The Association between Fear of COVID-19,Obsession with COVID-19,and Post Traumatic Stress Disorder in Korean Emergency Rescue Firefighters:A Cross-Sectional Study

During the rapid spread of COVID-19,first responders are at risk of being exposed to COVID-19 due to their role in providing first aid and responding to an unspecified number of people.This uncertainty can have adverse mental health effects,such as increased anxiety and fear.This study aimed to investigate the degree of association between fear of COVID-19,obsession with COVID-19,and post-traumatic stress disorder(PTSD)in emergency rescue firefighters.The participants were 150 emergency rescue firefighters working in Region S,Korea.They filled out self-report questionnaires:The data obtained through the Fear of COVID-19 Scale,Obsession with COVID-19 Scale,and Impact of Event Scale-Revised Korean version were subjected to nonparametric statistical analysis using SPSS WIN 25.0.The study found a significant correlation between emergency rescue firefighters’fear of COVID-19,obsession with COVID-19,and PTSD.Fear and obsession with COVID-19 were higher among first responder firefighters who were directly involved in COVID-19-related tasks.Furthermore,a one-point increase in obsession was associated with a 2.837-point increase in PTSD.Based on the results,we found that there is a need for effective control of obsessions and fears among first responder firefighters during COVID-19,and we suggest that there is a need for mental health care for first responder firefighters during the pandemic through the development and support of programs to prevent and mitigate obsessions.

Analysis of the Emergency Rescue Nursing Intervention Effect and Rescue Success Rate for Patients with Traumatic Hemorrhagic Shock

Objective:To analyze the value of emergency rescue nursing intervention in the care of patients with traumatic hemorrhagic shock and its impact on the success rate of rescue efforts.Methods:A total of 80 patients with traumatic hemorrhagic shock were selected as samples,with the timeframe from July 2022 to July 2023.The patients were randomly divided into two groups using a random number table method.Group A received emergency rescue nursing,while Group B received routine nursing care.The success rate of rescue,rescue indicators,complication rates,and family satisfaction with nursing care were compared between the two groups.Results:The rescue success rate in Group A was higher than in Group B(P<0.05);the total blood loss in Group A was less,and the rescue time,full transportation time,and hospitalization time were shorter than in Group B(P<0.05);the complication rate of patients with traumatic hemorrhagic shock in Group A was lower than in Group B(P<0.05);the family satisfaction with emergency nursing care in Group A was higher than in Group B(P<0.05).Conclusion:Emergency rescue interventions for patients with traumatic hemorrhagic shock can reduce blood loss,shorten rescue times,and improve the success rate of shock rescue,providing a safe and effective approach.

Location of emergency rescue center based on SIR epidemiological model

In view of the pressure time of emergency rescue against the infectious diseases,a mathematical model to optimize the location of emergency rescue centers is proposed.The model takes full account of the spread function of infectious diseases,the cycle of pulse vaccination,the distance between the demand area and the emergency rescue centers,as well as the building and maintenance cost for the emergency rescue center,and so on.At the same time,the model integrates the traditional location selection models which are the biggest cover model,the p-center model and the p-median model,and it embodies the principles of fairness and efficiency for the emergency center location.Finally,a computation of an example arising from practice provides satisfactory results.

Fractional order PID control for steer-by-wire system of emergency rescue vehicle based on genetic algorithm

Aiming at dealing with the difficulty for traditional emergency rescue vehicle(ECV)to enter into limited rescue scenes,the electro-hydraulic steer-by-wire(SBW)system is introduced to achieve the multi-mode steering of the ECV.The overall structure and mathematical model of the SBW system are described at length.The fractional order proportional-integral-derivative(FOPID)controller based on fractional calculus theory is designed to control the steering cylinder’s movement in SBW system.The anti-windup problem is considered in the FOPID controller design to reduce the bad influence of saturation.Five parameters of the FOPID controller are optimized using the genetic algorithm by maximizing the fitness function which involves integral of time by absolute value error(ITAE),peak overshoot,as well as settling time.The time-domain simulations are implemented to identify the performance of the raised FOPID controller.The simulation results indicate the presented FOPID controller possesses more effective control properties than classical proportional-integral-derivative(PID)controller on the part of transient response,tracking capability and robustness.

I-Gel: A Rescue Intubation Device in Unanticipated Difficult Intubation for Emergency Laparotomy

The “i-gel” is a newer, non-inflatable supraglottic airway device for clinical use and also for resuscitation purposes. It has also been found to be a useful ventilation and intubation device in anticipated simulated difficult airway situations. However, its use in unanticipated difficult airway situations in emergency set up has not been explored. We describe a case of 24 year male posted for emergency laparotomy that turned out to have an unanticipated difficult airway. Attempts to intubation and ProSeal Laryngeal Mask Airway insertion failed. However, “i-gel” proved to be a very handy intubating conduit in this critical situation.

Protective equipment for emergency rescue in alpine-cold region

Alpine-cold regions are characterized as hypoxia,strong wind,heavy rain,cold climate,huge temperature difference between day and night,and vertical climate. All these make it difficult for an emergency rescue when a natural disaster such as earthquake happens. Based on the characteristics of emergency rescue in alpinecold region,several multifunctional protective equipments have been developed by the Quartermaster Equipment Institute of General Logistics Departmen(tGLD)of the Chinese People's Liberation Army(CPLA). These equipments are lightweight,durable and environment adaptable.

Effect of Emergency Care Process Optimization on Rescue Efficiency of Emergency Patients

Objective: This paper discusses the impact of emergency care process optimization on the rescue efficiency of emergency patients. Methods: 102 cases of emergency patients received from January 2017 to February 2018 in our hospital were selected as research objects. According to the order of treatment, they were divided into control group and observation group. The routine nursing process was given to the control group, and the observation group was given an optimized nursing process to compare the rescue efficiency and nursing satisfaction of the two groups. Results: According to the results of the study, the nursing satisfaction of the two groups was compared. Among them, the total satisfaction of the observation group was 49, accounting for 96.07%;the control group was very satisfied with the nursing work, accounting for 82.35%. There was a significant difference in nursing satisfaction between the two groups, which was statistically significant (P<0.05). Comparing the rescue efficiency of the two groups of patients, the observation time, rescue time, infusion time and disease remission time were significantly lower than the control group, the rescue success rate was 94.11%, and the rescue success rate of the control group was 78.43%. The results have statistical significance (P < 0.05). Conclusion: The optimization of emergency nursing process can greatly improve the rescue efficiency of emergency patients, reduce the disability rate and mortality, improve the quality of nursing, and enhance the satisfaction of nursing. It is worthy of clinical promotion practice.

Collaboration mechanism of intercity emergency rescue ecosystem

With the development of metropolitan regions and the appearance of urban agglomerations, cities have been more closely related. For the restricted emergency rescue resource in a single city, it has become more and more imminent for the demand of the intercity collaborative resistance to major accident, so as to improve the protection capacity of urban security. In order to find an effective intercity, emergency rescue collaborative system, this paper introduces the concept and analysis method of ecosystem theory into intercity emergency, rescue. Based on the analysis of the formation-process of emergency rescue individual, population and community： a throe-level intercity emergency rescue collaborative system is constructed according to the characteristics of dynamics and structure of intercity emergency rescue ecosystem then the collaboration mechanism of information, resource and process in the interceity emergency rescue ecosystem is also studied in this paper; so as to offer available strategy and method for the ecosystem theory applied to intercity, emergency rescue. Through the studies of intereity emergency rescue ecosystem. it illuminates that the proposed emergency system can not Only cope with the major accident more timely and effectively but also integrate the intercity information resources and emergency rescue resource and process optimization.

Research on the Interactive Training Pattern and the Applications on the Modern Emergency Rescue Training Activities

In this paper, we conduct research on the interactive training pattern and the applications on the modern emergency rescue training activities. In emergency rescue training linkage the ecological communities, important is not gathered themselves together, and not the size of the momentum and the strength that is not the amount of emergency rescue training linkage performance, important is the ecological communities each organic elements in the function of the cohesion, lies in the relationship between the organic elements in ecological communities, the construction and the development is the specific ecological communities in action elements of emergency rescue training, joint quality lies in the emergency rescue training. These contents are involved in the emergency rescue training linkage management model of concrete. Under this basis, we integrate the condition of the Hainan Medical School to propose the corresponding suggestions that will enhance the performance.

Portable mixed abrasive water jet equipment for rescue in high gas mine shaft

In order to rescue a trapped miner and clean out roadways quickly in a high gas mine shaft after a mining mishap, a special portable cold-cutting equipment is needed, the main technology parameters were calculated according to the advanced cold-cutting technology of high pressure abrasive water jet and the portable mixed abrasive water jet equipment （PAWE） was designed to meet the needs of emergency rescue in high gas mine shafts. Tested the PAWE in a high gas environment, and the result shows that the maximum cutting depth of solid iron pipe is 18 mm and the recoilforce of the sprayer is 28.9 N under the conditions that actual cutting pressure is 29 MPa, starting target distance is 10 ram, cutting speed is 180 mm/min and concentration of abrasive is 32%. The course of the experiment in the high gas environment was smooth and continuous, without any explosion. The PAWE is easy to move and operate, but the nozzle which was worn badly in the sprayer should be changed every 8 minutes.

A successful mountain rescue operation in Yushu Earthquake

On April 14, 2010, an earthquake reaching 7.1 Richter scale struck Jiegu Town of Yushu. More than 2 698 people were confirmed dead, and 12 135 were injured, of which 1 434 were severely injured. Rescue operation was carried out soon after the disaster; however, the rescue teams face great challenges of altitude hypoxia, freezing temperature and very bad weather. Thus, 1 434 severe injuries were rapidly transported airlifted to hospitals in Xining and neighboring provinces for effective treatment. The extremity trauma （49.9 % ） was the most common patteru of injuries. Asphyxia （40.8 % ） was by far the most important reason for death. A high incidence of acute altitude illness in the lowland rescuers was a special medical problem during the highest earthquake in Yushu. We have learned more lessons from Yushu Earthquake.

Constructing of wireless emergency communication system for underground coal mine based on WMN technology

Based on the Wireless Mesh Network (WMN), a wireless emergency communicationsystem for underground coal mine which was designed to be capable of videosurveillance, voice communication, and environment monitoring at the same time wasproposed.The network architecture of the system was proposed, and its service model,extensible technology, medium access control, routing algorithm, channel allocation andsystem management technologies were analyzed according to the actual rescue requirementsof underground coal mine and the characteristics of underground spatial structureand radio transmissions.The relevant theories and key technologies were extracted,which would provide theoretical support for the system development.

Post-disaster medical rescue strategy in tropical regions

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

Spatial Accessibility of Emergency Facilities to Road Accident Victims in Federal Capital City

This paper studied the spatial accessibility of emergency facilities to road accident victims in Federal Capital City to determine the sufficiency of existing emergency health care facilities and rescue facilities in servicing accident victims. This is useful for developing means of saving the lives of accident victims in the Federal Fapital City (FCC). The data used comprised of Nigerian Sat II 2013 multispectral imagery (5 m multispectral and 2.5 m Panchromatic) of FCC obtained from the National Space Research and Development Agency (NARSDA), coordinates of seventy (70) accident black spots, five (5) zebra points and sixteen (16) emergency health care facilities obtained from Federal Road Safety Commission (FRSC). ArcGIS 10.0 software was used to display, visualize, identify and extract features from the imagery, and create maps from different layers of the spatial data, choose colors and symbols, create buffer zones, analyze spatial relationships, and design map layouts. Purposeful sampling method was adopted to administer 99 questionnaires to accident victims in the hospitals within the FCC. The spatial data were used to determine the time of rescue, type of rescue and coverage time of rescue operation. The statistical data were used to assess the spatio-temporal distribution of accidents and determine the level of response by the rescue teams. The results show that accident victims have adequate access to health facilities but inadequate access to zebra points, and passers-by have more effective accident response than the government action agencies. Specific points for the creation of additional zebra points were identified through buffering, and the creation of sustainable Good Samaritan programs and training for community persons in first aid were suggested. Meanwhile, further research to determine the impact of time of rescue, type of rescue and category of hospital on the accident victims was suggested.

Comparison of Emergency Management Strategies for Nosocomial Infections Between Two Earthquakes

Aim:Based on the experience of the 5.12 Wenchuan Earthquake and the 8.8 Jiuzhaigou Earthquake,the emergency management strategies for nosocomial infections were compared between the two earthquakes.The experience shared in the present study provides a guideline for the emergency medical rescue of future earthquake.Methods:The patients involved in this study were those injured in the earthquake and admitted to the hospital for treatment.As an earthquake relief center,the hospital participated in the emergency rescue work of the two recent major earthquakes in western China.Review analysis was carried out in the hospital's infection control experience adopted in the two major earthquakes.It was emphasized that,targeting the characteristics and difficulties in the prevention and control of nosocomial infection,different innovative infection control emergency strategies were adopted by the frontline disaster relief hospitals,under the special circumstances and medical conditions in an earthquake disaster.Results:According to the different focus of infection control in the two earthquakes,different hospital infection control strategies were adopted,and the incidence of nosocomial infections was effectively controlled.

A Method of Emergency Volunteer Team Internal Participation in Rescue Decision-Making Considering Psychological Behavior

A method for internal participation in rescue decision-making of emergency volunteer teams considering psychological behavior is proposed to address the time sequence of rescue tasks.Firstly,the problem of multi-tasking and multi-operation within the emergency volunteer team is described.Secondly,considering that task leaders are influenced by behavioral and psychological factors in the evaluation,the required time for the job is used as a reference point,and the expected time that volunteers can complete the job is used as an attribute value.The task leader's prospect satisfaction value for each volunteer is calculated based on prospect theory,and the perceived utility values of disappointment theory and regret theory are calculated to measure the task leader's satisfaction with each volunteer.Furthermore,a multilayer coded genetic algorithm is used to construct an optimization model for emergency volunteer decision-making with the objective of maximizing the satisfaction value.Finally,the feasibility and effectiveness of this method are illustrated by an example analysis.The result shows that the efficiency of rescue tasks can be improved through decision optimization within the volunteer team.

Stochastic Petri Net Based Modeling of Emergency Medical Rescue Processes During Earthquakes

The post-disaster emergency medical rescue(EMR) is critical for people’s lives. This paper presents a stochastic Petri net(SPN) model based on the process of the rescue structure and a Markov chain model(MC), which is applied to the optimization of the EMR process, with the aim of identifying the key activities of EMR. An isomorphic MC model is developed for measuring and evaluating the time performance of the EMR process during earthquakes with the data of the 2008 Wenchuan earthquake.This paper provides a mathematical approach to simulate the process and to evaluate the efficiency of EMR. Simultaneously, the expressions of the steady state probabilities of this system under various states are obtained based on the MC, and the variations of the probabilities are analyzed by changing the firing rates for every transition. Based on the concrete data of the event, the authors find the most time consuming and critical activities for EMR decisions. The model results show that the key activities can improve the efficiency of medical rescue, providing decision-makers with rescue strategies during the large scale earthquake.

Team effectiveness evaluation and virtual reality scenario mapping model for helicopter emergency rescue

The application of helicopter emergency rescue is becoming increasingly widespread,but the flight crew training in this area is still difficult due to high cost and risk.Nevertheless,with the development of Virtual Reality(VR)technology,virtual simulation has become a significant role in crew training of helicopter rescue.During the implementation of VR-based training,how to transform complex real tasks into VR scenarios and how to evaluate the performance of crew are of great importance.To address these issues,a novel VR-based R-E-A-D(Report,Evaluate,Agree,Do)evaluation model for training is proposed,which is suitable for complex missions with multiple tasks,multiple scenarios,and multiple people.Then,a mapping method of VR scenarios is put forward,which can transform the real tasks into virtual scenarios to serve the virtual simulation training.Finally,an experiment is carried out to verify the feasibility of the evaluation method and virtual scenario mapping method.

Robust hydrogel adhesives for emergency rescue and gastric perforation repair

Development of biocompatible hydrogel adhesives with robust tissue adhesion to realize instant hemorrhage control and injury sealing,especially for emergency rescue and tissue repair,is still challenging.Herein,we report a potent hydrogel adhesive by free radical polymerization of N-acryloyl aspartic acid(AASP)in a facile and straightforward way.Through delicate adjustment of steric hindrance,the synergistic effect between interface interactions and cohesion energy can be achieved in PAASP hydrogel verified by X-ray photoelectron spectroscopy(XPS)analysis and simulation calculation compared to poly(N-acryloyl glutamic acid)(PAGLU)and poly(N-acryloyl amidomalonic acid)(PAAMI)hydrogels.The adhesion strength of the PAASP hydrogel could reach 120 kPa to firmly seal the broken organs to withstand the external force with persistent stability under physiological conditions,and rapid hemostasis in different hemorrhage models on mice is achieved using PAASP hydrogel as physical barrier.Furthermore,the paper-based Fe^(3+)transfer printing method is applied to construct PAASP-based Janus hydrogel patch with both adhesive and non-adhesive surfaces,by which simultaneous wound healing and postoperative anti-adhesion can be realized in gastric perforation model on mice.This advanced hydrogel may show vast potential as bio-adhesives for emergency rescue and tissue/organ repair.

Application of BeiDou navigation satellite system in emergency rescue of natural hazards: a case study for field geological survey of Qinghai−Tibet plateau

In recent years,geological and mineral resources exploration in China has expanded to deep hinterland of the Qinghai−Tibet Plateau and other regions with complex geological conditions.The special natural conditions of Qinghai−Tibet Plateau determine the characteristics of“life-forbidden zone”that is characterized by alpine hypoxia,changeable weather,complex road conditions,and beast attack.In particular,the work in wild depopulated zones with severe environment and poor communications imposes serious threats to the life safety of geological personnel.Therefore,how to guarantee the safety of geological personnel working on the Qinghai−Tibet Plateau and how to reduce or even avoid casualty of geological personnel have currently become the urgent challenge.In this study,an emergency rescue information system for field geological survey is constructed based on BeiDou Navigation Satellite System.A case study of emergency rescue has been conducted in the depopulated zone of the Qinghai−Tibet Plateau and good effects have been achieved,providing security assurance for personnel engaged in field geological survey on the Qinghai−Tibet Plateau and technical support for the emergency rescue in case of natural hazards on the Qinghai−Tibet Plateau.The BeiDou Navigation Satellite System(BDS)can be effectively used to locate and communicate in the emergency rescue for rigorous Geological survey task where there is no network signal for the mobile phone,and the emergency rescue guarantee system is independent,reliable,and relatively cheap.The application value of BDS is demonstrated in the geological field.