Ethical Issues in Disaster Medicine
Figure 7.1. Front page of the Boston Globe describing the attack at the Boston Marathon. The bombs were designed to inflict the most damage to the runners’ legs. Because the…
Decontamination
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 16 Decontamination Howard W. Levitin and Christopher A. Kahn Overview Hazardous materials, in various quantities and configurations, are ubiquitous throughout the world. They are key ingredients…
Syndromic Surveillance
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 13 Syndromic Surveillance Gary A. Roselle Overview Syndromic surveillance has been defined by the U.S. Centers for Disease Control and Prevention (CDC) as “a process that…
Legislative Authorities and Regulatory Issues
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 12 Legislative Authorities and Regulatory Issues Ernest B. Abbott and Jeffrey H. Luk Overview Catastrophic disasters disrupt the health and medical system in a variety of…
Disaster Behavioral Health
Figure 9.1. The American Red Cross Disaster Mental Health System PsySTART Model. Used with permission from the American Red Cross. In the absence of rapid triage and coordination between systems,…
Community Resilience
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 6 Community Resilience Rose L. Pfefferbaum, Richard Reed, and Betty Pfefferbaum Overview Disaster managers embrace the concept of community resilience, sometimes as a strategy and sometimes…
International Perspectives on Disaster Management
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 5 International Perspectives on Disaster Management Jean Luc Poncelet Overview For many years, disasters were perceived as unavoidable and only attributable to “natural” events. Over the…
Patients for Thrombolysis
PE confirmed (n = 1880) (%) PE not confirmed (n = 528) (%) Symptoms Dyspnea 50 51 Pleuritic chest pain 39 28 Substernal chest pain 15 17 Syncope 6 6 Unilateral leg pain…
Thrombolysis in Special Situations
Fig. 8.1 Fig. 8.2 Fig. 8.3 Fig. 8.4 Table 8.1 Association between in-transit thrombus and embolic events Type Number of patients Associated to DVT (%) Associated to PE (%)…
Mechanisms of Thrombosis
Abnormal vessel walla Endothelial dysfunction characterized by endothelial cell activation (due to hypoxia, distension, and neurohormonal activation), increased expression of platelet/monocyte adhesion, tissue factor, von Willebrand factor, and thrombin; decreased…
