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.

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.

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.

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.

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 three-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 intercity 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 intercity emergency rescue eco-system, 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.

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.

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.

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 pattern 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.

Epinephrine in out-of-hospital cardiac arrest:A critical review

BACKGROUND:Epinephrine is recommended in advanced cardiac life support guidelines for use in adult cardiac arrest,and has been used in cardiopulmonary resuscitation since 1896.Yet,despite its long time use and incorporation into guidelines,epinephrine suffers from a paucity of evidence regarding its influence on survival.This critical review was conducted to address the knowledge deficit regarding epinephrine in out-of-hospital cardiac arrest and its effect on return of spontaneous circulation,survival to hospital discharge,and neurological performance.METHODS:The EMBASE and MEDLINE(through the Pubmed interface) databases,and the Cochrane library were searched with the key words "epinephrine", "cardiac arrest" and variations of these terms.Original research studies concerning epinephrine use in adult,out-of-hospital cardiac arrest were selected for further review.RESULTS:The search yielded nine eiigible studies based on inclusion criteria.This includes five prospective cohort studies,one retrospective cohort study,one survival analysis,one case control study,and one RCT The evidence clearly establishes an association between epinephrine and increased return of spontaneous circulation,the data were conflicting concerning survival to hospital discharge and neurological outcome.CONCLUSIONS:The results of this review exhibit the paucity of evidence regarding the use of epinephrine in out of hospital cardiac arrest.There is currently insufficient evidence to support or reject its administration during resuscitation.Larger sample,placebo controlled,double blind,randomized control trials need to be performed to definitively establish the effect of epinephrine on both survival to hospital discharge and the neurological outcomes of treated patients.

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.

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.

Effect of Airway Management and Impedance Threshold Device on Circulation, Survival and Neurological Outcome in Adult Out-Of-Hospital Cardiac Arrest

Purpose: This study was designed to study the effect of early use of the King Airway (KA) and impedance threshold device (ITD) in out-of-hospital cardiac arrest on ETCO2 as a surrogate measure of circulation, survival, and cerebral performance category (CPC) scores. After analysis of the first 9 month active period the KA was relegated to rescue airway status. Methods: This was a prospective pre-post study design. Patients >18 years with out-of-hospital cardiac caused arrest were included. Three periods were compared. In the first “non active” period conventional AHA 30/2 compression/ventilation ratio CPR was done with bag mask ventilation (BMV). No ITD was used. After advanced airway placement the compression/ventilation ratio was 10/1. In the second period continuous compressions were done. Primary airway management was a KA with an ITD. After placement of the KA the compression/ventilation ratio was 10/1. In the third period CPR reverted to 30/2 ratio with a two hand seal BMV with ITD. CPR ratio was 10/1 post endotracheal intubation (ETI) or KA. The KA was only recommended for failed BMV and ETI. Results: Survival to hospital discharge was similar in all three study periods. In Period 2 there was a strong trend to CPC scores >2. The study group hypothesized that the KA interfered with cerebral blood flow. For that reason the KA was abandoned as a primary airway. Comparing Period 1 to Period 3 there was a trend to improved survival in the bystander witnessed shockable rhythm (Utstein) subgroup, particularly if a metronome was used. ETCO2 was significantly increased in Period 2 and trended up in Period 3 when compared to Period 1. Advanced airway intervention had a highly significant negative association with survival. Conclusion: The introduction of an ITD into our system did not result in a statistically significant improvement in survival. The study groups were somewhat dissimilar. ETCO2 trended up. When comparing Period 1 to Period 3, the bundle of care was associated with a trend towards increased survival in the Utstein subgroup, particularly with a metronome set at 100. Multiple confounders make a definitive conclusion impossible. Advanced airways showed a significant association with poor survival outcomes. The KA was additionally associated with poor neurologic outcomes.

A dynamic task assignment model for aviation emergency rescue based on multi-agent reinforcement learning

China's natural disaster situation presents a complex and severe scenario, resulting in substantial human and material losses as a result of large-scale emergencies. Recognizing the significance of aviation emergency rescue, the state provides strong support for its development. However, China's current aviation emergency rescue system is still under construction and encounters various challenges;one such challenge is to match the dynamically changing multi-point rescue demands with the limited availability of aircraft dispatch. We propose a dynamic task assignment model and a trainable model framework for aviation emergency rescue based on multi-agent reinforcement learning. Combined with a targeted design, the scheduling matching problem is transformed into a stochastic game process from the rescue location perspective. Subsequently, an optimized strategy model with high robustness can be obtained by solving the training framework. Comparative experiments demonstrate that the proposed model is able to achieve higher assignment benefits by considering the dynamic nature of rescue demands and the limited availability of rescue helicopter crews. Additionally, the model is able to achieve higher task assignment rates and average time satisfaction by assigning tasks in a more efficient and timely manner. The results suggest that the proposed dynamic task assignment model is a promising approach for improving the efficiency of aviation emergency rescue.

Optimization of emergency nursing process for the rescue of patients with chest pain in the emergency department

Background The occurrence factors of emergency chest pain are relatively complex,and the progression of the condition is fast.Within a short period of time,the condition can worsen significantly,resulting in a higher mortality rate.Therefore,conducting proactive and effective emergency rescue work within a short period of time can significantly improve the success rate of patient resuscitation.Therefore,this study will focus on exploring the research on optimizing the emergency nursing process for the rescue effectiveness of emergency chest pain patients.Methods 82 patients with emergency chest pain admitted to our hospital from January 2022 to January 2023 were selected as the subjects of this study.They were evenly divided into observation group and control group by random number table method,with 41 cases in each group.The control group was given routine nursing,and the observation group was given optimized emergency nursing process.The rescue effect,rescue efficiency,adverse events and nursing quality of the two groups were compared.Results The success rate of rescue was 100.00%in the observation group and 90.24%in the control group,which was significantly higher than that of the control group(P<0.05).The duration of rescue,emergency stay time and hospitalization time in the observation group was lower than that in the control group(P<0.05).The proportion of patients with shock,arrhythmia and heart failure was 0.00%in the observation group,which was lower than the 9.76%in the control group(P<0.05),and the nursing quality scores of emergency order and basic nursing in the observation group were higher than those in the control group(P<0.05).Conclusionss Optimized emergency nursing process can improve the rescue success rate of patients with chest pain in the emergency department,improve the rescue work efficiency,speed up the treatment of patients,and significantly reduce adverse events,which is worthy of popularization and application.