A5063574292- Disaster Response and Management
- Trauma and Emergency Care Studies
- Disaster Management and Resilience
- Global Maternal and Child Health
- Emergency and Acute Care Studies
- Viral Infections and Outbreaks Research
- Clinical Reasoning and Diagnostic Skills
- Cardiac Arrest and Resuscitation
- Innovations in Medical Education
- Simulation-Based Education in Healthcare
- Anesthesia and Neurotoxicity Research
- Anesthesia and Sedative Agents
- Interprofessional Education and Collaboration
- Climate Change and Health Impacts
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- COVID-19 and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Delphi Technique in Research
- Maternal and fetal healthcare
- Facility Location and Emergency Management
- Global Health and Surgery
- Child Nutrition and Water Access
- Healthcare Systems and Reforms
- COVID-19 and healthcare impacts
- Risk Perception and Management
Università degli Studi del Piemonte Orientale “Amedeo Avogadro”
1970-2025
Glasgow Life
2020
In the context of mass casualty incident (MCI) management, artificial intelligence (AI) represents a promising future, offering potential improvements in processes such as triage, decision support, and resource optimization. However, effectiveness AI is heavily reliant on availability quality data. Currently, MCI data are scarce difficult to obtain, critical information regarding patient demographics, vital signs, treatment responses often missing or incomplete, particularly prehospital...
The COVID-19 pandemic is threatening health systems worldwide, requiring extraordinary efforts to contain the virus and prepare care for unprecedented situations. In this context, entire workforce must be properly trained guarantee an effective response. Just-in-time training has been efficient solution rapidly equipping workers with new knowledge, skills, attitudes during emergencies; thus, it could also technique in context of response pandemic. Because unexpected magnitude crisis, 2...
We aim to evaluate whether the first National Emergency Medical Service (NEMS) improved access hospital care for people of Sierra Leone. performed an interrupted time-series analysis assess effects NEMS implementation on admissions in 25 facilities. The was also replicated separately area Freetown and rest country. study population stratified by main Free Health Care Initiative (FHCI) categories pregnant women, children under 5 years age, populations excluded from FHCI. Finally, we...
Disaster Medicine (DM) is currently underrepresented in medical schools' curricula worldwide, and existing DM courses for students are extremely heterogeneous due to the lack of pragmatic standardized guidelines. Moreover, there a gap knowledge regarding curriculum development methodology used courses. This study aims identify worldwide map their methodologies by reviewing available literature. The search was conducted on three databases using terms "Disaster medicine" AND "Education"....
Electronic simulation (e-simulation)-particularly scenario-based e-simulation (SBES)-is an increasingly used, promising educational strategy for global health education that can address gaps in training access, effectiveness, and cost. However, there is little guidance educators on how to develop SBES, lacking outside the clinical context. Moreover, literature medical rarely uses theoretical basis design development, including SBES. Hence, we aim differentiate describe concept, elements, of...
Sierra Leone is among the top countries with highest maternal mortality rates. Although progress has been made in reducing mortality, challenges remain, including limited access to skilled care and regional disparities accessing quality care. This paper presents first comprehensive analysis of burden different causes deaths reported Maternal Death Surveillance Response (MDSR) system at district level from 2016 2019.
Introduction: Disaster Medicine (DM) is currently underrepresented in medical schools’ curricula worldwide, and existing DM courses for students are extremely heterogeneous due to the lack of pragmatic standardized guidelines. Moreover, there a gap knowledge regarding curriculum development methodology used courses. This study aims identify worldwide map their methodologies by reviewing available literature. Method: The search was conducted on three databases using terms “Disaster medicine”...
Objectives The Sendai Framework advocates the importance of training in disaster medicine as a way to improve health system resilience. In Italy, despite official recognition mandatory discipline standard curriculum, most students are never exposed its basic concepts. DisasterSISM is nationwide educational program developed 2008. Given scarcity experienced instructors, 2013, course adopted peer-assisted learning (PAL) approach correct omission identified national curriculum. new involved...
Introduction: Italy is prone to major earthquakes and has experienced several devastating in the far recent past. The objectives of this study were assess level Italian households’ preparedness for measure public’s perception risk its impact on behavior. Hypothesis: insufficient influenced by different threat components that assessed. Methods: A cross-sectional study, using an online questionnaire, was conducted early 2018. sample included 1,093 responders from a diverse sociodemographic...
Abstract This report describes the main adaptive and transformative changes adopted by brand-new National Emergency Medical Service (NEMS) to face novel coronavirus disease 2019 (COVID-19) in Sierra Leone, including ambulance re-distribution, improvements communication flow, implementation of ad-hoc procedures trainings, budget re-allocation. In a time-span four months, 1,170 COVID-19 cases have been handled NEMS through parallel referral system, while efforts made manage routine emergencies...
Abstract Sierra Leone is one of the least developed low-income countries (LICs), slowly recovering from effects a devastating civil war and an Ebola outbreak. The health care system characterized by chronic shortage skilled human resources, equipment, essential medicines. referral weak vulnerable, with 75% country having insufficient access to care. Consequently, has highest maternal child mortality rates in world. This manuscript describes implementation National Emergency Medical Service...
Introduction Sierra Leone, one of the countries with highest maternal and perinatal mortality in world, launched its first National Emergency Medical Service (NEMS) 2018. We carried out a countrywide assessment to analyse NEMS operational times for obstetric emergencies respect access timely essential surgery within 2 hours. Moreover, we evaluated relationship between mortality. Methods collected prehospital data 6387 referrals from primary health units hospital facilities June 2019 May 2020...
The Sendai Framework for Disaster Risk Reduction 2015–2030 recognizes the importance of increasing resilience to disasters, a target that Horizon 2020 funded project Novel Integrated Toolkit Enhanced Pre-Hospital Life Support and Triage in Challenging Large Emergencies (NIGHTINGALE) is aiming achieve by supporting preparedness first responders during sudden onset disasters (SODs) related mass casualty incidents (MCIs) through an innovative toolkit featuring different technological solutions....
Background: In developing countries, post-operative pain remains underestimated and undertreated due to economic constraints, lack of awareness limited resources. contrast, ketamine is an effective, readily available, easy use inexpensive drug frequently used in poor settings.Objectives: The aim this study was explore the overall reduction medication treatment cost acute by adding intra-operative low-dose traditional intravenous morphine for surgery a low-income country.Methods: A double...
The European Union Horizon 2020 research and innovation funding program awarded the NIGHTINGALE grant to develop a toolkit support first responders engaged in prehospital (PH) mass casualty incident (MCI) response. To reach projects' objectives, consortium used Translational Science (TS) process. present work is TS stage (T1) aimed extract data relevant for subsequent modified Delphi study (T2) statements.The authors were divided into three groups (WGs) MCI Triage, PH Life Support Damage...
Abstract Purpose The aim of this study is to investigate the opinions and perspectives Novel Integrated Toolkit for Enhanced Prehospital Life Support Triage in Challenging Large Emergencies (NIGHTINGALE) end-users tool developers regarding Key Performance Indicators (KPIs) benchmarks that assess prehospital response Mass Casualty Incidents (MCIs) enhanced by NIT-MR. Methods A qualitative employing focus group discussions was conducted collect KPIs MCI using criteria considered selection...
Abstract The NIGHTINGALE PROJECT aims at transforming the landscape of Mass Casualty Incident (MCI) response by seamlessly incorporating cutting-edge technologies. At its core, this initiative leverages advanced solutions, including wearable wristbands and unmanned aerial vehicles (drones), to enhance operational efficiency effectiveness MCI teams. These technologies are designed provide real-time data collection, communication, coordination capabilities, offering invaluable support for...
Abstract Objectives The SDMPH 10-year anniversary conference created an opportunity for a researcher to present at professional association advance their research by seeking consensus of statements using Delphi methodology. Methods Conference attendees and members who did not attend the were identified as experts. Experts rated agreement each statement on 7- point linear numeric scale. Consensus amongst experts was defined standard deviation < = 1. Presenters submitted relevant advancing...