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Dr. Krzysztof Goniewicz received his Ph.D. in public health from Warsaw Medical University, Poland focusing on health security issues. He is working as a assistant professor at the Military University of Aviation in Deblin, Poland where he teaches many subjects connected with disasters and crisis management. His latest research activities focus on examining disasters, crisis preparedness and road traffic safety. Application areas include wide range of logistic and management problems. He has extensive experience in disaster and emergency management. Krzysztof has authored or co-authored over 100 papers published in refereed International journals. Serves on the editorial board and as a reviewer for several specialty journals.
Highway-rail grade crossing (HRGC) accidents pose a serious risk of safety to highway users, including pedestrians trying to cross HRGCs. A significant increase in the number of HRGC accidents globally calls for greater research efforts, which are not limited to the analysis of accidents at HRGCs but also understanding user perception, driver behavior, potential conflicting areas at crossings, effectiveness of countermeasures and user perception towards them. HRGC safety is one of the priority areas in the State of Florida, since the state HRGCs experienced a total of 429 injuries and 146 fatalities between 2010 and 2019 with a significant increase in HRGC accidents over the last years. The present study aims to conduct a comprehensive analysis of the HRGCs that experienced accidents in Florida over the last years. The databases maintained by the Federal Rail Administration (FRA) are used to gather the relevant information for a total of 578 crossings that experienced at least one accident from 2010 to 2019. In contrast with many of the previous efforts, this study investigates a wide range of various factors, including physical and operational characteristics of crossings, vehicle and train characteristics, spatial characteristics, temporal and environmental characteristics, driver actions and related characteristics, and other relevant information. The outcomes of this research will help better understanding the major causes behind accidents at the HRGCs in the State of Florida in a holistic way by considering a variety of relevant factors, which will assist the appropriate stakeholders with implementation of safety improvement projects across the state.
Prashant Singh; Junayed Pasha; Amir Khorram-Manesh; Krzysztof Goniewicz; Abdolreza Roshani; Maxim Dulebenets. A Holistic Analysis of Train-Vehicle Accidents at Highway-Rail Grade Crossings in Florida. Sustainability 2021, 13, 8842 .
AMA StylePrashant Singh, Junayed Pasha, Amir Khorram-Manesh, Krzysztof Goniewicz, Abdolreza Roshani, Maxim Dulebenets. A Holistic Analysis of Train-Vehicle Accidents at Highway-Rail Grade Crossings in Florida. Sustainability. 2021; 13 (16):8842.
Chicago/Turabian StylePrashant Singh; Junayed Pasha; Amir Khorram-Manesh; Krzysztof Goniewicz; Abdolreza Roshani; Maxim Dulebenets. 2021. "A Holistic Analysis of Train-Vehicle Accidents at Highway-Rail Grade Crossings in Florida." Sustainability 13, no. 16: 8842.
Krzysztof Goniewicz; Frederick M. Burkle; Amir Khorram-Manesh. The gap of knowledge and skill – One reason for unsuccessful management of mass casualty incidents and disasters. The American Journal of Emergency Medicine 2021, 46, 744 -745.
AMA StyleKrzysztof Goniewicz, Frederick M. Burkle, Amir Khorram-Manesh. The gap of knowledge and skill – One reason for unsuccessful management of mass casualty incidents and disasters. The American Journal of Emergency Medicine. 2021; 46 ():744-745.
Chicago/Turabian StyleKrzysztof Goniewicz; Frederick M. Burkle; Amir Khorram-Manesh. 2021. "The gap of knowledge and skill – One reason for unsuccessful management of mass casualty incidents and disasters." The American Journal of Emergency Medicine 46, no. : 744-745.
Introduction: Geriatric patients account for a large proportion of interventions of medical emergency teams (METs). The aim of this study was to analyse medical emergency interventions in the Biała Podlaska and Chełm (Poland) between 2016 and 2018 in a group of patients ≥ 65 years of age. Materials and Methods: We analysed medical records of 1200 older patients treated by METs in Biała Podlaska and Chełm (Lublin Province, Poland). The research was conducted from June 2019 to March 2020 at the Emergency Medical Service Station in Biała Podlaska and the Medical Rescue Station in Chełm (Independent Public Complex of Health Care Facilities). Results: A total of 92.5% of medical emergency service interventions took place at the patient’s home. The mean time of stay at the scene was 20 min. The highest number of interventions occurred between 8:00 p.m. and 8:59 p.m. There were no statistically significant differences in the type of ambulance used depending on the patient’s sex, while there was a statistically significant relationship between priority code and sex. Cardiovascular diseases were diagnosed in 40% of patients, and the symptoms were not precisely classified in almost the same percentage of patients. Mortality cases accounted for 3.1% of the 1200 interventions analysed. Ambulance dispatch resulted in the patient being transported to the hospital emergency department in 69.1% of cases. Conclusions: METs were called for a variety of diseases due to the fact that geriatric patients are not able to distinguish a life-threatening condition. Medical procedures performed by METs from Biała Podlaska and Chełm were closely related to the initial diagnoses made by these teams. It was irrelevant whether a specialist or non-specialist medical emergency service was used. Paramedics are very well trained to practice their profession and are able to provide treatment to older patients in a state of sudden life threat.
Mariusz Celiński; Mateusz Cybulski; Joanna Fiłon; Marta Muszalik; Mariusz Goniewicz; Elżbieta Krajewska-Kułak; Anna Ślifirczyk. Analysis of the Interventions of Medical Emergency Teams in Older Patients in Selected Polish Cities with County Status: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health 2021, 18, 7664 .
AMA StyleMariusz Celiński, Mateusz Cybulski, Joanna Fiłon, Marta Muszalik, Mariusz Goniewicz, Elżbieta Krajewska-Kułak, Anna Ślifirczyk. Analysis of the Interventions of Medical Emergency Teams in Older Patients in Selected Polish Cities with County Status: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health. 2021; 18 (14):7664.
Chicago/Turabian StyleMariusz Celiński; Mateusz Cybulski; Joanna Fiłon; Marta Muszalik; Mariusz Goniewicz; Elżbieta Krajewska-Kułak; Anna Ślifirczyk. 2021. "Analysis of the Interventions of Medical Emergency Teams in Older Patients in Selected Polish Cities with County Status: A Retrospective Cohort Study." International Journal of Environmental Research and Public Health 18, no. 14: 7664.
Road traffic crashes represent a substantial global public health issue. In Saudi Arabia, which is the focus area of this research, road traffic crashes kill over 130,000 people annually, accounting for almost 5% of deaths in that country. A cross-sectional study with 316 participants holding a valid Saudi driver’s license was conducted via the internet from December 2019 to March 2020 to collect information about the prevalence of risky driving habits among Saudi drivers. The sample was predominantly men and aged between 20 and 39, which is representative of the population of drivers in Saudi Arabia. Drivers generally reported engaging in safe behaviors, although they did state that they drove above the legal speed limit, drove aggressively around slow drivers, and became distracted while driving with some frequency. Multivariate analyses suggested men took more risks than women and younger drivers took more risks than older ones. We conclude that the behavior among drivers in Saudi Arabia generally matches those in other cultures and countries, with men and young adults taking the most risks while driving. Preventative strategies should be developed and implemented in Saudi Arabia.
Ahmed Al-Wathinani; David Schwebel; Abrar Al-Nasser; Afnan Alrugaib; Hessah Al-Suwaidan; Shahad Al-Rowais; Arwa AlZahrani; Rawan Abushryei; Abdulmajeed Mobrad; Riyadh Alhazmi; Saqer Althunayyan; Krzysztof Goniewicz. The Prevalence of Risky Driving Habits in Riyadh, Saudi Arabia. Sustainability 2021, 13, 7338 .
AMA StyleAhmed Al-Wathinani, David Schwebel, Abrar Al-Nasser, Afnan Alrugaib, Hessah Al-Suwaidan, Shahad Al-Rowais, Arwa AlZahrani, Rawan Abushryei, Abdulmajeed Mobrad, Riyadh Alhazmi, Saqer Althunayyan, Krzysztof Goniewicz. The Prevalence of Risky Driving Habits in Riyadh, Saudi Arabia. Sustainability. 2021; 13 (13):7338.
Chicago/Turabian StyleAhmed Al-Wathinani; David Schwebel; Abrar Al-Nasser; Afnan Alrugaib; Hessah Al-Suwaidan; Shahad Al-Rowais; Arwa AlZahrani; Rawan Abushryei; Abdulmajeed Mobrad; Riyadh Alhazmi; Saqer Althunayyan; Krzysztof Goniewicz. 2021. "The Prevalence of Risky Driving Habits in Riyadh, Saudi Arabia." Sustainability 13, no. 13: 7338.
According to the World Health Organization (WHO), ethyl alcohol occupies the third place among health risks for the general population, causing damage to health as well as social damage. Ethanol is also considered the greatest risk factor in injuries. Both alcohol and its main metabolite, acetaldehyde, are directly toxic to tissues and lead to several systemic pathologies. Alcohol abuse may also lead to mental health disorders. Although one-in-eight adult Poles abstains from drinking alkohol, 10-20% of adult Poles drink alcohol regularly. It is estimated that this group includes about 900,000 addicts, and over 2,000,000 people who drink alcohol at a risky or harmful level. It affects their occurrence and their consequences Drink- driving is one of the problems most often raised, although alcohol is a documented risk factor in pedestrian accidents. It is also an important risk factor for suicidal behaviour with people under the influence of alcohol choosing more radical and effective methods of committing suicide, such as hanging or 'throwing themselves under a moving vehicle.' Only properly selected and consistently taken preventive actions can improve the tragic statistics related to ethanol stimulating risky and auto-aggressive behaviours. It is also necessary to improve the system for reporting such events because only reliable statistics enable proper assessment of the scale of the problem, and the effectiveness of these activities.
Dorota Lasota; Witold Pawłowski; Dagmara Mirowska-Guzel; Krzysztof Goniewicz; Mariusz Goniewicz. Ethanol as a stimulus to risky and auto-aggressive behaviour. Annals of Agricultural and Environmental Medicine 2021, 28, 220 -223.
AMA StyleDorota Lasota, Witold Pawłowski, Dagmara Mirowska-Guzel, Krzysztof Goniewicz, Mariusz Goniewicz. Ethanol as a stimulus to risky and auto-aggressive behaviour. Annals of Agricultural and Environmental Medicine. 2021; 28 (2):220-223.
Chicago/Turabian StyleDorota Lasota; Witold Pawłowski; Dagmara Mirowska-Guzel; Krzysztof Goniewicz; Mariusz Goniewicz. 2021. "Ethanol as a stimulus to risky and auto-aggressive behaviour." Annals of Agricultural and Environmental Medicine 28, no. 2: 220-223.
In the absence of a specific treatment or vaccines, public health strategies are the main measures to use in the initial stages of a pandemic to allow surveillance of infectious diseases. During the ongoing global pandemic of coronavirus disease 2019 (COVID-19), several countries initiated various public health strategies, such as contact tracing and quarantine. The present study aims to conduct a systematic literature review to identify the presence of educational initiatives that promote the implementation of public health strategies before public health emergencies, with a special focus on contact tracing applications. Using Science Direct, PubMed, Scopus, and Gothenburg University search engines, all published scientific articles were included, while conference, reports, and non-scientific papers were excluded. The outcomes of the reviewed studies indicate that the effective implementation of public health strategies depends on the peoples’ willingness to participate and collaborate with local authorities. Several factors may influence such willingness, of which ethical, psychological, and practical factors seem to be the most important and frequently discussed. Moreover, individual willingness and readiness of a community may also vary based on the acquired level of knowledge about the incident and its cause and available management options. Educational initiatives, proper communication, and timely information at the community level were found to be the necessary steps to counteract misinformation and to promote a successful implementation of public health strategies and attenuate the effects of a pandemic. The systematic review conducted as a part of this study would benefit the relevant stakeholders and policy makers and assist with effective designing and implementation.
Amir Khorram-Manesh; Maxim Dulebenets; Krzysztof Goniewicz. Implementing Public Health Strategies—The Need for Educational Initiatives: A Systematic Review. International Journal of Environmental Research and Public Health 2021, 18, 5888 .
AMA StyleAmir Khorram-Manesh, Maxim Dulebenets, Krzysztof Goniewicz. Implementing Public Health Strategies—The Need for Educational Initiatives: A Systematic Review. International Journal of Environmental Research and Public Health. 2021; 18 (11):5888.
Chicago/Turabian StyleAmir Khorram-Manesh; Maxim Dulebenets; Krzysztof Goniewicz. 2021. "Implementing Public Health Strategies—The Need for Educational Initiatives: A Systematic Review." International Journal of Environmental Research and Public Health 18, no. 11: 5888.
An integral part of the World Health Organization’s (WHO) mental health action plan for 2013–2020 is suicide prevention, and a 10% reduction in the suicide rate. A key element of the preventive measures taken is, among other things, limiting access to means enabling and facilitating committing suicide. However, this requires detailed knowledge of community suicide patterns and preferences. Unfortunately, such information is not usually collected, and the recorded method of committing suicide is often imprecise and untrue, which means that such knowledge has limited application in presuicidal prophylaxis. The statistical data on suicides recorded as part of the Police Statistics in Poland during the years 2009–2019 was analyzed. The analysis included suicide deaths and suicide attempts, taking into account the suicide methods and substances influencing the state of consciousness of their victims. The number of suicides in Poland in the analyzed period tended to increase. The most common method of suicide was hanging, and alcohol was the substance influencing the state of consciousness of suicide victims. The statistics for 2017–2019 showed the presence of new methods of suicide, such as taking drugs other than hypnotics, intoxication with narcotic drugs, poisoning with designer drugs, suffocation and self-immolation, as well as new psychoactive substances affecting the state of consciousness of victims, i.e., drugs and narcotic drugs. The effectiveness of actions taken in Poland in the field of suicide prevention does not bring the desired effects, as evidenced by growing number of suicides. This low effectiveness is mainly due to the lack of a national suicide prevention strategy. The effectiveness of these activities may be improved by creating a uniform database of suicides, which is a source of reliable information which will allow the taking of actions aimed at limiting the availability of means enabling and facilitating the committing of suicide. The study aimed to analyze the types of suicide methods and substances influencing the state of consciousness of their victims in Poland in the years covered by the study.
Dorota Lasota; Dagmara Mirowska-Guzel; Krzysztof Goniewicz. Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland. International Journal of Environmental Research and Public Health 2021, 18, 4936 .
AMA StyleDorota Lasota, Dagmara Mirowska-Guzel, Krzysztof Goniewicz. Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland. International Journal of Environmental Research and Public Health. 2021; 18 (9):4936.
Chicago/Turabian StyleDorota Lasota; Dagmara Mirowska-Guzel; Krzysztof Goniewicz. 2021. "Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland." International Journal of Environmental Research and Public Health 18, no. 9: 4936.
Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.
Krzysztof Goniewicz; Eric Carlström; Attila Hertelendy; Frederick Burkle; Mariusz Goniewicz; Dorota Lasota; John Richmond; Amir Khorram-Manesh. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability 2021, 13, 4517 .
AMA StyleKrzysztof Goniewicz, Eric Carlström, Attila Hertelendy, Frederick Burkle, Mariusz Goniewicz, Dorota Lasota, John Richmond, Amir Khorram-Manesh. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability. 2021; 13 (8):4517.
Chicago/Turabian StyleKrzysztof Goniewicz; Eric Carlström; Attila Hertelendy; Frederick Burkle; Mariusz Goniewicz; Dorota Lasota; John Richmond; Amir Khorram-Manesh. 2021. "Integrated Healthcare and the Dilemma of Public Health Emergencies." Sustainability 13, no. 8: 4517.
Sudden cardiac arrest is one of the leading causes of death globally. The recommended clinical management in out-of-hospital cardiac arrest cases is the immediate initiation of high-quality cardiopulmonary resuscitation (CPR). Training mannequins should be combined with technology that provides students with detailed immediate feedback on the quality of CPR performance. This study aimed to verify the impacts of the type of feedback (basic or detailed) the responders receive from the device while learning CPR and how it influences the quality of their performance and the motivation to improve their skills. The study was conducted at the Medical University of Lublin among 694 multi-professional health students during first aid classes on basic life support (BLS). The students first practiced on an adult mannequin with a basic control panel; afterward, the same mannequin was connected to a laptop, ensuring a detailed record of the performed activities through a projector. Next, the participants expressed their subjective opinion on how the feedback provided during the classes, basic vs. detailed, motivated them to improve the quality of their CPR performance. Additionally, during the classes, the instructor conducted an extended observation of students’ work and behavior. In the students’ opinion, the CPR training with detailed feedback devices provided motivation for learning and improving CPR proficiency than that with a basic control panel. Furthermore, the comments given from devices seemed to be more acceptable to the students, who did not see any bias in the device’s evaluation compared to that of the instructor. Detailed device feedback motivates student health practitioners to learn and improve the overall quality of CPR. The use of mannequins that provide detailed feedback during BLS courses can improve survival in out-of-hospital cardiac arrest.
Patrycja Misztal-Okońska; Krzysztof Goniewicz; Mariusz Goniewicz; Jamie Ranse; Attila Hertelendy; Lesley Gray; Eric Carlström; Jarle Løwe Sørensen; Amir Khorram-Manesh. Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees. International Journal of Environmental Research and Public Health 2021, 18, 3885 .
AMA StylePatrycja Misztal-Okońska, Krzysztof Goniewicz, Mariusz Goniewicz, Jamie Ranse, Attila Hertelendy, Lesley Gray, Eric Carlström, Jarle Løwe Sørensen, Amir Khorram-Manesh. Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees. International Journal of Environmental Research and Public Health. 2021; 18 (8):3885.
Chicago/Turabian StylePatrycja Misztal-Okońska; Krzysztof Goniewicz; Mariusz Goniewicz; Jamie Ranse; Attila Hertelendy; Lesley Gray; Eric Carlström; Jarle Løwe Sørensen; Amir Khorram-Manesh. 2021. "Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees." International Journal of Environmental Research and Public Health 18, no. 8: 3885.
Introduction The re-emergence of armored warfare in modern conflicts has resulted in a higher number of extremity injuries, burns, and brain injuries. Despite this dramatic increase, little is reported on the type of injuries caused and their management. This review summarizes the publicly available literature and reports on the rate and type of injuries related to armored warfare, their medical outcomes, and management limitations. Materials and Methods This rapid evidence review involves a systematic literature search, followed by a non-systematic literature review. The reason for choosing this approach was the inherent lack of quantitative outcome data in the literature to satisfy the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The study also used content analysis to study all peer-reviewed articles, focusing on similarities and differences in the findings necessary to formulate tentative results. The electronic search included PubMed, Scopus, and Web of Science, using the following search string: “Armored; Injuries; Mechanized; Morbidity; Mortality; War; Warfare”, alone or in combination. Results Modern conflicts are associated with higher number of extremity injuries, burns, and brain injuries among military casualties. Several publications claim that the characteristics of armored warfare and anticipated injuries in this type of warfare might require the far forward deployment of medical support supported by a reliable casualty evacuation chain. Still the quality of the available casualty data is low. Conclusions Because of the limited availability of reliable data or military trauma registries, up-to-date military casualty estimation remains a recognized knowledge gap, which needs to be addressed by armed forces worldwide. The future management of modern war casualties requires professional and well-trained staff in all levels, indicating a need for educational initiatives to provide both nurses and medics a greater proportion of medical care and management capabilities and responsibilities than in past conflicts.
Amir Khorram-Manesh; Krzysztof Goniewicz; Frederick M Burkle; Yohan Robinson. Review of Military Casualties in Modern Conflicts—The Re-emergence of Casualties From Armored Warfare. Military Medicine 2021, 1 .
AMA StyleAmir Khorram-Manesh, Krzysztof Goniewicz, Frederick M Burkle, Yohan Robinson. Review of Military Casualties in Modern Conflicts—The Re-emergence of Casualties From Armored Warfare. Military Medicine. 2021; ():1.
Chicago/Turabian StyleAmir Khorram-Manesh; Krzysztof Goniewicz; Frederick M Burkle; Yohan Robinson. 2021. "Review of Military Casualties in Modern Conflicts—The Re-emergence of Casualties From Armored Warfare." Military Medicine , no. : 1.
The Hajj is a recurring annual mass gathering event with over three million attendants taking place at the same site for six days. During such events, major incidents and disasters can occur. It is crucial that Emergency Medical Services providers are sufficiently trained regarding disaster preparedness to respond appropriately. EMS-providers of the Saudi Red Crescent Authority who worked during the Hajj in 2016 were asked to complete a web-based survey, utilizing predetermined responses with 5-point Likert scale responses. Seven hundred respondents identified real disasters as the most common source of information about disaster preparedness and also indicated that a disaster management course was the most desired course for improving knowledge. The study has also highlighted a list of Life Support Courses providers feel should be offered as part of a disaster response training package. These findings highlight the importance of continuing education, which may be obtained through short, focused courses, or for small numbers of specialists through higher educational degrees, such as masters or doctorates. This study also examines the importance of media and its impact on increasing knowledge and awareness for EMS-providers. Consideration should be given to pairing novice providers with experienced personnel to disseminate knowledge and practical experience during Hajj missions. Simulated disaster drilling should be considered to introduce novices to the stress of mass casualty disaster response.
Ahmed Al-Wathinani; Attila Hertelendy; Abdulmajeed Mobrad; Riyadh Alhazmi; Saqer Althunayyan; Michael Molloy; Krzysztof Goniewicz. Emergency Medical Providers’ Knowledge Regarding Disasters during Mass Gatherings in Saudi Arabia. Sustainability 2021, 13, 3342 .
AMA StyleAhmed Al-Wathinani, Attila Hertelendy, Abdulmajeed Mobrad, Riyadh Alhazmi, Saqer Althunayyan, Michael Molloy, Krzysztof Goniewicz. Emergency Medical Providers’ Knowledge Regarding Disasters during Mass Gatherings in Saudi Arabia. Sustainability. 2021; 13 (6):3342.
Chicago/Turabian StyleAhmed Al-Wathinani; Attila Hertelendy; Abdulmajeed Mobrad; Riyadh Alhazmi; Saqer Althunayyan; Michael Molloy; Krzysztof Goniewicz. 2021. "Emergency Medical Providers’ Knowledge Regarding Disasters during Mass Gatherings in Saudi Arabia." Sustainability 13, no. 6: 3342.
The concept of Healthy transport embraces many diverse areas, spanning from road safety, and traffic security, to environmental sustainability as well as human behavior and health. The present collection includes papers that touch upon international experiences concerning traffic safety issues, and that address the relation between traffic safety and various factors that impact safety such as: road networks' engineering, management and control of the traffic system, planning and strategies, transportation systems, citizens' education, knowledge and behavior.Traffic Safety has been internationally recognized as a primary strategic goal in many societies [1-2]. Traffic safety concept is not limited to the reduction of road accidents. Traffic safety should be considered as a national issue as it is strongly related to all aspects of life and has a close link with the protection and sustenance the natural environment [3-4].Increasing traffic safety is an important political and social goal. Road safety comprises the three pillars of “Engineering, Enforcement, and Education”. Both public health and road safety teams have access to data and evidence. Sharing this can improve the effectiveness of actions and set evidence-based objectives. Joint evaluations can identify whether activities are having an impact across a broad range of health issues [5-6].Promoting healthy and sustainable transport options prevents the negative effects of current transport patterns on human health, s...
Krzysztof Goniewicz; Dorota Lasota. Editorial: Advances in Road Safety Planning. Frontiers in Sustainable Cities 2021, 3, 1 .
AMA StyleKrzysztof Goniewicz, Dorota Lasota. Editorial: Advances in Road Safety Planning. Frontiers in Sustainable Cities. 2021; 3 ():1.
Chicago/Turabian StyleKrzysztof Goniewicz; Dorota Lasota. 2021. "Editorial: Advances in Road Safety Planning." Frontiers in Sustainable Cities 3, no. : 1.
Objective: To analyze the evacuation preparedness of hospitals within the European Union (EU). Method: This study consisted of 2 steps. In the first step, a systematic review of the subject matter, according to the PRISMA flow diagram, was performed. Using Scopus (Elsevier, Amsterdam, Netherlands), PubMed (National Library of Medicine, Bethesda, MD), and Gothenburg University´s search engine, 11 questions were extracted from the review and were sent to representatives from 15 European Union (EU)- and non-EU countries. Results: The findings indicate that there is neither a full preparedness nor a standard guideline for evacuation within the EU or other non-EU countries in this study. A major shortcoming revealed by this study is the lack of awareness of the untoward consequences of medical decision-making during an evacuation. Some countries did not respond to the questions due to the lack of relevant guidelines, instructions, or time. Conclusion: Hospitals are exposed to internal and external incidents and require an adequate evacuation plan. Despite many publications, reports, and conclusions on successful and unsuccessful evacuation, there is still no common guide for evacuation, and many hospitals lack the proper preparedness. There is a need for a multinational collaboration, specifically within the EU, to establish such an evacuation planning or guideline to be used mutually within the union and the international community.
Amir Khorram-Manesh; Phatthranit Phattharapornjaroen; Luc J Mortelmans; Krzysztof Goniewicz; Marlous Verheul; Jarle L Sörensen; Irene Pereira; Meret E Ricklin; Roberto Faccincani; Paul M Dark; Eric Carlström; Milad Ahmadi Marzaleh; Mahmoud Reza Peyravi; Mohammed Al Sultan; Emelia Santamaria; John David Comandante; Frederick Burkle. Current Perspectives and Concerns Facing Hospital Evacuation: The Results of a Pilot Study and Literature Review. Disaster Medicine and Public Health Preparedness 2021, 1 -9.
AMA StyleAmir Khorram-Manesh, Phatthranit Phattharapornjaroen, Luc J Mortelmans, Krzysztof Goniewicz, Marlous Verheul, Jarle L Sörensen, Irene Pereira, Meret E Ricklin, Roberto Faccincani, Paul M Dark, Eric Carlström, Milad Ahmadi Marzaleh, Mahmoud Reza Peyravi, Mohammed Al Sultan, Emelia Santamaria, John David Comandante, Frederick Burkle. Current Perspectives and Concerns Facing Hospital Evacuation: The Results of a Pilot Study and Literature Review. Disaster Medicine and Public Health Preparedness. 2021; ():1-9.
Chicago/Turabian StyleAmir Khorram-Manesh; Phatthranit Phattharapornjaroen; Luc J Mortelmans; Krzysztof Goniewicz; Marlous Verheul; Jarle L Sörensen; Irene Pereira; Meret E Ricklin; Roberto Faccincani; Paul M Dark; Eric Carlström; Milad Ahmadi Marzaleh; Mahmoud Reza Peyravi; Mohammed Al Sultan; Emelia Santamaria; John David Comandante; Frederick Burkle. 2021. "Current Perspectives and Concerns Facing Hospital Evacuation: The Results of a Pilot Study and Literature Review." Disaster Medicine and Public Health Preparedness , no. : 1-9.
This study used a descriptive cross-sectional methodology to measure healthcare workers’ knowledge, attitudes, perceptions, and willingness to respond to a flood scenario in Saudi Arabia. A validated survey was distributed to collect data using a convenience sampling technique through multiple social media platforms. A total of 227 participants were included in this study: 52% of them were aged between 26 to 34 years, 74% were residents from Riyadh, and 52.4% worked in nursing divisions. A significant number of respondents (73.2%) had positive perceptions towards their hospitals’ ability to provide an effective response to a flood, 89% were willing to report to work following a flood, and 90% of participants reported the need to develop both guidelines and training for flood disaster preparedness. Preparation and successful flood mitigation in the hospital setting requires staff that have both knowledge and training in emergency management. One way to obtain such readiness is through competency-based training, including both table-top and full-scale live exercises. Although the willingness to respond to such a flooding emergency was high among staff, the development of guidelines and educational programs is needed in order to develop the competencies and skills sets to improve disaster preparedness response and preparedness efforts.
Ahmed M. Al-Wathinani; Abdulaziz Alakeel; Ahmad Hecham Alani; Mohammad Alharbi; Abdullah Almutairi; Tahani Alonaizi; Riyadh A. Alhazmi; Sultan M. Alghadeer; Abdulmajeed M. Mobrad; Krzysztof Goniewicz; Amir Khorram-Manesh; Attila J. Hertelendy. A Cross-Sectional Study on the Flood Emergency Preparedness among Healthcare Providers in Saudi Arabia. International Journal of Environmental Research and Public Health 2021, 18, 1329 .
AMA StyleAhmed M. Al-Wathinani, Abdulaziz Alakeel, Ahmad Hecham Alani, Mohammad Alharbi, Abdullah Almutairi, Tahani Alonaizi, Riyadh A. Alhazmi, Sultan M. Alghadeer, Abdulmajeed M. Mobrad, Krzysztof Goniewicz, Amir Khorram-Manesh, Attila J. Hertelendy. A Cross-Sectional Study on the Flood Emergency Preparedness among Healthcare Providers in Saudi Arabia. International Journal of Environmental Research and Public Health. 2021; 18 (3):1329.
Chicago/Turabian StyleAhmed M. Al-Wathinani; Abdulaziz Alakeel; Ahmad Hecham Alani; Mohammad Alharbi; Abdullah Almutairi; Tahani Alonaizi; Riyadh A. Alhazmi; Sultan M. Alghadeer; Abdulmajeed M. Mobrad; Krzysztof Goniewicz; Amir Khorram-Manesh; Attila J. Hertelendy. 2021. "A Cross-Sectional Study on the Flood Emergency Preparedness among Healthcare Providers in Saudi Arabia." International Journal of Environmental Research and Public Health 18, no. 3: 1329.
Introduction Historical changes have transformed Sweden from being an offensive to a defensive and collaborative nation with national and international engagement, allowing it to finally achieve the ground for the civilian–military collaboration and the concept of a total defense healthcare. At the same time, with the decreasing number of international and interstate conflicts, and the military’s involvement in national emergencies and humanitarian disaster relief, both the need and the role of the military healthcare system within the civilian society have been challenged. The recent impact of the COVID-19 in the USA and the necessity of military involvement have led health practitioners to anticipate and re-evaluate conditions that might exceed the civilian capacity of their own countries and the need to have collaboration with the military healthcare. This study investigated both these challenges and views from practitioners regarding the benefits of such collaboration and the manner in which it would be initiated. Material and Method A primary study was conducted among responsive countries using a questionnaire created using the Nominal Group Technique. Relevant search subjects and keywords were extracted for a systematic review of the literature, according to the PRISMA model. Results The 14 countries responding to the questionnaire had either a well-developed military healthcare system or units created in collaboration with the civilian healthcare. The results from the questionnaire and the literature review indicated a need for transfer of military medical knowledge and resources in emergencies to the civilian health components, which in return, facilitated training opportunities for the military staff to maintain their skills and competencies. Conclusions As the world witnesses a rapid change in the etiology of disasters and various crises, neither the military nor the civilian healthcare systems can address or manage the outcomes independently. There is an opportunity for both systems to develop future healthcare in collaboration. Rethinking education and training in war and conflict is indisputable. Collaborative educational initiatives in disaster medicine, public health and complex humanitarian emergencies, international humanitarian law, and the Geneva Convention, along with advanced training in competency-based skill sets, should be included in the undergraduate education of health professionals for the benefit of humanity.
Amir Khorram-Manesh; Frederick M Burkle; Phatthranit Phattharapornjaroen; Milad Ahmadi Marzaleh; Mohammed Al Sultan; Matti Mäntysaari; Eric Carlström; Krzysztof Goniewicz; Emelia Santamaria; John David Comandante; Robert Dobson; Boris Hreckovski; Glenn-Egil Torgersen; Luc J Mortelmans; Mirjam de Jong; Yohan Robinson. The Development of Swedish Military Healthcare System: Part II—Re-evaluating the Military and Civilian Healthcare Systems in Crises Through a Dialogue and Study Among Practitioners. Military Medicine 2021, 186, e442 -e450.
AMA StyleAmir Khorram-Manesh, Frederick M Burkle, Phatthranit Phattharapornjaroen, Milad Ahmadi Marzaleh, Mohammed Al Sultan, Matti Mäntysaari, Eric Carlström, Krzysztof Goniewicz, Emelia Santamaria, John David Comandante, Robert Dobson, Boris Hreckovski, Glenn-Egil Torgersen, Luc J Mortelmans, Mirjam de Jong, Yohan Robinson. The Development of Swedish Military Healthcare System: Part II—Re-evaluating the Military and Civilian Healthcare Systems in Crises Through a Dialogue and Study Among Practitioners. Military Medicine. 2021; 186 (3-4):e442-e450.
Chicago/Turabian StyleAmir Khorram-Manesh; Frederick M Burkle; Phatthranit Phattharapornjaroen; Milad Ahmadi Marzaleh; Mohammed Al Sultan; Matti Mäntysaari; Eric Carlström; Krzysztof Goniewicz; Emelia Santamaria; John David Comandante; Robert Dobson; Boris Hreckovski; Glenn-Egil Torgersen; Luc J Mortelmans; Mirjam de Jong; Yohan Robinson. 2021. "The Development of Swedish Military Healthcare System: Part II—Re-evaluating the Military and Civilian Healthcare Systems in Crises Through a Dialogue and Study Among Practitioners." Military Medicine 186, no. 3-4: e442-e450.
Attila J. Hertelendy; Krzysztof Goniewicz; Amir Khorram-Manesh. Preparing emergency and disaster medicine physicians to lead future responses: Crisis leadership a core competency. The American Journal of Emergency Medicine 2021, 1 .
AMA StyleAttila J. Hertelendy, Krzysztof Goniewicz, Amir Khorram-Manesh. Preparing emergency and disaster medicine physicians to lead future responses: Crisis leadership a core competency. The American Journal of Emergency Medicine. 2021; ():1.
Chicago/Turabian StyleAttila J. Hertelendy; Krzysztof Goniewicz; Amir Khorram-Manesh. 2021. "Preparing emergency and disaster medicine physicians to lead future responses: Crisis leadership a core competency." The American Journal of Emergency Medicine , no. : 1.
Background Effective preparedness to respond to mass casualty incidents and disasters requires a well-planned and integrated effort by all involved professionals, particularly those who are working in healthcare, who are equipped with unique knowledge and skills for emergencies. This study aims to investigate and evaluate the level of knowledge and skills related to mass casualty and disaster management in a cohort of healthcare professionals. Methods A cross-sectional brief study was conducted using a validated and anonymous questionnaire, with a sample of 134 employees at a clinical hospital in Lublin, Poland. Results The findings of this study may indicate a need for standardization of training for hospitals employees. It also suggests a knowledge gap between different professional groups, which calls for adjusting such general training, to at least, the weakest group, while special tasks and mission can be given to other groups within the training occasion. Conclusion Pre-Training gap analyses and identification of participants’ competencies and skills should be conducted prior to training in mass casualty incidents and disasters. Such analyses provides an opportunity to develop training curriculum at various skill and knowledge levels from basic to advance. All training in mass casualty incidents and disasters should be subject to ongoing, not just periodic, evaluation, in order to assess continued competency.
Krzysztof Goniewicz; Mariusz Goniewicz; Anna Włoszczak-Szubzda; Frederick M. Burkle; Attila J. Hertelendy; Ahmed Al-Wathinani; Michael Sean Molloy; Amir Khorram-Manesh. The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training. BMC Public Health 2021, 21, 1 -11.
AMA StyleKrzysztof Goniewicz, Mariusz Goniewicz, Anna Włoszczak-Szubzda, Frederick M. Burkle, Attila J. Hertelendy, Ahmed Al-Wathinani, Michael Sean Molloy, Amir Khorram-Manesh. The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training. BMC Public Health. 2021; 21 (1):1-11.
Chicago/Turabian StyleKrzysztof Goniewicz; Mariusz Goniewicz; Anna Włoszczak-Szubzda; Frederick M. Burkle; Attila J. Hertelendy; Ahmed Al-Wathinani; Michael Sean Molloy; Amir Khorram-Manesh. 2021. "The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training." BMC Public Health 21, no. 1: 1-11.
Introduction It is expected that in unforeseen situations, nurses will provide appropriate medical interventions, using their expertise and skills to reduce the risks associated with the consequences of disasters. Consequently, it is crucial that they are properly prepared to respond to such difficult circumstances. This study aimed to identify the factors influencing the basic competences of nurses in disasters. Materials and methods The survey was directed to 468 nurses from all medical centres in Lublin. IBM SPSS Statistics version 23 was used for statistical analyses, frequency analysis, basic descriptive statistics and logistic regression analysis. The classical statistical significance level was adopted as α = 0.05. Results Based on the logistic regression analysis, it was found that work experience, workplace preparedness, as well as training and experience in disaster response are important predictors of preparedness. Conclusions These findings indicate that the nurses' core competencies for these incidents can be improved through education and training programmes which increase their preparedness for disasters. Nurses are among the most important groups of healthcare professionals facing a disaster and should be involved in all phases of disaster management, such as risk assessment and pre-disaster planning, response during crisis situations and risks’ mitigation throughout the reconstruction period.
Krzysztof Goniewicz; Mariusz Goniewicz; Frederick M. Burkle; Amir Khorram-Manesh. Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses. PLOS ONE 2021, 16, e0244488 .
AMA StyleKrzysztof Goniewicz, Mariusz Goniewicz, Frederick M. Burkle, Amir Khorram-Manesh. Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses. PLOS ONE. 2021; 16 (1):e0244488.
Chicago/Turabian StyleKrzysztof Goniewicz; Mariusz Goniewicz; Frederick M. Burkle; Amir Khorram-Manesh. 2021. "Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses." PLOS ONE 16, no. 1: e0244488.