Chapter 21 – Operation Tomodachi: Anesthetic Implications
Abstract On March 11, 2011, at 2:46 PM Japanese Standard Time, an earthquake registering 9.0 on the Richter scale occurred with an epicenter located approximately 43 miles east of the Tohoku…
ANESTHESIA
Chapter 12 – High-Altitude Physiology and Anesthesia
Abstract Human physiology is well adapted to sea-level atmospheric pressure. Decreased atmospheric pressures at altitude have profound effects on human physiology and anesthetic delivery. Seemingly arcane, the need for high-altitude…
Chapter 23 – Pharmacy in Disaster Anesthesia
Abstract In September 2017 Hurricane Maria made landfall in Puerto Rico. The Category 4 hurricane destroyed the power grid, communication networks, and caused significant flooding that left 3.4 million residents…
Chapter 18 – Communications
Abstract Hospitals and the healthcare systems are dependent upon reliable and redundant communication systems. Communications is the most common failure complaint following a disaster. When these systems fail, as they…
Chapter 17 – Radiology in the Austere or Disaster Environment
Abstract Radiology in the austere environment is an evolving entity. The extent to which the anesthesiologist will have to be aware of issues related to radiology is highly dependent upon…
Chapter 20 – International Humanitarian Law
Abstract Sadly, war has perhaps been one of the few constants throughout the history of humanity. This has in turn necessitated rules and law that place boundaries on these hostilities….
Chapter 19 – Security in Disaster Anesthesia
Abstract A disaster may occur through natural or man-made events. It can be the result of war, terrorist events, or through so-called acts of god such as floods, tsunamis, earthquakes,…
Chapter 22 – Austere Obstetric Anesthesia
Abstract Situations of disaster, whether due to natural disaster or man-made disaster, are non-discriminatory. All individuals are affected equally, whether male or female, young or old. Persons who are providing…
Chapter 16 – Pain in Disasters
Abstract Optimal management of severe pain in a traditional hospital setting can be a challenging process. 1-3 Yet, attempting to manage pain in an out-of-hospital, combat, or austere environment is…
Chapter 15 – Chemical and Radiologic Exposures in Trauma and Disasters
Abstract Ethanol and recreational drugs are by far the most common chemical exposures associated with trauma. This chapter, however, covers other possibly associated exposures: toxic industrial chemicals (TIC), chemical weapons…
