Healthcare

A Long List of Questions; A Very Short List of Answers

by Jerry Mothershead -

The administration's development and release of an "Implementation Plan" to deal with pandemic influenza is a helpful start - but no more than that. Few if any states or cities are taking the steps needed to protect their citizens.

Tags of Survival: The Start System

by Joseph Cahill -

The triage goal is to maximize the number of lives saved. But to do so requires some extremely difficult decisions from the EMT on the scene, particularly in mass-casualty incidents when time is limited and information is in short supply.

Triage Strategies for Hazardous Materials Mass-Casualty Incidents

by Duane Caneva -

What are the best indicators of victim survivability? The RPMs provide a few clues that can be used to START processing. But continuing updates and additional analyses are needed to improve the decision-making process.

Preparing to Cope With a Pandemic Flu

by Michael Allswede -

There are several ways, none of them easy-or 100 percent certain-to fight a pandemic that could kill hundreds of thousands of everyday citizens. The Los Alamos project suggests that the first-responder focus should be on vaccinations.

EMS Hazardous Duty: Not for the Meek

by Joseph Cahill -

The members of EMS units are among the first to respond to major disasters in their home communities. They also are on the front lines of danger, particularly in HazMat incidents, and for that reason alone must be among the best prepared & protected.

Rx: A Medical Support Plan for Homeland Defense

by Duane Caneva -

Federal, state, and local disaster-preparedness plans all emphasize the need for adequate medical support. But very little has yet been done to ensure that such support will in fact be available when it is actually needed.

Evacuation Planning: A Long, Long Way to Go

by Joseph Cahill -

The laws are in place, but are usually unenforceable. Transportation assets are available, but are almost always overcommitted. Clear mandates from local, state, & federal decisionmakers are obviously needed to restore order from the current chaos.

The Role of Medical Systems in Homeland Defense

by Michael Allswede -

U.S. medical system is the world's finest in many respects. However, few if any American hospitals are properly staffed & equipped to deal with this year's hurricanes, much less one or more new terrorist attacks that could cause thousands of casualties.

Isolation & Quarantine: How, When, and How Much

by Jerry Mothershead -

From the Black Plague through colonial days to SARS outbreaks, the practice of isolating infected people from the rest of society has been considered a necessary evil. It has not always been a helpful one, & healthcare professionals have paid the price.

What Is an Ambulance?

by Joseph Cahill -

It used to be two strong men and a hearse. Modern EMS workers are now much better equipped to provide early lifesaving support both at the scene of an accident or incident and while en route to the nearest hospital or other medical facility.