Advanced Disaster Medical Response Manual for Providers
Susan M. Briggs, MD, MPH, FACS, Kathryn H. Brinsfield, MD, MPH, FACEP
Spiral-bound: 199 pages
Harvard Medical International
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Disaster medical care is significantly different from the care medical providers deliver on a daily basis.
Disasters follow no rules. No one can predict the complexity, time, or location of the next disaster. Traditionally, medical providers have held the erroneous belief that all disasters are different, especially those involving terrorism. Thus, one of the most significant problems in mass casualty management is that we do not prepare for disasters; we respond to them. In reality, all disasters, regardless of etiology, have similar medical and public health consequences. Disasters differ in the degree to which these consequences occur and disrupt the normal medical and non-medical infrastructure of the disaster scene.
The key principle of disaster medical care is to do the greatest good for the greatest number of patients, while the objective of conventional medical care is to do the greatest good for the individual patient.
Disasters, both natural and man-made (including terrorism), encompass the spectrum of possible threats. Terrorism, not surprisingly, is the most challenging for medical providers. Weapons of mass destruction creating "contaminated environments" are the greatest challenge of all.
A consistent medical approach to disasters, based on an understanding of their common features and the response expertise they require, is becoming the accepted practice throughout the world.
This strategy, called the Mass Casualty Incident (MCI) response, has the primary objective of reducing the mortality caused by the disaster. All medical personnel need to incorporate the key principles of the MCI response in their training, given the complexity of today’s disasters. The topics covered include:
Susan Briggs, MD, MPH, FACS, is an Assistant Professor of Surgery at Harvard Medical School and attending general and trauma surgeon at Massachusetts General Hospital. She is Supervising Medical Officer of the NDMS Specialty Teams, including the International Medical Surgical Response Teams, and directs the Harvard Medical International Trauma and Disaster Institute.
Mass Casualty Incident Management
Incident Command Structure
Medical Response to Disasters
Weapons of Mass Destruction
Public Health Response to Disasters
Medical Response to Terrorism
Care of Specific Injuries in Disasters
Special Considerations (including Psychological Aspects of Disasters and Care of the Dead and their Families)
Kathryn Brinsfield, MD, MPH, FACEP, is an Assistant Professor of Emergency Medicine at Boston University and an emergency medicine physician at Boston Medical Center. She is director of research, training and quality improvement for Boston Emergency Medical Services and a member of the NDMS Boston disaster teams.
(information from the publisher)
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