Joost Bierens

Joost Bierens
Vrije Universiteit Brussel | VUB · Research Group Emergency and Disaster Medicine

MD PhD MCPM

About

153
Publications
76,088
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5,165
Citations
Citations since 2016
44 Research Items
3284 Citations
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20162017201820192020202120220100200300400500600
20162017201820192020202120220100200300400500600
20162017201820192020202120220100200300400500600
Additional affiliations
October 2000 - November 2009
Amsterdam University Medical Center
Position
  • Professor in Emergency Medicine

Publications

Publications (153)
Article
This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscita...
Article
This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscita...
Article
Full-text available
Background: When it comes to children’s competence in, on and around water, their risk competence also plays an important role. For an optimal and save participation in aquatic recreation, there is a crucial need to communicate about a realistic perception of potential dangers in relation to one’s own acutal and perceived aquatic skills. Goals: The...
Article
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Introduction Incompleteness of fatal drowning statistics is a familiar problem impeding public health measures. Part of the problem may be that only data on accidental drowning are used and not the full potential of accessible data. Methods This study combines cause-of-death certificates and public prosecutor’s court documents between 1998 and 201...
Article
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Importance: Resuscitation is a niche example of how the COVID-19 pandemic has affected society in the long term. Those trained in cardiopulmonary resuscitation (CPR) face the dilemma that attempting to save a life may result in their own harm. This is most of all a problem for drowning, where hypoxia is the cause of cardiac arrest and ventilation...
Article
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The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Tre...
Article
These European Resuscitation Council (ERC) Cardiac Arrest in Special Circumstances guidelines are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. This section provides guidelines on the modifications required to basic and advanced life support for the prevention and treatment of car...
Article
Background The ILCOR Basic Life Support Task Force and the international drowning research community considered it timely to undertake a scoping review of the literature to identify evidence relating to the initial resuscitation, hospital-based interventions and criteria for safe discharge related to drowning. Methods Medline, PreMedline, Embase,...
Article
Although drowning is a common phenomenon, the behaviour of drowning persons is poorly understood. The purpose of this study is to provide a quantitative and qualitative analysis of this behaviour. This was an observational study of drowning videos observed by 20 international experts in the field of water safety. For quantitative analysis, each vid...
Article
Background: Identification of predictors of outcome at the scene of drowning events could guide prevention, care and resource utilization. This review aimed to describe where, what and how scene predictive factors have been evaluated in drowning outcome studies. Methods: We reviewed studies reporting scene drowning predictors published between 200...
Article
Full-text available
Although drowning is a common phenomenon, the behaviour of drowning persons is poorly understood. The purpose of this study is to provide a quantitative and qualitative analysis of this behaviour. This was an observational study of drowning videos observed by 20 international experts in the field of water safety. For quantitative analysis, each vid...
Research
Full-text available
Esta declaración de posición se presenta en nombre de la Alianza internacional de investigadores en Ahogamiento (International Drowning Researchers’ Alliance [IDRA], la Federación Internacional de Socorrismo (International Life Saving Federation – Comité Médico [ILS-MC] y la Federación Internacional de Rescate Marítimo (International Maritime Rescu...
Research
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The following recommendations were developed in April-May 2020 and based on the current knowledge of the SARSCoV- 2 virus (COVID-19). As countries, regions and aquatic organisations are at different stages of the disease and have different approaches to reducing the impact of the virus, there may be variations in practice that need to be considered...
Article
Introduction Medical responders are at-risk of experiencing a wide range of negative psychological health conditions following a disaster. Aim Published literature was reviewed on the adverse psychological health outcomes in medical responders to various disasters and mass casualties in order to: (1) assess the psychological impact of disasters on...
Conference Paper
Full-text available
The working group objective was to develop a proposed clarification statement and practical categorization framework that provide coherence and uniformity for the term “non-fatal drowning”. The group also outlined a process for stakeholder review and ratification of the clarification statement and category descriptions, and a communication plan for...
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This narrative review discusses the evidence relevant to key aspects of drowning, which is defined by the World Health Organization as the process of respiratory difficulty caused by submersion/immersion in liquid. The length of time the victim is submerged is a key factor in survival and neurologic damage. Although respiratory distress and hypoxia...
Article
Full-text available
This narrative review discusses the evidence relevant to key aspects of drowning, which is defined by the World Health Organization as the process of respiratory difficulty caused by submersion/immersion in liquid. The length of time the victim is submerged is a key factor in survival and neurologic damage. Although respiratory distress and hypoxia...
Article
Full-text available
Background: Little is known regarding circumstances, outcomes and quality of cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) performed by operational lifeboat crews. Our aim is to evaluate circumstances, outcomes and quality of CPR performed by the Royal Dutch Lifeboat Institution (KNRM) in out-of-hospit...
Article
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Background and Objectives Blood is a critical resource for responding to mass casualty incidents (MCI). The main framework for transfusion preparedness is the American Association of Blood Bank (AABB) Disaster Operation Handbook. A disaster preparedness plan for co‐ordinated blood supply was issued in Italy in 2016. Aim To assess the level of prep...
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Introduction The central question this study sought to answer was whether the team members of Strategic Crisis Teams (SCTs) participating in mass-casualty incident (MCI) exercises in the Netherlands learn from their participation. Methods Evaluation reports of exercises that took place at two different times were collected and analyzed against a t...
Article
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Background: The Utstein style for drowning (USFD) was published in 2003 with the aim of improving drowning research. To support a revision of the USFD, the current study aimed to generate an inventory of the use of the USFD parameters and compare the findings of the publications that have used the USFD. Methods: A search in Pubmed, Embase, the C...
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INTRODUCTION In January 2011 landslides and floods followed heavy rain in the Mountainous Region of Rio de Janeiro State (“Região Serrana”), in southeastern Brazil. These events led to the largest disaster registered in Brazilian recent history. Few studies addressed the impacts of this disaster on public health, and we found none addressing the im...
Conference Paper
Full-text available
Analogous to trauma, drowning is a preventable, non-communicable disease with significant morbidity and mortality around the globe. The 372,000 annual deaths from drowning reported by the World Health Organization significantly underestimate the true burden. The statistics are routinely derived from resuscitation attempts, hospitalizations and deat...
Article
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Background Utstein-style guidelines use an established consensus process, endorsed by the international resuscitation community, to facilitate and structure resuscitation research and publication. The first “Guidelines for Uniform Reporting of Data From Drowning” were published over a decade ago. During the intervening years, resuscitation science...
Article
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Background: Utstein-style guidelines use an established consensus process, endorsed by the international resuscitation community, to facilitate and structure resuscitation research and publication. The first "Guidelines for Uniform Reporting of Data From Drowning" were published over a decade ago. During the intervening years, resuscitation scienc...
Chapter
Full-text available
According to the World Health Organization,1 drowning is a serious and neglected public health threat claiming the lives of more than 372,000 people a year worldwide, or 40 people every hour of every day. More than 90% of these deaths occur in low- and middle-income countries. Whether it is small children slipping unnoticed into a pond, pool, or we...
Article
Drowning is one of the major causes of trauma, killing 372,000 people, particularly children, every year. As an estimated 90% of all drowning deaths occur in low- and middle-income countries, significant under-reporting is known to contribute to a greatly underestimated burden of drowning. Additionally, drowning is not just death, but a process wi...
Article
Objective: To identify factors available to rescuers at the scene of a drowning that predict favourable outcomes. Design: Systematic review and meta-analysis Data Sources: PubMed, Embase and Cochrane Library were searched (1979-2015) without restrictions on age, language or location and references lists of included articles. Study selection: C...
Article
Drowning physiology relates to two different events: immersion (upper airway above water) and submersion (upper airway under water). Immersion involves integrated cardiorespiratory responses to skin and deep body temperature, including cold shock, physical incapacitation, and hypovolemia, as precursors of collapse and submersion. The physiology of...
Chapter
Rampengeneeskunde is een toepassing van gebruikelijke medische principes onder omstandigheden van schaarste. Schaarste in menskracht, middelen en vooral tijd. Onder deze omstandigheden dienen zoveel mogelijk slachtoffers in een zo kort mogelijke tijd, zo adequaat mogelijk te worden geholpen. Dit vereist een andere vorm van medisch denken dat niet m...
Conference Paper
Full-text available
All nations would benefit from a simple, clear Drowning Chain of Survival. In high income nations this tool will refine prevention and the call for action. In low and middle income nations this tool is a guide for policy making, resource allocation and priority setting in drowning prevention. A best evidence approach was utilised to create a univ...
Conference Paper
Full-text available
Despite having major social and economic impacts drowning has been neglected for several decades. The bias produced by not accounting for the real drowning figures is the major fact to affect the importance given to the problem. Recent studies have shown no link between the global burden of disease and the distribution of total health research or c...
Conference Paper
Full-text available
International data severely underestimates the actual drowning figures. Even for high-income countries, epidemiologic data accounts for only 6% of the problem because death and statistics exclude many nonfatal drowning patients and drowning deaths due to disasters; and many death certificates register the consequence of drowning as the cause of dea...
Article
Indicators to measure the quality of trauma care may be instrumental in benchmarking and improving trauma systems. This retrospective, observational study investigated whether data on three indicators for competencies of Dutch trauma teams (i.e. education, exposure, experience; agreed upon during a prior Delphi procedure) can be retrieved from exis...
Article
Full-text available
To evaluate the outcome of drowned children with cardiac arrest and hypothermia, and to determine distinct criteria for termination of cardiopulmonary resuscitation in drowned children with hypothermia and absence of spontaneous circulation. Nationwide retrospective cohort study. Emergency departments and paediatric intensive care units of the eigh...
Chapter
Several chapters in this book have described in great detail the specific pathophysiological aspects that may occur during drowning. This chapter provides an integral overview of the immediate pathophysiology of drowning, based on selected drowning scenarios. Late complications are not addressed.
Chapter
Research related to prehospital treatment of drowning is challenging and offers fascinating opportunities in a still very unexplored domain. First of all, the pathophysiological processes which occur during and after drowning are different from primary cardiac arrest mechanisms and are still not fully understood. Some of these mechanisms, and inter...
Chapter
Although much progress has been made in the diagnosis and treatment of patients who have suffered an acute myocardial event and require resuscitation, many people became aware that little progress had been made in the resuscitation of drowning victims. It was felt by many that the pathophysiological processes in drowning, which led the patient to a...
Article
Objective: In our previous study, we identified the similarities and differences in competencies of ambulance nurses and helicopter emergency medical service (HEMS) physicians in the Netherlands. This ensuing study aims to quantify the frequency with which the additional therapeutic competencies of the HEMS physician are utilized and to determine...
Article
Full-text available
All nations would benefit from a simple, clear Drowning Chain of Survival. In high income nations this tool will refine prevention and the call for action. In low and middle income nations this tool is a guide for policy making, resource allocation and priority setting in drowning prevention. A best evidence approach was utilized to create a univer...
Article
Full-text available
Elektrolytstörungen können Herzrhythmusstörungen und einen Kreislaufstillstand auslösen. Lebensbedrohliche Herzrhythmusstörungen sind gewöhnlich mit Störungen des Kaliumhaushalts, insbesondere Hyperkalämien, und weniger häufig mit Entgleisungen der Serumkalzium- und Serummagnesiumspiegel assoziiert. In manchen Situationen soll die Therapie einer le...
Chapter
This chapter presents the consensus of a group of international investigators (Fig. 115.1) who met to establish guidelines for the uniform reporting of data from studies of drowning incidents. Similar consensus guidelines for reporting surveillance and resuscitation research have been developed for both adult and paediatric cardiac arrest [1, 2]. T...
Chapter
This section on prehospital treatment starts with a description of the large variety of pathophysiological mechanisms related to drowning. The differences depend, most of all, on the circumstances of the incident and the response of the drowning victim to the potentially life-threatening situation. The overview in the first part helps to demonstrat...
Chapter
Disasters occurring in, on or around the aquatic environment place a tremendous burden upon the global community. Aquatic disasters altogether present with the highest occurring frequency around the globe [1], and they have accounted for at least one-third of disaster-related deaths during the last decade [2]. In addition, drowning seems to be the...
Article
Full-text available
A key to improving the quality of emergency care is improvement of the contact between patient and emergency department (ED) staff. We investigate what patients actually experience during their ED visit to better understand the patterns of relationships among patients and health care professionals. This was an ethnographic study. We conducted obser...
Conference Paper
Full-text available
Drowning involves principles and interventions that are not found in other emergency medical situations. Preventative behaviors as well as critical response steps can be part of an effective educational strategy.One such educational strategy in emergency response medicine has involved promoting icons in the form of a “chain of survival.” The releva...
Article
Full-text available
Background In organised trauma systems the process of care is the key to quality. Nevertheless, the optimal process of trauma care remains unclear due to lack of or inconclusive evidence. Because monitoring and improving the performance of a trauma system is complex, this study aimed to develop consensus-based process guidelines for trauma care in...