Author Archive

Operation Twister – Exercising Disaster Behavioral Response

Functional exercises are invaluable for helping participants understand their roles in disasters. This is particularly true for participants who normally are not included in interagency exercises, such as behavioral health personnel. Triaging following a disaster should not stop at the physical level, but should consider psychological concerns as well.Every disaster

Hospital Threats – More to Address Than Just Donning & Doffing

An Ebola-infected American flown from Sierra Leone lies in critical condition at the National Institutes of Health. A nurse who contracted Ebola in 2014 when caring for a patient is suing Texas Health Resources for not properly training its employees. As these events demonstrate, biological threats to hospital workers still

Ebola – Education for the American Healthcare System

When the deadly Ebola virus travelled into the United States, many healthcare workers were not adequately prepared to manage the care, treatment, and transport of such patients. As a result, hospitals and other healthcare facilities now are scrambling to educate their personnel on this and other deadly biothreats before the

Nuclear Preparedness: Is the United States Ready

The following panel discussion brings together five subject matter experts – including three from the 2009 documentary – to address the gaps as well as the progress in nuclear preparedness over the past five years.

Nuclear Preparedness: Is the United States Ready

To address the gaps and concerns revealed in a recent article and the flash poll, subject matter experts who warned of the dangers in 2009 reunited five years later to address the issues that are still as real now as they were five years ago. Although there have been some

The ‘Day After Disaster,’ Revisited

In the first 72 hours following a nuclear blast, survivors would face many challenges – communication, evacuation, sheltering, response, and incident command. Scenario 1 (Nuclear Detonation – Improvised Nuclear Device) of the National Response Framework was depicted in the History Channel’s “Day After Disaster” in 2009. Five years later, is

Information Systems – Advancing Capabilities & Increasing Risks

When hospitals transition from paper documents to an electronic healthcare information system, patient records become easier to track and to link between clinicians and hospitals. However, these advanced capabilities and benefits involve certain risks – higher costs, program failures, staffing needs, and security concerns. Protecting sensitive information from potential threats

Hospital Decontamination – High Costs & Limited Benefits

Article Out Loud The primary reason why the Emergency Department of almost any U.S. hospital or other healthcare facility should be ready and able to respond to a hazardous material release is to protect patients, staff, and the hospitals’ own facilities from avoidable contamination. However, unlike many other patient-care procedures

The Security of Healthcare Facilities – A Growing Challenge

Whether the situation involves person-on-person violence, forensic patient management, or the handling of patient property, healthcare facilities (HCFs) across the United States are finding themselves with a growing number of security-related issues that require well-trained and highly skilled security officers. Today’s healthcare facility security officer is no longer a “guard”

Preparing a Region for the Nation’s Inauguration

Unlike the sudden release of toxic chemical agents, pathogens often are difficult to detect and prevent. Such threats evolve over time and have the ability to silently spread between communities. Identifying the threat early would help slow or prevent the spread of disease before it overwhelms a community’s response capabilities.

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ARTICLE OUT LOUD – Why Messaging Matters: A Regionalized Approach to Alerts and Warnings

Full article by Soraya Sutherlin, an Article Out Loud from Domestic Preparedness. Effective, timely, and unified communication across jurisdictions is essential for saving lives. The 2015 ExxonMobil refinery explosion highlighted the urgent need for coordinated, cross-jurisdictional alerting. Emergency managers, public safety officials, and policymakers must come together to prioritize a

ARTICLE OUT LOUD – The Nexus Between Major Events and Human Trafficking

Full article by Madeline Mann and Lindsey Lane, an Article Out Loud from Domestic Preparedness, November 27, 2024. Most available data do not support the misconception that large-scale events lead to increased human trafficking. Rather, available evidence underscores a harsh truth: Human trafficking is a pervasive problem every day, not

ARTICLE OUT LOUD – A Violent Surge: Sovereign Citizens vs. Government Authority

Full article by Anthony “Tony” Mottola and Richard Schoeberl, an Article Out Loud from Domestic Preparedness.The Federal Bureau of Investigation has classified the Sovereign Citizen movement as a domestic terrorist threat. To prepare law enforcement officials and other public safety agencies for the risks associated with this movement, agencies need

ARTICLE OUT LOUD – Advisory Board Spotlight: Interview with Ray Barishansky

Interview with Ray Barishansky, an Article Out Loud from Domestic Preparedness.Ray Barishansky, DrPH, is on the advisory board for the Domestic Preparedness Journal and has a passion for public health and emergency management. He sat down with the Journal’s Nicolette Casey to share his story. Learn about Dr. Barishansky’s journey

ARTICLE OUT LOUD – The Ethics of Data in Disaster Management and Crisis Operations

Full article by Anthony Mangeri, an Article Out Loud from Domestic PreparednessAs the demand for evidence-based decision-making continues to grow, emergency management professionals must commit to ethical data practices that respect the needs of the community and the rights of individuals. In times of crisis, data can save lives, but

Article Out Loud – Backyard Cybersecurity: The Local Challenge

Full article by Brian Shajari, an Article Out Loud from Domestic Preparedness.In this featured article, a cybersecurity expert shares the importance of cybersecurity to local government functions. Although higher levels of government and businesses may possess the tools necessary to protect against cyberattacks, local governments often do not.Learn where local

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