scholarly journals (P1-12) Had the Times Square Bomb Exploded: What about the Injured Children?

2011 ◽  
Vol 26 (S1) ◽  
pp. s102-s102
Author(s):  
E. Conway ◽  
A. Flamm ◽  
G. Foltin ◽  
A. Cooper ◽  
B.M. Greenwald ◽  
...  

IntroductionChildren frequently are the victims of disasters due to natural hazards or terrorist attacks. However, there is a lack of specific pediatric emergency preparedness planning worldwide. To address these gaps, the federal grant-funded New York City Pediatric Disaster Coalition (PDC) established guidelines for creating Pediatric Critical care (PCC) surge plans and assisted hospitals in creating their plans. To date, five hospitals completed plans, thereby adding 92 beds to surge capacity. On 01 May 2010, 18:00h, there was an attempt to detonate a car bomb in Times Square, a large urban attraction in the heart of New York City. The perpetrator was later convicted of the attempted use of a weapon of mass destruction. Had the bomb exploded, given the location and time of day, it is possible that many critically injured victims would have been children.MethodsThe unit director or a senior attending of nine major hospitals in the NYC area (five in close proximity and four at secondary sites) were surveyed for the number of their vacant pediatric critical care beds at the time of the event before activation of surge plans.ResultsAt the time the car bomb was discovered, the nine hospitals, which have a total of 141 PCC beds, had only 29 vacant approved pediatric critical care beds.ConclusionsHad the event resulted in many pediatric casualties, the existing PCC vacant beds at these hospitals may not have satisfied the need. Activating surge plans at five of these hospitals would have added 92 to the 29 available PCC beds for a total of 121. In order to provide PCC to a large number of victims, it is crucial that hospitals prepare PCC surge plans.

2011 ◽  
Vol 26 (S1) ◽  
pp. s124-s124
Author(s):  
A. Flamm ◽  
G. Foltin ◽  
K. Uraneck ◽  
A. Cooper ◽  
B.M. Greenwald ◽  
...  

PurposeThe New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has supported a federal grant establishing a Pediatric Disaster Coalition (PDC) comprised of pediatric critical care (PCC) and emergency preparedness consultants from major city hospitals and health agencies. One of the PDC's goals was to develop recommendation for hospital-based PCC surge plans.MethodsMembers of the PDC convened bi-weekly and among other projects, developed guidelines for creating PCC surge capacity plans. The PDC members, acting as consultants, conducted scheduled visits to hospitals in NYC and actively assisted in drafting PCC surge plans as annexes to existing hospital disaster plans. The support ranged from facilitating meetings to providing draft language and content, based on each institutions request.ResultsNew York City has 25 hospitals with PCC services with a total of 244 beds. Five major hospitals have completed plans, thereby adding 92 PCC beds to surge capacity. Thirteen additional hospitals are in the process of developing a plan. The PDC consultants participated in meetings at 11 of the planning hospitals, and drafted language for 10 institutions. The PDC continues to reach out to all hospitals with the goal of initiating plans at all 25 PCC hospitals.ConclusionsProviding surge guidelines and the utilization of on-site PDC consultants was a successful model for the development and implementation of citywide PCC surge capacity planning. Visiting hospitals and actively assisting them in creating their plans was an effective, efficient and well received, method to create increased PCC surge capacity. By first planning with major hospitals, a significant increase of surge beds (92 or 38%) was created, from a minimal number of hospitals. Once hospitals complete plans, it is anticipated that there will be the addition of at least 200 PCC surge beds that can be incorporated in to regional city-wide response to pediatric mass-casualty incident.


2017 ◽  
Vol 11 (4) ◽  
pp. 473-478 ◽  
Author(s):  
Michael Frogel ◽  
Avram Flamm ◽  
Mayer Sagy ◽  
Katharine Uraneck ◽  
Edward Conway ◽  
...  

AbstractA mass casualty event can result in an overwhelming number of critically injured pediatric victims that exceeds the available capacity of pediatric critical care (PCC) units, both locally and regionally. To address these gaps, the New York City (NYC) Pediatric Disaster Coalition (PDC) was established. The PDC includes experts in emergency preparedness, critical care, surgery, and emergency medicine from 18 of 25 major NYC PCC-capable hospitals. A PCC surge committee created recommendations for making additional PCC beds available with an emphasis on space, staff, stuff (equipment), and systems. The PDC assisted 15 hospitals in creating PCC surge plans by utilizing template plans and site visits. These plans created an additional 153 potential PCC surge beds. Seven hospitals tested their plans through drills. The purpose of this article was to demonstrate the need for planning for disasters involving children and to provide a stepwise, replicable model for establishing a PDC, with one of its primary goals focused on facilitating PCC surge planning. The process we describe for developing a PDC can be replicated to communities of any size, setting, or location. We offer our model as an example for other cities. (Disaster Med Public Health Preparedness. 2017;11:473–478)


2010 ◽  
Vol 25 (S1) ◽  
pp. S37-S37
Author(s):  
Sagy Mayer ◽  
Avram Flamm ◽  
George Foltin ◽  
Katherine Uraneck ◽  
Michael Tunik ◽  
...  

2018 ◽  
Vol 51 (1) ◽  
pp. 81-87 ◽  
Author(s):  
Jasmine L. Jacobs‐Wingo ◽  
Jeffrey Schlegelmilch ◽  
Maegan Berliner ◽  
Gloria Airall‐Simon ◽  
William Lang

Author(s):  
Anne Halvorsen ◽  
Daniel Wood ◽  
Darian Jefferson ◽  
Timon Stasko ◽  
Jack Hui ◽  
...  

The New York City metropolitan area was hard hit by COVID-19, and the pandemic brought with it unprecedented challenges for New York City Transit. This paper addresses the techniques used to estimate dramatically changing ridership, at a time when previously dependable sources suddenly became unavailable (e.g., local bus payment data, manual field checks). The paper describes alterations to ridership models, as well as the expanding use of automated passenger counters, including validation of new technology and scaling to account for partial data availability. The paper then examines the trends in subway and bus ridership. Peak periods shifted by both time of day and relative intensity compared with the rest of the day, but not in the same way on weekdays and weekends. On average, trip distances became longer for subway and local bus routes, but overall average bus trip distances decreased owing to a drop in express bus usage. Subway ridership changes were compared with neighborhood demographic statistics and numerous correlations were identified, including with employment, income, and race and ethnicity. Other factors, such as the presence of hospitals, were not found to be significant.


2004 ◽  
Vol 95 (1) ◽  
pp. 304-310 ◽  
Author(s):  
Cheryl M. Paradis ◽  
Faith Florer ◽  
Linda Zener Solomon ◽  
Theresa Thompson

The present study assessed consistency of recollections of personal circumstances of the 9/11 World Trade Center attack and events of the day before (9/10), and the day after (9/12), in a sample of 100 New York City college students. The day before 9/11 represented an ordinary event. A questionnaire was administered twice, 1 wk. and 1 yr. after the 9/11 attack. Students were asked to describe their personal circumstances when hearing about the news of the World Trade Center attack and for the same time of day for 9/10 and 9/12. 18 students returned the follow-up questionnaire. Consistency of initial and follow-up responses for the central categories for both 9/11 and 9/12 of where, who, and activity was very high (9/11: “Where”-100%, “Who”-100%, “What”-94%; 9/12: “Where”-100%, “Who”-100%, “What”-80%). Recollections of 9/10 were significantly less consistent (“Where”-79%, “Who”-71%, “What”-71%). Analysis indicated that students formed vivid, consistent recollections during the events of both 9/11 and 9/12. It is likely that the events of 9/12 also became flashbulb memories, vivid recollections of traumatic events, because the emotional impact of the stressful events, i.e., police and military presence, disrupted schedules, relating to the 9/11 attack endured beyond the day of the attack.


Social Forces ◽  
1996 ◽  
Vol 75 (1) ◽  
pp. 395 ◽  
Author(s):  
Mark Abrahamson ◽  
Robert P. McNamara

Sign in / Sign up

Export Citation Format

Share Document