A5069176282- Disaster Response and Management
- Disaster Management and Resilience
- Emergency and Acute Care Studies
- COVID-19 and Mental Health
- Trauma and Emergency Care Studies
- Respiratory viral infections research
- Cardiac Arrest and Resuscitation
- COVID-19 epidemiological studies
- Viral Infections and Outbreaks Research
- Healthcare professionals’ stress and burnout
- Injury Epidemiology and Prevention
- Research Data Management Practices
- Posttraumatic Stress Disorder Research
- Risk Perception and Management
- Pediatric Pain Management Techniques
- Travel-related health issues
- RNA modifications and cancer
- Ethics and Legal Issues in Pediatric Healthcare
- Vaccine Coverage and Hesitancy
- Radioactive contamination and transfer
- Mechanical Circulatory Support Devices
- Radiation Dose and Imaging
- Risk and Safety Analysis
- Social Media in Health Education
- Infection Control and Ventilation
Saint Louis University
2012-2025
Barnes-Jewish Hospital
2020
Council of Independent Colleges
2020
Zimmerman Associates (United States)
2019
UCLouvain Saint-Louis Brussels
2017
Cardinal Glennon Children’s Medical Center
2017
University of Toronto
2017
Psychogenics (United States)
2012
Washington University in St. Louis
2008
In 22 participating K–12 schools implementing multiple COVID-19 mitigation strategies, school-based SARS-CoV-2 secondary transmission was detected in two of 102 tested close contacts 37 persons with COVID-19.
Abstract Comprehensive planning for family reunification following a disaster is complex and often underdeveloped, especially in hospitals. The 2013 subsequent 2021 National Pediatric Readiness Project revealed less than half of hospitals had plans that addressed the needs children. Leveraging quality improvement (QI) language methodology allows alignment engagement hospital leaders personnel unaccustomed to planning. We aimed create plan which would enable child-safe within 4 hours an event...
Universities open for in-person instruction during the 2020-21 academic year implemented a range of prevention strategies to limit transmission SARS-CoV-2, virus that causes COVID-19, including physical distancing, mask use, vaccination, contact tracing, case investigation, and quarantine protocols (1).However, in some programs, such as health-related aviation, kindergarten through grade 12 (K-12) education, maintaining distance while still providing is difficult; universities with single...
Identify determinants of emergency medical service (EMS) personnel's willingness to work during an influenza pandemic.
Objective: To compare the efficacy of pain reduction triage oxycodone (O) versus codeine (C) to children with suspected forearm fractures. Design/Methods: Children, aged 4 17 years, were randomized receive O (0.2 mg/kg; maximum, 15 mg) or C (2 120 if isolated fracture was by emergency department (ED) nurse. All other ED staff blinded assignment. The primary outcome measure a 5-point facial scale (0 = no pain, severe) completed subjects assess at baseline then 30-minute intervals until...
In 2011, an EF5 tornado hit Joplin, MO, requiring complete evacuation of 1 hospital and a patient surge to another. We sought assess the resilience healthcare workers in these hospitals as measured by number reporting work, willingness personal disaster preparedness, childcare responsibilities following disaster. May 2013, survey was distributed at both Joplin that asked them report their work preparedness various scenarios. For those with responsibilities, scheduling, costs, impact...
During natural and manmade disasters, the hospital is perceived as a central rallying care site for public, both those with without emergency medical needs. The expectations of public may outstrip plans abilities to provide nonmedical assistance.Our objective was determine during disasters regarding resource provision.A survey distributed adult patients or family members at three departments (EDs). Respondents were asked evaluate responsibility nine resources needs, including vaccination,...
An online survey was administered through the American Academy of Pediatrics (AAP) Section Emergency Medicine Survey Listserv in Fall, 2017. Overall compliance measured as never using chest X-rays, viral testing, bronchodilators, or systemic steroids. Practice those modalities a clinical vignette. Chi-square tests assessed differences between modalities. t on agreement with each AAP statement. Multivariate logistic regression determined factors associated overall compliance. Response rate...
During radiological disasters, firefighters and emergency medical services personnel are expected to report work engage in response activities; however, prior research exploring willingness respond disasters among first responders has considered only terrorism scenarios not nonterrorism scenarios. The goal of this study was compare disaster St. Louis, Missouri, explore determinants respond. Firefighters were surveyed about their a dirty bomb detonation (terrorism) radioactive landfill fire...
An ongoing collaboration between physicians and librarians provided critical information during the COVID-19 pandemic. A development team, which consisted of hospital medical school disaster preparedness director, library professional librarians, Departments IT Marketing in a multi-state healthcare system worked together to develop shared website distribute curate timely resources COVID-19. The initial impacts this show benefits novel partnership.
Abstract Objective: The COVID-19 pandemic negatively impacted healthcare worker well-being, leading to increased burnout and decreased workplace engagement. To combat expected stressors from the pandemic, our mid-sized academic health center implemented numerous institutional support, such as town halls, virtual support groups. This study aimed evaluate faculty utilization of its association with perceived organizational received burnout. Methods: A retrospective, cross-sectional survey was...
ABSTRACT Background: A sense of competency and confidence in disaster management is linked to response willingness efficacy. This study assessed current health-care student curricula resultant confidence. Methods: survey was sent students administrators nurse practitioner (NP), master public health (MPH), medical/osteopathic schools (MD/DO), assessing curriculum coverage 15 competencies (1-4, total 15-60), performing related behaviors (1-7, 15-105). One-way analysis variance with Tukey’s...
Little is known about first responders' knowledge of radiation exposure and the training they receive regarding radiological events. Firefighters emergency medical services (EMS) personnel were surveyed in July 2018 to February 2019 their event had received. Knowledge was assessed using 15 true-false questions. Five types assessed. A Mann-Whitney test differences received by occupation. linear regression identified predictors scores. total 433 individuals completed survey (response rate =...
The public's expectations of hospital services during disasters may not reflect current disaster plans. objective this study was to determine the expected service utilization a pandemic, earthquake, and terrorist bombing.A survey distributed adult patients or family members at 3 emergency departments (EDs). Participants identified resources they expect need scenarios. Linear regression used describe factors associated with higher scores for each scenario.Of 961 people who participated in...
Pregnant women and children individuals suffering from chronic illness are disproportionally impacted by public health emergencies. To meet the healthcare needs of these populations, nursing workforce must be capable responding in a timely appropriate manner. The goal this project was to create interactive engaging evidence-based educational tool kits advance provider readiness management population response Zika Flint Water crises. A multipronged, mixed-methods approach used identify...
Background: A COVID-19 vaccination for children is positioned to be a critical resource in the pandemic-prevention effort. However, studies have shown hesitation towards uptake and lack of trust government agencies; putting at risk not receiving preventative medical care. The purpose this study was determine association between public health agencies parental intention vaccinate their against COVID-19. Methods: Residents Midwestern state who reported being parent/guardian one or more child,...
The objectives were to determine the impact of emergency childcare (EC) needs on health care workers' ability and likelihood work during a pandemic versus an earthquake as well anticipated need expected use on-site, hospital-provided EC program.An online survey was distributed all employees academic, urban pediatric hospital. Two disaster scenarios presented (pandemic influenza earthquake). Ability based needs, planned proposed EC, demographics children being brought in obtained.A total 685...
Children constitute a vulnerable population and special considerations are necessary in order to provide proper care for them during disasters. After disasters such as Hurricane Katrina, the rapid identification protection of separated children their reunification with legal guardians is minimize secondary injuries (i.e., physical sexual abuse, neglect abduction). At Camp Gruber, an Oklahoma shelter Louisianan's displaced by 70% were guardian after 2 weeks while last child was reunified 6 months.
The 2009 H1N1 influenza pandemic created a surge of patients with low-acuity influenza-like-illness (ILI) to hospital Emergency Departments (EDs). development and results tiered plan care for these at Pediatric Department (PED) were studied.By providing standard assessment treatment algorithms within physically separate ILI Extension Areas, it was hypothesized that patient could be streamlined the quality maintained.Hospital administrators framework existing emergency operations (EOP). After...
The key to resilience after disasters is the provision of coordinated care and resource distribution affected community. Past research indicates that general public lacks an understanding regarding agencies' roles responsibilities during disaster response.Study ObjectivesThis study's purpose was explore public's beliefs agencies or organizations' related management disasters. In addition, attitudes towards use community assistance centers were explored.Qualitative interviews conducted with...
Objective To determine whether modified K–12 student quarantine policies that allow some students to continue in-person education during their period increase schoolwide SARS-CoV-2 transmission risk following the in cases winter 2020–2021. Methods We conducted a prospective cohort study of COVID-19 and close contacts among staff (n = 65,621) 103 Missouri public schools. Participants were offered free, saliva-based RT-PCR testing. The projected number school-based events untested was...
Objective: The objective of this study was to assess caregiver perception and satisfaction a regional disaster drill in pediatric emergency department (ED). Methods: Caregivers children receiving care during 2-hour were given survey regarding perceived importance the drill, waiting time see physician, service timeliness, impact on comfort, overall recommendation ED. As control, also caregivers week before after drill. Results: date more likely consider conduction be highly important (100% vs...
Public health preparedness is an ever-evolving area of medicine with the purpose helping masses quickly and efficiently. The drive-through clinic (DTC) model allows distribution supplies or services while participants remain in their cars. Influenza vaccination most common form DTC has been utilized successfully metropolitan areas.We hypothesized that combining influenza vaccinations child passenger seat fittings a format would be both feasible desired by community. Each driver was verbally...