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At least 1,135 records · Page 63Linked to original sources
PubMed1962

Cold injury in civil disaster.

Patients exposed to cold environment following a disaster may be suffering from local cold injury or from systemic cold injury (accidental hypothermia). The treatment of the former is well established and consists of rapid rewarming of the frozen parts and physical therapy; early amputation is not advisable. Recommendations for the assessment and treatment of total body cooling, based on case reports of accidental hypothermia, on the results of animal experiments and on the clinical experience with induced hypothermia, are not well established and are controversial. Since, at temperatures below 30 degrees C., death may be caused by cardiac arrhythmias and since, at this low level, spontaneous rewarming may not be possible, active rewarming is recommended at this stage. At a higher temperature level, vigorous warming is dangerous, and the patient's own regulatory mechanisms should be allowed to restore the temperature.

Animals↗
PubMed1962

The city of Calgary plan for natural disaster.

THE DETAILS OF A PLAN TO COPE WITH ANY NATURAL DISASTER IN THE CITY OF CALGARY OR SURROUNDING AREA ARE PRESENTED IN TERMS OF: (1) the method of alerting personnel, (2) the mobilization of hospital authorities, additional hospital personnel, Civil Defence volunteers and Emergency Service facilities to deal with large numbers of injured victims; and (3) arrangements for the collection, feeding, clothing and temporary rehousing of those rendered homeless and deprived of the basic essentials of life.

Civil Defense↗
PubMed2004

Natural disasters: responding to the unexpected.

No matter how well-prepared a hospital is for emergencies, when one does occur it invariably poses problems that were unforeseen. In this article, hospital security officials evaluate their response to two major disasters that occurred within two months of each other--the Oklahoma ice storm and the Seattle/Olympia earthquake.

Disaster Planning↗
PubMed2005

Disaster planning and response: guidance for healthcare facilities.

The widespread devastation and massive disruptions caused in the last few weeks by Hurricanes Katrina and Rita--in New Orleans and numerous other communities along the U.S. Gulf Coast--showed just how difficult it can be for communities to function in the face of large-scale disasters. In the wake of these storms, healthcare facilities throughout the world will undoubtedly be examining their emergency management plans to assess whether they are prepared to handle similar events.

Disaster Planning↗
PubMed2006

Disaster medical response: maximizing your effectiveness.

In the aftermath of Hurricane Katrina, physicians and other health professionals volunteered for deployment to the affected area to provide medical services. The frustrating reality most of them encountered was the incapacity of those in charge to use the number of professional volunteers expressing interest. Untrained volunteers, though well intentioned, are often not that helpful. The immediate needs of a disaster area relate to public health and other safety issues. Until a proper infrastructure is re-established, general medical services cannot be provided. Physician services are most effectively provided in collaboration with, or as part of, an organized local response agency.

Disaster Planning↗
PubMedDate not supplied

Report to the 58th World Health Assembly: Health Action in Relation to Crises and Disasters.

This Summary Report was prepared for Agenda item 13.3 for the meeting of the World Health Assembly convened at the World Health Organization (WHO) Headquarters in Geneva, Switzerland on 20 May 2005. It was in part, prepared from the Reports generaged by the Conference, Health Actions in Relation to Crises and Disasters, convened by the WHO in Phuket, Thailand, 04-06 May 2005.

Congresses as Topic↗
PubMedDate not supplied

Coordination and resource maximization during disaster relief efforts.

INTRODUCTION: In the aftermath of the Earthquake and Tsunami in Southeast Asia, many relief organizations sent medical aid to affected areas. OBJECTIVE: The aim of this paper is to examine the mix of healthcare workers resulting from an influx of aid to Meulaboh, Indonesia, and how they met local healthcare needs. METHODS: Data were collected from the registration center for relief organizations in Meulaboh and daily hospital meetings on healthcare needs and available workers. RESULTS: Prior to the Tsunami, there were 14 doctors and 120 nurses in the hospital. By the third week after the Tsunami, there were 21 surgeons performing 10 surgeries daily, and >20 non-surgical doctors in the 90-bed hospital. There were <70 nurses available during the month after the Tsunami, which was insufficient for the needs of the hospital. In the town of Meulaboh, the number of doctors exceeded the number of nurses, while public health workers comprised <5% of the healthcare workers. CONCLUSION: An initial disaster-coordinating agency, formed by the United Nations (UN) in conjunction with affected countries, should link actively with relief organizations. This will optimize help in meeting local needs, and direct relief to where it is needed most.

Cross-Sectional Studies↗
PubMedDate not supplied

Barriers to disaster coordination: health sector coordination in Banda Aceh following the South Asia Tsunami.

Ecological disasters impact large populations every year, and hundreds of nongovernmental organizations, thousands of aid workers, and billions of dollars are sent in response. Yet, there have been recurring problems with coordination, leading to wasted efforts and funds. The humanitarian response to the December 2004 Earthquake and Tsunami in Asia was one of the largest ever, and coordination problems were apparent. The coordination processes and attempts at coordination are discussed in this paper. Specific barriers to cooperation are discussed, such as weak leadership, the absence of accountability, the lack of credentialing, the diverse goals of the responding agencies, and the weaknesses in the coordination process itself.

Altruism↗
PubMed2006

12-step disaster plan.

With the 2006 hurricane season near and memories of last year's storms painfully fresh, here are 12 priorities hospitals should set in preparing for natural and other disasters.

Community-Institutional Relations↗
PubMed2005

802.11 wireless infrastructure to enhance medical response to disasters.

802.11 (WiFi) is a well established network communications protocol that has wide applicability in civil infrastructure. This paper describes research that explores the design of 802.11 networks enhanced to support data communications in disaster environments. The focus of these efforts is to create network infrastructure to support operations by Metropolitan Medical Response System (MMRS) units and Federally-sponsored regional teams that respond to mass casualty events caused by a terrorist attack with chemical, biological, nuclear or radiological weapons or by a hazardous materials spill. In this paper, we describe an advanced WiFi-based network architecture designed to meet the needs of MMRS operations. This architecture combines a Wireless Distribution Systems for peer-to-peer multihop connectivity between access points with flexible and shared access to multiple cellular backhauls for robust connectivity to the Internet. The architecture offers a high bandwidth data communications infrastructure that can penetrate into buildings and structures while also supporting commercial off-the-shelf end-user equipment such as PDAs. It is self-configuring and is self-healing in the event of a loss of a portion of the infrastructure. Testing of prototype units is ongoing.

Computer Communication Networks↗
PubMed1991

Trauma anesthesia for disasters. Anything, anytime, anywhere.

Field anesthesia can be practiced safely and effectively but requires special training to acquire familiarity with the techniques. Because field anesthesia may be required even in sophisticated countries for entrapment situations, skill should be maintained by practicing the appropriate techniques on a regular basis. Field anesthetic techniques are not second rate methods; they are just different. Although improvisation in the disaster situation has merit, it is not the place for experimenting with new and untried techniques.

Anesthesia↗
PubMedDate not supplied

Mitigating disasters: power to the community.

The average Japanese disaster, according to the British environmental agency Earthscan, kills 63 people. In Peru, however, the average death toll is 2,900 persons. This is because poor countries, and the poorest people within poor countries, are the most vulnerable--and it is vulnerability that kills.

Community Participation↗
PubMed1989

Veterinary services in disasters and emergencies.

Potential man-made or natural disasters could overwhelm the residual medical and surgical capacity. Veterinarians have the training and experience to augment physicians in caring for human casualties, and dispersed veterinary hospitals constitute survivable facilities that are equipped to provide medical and surgical care. Veterinarians can also serve public health and preventive medicine and maintain the health of agricultural livestock as food sources. Civil defense planning must include veterinarians so that these valuable medical care resources can be used to save lives that might otherwise be lost.

Civil Defense↗
PubMed1988

Impact of urban disaster on a university trauma center.

On the eve of the 1984 Summer Olympics, a deranged man drove his car at high speed onto a pedestriancrowded sidewalk in a suburb of Los Angeles. The UCLA Medical Center, located two blocks from the scene, received 17 of 51 casualties. One patient arrived in full cardiac arrest and could not be resuscitated. Six had minor injuries or temporary hysteria and did not require admission to hospital. The mean injury severity score of the 10 patients who were admitted was 13.6 (range 3 to 48). Three patients required immediate surgical procedures, and two had delayed orthopedic operations. Specialty consultations were needed in orthopedics, neurosurgery, plastic surgery, otolaryngology, pediatric surgery, and pediatric intensive care. There were no subsequent deaths, although two patients had substantial residual neurologic disability. This episode of unexpected urban violence underscores the need for dedicated trauma services in university centers. Functions of such services include disaster planning, deploying surgical personnel, managing injured patients, and analyzing outcomes.

Academic Medical Centers↗
PubMed1987

National disasters and the veterinarian.

A general introduction detailing background information concerning the term "disaster" is presented. A discussion of pertinent legal guidelines and an overview of the possible role of the veterinarian, firstly as a paramedical assistant and secondly as a veterinary public health official, is presented.

Disaster Planning↗
PubMed1978

Safety at disaster sites.

Safety at a disaster scene is a subject rarely considered by medical personnel when preparing for rescue work. As no one can predict accurately the nature of the hazards rescuers may have to face, a common attitude is to ignore the subject and trust to common sense and good judgment to cope with the situation when it arises.

Accident Prevention↗