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Objectives: Initial studies have shown improved reliability and validity of a new triage tool, the Emergency Severity Index (ESI), over conventional three-level scales at two university medical centers. After pilot implementation and validation, the ESI was revised to include pediatric and updated vital signs criteria. The goal of this study was to assess ESI version (v.) 2 reliability and validity at seven emergency departments (EDs) in three states.
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Methods: In part 1, interrater reliability was assessed using weighted kappa analysis of written training cases and postimplementation by a random sampling of actual patient triages. In part 2, validity was analyzed using a prospective cohort with stratified random sampling at each site. The ESI was compared with outcomes including resource consumption, inpatient admission, ED length of stay, and 60-day all-cause mortality.
Conclusions: ESI v. 2 triage produced reliable, valid stratification of patients across seven sites. ESI triage should be evaluated as an ED casemix identification system for uniform data collection in the United States and compared with other major ED triage methods.
This document provides guidance on the assessment, research, design, implementation and monitoring and evaluation of mental health and psychosocial support (MHPSS) programmes in emergency settings. Although designed specifically for emergency contexts (including protracted crises), the framework may also be applicable for the transition phases from emergency to development (including disaster risk reduction initiatives).
The common framework is important for any emergency or development personnel who are directly or indirectly engaged in programmes that aim to influence the mental health and psychosocial well-being of others. This may include (but is not limited to) mental health professionals, child protection actors or educators, health providers, nutritionists, faith communities or programme managers and practitioners engaged in initiatives such as peacebuilding, life skills, or vocational learning.
Mental health and psychosocial support (MHPSS) operations are increasing, with MHPSS an integral part of humanitarian programmes in several countries and across multiple sectors globally. However, there is often wide variation in approaches to monitoring MHPSS and evaluating the impact, if it is monitored or evaluated at all. The lack of a standard system for data collection and monitoring and evaluation of MHPSS in humanitarian settings leads to significant challenges in demonstrating progress and ensuring quality. To address this issue, the IASC Reference Group for MHPSS Emergency Settings (IASC MHPSS RG) developed the IASC Common Monitoring and Evaluation Framework for MHPSS in Emergency Settings in 2017. It has since been providing guidance in the assessment, design, implementation and monitoring and evaluation (M&E) of MHPSS programmes in humanitarian settings. It included an overall goal, associated outcomes and impact- and outcome-level indicators and was developed through academic, expert and regional- and country-level reviews and consultations.
However, despite the usefulness of the 2017 Common Framework demonstrated in-field testing, a key gap identified was the need for specific data collection tools to measure MHPSS indicators in the framework, also known as Means of Verification (MOV). The current revision, the IASC Common Monitoring and Evaluation Framework for Mental Health and Psychosocial Support in Emergency Settings: With means of verification (Version 2.0), was produced to address this gap. It includes updated guidance and newly identified qualitative and quantitative MoV to support measurement of the six-goal impact indicators. MoV were identified using a systematic process that assessed their relevance, likelihood of acceptability in diverse settings, statistical reliability and validity. This updated Common Framework Version 2.0 will provide, for the first time, a consensus-based system to collectively measure the impact and assess the quality of MHPSS programmes across emergency settings.
Please contact the IASC Reference Group for Mental Health and Psychosocial Support (MHPSS) (mhpss.refgroup@gmail.com) for coordination of translations. All completed translations will be posted below. If you create a translation or an adaptation of this Work, kindly note that:
DOT's goal is to place an ERG in every public emergency service vehicle nationwide. To date, more than 18 million free copies have been distributed to the emergency response community through state emergency management coordinators. Members of the public may purchase a copy of the ERG through the GPO Bookstore and other commercial suppliers.
NOTICE: Commercial Suppliers who would like access to the print production files for the 2024 Emergency Response Guidebook should send a request to ERGComments@dot.gov. Files are available as InDesign (.indd) or in the Microsoft Office Suite (.docx, .xlsx).
On Friday April 5, 2024 the U.S. Department of Transportation's (US DOT) Pipeline and Hazardous Materials Safety Administration (PHMSA) hosted a webinar to discuss the May 2023 Hazmat Roundtable. The HazMat Roundtable was formed to identify issues and suggest actions to strengthen HazMat preparedness throughout the United States. Comprised of technical specialists and subject matter experts, the Roundtable meets annually to address challenges, successes, and trends for improvement in Hazmat preparedness.
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I've got what I think it more cosmetic or bug issue but would like to know if anyone would be able to clear this up?. I've got a couple of 5520 WLC's in SSO the boot images show primary and secondary and are matching boot primary boot image(active) and have matching secondary image BUT the emergency version is different, because it's 5520 they don't have FUS images so confused on where it's getting this version from.
Have tried removing the HA, logging into the secondary unit and upgrading it by itself to see if that fixes the issues. I would also recommend upgrading to 8.8 code if your APs will support that version
I might be wrong, but I'm sure the emergency image is the version that was first installed on the WLC. Upgrading the code will update the backup image with the previous version, as you know, and the emergency image will be used if the WLC is completely bricked, but purely to boot and only if the flash is corrupt.
The sixth edition of Fire and Emergency Services Company Officer provides emergency services personnel with skills needed to reach the performance requirements of NFPA 1021. The text is written for Level I and Level II Fire Officers and fire officer candidates. The goal of this edition is to provide candidates and current company officers with the knowledge needed to develop safe, efficient and effective leadership skills.
Individuals must also have knowledge in supervision, management and human relations, as well as administrative duties, community risk reduction, preplanning, and emergency response duties in relation to fire fighting. These skills, in combination with the material in the text, convey the needed information specific to duties assigned to first-line supervisors and mid-level managers.
The manual has developed an updated format, differentiating it from previous editions. The key term definitions, chapter notes, and review and discussion questions will now appear at the end of every chapter. Finally, Skill Sheets will replace Learning Activities in order to reflect the skill requirements from the standards set by NFPA 1021. This new format combines all of the necessary review tools in one place for the reader to easily reflect on the key information from each chapter. 152ee80cbc
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