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Future military conflicts are likely to involve peer or near-peer adversaries in large-scale combat operations, leading to casualty rates not seen since World War II. Casualty volume, combined with anticipated disruptions in medical evacuation, will create resource-limited environments that challenge medical responders to make complex, repetitive triage decisions. Similarly, pandemics, mass casualty incidents, and natural disasters strain civilian health care providers, increasing their risk for exhaustion, burnout, and moral injury.
View Article and Find Full Text PDFResponse Time and Influencing Factors Among Emergency Nurses in Indonesian Hospital: A Scoping Review of Current Evidence.
J Multidiscip Healthc
January 2025
Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, 45363, Indonesia.
Background: The incidence of mass casualty incidents and severe emergencies such as cerebrovascular and motor vehicle accidents in Indonesia is increasing, leading to an increased burden on emergency services. The current literature on response times and associated factors in Indonesian emergency departments (EDs) is extensive yet lacks comprehensive national and regional analysis.
Objective: This study aimed to synthesize existing research on emergency nurse response times in Indonesian hospital settings and identify the factors influencing these times.
Endotracheal tube as chest tube: a back-up alternative in resource limited settings.
Emerg Med J
January 2025
Department of Anesthesiology & Trauma Center / HEMS Lifeliner 1, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands
Thoracostomies, and subsequent placements of chest tubes (CTs), are a standard procedure in several domains of medicine. In emergency medicine, thoracostomies are indicated to release a relevant hemothorax or pneumothorax, particularly a life-threatening tension pneumothorax. In many cases, an initial finger-assisted thoracostomy is followed by placement of a CT to ensure continuous decompression of blood and air.
View Article and Find Full Text PDFTeaching triage in disaster medicine - same subject, but different approach.
Scand J Trauma Resusc Emerg Med
January 2025
Department of Surgery, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Background: Disaster management is an inter-, intra-, and cross-disciplinary task in which different specialties partake. Triage is a crucial part of disaster education. A synchronized approach and mutual understanding of triaging and agreement on priorities are essential for saving lives.
View Article and Find Full Text PDFHospital Boarding Creates Critical Shortcomings in Disaster Preparedness.
Health Secur
January 2025
Michael Redlener, MD, FAEMS, is Medical Director, Mount Sinai West Department of Emergency Medicine; Co-Director, Center for Healthcare Readiness; and an Associate Professor, Department of Emergency Medicine; all at Icahn School of Medicine at Mount Sinai, New York City, NY.
Hospital patient boarding in emergency departments has reached unprecedented crisis levels over the past 4 years. Boarding and crowding has been demonstrated by prior literature to have adverse effects on patient care as well as increased associated costs. Importantly, the increase in hospital patient boarding has created critical shortcomings in disaster preparedness by limiting the capacity of emergency departments to respond to mass casualty incidents due to space and staffing constraints.
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