Computer simulation in mass emergency and disaster response: An evaluation of its effectiveness as a tool for demonstrating strategic competency in emergency department medical responders

This study examined the capability of computer simulation as a tool for assessing the strategic competency of emergency department nurses as they responded to authentically computer simulated biohazard-exposed patient case studies. Thirty registered nurses from a large, urban hospital completed a series of computer-simulated case studies of virtual biohazard-exposed patients. The completed case studies were assessed by the host computer according to computer-programmed criteria. The same case studies were also assessed by a trio of emergency medicine physicians acting as subject matter experts according to their own criteria. The results of this study demonstrated a significant correlation between computer-assessed and physician-assessed simulation exercises against pre-determined performance objective criteria. The data suggests computer simulation can play an important role in emergency and disaster response that offers readily accessible cost-effective training where the opportunity for hands-on practice is limited or impractical. In addition, use of computer simulation can make an effective evaluation of emergency response preparedness possible at more frequent intervals and with greater efficiency

Evanescent - Volume 4, Issue 1

Evanescent: A Journal of Literary Medicine is the journal of the Eakins Writing Project, which also sponsors the Drs. Theresa and Charles Yeo Writing Prize. The Eakins Writing Project is supported by the Jefferson Center for Injury Research and Prevention, located in the Department of Surgery of Thomas Jefferson University, Philadelphia. Contents: Editorial Statement Compassion & Empathy The Anonymity & Randomness of Violence Souls Shot Portrait Gallery #1 Fear, Safety & Helplessness Loss of Control & Accountability Souls Shot Portrait Gallery #2 Reflection & Call to Action Afterword Winners of the 2022 Drs. Theresa and Charles Yeo Writing Priz

Ursinus College Alumni Journal, November 1966

\u2770 is here • And \u2770 says: Centennial Fund, roll on! • From the President • For Alumni Association leaders, Homecoming Day was some work and plenty of play • An Ursinus specialty: Shaping the future physician • New placement service for alumni • Huck Finn\u27s dilemma is ours • The paradox of urbia • The theatre of the absurd emerges in Latin America • An age of reforming in liberal education: Trends at Ursinus compare with reforms proposed at Columbia University • Sporting scene: Women undefeated in hockey; Soccer; Cross country; Football • Campus clippings: Founders\u27 Day; Sigma Xi Club; Research at Ursinus; Student teachers; The Agency; Mr. Rue remembers; On army duty; Evening school grows; Neighbors come to dinner; Lindback scholar; Parents Day; Job opportunity; \u2767 Ruby underway • Class notebook • Weddings • Births • In memoriamhttps://digitalcommons.ursinus.edu/alumnijournal/1085/thumbnail.jp

Ambulance Service 2030: the Future of Paramedics

Some innovations are termed ‘disruptive’, a designation that is normally applied to technology; examples include computers, digital cameras, and mobile phones. The term can also be applied to groups of workers, particularly if they are able to offer specific technical capabilities within a market at lower cost, but broadly equal and effective to that offered by traditional products or services. Paramedics could be described in this way and are a newly professionalised group, with distinctive capabilities in terms of responding to the needs of not just the acutely ill and injured, but increasingly those patients with undifferentiated non-life- threatening conditions, which increasingly make up the bulk of 999 call demand. The key to their transition from an artisan, skilled worker to professional status is the acquisition of certain ‘hallmarks’. Perhaps the most important of these is the completion of more prolonged education that affords the opportunity to graduate with enhanced decision-making and other clinical skills in order to meet the needs of the full spectrum of patients in the pre-hospital setting. Paramedics were surveyed to determine how they rated their ‘traditional’ preparation and to establish what their attitudes were to a more educationally based approach. Paramedics themselves proved to be realistic regarding shortcomings in established training and education systems, while also being strongly motivated to learn more within a higher education setting, particularly if this additional effort would result in being able to offer a wider range of care to their patients. During the study, major changes in the health care environment and the role of the Ambulance Service took place, leading to a requirement to undertake a second phase of research. This took the form of ‘Horizon Scanning’ in an attempt to detect ‘signals’, themes and trends in relation to newly emerging ‘competitors’ to the paramedic role. These included nursing, new practitioners and most critically, the rapidly emerging medical sub-speciality of pre-hospital care, staffed by medical personnel on a pattern found specifically in some European countries, sometimes termed the ‘Franco-German’ model/System (FGM/S). Hitherto, the model of provision in the UK had followed the ‘Anglo-American’ model/System (AAM/S), approach, with paramedics providing direct patient care in the field and medical staff largely involved in medical oversight, teaching, clinical governance and other higher level roles. As part of this research, the evidence base for change was examined and consideration given to the factors that might help clarify what the likely situation could be in 2030 in respect of ambulance services, pre-hospital care and paramedics. This future is uncertain, but factors have been identified that would militate in favour of one or other model prevailing, with close links established between educational preparation, system design, career structure and the continuance of the professionalisation process favouring paramedic progression. However, other factors, most specifically professional power, the absence of a clear evidence base and an apparent reluctance to clearly acknowledge this in some respects, lead to the conclusion that the future of pre-hospital care remains uncertain and contested, but also potentially amenable to a well-directed influencing strategy

“Be a Pattern for the World”: The Development of a Dark Patterns Detection Tool to Prevent Online User Loss

Dark Patterns are designed to trick users into sharing more information or spending more money than they had intended to do, by configuring online interactions to confuse or add pressure to the users. They are highly varied in their form, and are therefore difficult to classify and detect. Therefore, this research is designed to develop a framework for the automated detection of potential instances of web-based dark patterns, and from there to develop a software tool that will provide a highly useful defensive tool that helps detect and highlight these patterns

Technical Debt is an Ethical Issue

We introduce the problem of technical debt, with particular focus on critical infrastructure, and put forward our view that this is a digital ethics issue. We propose that the software engineering process must adapt its current notion of technical debt – focusing on technical costs – to include the potential cost to society if the technical debt is not addressed, and the cost of analysing, modelling and understanding this ethical debt. Finally, we provide an overview of the development of educational material – based on a collection of technical debt case studies - in order to teach about technical debt and its ethical implication

Minding the Gap: Computing Ethics and the Political Economy of Big Tech

In 1988 Michael Mahoney wrote that “[w]hat is truly revolutionary about the computer will become clear only when computing acquires a proper history, one that ties it to other technologies and thus uncovers the precedents that make its innovations significant” (Mahoney, 1988). Today, over thirty years after this quote was written, we are living right in the middle of the information age and computing technology is constantly transforming modern living in revolutionary ways and in such a high degree that is giving rise to many ethical considerations, dilemmas, and social disruption. To explore the myriad of issues associated with the ethical challenges of computers using the lens of political economy it is important to explore the history and development of computer technology

El Salvador in the 1980s: War by Other Means

The civil war in El Salvador in the 1980s engaged a remarkable degree of attention at the highest levels of the U.S. government and became a proxy of the Cold War. El Salvador in the 1980s: War by Other Means, by Donald R. Hamilton, brings to light the challenges of committing oneself to a flawed ally and intervening in another country with an exceptionally limited number of military personnel.https://digital-commons.usnwc.edu/ciwag-case-studies/1009/thumbnail.jp

Current, October 04, 2004

https://irl.umsl.edu/current2000s/1198/thumbnail.jp