Needed: A National EMS Protocol

by Joseph Cahill -

When medical protocols vary from state to state, the result - in a multi-state disaster - could be a towering Babel of confusion. The obvious solution - the writing and promulgation of national EMS guidelines.

Forensic Epidemiology: On the Threshold of Change

by Michael Allswede -

The highly specialized skill sets of forensic epidemiologists are essential to deal effectively with bioterrorist attacks, but numerous structural and operational as well as bureaucratic obstacles are standing in the way.

The ABCs of NIMS and the ICS

by Joseph Cahill -

EMS agencies have been assigned major new responsibilities under both the NIMS and the ICS. The key to "mission accomplished" will be the ability of agencies from adjoining states to submerge personal identities & work toward a common goal.

Interpol's New Bioterrorism Guide: Incident Pre-Planning and Response

by Michael Allswede -

The world's largest international police organization has developed and is disseminating a new "how-to" manual to help member agencies cope with the increasingly lethal threat posed by transnational terrorist groups.

The Creation of New Surge Capacity

by Michael Allswede -

Very few U.S. hospitals have enough beds, operating rooms, or the medical staff & equipment needed to deal with a truly major disaster. Many warnings have been issued, but no plans are yet in place to deal with a worst-case scenario.

A Long List of Questions; A Very Short List of Answers

by Jerry Mothershead -

The administration's development and release of an "Implementation Plan" to deal with pandemic influenza is a helpful start - but no more than that. Few if any states or cities are taking the steps needed to protect their citizens.

Tags of Survival: The Start System

by Joseph Cahill -

The triage goal is to maximize the number of lives saved. But to do so requires some extremely difficult decisions from the EMT on the scene, particularly in mass-casualty incidents when time is limited and information is in short supply.

Triage Strategies for Hazardous Materials Mass-Casualty Incidents

by Duane Caneva -

What are the best indicators of victim survivability? The RPMs provide a few clues that can be used to START processing. But continuing updates and additional analyses are needed to improve the decision-making process.

Preparing to Cope With a Pandemic Flu

by Michael Allswede -

There are several ways, none of them easy-or 100 percent certain-to fight a pandemic that could kill hundreds of thousands of everyday citizens. The Los Alamos project suggests that the first-responder focus should be on vaccinations.

Rx: A Medical Support Plan for Homeland Defense

by Duane Caneva -

Federal, state, and local disaster-preparedness plans all emphasize the need for adequate medical support. But very little has yet been done to ensure that such support will in fact be available when it is actually needed.