Background: Shooting events in hospitals are increasing in frequency, with the emergency department (ED) being the most common site of such events. EDs must be prepared for shooting events, but current practices surrounding active shooter preparation are unknown.
Objective: To determine what active shooter training emergency medicine physicians are receiving.
Methods: A survey was developed to assess current practices around active shooter preparation in EDs. The survey was distributed to members of the American College of Emergency Physicians' Emergency Medicine Practice Research Network. All members of the Emergency Medicine Practice Research Network are currently practicing emergency medicine physicians.
Results: There were 194 respondents. The most common form of training received was online (76/194), followed by lecture (50/194). Only 39 respondents had participated in an active shooter drill. Sixty-five respondents (33 percent) reported having never received any formal active shooter training.
Conclusion: There is a wide array of active shooter training that emergency medicine physicians are receiving, with nearly one-third receiving no training at all.
College of Physical Education, Research Centre for Exercise Detoxification, Southwest University, No.2 Tiansheng Road, Beibei District, Chongqing, 400715, People's Republic of China.
Objective: By comparing the differences in pre-competition state anxiety, inter-competition heart rate variability (HRV), and shooting performance of young athletes of different grades, and revealing the correlation between these variables, it provides a potential basis for improving athletes' shooting performance.
Methods: A total of 45 adolescent shooters were selected in Chongqing, China, and completed 40 effective shots at self-pace in real shooting scenes. The pre-competition state anxiety, inter-competition HRV, and shooting performance of the athletes were monitored and evaluated respectively.
The present study employed individualized magnitudes of electroencephalographic (EEG) alpha (8-12 hz) power in the left temporal (T3) region as a neurofeedback target parameter during the aiming period in pre-elite air pistol shooters to determine its effectiveness on cerebral cortical activation and performance accuracy compared to physical skill training, only. Shooting scores and EEG activity in the left and right temporal regions were collected from 20 healthy air pistol shooters (10 assigned to neurofeedback training) before and after a 16-session intervention completed within 6 weeks. Specifically, EEG low-alpha (8-10 hz), high-alpha (10-13 hz) power, and coherence obtained at the T3-Fz and T4-Fz recording sites over three consecutive 1-s intervals prior to trigger pull, were subjected to three separate 2 × 2 × 2 × 3 (Group x Hemisphere x Time x Epoch) ANOVAs.
Public health emergencies, including climate-related and manmade disasters such as active shooter incidents, occur regularly in the United States. A comprehensive approach is needed to ensure that children's mental health needs are adequately addressed following disasters. This article summarizes the latest evidence on how health systems can effectively address children's unique developmental, social, emotional, and behavioral needs in the context of disasters.
