{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T01:32:49Z","timestamp":1790904769892,"version":"4.1.0"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789322001586_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>Evacuations of neonatal intensive care units (NICUs) in emergency situations pose specialized challenges given their population of critically-ill neonates. Most of the literature on this topic describes planned evacuations and simulations due to natural disasters, usually involving only NICU staff. This study examines a unique emergent NICU evacuation simulation involving multiple responders occurring on a citywide scale.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789322001586_as2\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>A simulated evacuation in response to a fire was conducted in 6 different NICUs in El Paso, Texas. The exercise utilized response from NICU staff and first responders. A standardized tool, by independent evaluators, was used to evaluate staff competencies while reactions were assessed using post-exercise surveys.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789322001586_as3\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>This city-wide multidisciplinary simulation improved NICU personnel skills in evacuation and also introduced first responders to this specialized patient population. Areas of strength across all NICUs included teamwork, knowledge of evacuation equipment, and patient tracking. Areas for improvement included lack of adequate equipment for post-evacuation care, understanding implications of smoke exposure, alternative evacuation routes, incident command structure, and unified communication.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789322001586_as4\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>This successful, citywide NICU evacuation simulation improved knowledge among participants, introduced first responders to a specialized patient population, and provided valuable lessons on neonate-specific themes that can be incorporated to improve citywide emergency preparedness.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2022.158","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T06:02:15Z","timestamp":1659506535000},"source":"Crossref","is-referenced-by-count":3,"title":["An Evacuation Simulation in Multiple Neonatal Intensive Care Units Across a Single City: Lessons Learned"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4883-1685","authenticated-orcid":false,"given":"Zoe","family":"Tullius","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanda","family":"Helgesen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuber D","family":"Mulla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadhana","family":"Chheda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,8,3]]},"reference":[{"key":"S1935789322001586_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/01.NMC.0000326075.03999.11"},{"key":"S1935789322001586_ref23","unstructured":"23. FEMA. Exercise Evaluation Guides (EEGs): public health, healthcare, and emergency medical services. HSEEP Resources;2020."},{"key":"S1935789322001586_ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000466681"},{"key":"S1935789322001586_ref24","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X19004473"},{"key":"S1935789322001586_ref4","unstructured":"4. The Joint Commission. Plans - Emergency management event recovery\/continuity. 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Accessed January 2, 2021. https:\/\/www.fema.gov\/emergency-managers\/national-preparedness\/exercises\/hseep"},{"key":"S1935789322001586_ref18","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000451"},{"key":"S1935789322001586_ref29","first-page":"3","article-title":"Responses from the ground","volume":"4","author":"Epley","year":"2017","journal-title":"Texas EMS Trauma News."},{"key":"S1935789322001586_ref19","unstructured":"19. Border RAC. Border RAC Regional Advisory Council: about us. Accessed January 2, 2022. https:\/\/borderrac.org\/about-us.."},{"key":"S1935789322001586_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2017.139"},{"key":"S1935789322001586_ref20","unstructured":"20. US Census Bureau. QuickFacts: El Paso County, Texas. Accessed January 2, 2022. https:\/\/www.census.gov\/quickfacts\/fact\/table\/elpasocitytexas,elpasocountytexas\/PST045221."},{"key":"S1935789322001586_ref11","doi-asserted-by":"publisher","DOI":"10.5055\/ajdm.2016.0232"},{"key":"S1935789322001586_ref30","unstructured":"30. Flynn, SE. Higher ground: the sophisticated healthcare response of the SouthEast Texas Regional Advisory Council to Hurricane Harvey. Northeastern University. 2018:1-18."},{"key":"S1935789322001586_ref1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-0507"},{"key":"S1935789322001586_ref26","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0000000000000430"},{"key":"S1935789322001586_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.JPN.0000319102.20593.12"},{"key":"S1935789322001586_ref28","first-page":"85","article-title":"Reducing fatalities in mass attacks and the related matter of gun control policy following the El Paso August 2019 Shooting","volume":"26","author":"Soto","year":"2020","journal-title":"THJ."},{"key":"S1935789322001586_ref10","first-page":"155","article-title":"Learning from wildfire disaster experience in California NICUs","volume":"7","author":"Ma","year":"2020","journal-title":"Children (Basel)."},{"key":"S1935789322001586_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2009.03.002"},{"key":"S1935789322001586_ref25","first-page":"e8302","article-title":"EVAC: Evacuation of vulnerable and critical pediatric patients for nurses","volume":"12","author":"Thomas","year":"2020","journal-title":"Cureus."},{"key":"S1935789322001586_ref3","unstructured":"3. Centers for Medicare and Medicaid Services. Emergency Preparedness Rule. Accessed January 2, 2021. https:\/\/www.cms.gov\/Medicare\/Provider-Enrollment-and-Certification\/SurveyCertEmergPrep\/Emergency-Prep-Rule."},{"key":"S1935789322001586_ref2","unstructured":"2. Chung, S , Foltin, G , Schonfeld, D. Pediatric disaster preparedness and response topical collection. In: Pediatrics AAP, ed. Itasca, IL: American Academy of Pediatrics; 2019."},{"key":"S1935789322001586_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31827b8bc5"},{"key":"S1935789322001586_ref21","unstructured":"21. Response OotASfPa. 2017-2022 Health Care Preparedness and Response Capabilities. In:2016:40-41. Accessed January 2, 2022. https:\/\/asprtracie.hhs.gov\/technical-resources\/resource\/4271\/2017-2022-health-care-preparedness-and-response-capabilities."},{"key":"S1935789322001586_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2018.58"},{"key":"S1935789322001586_ref8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0936"},{"key":"S1935789322001586_ref13","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-020-0676-3"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789322001586","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T10:43:23Z","timestamp":1675766603000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789322001586\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,3]]},"references-count":30,"alternative-id":["S1935789322001586"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2022.158","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,3]]},"article-number":"e244"}}