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Emergency Preparedness in Healthcare – 2010 & Beyond

Emergency planners, political and budget decision makers, and the general public are almost always more focused on preparing for last year’s hurricane than they are concerned about this year’s sudden earthquake, or tsunami, or – much more likely – long-predicted pandemic. Which is why common sense must sometimes take precedence.

An Opportunity Beckons: Converging Disaster Recovery and Infrastructure Resilience

Prevention – of terrorist attacks and/or other mass-casualty incidents – is and must be the first priority in homeland security. But when, not if, prevention fails, as it sometimes will, recovery and resilience move to center stage. The problem is that much has been accomplished in those areas, but much

Destination Decisions: Back to the Future, Again and Again

Ambulance drivers, EMTs, and other responders may not yet be able to perform brain surgery or heart transplants at the accident scene – but that time might be not too far off, thanks to rapid and continuing advances in medical technology, ultrasound and data-retrieval systems, and other scientific breakthroughs.

DMORT Teams and Their Role in MFIs

Recent-year increases in the number of mass-fatality incidents, combined with the increasingly bizarre nature of some of those incidents, have led to the formation of specially trained medico-legal teams to deal with the on-site aftermath. This is their story, which is more complicated, and sophisticated, than anything seen on national

Supply on Demand: The Strategic National Stockpile

One of the most important, best managed, but only theoretically “secret” weapon in the U.S. defense arsenal is the Strategic National Stockpile (of medicines, pharmaceuticals, and other life-saving goods and materials needed to counter biological and/or chemical “incidents,” including terrorist attacks). Fortunately, this weapon is designed to save lives, not

New and Emerging Al Qaeda Threats

The term “global war on terrorism” is now politically incorrect, in at least some circles. There is mounting evidence, though, that some terrorists do not agree and are already planning new attacks against domestic targets on the U.S. homeland.

Ham Radio – An Emergency Tool for Public Health

Many citizens served their communities heroically in the aftermath of Hurricane Katrina, and some of their stories are well known – but most of them remain untold.  One of the still relatively unknown heroes is a legally blind New Orleans jazz musician, who also happens to be an amateur radio

Field-Based Patient Tracking: Real-Time Data Sharing Comes of Age

The old saying that the job “”isn’t done until the paperwork has been completed”” is particularly true if the “paperwork” data – vital signs, indications of internal bleeding, etc., collected at the scene of a car accident or other incident – is somehow lost before, during or after the patient’s

Mass-Casualty/Medical-Surge Capabilities: Closing the Gap

The U.S. government, and most major American cities, have worked diligently, and with considerable success, since the 9/11 terrorist attacks to upgrade their homeland-defense capabilities. But “better” is not the same as “enough” – and probably never will be.

Expanded-Duty EMS: Heavy Rescue

Most medium-sized or larger U.S. communities are now better prepared than ever before to cope with “routine” incidents such as car crashes and motorcycle accidents. But a much smaller number is able to deal with truly major incidents that stress not only the rescue equipment available but also the skills

Telemedicine: Funding Increases & Rapid-Paced Development

It started with extremely low-tech audio communications, and in recent years telemedicine technology has spawned a spectrum of much more advanced systems and devices that are of literally life-or-death importance to many citizens in distress. But the paperwork – specifically including development and performance standards – has not kept up.

SAMU & EMS: The Principle Differences

The goal is the same – doing the most good for the most patients. But there are several significant, and perhaps educational, differences between the way that French medical-response units are trained and operate as compared with their American counterparts.

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