Every health system faces variable demand on its resources. In addition to a long-term increase in patient volume, there may be short-term increases in demand for emergency healthcare services, or surge.1 When the primary healthcare and outpatient systems are not functioning effectively, the EDs become the destination for patients who have no other access to primary healthcare.2. A number of actions can be taken to manage a catastrophic surge. These include discharging stable ED and inpatients, cancelling elective surgeries, opening alternate care areas, and calling in standby or off-duty staff. For such a system to work effectively, a clear plan must define who has authority to initiate such a cascade. In addition, the trigger points that activate these costly measures should be specified. The activation of a local or regional disaster plan may have residual health service delivery implications for days or longer. These measures, however, have not been rigorously investigated or consistently ...
The intensity of attacks in besieged areas near Damascus and Homs has increased dramatically once more, leading to significant increases in mass casualty influxes. Just today, Friday, multiple airstrikes again hit East Ghouta, an area of besieged towns near Damascus. Medics in the area are reporting many casualties, including women and children, but the tally of todays war-wounded and war-dead is not yet complete.
When mass casualty incidents occur - shootings, earthquakes, multiple car pile ups - first responders can easily be overwhelmed by the sheer number of victims. When every second counts, monitoring all the victims in a chaotic situation can be difficult. Researchers at the U.S. Department of Energys Pacific Northwest National Laboratory developed a stick-on sensor that measures and tracks a patients vital signs to help first responders quickly triage, treat and transport the injured.. The patent-pending VitalTag is a low-cost suite of sensors that detects, monitors and wirelessly transmits vital signs, including blood pressure, heart rate, respiration rate and other metrics such as blood oxygen levels, shock index and data from a single-lead electrocardiogram.. VitalTag adheres to a patients sternum and connects seamlessly via Wi-Fi to securely transmit patient data to a mobile device or laptop in real time. Responders can view each patients medical status and location on an incident map. ...
The rapid spread of SARS-CoV2 throughout the world has put an unimaginable strain on the healthcare system. Patients are at risk of facing the consequences of not enough ventilators, which in dealing with respiratory failure is fatal. This is a last resort, emergency-only device for use if ever faced with a critical shortage of ventilators. The concept of ventilator sharing to our knowledge was first written by Dr. Neyman and Dr. Irvin in 2006 (Ac Emergency Medicine 2006). They demonstrated that by using T-tubes and adapters, a ventilator circuit could be divided such that four simulated patients could share a single ventilator in emergency circumstances. Although only simulated in the original article, this technique was successfully used by Dr. Menes in the 2017 Las Vegas shooting mass casualty incident. This technique saved the lives of patients, buying time until more ventilators could arrive. Some hospitals do not have the T-tubes or other parts readily available to setup a ventilator for ...
Clark County Fire Department engineer Brian Emery stands by one of his agencys Mass Casualty Incident vehicles in Las Vegas on Thursday, Oct. 5, 2017. Emery was driving a traditional fire engine the night of the shooting when his crew wound up being among the first on duty emergency workers to arrive at the scene on Sunday. The four members of the crew treated some 30 people with a range of injuries from shortly after 10 p.m. until after sunrise Monday. A gunman opened fire on an outdoor country music concert on Sunday killing dozens and injuring hundreds. (AP Photo/Anita Snow). By ANITA SNOW, Associated ...
Chapter Outline Principles of Triage Chemical, Biological, Radiologic, Nuclear, Explosives, and Environmental Incidents Chemical Disasters Biological Disasters Nuclear and Radiologic Disasters Improvised Nuclear Devices Radiologic Dispersal Devices (Dirty Bombs) Occupational Accidents and Radiologic Exposure Devices Natural Disasters Hurricanes Tornadoes Earthquakes Tsunamis Terrorism Preparing Before Disaster Strikes After a Crisis Posttraumatic Stress Disorder Special Populations Summary…
The conflict in northwestern Syria continues to cause fear, displacement and acute medical needs. Shelling on Thursday 24 October on the village of Janoudia in Idlib, northwestern Syria, resulted in an influx of 17 casualties being rushed to a nearby hospital that Médecins Sans Frontières (MSF) supp
In the second year of the Preparedness Summit Podcast series, take a deeper dive into the subject of preparedness with some of the most fascinating Summit speakers. Michael Frogel, Co-Principal Investigator for the New York City Pediatric Disaster Coalition shares his experience planning for a pediatric mass casualty event after the failed bombing attempt on Times Square in 2010. Download the full podcast here.. Youre here at the Preparedness Summit to talk about the attempted attack on Times Square, had the bomb actually detonated, what would be your role? We have a Pediatric Disaster Coalition and our main goal is to prepare New York City for a potential mass causality event involving very large numbers of children. Unfortunately, if this bomb had gone off, or fortunately that it didnt, we would have had a catastrophic situation with hundreds if not thousands of injured children. This bomb was placed right across from a theater where the Lion King was playing. There are usually 1,000 kids in ...
The Smart Tape provides rapid, safe triage of injured children. During a mass casualty event the ability to maximize paediatric resources can mean the difference between life and death. By objectively identifying the most seriously injured children the Smart Tape can help you do just that. Usable in low light conditions this pocket sized tape is tough enough to cope with the worst environments. Pocket Sized, Waterproof & Tough, Easy to Handle, Developed in association with active BASICS doctors. The Smart Paediatric Triage Tape allows for the objective triage of babies, infants and children based on physiological parameters. Made out of tough light weight vinyl. The Smart Paediatric Triage Tape has been published in the British Medical Journal. The Paediatric Triage Tape can form part of the Smart Incident Managment System.
University Medical Center of Southern Nevada, mass casualties: the shootings in Las Vegas have locked the national attention and horrified everyone watching. Ive no interest in the politics of the scene, and am not here to discuss the motivations, terrors, opposing views, or potential societal consequences of this nightmare.. This site celebrates authentic medicine, and advocates for physicians at their best, doing what they and we all want them to do. At this writing, 59 are dead and many others wounded, some grievously. There are a plethora of decent internet stories that can give you the numbers of surgeons, ER docs, nurses, trauma bays, shuffling, and adaptations that have gone on to handle what must have felt like a tidal wave to the folks at the back of the ambulances. Ive only worked in small ERs in rural areas, which can get dicey sometimes, but mass casualties is something we give occasional lip service too, a virtual drill every couple of years, and never, ever expect to see. To ...
Guidance on creating, and implementing crisis standards of care is the subject of important recent reports from the US Institute of Medicine. Crisis standards of care recommendations for radiation mass casualty events will need to address use of triage, diagnostic and treatment protocols, populations monitoring, and supportive care. ...
The Public Information Officer is responsible for the coordination of all outside media communications. The Public Information Officer (PIO) will provide information to the news media. The PIO will also oversee the facility Media Center. The Incident Commander will assign the position of Public Information Officer. It is recommended that a team member from Public Relations or another individual experienced in communications fill the position. Should the incident involve more than one hospital in the Lutheran Health Network, the PIO may be at a central location managing the incident with input from all hospitals. The Incident Commander will remain in constant contact with the PIO and determine the information to be released. The Public Information Officer will release any/all information to the press. During a mass casualty event involving more than one hospital, the facility Public Information Officer, as agreed upon in the Memorandum of Understanding (MOU) agreement, communicates with the ...
Jayawickreme, N., Jayawickreme, E., & Foa, E. B. (2013). Using the individualism-collectivism construct to understand cultural differences in posttraumatic stress disorder. In K. M. Gow and M. J. Celinski (Eds.), Mass trauma: Impact and recovery issues (pp. 55-76). Hauppauge, NY: Nova Science Publishers.. Jayawickreme, E., Jayawickreme, N., & Seligman, M.E.P. (2013). From trauma victims to survivors: The positive psychology of refugee mental health. In K. M. Gow and M. J. Celinski (Eds.), Mass trauma: Impact and recovery issues (pp. 313-330). Hauppauge, NY: Nova Science Publishers.. Jayawickreme, N., Jayawickreme, E., & Lacasse, J.J. (2012). Psychopathology, psychosocial problems and post-traumatic growth in North-Eastern Sri Lanka: A quantitative analysis. In D. Herath and K.T. Silva (Eds.), Healing the wounds: Rebuilding Sri Lanka after the war (pp. 130-166). Colombo and Kandy, Sri Lanka: International Centre for Ethnic Studies.. Jayawickreme, N., Jayawickreme, E., Atanasov, P., Goonasekera, ...
Casualty Simulation / Moulage training for EMS and pre-hospital as well as triage and Mass Casualty Response. First Aid Store™ offers this comprehensive selection of tough vinyl plastic wounds adhere or strap to the body of the victim.
Lifesaving first aid interventions require instruction and practical training. Especially when it relates to potentially fatal illnesses and injuries such as those that involve cardiac arrest, severe bleeding, multiple casualty incidents etc. These situations carry a risk of further injury to the casualty and the first aider and it is imperative that training occurs to be able to know what to do and be prepared for a real-life incident.. This course is delivered in line with the Australian Resuscitation Council guidelines and it applies to those who are responsible for the maintenance of a first aid facility and management of first aid provision in the workplace or community setting. It covers the provision of advanced first aid, oxygen, advanced resuscitation and how to monitor the casualty after treatment and handover the casualty to medical professionals for further care.. Training will ensure the participant can effectively establish and maintain and facilitate the provision of appropriate ...
Introduces the Paramedic student to the skills and knowledge necessary to perform safe ground and air ambulance operations, incident command management, multiple casualty incidents, vehicle extrications, hazardous material operations and terrorism and disaster response. Further, this course will prepare students for the proficiencies required for national certification and Maryland licensure. Courses offered once a year (fall or spring). ...
This course is delivered in line with the Australian Resuscitation Council guidelines and applies to all workers or members of the community who may be required to provide oxygen, advanced resuscitation or advanced first aid in the event of an emergency, until the arrival of medical or other assistance. Providing effective, lifesaving first aid interventions requires instruction and practical training. This is especially true when it relates to potentially fatal illnesses and injuries such as those that involve cardiac arrest, severe bleeding, multiple casualty incidents etc. These situations carry a risk of further injury to the casualty and the first aider and it is imperative that training occurs to be able to know what to do when confronted with a real-life incident.. This course aims to develop the skills and knowledge and most importantly the confidence, to coordinate and manage the response, and provide advanced first aid in a challenging environment, in order to preserve life, prevent ...
This course is delivered in line with the Australian Resuscitation Council guidelines and applies to all workers or members of the community who may be required to provide oxygen, advanced resuscitation or advanced first aid in the event of an emergency, until the arrival of medical or other assistance. Providing effective, lifesaving first aid interventions requires instruction and practical training. This is especially true when it relates to potentially fatal illnesses and injuries such as those that involve a cardiac arrest, severe bleeding, multiple casualty incidents etc. These situations carry a risk of further injury to the casualty and the first aider and it is imperative that training occurs to be able to know what to do when confronted with a real-life incident.. This course aims to develop the skills and knowledge and most importantly the confidence, to coordinate and manage the response, and provide advanced first aid in a challenging environment, in order to preserve life, prevent ...
Source: Washington Post, July 28, 2003. OPINION. Unready for Anthrax By Lawrence M. Wein and Edward H. Kaplan. In any attempted terrorist attack against this country, smallpox and anthrax would be the only two biological agents capable of causing mass casualties. And while the government has invested considerable effort in planning for a potential smallpox attack, no equivalent plan exists for anthrax.. In a recently completed study, we looked into various emergency responses to an airborne anthrax attack and concluded that the United States is woefully unprepared. Two pounds of weapons-grade anthrax dropped on a large American city could result in more than 100,000 deaths, even if early cases were successfully diagnosed, antibiotics were distributed broadly and drug adherence was high. The reason for the catastrophic death toll: Not enough people would receive antibiotics quickly enough to prevent symptoms from developing, and those who developed symptoms would overwhelm the medical ...
This CDC site is intended to increase the nations ability to prepare for and respond to public health emergencies. Topics covered include bioterrorism, chemical and radiation emergencies, mass casualties, severe weather and natural disasters, and recent disease outbreaks. Review Date: Wednesday, January 25, 2017 Centers for Disease Control and Prevention - ...
Article] Pediatric Critical Care Medicine. 12(6):e357-e361, November 2011. (Format: HTML, PDF). Objective: Modern health care systems may be inadequately prepared for mass casualty respiratory failure requiring mechanical ventilation. Current health policy has focused on the stockpiling of emergency ventilators, though little is known about the performance of these ventilators under conditions of respiratory failure in adults and children. In this study, we seek to compare emergency ventilator performance characteristics using a test lung simulating pediatric lung injury.. Design: Evaluation of ventilator performance using a test lung.. Setting: Laboratory.. Interventions: None.. Measurements and Main Results: Six transport/emergency ventilators capable of adult/child application were chosen on the basis of manufacturer specifications, Autovent 3000, Eagle Univent 754, EPV 100, LP-10, LTV 1200, and Parapac 200D. Manufacturer specifications for each ventilator were reviewed and compared with ...
Aditya Birla Memorial Hospital has a world class, fully equipped Accident and Emergency department. Our 24x7 department is prepared with full time consultants providing specialized and advanced medical care for all kinds of accidents and emergencies.The Accident and Trauma centre has a total of 12 beds for priority care. Our highly experienced team is even trained and equipped to council family members and friends to deal with accidents and emergencies.Additionally, our internal pharmacy is fully stocked with supplies to deal with disaster and mass casualties and can offer treatment for up to 20 patients at a time without delay. We also provide ambulance services equivalent to an ICU on wheels.
These days hospitals drill for mass casualty disasters like the explosions at Mondays Boston Marathon. But when it happened for real, the first response was disbelief. Then the victims began arriving. Doctors say they were confronted with the kinds of IED injuries that U.S. troops have gotten in Iraq and Afghanistan.
This weeks conference started off with an awesome Grand Rounds with Dr. Chris Colwell, Chief/Vice Chair at UCSF/Zuckerberg and a leader in EM/EMS/trauma. Dr. Colwell shared his firsthand experiences in the Columbine and Aurora Theater shootings and discussed mass casualty, disaster management, and lessons learned. He then gave great talks on high altitude illness and trauma sedation.. Next up was our last CPC of the year with Dr. Abe Feshazion (PGY2) and Dr. Linda Katirji who presented a great case, differential, and discussion of vertebral osteomyelitis/diskitis. This was followed by a pediatric abdominal ultrasound lecture by Dr. Marina Shpilko, and then, Dr. Steve Morgan (PGY3) presented his EBM project on anaphylaxis management. Lastly, Dr. Lauren McCafferty (PGY3) and Dr. Laura Throckmorton (PGY1) presented interesting cases/images for power (half) hour. Read More ...
When an earthquake hits, up to 8 percent of a city s population can suffer fatal injuries, a new report suggests. That s because the mass casualties, laceration
Today, our government provides services for surviving veterans and their families, but it took the mass casualties of the Civil War to bring about this standard.
Trump initially approved such a proposal last June following Irans shoot-down of a US spy drone over its territory. He then called the strikes off, by his own account, just 10 minutes before the bombs and missiles were set to fly. The US president claimed at the time that he had done so because the loss of Iranian life would have been disproportionate. In reality, Washington calculated that the US strikes would be answered with Iranian attacks on US ships and bases in the region that would yield mass casualties among American troops. Apparently, the White House is now prepared to accept such a price.. The pretext for the proposed acts of US imperialist aggression is the September 14 attacks on Saudi oil facilities which knocked out half the kingdoms production and sent oil prices spiraling 20 percent in trading Monday.. As yet, Washington has produced not a shred of evidence substantiating its charge that Iran was responsible for the attacks. US Secretary of State Mike Pompeo indicted Iran for ...
Q: Can you talk about your experiences in the aftermath of the bombings?. M.Y.: I was in the gym. I saw on the television that there had been a bombing. I knew that my partner Carl Hauser was on for trauma at Beth Israel, so I sent him a text message. And it goes to show you how much I under-estimated things, I said, I doubt that it is a mass casualty. But just in case, let me know if you want me to come in. Two minutes later, he sent me a text message that said, Come on in. They already had half a dozen people or so from the bombing in the emergency room. Everybody came together and worked in a way that I have never seen before. It functioned like a well-oiled machine.. Q: What was your role?. M.Y.: It was mostly as a surgical intensivist and a trauma surgeon. So most of what we did was stabilize patients. Because the wounds were mostly lower extremity, it was really the orthopedic surgeons and plastic surgeons and vascular surgeons that did most of the operating. There were a total of 25 ...
This fall, the vaxxed people will begin to die in large numbers and when they fall ill they can infect healthy people and other vaxxed people with deadly Biotoxins. Peoples panic will turn to terror and the vaxxed will erroneously blame the unvaxxed for the new pandemic which could be of Biblical proportions unless we change this trajectory. The vaxxed people are the real threat to mankind now because the viruses theyll be shedding will be far more deadly than the original one. The vaxxed now have the potential to be Super Spreaders of deadly diseases which their immune systems can no longer fight off.. Since corporate media will not publish this life saving information we need you to SHARE and re-share this this article and Dr. Colemans video, with everyone you know, across all social media platforms continuously, until it reaches enough people!. Dr. Sherry Tenpenny has given in-depth information about the mass casualties we can expect very soon because people were foolish enough to ...
This fall, the vaxxed people will begin to die in large numbers and when they fall ill they can infect healthy people and other vaxxed people with deadly Biotoxins. Peoples panic will turn to terror and the vaxxed will erroneously blame the unvaxxed for the new pandemic which could be of Biblical proportions unless we change this trajectory. The vaxxed people are the real threat to mankind now because the viruses theyll be shedding will be far more deadly than the original one. The vaxxed now have the potential to be Super Spreaders of deadly diseases which their immune systems can no longer fight off.. Since corporate media will not publish this life saving information we need you to SHARE and re-share this this article and Dr. Colemans video, with everyone you know, across all social media platforms continuously, until it reaches enough people!. Dr. Sherry Tenpenny has given in-depth information about the mass casualties we can expect very soon because people were foolish enough to ...
But if the probabilties of a successful attack are uncertain, the consequences of a terrorist success would be less so. Even without the Cheney warning, a new September 11 sized attack would have been devastating to the Obama administration. What Cheney is doing is upping the political ante. From a political point of view, Cheney is ensuring that Obama had better make pretty damned sure another mass casualty attack doesnt happen, or face an electoral apocalypse. That doesnt answer any of the questions about what actually will happen in the future. The sad fact is that nobody can really predict that. We can only do our best based on imperfect information and see what happens ...
Staphylococcal enterotoxin B (SEB) is a bacterial superantigen that binds the receptors in the APC/T cell synapse and causes increased proliferation of T cells and a cytokine storm syndrome in vivo. Exposure to the toxin can be lethal and cause significant pathology in humans. The lack of effective therapies for SEB exposure remains an area of concern, particularly in scenarios of acute mass casualties. We hypothesized that blockade of the T cell costimulatory signal by the CTLA4-Ig synthetic protein (abatacept) could prevent SEB-dependent pathology. In this article, we demonstrate mice treated with a single dose of abatacept 8 h post SEB exposure had reduced pathology compared with control SEB-exposed mice. Abatacept-treated mice showed significant reductions in body weight between days 4 and 9, whereas mice treated with abatacept showed no weight loss for the duration of the study, suggesting mitigation of SEB-induced morbidity. Histopathology and magnetic resonance imaging demonstrated that ...
Forensic science has grown to be central in criminal, accident and mass casualty investigation. As a forensic scientist, you can get your fix of problem solving and a deep sense of fulfillment from ...
The Victorians used Spotify a lot because it was the easiest way to distribute those bicycles with the huge front wheels. Its usage tailed off after the Great Hat Dispute of 1875: the Victorians early experiments with wearable technology resulted in a large number of mass casualties. The person who brought Spotify back into public popularity was Howard Donald from Take That, although I cant explain why for legal reasons ...
Search the ASPR TRACIE Resource Library and view tailored Topic Collections comprised of current healthcare system preparedness resources.
IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION THE GRAY CASUALTY AND SURETY COMPANY, Plaintiff, vs. McCONNELL CONTRACTING, LLC, et al, Defendants. ) ) ) ) ) ) ) ) ) ) ) CIVIL ACTION NO. 11-0184-KD-N ORDER This action is before the Court on plaintiff The Gray Casualty and Surety Companys motion for default judgment (doc. 17). Upon consideration and for the reasons set forth herein, the motion is GRANTED in part.1 I. Procedural history In April 2011, the Gray Casualty and Surety Company (Gray) filed its complaint for indemnity and exoneration of surety alleging that defendants McConnell Contracting, LLC, William C. Mills, Bria J. Mills, Ben C. McConnell and Amy McConnell had defaulted on their General Indemnity Agreement executed in favor of Gray wherein they agreed to indemnify Gray from losses which might result from the issuance of Performance and Payment Bonds for certain road projects in Mobile County, Alabama (doc. 1). In April 2011, the ...
Rachel Yehuda, PhD, learned a lot about trauma from Holocaust survivors. In fact, such mass trauma has even had a biological impact on future generations.
Results The initial pain score was 8 (median), reducing to 5 at 15 min and 3 at handover. The mean pain reduction was 2.5±2.4 at 15 min and 3.9±2.5 at handover. 80 casualties (87%) were treated with an opioid and seven had two different opioids administered. Seven main strategies were identified in which the principal agent was entonox, intramuscular opioid, oral analgesia, fentanyl lozenge, intranasal or intravenous opioid. The choice of strategy varied with the skills of the casualty carer.. ...
Describes casualty risk control and management services from Aon. Working with Aon gives you access to risk control professionals focused on the design, implementation and communication of cost-effective compliance and loss-cost reduction programs
One casualty was extracted from the vehicle by the fire brigade and dealt with by NWAA before being flown to hospital, Team paramedics assisted with treating the other casualty who has multiple injuries before they were extracted on the team stretched and then conveyed in the team vehicle to be handed over to ambulance for onward transport to hospital. ...
The Casualty Actuarial Society is a professional organization of actuaries whose purpose is the advancement of the body of knowledge of actuarial science applied to property, casualty, and similar risk exposures.
8 citizens at least were killed (including two children and a citizen woman), when warplanes believed to be Russian carried out three raids on areas in the city of Ariha south of Idlib city, the number of casualties is likely to rise because there are about 30 people injured, some of them are in dangerous situations, and some information reported 2 other casualties.. Pictures of the destruction: ...
Few reports describe the use of either benzodiazepines or opioids as incapacitating agents. In August 2002, Alexander Stone authored a brief report in Science titled,
The Medical Simulation Center is an 8,000 square foot, state of the art virtual hospital located on the 4th floor of the Centennial Complex. Each of the centers training areas are fully functional and reflect the realities encountered in actual care settings. When needed to increase the surge capacity of nearby medical facilities, the center is designed for rapid conversion to an emergency response center in the event of a disaster.
9 Position Rolling Rapid Response Kit. Now upgraded with Rolling Duffel Bag designed for effortless and safe movement of an 88 lb response kit by a single resource. Designed to acc
Contact Information for Casualty Support Management Detachments, Integrated Personnel Support Centres, Joint Personnel Support Units
My son was a casualty of Covid 19. It was not listed as cause of death on his Death Certificate, nor will it ever be recognized as being even remotely related. Covid accelerated his beating drum of doom. My son lived on the fringes, a disenfranchised man, incorrectly labeled by the judicial system; he struggled with bipolar and alcoholism his entire adulthood. He surrendered his life on May 15, 2020, coinciding with the first surge of Covid cases.. My son lived his life in the shadows. He was destined to a life on the outside with his mental health label -- always looking in. It was a burden he could not bear, as a loving, big-hearted person who was ostracized from society for a crime he did not commit. The pain exceeded his ability to cope. With the onset of Covid, his life went from a weak ray of hope for a future to no chance in hell. He plunged into the darkness, not a star or a beam of moonshine on his horizon. Quickly he succumbed, as his life force was already precariously close to the ...
The report presents an assessment of the requirements for the survival of personnel associated with merchant vessel casualties on the Great Lakes. Analyses of actual man-in-the-water casualties and reviews of selected literature pertinent to cold and in-water survival were used as bases for developing simulated casualty profiles and for constructing GERTS networks. Case analyses, casualty simulations, and analytical techniques were used to assess survival requirements. (Author)*Great Lakes
|p|Deluxe Casualty Simulation|/p| |p|This new kit contains 7 bleeding strap-on wounds and 15 never before seen moulage stick-on wounds. The full line of accessories allows you to create 70 individual wounds, plus use your make-up expertise to create reali
Employers Mutual Casualty Company Supplemental Retirement Plan from EMC INSURANCE GROUP INC filed with the Securities and Exchange Commission.