CRIMEDIM Research Center in Emergency and Disaster Medicine - World Health Organization Collaborating Centre
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CRIMEDIM Research Center in Emergency and Disaster Medicine World Health Organization Collaborating Centre www.crimedim.uniupo.it
At a Glance CRIMEDIM is a university-wide academic center that conducts research, education and training in the field of disaster medicine and humanitarian health. The center is committed to promote innovative research projects and to foster learning and training programs using state of the art technologies to enhance the resilience of health systems in emergency, disaster and humanitarian crisis. Vision CRIMEDIM vision is to make health systems able to effectively protect people’s health from disasters and humanitarian crises, saving lives, minimizing deaths, injuries, disabilities and human suffering with competent and professional workforce. 2
RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE CRIMEDIM Mission CRIMEDIM works to enhance the resilience of health system in emergency, disaster and humanitarian crisis through increasing knowledge, skills and attitudes of health workers based on scientific evidence and field experience at local, national and international level. Objectives - promote and coordinate research projects in disaster education, disaster medicine and humanitarian health; - foster disaster education and training using emerging simulation technologies; - provide highly specialized researchers and professionals in disaster and humanitarian setting; - cooperate with different institutions, universities, public and private agencies, governmental and non- governmental organizations to enhance the resilience of health systems. 3
Main Areas of Education DISASTER MEDICINE EDUCATION AND TRAINING FOR DISASTER MANAGERS, LEADERS AND POLICY MAKERS • European Master in Disaster Medicine (EMDM) disaster medicine • International Doctoral Program in Global Health, education Humanitarian Aid and Disaster Medicine and training for health • Fellowship in Disaster Management professionals • Humanitarian Medic • Disaster Medic • Hospital Disaster Preparedness • Pre-deployment Training for Ebola Emergency Response DISASTER MEDICINE EDUCATION AND TRAINING FOR MEDICAL AND NURSING STUDENTS • TdmT - Training disaster medicine Trainers • DisasterSISM Ad hoc curriculum • Disaster Medicine module in the standard and simulation based medical curriculum at the Università del training development Piemonte Orientale • Basic and Advanced Modular Courses for Health Professionals • Instructor Course and Faculty Development • Scenario-Based Training 4
MAIN AREAS RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE OF RESEARCH CRIMEDIM 1 Professionalization of health workers in disaster and humanitarian assistance 2 operational research in disaster and humanitarian settings 3 simulation and emerging technologies in disaster education 4 Hospital Disaster Resilience 5
Main Educational Programs EMDM - European Master in Disaster Medicine The EMDM, Master of Science in The EMDM is an inter-university and Disaster Medicine, is a level-two master international course, which counts on program jointly organized by CRIMEDIM, a faculty of qualified professionals in the Research Center in Emergency and disaster medicine and humanitarian Disaster Medicine of the Università del health affiliated with worldwide Piemonte Orientale (UPO) and ReGEDiM, renowned institutions and universities. the Research Group on Emergency and Disaster Medicine of the Vrije Universiteit So far, the EMDM program has inspired Brussel (VUB). The course is aimed and trained more than 500 professionals at all health professionals involved in all over the world. the medical disaster management and Visit the website humanitarian health response at local, www.dismedmaster.com national and international level. 6
RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE CRIMEDIM THE INTERNATIONAL DOCTORAL PROGRAM IN GLOBAL HEALTH, HUMANITARIAN AID AND DISASTER MEDICINE The International Doctoral Program RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE in Global Health, Humanitarian Aid CRIMEDIM and Disaster Medicine is a joint PhD designed and offered by the Università with a full-time residential course and del Piemonte Orientale (UPO), Italy, then they will work on their research through CRIMEDIM and the Vrije projects under the supervision of an Universiteit Brussel (VUB), Belgium, international faculty of professionals. through the ReGEDiM. Admission to this Doctoral Program is highly competitive. The three-year long PhD Program will Applicants must hold a Master’s degree prepare students to conduct high in a health-related field and possess quality research in the fields of a very good academic record, global health, humanitarian previous research experience, and aid and disaster medicine. a keen interest in global health, Students will strengthen humanitarian aid and/or disaster their research skills starting medicine research. 7
Main Educational Programs Humanitarian Medic - Humanitarian Health Response Training Program Humanitarian Medic is an innovative Anesthesia, training program, designed and Critical Care, Emergency Medicine and coordinated by CRIMEDIM in Pediatrics, from any university all over collaboration with Médecins Sans the world. Frontières (Doctor Without Borders, Italian section). The program is restricted The aim of the training program is to to medical doctors in their final years provide residents with the necessary of training or residency program in knowledge, skills and attitudes to proficiently participate to international disaster responses and humanitarian health programs and to contribute to the development of professional skills when working in emergency settings with limited resources. Moreover, this experience demonstrates how academia can successfully partner with humanitarian aid organizations to promote the professionalization of future humanitarian health workers. DisasterSISM DisasterSISM is a national innovative multilevel educational program developed by CRIMEDIM in collaboration with the Italian Medical Students’ Secretariat (SISM). It is designed for medical students and aims to provide young future physicians with the basic and advanced knowledge of Disaster Medicine. 8
RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE CRIMEDIM TdmT - Training Disaster Medicine Trainers Training Disaster Medicine Trainers (TdmT) is the first international program World Health Organization (WHO), that teaches medical students basic Medecins Sans Frontières (MSF), knowledge about disaster medicine. the Alumni of the European Master The initiative is managed by CRIMEDIM in Disaster Medicine (EMDM), and together with the International experienced CRIMEDIM professionals. Federation of Medical Students’ Associations (IFMSA) with the aim to empower medical students to take action on disaster medicine in their communities by equipping them with knowledge and skills on disaster and humanitarian health. The medical students are selected from an international pool of students and they have the chance to learn from experts of international organizations such as the Virtual Reality Simulation Training for Ebola Deployment The Ebola outbreak in West Africa medical community was very sensitive was one of the worst natural disaster to the development of effective pre- of the last decades. The international deployment training programs to ensure the adequate safety of humanitarian workers. CRIMEDIM and Save the Children International (SCI) collaborated to develop and implement a specific training using virtual reality (VR) and hybrid simulation to improve the safety of humanitarian workers against the possible infection with Ebola virus, and an evaluation tool to assess the improvement of humanitarian workers’ technical and non-technical skills. 9
MAIN RESEARCH PROJECTS Funded by the European Union TEAMS - Training for Emergency Medical Teams and European Medical Corps Concerns regarding the standard of medical basic capacities and logistic means to care provided in disasters and the lack of operate self-sufficiently. Additional concerns preparedness of health workers has been have been highlighted regarding the lack of raised. Health practitioners have been cultural awareness and coordination with observed to work outside their scope of local authorities as well as international practice and license, and teams have lacked agencies. TEAMS is a EU funded project aimed simulation-based exercises focused on at developing a standardized, validated operational team training, adaptable to and cost-effective training package, different types of EMTs, and sustainable focused on operational team training for for low-income countries and resource- Emergency Medical Teams (EMTs). poor settings. The consortium is led by CRIMEDIM Along with all the EMT organizations, and composed of HCRI (UK), Karolinska universities, professional bodies and Institutes (Sweden), Tel Aviv University training agencies involved in EMT (Israel), Istanbul Medeniyet University training are expecting to benefit from (Turkey), Humedica (Germany) and the outcomes of this project. Novareckon (Italy). www.teams-project.eu The final result will be an open online training package consisting of innovative blended learning teaching materials and 10
RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE CRIMEDIM NO-FEAR - Network Of practitioners For Emergency medicAl systems and cRitical care NO-FEAR is a five-year project that responds to the Horizon 2020 Secure Societies 2017 call topic: Pan-European networks of practitioners and NO-FEAR other participants in the field of security, Category A (practitioners in the same discipline) - Medical Emergency Teams. The aim of the project is to create in particular the practitioners who were an active Pan-European network of directly involved in the recent dramatic practitioners, decision and policy events in Paris, Nice, Berlin, Madrid, makers, suppliers and academia in Barcelona and areas outside Europe, the the security field, sharing knowledge, consortium will develop a structured experience and necessities, thus and comprehensive approach to better overcoming the current state of prepare and respond to new security overwhelming fragmentation. challenges and threats. Driven by a core group of 18 project The consortium is led by CRIMEDIM partners, the network will work to reach and composed of 18 partners from a common understanding of needs and 10 Member States and 2 Associated priorities, as well as innovation potential Countries. It groups partners that could better fulfill said problem representing the different sectors areas, fill operational gaps and pinpoint involved in emergency response: areas for potential future research. i.e. universities, research centres, Based on the experience of its partners, governmental bodies, ONGs and SMEs. 11
MAIN RESEARCH PROJECTS Funded by the European Union THREATS - Terrorist attacks on Hospitals: Risk and Emergency Assessment, Tools & Systems The three-year EU funded project possible weaknesses, risks and threats THREATS is aimed at increasing the and subsequently enhance their resilience of EU hospitals as critical preparedness against terrorist attacks infrastructure by improving their targeting hospitals and healthcare protection capability and security infrastructures. awareness against terrorist attacks. www.threatsproject.eu The consortium was led by Hanover Associate Ldt (UK), and included the Institut National des Sciences Appliquées (France), and San Raffaele Hospital (Italy). Since July 2014, CRIMEDIM cooperated with the consortium partners to deliver a series of models and toolkits to help EU medical facilities to recognize TIER - Integrated strategy for CBRN Threat Identification and Emergency Response TIER is a EU funded project with Studies of the Università del Piemonte the primary objective to develop a Orientale, led a consortium composed comprehensive and integrated strategy, of public universities, research institutes, based on threat identification and risk private companies and hospitals. assessment, for hospital emergency response in case of use of chemical, With the support of international biological, radiological, nuclear materials experts, the Consortium delivered and explosives by terrorists. a risk assessment and calculator model, designed two training courses CRIMEDIM, in collaboration with the subsequently developed in France Department of Economics and Business and Italy and an assessment tool, with regard to hospital preparedness and response performance in case of CBRN emergencies. www.tierproject.eu 12
Projects in the Field First national prehospital emergency medical system for Sierra Leone Medici con l’Africa CUAMM and where CUAMM operates since 2012, CRIMEDIM are involved in a major thousands ambulance service paramedics project funded by the World Bank to start will be trained in all the country. a national transport system for obstetric and surgical emergencies. At the end of the 2-year work plan, The challenge in Sierra Leone (which was CUAMM, CRIMEDIM and the Veneto hit hard by Ebola between 2014 and Region will release a fully staffed, 2015) is to respond to the emergencies equipped and functional prehospital and create a stable and lasting emergency emergency medical system providing medical system. Starting from the positive citizens of Sierra Leone with prompt, experience of the rural district of Pujehun, safe and effective access to healthcare in times of urgent needs and enabling the Country to leverage existing healthcare infrastructure and local expertise to maximum advantage. www.mediciconlafrica.org 13
Simulation Technologies Simulation is extensively used for educational from their experience and also to retrain purposes. Through participatory simulation, and practice to correct mistakes, perfect students take an active role within an steps and fine-tune skills. Teamwork training immersive environment, that can replace conducted in the simulated environment and amplify real experiences with guided offers an additive benefit to the traditional ones. Students’ involvement in the “virtually didactic instruction, enhance performance, real” activities allow them to learn directly and possibly also help reduce errors. High Fidelity Simulation High fidelity allows mastering practical simulated disaster and humanitarian skills in a simulated environment settings. This kind of simulation fosters reproducing real situations, including active participation instead of passive resource-constrained environments. learning in a standardized and consistent Through the use of high fidelity environment, while also steepening the simulation, students develop the ability learning curve. to proficiently delivering healthcare in 14
RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE CRIMEDIM Virtual Simulation Virtual simulation represents a valid regions, emergency service facilities and innovative method for education and hospitals. Virtual simulation gives the training in disaster medicine. For its possibility to engage students online by courses CRIMEDIM uses a series of distance to enhance the ability to work tools and solutions that recreate realistic in teams to coordinate the response to training scenarios where students natural and man-made disasters. are trained, individually or in team, to manage different emergency situations in a setting where good practice can be identified and shared but where mistakes have no operational consequences. Among the available solutions, virtual reality simulation is largely used, thanks to the flexibility and realism it offers. It has been also used for practicing the logistic aspects of contingency planning across the entire emergency services chain reproducing different scenarios with realistic configurations of countries, Live Simulation Live simulation represents the plan and procedures and eventually milestone of disaster and humanitarian implement them. Functional and full-scale education and training. They are unique simulations are operation-based exercises opportunities to evaluate policies, that allow to exercise both procedures guidelines, and the command and and facilities’ functionality. This control chain; to increase the training of include all levels of participating health personnel in emergency and crisis roles; organizations, including the mobilization to improve interagency coordination of personnel and resources, activation of and communications; and to test operation centers and actual movement of equipment. CRIMEDIM field activities include actors, appropriately trained for the exercise to perform as smart victims, simulating clinical conditions and tracing medical actions. 15
WHO COLLABORATING CENTRE CRIMEDIM has been designated Collaborating Centre also participates in World Health Organization (WHO) the strengthening of country resources, Collaborating Centre for Training and in terms of information, services, Research in Emergency and Disaster research and training, in support of Medicine in August 2016. national health development. By definition, a WHO Collaborating In this framework, CRIMEDIM works to Centre is an institution designated by provide strategic support to the WHO the Director-General of WHO to form in what specifically concerns training part of an international collaborative and research in emergency and disaster network set up by WHO in support of medicine. its program at the country, regional, and global levels. In line with the WHO policy and strategy World Health Organization of technical cooperation, a WHO Collaborating Centre 16
UN Training Funded by the European Union CRIMEDIM is supporting European United Nations Commission - Humanitarian Aid & Civil Disaster Assessment Protection (DG ECHO) in the design, planning and organization of training courses for and Coordination (UNDAC) personnel active in the international disaster Induction Course response field, in the framework of the Union CRIMEDIM hosted the UNDAC Civil Protection Mechanism. Induction Course from Sunday 20th November to Friday 2nd December Emergency Medical 2016, organized by OCHA’s Field Team Coordination Cell Coordination Support Section (FCSS) (EMTCC) Training Course with the support of DG ECHO in conjunction with Novarseti Viaggi, the In 2016 and 2017 CRIMEDIM hosted two Italian Civil Protection Department and editions of the WHO EMT Coordination the Belgian Federal Public Service of Cell Training, organized by the EMT Health. Secretariat with the support of DG ECHO and partner organizations, Novarseti More than 30 participants from 20 Viaggi, the Italian Civil Protection different countries, selected among Department and the Belgian Federal humanitarian and disaster managers Public Service of Health. During a week- from international organizations and long intensive training, the participants national emergency management were trained and challenged to assess, institutions, were inducted in the establish, operate, and deactivate an UNDAC system to establish and Emergency Medical Team Coordination facilitate humanitarian coordination Cell during a simulated disaster. following sudden onset disasters. 17
National and International Collaborations Universities Free University of Brussels, Belgium Makerere University, Uganda University of Alberta, Canada University of Manchester, UK University of California Irvine, USA Hacettepe University, Turkey Harvard Umanitarian Initiative, USA University of Cluj, Romania University of Geneva, Switzerland Università Cattolica del Sacro Cuore, Italy Karolinska Institute, Sweden Tel Aviv University, Israel Linköping University, Sweden Istanbul Medeniyet University, Turkey Jazan University, Saudi Arabia United Nations Organizations World Health Organization (WHO) – official WHO Collaborating Centre United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) United Nations Office for Disaster Risk Reduction (UNISDR) United Nations Development Programme (UNDP) Worldwide Experiences • Iraq, Analysis of the Trauma • Sierra Leone, Assessment to of rehabilitation after the Care Plan implemented by create and implement the earthquake with MSF (2015) WHO to guarantee access National Emergency Medical to care to the population of System (EMS), prehospital • Afghanistan, Maternal health Mosul (2017) emergency care, ambulance program with MSF (2015) service and disaster • Gaza, Activity of response for Sierra Leone • Sierra Leone, Virtual Reality humanitarian health (2016) training program for Ebola assistance with MSF (2017) response in collaboration • Yemen, Activity of with Save the Children • Italy, Central Italy humanitarian health International (2014) earthquakes Emergency Aid assistance with MSF during Response with the Italian the conflict (2015 - 2016) • Uganda, Research project Civil Protection (2016) of postoperative pain • Nepal, Activity of Capacity management after major Building within the project surgery in a low-resource 18
RESEARCH CENTER IN EMERGENCY AND DISASTER MEDICINE CRIMEDIM Governmental and Non-Governmental Organizations Italian Civil Protection Department Italian Ministry of Foreign Affairs and International Cooperation Médecins Sans Frontières (MSF) European Society for Emergency Medicine (EUSEM) European Civil Protection and Humanitarian Aid Operations (DG ECHO) Disaster Medicine Service - Piedmont Region Save the Children International (SCI) Belgian First Aid and Support (B-FAST) International Federation of Medical Students’ Associations (IFMSA) Segretariato Italiano Studenti in Medicina (SISM) Mobile Emergency Service for Resuscitation and Extrication (SMURD) Ares Marche Humedica e.V. Doctors with Africa CUAMM Red Cross Novara environment in collaboration • Abu Dhabi, SEHA • Italy, Aquila Earthquake with the Makerere University (Disaster Management and Emergency Aid Response (2014) Emergency preparedness with the Italian Civil System - building capacity Protection (2009) • Philippines, Typhoon Haiyan and assuring integration, Emergency Aid Response 2011-12) • Italy, United Nation Medical with the Italian Civil Emergency Response Team Protection (2014) • Haiti, Activity of Capacity (UNMERT Mass Casualty Building within the project Course, 2008) Algarve • Burkina Faso, Combining of rehabilitation after the Health Authority, Dedicated Online Training earthquake (2010) and Apprenticeships • Sri Lanka, United Nation in the Field to Assist in • Albania, World Health Development Program in Professionalization of Organization, Country Office Galle District (Emergency Humanitarian Aid Workers (Medical Management of and disaster management, (2011 - 2013) Climate Change-related 2008) Health Emergencies, 2009) 19
UNIT COORDINATORS Our strategy is based on to preparedness, planning, scientific evidence and on mitigation and prevention. field experience at regional, national and international Our activities are based level. on the use of simulation to teach medical students Our action aims to establish as well as health providers a common scientific how to develop new program in education education tools and including scientifically networking with national based and validated and international centers models, often based on sharing the same strategies. Francesco Della Corte exercises using innovative technologies with specific The words we prefer are Director attributes to different innovation, perspective Since the foundation in figures sharable worldwide; and lateral thinking, 2007, CRIMEDIM’S main to foster collaboration enthusiasm, collaboration, goals have focused on the among disaster medicine networking, solidarity. improvement of the health centers of education If you share the same care system response in and training, institutions perspective and vision, we emergency, disaster and and scientific societies will be eager to collaborate. crisis through increasing to implement effective knowledge, skills and evidence-based research; to attitudes of health care enlarge our area of interest providers. from emergency response Professionalization of health workers in Simulation and emerging disaster and humanitarian assistance: technologies: Luca Ragazzoni Pier Luigi Ingrassia Operational research in disaster Hospital disaster resilience: and humanitarian settings: Davide Colombo Alba Ripoll Gallardo Disaster Medicine Education Project Management: and Training: Monica Linty Marta Caviglia 20
Alumni Perspectives Maria Grazia Fiori - Italy (Humanitarian Medic) “Humanitarian Medic is an innovative training course, peculiar in its structure and organization because it provides all the basic knowledge to face and deal with particular situations in the area of disaster medicine. This knowledge is transferred also by exposing students to professional, technical and emotional challenges during simulation exercises and real life scenarios, presented during the Master course.” Annet Alenyo Marco Antonio Ngabirano - Uganda (EMDM) Becerril Ruiz - Mexico (TdmT) “As a national health advisor in disaster “I was at the hospital at the very time medicine, I had the huge responsibility of the earthquake struck. The hospital got advising on the damaged and we had to evacuate. Many management buildings were destroyed, people are of disasters trapped and we have patients coming in. and I quickly I’m impressed but happy we had a quick realized that my and efficient response. However, we’re fundamental running out of material and staff are doing medical training extra shifts... We’re getting tired. The civil had not population is helping with the search of prepared me trapped people and many have brought to face disaster us food and supplies. The TdmT course situations. at CRIMEDIM did a EMDM was simply eye opener for me lot! I helped in the and gave me a family of disaster medicine evacuation during the specialists willing to support me.” earthquake and the immediate logistics of setting up the hospital areas in the parking lot.” 21
Latest publications • Intraoperative Low Dose Ketamine does • Education and Training of Emergency • An Italian version of the Ottawa Crisis not reduce the cost of postoperative Medical Teams: Recommendations for a Resource Management Global Rating pain management after surgery: a Global Operational Learning Framework. Scale: a reliable and valid tool for randomised controlled trial in a lower Amat Camacho N, Hughes A, Burkle assessment of simulation performance. income country. Ragazzoni L., Alenyo FM Jr, Ingrassia PL, Ragazzoni L, Franc JM, Verde M, Gallardo AR, Annet, Caviglia M., Bodas M., Franc Redmond A, Norton I, von Schreeb J. Carenzo L, Ingrassia PL. Intern Emerg J., Hannington S., Ripoll Gallardo A., PLoS Curr. 2016 Oct 21;8 Med. 2016 Jun 16. Della Corte F., Kwizera A. African Health Science, in press. • Yemen’s Unprecedented Humanitarian • Hospital preparedness and response in Crisis: Implications for International CBRN emergencies: TIER assessment • Medium and long-term health effects of Humanitarian Law, the Geneva Conven- tool. Olivieri C, Ingrassia PL, Della earthquakes in high-income countries: tion, and the Future of Global Health Corte F, Carenzo L, Sapori JM, Gabilly a systematic review and meta- Security. Ripoll Gallardo A, Burkle FM, L, Segond F, Grieger F, Arnod-Prin P, analysis. Ripoll Gallardo A, Pacelli B., Ragazzoni L, Della Corte F. Disaster Larrucea X, Violi C, Lopez C, Djalali A. Alesina M., Serrone D., Iacutone G, Med Public Health Prep. 2016 Eur J Emerg Med. 2016 Apr 7 Faggiano F., Della Corte F., Allara E. Oct;10(5):701-703 International Journal of epidemiology, • Postgraduate Education in Disaster in press. • Tools and Checklists Used for the Health and Medicine. Algaali KY, Djalali Evaluation of Hospital Disaster A, Della Corte F, Ismail MA, Ingrassia • Ahmadreza Djalali: questions everyone Preparedness: A Systematic Review. PL. Front Public Health. 2015 Aug must ask. Della Corte F, Burkle FM Nekoie-Moghadam M, Kurland L, 10;3:185. Jr, Gallardo AR, Ragazzoni L. Lancet. Moosazadeh M, Ingrassia PL, Della 2017 May 27;389(10084):2101. Corte F, Djalali A. Disaster Med Public • Yemen, an unprecedented humanitarian Health Prep. 2016 Oct;10(5):781- crisis. Ripoll Gallardo A., Ragazzoni L, • Self-Perception of Medical Students’ 788. F. Della Corte BMJ 2015; 351:h4366 Knowledge and Interest in Disaster Medicine: Nine Years After the • Virtual Laboratory and Imaging: an • TIER competency-based training course Approval of the Curriculum in German online simulation tool to enhance for the first receivers of CBRN casualties: Universities. Wunderlich R, Ragazzoni hospital disaster preparedness training a European perspective. Djalali A, Della L, Ingrassia PL, Corte FD, Grundgeiger experience. Carenzo L, Ragozzino F, Corte F, Segond F, Metzger MH, J, Bickelmayer JW, Domres B. Colombo D, Barra FL, Della Corte F, Gabilly L, Grieger F, Larrucea X, Violi Prehosp Disaster Med. 2017 Ingrassia PL. Eur J Emerg Med. 2016 C, Lopez C, Arnod-Prin P, Ingrassia PL. Aug;32(4):374-381 Sep 3. Eur J Emerg Med. 2016 Feb 26. • Medium- and long-term health effects • Comparison of the SACCO triage • Lo studio degli effetti sulla salute a of the L’Aquila earthquake (Central Italy, method versus START triage using a medio e lungo termine del terremoto 2009) and of other earthquakes in high- virtual reality scenario in advance care dell’Aquila e di altri terremoti in Paesi ad income Countries: a systematic review. paramedic students. Jain T, Ragazzoni alto reddito: una revisione sistematica. Ripoll Gallardo A, Alesina M, Pacelli L, Stratton S, Della Corte F. CJEM. • Hospital Disaster Preparedness in B, Serrone D, Iacutone G, Faggiano F, 2016 Jul;18(4):288-92. Italy: a preliminary study utilizing the Della Corte F, Allara E. Epidemiol Prev. World Health Organization Hospital 2016 Mar-Apr;40(2 Suppl 1):14-21. • Evaluation of a new community-based curriculum in disaster medicine for Emergency Response Evaluation Toolkit. • Assessment of disaster preparedness undergraduates. Bajow N, Djalali A, Pier Luigi Ingrassia, Marco Mangini, among emergency departments in Ingrassia PL, Ragazzoni L, Ageely H, Massimo Azzaretto, Ilenia Ciaramitaro, Italian hospitals: a cautious warning for Bani I, Corte FD. BMC Med Educ. Laura Costa, Francesco Della disaster risk reduction and management 2016 Aug 26;16(1):225. Corte, Ahmadreza Djalali. Minerva capacity. Paganini M, Borrelli F, Cattani anestesiologica, 2016 [in press]. J, Ragazzoni L, Djalali A, Carenzo L, • Assessment of disaster preparedness among emergency departments in • Preparedness of European hospitals Della Corte F, Burkle FM, Ingrassia PL. to counter the terrorist attacks. Scand J Trauma Resusc Emerg Med. Italian hospitals: a cautious warning for disaster risk reduction and management Ahmadreza Djalali, Marta Caviglia, 2016 Aug 15;24(1):101. Carl Dakin, Chris Arculeo, Mick capacity. Paganini M, Borrelli F, Cattani • The Solidarity and Health Neutrality of J, Ragazzoni L, Djalali A, Carenzo L, Massey, Carol Morey, Roberto Physicians in War & Peace. Burkle FM Della Corte F, Burkle FM, Ingrassia PL. Faccincani, Michele Carlucci, Sauro Jr, Erickson T, von Schreeb J, Kayden Scand J Trauma Resusc Emerg Med. Vicini, Alain Guinet, Francesco Della S, Redmond A, Chan EY, Della Corte 2016 Aug 15;24(1):101. Corte, Pier Luigi Ingrassia, in behalf of F, Cranmer H, Otomo Y, Johnson K, THREATS project Studies in conflicts Roy N. PLoS Curr. 2016 Jan 20;9. and terrorism. [in press]. 22
• Virtual disaster simulation: Lesson Gursky E. Disaster Med Public Health and simulation tools. Ingrassia PL, learned from an international Prep. 2015 Jun;9(3):245-55. Ragazzoni L, Tengattini M, Carenzo L, collaboration that can be leveraged for Della Corte F. Prehosp Disaster Med. disaster education in Iran. PLoS Curr. • Multiple withdrawals from single-use 2014 Oct;29(5):508-15. 2015 [in press]. vials: a study on sterility. Ripoll Gallardo A, Meneghetti G, Ragazzoni L, • Does Hospital Disaster Preparedness • Proposal for a community-based Kroumova V, Ferrante D, Ingrassia PL, Predict Response Performance During a disaster management curriculum for Ruzza P, Dell’Era A, Boniolo E, Koraqe Full-scale Exercise? A Pilot Study. Djalali medical school undergraduates in G, Faggiano F, Della Corte F. Int J A, Carenzo L, Ragazzoni L, Azzaretto Saudi Arabia. N. Bajow, A. Djalali, PL. Pharm. 2015 May 15;485(1-2):160- M, Petrino R, Della Corte F, Ingrassia Ingrassia, H. Agely, F. Della Corte. Am 3. PL. Prehosp Disaster Med. 2014 J Dis Med. 2015 [in press]. Oct;29(5):441-7. • Art of disaster preparedness in European • Core Competencies in Disaster union: a survey on the health systems. • Identifying deficiencies in national and Management and Humanitarian Djalali A, Della Corte F, Foletti M, foreign medical team responses through Assistance: A Systematic Review. Ragazzoni L, Ripoll Gallardo A, expert opinion surveys: implications Ripoll Gallardo A, Djalali A, Foletti M, Lupescu O, Arculeo C, von Arnim for education and training. Djalali A, Ragazzoni L, Della Corte F, Lupescu G, Friedl T, Ashkenazi M, Fischer P, Ingrassia PL, Corte FD, Foletti M, O, Arculeo C, von Arnim G, Friedl T, Hreckovski B, Khorram-Manesh A, Gallardo AR, Ragazzoni L, Kaptan K, Ashkenazi M, Fisher P, Hreckovski Komadina R, Lechner K, Patru C, Lupescu O, Arculeo C, von Arnim G, B, Khorram-Manesh A, Komadina R, Burkle FM Jr, Ingrassia PL. PLoS Curr. Friedl T, Ashkenazi M, Heselmann Lechner K, Stal M, Patru C, Burkle 2014 Dec 17;6. D, Hreckovski B, Khorrram-Manesh FM, Ingrassia PL. Disaster Med Public A, Komadina R, Lechner K, Patru Health Prep. 2015 May 5:1-10. • Combining Dedicated Online Training C, Burkle FM, Fisher P; Scientific and Apprenticeships in the Field to Assist Committee of DITAC Project. Prehosp • Impact of the 2011 Revolution on in Professionalization of Humanitarian Disaster Med. 2014 Aug;29(4):364-8. Hospital Disaster Preparedness in Aid Workers: a 2-year Pilot Project for Yemen. Aladhrai SA, Djalali A, Della Anesthesia and Intensive Care Residents • The European Masters Degree in Corte F, Alsabri M, El-Bakri NK, Working in Resource Constrained and Disaster Medicine (EMDM): A Decade Ingrassia PL. Disaster Med Public Low-income Countries. Foletti M, of Exposure. Della Corte F, Hubloue Health Prep. 2015 Apr 16:1-7. Ingrassia PL, Ragazzoni L, Djalali A, I, Ripoll Gallardo A, Ragazzoni L, Ripoll Gallardo A, Burkle FM Jr, Della Ingrassia PL, Debacker M. Front • Identifying Deficiencies in National Corte F. PLoS Curr. 2014 Jul 21;6. Public Health. 2014 May 21;2:49. and Foreign Medical Team Responses Through Expert Opinion Surveys: • Professionalization of anesthesi- • Nonstructural Safety of Hospitals for Implications for Education and Training. ologists and critical care specialists in Disasters: A Comparison Between Djalali A, Ingrassia PL, Corte FD, humanitarian action: a nationwide poll Two Capital Cities. Djalali A, Ardalan Foletti M, Gallardo AR, Ragazzoni among italian residents. Ripoll Gallardo A, Ohlen G, Ingrassia PL, Corte FD, L, Kaptan K, Lupescu O, Arculeo C, A, Ingrassia PL, Ragazzoni L, Djalali Castren M, Kurland L. Disaster Med von Arnim G, Friedl T, Ashkenazi A, Carenzo L, Burkle FM, Della Corte Public Health Prep. 2014 Apr 7:1-6. M, Heselmann D, Hreckovski B, F. 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Prehosp Disaster Simulation and Process-control Tools. Med. 2014 Apr;29(2):115-26. • Education in Disaster Management Franc JM, Ingrassia PL, Verde M, and Emergencies: Defining a New Colombo D, Della Corte F. Prehosp • Italian medical students and disaster European Course. Khorram-Manesh Disaster Med. 2015 Feb;30(1):9-15. medicine: awareness and formative A, Ashkenazi M, Djalali A, Ingrassia needs. Ragazzoni L, Ingrassia PL, PL, Friedl T, von Armin G, Lupesco O, • Nationwide program of education for Gugliotta G, Tengattini M, Franc JM, Kaptan K, Arculeo C, Hreckovski B, undergraduates in the field of disaster Corte FD. Am J Disaster Med. 2013 Komadina R, Fisher P, Voigt S, James J, medicine: development of a core Spring;8(2):127-36. curriculum centered on blended learning 23
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