Relación entre personalidad, afrontamiento y apoyo social con burnout, calidad de vida profesional y salud, en bomberos de Gran Canaria

Programa de doctorado de Psicología de la Salud (Bienio 2002-2004)

Dual dispatch early defibrillation in out-of-hospital cardiac arrest in a mixed urban–rural population

Aims The effects of a system based on minimally trained first responders (FR) dispatched simultaneously with the emergency medical services (EMS) of the local hospital in a mixed urban and rural area in Northwestern Switzerland were examined. Methods and results In this prospective study 500 voluntary fire fighters received a 4-h training in basic-life-support using automated-external-defibrillation (AED). FR and EMS were simultaneously dispatched in a two-tier rescue system. During the years 2001–2008, response times, resuscitation interventions and outcomes were monitored. 1334 emergencies were included. The FR reached the patients (mean age 60.4 ± 19 years; 65% male) within 6 ± 3 min after emergency calls compared to 12 ± 5 min by the EMS (p < 0.0001). Seventy-six percent of the 297 OHCAs occurred at home. Only 3 emergencies with resuscitation attempts occurred at the main railway station equipped with an on-site AED. FR were on the scene before arrival of the EMS in 1166 (87.4%) cases. Of these, the FR used AED in 611 patients for monitoring or defibrillation. CPR was initiated by the FR in 164 (68.9% of 238 resuscitated patients). 124 patients were defibrillated, of whom 93 (75.0%) were defibrillated first by the FR. Eighteen patients (of whom 13 were defibrillated by the FR) were discharged from hospital in good neurological condition. Conclusions Minimally trained fire fighters integrated in an EMS as FR contributed substantially to an increase of the survival rate of OHCAs in a mixed urban and rural area.

Propuesta de aplicación de una red de sensores en emergencias

El auge y evolución de los sistemas de comunicaciones móviles y de las redes inalámbricas avanzadas, sucedido desde principios del siglo XXI, han propiciado el uso de Redes de Sensores Inalámbricos (RSI) en múltiples ámbitos de interés. Dichas redes están típicamente compuestas por dispositivos inalámbricos autónomos que incorporan sensores para la recogida de datos de distinta naturaleza. Las RSI se caracterizan por su escalabilidad, ausencia de cableado, pequeño tamaño, bajo consumo, gran variedad de magnitudes físico/químicas medibles, entre otras, cuyas cualidades las hace muy interesantes para su aplicación en multitud de escenarios de la Sociedad de la Información, tales como domótica, agricultura y ganadería, medioambiente, salud, procesos industriales, logística, seguridad o ciudades inteligentes, ente otras. En este Trabajo Fin de Máster, se propone el uso de las RSI en el escenario de Emergencias donde cobra gran importancia la usabilidad, la fiabilidad, la disponibilidad, y la robustez de los sistemas a emplear en condiciones hostiles, especialmente en las de bomberos. Es por ello que se analizarán previamente los trabajos de RSI desarrollados para estos entornos y que sugieren qué aplicaciones garantizan el cumplimiento de los requerimientos mencionados. Se aborda la utilización de una primera RSI para la monitorización ambiental de tres Centros de Procesado de Datos (CPD) del departamento de TI de Emergencias, siendo este un entorno sin movilidad, más controlado y que aporta la adquisición de experiencia en la utilización de las RSI de cara a un entorno móvil más complejo. A continuación, para el entorno móvil se ha desarrollado y validado un prototipo experimental de RSI para el seguimiento de salida de parques de bomberos de vehículos con su dotación. Así mismo se implementa un prototipo para la ayuda a la localización de bomberos y/o personas en un siniestro. Estas RSI se desarrollan e implantan en el entorno de Emergencias del Ayuntamiento de Madrid, entidad sin cuyo apoyo habría sido imposible la aplicación práctica de este trabajo. SUMMARY. The rise and evolution of mobile communication systems and advanced wireless networks in early XXI century have allowed to taking advantage of Wireless Sensor Networks (WSN). These networks are composed of independent wireless devices that incorporate sensors for collecting data of different nature. The WSN is characterized by its scalability, no wiring, small size, low power consumption, wide range of physical magnitudes measurable, among others. These qualities make them very interesting for application in many scenarios to the Information Society, such as, domotic, agriculture, smart environment, ehealth, industrial control, logistics, security and smart cities, among others. This work proposes to use WSN in the emergency scenario where is very important the usability, reliability, availability, and robustness of the systems to be used in hostile conditions, especially in fire-fighters environment. That is why WSN works in emergency will be studied to tackle what applications compliance with the above requirements. The first WSN developed will be environmental monitoring of three CPDs IT department Emergency. This scenario is a non-mobile environment, more controlled and bring gaining experience in the use of WSN to face mobile environment which is more complex. Then, for the mobile environment is developed an experimental prototype of WSN for tracking fire vehicles living fire stations with their equipment. Another prototype is foreseen to be implemented to assist fire-fighters location and / or people in a disaster. These WSN are developed and implemented for Madrid City Emergency, whose involvement was critical to put this research into stage.

Guidelines for prevention of transmission of human immunodeficiency virus and hepatitis B virus to health-care and public-safety workers : a response to P.L. 100-607, The Health Omnibus Programs Extension Act of 1988.

Item 499-F-3.

Statements of the United States Commission on Civil Rights : Firefighters v. Stotts : Hishon v. King & Spalding.

Cover title.

Basic workweek of federal firefighters : hearing before the Subcommittee on Human Resources of the Committee on Post Office and Civil Service, House of Representatives, Ninety-sixth Congress, first session, on H.R. 2748 ... September 14, 1979.

"Serial no. 96-113."

Toward an understanding of Stotts.

Item 288-A-5

Report on fringe benefits and related practices affecting firefighters.

No more published?

Downstate firemen's pension funds, digest of governing act and summary of financial operations.

Mode of access: Internet.

West Physics Building. Burned while in demolition

Pond & Pond, architects. Built 1887-1888. On verso: Sept. 1966

National apprenticeship and training standards for emergency medical technicians /

Mode of access: Internet.

Training operations in small departments : student manual /

Designed to provide the student [i.e. the training officer] with the essential tools and skills to lead and manage a training program in a small department.

Using "war stories" to train for adaptive performance: Is it better to learn from error or success?

The study examines whether error exposure training can enhance adaptive performance. Fifty-nine experienced fire-fighters undergoing training for incident command participated in the study. War stories were developed based on real events to illustrate successful and unsuccessful incident command decisions. Two training methodologies were compared and evaluated. One group was trained using case studies that depicted incidents containing errors of management with severe consequences in fire-fighting outcomes (error-story training) while a second group was exposed to the same set of case studies except that the case studies depicted the incidents being managed without errors and their consequences (errorless-story training). The results provide some support for the hypothesis that it is better to learn from other people's errors than from their successes. Implications for training are discussed.

Proceedings of the ... Convention.

Mode of access: Internet.

Combining clinical judgement and formalised risk assessment techniques in anaesthesiology : lessons from bushfire emergency management

The underlying thinking in bushfire management has much to offer anaesthetists. Although it is imperative to develop improved methods of predicting the risk of perioperative patient morbidity and mortality, we must avoid them being used in a way that can undermine both individual clinical judgment on a case-by-case basis and the effectivenessof the methods themselves. This requires all concerned to be aware of the reliability and validity of the algorithms used to provide such predictions as well as the quality of the data upon which they are based. Like fire behaviour analysts, anaesthetists should still be free to trust their knowledge, expertise and experience. When experienced fire fighters sense a conflict between what the evidence on the ground is telling them and what a predictive fire map is saying, they use their understanding of limitations of the fire analysts’ predictions to inform their own professional judgment.