HOSPITALS ARCHIVES
Extraordinary Care: A Case Study for the Future
Joseph Cahill
December 5, 2012
Managing change and risk is an ongoing challenge for emergency medical services managers. One growing concern is whether, before transporting patients to the hospital, paramedics should be providing more care than is now required.
Biodefense: Eliminating the Threat
W. Craig Vanderwagen
November 21, 2012
“Success” in the interdiction and prevention modes of biodefense depends primarily on the assets and efforts of the intelligence and military communities, but in the response/recovery and deterrence modes rests largely in the domain of the emergency management community. Effective performance in all modes ultimately can lead not only to
Designing a National Infectious-Agent Detection System
James Augustine
November 21, 2012
Hospitals and other medical facilities are rapidly evolving into a true national healthcare system that can more effectively meet the 21st-century threats posed by terrorist acts and infectious diseases. Fortunately, systems and technological capabilities needed to cope with such threats, particularly those involving infectious agents, is already available.
Early Warning: The Front Line of Biodefense
Patrick P. Rose
November 14, 2012
During and after a known or suspected biological attack, most events initially play out in local hospitals where the first symptoms caused by a toxic agent are recognized. Raising awareness among medical staff and expanding current training programs will help healthcare providers respond to a possible biological event both more
Not All Components Are Equal, But All Are Essential
Joseph Cahill
November 7, 2012
Implementation of the guidelines undergirding new national anti-terrorism policies will be a major challenge for state & local health departments. But the end result will be a better coordinated and much more effective national healthcare community.
Planning Needs for Staff Medication Dispensing
Craig DeAtley
November 7, 2012
Three modes of operation, two of which might strain the trained EMS personnel resources immediately available but would not overwhelm them. Preparing for the third mode, a sudden mass-casualty scenario, must be done carefully and thoughtfully.
FINAL REPORT: Advancing Technology in Biological Surveillance and Detection
Jeffrey W. Runge
October 25, 2012
The terrorist use of anthrax against the United States in 2001 pointed out the nation’s vulnerability to biological attack and need for rapid and sure response. Since that time, strengths and limitations of the current biodetection system have been discovered. To achieve a better preparedness posture, now is the time
State & Local Medical Countermeasures: The 12-Hour Push
Kay C. Goss
October 17, 2012
Emergency managers are working hard, on a continuing basis, to improve and support the national capability to assist in providing assets to affected areas during an extreme biological incident or emergency requiring medical countermeasures.
Identifying & Isolating Bio-Threats Before They Present
Patrick P. Rose
October 17, 2012
An emerging infectious disease or a bioterrorism attack must be prevented from spreading globally even when the effectiveness of predictive measures and detection programs is in question. In addition to current medical countermeasures, defending against biological threats may require the enforcement of control measures that rely on non-medical public health
Protecting Civilian Emergency Responders Against Anthrax
Thomas K. Zink
October 10, 2012
There is general agreement that the best way to protect emergency responders against anthrax would be to immunize them prior to an attack. But, despite the fact that millions of “expired” doses of anthrax vaccine are routinely destroyed each year, many civilian responders still are not provided pre-event vaccinations. This
Breaking the Rules to Save Lives
Joseph Cahill
October 3, 2012
No two emergency scenarios are identical and some may call for “creative” solutions – for example, overriding triage strategies for victims of a weapon of mass destruction or substituting medications for scarce countermeasures. Understanding the rules and how far they can “bend” in a crisis situation may help save not
Nontraditional Partnerships Advance Medical Countermeasure Dispensing
Greg Burel
October 3, 2012
The U.S. Centers for Disease Control & Prevention (CDC) is changing the dynamics of public-private partnerships as they relate to medical countermeasures for public health threats. By using nontraditional partnerships, CDC is not only providing easier access but also reducing the time needed to dispense large quantities of antiviral drugs,
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