Dennis G. Barten, Derrick Tin, Harald De Cauwer, Robert G. Ciottone, Gregory R. Ciottone,
Abstract Background: The rapid popularization of unmanned aerial vehicles (UAVs; also referred to as drones), in both the recreational and industrial sectors, has paved the way for rapid developments in drone capabilities. Although the threat of UAVs used by terrorists has been recognized by specialists in both Counter-Terrorism and Counter-Terrorism Medicine (CTM), there are limited data on the extent and characteristics of drone use by terrorist organizations. Methods: Data collection was performed ...
Tópico(s): Terrorism, Counterterrorism, and Political Violence
2022 - Cambridge University Press | Prehospital and Disaster Medicine
Saleh Fares, Mohammad Zubaid, Wael Almahmeed, Gregory R. Ciottone, Assaad Sayah, Jassim Al Suwaidi, Haitham Amin, Farid Al-Atawna, Mustafa Ridha, Kadhim Sulaiman, Alawi Alsheikh‐Ali,
Emergency Medical Services (EMS) play a central role in caring for patients with acute coronary syndromes (ACS). To date, no data exist on utilization of EMS systems in the Arab Gulf States.To examine EMS use by patients with ACS in the Gulf Registry of Acute Coronary Events (Gulf RACE).Gulf RACE was a prospective, multinational study conducted in 2007 of all patients hospitalized with ACS in 65 centers in six Arab countries. Data were analyzed based on mode of presentation (EMS vs. other).Of 7859 patients ...
Tópico(s): Emergency and Acute Care Studies
2010 - Elsevier BV | Journal of Emergency Medicine
Saleh Fares, Meg S. Femino, Assaad Sayah, Debra L. Weiner, Eugene S. Yim, Sheila Douthwright, Michael Molloy, Furqan B. Irfan, Mohamed Ali Karkoukli, Robert Lipton, Jonathan L. Burstein, Mariam Al Mazrouei, Gregory R. Ciottone,
Hazard vulnerability analysis (HVA) is used to risk‐stratify potential threats, measure the probability of those threats, and guide disaster preparedness. The primary objective of this project was to analyse the level of disaster preparedness in public hospitals in the Emirate of Abu Dhabi, utilising the HVA tool in collaboration with the Disaster Medicine Section at Harvard Medical School. The secondary objective was to review each facility's disaster plan and make recommendations based on the HVA ...
Tópico(s): Emergency and Acute Care Studies
2014 - Wiley | Disasters
A. Ganz, James Schafer, Jingyan Tang, Zhuorui Yang, Jun Yi, Gregory R. Ciottone,
In this paper we introduce the DIORAMA based system that provides situational awareness for urban search and rescue operations in both indoor and outdoor settings, significantly improving the operations' efficiency. Using a Smartphone, DIORAMA enables the responders to triage patients with active RFID tags, and to mark the locations of trapped patients and points of interest (e.g. fire, chemical spill, collapse buildings). In addition, the tagged patients' location will be automatically tracked and ...
Tópico(s): Disaster Management and Resilience
2015 - Elsevier BV | Procedia Engineering
Kevin Ryan, Matthew Robert Gagnon, Tyler Stephen Hanna, Brad Clayton Mello, M. S. Fofana, Gregory R. Ciottone, Michael Molloy,
Abstract Introduction Hospitals are meant to be places for respite and healing; however, technological advances and reliance on monitoring alarms has led to the environment becoming increasingly noisy. The coronary care unit (CCU), like the emergency department, provides care to ill patients while being vulnerable to noise pollution. The World Health Organization (WHO; Geneva, Switzerland) recommends that for optimum rest and healing, sound levels should average approximately 30 decibels (dB) with ...
Tópico(s): Phonocardiography and Auscultation Techniques
2016 - Cambridge University Press | Prehospital and Disaster Medicine
Ali S. Al-Shareef, Loui K. Alsulimani, Hattan Bojan, Taha Masri, Jennifer O. Grimes, Michael Molloy, Gregory R. Ciottone,
Abstract Background Makkah (Mecca) is a holy city located in the western region of the Kingdom of Saudi Arabia. Each year, millions of pilgrims visit Makkah. These numbers impact both routine health care delivery and disaster response. This study aimed to evaluate hospitals’ disaster plans in the city of Makkah. Methods Study investigators administered a questionnaire survey to 17 hospitals in the city of Makkah. Data on hospital characteristics and three key domains of disaster plans (general evaluation ...
Tópico(s): Disaster Management and Resilience
2016 - Cambridge University Press | Prehospital and Disaster Medicine
Ritu R. Sarin, Srihari Cattamanchi, Abdulrahman Alqahtani, Majed Aljohani, Mark Keim, Gregory R. Ciottone,
The increase in natural and man-made disasters occurring worldwide places Emergency Medicine (EM) physicians at the forefront of responding to these crises. Despite the growing interest in Disaster Medicine, it is unclear if resident training has been able to include these educational goals. Hypothesis This study surveys EM residencies in the United States to assess the level of education in Disaster Medicine, to identify competencies least and most addressed, and to highlight effective educational ...
Tópico(s): Emergency and Acute Care Studies
2017 - Cambridge University Press | Prehospital and Disaster Medicine
Michelangelo Bortolin, I. Morelli, Amalia Voskanyan, Nina R. Joyce, Gregory R. Ciottone,
Abstract Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in “Mega-Mass-Casualty” earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is imperative to build an effective disaster preparedness and response system. Methods The systematic review was conducted in accordance with Preferred Reporting Items for Systematic ...
Tópico(s): Traumatic Ocular and Foreign Body Injuries
2017 - Cambridge University Press | Prehospital and Disaster Medicine
The risk of chemical terrorism requires an effective rapid-triage system for identifying symptoms, likely to have been caused by chemical agents, that require rapid antidote administration, emergency airway support, and area decontamination.
Tópico(s): Bacillus and Francisella bacterial research
2018 - Massachusetts Medical Society | New England Journal of Medicine
Derrick Tin, Lenard Cheng, Demkovich Le, Ryan Hata, Gregory R. Ciottone,
The frequency, intensity, and geographical reach of natural disasters, fueled in part by factors such as climate change, population growth, and urbanization, have undeniably been escalating concerns around the world.
Tópico(s): Flood Risk Assessment and Management
2023 - Elsevier BV | Public Health
Dennis G. Barten, Derrick Tin, Fredrik Granholm, Діана Руснак, Frits van Osch, Gregory R. Ciottone,
Abstract Background Although the Geneva Conventions and Rome Statute demand protections for healthcare facilities during war , breaches of these protections are frequently reported. The ongoing war in Ukraine is no exception, with several healthcare attacks eliciting widespread condemnation. The Ukrainian Healthcare Center (UHC) has been collecting, verifying and documenting attacks on health infrastructure since the Russia–Ukraine War was launched. The aim of this study was to assess UHC documented ...
Tópico(s): Migration, Health and Trauma
2023 - BioMed Central | Conflict and Health
Vijai Bhola, Attila J. Hertelendy, Alexander Hart, Syafwan Bin Adnan, Gregory R. Ciottone,
The United States (US) spends a staggering amount on costs secondary to natural disasters, over $2 trillion between 1980 and 2021, during which time 15,347 disaster related deaths also occurred [1]. We assess the relationship between CO2, temperature, and the number and economic costs of billion-dollar disaster events in the US during this period. Data on the annual number of inflation-adjusted billion-dollar disasters in the US, global CO2 levels, average temperature, and fatalities were obtained ...
Tópico(s): Disaster Management and Resilience
2023 - Elsevier BV | The Journal of Climate Change and Health
Alexander Hart, Douglas Romney, Ritu R. Sarin, Oren Mechanic, Attila J. Hertelendy, Deanna Larson, Kelly Rhone, Kristi Sidel, Amalia Voskanyan, Gregory R. Ciottone,
Telemedical applications have only recently begun to coalesce into the field of telemedicine due to varying definitions of telemedicine and issues around reimbursement. This process has been accelerated by the COVID-19 pandemic and the ensuing expansion of telemedicine delivery. This article demonstrates the development of a set of proposed competencies for a telemedicine curriculum in graduate medical education.A modified Delphi process was used to create a panel of competencies. This included ...
Tópico(s): Advances in Oncology and Radiotherapy
2021 - Lippincott Williams & Wilkins | Academic Medicine
Kevin Kei Ching Hung, Sonoe Mashino, Emily Ying Yang Chan, Makiko K. MacDermot, Satchit Balsari, Gregory R. Ciottone, Françesco Della Corte, Marcelo F. Dell’Aringa, Shinichi Egawa, Bettina D. Evio, Alexander Hart, Hai Hu, Tadashi Ishii, Luca Ragazzoni, Hiroyuki Sasaki, Joseph Harold Walline, C. S. Wong, Hari Krishna Bhattarai, Saurabh Dalal, Ryoma Kayano, Jonathan Abrahams, Colin A. Graham,
The Sendai Framework for Disaster Risk Reduction 2015–2030 placed human health at the centre of disaster risk reduction, calling for the global community to enhance local and national health emergency and disaster risk management (Health EDRM). The Health EDRM Framework, published in 2019, describes the functions required for comprehensive disaster risk management across prevention, preparedness, readiness, response, and recovery to improve the resilience and health security of communities, countries, ...
Tópico(s): Global Maternal and Child Health
2021 - Multidisciplinary Digital Publishing Institute | International Journal of Environmental Research and Public Health
Derrick Tin, Zachary Kallenborn, Alexander Hart, Attila J. Hertelendy, Gregory R. Ciottone,
Abstract The mass proliferation and increasing affordability of unmanned aerial vehicles (UAVs) in recent years has given rise to weaponized UAV use by terrorists, leading to mounting and credible concerns this attack methodology will be the next terrorism modus operandi. Counter-Terrorism Medicine (CTM) specialists need to consider how UAVs alter or create new mass-casualty scenarios that can further exploit existing medical preparedness vulnerabilities. With an opportunity to be proactive in disaster ...
Tópico(s): Health and Conflict Studies
2021 - Cambridge University Press | Prehospital and Disaster Medicine
Garrett A. Cavaliere, Reem Alfalasi, Gregory Jasani, Gregory R. Ciottone, Benjamin J. Lawner,
Healthcare facilities play an essential role in response to terrorist attacks, but they also can be “soft targets” due to their accessibility and limited security. In this review, the authors used the Global Terrorism Database to conduct a search on terrorist attacks directed against hospitals and healthcare facilities between 1970 and 2018. Search terms included “healthcare,” “doctor,” “nurses,” “vaccinators,” “clinic,” and “hospital,” which resulted in 2,322 healthcare-related entries. The dataset was ...
Tópico(s): Public Health Policies and Education
2021 - Mary Ann Liebert, Inc. | Health Security
Colton Margus, N. M. Brown, Attila J. Hertelendy, Michelle R Safferman, Alexander Hart, Gregory R. Ciottone,
The early conversations on social media by emergency physicians offer a window into the ongoing response to the COVID-19 pandemic.This retrospective observational study of emergency physician Twitter use details how the health care crisis has influenced emergency physician discourse online and how this discourse may have use as a harbinger of ensuing surge.Followers of the three main emergency physician professional organizations were identified using Twitter's application programming interface. ...
Tópico(s): Public Relations and Crisis Communication
2021 - JMIR Publications | Journal of Medical Internet Research
Derrick Tin, Colton Margus, Gregory R. Ciottone,
Abstract Background: High profile terrorist attacks in major capital cities have seemingly become a regular occurrence and the resultant mass-casualty events continue to challenge health care systems. Counter-Terrorism Medicine (CTM) addresses unique terrorism-related issues relating to the mitigation, preparedness, and response measures to asymmetric, multi-modality terrorist attacks. This study is an epidemiological examination of all terrorism-related events sustained from 1970-2019, analyzing ...
Tópico(s): Traumatic Ocular and Foreign Body Injuries
2021 - Cambridge University Press | Prehospital and Disaster Medicine
Derrick Tin, Fredrik Granholm, Alexander Hart, Gregory R. Ciottone,
Abstract Background: Terrorist attacks are growing in complexity, increasing concerns around the use of chemical, biological, radiation, and nuclear (CBRN) agents. This has led to increasing interest in Counter-Terrorism Medicine (CTM) as a Disaster Medicine (DM) sub-specialty. This study aims to provide the epidemiology of CBRN use in terrorism, to detail specific agents used, and to develop training programs for responders. Methods: The open-source Global Terrorism Database (GTD) was searched for ...
Tópico(s): Autopsy Techniques and Outcomes
2021 - Cambridge University Press | Prehospital and Disaster Medicine
Derrick Tin, Attila J. Hertelendy, Gregory R. Ciottone,
Interest in the metaverse has been growing worldwide as the virtual environment provides opportunities for highly immersive and interactive experiences. Metaverse has gradually gained acceptance in the medical field with the advancement of technologies such as big data, the Internet of Things, and 5 G mobile networks. The demand for and development of metaverse are different in diverse subspecialties owing to patients with varying degrees of clinical disease. Hence, we aim to explore the application ...
Tópico(s): Cardiac Arrest and Resuscitation
2021 - Elsevier BV | The American Journal of Emergency Medicine
Derrick Tin, Pardis C. Sabeti, Gregory R. Ciottone,
The Covid19 pandemic has reignited debates and discussions around healthcare systems' biosecurity vulnerabilities and cast a spotlight on the potential weaponization of biological agents. Terrorist and violent extremist groups have already attempted to incite the intentional spread of Covid19 and to use it as an improvised form of a biological weapon. This study aims to provide an epidemiological description of all terrorism-related attacks using biological agents sustained between 1970 and 2019. ...
Tópico(s): SARS-CoV-2 and COVID-19 Research
2022 - Elsevier BV | The American Journal of Emergency Medicine
Natasha J. Brown, Colton Margus, Alexander Hart, Ritu R. Sarin, Attila J. Hertelendy, Gregory R. Ciottone,
Summary Statement Disaster medicine (DM) training aims to recreate stressful, mass casualty scenarios faced by medical professionals in the field with high fidelity. Virtual (VR) and augmented reality (AR) are well suited to disaster training as it can provide a safe, socially distant simulation with a high degree of realism. The purpose of this literature review was to summarize the current use of VR or AR for simulation training of healthcare providers in DM education. A systematic review of peer- ...
Tópico(s): Radiology practices and education
2022 - Lippincott Williams & Wilkins | Simulation in Healthcare The Journal of the Society for Simulation in Healthcare
Richard V. Aghababian, Kirsten Levy, Peter Moyer, Lawrence Mottley, Gregory R. Ciottone, Robert Freitas, Ara Minasian,
At this writing, a collaborative partnership has been in place for 30 months between the Boston University Medical Center, the University of Massachusetts Medical Center, the Armenian Ministry of Health, and the Emergency Hospital of Yerevan, Armenia, to improve emergency and trauma care in that city. Fifty-five individuals have traveled to and from the Emergency Hospital, the partner hospital. The collaboration has led to the creation of the Emergency Medical Services Institute (EMSI) at Emergency ...
Tópico(s): Health and Conflict Studies
1995 - Elsevier BV | Annals of Emergency Medicine
Derrick Tin, Alexander Hart, Gregory R. Ciottone,
Tópico(s): Health and Conflict Studies
2020 - Elsevier BV | The American Journal of Emergency Medicine
Todd Benham, Alexander Hart, Michelangelo Bortolin, Michael Court, John Groves, Anthony Kraus, Brad Newbury, Amalia Voskanyan, Madeline Yogman, Fahad Alhajjaj, Yousef AlMalki, Bader Alossaimi, Oluwafunbi Awoniyi, Adham Sameer A. Bardeesi, Srihari Cattamanchi, Bridget Edwards, Anthony Wright de Hernandez, Fadi Issa, Philip Manners, Michael Molloy, Douglas Romney, Debra K. Weiner, Gregory R. Ciottone,
The global community needs to be aware of the potential psychosocial consequences that may be experienced by health care workers who are actively managing patients with coronavirus disease (COVID-19). These health care workers are at increased risk for experiencing mood and trauma-related disorders, including posttraumatic stress disorder (PTSD). In this concept article, strategies are recommended for individual health care workers and hospital leadership to aid in mitigating the risk of PTSD, as ...
Tópico(s): COVID-19 and Mental Health
2020 - Cambridge University Press | Disaster Medicine and Public Health Preparedness
Michael Court, Brydie Edwards, Fadi Issa, Amalia Voskanyan, Gregory R. Ciottone,
Abstract Introduction: Since 2001, a burgeoning interest by health care professionals in the growing asymmetrical terrorist threat and its impact on health care preparation and response has seen significantly increased academic output around this nebulous subject. Despite this, there has failed to be a consolidation of this sub-specialty. Discussion: This editorial argues for the consolidation of the body of experience gathered since 2001 into an initiative called Counter-Terrorism Medicine (CTM). ...
Tópico(s): Terrorism, Counterterrorism, and Political Violence
2020 - Cambridge University Press | Prehospital and Disaster Medicine
Laurent Gout, Alexander Hart, Charles‐Henri Houze‐Cerfon, Ritu R. Sarin, Gregory R. Ciottone, Vincent Bounes,
Abstract Introduction: Disasters are high-acuity, low-frequency events which require medical providers to respond in often chaotic settings. Due to this infrequency, skills can atrophy, so providers must train and drill to maintain them. Historically, drilling for disaster response has been costly, and thus infrequent. Virtual Reality Environments (VREs) have been demonstrated to be acceptable to trainees, and useful for training Disaster Medicine skills. The improved cost of virtual reality training ...
Tópico(s): Cardiac Arrest and Resuscitation
2020 - Cambridge University Press | Prehospital and Disaster Medicine
Gregory Jasani, Reem Alfalasi, Garrett A. Cavaliere, Gregory R. Ciottone, Benjamin J. Lawner,
Abstract Introduction: Using an ambulance as an attack modality offers many advantages to a terrorist organization. Ambulances can carry more explosives than most vehicles and can often bypass security. Yet, studies examining how terrorist organizations have incorporated ambulances into their attacks are lacking. Study Objective: This article seeks to identify and analyze known instances in which an ambulance has been used in a terrorist attack. Methods: The Global Terrorism Database (GTD) was searched ...
Tópico(s): Gun Ownership and Violence Research
2020 - Cambridge University Press | Prehospital and Disaster Medicine
Ritu R. Sarin, Paul D. Biddinger, John F. Brown, Jonathan L. Burstein, Frederick M. Burkle, Douglas Char, Gregory R. Ciottone, John L. Hick, Kristi L. Koenig, Charles Little, Carl H. Schultz, Jeremy Maggin, Eric Goralnick,
Disaster Medicine (DM) education for Emergency Medicine (EM) residents is highly variable due to time constraints, competing priorities, and program expertise. The investigators' aim was to define and prioritize DM core competencies for EM residency programs through consensus opinion of experts and EM professional organization representatives.Investigators utilized a modified Delphi methodology to generate a recommended, prioritized core curriculum of 40 DM educational topics for EM residencies.The ...
Tópico(s): Emergency and Acute Care Studies
2019 - Cambridge University Press | Prehospital and Disaster Medicine
Attila J. Hertelendy, Gregory R. Ciottone, Cheryl Mitchell, Jennifer Gutberg, Frederick M. Burkle,
Abstract The COVID-19 pandemic has caused clinicians at the frontlines to confront difficult decisions regarding resource allocation, treatment options and ultimately the life-saving measures that must be taken at the point of care. This article addresses the importance of enacting crisis standards of care (CSC) as a policy mechanism to facilitate the shift to population-based medicine. In times of emergencies and crises such as this pandemic, the enactment of CSC enables concrete decisions to be ...
Tópico(s): Health and Conflict Studies
2020 - Oxford University Press | International Journal for Quality in Health Care