A video of a presentation by Haydn Read, Programme Director of Smart City Coalition, at the 2016 Seismics in the City Conference. The presentation is titled, "Smart City/Choice City".The abstract for the presentation reads, "'We want to get to the point where people can get amazing information in real-time that helps them make choices about where to swim or what road to take' (Vicki Buck, Deputy Mayor of Christchurch). Real time information and feedback via the Internet of Things. The CCC is now part of Land Information New Zealand's (LINZ) Smart City coalition which aims to test the value of smart city concepts through a series of projects in Christchurch, Auckland, and Wellington."Note that due to technical issues, the final part of this presentation was not recorded.
A video of a presentation by Dr Erin Smith during the Community Resilience Stream of the 2016 People in Disasters Conference. The presentation is titled, "A Qualitative Study of Paramedic Duty to Treat During Disaster Response".The abstract for this presentation reads as follows: Disasters place unprecedented demands on emergency medical services and test paramedic personal commitment to the health care profession. Despite this challenge, legal guidelines, professional codes of ethics and ambulance service management guidelines are largely silent on the issue of professional obligations during disasters. They provide little to no guidance on what is expected of paramedics or how they ought to approach their duty to treat in the face of risk. This research explores how paramedics view their duty to treat during disasters. Reasons that may limit or override such a duty are examined. Understanding these issues is important in enabling paramedics to make informed and defensible decisions during disasters. The authors employed qualitative methods to gather Australian paramedic perspectives. Participants' views were analysed and organised according to three emerging themes: the scope of individual paramedic obligations, the role and obligations of ambulance services, and the broader ethical context. Our findings suggest that paramedic decisions around duty to treat will largely depend on their individual perception of risk and competing obligations. A reciprocal obligation is expected of paramedic employers. Ambulance services need to provide their employees with the best current information about risks in order to assist paramedics in making defensible decisions in difficult circumstances. Education plays a key role in providing paramedics with an understanding and appreciation of fundamental professional obligations by focusing attention on both the medical and ethical challenges involved with disaster response. Finally, codes of ethics might be useful, but ultimately paramedic decisions around professional obligations will largely depend on their individual risk assessment, perception of risk, and personal value systems.
A video of a keynote presentation by Professor Jonathan Davidson during the fifth plenary of the 2016 People in Disasters Conference. The presentation is titled, "Resilience in People".The abstract for this presentation reads as follows: Resilience is the ability to bounce back or adapt successfully in the face of change, and is present to varying degrees in everybody. For at least 50 years resilience has been a topic of study in medical research, with a marked increase occurring in the past decade. In this presentation the essential features of resilience will be defined. Among the determining or mediating factors are neurobiological pathways, genetic characteristics, temperament, and environment events, all of which will be summarized. Adversity, assets, and adjustment need to be taken into account when assessing resilience. Different approaches to measuring the construct include self-rating scales which evaluate: traits and copying, responses to stress, symptom ratings after exposure to actual adversity, behavioural measures in response to a stress, e.g. Trier Test, and biological measures in response to stress. Examples will be provided. Resilience can be a determinant of health outcome, e.g. for coronary heart disease, acute coronary syndrome, diabetes, Human Immunodeficiency Virus (HIV) positive status and successful aging. Total score and individual item levels of resilience predict response to dug and psychotherapy in post-traumatic stress disorder and depression. Studies have repeatedly demonstrated that resilience is modifiable. Different treatments and interventions can increase resilience in a matter of weeks, and with an effect size larger than the effect size found for the same treatments on symptoms of illness. There are many ways to enhance resilience, ranging from 'Outward Bound' to mindfulness-based meditation/stress reduction to wellbeing therapy and antidepressant drugs. Treatments that reduce symptoms of depression and anxiety recruit resiliency processes at the same time. Examples will be given.
