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EMERGENCY MEDICAL SERVICES ARCHIVES

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,

Field-Proven Medical Skills for Law-Enforcement Units

Thanks to major improvements in military medical care, even on the battlefield itself, the U.S. combat KIA (killed in action) casualty rate has declined dramatically for more than half a century. Question: Could the same medical skills, training, and equipment be used to reduce the KIA rate of U.S. police

Technology and Equipment: Training Needed on Both

Baltimore knows, and so do the great states of Oregon and Pennsylvania, that the first requirement in preparedness training is having the right type of equipment – in the quantities needed to meet all possible contingencies. The “other” first requirement is to ensure that all users of that equipment are

U.S. Vaccine Development: Expediting the Process

Influenza and many other diseases spread with the speed of summer lightning. The “cure” for these frequently fatal viruses moves at a much slower pace – largely because the testing and validation processes take so long. Fortunately, there are new approaches coming into play to expedite those processes while still

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