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DomPrep Executive Briefing on PS-Prep

The well attended 15 November DomPrep Executive Briefing on the Department of Homeland Security’s new “Private-Sector Preparedness” program not only provided a wealth of information for those participating but also raised several exceptionally relevant questions – on a broad range of closely related topics. The one virtually unanimous conclusion (no

Field-Proven Medical Skills for Law-Enforcement Units

Thanks to major improvements in military medical care, even on the battlefield itself, the U.S. combat KIA (killed in action) casualty rate has declined dramatically for more than half a century. Question: Could the same medical skills, training, and equipment be used to reduce the KIA rate of U.S. police

Technology and Equipment: Training Needed on Both

Baltimore knows, and so do the great states of Oregon and Pennsylvania, that the first requirement in preparedness training is having the right type of equipment – in the quantities needed to meet all possible contingencies. The “other” first requirement is to ensure that all users of that equipment are

Hospital Emergency Planning: Hospitals Qualify as Critical Infrastructure

How does one define “critical”? Far too often in today’s interconnected world, that important designation is awarded retrospectively – i.e., after a terroristic attack or major weather disaster. A credible case can be made, though, that major hospitals and other healthcare facilities deserve that description because of their intrinsic value

Another Look at EMS Staffing in Action

As this year’s U.S. elections clearly demonstrate, there is a built-in conflict between voters’ desire for more and improved services and the equally compelling requirement, at all levels of government, to reduce expenditures. In the field of emergency medical services, this problem is particularly difficult to resolve because not only

NIMS-ICS & the Private Sector – Good Fit, or a Stretch?

Nine years later, and nothing has changed! Well, that is not exactly true. The U.S. Department of Homeland Security is alive and, although not always moving forward at flank speed, has made considerable progress in several ways. Many relatively new programs should be expanded and upgraded, though, particularly those involving

Resilience: Developing Professionalism, Clarifying the Incentives

The QHSR, the BUR, NFPA, and PS-Prep are marching in lockstep in their combined efforts to upgrade the nation’s awareness of resilience as a primary goal of preparedness planning, training, and implementation. Here are some helpful guidelines that political decision makers, budget managers, and operating professionals alike might find useful

The EMS Role on FAST Teams & HazMat Assignments

The risks may be theoretically “controlled” but they are still risks – and controls don’t always work. Which is the reasoning behind the “two-in/two out” rule, the need for an EMS specialist on scene, and the ethical imperative guiding the decisions of political leaders and emergency managers.

The Insurance Industry’s Role in PS-Prep

The much-revered U.S. “private citizen” has become increasingly critical of all levels of government in recent years, according to most recent polls and surveys. And justifiably so, according to a virtual army of pundits and commentators – and many politicians themselves. But that same beloved private citizen, if he or

Decision-Making in Chemical Warfare Agent (CWA) Response

This is the first of a four-part series on Chemical Detection and Decontamination for Multiple Applications. In response to releases of CWA, there may not be one technology or one “answer” that is correct. The responder must take into account all of the clues to determine the presence or absence

Update on Private Sector Preparedness (PS-Prep) Standards

The 11 September 2001 terrorist attacks against the WTC Towers & the Pentagon theoretically “galvanized the nation” – but it still took roughly three years before the 9/11 Commission recommended the development and promulgation of “private-sector preparedness standards.” Another six years have passed, and three of those standards are ready

Monitoring the Monitor: Additional Breakthroughs Predicted

More and better clot busters, instant timelines, smarter (maybe even genius level) cellular technology, and open-source software. All are part of the still ongoing revolution in medical monitoring devices that started with the EKG and defibrillator and has already saved untold thousands of lives in almost every country in the

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