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EMERGENCY MEDICAL SERVICES ARCHIVES

Leadership at the Scene of a Mass-Casualty Incident

Not surprisingly, almost all media coverage of MCI situations focuses on the incident itself, the innocent victims, and the heroism shown by EMS techs and other responders. Little if any attention is paid, though, to the mundane organizational and administrative tasks involved in establishing an effective, well trained, and exceptionally

Bringing Greater Life-Saving Capabilities to the Incident Scene

Coming soon: New and highly capable CERFPs and better- trained and -equipped WMD CSTs. The acronyms are daunting and impossible to pronounce, but they represent another quantum leap in U.S. homeland-preparedness capabilities, with special significance at the state, local, and community levels of government.

The Hospital ICS: Mainstream Solution, or Barely Used?

Most but not all HICS policy guidelines have been deemed by the nation’s health-care community to be both reasonable and acceptable. And most but, again, not all are being incorporated into local emergency-response policies and guidelines as well. So the system is not yet perfect. It is headed in the

Hospital Emergency Departments – Infectious Diseases: The First Line of Defense

Very few Emergency Departments in U.S. hospitals can cope with a major outbreak of infectious diseases. But there is much that could & should be done before an outbreak occurs. Improved communications between and among all major medical facilities in the same geographic area should be the first priority, along

Biodetection: Today, Tomorrow & Years Later

Most U.S. counterterrorism experts and senior DHS and DOD officials agree that the greatest danger now facing the nation is not a nuclear attack but a biological warfare agent – which would be extremely difficult to detect, much less counter. There has been some limited progress in U.S. detection capabilities,

Swabs and Samples; Assays and Analytes

The collection of “samples” at the scene of a crime – or a toxic release or other possible mass-casualty incident – calls for extremely detailed planning, precise execution, and constant vigilance. Here is a short list of some of the numerous dangers and difficulties involved – some of them terminal

DomPrep Executive Briefing on PS-Prep

The well attended 15 November DomPrep Executive Briefing on the Department of Homeland Security’s new “Private-Sector Preparedness” program not only provided a wealth of information for those participating but also raised several exceptionally relevant questions – on a broad range of closely related topics. The one virtually unanimous conclusion (no

UTMB: From Disaster Planning to Long-Term Recovery

Established in 1891 as the Medical Department of the University of Texas and housed in a single building with a class of 23 students, the University of Texas Medical Branch (UTMB Health) today is a sprawling and modern health science center with an annual budget of $1.5 billion. Home to

‘Pathogens for Knuckleheads’: The Enemy Within – Invisible & Infectious

A possible nuclear attack against the U.S. homeland gets more attention, but homeland-security experts say an attack involving biological weapons could be much more devastating in its consequences. The warhead of such weapons would be pathogens – which, as this primer “for Knuckleheads” points out, are low in cost, easy

Bio-Preparedness: From the Top Down

A smart leader recruits the most capable assistants he/she can find – and uses them wisely. But some topics in today’s dangerous world are of such transcendent importance – bio-preparedness, for example – that decisions cannot be relegated to subordinates. And neither can the drills, training sessions, and tabletop exercises

The Driving Forces Behind Policy Making

EMTs and other responders face a host of dangers at the scene of a major accident. But the greatest danger, in many cases, is on the open highways and crowded streets that must be navigated, often at high speed, to and from a multi-vehicle collision or the sudden fire that

‘My Loved One Was in That Accident – Can You Help Me?’

A plane crash, a toxic-chemical spill, and other “mass-casualty” incidents all represent just the beginning of an extremely complicated response and recovery process. One of the most important “collateral duties” will be the dissemination of timely information to the media, the general public, and the worried families of those dead,

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