Disaster preparedness education and a Midwest Regional Poison Center
DOI:
https://doi.org/10.5055/ajdm.2010.0028Keywords:
disaster medicine, Poison Center, educationAbstract
Objective: To assess knowledge and comfort related to disaster preparedness and response gained and retained from a disaster medicine workshop given to Certified Specialists in Poison Information (CSPI).
Design: A pilot study with a pre-post intervention design.
Setting: A Midwest Regional Poison Center.
Participants: All CSPIs employed at the participating Poison Center (N_ 27) were recruited. Participation ranged from 44 percent (n _ 12) for the 4-month postworkshop knowledge quiz to 78 percent (n _ 21) for the preworkshop survey.
Intervention: A disaster medicine workshop was given to the CSPIs. Quizzes and surveys were done preworkshop and then repeated at 1 week, 4 months, and 14 months postworkshop.
Main Outcome Measures: CSPI knowledge and comfort pertaining to disaster-related calls.
Results: CSPIs’ comfort levels with calls regarding major chemical or nuclear/radiation disasters significantly increased and stayed elevated during all follow-up periods [Kruskal-Wallis _2 (3) _ 13.1, p _ 0.01]. The average preworkshop quiz score was 58.2 percent. A statistically significant increase in mean quiz score was demonstrated amongst preworkshop and postworkshop scores at all tested time intervals (F _ 18.8, p _ 0.001).
Conclusions: CSPIs’ knowledge regarding disaster management significantly increased after a disaster medicine workshop, and this knowledge was significantly retained for the 14-month duration of this study. Currently, there are no uniform guidelines for Poison Centers regarding disaster response training. Studies targeted at the development of educational competencies for CSPIs and disaster response would help to standardize this much needed education.
References
Waeckerle JF, Lillibridge SR, Burkle FM, et al.: Disaster medicine: Challenges for today. Ann Emerg Med. 1994; 23: 715-718.
Crouch B: Role of poison control centers in disaster response planning. Am J Health Syst Pharm. 2002; 59: 1159-1163.
Foltin G, Schonfeld D, Shannon M (eds.): Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians. Rockville, MD: American Academy of Pediatrics, 2006.
Lehman-Huskamp K, Scalzo A, Keenan W: Disaster preparedness: Toxic exposures. In Berman S (ed.): Helping the Children. Elk Grove Village, IL: American Academy of Pediatrics, 2008: Chapter 9.
Centers for Disease Control and Prevention: Emergency preparedness and response. Centers for Disease Control and Prevention Web site. Available at www.bt.cdc.gov/disasters/chemicals.asp. Accessed February 12, 2009.
Okumura T, Suzuki K, Fukuda A, et al.: The Tokyo subway sarin attack: Disaster management, Part 1: Community emergency response. Acad Emerg Med. 1998; 5(6): 613-617.
Brennan RJ,Waeckerle JF, Sharp TW, et al.: Chemical warfare agents: Emergency medical and emergency public health issues. Ann Emerg Med. 1999; 34(2): 191-204.
Jackson BA, Peterson DJ, Bartis JT, et al.: Protecting Emergency Responders: Lessons Learned from Terrorist Attacks. Santa Monica, CA: RAND, 2002: 37-43.
Keim M, Kaufmann AF: Principles for emergency response to bioterrorism. Ann Emerg Med. 1999; 34(2): 177-182.
LaTourrette T, Peterson DJ, Bartis JT, et al.: Protecting Emergency Responders: Community Views of Safety and Health Risks and Personal Protection Needs. Santa Monica,CA:RAND, 2003: 64-68.
American Association of Poison Control Centers: National Poison Database System. American Association of Poison Control Centers Web site.Available at www.aapcc.org. Accessed June 5, 2009.
Vilke G, Jacoby I, Manoguerra A, et al.: Disaster preparedness of poison control centers in the United States. Clin Toxicol. 1996; 34: 53-58.
Walter FG (ed.): Advanced Hazmat Life Support Provider Manual. 3rd ed. Tucson, AZ: Arizona Board of Regents, University of Arizona, 2003. Available at http://www.ahls.org/ahls/ecs/main/ ahls_home.html.
Auf der Heide E: The importance of evidence-based disaster planning. Ann Emerg Med. 2006; 47(1): 34-49.
Scalzo AJ, Lehman-Huskamp KL, Sinks GA, et al.: Disaster preparedness and toxic exposures in children. Clin Pediatr Emerg Med. 2008; 9(1): 47-60.
Evans RG, Lawrence SJ: Preparing for and responding to bioterrorist attacks: The role of disease management initiatives. Dis Manag Health Outcomes. 2006; 14: 265-274.
Bronstein AC, Spyker DA, Cantilena LR, et al. 2008 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 26th Annual Report. Clin Toxicol. 2009; 47(10): 911-1084.
Klein KR, Herzog P, Smolinske S, et al.: Demand for poison control center services “surged” during 2003 blackout. Clin Toxicol. 2007; 45(3): 248-254.
Traynor K: Pittsburgh poison center is terrorism response leader. Am J Health Syst Pharm. 2004; 61(21): 2240-2243.
Walter FG, Meislin H, Munger B, et al.: Advanced Hazmat Life Support (AHLS): Development and demographics from 1999 through 2003. Internet J Rescue Dis Med. 2005; 5(1): 1-10.
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