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Health/Medical Factors Critical in Pre-Planned Events

Raphael M. Barishansky January 19, 2011
FEMA, the FBI, and the Secret Service have primary jurisdiction, appropriately, for the safety of National Special Security Events. But the literally life-or-death responsibilities of local medical and healthcare facilities and personnel mandates that they also are fully included in the long-range planning sessions preceding such events.

The Reality of On-Scene Medical Control Physicians

Raphael M. Barishansky October 6, 2010
The Emergency Medical Services (EMS) system in the United States functions primarily under the philosophy that EMS should – as efficiently as possible – assess, treat, and then quickly transport a patient to the appropriate hospital for definitive treatment by physicians. If needed, Medical Control (MC) is supplied off-line in

COOP Planning Becomes Major Concern for Healthcare Facilities

Raphael M. Barishansky June 2, 2010
The best-laid plans of mice and men – not to mention emergency managers and healthcare officials – can oft go awry. That is particularly true, almost guaranteed in fact, when the plans are only on paper, the emergency assets needed have not been secured, and the numerous other actions needed

Using NHSS ‘To Minimize the Risks’

Raphael M. Barishansky April 7, 2010
There are 10 principal objectives in what has been described as “the first comprehensive policy document” focusing specifically on protecting the health of the American people in times of national emergency – e.g., a major mass-casualty incident such as an earthquake, volcanic eruption, or terrorist attack. Here is a quick

Expanding the Definition of Public Health

Raphael M. Barishansky November 24, 2009
The field of medicine has come a long, long way from the early 20th-century tradition of family doctors, homespun remedies, and much lower life expectancies. People are healthier today, and usually live longer lives, but the technology of terror also has grown exponentially, creating a need for a new public-health

Understanding Public Health Mutual Aid

Raphael M. Barishansky October 7, 2009
Friends helping friends, neighbors helping neighbors – it’s Biblical, it’s common sense, and it’s the right thing to do. But it’s also much more complicated in today’s world, when mass-casualty incidents can cause so much damage that very few communities can recover without outside help.

EMS and Suicide Bombings – Some Potentially Deadly Considerations

Raphael M. Barishansky June 10, 2009
Most terrorist attacks against the United States have been large-scale incidents. But the demonstrated willingness of individual martyr-terrorists to serve as suicide bombers has changed the equation and requires much greater attention than it has been given so far.

NIMS & ICS – A Road Map for U.S. Health Departments

Raphael M. Barishansky March 11, 2009
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.

Emerging Infections and Their Impact on EMS

Raphael M. Barishansky January 7, 2009
“New” diseases, combined with the fatal rebirth of ancient diseases believed to have been terminally laid to rest, are giving epidemiologists, EMS agencies and responders, and healthcare workers a daunting challenge of epic proportions.

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Article Out Loud – Mitigating Disasters Through Collective Resilience

July 24, 2024
  Full article by Andy Altizer and Barrett Cappetto, an Article Out Loud from Domestic Preparedness, July 24, 2024. In this feature article, an emergency preparedness coordinator and a pipeline controller emphasize the importance of leveraging existing social bonds to help communities better adapt to, respond to, and collectively cope

Article Out Loud: Drones – A Life-Saving Time-Saver

July 24, 2024
  Full article by Kevin Jones, an Article Out Loud from Domestic Preparedness, July 24, 2024. In this feature article, a school protection specialist and security manager pulls from his personal experience with law enforcement to highlight drone uses that save lives and time during incidents. As drone technology continues

Article Out Loud – The Key Bridge Collapse: Through the Lens of Community Lifelines

July 17, 2024
  Full article by Michael Prasad, an Article Out Loud from Domestic Preparedness, July 17, 2024. In this feature article, a Certified Emergency Manager lists eight major elements of Community Lifelines using traffic-light-type color-coding to categorize a disaster’s adverse impact status. He applied this same system to the Key Bridge collapse

Article Out Loud – The Maui Wildfires, Relief Funds, and Incident Recovery

July 10, 2024
  Full article by Douglas (Doug) Stockham, an Article Out Loud from Domestic Preparedness, July 10, 2024. In this feature article, the co-founder of the nonprofit Emergency Assistance Foundation describes the financial effects of the Maui wildfires. When a disaster strikes, some people do not have the protections or the

Article Out Loud – Five Key Domains of Incident Management

July 10, 2024
  Full article by Aaron Clark-Ginsberg, an Article Out Loud from Domestic Preparedness, July 10, 2024. In this feature article, a behavioral social scientist lists five key domains that can help incident management teams assess and improve their effectiveness. Effective incident management is a set of activities, not simply boxes

Article Out Loud – Jane Doe – Responding to Vulnerable Patients

June 26, 2024
  Full article by Catherine L. Feinman, an Article Out Loud from Domestic Preparedness, June 26, 2024. In this feature article, the editor of Domestic Preparedness shares the real-life story of a medical crew who responded to a call that left a lasting impression. Despite the prevalence of first responders

Article Out Loud – Invisible Chains: Human Trafficking, Drug Abuse, and Support

June 19, 2024
  Full article by Sandra Dennis-Essig, an Article Out Loud from Domestic Preparedness, June 19, 2024. In this feature article, an emergency manager collaborated with the New Jersey Coalition Against Human Trafficking as an advocate, speaker, and survivor to share trauma-informed care and advocacy that first responders, legislators, and others

Article Out Loud – Fentanyl Hazards and Detection

June 12, 2024
  Full article by Ashley Bradley and Kristin Omberg, an Article Out Loud from Domestic Preparedness, June 12, 2024. In this feature article, a biomedical scientist and a senior technical advisor share new ways scientists at Pacific Northwest National Laboratory are expanding detection strategies and technologies to keep responders safe. The

Article Out Loud – A Modern Take on an Age-Old Biological Weapon

June 12, 2024
  Full article by Raphael M. Barishansky, an Article Out Loud from Domestic Preparedness, June 12, 2024. In this feature article, a public health leader shares his perspective on the recent reports of North Korea launching balloons filled with fecal matter and propaganda into South Korea. Could similar tactics be
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Domestic Preparedness

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P.O. Box 285
Del Valle, TX 78617-9998

Editorial Statement

Founded in 1998, Domestic Preparedness continues to be a pioneering thought leader in the emergency preparedness, response, and recovery space. The multidisciplinary editorial focus helps professionals acquire critical information to develop collaborative, real-world solutions. With relevant, multidisciplinary, whole-community intelligence from the front lines, practitioners can learn from diverse perspectives. The authoritative, practitioner-centered, multimedia information platform disseminates intelligence the way busy management-level public- and private-sector professionals want to learn. This is the trusted source for content written by practitioners, for practitioners, with relevant, real-world best practices.

DomesticPreparedness.com, the Domestic Preparedness Journal and the Weekly Brief include facts, views, opinions, and recommendations of individuals and organizations deemed of interest. The Texas Division of Emergency Management and the Texas A&M University System do not guarantee the accuracy, completeness, or timeliness of, or otherwise endorse, these views, facts, opinions or recommendations.
©2025 Texas Division of Emergency Management

Domestic Preparedness

2883 Highway 71E

P.O. Box 285

Del Valle, TX 78617-9998

Editorial Statement

Founded in 1998, Domestic Preparedness continues to be a pioneering thought leader in the emergency preparedness, response, and recovery space. The multidisciplinary editorial focus helps professionals acquire critical information to develop collaborative, real-world solutions. With relevant, multidisciplinary, whole-community intelligence from the front lines, practitioners can learn from diverse perspectives. The authoritative, practitioner-centered, multimedia information platform disseminates intelligence the way busy management-level public- and private-sector professionals want to learn. This is the trusted source for content written by practitioners, for practitioners, with relevant, real-world best practices.

DomesticPreparedness.com, the Domestic Preparedness Journal and the Weekly Brief include facts, views, opinions, and recommendations of individuals and organizations deemed of interest. The Texas Division of Emergency Management and the Texas A&M University System do not guarantee the accuracy, completeness, or timeliness of, or otherwise endorse, these views, facts, opinions or recommendations.
©2025 Texas Division of Emergency Management
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