Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event

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Publisher : National Academies Press
ISBN 13 : 0309143969
Total Pages : 189 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event by : Institute of Medicine

Download or read book Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event written by Institute of Medicine and published by National Academies Press. This book was released on 2009-08-19 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: A nuclear attack on a large U.S. city by terrorists-even with a low-yield improvised nuclear device (IND) of 10 kilotons or less-would cause a large number of deaths and severe injuries. The large number of injured from the detonation and radioactive fallout that would follow would be overwhelming for local emergency response and health care systems to rescue and treat, even assuming that these systems and their personnel were not themselves incapacitated by the event. The United States has been struggling for some time to address and plan for the threat of nuclear terrorism and other weapons of mass destruction that terrorists might obtain and use. The Department of Homeland Security recently contracted with the Institute of Medicine to hold a workshop, summarized in this volume, to assess medical preparedness for a nuclear detonation of up to 10 kilotons. This book provides a candid and sobering look at our current state of preparedness for an IND, and identifies several key areas in which we might begin to focus our national efforts in a way that will improve the overall level of preparedness.

Nationwide Response Issues After an Improvised Nuclear Device Attack

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Publisher : National Academies Press
ISBN 13 : 0309286018
Total Pages : 257 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Nationwide Response Issues After an Improvised Nuclear Device Attack by : Institute of Medicine

Download or read book Nationwide Response Issues After an Improvised Nuclear Device Attack written by Institute of Medicine and published by National Academies Press. This book was released on 2014-01-26 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our nation faces the distinct possibility of a catastrophic terrorist attack using an improvised nuclear device (IND), according to international and U.S. intelligence. Detonation of an IND in a major U.S. city would result in tens of thousands to hundreds of thousands of victims and would overwhelm public health, emergency response, and health care systems, not to mention creating unprecedented social and economic challenges. While preparing for an IND may seem futile at first glance, thousands of lives can be saved by informed planning and decision making prior to and following an attack. In 2009, the Institute of Medicine published the proceedings of a workshop assessing the health and medical preparedness for responding to an IND detonation. Since that time, multiple federal and other publications have added layers of detail to this conceptual framework, resulting in a significant body of literature and guidance. However, there has been only limited planning effort at the local level as much of the federal guidance has not been translated into action for states, cities and counties. According to an informal survey of community preparedness by the National Association of City and County Health Officials (NACCHO), planning for a radiation incident ranked lowest in priority among other hazards by 2,800 local health departments. The focus of Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary is on key response requirements faced by public health and health care systems in response to an IND detonation, especially those planning needs of outlying state and local jurisdictions from the detonation site. The specific meeting objectives were as follows: - Understand the differences between types of radiation incidents and implications of an IND attack on outlying communities. -Highlight current planning efforts at the federal, state, and local level as well as challenges to the implementation of operational plans. -Examine gaps in planning efforts and possible challenges and solutions. -Identify considerations for public health reception centers: how public health and health care interface with functions and staffing and how radiological assessments and triage be handled. -Discuss the possibilities and benefits of integration of disaster transport systems. -Explore roles of regional health care coalitions in coordination of health care response.

Nationwide Response Issues After an Improvised Nuclear Device Attack

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (882 download)

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Book Synopsis Nationwide Response Issues After an Improvised Nuclear Device Attack by : Forum on Medical and Public Health Preparedness for Catastrophic Events

Download or read book Nationwide Response Issues After an Improvised Nuclear Device Attack written by Forum on Medical and Public Health Preparedness for Catastrophic Events and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Annotation. Our nation faces the distinct possibility of a catastrophic terrorist attack using an improvised nuclear device (IND), according to international and U.S. intelligence. Detonation of an IND in a major U.S. city would result in tens of thousands to hundreds of thousands of victims and would overwhelm public health, emergency response, and health care systems, not to mention creating unprecedented social and economic challenges. While preparing for an IND may seem futile at first glance, thousands of lives can be saved by informed planning and decision making prior to and following an attack. In 2009, the Institute of Medicine published the proceedings of a workshop assessing the health and medical preparedness for responding to an IND detonation. Since that time, multiple federal and other publications have added layers of detail to this conceptual framework, resulting in a significant body of literature and guidance. However, there has been only limited planning effort at the local level as much of the federal guidance has not been translated into action for states, cities and counties. According to an informal survey of community preparedness by the National Association of City and County Health Officials (NACCHO), planning for a radiation incident ranked lowest in priority among other hazards by 2,800 local health departments. The focus of Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary is on key response requirements faced by public health and health care systems in response to an IND detonation, especially those planning needs of outlying state and local jurisdictions from the detonation site. The specific meeting objectives were as follows:- Understand the differences between types of radiation incidents and implications of an IND attack on outlying communities.-Highlight current planning efforts at the federal, state, and local level as well as challenges to the implementation of operational plans.-Examine gaps in planning efforts and possible challenges and solutions.-Identify considerations for public health reception centers: how public health and health care interface with functions and staffing and how radiological assessments and triage be handled.-Discuss the possibilities and benefits of integration of disaster transport systems.-Explore roles of regional health care coalitions in coordination of health care response.

Exploring Medical and Public Health Preparedness for a Nuclear Incident

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Author :
Publisher : National Academies Press
ISBN 13 : 0309489172
Total Pages : 211 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Exploring Medical and Public Health Preparedness for a Nuclear Incident by : National Academies of Sciences, Engineering, and Medicine

Download or read book Exploring Medical and Public Health Preparedness for a Nuclear Incident written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-05 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Academies of Sciences, Engineering, and Medicine held a workshop on August 22â€"23, 2018, in Washington, DC, to explore medical and public health preparedness for a nuclear incident. The event brought together experts from government, nongovernmental organizations, academia, and the private sector to explore current assumptions behind the status of medical and public health preparedness for a nuclear incident, examine potential changes in these assumptions in light of increasing concerns about the use of nuclear warfare, and discuss challenges and opportunities for capacity building in the current threat environment. This publication summarizes the presentations and discussions from the workshop.

Preparing for Terrorism

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Publisher : National Academies Press
ISBN 13 : 0309169364
Total Pages : 330 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Preparing for Terrorism by : Institute of Medicine

Download or read book Preparing for Terrorism written by Institute of Medicine and published by National Academies Press. This book was released on 2002-07-11 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.

Individual Preparedness and Response to Chemical, Radiological, Nuclear, and Biological Terrorist Attacks

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Publisher : Rand Corporation
ISBN 13 : 0833036076
Total Pages : 28 pages
Book Rating : 4.8/5 (33 download)

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Book Synopsis Individual Preparedness and Response to Chemical, Radiological, Nuclear, and Biological Terrorist Attacks by : Lynn E. Davis

Download or read book Individual Preparedness and Response to Chemical, Radiological, Nuclear, and Biological Terrorist Attacks written by Lynn E. Davis and published by Rand Corporation. This book was released on 2003-09-05 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Individuals may have to rely on themselves to protect their own health and safety--perhaps even their own lives--in the event of a terrorist attack. Even those who know how to take care of themselves in the event of a fire, tornado, or earthquake might not know what to do in case of a chemical, radiological, nuclear, or biological attack. This quick guide attempts to fill in some of these gaps by offering specific actions to take during each of these situations, as well as preparations that can be taken. These actions are appropriate regardless of the likelihood of an attack, its scale, or the current government alert level; are designed to be sensitive to potential variations; and have been defined in terms of simple rules that should be easy to follow. A reference card included at the back of the guide encapsulates the key points and can be removed for display in a prominent place.

Nuclear Terrorism and National Preparedness

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Publisher : Springer
ISBN 13 : 9401798915
Total Pages : 263 pages
Book Rating : 4.4/5 (17 download)

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Book Synopsis Nuclear Terrorism and National Preparedness by : Samuel Apikyan

Download or read book Nuclear Terrorism and National Preparedness written by Samuel Apikyan and published by Springer. This book was released on 2015-07-08 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: The nuclear crisis in Fukushima and growing threats of nuclear terrorism must serve as a wake-up call, prompting greater action to prepare ourselves for nuclear and radiological disasters. Our strategy to prepare for these threats is multi-layered and the events of these past years have proved the necessity to re-evaluate the national and international preparedness goals on a scale never before considered. The programme of NATO Advanced Research Workshop on “Preparedness for Nuclear and Radiological Threats” has been focused on science and technology challenges associated with our need to improve the national and international capacity and capability to prevent, protect against, mitigate the effects of, respond to, and recover from the nuclear and radiological disasters, including nuclear and radiological accident, terrorist attack by Improvised Nuclear Device (IND) or by “Dirty Bomb”-Radiological Dispersal Device (RDD), that pose the greatest risk to the national and international security and safety.

Federal Evacuation Policy

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Publisher : DIANE Publishing
ISBN 13 : 1437934080
Total Pages : 19 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis Federal Evacuation Policy by : Bruce R. Lindsay

Download or read book Federal Evacuation Policy written by Bruce R. Lindsay and published by DIANE Publishing. This book was released on 2010-10 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt: When government officials become aware of an impending disaster, they may take steps to protect citizens before the incident occurs. Evacuation of the geographic area that may be affected is one option to ensure public safety. If implemented properly, evacuation can be an effective strategy for saving lives. Decisions to evacuate may require officials to balance potentially costly, hazardous, or unnecessary evacuations against the possibility of loss of life due to a delayed order to evacuate. Contents: (1) Intro.; (2) Examples of Fed. Evacuation Policy; (3) Evacuations: Lessons Learned from Hurricanes Katrina and Rita; (4) Congressional Issues; (5) Pending Legislation in the 111th Congress. Appendix: Statutory Authority for Evacuations. Illus.

Evidence-Based Practice for Public Health Emergency Preparedness and Response

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Publisher : National Academies Press
ISBN 13 : 0309670381
Total Pages : 501 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Evidence-Based Practice for Public Health Emergency Preparedness and Response by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evidence-Based Practice for Public Health Emergency Preparedness and Response written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-11-28 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

Preparing for the Psychological Consequences of Terrorism

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Publisher : National Academies Press
ISBN 13 : 0309167922
Total Pages : 184 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Preparing for the Psychological Consequences of Terrorism by : Institute of Medicine

Download or read book Preparing for the Psychological Consequences of Terrorism written by Institute of Medicine and published by National Academies Press. This book was released on 2003-08-26 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.

Emergency Response to Terrorism

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Publisher : DIANE Publishing
ISBN 13 : 1428981195
Total Pages : 103 pages
Book Rating : 4.4/5 (289 download)

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Book Synopsis Emergency Response to Terrorism by :

Download or read book Emergency Response to Terrorism written by and published by DIANE Publishing. This book was released on 2000 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Guide for All-Hazard Emergency Operations Planning

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Publisher : DIANE Publishing
ISBN 13 : 078814829X
Total Pages : 277 pages
Book Rating : 4.7/5 (881 download)

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Book Synopsis Guide for All-Hazard Emergency Operations Planning by : Kay C. Goss

Download or read book Guide for All-Hazard Emergency Operations Planning written by Kay C. Goss and published by DIANE Publishing. This book was released on 1998-05 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

Chemical and Biological Terrorism

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Publisher : National Academies Press
ISBN 13 : 0309523141
Total Pages : 303 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Chemical and Biological Terrorism by : Committee on R&D Needs for Improving Civilian Medical Response to Chemical and Biological Terrorism Incidents

Download or read book Chemical and Biological Terrorism written by Committee on R&D Needs for Improving Civilian Medical Response to Chemical and Biological Terrorism Incidents and published by National Academies Press. This book was released on 1999-02-26 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: The threat of domestic terrorism today looms larger than ever. Bombings at the World Trade Center and Oklahoma City's Federal Building, as well as nerve gas attacks in Japan, have made it tragically obvious that American civilians must be ready for terrorist attacks. What do we need to know to help emergency and medical personnel prepare for these attacks? Chemical and Biological Terrorism identifies the R&D efforts needed to implement recommendations in key areas: pre-incident intelligence, detection and identification of chemical and biological agents, protective clothing and equipment, early recognition that a population has been covertly exposed to a pathogen, mass casualty decontamination and triage, use of vaccines and pharmaceuticals, and the psychological effects of terror. Specific objectives for computer software development are also identified. The book addresses the differences between a biological and chemical attack, the distinct challenges to the military and civilian medical communities, and other broader issues. This book will be of critical interest to anyone involved in civilian preparedness for terrorist attack: planners, administrators, responders, medical professionals, public health and emergency personnel, and technology designers and engineers.

Review of the Department of Homeland Security's Approach to Risk Analysis

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Publisher : National Academies Press
ISBN 13 : 0309159245
Total Pages : 160 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Review of the Department of Homeland Security's Approach to Risk Analysis by : National Research Council

Download or read book Review of the Department of Homeland Security's Approach to Risk Analysis written by National Research Council and published by National Academies Press. This book was released on 2010-10-10 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: The events of September 11, 2001 changed perceptions, rearranged national priorities, and produced significant new government entities, including the U.S. Department of Homeland Security (DHS) created in 2003. While the principal mission of DHS is to lead efforts to secure the nation against those forces that wish to do harm, the department also has responsibilities in regard to preparation for and response to other hazards and disasters, such as floods, earthquakes, and other "natural" disasters. Whether in the context of preparedness, response or recovery from terrorism, illegal entry to the country, or natural disasters, DHS is committed to processes and methods that feature risk assessment as a critical component for making better-informed decisions. Review of the Department of Homeland Security's Approach to Risk Analysis explores how DHS is building its capabilities in risk analysis to inform decision making. The department uses risk analysis to inform decisions ranging from high-level policy choices to fine-scale protocols that guide the minute-by-minute actions of DHS employees. Although DHS is responsible for mitigating a range of threats, natural disasters, and pandemics, its risk analysis efforts are weighted heavily toward terrorism. In addition to assessing the capability of DHS risk analysis methods to support decision-making, the book evaluates the quality of the current approach to estimating risk and discusses how to improve current risk analysis procedures. Review of the Department of Homeland Security's Approach to Risk Analysis recommends that DHS continue to build its integrated risk management framework. It also suggests that the department improve the way models are developed and used and follow time-tested scientific practices, among other recommendations.

Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations

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Publisher : National Academies Press
ISBN 13 : 0309145481
Total Pages : 161 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations by : Institute of Medicine

Download or read book Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations written by Institute of Medicine and published by National Academies Press. This book was released on 2009-09-23 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise-including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication-to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation.

Hospital-Based Emergency Care

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Publisher : National Academies Press
ISBN 13 : 0309133777
Total Pages : 424 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Hospital-Based Emergency Care by : Institute of Medicine

Download or read book Hospital-Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Exploring Medical and Public Health Preparedness for a Nuclear Incident

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Author :
Publisher : National Academies Press
ISBN 13 : 0309489148
Total Pages : 211 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Exploring Medical and Public Health Preparedness for a Nuclear Incident by : National Academies of Sciences, Engineering, and Medicine

Download or read book Exploring Medical and Public Health Preparedness for a Nuclear Incident written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-07-05 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Academies of Sciences, Engineering, and Medicine held a workshop on August 22â€"23, 2018, in Washington, DC, to explore medical and public health preparedness for a nuclear incident. The event brought together experts from government, nongovernmental organizations, academia, and the private sector to explore current assumptions behind the status of medical and public health preparedness for a nuclear incident, examine potential changes in these assumptions in light of increasing concerns about the use of nuclear warfare, and discuss challenges and opportunities for capacity building in the current threat environment. This publication summarizes the presentations and discussions from the workshop.