Breaking News
March 21, 2018 - Insurance Company Hurdles Burden Doctors, May Harm Patients
March 21, 2018 - Renal Transplant from HCV-Positive Donors Feasible
March 21, 2018 - Myelodysplastic syndrome: MedlinePlus Medical Encyclopedia
March 21, 2018 - Research reveals brain mechanism involved in language learning
March 21, 2018 - Many parents still hesitate to try early peanut introduction, survey finds
March 21, 2018 - Audiologist urges tinnitus sufferers facing ‘revolving door healthcare’ to seek support
March 21, 2018 - Study reveals impact of prostate cancer on wives and partners of sufferers
March 21, 2018 - ‘Almost a Miracle Drug’: What We Heard This Week
March 21, 2018 - Study shows NIH spent >$100 billion on basic science for new medicines
March 21, 2018 - Columbia researchers identify nerve cells that drive fruit fly’s escape behavior
March 21, 2018 - Sartorius Stedim Biotech selected by ABL Europe to supply single-use process technologies
March 21, 2018 - Increase in coffee consumption may help battle against colon cancer
March 21, 2018 - Hydrogel may accelerate healing of diabetic ulcers
March 21, 2018 - Dermira’s Two Phase 3 Trials Evaluating Olumacostat Glasaretil in Patients with Acne Vulgaris Did Not Meet Co-Primary Endpoints
March 21, 2018 - DePuy Synthes introduces ACTIS Total Hip System for improving initial implant stability
March 21, 2018 - ‘Oh, It Was Nothing’
March 21, 2018 - Herbal drug kratom linked to salmonella illnesses, CDC says
March 21, 2018 - New optical point-of-care device could enhance screening for thyroid nodules
March 21, 2018 - FDA Expands Approval of Adcetris (brentuximab vedotin) for First-Line Treatment of Stage III or IV Classical Hodgkin Lymphoma in Combination with Chemotherapy
March 21, 2018 - Eosinophilic Esophagitis: Late Manifestation of Allergic March
March 21, 2018 - Signaling pathway involving the Golgi apparatus identified in cells with Huntington’s disease
March 21, 2018 - Quintupling inhaled steroid doses may not benefit children with asthma
March 21, 2018 - Study shows clear connection between cardiovascular fitness in middle age and dementia risk
March 21, 2018 - Premature babies have higher risks of health complications in Bangladesh
March 21, 2018 - Child’s temperament and parenting influence weight gain in babies
March 21, 2018 - Researchers find the heart to be capable of arrhythmia termination after local gene therapy
March 21, 2018 - Inhealthcare to provide digital infrastructure for NHS to help protect people from falls
March 21, 2018 - Flu Season Finally Slowing Down
March 21, 2018 - Mixed Results for Shorter DAPT in ACS Patients
March 21, 2018 - Scientists discover fish scale-derived collagen effective for healing wounds
March 21, 2018 - Genomics England announces new partnership to improve efficiency of next-generation sequencing analysis
March 21, 2018 - Adjuvant AC chemotherapy found to be effective in treating HRD-positive breast cancer patients
March 21, 2018 - Researchers identify new treatment targets for lung diseases using big data
March 21, 2018 - Kids see more women in science than five decades ago
March 21, 2018 - Research shows link between chronic fatigue syndrome and lower thyroid hormone levels
March 21, 2018 - Alzheimer’s disease on the rise
March 21, 2018 - Two Agents Equal as Pretreatment for Adrenal Tumor Surgery
March 21, 2018 - ‘Icebreaker’ protein opens genome for T cell development, researchers find
March 21, 2018 - Women in medicine shout #Metoo about sexual harassment at work
March 21, 2018 - Mother’s pre-pregnancy waist size may be linked to child’s autism risk
March 21, 2018 - Second hand marijuana smoke can cause serious damage
March 21, 2018 - International study shows benefits of using MRI at the start of prostate cancer diagnosis
March 20, 2018 - Santhera Reports Outcome of Exploratory Trial with Idebenone in PPMS Conducted at the NIH
March 20, 2018 - ECG Patch Ups At-Home Afib Diagnosis in mSToPS Trial
March 20, 2018 - ROS-scavenging nanozymes for anti-inflammation therapeutics
March 20, 2018 - Genomics England announces appointment of global genomics pioneer as first CEO
March 20, 2018 - Test flight at German Aerospace Center in Cologne demonstrates functionality of deficopter
March 20, 2018 - Music therapy helps treat combat-related psychological injuries in military personnel
March 20, 2018 - Innovative psychotherapeutic treatment protocol for obsessive-compulsive disorders
March 20, 2018 - Weight loss after lap-band surgery alleviates arthritic knee pain
March 20, 2018 - New diabetes drug may help obese people shed body weight
March 20, 2018 - Novel Peanut OIT a Winner in Phase III Trial
March 20, 2018 - Can gene therapy be harnessed to fight the AIDS virus?
March 20, 2018 - Education and academic achievement can lessen effects of child abuse, neglect
March 20, 2018 - Researchers develop new algorithm to make CPR more effective
March 20, 2018 - Diabetes medication reduces chance of late miscarriage, premature birth among women with PCOS
March 20, 2018 - SSRIs may be more effective option for treating anxious youth, UC research shows
March 20, 2018 - Antibiotics could benefit women suffering from chronic bladder pain
March 20, 2018 - Health Highlights: March 16, 2018
March 20, 2018 - Interventional Radiology Has a Problem of ‘Unseen’ Value
March 20, 2018 - Antibodies show effectiveness for HIV prevention and promise for treatment and cure
March 20, 2018 - New 3-D-printed technology will improve radiology training
March 20, 2018 - New study identifies key role for particular gene in 16p11.2 deletion syndrome
March 20, 2018 - Red and processed meat increase the risk of liver disease
March 20, 2018 - 50% of Australians do not brush teeth twice a day
March 20, 2018 - American Gene Technologies receives second immuno-oncology patent
March 20, 2018 - Study finds no link between long-term violent video game play and adult aggression
March 20, 2018 - Weight loss surgery widely underutilized among young patients with severe obesity
March 20, 2018 - Scientists uncover new answers to cell aging in children with rare, fatal disease
March 20, 2018 - The Pistoia Alliance Calls for Greater Life Sciences Collaboration to Build the ‘Lab of the Future’
March 20, 2018 - Morning Break: Psychopathic Thought; Americans Flout Zzz’s; Farm to Pharma
March 20, 2018 - Perceptions of old age change as we age
March 20, 2018 - New standards for public involvement in research launched across the UK
March 20, 2018 - Whole Genome Sequencing used as diagnostic solution for TB
March 20, 2018 - Researchers show how two cancer genes work together to trigger leukemia
March 20, 2018 - Scientists discover basic molecular mechanism that helps understand how ALS works
March 20, 2018 - Multi-center study to evaluate promising new intervention for upper limb dysfunction after SCI
March 20, 2018 - Researchers develop technology to program DNA for delivering cancer drugs
March 20, 2018 - Northwestern scientists bring precision medicine to rheumatoid arthritis
March 20, 2018 - Research suggests possible link between heading a soccer ball and brain imbalance
Mass Shootings Trigger Change for Emergency Medicine

Mass Shootings Trigger Change for Emergency Medicine

image_pdfDownload PDFimage_print

In the aftermath of Wednesday’s mass shooting at a Florida high school, the emergency medicine community is once again thinking about how to improve disaster preparedness as it waits for more details to be made available on how peers responded to the tragedy that left 17 dead.

That’s not to say that medical professionals failed in Broward County: a semiautomatic AR-15 assault rifle causes “a crazy amount of damage in a human body,” said Michael Redlener, MD, of Mount Sinai St. Luke’s and Roosevelt Hospitals in New York City.

Still, in the past decade, the emergency medicine community has been working to overhaul responses in order to keep up with the tide of mass shootings. Notably, the American College of Surgeons and government groups created the Hartford Consensus after the 2012 shooting at Sandy Hook Elementary School in Newtown, Conn., and its recommendations for responding to an active shooter event remain the national standard.

“All of us have revised approaches to supply distribution, triage, and patient distribution over the past 2 years because of lessons learned from active shooter incidents that are fast-moving critical incidents,” said A.J. Heightman, MPA, EMT-P, editor of the Journal of Emergency Medical Services.

Now bystanders are also getting involved by taking care of the wounded and, in fact, not waiting for EMS to transport critically wounded individuals, doing it themselves in their own personal vehicles, Heightman told MedPage Today.

Moreover, a new appreciation of how unique deadly bleeding can be — realized just within the last 7 years, according to Redlener — is making bleeding a main priority for EMS and changing how civilian responders are encouraged to help in an emergency.

Launched in 2015, the Stop the Bleed national awareness program is the emergency community’s answer to teaching bystanders how to take the first steps to saving someone’s life. Civilians are called on to assess the scene of an emergency, move injured victims to safety, and perform actions that limit heavy bleeding.

“It is important for communities to consider how to enable bystanders to safely assist victims with life-threatening bleeding, in much the same way as we enable them to assist cardiac arrest victims needing CPR,” commented Alexander Isakov, MD, MPH, of Emory University School of Medicine in Atlanta.

“The value and importance of ensuring that as many people as possible know how to care for patients in the immediate moments following a critical injury cannot be stressed enough. The ability to quickly deliver lifesaving care does not just pertain to the aftermath of horrific tragedies, such as intentional mass casualty events. It is also crucial to survival following incidents of everyday trauma, such as workplace mishaps and motor vehicle crashes. This is about enhancing resilience,” according to Matthew Levy, DO, of Johns Hopkins University School of Medicine in Baltimore.

Levy co-wrote an editorial in 2016 highlighting the importance of bleeding control kits for civilian use.

“There is an increasing body of scientific knowledge in the emergency medicine literature that suggests that in cases of mass trauma, the local availability of bleeding-control supplies can improve survivorship,” agreed Robert Emery, MSPH, MSEH, DrPH, of the University of Texas Health Science Center at Houston.

He noted that students and staff there collaborated on a project to create Stop the Bleed kits for placement alongside automated external defibrillators. The kits include tourniquets, gauze, and surgical tape, gloves, and other necessities (including instructions), and are meant to transform a bystander into a first responder.

The last few years have also taught that earlier alerting of nearby hospitals is crucial in the face of mass violence.

Redlener said that coordination before victims arrive at the hospital among EMS, police, bystanders, and hospital operations is key. Thanks to modern tools, communication can be enhanced and people triaged and taken to the operating room or ICU more quickly.

Ultimately, “I believe the biggest change in EMS has been the loss of ‘it can’t happen here’ to ‘let’s be ready when it happens,'” said Corey Slovis, MD, of Vanderbilt University Medical Center in Nashville, TN. “EMS leaders have worked within almost every system to ensure that each of us is ready.

“And yes, we in Nashville are getting all of our EMS providers equipped with ballistic vests and helmets — something that not that many years ago, would have seemed unnecessary and overly dramatic.”


Tagged with:

About author

Related Articles