Author: Nautical Institute
Publisher:
ISBN: 9781906915391
Category : Emergency management
Languages : en
Pages : 140

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Book Description

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309285526
Category : Medical
Languages : en
Pages : 217

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Book Description
Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309253468
Category : Medical
Languages : en
Pages : 0

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Book Description
Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Author: Robert A. Jensen
Publisher: CRC Press
ISBN: 9781420048797
Category : Law
Languages : en
Pages : 276

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Book Description
Mass Fatality and Casualty Incidents: A Field Guide presents in checklist form the recommended responses to events that result in mass fatalities, such as the Oklahoma City bombing, the crash of a jet airliner, or the attack on the World Trade Center. All cities in the United States will have to have a mass fatality disaster plan in effect by the end of 1999. Mr. Jensen is a leading authority in this area and provides training for police, fire and hospital personnel (including EMTs and social workers), local, state, federal and international emergency planners and responders. This book details actions that are part of a mass fatality incident response. Specifically, they are the actions that begin once life and property preservation ceases and continues through to the release of the deceased. Thus, primary focus is on search, recovery, medicolegal investigation, personal effects operations, family assistance operations, and media operations. Ancillary steps include logistics support, security, responder protection, attitudes and coping with mass death.

Author: Kay C. Goss
Publisher: DIANE Publishing
ISBN: 078814829X
Category :
Languages : en
Pages : 277

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Book Description
Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

Author: Mauricio Lynn
Publisher: Springer
ISBN: 3319973614
Category : Medical
Languages : en
Pages : 167

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Book Description
Mass Casualty events may occur as a result of natural or human-caused disasters or after an act of terrorism. The planning and response to disasters and catastrophes needs to take into consideration the distinction between progressive and sudden events. Insidious or slowly progressive disasters produce a large number of victims but over a prolonged time period, with different peaks in the severity of patients presenting to the hospital. For example, radiation events will produce a large number of victims who will present days, weeks, months, or years after exposure, depending on the dose of radiation received. The spread of a biological agent or a pandemic will produce an extremely high number of victims who will present to hospitals during days to weeks after the initial event, depending on the agent and progression of symptoms. On the other hand, in a sudden disaster, there is an abrupt surge of victims resulting from an event such as an explosion or a chemical release. After the sarin gas attack in a Tokyo subway in 1995, a total of 5500 victims were injured and required medical attention at local hospitals immediately after the attack. The car bomb that exploded near the American Embassy in Nairobi, Kenya, killed 213 people and simultaneously produced 4044 injured patients, many requiring medical care at local hospitals. The Madrid train bombing in March 2004 produced more than 2000 injured victims in minutes, overwhelming the city’s healthcare facilities. More than 500 injured patients were treated at local hospital after the mass shooting in Las Vegas. Finally, earthquakes may produce a large number of victims in areas in which the medical facilities are partially or completely destroyed. Sudden events bring an immediate operational challenge to community healthcare systems, many of which are already operating at or above capacity. The pre-hospital as well as hospital planning and response to sudden mass casualty incidents (SMCI’s) is extremely challenging and requires a standard and protocol driven approach. Many textbooks have been published on Disaster Medicine; although they may serve as an excellent reference, they do not provide a rapid, practical approach for management of SMCI’s. The first edition of “Mass Casualty Incidents: The Nuts and Bolts of Preparedness and Response for Acute Disasters” dealt exclusively with sudden mass casualty incidents. The second edition will expand its focus and include planning and response for insidious and protracted disasters as well. This new book is designed to provide a practical and operational approach to planning, response and medical management of sudden as well as slow progressive events. The target audience of the second edition will be health care professionals and institutions, as well as allied organizations, which respond to disasters and mass casualty incidents. Parts I and II are essentially the first edition of the book and consist of planning of personnel, logistic support, transport of patients and equipment and response algorithms. These 2 parts will be revised and updated and include lessons learned from major mass shootings that occurred recently in the United States and other parts of the world Part III will describe the planning process for progressive disasters and include response algorithms and checklists. Part IV will handle humanitarian and mental health problems commonly encountered in disaster areas. Part V will deal with team work and communication both critical topics when handling catastrophes and mass casualty incidents. This new book will be a comprehensive tool for healthcare professionals and managers and should perform demonstrably better in sales and downloads. It will be of value at the pre-hospital as well as the hospital level, to plan and respond to the majority of catastrophes and mass casualty incidents.

Author: U. S. Department of Homeland Security Federal Emergency Management Agency
Publisher: CreateSpace
ISBN: 9781484168882
Category :
Languages : en
Pages : 168

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Book Description
Emergency Medical Services (EMS) agencies regardless of service delivery model have sought guidance on how to better integrate their emergency preparedness and response activities into similar processes occurring at the local, regional, State, tribal, and Federal levels. This primary purpose of this project is to begin the process of providing that guidance as it relates to mass care incident deployment.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030915037X
Category : Medical
Languages : en
Pages : 175

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Book Description
During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.

Author: David C. Sprigings
Publisher: John Wiley and Sons
ISBN: 1444327259
Category : Medical
Languages : en
Pages : 632

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Book Description
This extremely popular title has become the definitive pocket guide to the management of medical emergencies for front-line hospital doctors. It provides detailed guidance on the diagnosis and treatment of all common conditions and includes a step-by-step guide to the nine most important practical procedures in acute medicine.

Author:
Publisher: Jeffrey Frank Jones
ISBN:
Category :
Languages : en
Pages : 731

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Book Description
Over 700 total pages ... The JTS Clinical Practice Guidelines (CPGs) are to the greatest extent possible evidence-based. The guidelines are developed using a rigorous process that involves subject matter experts in each field evaluating the best available data. If you are interested in learning more about the process of developing CPGs, please click this link: CPG Development Process. This guide for CPG development will help lead you through the methods used to develop and monitor CPGs. The JTS remains committed to using the highest levels of analytical and statistical analysis in its CPG development process. COMPLETE LIST OF CURRENT JTS CPGs JTS CPG Documentation Process - 01 December 2017 Acute Extremity Compartment Syndrome - Fasciotomy - 25 July 2016 Acute Respiratory Failure - 23 January 2017 Airway Management of Traumatic Injuries - 17 July 2017 Amputation - 1 July 2016 Anesthesia - 23 Jun 2016.pdf Aural Blast Injury/Acoustic Trauma and Hearing Loss - 12 Aug 2016 Battle/Non-Battle Injury Documentation Resuscitation Record - 5 Dec 13 Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination - 12 August 2016 Burn Care - 11 May 2016 Catastrophic Non-Survivable Brain Injury 27 Jan 2017 Cervical & Thoracolumbar Spine Injury Evaluation, Transport, and Surgery in Deployed Setting - 05 August 2016 Clinical Mgmt of Military Working Dogs Combined - 19 Mar 2012 Clinical Mgmt of Military Working Dogs Zip - 19 Mar 2012.zip Damage Control Resuscitation - 03 Feb 2017 DCoE Concussion Management Algorithm Cards.pdf DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting Drowning Management - 27 October 2017 Emergent Resuscitative Thoracotomy - 11 June 2012 Fresh Whole Blood Transfusion - 24 Oct 12 Frostbite and Immersion Foot Care - 26 Jan 2017 Frozen Blood - 11 July 2016 High Bilateral Amputations and Dismounted Complex Blast Injury - 01 August 2016 Hyperkalemia and Dialysis in the Deployed Setting - 24 January 2017 Hypothermia Prevention - 20 Sept 2012 Infection Prevention in Combat-Related Injuries - 08 August 2016 Inhalation Injury and Toxic Industrial Chemical Exposure - 25 July 2016 Initial Care of Ocular and Adnexal Injuries - 24 Nov 2014 Intratheater Transfer and Transport - 19 Nov 2008 Invasive Fungal Infection in War Wounds - 04 August 2016 Management of Pain Anxiety and Delirium 13 March 2017 Management of War Wounds - 25 April 2012 Neurosurgery and Severe Head Injury - 02 March 2017 Nutritional Support Using Enteral and Parenteral Methods - 04 August 2016 Orthopaedic Trauma: Extremity Fractures - 15 July 2016 Pelvic Fracture Care - 15 March 2017 Prehospital Care - 24 Nov 2014 Prevention of Deep Venous Thrombosis - Inferior Vena Cava Filter - 02 August 2016 Radiology - 13 March 2017 REBOA for Hemorrhagic Shock - 06 July 2017 Unexploded Ordnance Management - 14 Mar 2017 Urologic Trauma Management - 1 Nov 2017 Use of Electronic Documentation - 5 Jun 2012 Use of MRI in Mgmt of mTBI in the Deployed Setting - 11 June 2012 Vascular Injury - 12 August 2016 Ventilator Associated Pneumonia - 17 Jul 2012