Overview

1986 ◽  
Vol 2 (1-4) ◽  
pp. 1-3
Author(s):  
Julius W. Becton
Keyword(s):  
United States ◽  
Emergency Management ◽  
Mexico City ◽  
The United States ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Basic Difference ◽  
Disaster Assistance ◽  
The Earth ◽  
Vivid Memories

Your program discussion this morning about the Mexico City earthquake brings back some recent and actual vivid memories. I was in Mexico City last fall. I went there within two weeks of the earth tremor that hit. I was there in my capacity as the Director in the Office of Foreign Disaster Assistance (OFDA) and AID. Several weeks later, I joined FEMA, the Federal Emergency Management Agency, with its full load of domestic emergencies and various systems and plans to meet those crises. Some of you may ask, well, is there any major difference, basic difference, between coping with a disaster overseas and disasters that occur here in the United States? And, of course, you also, I suspect, would be interested to find out how I connect those disasters with the purpose of this conference, which is how to deal with the mass casualty incidents. Obviously, there are differences in all nations.

Blood transfusion preparedness for mass casualty incidents: Are we truly ready?

2019 ◽  
Vol 14 (3) ◽  
pp. 201-218 ◽  
Author(s):  
James R. Stubbs, MD ◽  
Donald H. Jenkins, MD
Keyword(s):  
United States ◽  
Time Window ◽  
The United States ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Blood Components ◽  
Transfusion Therapy ◽  
Healthcare Facilities ◽  
Product Demand ◽  
High Profile

Mass casualty incidents (MCI) are high profile contributors to the number of annual trauma-related deaths in the United States. A critical aspect of MCI care is the ability to provide blood components in sufficient types and quantities to prevent deaths due to hemorrhage. For transfusions to play an optimal role in the prevention of trauma-related hemorrhagic death, including MCI, there appears to be a very tight time window after injury to initiate transfusion therapy. In order to meet this tight window, blood components of appropriate numbers and quantities must be immediately available. Currently, it is questionable whether standing blood inventories at US healthcare facilities are sufficient to appropriately meet the transfusion needs of a surge of MCI victims. Previous models of blood supply adequacy have focused on the availability of red blood cells, and the ability to move blood components quickly from blood suppliers to impacted healthcare facilities. These models have not considered the adequacy of other critically necessary blood components, such as platelets. A recent simulation of blood product demand after MCI showed that, in order to meet the defined RBC needs of 100 percent of casualties, a hospital would need 13-14 units in inventory per casualty. This simulation did not evaluate requirements for platelets and plasma, which would likely be extensive. Meeting balanced resuscitation demands in the timeframe necessary to minimize the number of preventable hemorrhagic deaths is probably not realistically achievable for most healthcare facilities in the United States. Alternative approaches to treat hemorrhage are likely necessary to solve this problem.

Epidemiology of Mass Casualty Incidents in the United States

2014 ◽  
Vol 18 (3) ◽  
pp. 408-416 ◽  
Author(s):  
Ellen Schenk ◽  
Gamunu Wijetunge ◽  
N. Clay Mann ◽  
E. Brooke Lerner ◽  
Anders Longthorne ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Mass Casualty ◽  
Mass Casualty Incidents

Emergency Response to Mass Casualty Incidents in Lebanon

2013 ◽  
Vol 7 (4) ◽  
pp. 433-438 ◽  
Author(s):  
Mazen J. El Sayed
Keyword(s):  
Emergency Management ◽  
Emergency Response ◽  
Large Scale ◽  
The United States ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Incident Management ◽  
Response Process ◽  
Response Systems ◽  
Emergency Response Systems

AbstractThe emergency response to mass casualty incidents in Lebanon lacks uniformity. Three recent large-scale incidents have challenged the existing emergency response process and have raised the need to improve and develop incident management for better resilience in times of crisis. We describe some simple emergency management principles that are currently applied in the United States. These principles can be easily adopted by Lebanon and other developing countries to standardize and improve their emergency response systems using existing infrastructure. (Disaster Med Public Health Preparedness. 2013;0:1–6)

scholarly journals The Role of the Nurse Disaster Preparedness Coordinator at a Large Suburban Teaching Hospital

2019 ◽  
Vol 34 (s1) ◽  
pp. s165-s166
Author(s):  
Beth Weeks
Keyword(s):  
Emergency Department ◽  
Emergency Management ◽  
Disaster Preparedness ◽  
Nursing Practice ◽  
The United States ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Hospital Emergency ◽  
Emergency Manager

Introduction:Mass casualty incidents, whether man-made or natural, are occurring with increasing frequency and severity. Hospitals and health systems across the United States are striving to be more rigorously prepared more such incidents. Following a mass shooting in 2012 and significant growth and expansion of our hospital and health system in the following years, a need was identified for more staff to support preparedness efforts.Aim:To discuss the roles and responsibilities of Nurse Disaster Preparedness Coordinator (NDPC), a dedicated position in the Emergency Department (ED).Methods:The role of Nurse Disaster Preparedness Coordinator was implemented in 2016, is a part-time position in the Emergency Department and reports to the ED Manager while working closely with the ED Director of Emergency Preparedness and the hospital Emergency Manager. The role addresses all areas of the emergency management continuum, from planning and mitigation to response and recovery.Results:The NDPC’s responsibilities fall into the categories of all-hazards preparedness, chemical, biological, radioactive, nuclear and explosive (CBRNE) response, and general nursing practice. All-hazards preparedness includes ED staff training, policy and procedure development, and liaising with hospital emergency manager to coordinate hospital-wide efforts. CBRNE response includes the training and maintenance of a patient decontamination team, a high-risk infectious disease team, and their equipment. General nursing practice addresses research, nursing indicators as they apply to disasters, promoting evidence-based practice, and community outreach.Discussion:A dedicated Nurse Disaster Preparedness Coordinator has allowed transition from intermittent larger exercises to a regular and frequent exercise schedule and better application of full-scale exercises. Overall, the creation of the role has strengthened hospital readiness for mass casualty incidents while alleviating the vast scope of emergency management responsibilities for a large suburban hospital.

Mexican Migration and the Social Space of Postmodernism

1991 ◽  
Vol 1 (1) ◽  
pp. 8-23
Author(s):  
Roger Rouse
Keyword(s):  
United States ◽  
Los Angeles ◽  
Mexico City ◽  
Latin American ◽  
Social Space ◽  
The United States ◽  
Mexican Migration ◽  
Single Word ◽  
The Social ◽  
Made In

In a hidden sweatshop in downtown Los Angeles, Asian and Latino migrants produce automobile parts for a factory in Detroit. As the parts leave the production line, they are stamped “Made in Brazil.” In a small village in the heart of Mexico, a young woman at her father’s wake wears a black T-shirt sent to her by a brother in the United States. The shirt bears a legend that some of the mourners understand but she does not. It reads, “Let’s Have Fun Tonight!” And on the Tijuana-San Diego border, Guillermo Gómez-Peña, a writer originally from Mexico City, reflects on the time he has spent in what he calls “the gap between two worlds”: “Today, eight years after my departure, when they ask me for my nationality or ethnic identity, I cannot answer with a single word, for my ‘identity’ now possesses multiple repertoires: I am Mexican but I am also Chicano and Latin American. On the border they call me ‘chilango’ or ‘mexiquillo’; in the capital, ‘pocho’ or ‘norteno,’ and in Spain ‘sudaca.’… My companion Emily is Anglo-Italian but she speaks Spanish with an Argentinian accent. Together we wander through the ruined Babel that is our American postmodemity.”

II. The United States of Lyncherdom

Prospects ◽  
2000 ◽  
Vol 25 ◽  
pp. 139-150
Author(s):  
Mark Twain
Keyword(s):  
United States ◽  
The United States ◽  
The State ◽  
Single Sample ◽  
Chinese Christians ◽  
The Earth ◽  
The World ◽  
The One

And so Missouri has fallen, that great State! Certain of her children have joined the lynchers, and the smirch is upon the rest of us. That handful of her children have given us a character and labeled us with a name; and to the dwellers in the four quarters of the earth we are “lynchers,” now, and ever shall be. For the world will not stop and think – it never does, it is not its way; its way is to generalize from a single sample. It will not say “Those Missourians have been busy eighty years in building an honorable good name for themselves; these hundred lynchers down in the corner of the State are not real Missourians, they are bastards.” No, that truth will not enter its mind; it will generalize from the one or two misleading samples and say “The Missourians are lynchers.” It has no reflection, no logic, no sense of proportion. With it, figures go for nothing; to it, figures reveal nothing, it cannot reason upon them rationally; it is Brother J. J. infinitely multiplied; it would say, with him, that China is being swiftly and surely Christianized, since 9 Chinese Christians are being made every day; and it would fail, with him, to notice that the fact that 33,000 pagans are born there every day, damages the argument. It would J-J Missouri, and say “There are a hundred lynchers there, therefore the Missourians are lynchers;” the considerable fact that there are two and a half million Missourians who are not lynchers would not affect their verdict any more than it would affect Bro. J. J.'s.

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