Disaster medicine

Effective decontamination of infectious agents on critical and other hospital surfaces will drastically reduce nosocomial infections and impacts of any biological attack. This research determined the distribution of multiple species of bacteria on 16 different surfaces in two hospitals over a period of time to identify potential reservoirs of infection. The relative efficacy of current hospital disinfectants on endospores were also evaluated to inform policy. Using simulations of endospore-laden surfaces under laboratory conditions, the effects of exposure time, disinfectant concentration and possible synergies with endospore germination stimulant were evaluated. Keyboards, phones, door handles and bed rails were identified as risky hospital surfaces. The location and use of the surfaces were significant determinants of bacterial load. None of the disinfectants tested was sporicidal (<50% reduction). The results of this unique study provide healthcare personnel with a practical guide to control the spread of infection during peace and bio-warfare times.

The use of wireless sensor networks for a myriad of applications is increasing. They can be used in healthcare for emergency management. In Florida, hurricanes are the main source of natural disasters. There has been a high incidence of hurricanes over the past decade. When a hurricane warning is issued it is important that people who live in potentially dangerous areas, such as along the coast, evacuate for their safety. Nursing homes and other care facilities for elderly or disabled people experience difficulty with the evacuation as their residents require additional assistance. The characteristics and challenges of a hurricane evacuation are investigated. A patient-centric hurricane evacuation management system is proposed to allow healthcare providers the ability to continuously monitor and track patients. During a hurricane there are usually scarce energy resources and a loss of basic communication services such as cellular service and Internet access. We propose the architecture of the system that allows it to operate in the absence of these services. The hardware and software architectures are also presented along with the main phases of operation. The system was then validated and the performance evaluated via simulation using the OPNET Modeler.