Can ChatGPT adequately triage simulated disaster patients using the START protocol? Does an AI model  provide reliability, reproducibility and accuracy in a mass casualty simulation? Is your job safe from AI? Well, two of these questions will be answered in this podcast that reviews the article “Accuracy of a Commercial Large Language Model (Chat GPT) to Perform Disaster Triage Using the Simple Triage and Rapid Treatment (START) Protocol“ (Jeffrey M. Franc  et al J Med Internet Res 2024/vol 26/e55648)

 The debate about dry versus wet decontamination is not a new one. This paper that looks at a very interesting in vitro methodology to do a comparison, and also looks at an issue we have not addressed before, does ambient temperature have an impact on decon effectiveness? Those of us who live in climates with colder seasons will find this particularly interesting.

Quelles sont les effets d'une panne d'electricite sur les patients avec problemes respiratoires?

Bienvenue à notre premier balado en français: Feux de forêts: sommes-nous prêts?   Les feux de forêts sont de plus en plus fréquents et leurs impacts se font sentir même très loin du site d’incendie. Ce balado discutera de publications récentes sur le sujet et de gouvernance en ce qui a trait à la préparation du système de santé face à une telle menace.

Following on our previous podcast regarding adult triage this episode is focused on pediatrics. Disaster research has shown that the stress level is dramatically increased when there are children involved in an incident. Specifically triaging of children has significantly more variability than triage of adults. This session will provide a scoping review of the paediatric mass, casualty triage algorithms and cover some basic ground rules.

It is commonly used for disaster triage in the field but is it accurate?  METASTART is a systematic review and meta-analysis of the diagnostic accuracy of the START algorithm. Presented by its lead author, Dr. Jeffrey Franc this podcast will review the study followed by a panel discussion.

Using a recent case publication from a Bronx hospital the panel discusses the conclusions of the paper and makes recommendations for preparing for and responding to an active shooter situation.

An overview of recommendations for mass shootings reached through the Delphi process

A review of the use of drones in disasters with the most recent scoping literature and two case studies

This CEEP Journal Club podcast is joined by NEJM co-lead author, Dr. Barkati to review her paper Monkeypox Virus Infection in Humans across 16 Countries — April–June 2022 by J.P. Thornhill et al.

Recent research raises potential risks in wet decontamination. This podcast looks at the papers, discusses if this is clinically relevant and what real world conclusions to draw. Guest speaker - Charles Alexandre Campbell

Discussing the RATE protocol with study authors Cathy Dobson and Gudrun Reay.

Should you plan on using drones at your next mass gathering or MCI? The answer is an unequivocal yes. Dr. Jain joins us to discuss his article: Comparison of Unmanned Aerial Vehicle Technology versus Standard Practice of Scene Assessment by Paramedic Students of a Mass-Gathering Event Background information on drone use and regulation is presented. Two other articles on injuries caused by drones are also reviewed.

This Centre for Excellence in Emergency Preparedness journal club discusses preparing for an active shooter in your hospital.

This Centre for Excellence in Emergency Preparedness journal club discusses the question of how to track patients in a multi-casualty disaster.

This episode describes the latest research on when, where and how to apply pre-hospital tourniquets as well as guidelines on removal in hospital.   Articles reviewed:Levy MJ, Pasley J, Remick KN, Eastman AL, Margolis AM, Tang N, Goolsby CA. Removal of the Prehospital Tourniquet in the Emergency Department. The Journal of Emergency Medicine. 2021 Jan 1;60(1):98-102.Henry R, Matsushima K, Ghafil C, Henry RN, Theeuwen H, Golden AC, Abramson TM, Inaba K. Increased Use of Prehospital Tourniquet and Patient Survival: Los Angeles Countywide Study. Journal of the American College of Surgeons. 2021 Apr 22.Wyckoff MH, et al. 2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation. 2021 Nov 11:S0300-9572(21)00448-2. doi: 10.1016/j.resuscitation.2021.10.040. Gattere M, Scaffei N, Gozzetti L, Alessandrini M. Tourniquet Use on a Pediatric Patient. Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals. 2021 Jan 1;21(1):120-3.