanted silicon microcalorimeter spectrometer with 4 eV resolution at 6 keV, 32 detector channels, 10 (micro)s event timing, and capable of uninterrupted acquisition sessions of over 60 hours at 50 mK. The XRS/EBIT program has been very successful, producing many results on topics such as laboratory astrophysics, atomic physics, nuclear physics, and calibration of the spectrometers for the National Ignition Facility. The ECS spectrometer will continue this work into the future with improved spectral resolution, integration times, and ease-of-use. We designed the ECS instrument with TES detectors in mind by using the same highly successful magnetic shielding as our laboratory TES cryostats. This design will lead to a future TES instrument at the LLNL EBIT. Here we discuss the legacy of the XRS/EBIT program, the performance of the new ECS spectrometer, and plans for a future TES instrument.
Development of a National Consensus for Tactical Emergency Medical Support (TEMS) Training Programs--Operators and Medical Providers.

Science.gov (United States)

Schwartz, Richard; Lerner, Brooke; Llwewllyn, Craig; Pennardt, Andre; Wedmore, Ian; Callaway, David; Wightman, John; Casillas, Raymond; Eastman, Alex; Gerold, Kevin; Giebner, Stephen; Davidson, Robert; Kamin, Richard; Piazza, Gina; Bollard, Glenn; Carmona, Phillip; Sonstrom, Ben; Seifarth, William; Nicely, Barbara; Croushorn, John; Carmona, Richard

2014-01-01

Tactical teams are at high risk of sustaining injuries. Caring for these casualties in the field involves unique requirements beyond what is provided by traditional civilian emergency medical services (EMS) systems. Despite this need, the training objectives and competencies are not uniformly agreed to or taught. An expert panel was convened that included members from the Departments of Defense, Homeland Security, Justice, and Health and Human Services, as well as federal, state, and local law-enforcement officers who were recruited through requests to stakeholder agencies and open invitations to individuals involved in Tactical Emergency Medical Services (TEMS) or its oversight. Two face-to-face meetings took place. Using a modified Delphi technique, previously published TEMS competencies were reviewed and updated. The original 17 competency domains were modified and the most significant changes were the addition of Tactical Emergency Casualty Care (TECC), Tactical Familiarization, Legal Aspects of TEMS, and Mass Casualty Triage to the competency domains. Additionally, enabling and terminal learning objectives were developed for each competency domain. This project has developed a minimum set of medical competencies and learning objectives for both tactical medical providers and operators. This work should serve as a platform for ensuring minimum knowledge among providers, which will serve enhance team interoperability and improve the health and safety of tactical teams and the public. 2014.
Effect of endurance exercise training on oxidative stress in spontaneously hypertensive rats (SHR) after emergence of hypertension.

Science.gov (United States)

Kimura, Hiroko; Kon, Nobuko; Furukawa, Satoshi; Mukaida, Masahiro; Yamakura, Fumiyuki; Matsumoto, Kazuko; Sone, Hirohito; Murakami-Murofushi, Kimiko

2010-01-01

The purpose of this study is to elucidate the effect of wheel training on oxidative stress maker levels in spontaneous hypertensive rats (SHR). 4-hydroxynonenal and 3-nitrotyrosine levels in the aorta of SHRs were allowed to run for 10 weeks from the age of 15 weeks were measured and compared with those of nonexercised SHRs. The 4-hydroxynonenal and 3-nitrotyrosine levels in the exercised group were significantly lower than those in the nonexercised group. The exercised group showed a significant increase of manganese-containing superoxide dismutase. Endurance exercise showed a possible suppressing effect on the arteriosclerosis development by reducing oxidative stress, even after emergence of hypertension.
Emergency medicine program targets "brain drain" in Ethiopia ...

International Development Research Centre (IDRC) Digital Library (Canada)

2016-04-29

Apr 29, 2016 ... ... (TAAAC-EM) project, access to emergency medicine is increasing for Ethiopians. With IDRC support, the TAAAC-EM postgraduate emergency medicine training program ... From hospitals to herbalists: Rx herbal medicines.
A Formalized Three-Year Emergency Medicine Residency Ultrasound Education Curriculum

Directory of Open Access Journals (Sweden)

Andrew King

2016-09-01

Full Text Available Audience and type of curriculum: The Ohio State University Wexner Medical Center Emergency Medicine Residency Program Ultrasound Education Curriculum is a three-year curriculum for PGY-1 to PGY-3 learners. Introduction/Background: Each year of the three-year The Ohio State University Wexner Medical Center Emergency Medicine Ultrasound Curriculum focuses on different aspects of emergency ultrasonography, thereby promoting progressive understanding and utilization of point-of-care ultrasound in medical decision-making during residency training. Ultrasound is an invaluable bedside tool for emergency physicians; this skill must be mastered by resident learners during residency training, and ultrasound competency is a required ACGME milestone.1 The American College of Emergency Physicians (ACEP currently recommends that 11 applications of emergency ultrasound be part of the core skills of an emergency physician.2 This curriculum acknowledges the standards developed by ACEP and the ACGME. Objectives: Learners will 1 know the indications for each the 11 ACEP point-of-care ultrasound (POCUS applications; 2 perform each of the 11 ACEP POCUS applications; 3 integrate POCUS into medical decision-making. Methods: The educational strategies used in this curriculum include: independent, self-directed learning (textbook and literature reading, brief didactic sessions describing indications and technique for each examination, hands-on ultrasound scanning under the direct supervision of ultrasound faculty with real-time feedback, and quality assurance review of ultrasound images. Residents are expected to perform a minimum of 150 ultrasound examinations with associated quality assurance during the course of their residency training. The time requirements, reading material, and ultrasound techniques taught vary depending on the year of training. Length of curriculum: The entirety of the curriculum is three years; however, each year of residency training has
[Out-of-hospital pediatric emergencies. Perception and assessment by emergency physicians].

Science.gov (United States)

Eich, C; Roessler, M; Timmermann, A; Heuer, J F; Gentkow, U; Albrecht, B; Russo, S G

2009-09-01

Out-of-hospital (OOH) pediatric emergencies have a relatively low prevalence. In Germany the vast majority of cases are attended by non-specialized emergency physicians (EPs) for whom these are not routine procedures. This may lead to insecurity and fear. However, it is unknown how EPs perceive and assess pediatric emergencies and how they could be better prepared for them. All active EPs (n=50) of the Department of Anaesthesiology, Emergency and Intensive Care Medicine at the University Medical Centre of Göttingen were presented with a structured questionnaire in order to evaluate their perception and assessment of OOH pediatric emergencies. The 43 participating EPs made highly detailed statements on the expected characteristics of OOH pediatric emergencies. Their confidence level grew with the children's age (pemergencies. They felt the greatest deficits were in the care of infrequent but life-threatening emergencies. Three educational groups can be differentiated: knowledge and skills to be gained with children in hospital, clinical experience from adult care also applicable in children and rare diagnoses and interventions to be trained with manikins or simulators.
Knowledge, Skills and Experience Managing Tracheostomy Emergencies: A Survey of Critical Care Medicine trainees

LENUS (Irish Health Repository)

Nizam, AA

2016-10-01

Since the development of percutaneous tracheostomy, the number of tracheostomy patients on hospital wards has increased. Problems associated with adequate tracheostomy care on the wards are well documented, particularly the management of tracheostomy-related emergencies. A survey was conducted among non-consultant hospital doctors (NCHDs) starting their Critical Care Medicine training rotation in a university affiliated teaching hospital to determine their basic knowledge and skills in dealing with tracheostomy emergencies. Trainees who had received specific tracheostomy training or who had previous experience of dealing with tracheostomy emergencies were more confident in dealing with such emergencies compared to trainees without such training or experience. Only a minority of trainees were aware of local hospital guidelines regarding tracheostomy care. Our results highlight the importance of increased awareness of tracheostomy emergencies and the importance of specific training for Anaesthesia and Critical Care Medicine trainees.
Training for Three Wars Ago: Antiquated C-130H Pilot Training

Science.gov (United States)

2015-10-01

negotiations between President Carter and Raoul Cédras halted the combat invasion of Haiti, and the aircraft heading to Haiti were recalled .12 Middle...accomplished within a period, to equally spreading the training burden over more time allowing lessons learned and muscle memory to develop from more consistent...cost squadron level trainer that allows for advanced mission rehearsal , threat awareness training, aircraft system refreshers, emergency procedure
Task 1.5 Genomic Shift and Drift Trends of Emerging Pathogens

Energy Technology Data Exchange (ETDEWEB)

Borucki, M

2010-01-05

The Lawrence Livermore National Laboratory (LLNL) Bioinformatics group has recently taken on a role in DTRA's Transformation Medical Technologies Initiative (TMTI). The high-level goal of TMTI is to accelerate the development of broad-spectrum countermeasures. To achieve those goals, TMTI has a near term need to conduct analyses of genomic shift and drift trends of emerging pathogens, with a focused eye on select agent pathogens, as well as antibiotic and virulence markers. Most emerging human pathogens are zoonotic viruses with a genome composed of RNA. The high mutation rate of the replication enzymes of RNA viruses contributes to sequence drift and provides one mechanism for these viruses to adapt to diverse hosts (interspecies transmission events) and cause new human and zoonotic diseases. Additionally, new viral pathogens frequently emerge due to genetic shift (recombination and segment reassortment) which allows for dramatic genotypic and phenotypic changes to occur rapidly. Bacterial pathogens also evolve via genetic drift and shift, although sequence drift generally occurs at a much slower rate for bacteria as compared to RNA viruses. However, genetic shift such as lateral gene transfer and inter- and intragenomic recombination enables bacteria to rapidly acquire new mechanisms of survival and antibiotic resistance. New technologies such as rapid whole genome sequencing of bacterial genomes, ultra-deep sequencing of RNA virus populations, metagenomic studies of environments rich in antibiotic resistance genes, and the use of microarrays for the detection and characterization of emerging pathogens provide mechanisms to address the challenges posed by the rapid emergence of pathogens. Bioinformatic algorithms that enable efficient analysis of the massive amounts of data generated by these technologies as well computational modeling of protein structures and evolutionary processes need to be developed to allow the technology to fulfill its potential.
Emergency medicine and the airline passenger

Science.gov (United States)

Mohler, S. R.; Nicogossian, A.; Margulies, R. A.

1980-01-01

Problems related to immediate medical care in case of in-flight emergencies are discussed with reference to such critical types of medical emergencies as obstructed airway, cardiac dysfunction, trauma, hemorrhage, hypoxia, and pain. It is shown that training flight attendants to deal with in-flight medical emergencies and to use first-aid support equipment and essential and useful drugs may later help with stabilization of a victim and allow continuing the flight to the scheduled destination without the need for a diverted landing. Among the steps suggested in order to upgrade inflight welfare and safety of passengers are the development of an advisory circular by the FAA covering standardized training for flight attendants, regulatory action requiring upgrading of the present rudimentary first-aid kit, and the enactment of Good Samaritan legislation by the U.S. Government.
Emergencies in radiology: a survey of radiologist and radiology trainees

International Nuclear Information System (INIS)

Craig, Simon; Naidoo, Parmanand

2014-01-01

Emergencies in radiology are infrequent but potentially lethal. Australian and New Zealand radiologists are advised to undergo resuscitation training at least every three years; however, little is known about their experience and confidence in managing common emergencies relevant to their clinical practice. This paper describes the current experience and confidence of radiologists and radiology trainees in Australia and New Zealand in the management of common medical emergencies. A cross-sectional online survey of trainees and fellows of the Royal Australian and New Zealand College of Radiology collected data on training and learning preferences relating to resuscitation and life-support skills, access to emergency medical care, and knowledge, confidence and ability in managing a variety of medical emergencies. There were 602 responses to the survey (response rate 23.4%). The majority of respondents were interested in learning more about the management of contrast reactions, cardiac arrest, ischaemic chest pain and basic life support. Self-rated knowledge, confidence and ability were higher in respondents who had completed life-support training within the previous three years. In this group, however, more than 40% rated their ability at managing contrast reactions as poor or fair, while more than 60% rated their ability as poor or fair for management of cardiac arrest, basic life support, advanced life support and dosing of adrenaline. Preferred resuscitation training modalities included simulation, small-group tutorials and workshops. Self-reported level of skill and expertise in the management of potential emergencies in radiology is suboptimal among a large number of respondents. Consideration should be given to addressing this by improving access to specific training.
Emergency management and the nuclear terrorism threat

International Nuclear Information System (INIS)

DeVito, D.A.; Suiter, L.

1987-01-01

Counterterrorism is not the province of the emergency manager. Generally law enforcement has that role. Instead, the emergency manager's role is crisis management; the responsibility is to be the focal point for the chief executive officer (mayor, governor, or national executive) regarding the protection of the population. Managers must be able to gather and synthesize sufficient information, rapidly and accurately, on which to base sound decisions. To do so, they must have a highly efficient, coordinated emergency management organization in place at the state and local levels of government, and there must be a workable plan for emergency operations that integrates all public safety forces into an effective response to all types of emergencies. A major goal of emergency management is to ensure that government is in control and that the public perceives that the system is working. All states have an emergency management organization at the state level, as do most counties and large cities. However, some states and local governments, particularly those that have nuclear power plants within their borders, are better staffed, equipped, and trained than others to deal with nuclear incidents. States with nuclear facilities have an emergency management organization, an emergency plan, and adequate communications, equipment, and trained personnel to handle a nuclear accident or incident at a plant. 21 references
The emergency first aid responder system model: using community members to assist life-threatening emergencies in violent, developing areas of need.

Science.gov (United States)

Sun, Jared H; Wallis, Lee A

2012-08-01

As many as 90% of all trauma-related deaths occur in developing nations, and this is expected to get worse with modernisation. The current method of creating an emergency care system by modelling after that of a Western nation is too resource-heavy for most developing countries to handle. A cheaper, more community-based model is needed to establish new emergency care systems and to support them to full maturity. A needs assessment was undertaken in Manenberg, a township in Cape Town with high violence and injury rates. Community leaders and successfully established local services were consulted for the design of a first responder care delivery model. The resultant community-based emergency first aid responder (EFAR) system was implemented, and EFARs were tracked over time to determine skill retention and usage. The EFAR system model and training curriculum. Basic EFARs are spread throughout the community with the option of becoming stationed advanced EFARs. All EFARs are overseen by a local organisation and a professional body, and are integrated with the local ambulance response if one exists. On competency examinations, all EFARs tested averaged 28.2% before training, 77.8% after training, 71.3% 4 months after training and 71.0% 6 months after training. EFARs reported using virtually every skill taught them, and further review showed that they had done so adequately. The EFAR system is a low-cost, versatile model that can be used in a developing region both to lay the foundation for an emergency care system or support a new one to maturity.
Mental Health and Drivers of Need in Emergent and Non-Emergent Emergency Department (ED) Use: Do Living Location and Non-Emergent Care Sources Matter?

Science.gov (United States)

McManus, Moira C; Cramer, Robert J; Boshier, Maureen; Akpinar-Elci, Muge; Van Lunen, Bonnie

2018-01-13

Emergency department (ED) utilization has increased due to factors such as admissions for mental health conditions, including suicide and self-harm. We investigate direct and moderating influences on non-emergent ED utilization through the Behavioral Model of Health Services Use. Through logistic regression, we examined correlates of ED use via 2014 New York State Department of Health Statewide Planning and Research Cooperative System outpatient data. Consistent with the primary hypothesis, mental health admissions were associated with emergent use across models, with only a slight decrease in effect size in rural living locations. Concerning moderating effects, Spanish/Hispanic origin was associated with increased likelihood for emergent ED use in the rural living location model, and non-emergent ED use for the no non-emergent source model. 'Other' ethnic origin increased the likelihood of emergent ED use for rural living location and no non-emergent source models. The findings reveal 'need', including mental health admissions, as the largest driver for ED use. This may be due to mental healthcare access, or patients with mental health emergencies being transported via first responders to the ED, as in the case of suicide, self-harm, manic episodes or psychotic episodes. Further educating ED staff on this patient population through gatekeeper training may ensure patients receive the best treatment and aid in driving access to mental healthcare delivery changes.
Training to handle unexpected events

International Nuclear Information System (INIS)

Hamlin, K.W.

1987-01-01

The importance of conducting hands-on training to deal with complex situations is well recognized. Since most utilities now own or have ordered their own control room simulators, access to simulator training facilities has improved greatly. Most utilities now have a control room shift rotation that includes a dedicated training shift. The opportunities for practicing operational control over unexpected and off-normal events are just beginning to be recognized. Areas that are being enhanced include teamwork training, diagnostics training, expanded simulator training programs, improvements in simulator instructor training, emergency procedures training, and training on the use of probabilistic risk assessment studies. All these efforts are aimed at the goal of improving the plant staff's ability to cope with unexpected and off-normal events

Otological emergencies among the northern Nigerian children ...

African Journals Online (AJOL)

Conclusion: Acute suppurative otitis media, acute otitis media and foreign body insertion into the ear still constitute the common otological emergencies in Northern Nigeria. These are all preventable emergencies through community health education, training of community health worker to recognize the symptom and signs ...
Emergency neuroradiology

International Nuclear Information System (INIS)

Scarabino, T.; Hospital of Andria; Salvolini, U.; Jinkins, J.R.

2006-01-01

The book is directed at emergency radiologists and neuroradiologists. It aims at providing exhaustive information that will help the reader understand the clinical problems in the full range of neurological emergencies and to select the methodological and technical options that will ensure prompt and effective response and correct interpretation of the clinical findings. The various chapters address the most common neuroradiological emergencies, summarize their fundamental physiopathological features, describe the main semiological and differential diagnostic features, and provide operative suggestions for the selection of the appropriate techniques to be applied in a sequential order. The book addresses the application of state-of-the-art techniques and their implications for clinical practice (particularly the contributions of standard and functional MRI and of spiral and multislice CT). The illustrations provide not only training but also reference material for routine clinical work. (orig.)
STS-71 astronauts before egress training

Science.gov (United States)

1994-01-01

Astronaut Robert L. Gibson (left), STS-71 mission commander, converses with two crew mates prior to emergency egress training in the Systems Integration Facility at JSC. Astronaut Bonnie J. Dunbar and Gregory J. Harbaugh are attired in training versions o
Development of engineering drawing ability for emerging engineering education

Science.gov (United States)

Guo, Jian-Wen; Cao, Xiao-Chang; Xie, Li; Jin, Jian-Jun; Wang, Chu-Diao

2017-09-01

Students majoring in engineering is required by the emerging engineering education (3E) in the aspect of their ability of engineering drawing. This paper puts forward training mode of engineering drawing ability for 3E. This mode consists of three kinds of training including training in courses, training in competitions and training in actual demand. We also design the feasible implementation plan and supplies viable references to carry out the mode.
A Simulation-Based Approach to Training Operational Cultural Competence

Science.gov (United States)

Johnson, W. Lewis

2010-01-01

Cultural knowledge and skills are critically important for military operations, emergency response, or any job that involves interaction with a culturally diverse population. However, it is not obvious what cultural knowledge and skills need to be trained, and how to integrate that training with the other training that trainees must undergo. Cultural training needs to be broad enough to encompass both regional (culture-specific) and cross-cultural (culture-general) competencies, yet be focused enough to result in targeted improvements in on-the-job performance. This paper describes a comprehensive instructional development methodology and training technology framework that focuses cultural training on operational needs. It supports knowledge acquisition, skill acquisition, and skill transfer. It supports both training and assessment, and integrates with other aspects of operational skills training. Two training systems will be used to illustrate this approach: the Virtual Cultural Awareness Trainer (VCAT) and the Tactical Dari language and culture training system. The paper also discusses new and emerging capabilities that are integrating cultural competence training more strongly with other aspects of training and mission rehearsal.
A real-time monitoring/emergency response modeling workstation for a tritium facility

International Nuclear Information System (INIS)

Lawver, B.S.; Sims, J.M.; Baskett, R.L.

1993-07-01

At Lawrence Livermore National Laboratory (LLNL) we developed a real-time system to monitor two stacks on our tritium handling facility. The monitors transmit the stack data to a workstation which computes a 3D numerical model of atmospheric dispersion. The workstation also collects surface and upper air data from meteorological towers and a sodar. The complex meteorological and terrain setting in the Livermore Valley demands more sophisticated resolution of the three-dimensional structure of the atmosphere to reliably calculate plume dispersion than afforded by Gaussian models. We experience both mountain valley and sea breeze flows. To address these complexities, we have implemented the three-dimensional diagnostic MATHEW mass-adjusted wind field and ADPIC particle-in-cell dispersion models on the workstation for use in real-time emergency response modeling. Both MATHEW and ADPIC have shown their utility in a variety of complex settings over the last 15 years within the Department of Energy's Atmospheric Release Advisory Capability (ARAC[1,2]) project
Medical emergencies in dental practice.

LENUS (Irish Health Repository)

Wilson, M H

2009-06-01

Serious medical emergencies are fortunately a rare occurrence in the dental practice environment; however, if an emergency situation is encountered a delay in treatment may result in potentially avoidable consequences. The risk of mortality or serious morbidity can be reduced by ensuring that basic emergency equipment and medications are in place, and that the dental team is appropriately trained in basic life support measures. This article aims to provide an overview of the basic emergency medications and equipment that should be present in dental practices, and to discuss specific responses to some of the more common adverse medical events that can present while providing dental treatment.
Workplace violence against nurses in Indonesian emergency departments.

Science.gov (United States)

Noorana Zahra, Anggri; Feng, Jui-Ying

2018-02-01

The objective of this study was to examine the experiences of violent incidents by nurses in Indonesian emergency departments. The World Health Organization's structured questionnaire on workplace violence in the health sector was modified and translated into Bahasa. The study participants were 169 nurses working in emergency departments in six hospitals in Jakarta and Bekasi, Indonesia. The gathered data were analyzed using descriptive and multivariate logistic regression. Ten percent of emergency nurses reported experiencing physical violence, perpetrated mostly by patients, whereas more than half of emergency nurses (54.6%) reported experiencing non-physical violence, with patients' relative as the main perpetrators. A majority of nurses (55.6%) did not have encouragement to report workplace violence, and very few nurses (10.1%) had received any information or training about workplace violence. The findings of this study highlighted the seriousness of violence in Indonesian emergency departments. Support from management, encouragement to report violence, and access to workplace violence training were expected to mitigate and manage violence against nurses in emergency departments. Copyright © 2018 Elsevier España, S.L.U. All rights reserved.
Nuclear emergency protection. Today and tomorrow

International Nuclear Information System (INIS)

Buettner, Jens Uwe

2016-01-01

The state of affairs of the nuclear emergency protection at accidents in connection with the use of nuclear power, at incidents with dangerous radiation sources as well as in case of criminal use of radioactive substances is presented. Moreover, the organization and the responsibilities as well as the preparation and realization of emergency training are considered and commented.
Modifications to LLNL Plutonium Packaging Systems (PuPS) to achieve ASME VIII UW-13.2(d) Requirements for the DOE Standard 3013-00 Outer Can Weld

International Nuclear Information System (INIS)

Riley, D; Dodson, K

2001-01-01

The Lawrence Livermore National Laboratory (LLNL) Plutonium Packaging System (PuPS) prepares packages to meet the DOE Standard 3013 (Reference 1). The PuPS equipment was supplied by the British Nuclear Fuels Limited (BNFL). The DOE Standard 3013 requires that the welding of the Outer Can meets ASME Section VIII Division 1 (Reference 2). ASME Section VIII references to ASME Section IX (Reference 3) for most of the welding requirements, but UW-13.2 (d) of Section VIII requires a certain depth and width of the weld. In this document the UW-13.2(d) requirement is described as the (a+b)/2t s ratio. This ratio has to be greater than or equal to one to meet the requirements of UW-13.2(d). The Outer Can welds had not been meeting this requirement. Three methods are being followed to resolve this issue: (1) Modify the welding parameters to achieve the requirement, (2) Submit a weld case to ASME that changes the UW-13.2(d) requirement for their review and approval, and (3) Change the requirements in the DOE-STD-3013. Each of these methods are being pursued. This report addresses how the first method was addressed for the LLNL PuPS. The experimental work involved adjusting the Outer Can rotational speed and the power applied to the can. These adjustments resulted in being able to achieve the ASME VIII, UW-13.2(d) requirement
Effective nuclear and radiation emergency planning

International Nuclear Information System (INIS)

Grlicarev, I.

2000-01-01

The paper describes how to develop a balanced emergency plan, which realistically reflect the interfaces with various emergency organizations. The use of resources should be optimized with focusing on the most likely accidents. The pitfalls of writing an emergency plan without ''big picture'' in mind should be avoided. It is absolutely essential to have a clear definition of responsibilities and to have proper understanding of the tasks in between all counterparts in the emergency preparedness. Special attention should be paid to off-site part of the nuclear emergency preparedness, because the people involved in it usually receive less training than the on-site personnel and they are not specialized for nuclear emergencies but deal with all sorts of emergencies. (author)
Does clinical teacher training always improve teaching effectiveness as opposed to no teacher training? A randomized controlled study.

Science.gov (United States)

Breckwoldt, Jan; Svensson, Jörg; Lingemann, Christian; Gruber, Hans

2014-01-08

Teacher training may improve teaching effectiveness, but it might also have paradoxical effects. Research on expertise development suggests that the integration of new strategies may result in a temporary deterioration of performance until higher levels of competence are reached. In this study, the impact of a clinical teacher training on teaching effectiveness was assessed in an intensive course in emergency medicine. As primary study outcome students' practical skills at the end of their course were chosen. The authors matched 18 clinical teachers according to clinical experience and teaching experience and then randomly assigned them to a two-day-teacher training, or no training. After 14 days, both groups taught within a 12-hour intensive course in emergency medicine for undergraduate students. The course followed a clearly defined curriculum. After the course students were assessed by structured clinical examination (SCE) and MCQ. The teaching quality was rated by students using a questionnaire. Data for 96 students with trained teachers, and 97 students with untrained teachers were included. Students taught by untrained teachers performed better in the SCE domains 'alarm call' (p teaching quality was rated significantly better by students of untrained teachers (p = 0.05). At the end of a structured intensive course in emergency medicine, students of trained clinical teachers performed worse in 2 of 4 practical SCE domains compared to students of untrained teachers. In addition, subjective evaluations of teaching quality were worse in the group of trained teachers. Difficulties in integrating new strategies in their teaching styles might be a possible explanation.
Stabilization and treatment of dental avulsions and fractures by emergency physicians using just-in-time training.

Science.gov (United States)

McIntosh, Mark S; Konzelmann, Jason; Smith, Jeffrey; Kalynych, Colleen J; Wears, Robert L; Schneider, Howard; Wylie, Todd; Kaminski, Anne; Matar-Joseph, Madeline

2009-10-01

The objective of this investigation is to use a dental simulation model to compare splinting and bandaging methods for managing tooth avulsions and fractures, as measured by dentist evaluators for quality and time to complete each stabilization procedure. This was a randomized crossover study comparing 3 splinting techniques for managing a traumatically avulsed tooth (periodontal pack, wire, and bondable reinforcement ribbon) and 2 bandage techniques for managing a fractured tooth (calcium hydroxide paste and light-cured composite). After viewing a Just-in-Time training video, a convenience sample of emergency physicians performed the 5 stabilization techniques on dental models containing extracted teeth embedded in clay to simulate a segment of the human dentition. Data collected included time to complete each procedure, the evaluation of dentists about whether the procedure was performed satisfactorily or unsatisfactorily, and the ranking of dentists' and participants' preferred technique. Twenty-five emergency physicians participated in the study: 17 residents, 2 pediatric emergency medicine fellows, and 6 attending physicians. Reported median time, as well as minimum and maximum times to complete each splinting technique for an avulsed tooth, was as follows: periodontal pack 4.4 minutes (2.5 to 6.5 minutes), wire 8.6 minutes (5.8 to 12.9 minutes), and bondable reinforcement ribbon 8.9 minutes (5.6 to 15 minutes). Median time (and minimum and maximum times) to complete each protective bandaging technique for a fractured tooth was calcium hydroxide paste 4.6 minutes (3 to 9.6 minutes) and light-cured composite 7.1 minutes (5.5 to 14.1 minutes). When asked to choose a preferred splinting and bandaging technique according to the performance of the physicians, the dentists chose the bondable reinforcement ribbon 96% (24/25) and the light-cured composite 100% (25/25) of the time. Study participants had no measurable or agreeable preference for a particular splinting
Development of Non-hazardous Explosives for Security Training and Testing (NESTT)

International Nuclear Information System (INIS)

Kury, J.W.; Simpson, R.L.; Hallowell, S.F.

1996-01-01

The security force at the Lawrence Livermore National Laboratory (LLNL) routinely used canines to search for explosives and other contraband substances. The use of threat quantities of explosive for realistic training in populated or sensitive Laboratory areas has not been permitted because of the hazard. To overcome this limitation a series of non-hazardous materials with authentic signatures have been prepared and evaluated. A series of materials has been prepared that have authentic properties of explosives but are non-hazardous. These NESTT materials are prepared by coating a few micron thick layer of an explosive on a non-reactive substrate. This produces a formulation with an authentic vapor and molecular signature. Authentic x-ray and oxygen/nitrogen density signatures are obtained through the appropriate choice of a substrate. The signatures of NESTT TNT and NESTT Comp. C-4 have been verified by instrument and canine (K-9) detection in a Beta Test Program
Medical Emergency Education in Dental Hygiene Programs.

Science.gov (United States)

Stach, Donna J.; And Others

1995-01-01

A survey of 169 dental hygiene training programs investigated the curriculum content and instruction concerning medical emergency treatment, related clinical practice, and program policy. Several trends are noted: increased curriculum hours devoted to emergency care; shift in course content to more than life-support care; and increased emergency…
A framework for implementation, education, research and clinical use of ultrasound in emergency departments by the Danish Society for Emergency Medicine

DEFF Research Database (Denmark)

Laursen, Christian B; Nielsen, Klaus; Riishede, Minna

2014-01-01

The first Danish Society for Emergency Medicine (DASEM) recommendations for the use of clinical ultrasound in emergency departments has been made. The recommendations describes what DASEM believes as being current best practice for training, certification, maintenance of acquired competencies...
Paediatric Abdominal Surgical Emergencies in a General Surgical ...

African Journals Online (AJOL)

... organized for general surgeons undertaking paediatric surgical emergencies. More paediatric surgeons should be trained and more paediatric surgical units should established in the country. Key Words: Paediatric Abdominal Surgical Emergencies; Paediatric Surgeons, General Surgeons. Journal of College of Medicine ...
Development of emergency response training focusing on non-technical skills. (2) Extraction of non-technical skills

International Nuclear Information System (INIS)

Matsui, Yuko; Hikono, Masaru; Iwasaki, Mari; Morita, Mizuho

2017-01-01

This study aimed at characterizing a non-technical skill exercise for on-site managers in charge of initial response at an emergency response center by extracting and clarifying the behavior examples of non-technical skills shown in the exercise scenario. From video observations, the non-technical skill examples were identified from seven of the eight nontechnical skill categories which had been defined when the training program was developed. Especially, they included many skills of 'Communication', 'Situation Understanding' and 'Organizational management'. At the same time, the limitation when extracting the cases by observations was identified. The extracted non-technical skill cases are expected to be used for characterizing exercise scenarios, as well as provide knowledge to raise the awareness of exercise participants. (author)
Quality Improvement Practices in Academic Emergency Medicine: Perspectives from the Chairs

Directory of Open Access Journals (Sweden)

DelliFraine, Jami L

2010-12-01

Full Text Available Objective: To assess academic emergency medicine (EM chairs’ perceptions of quality improvement (QI training programs.Methods: A voluntary anonymous 20 item survey was distributed to a sample of academic chairs of EM through the Association of Academic Chairs of Emergency Medicine. Data was collected to assess the percentage of academic emergency physicians who had received QI training, the type of training they received, their perception of the impact of this training on behavior, practice and outcomes, and any perceived barriers to implementing QI programs in the emergency department.Results: The response rate to the survey was 69% (N = 59. 59.3% of respondents report that their hospital has a formal QI program for physicians. Chairs received training in a variety of QI programs. The type of QI program used by respondents was perceived as having no impact on goals achieved by QI (χ2 = 12.382; p = 0.260, but there was a statistically significant (χ2 = 14.383; p = 0.006 relationship between whether or not goals were achieved and academic EM chairs’ perceptions about return on investment for QI training. Only 22% of chairs responded that they have already made changes as a result of the QI training. 78.8% of EM chairs responded that quality programs could have a significant positive impact on their practice and the healthcare industry. Chairs perceived that QI programs had the most potential value in the areas of understanding and reducing medical errors and improving patient flow and throughput. Other areas of potential value of QI include improving specific clinical indicators and standardizing physician care.Conclusion: Academic EM chairs perceived that QI programs were an effective way to drive needed improvements. The results suggest that there is a high level of interest in QI but a low level of adoption of training and implementation.[West J Emerg Med. 2010; 11(5:479-485.
[The importance of teamwork in emergency medicine training].

Science.gov (United States)

Vermeulen, B; Carron, P-N

2007-08-15

The study of dynamics in relation to performing in small groups has increased pedagogic knowledge about teamwork. The successful management of patients with life-threatening pathologies depends highly from a succession of teams with a specific mission as: the call centre 144, Paramedics, the ED, the Operating Theatre and the Intensive care. To enable each team to operate successfully, it is essential to coordinate their qualifications and synergism. This can be efficiently attained by simulating real situations and by following protocols dedicated to teamwork. Emergency Medicine, which is on the brink of acquiring its proper curriculum, must adopt this concept to integrate knowledge and know-how, and the art of being and doing. At this stage, the Emergency Physician will have the competence which will enable him to be a real "team leader".

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