The Challenge of Survival

Author(s):  
Morgan Fahey

There remains a challenge to improve worldwide, the medical response, and the ground safety response to the disaster of an aircraft crash. Statistically more survive all crashes than perish, and if an aircraft crashes with survivors, in most cases there will be more survivors than dead.The challenge of survival is to ensure that if an aircraft does crash, the medical and rescue response to this disaster must be immediate, competent, technically skilled and adequately equipped to save the maximum number of lives possible, and to help preserve the quality of life for all who survive. Improving safety standards has been stimulated by the excellent work of the Flight Safety Foundation, the International Civil Aviation Organization (ICAO), the United States Air Line Pilots Association — in particular by Captain John Stefanski and by the World Association for Emergency and Disaster Medicine.Many will recall that at the meeting of the Club of Mainz Association held in Monaco in 1979, a committee was appointed to investigate aircraft crash management at 100 international airports. The task of the Airport Disaster Workshop was to develop a model of emergency care for large and smaller airports, in order to produce a standard for the various groups of airports. The Club of Mainz Association has been concerned with the poor standard of medical response that has been shown at recent flight disasters. As a member of this consultant committee, it was obvious even from very early days of my research that the medical response to aircraft crash in some countries with high air traffic flows is incompetent, inadequate, and demonstrates little awareness of advances in resuscitation and on-site care of aircraft crash survivors.

Author(s):  
Morgan Fahey

In the history of aviation there has never been a period when so much effort has been demonstrated to improve the safety standards of international and national airports. This has come about through the knowledge that aircraft crashes in recent years at some airports have been mismanaged because of bad or non-existent planning for such a disaster, and by poor emergency medical response.We share today a faith in the safety of the aircraft. We share, too, the awareness that more people have survived aircraft crashes than have perished, and that if there are survivors on board, in most cases there will be more survivors than dead (1).The encouragement to improve airport safety and crash management has come largely from the International Civil Aviation Organization (ICAO); from the Club of Mainz Association, who in 1979 set up a consultant committee to investigate and improve international airports; from the Flight Safety Foundation and from the US Airline Pilots Association. All these organizations have rightly questioned the quality of existing emergency medical response to an aircraft crash, and have offered expert advice to improve disaster preparedness and management. This article will report our response to this challenge, particularly in New Zealand, but will also concern our neighboring continent of Australia.New Zealand, set in the Pacific Ocean with its two long islands, has international flight contacts through its three major airports with North America, South East Asia, Japan and the South West Pacific. It has its own national aviation hazards of mountain chains, difficult landing approaches from the sea, made more hazardous with strong winds which are a feature of our capital city airport. Despite this, the safety record of New Zealand airports is extremely high.


2017 ◽  
Vol 80 (3) ◽  
pp. 431-442 ◽  
Author(s):  
Xiao-Na Pang ◽  
Zhao-Jie Li ◽  
Jing-Yu Chen ◽  
Li-Juan Gao ◽  
Bei-Zhong Han

ABSTRACT Standards and regulations related to spirit drinks have been established by different countries and international organizations to ensure the safety and quality of spirits. Here, we introduce the principles of food safety and quality standards for alcoholic beverages and then compare the key indicators used in the distinct standards of the Codex Alimentarius Commission, the European Union, the People's Republic of China, the United States, Canada, and Australia. We also discuss in detail the “maximum level” of the following main contaminants of spirit drinks: methanol, higher alcohols, ethyl carbamate, hydrocyanic acid, heavy metals, mycotoxins, phthalates, and aldehydes. Furthermore, the control measures used for potential hazards are introduced. Harmonization of the current requirements based on comprehensive scope analysis and the risk assessment approach will enhance both the trade and quality of distilled spirits. This review article provides valuable information that will enable producers, traders, governments, and researchers to increase their knowledge of spirit drink safety requirements, control measures, and research trends.


Author(s):  
Steven V. Nanney ◽  
Kenneth Y. Lee

Recent pipeline accidents in the United States have highlighted concerns with older vintage natural gas and hazardous liquid pipelines. The United States Department of Transportation (USDOT) Pipeline and Hazardous Materials Safety Administration (PHMSA) is performing a comprehensive review to determine the fitness for service of vintage pipelines, and if the risks associated with vintage pipelines can be better managed by changes to US pipeline safety standards and regulations. Concerns with vintage pipelines include weld seam manufacturing issues, such as low frequency electric resistance welding (LF-ERW) and submerged arc welding (SAW), cast iron pipe, plastic pipe and certain coatings. This paper presents findings from vintage pipeline failure investigations, recent PHMSA actions, and some approaches to address key vintage pipe concerns. These approaches include knowledge assurance (adequacy and quality of historical data), methods to systematically obtain missing data, and processes and criteria for determining fitness-for-service, including assessment, remediation, and replacement programs.


2019 ◽  
Vol 3 (2) ◽  
pp. 44-71 ◽  
Author(s):  
Mark M Chatfield

Recent annual estimates suggest that in the United States, approximately 57,000 young people are placed by their parents into some type of residential treatment program. Parent – pay programs are exempt from federal safety standards and some states provide little or no regulatory oversight. Federal investigations revealed a nationwide pattern of institutional abuse across multiple facilities, and some professionals have noted ‘cruel and dangerous uses of thought reform techniques’ within such programs (U.S. House of Representatives 2007, 76). This article summarizes qualitative research based on interviews with 30 adults who lived for an average of 20 months within a ‘highly totalistic’ youth program. The concept of totalistic treatment was operationalized and measured with seven key identifiers found in the literature. Twenty – five different programs of four general types were represented: therapeutic boarding schools, residential treatment centers, wilderness/outdoor programs, and intensive outpatient programs. To organize qualitative findings, three themes explaining the experiences, immediate effects, and long – term impacts of treatment help to reveal implicit meanings woven throughout the interviews. By understanding a wider range of experiences associated with totalistic programs, efforts to improve quality of care and strategies to prevent harm may be improved. Harm prevention efforts would benefit from the analytical perspectives found in theories of coercive persuasion and thought reform.  


1993 ◽  
Vol 8 (2) ◽  
pp. 157-160 ◽  
Author(s):  
Derek C. Angus ◽  
Ernesto A. Pretto ◽  
Joel I. Abrams ◽  
Peter Safar

AbstractIn catastrophic disasters such as major earthquakes in densely populated regions, effective Life-Supporting First-Aid (LSFA) and basic rescue can be administered to the injured by previously trained, uninjured survivors (co victims). Administration of LSFA immediately after disaster strikes can add to the overall medical response and help to diminish the morbidity and mortality that result from these events. Widespread training of the lay public also may improve bystander responses in everyday emergencies. However, for this scheme to be effective, a significant percentage of the lay population must learn the eight basic steps of LSFA. These have been developed by the International Resuscitation Research Center in collaboration with the World Association for Emergency and Disaster Medicine, the City of Pittsburgh Department of Public Safety, and the American Red Cross (Pennsylvania chapter). They include: 1) scene survey; 2) airway control; 3) rescue breathing (mouth-to-mouth); 4) circulation (chest compressions; may be omitted for disasters, but should be retained for everyday bystander response); 5) abdominal thrusts for choking (may be omitted for disasters, but retained for everyday bystander response); 6) control of external bleeding; 7) positioning for shock; and 8) call for help.


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