| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Dr. Born is Professor, Orthopaedic Surgery, the Warren Alpert Medical School of Brown University, and Director, Orthopaedic Trauma Service, Rhode Island Hospital, Providence, RI. Dr. Briggs is Associate Professor, Surgery, Harvard Medical School, and Attending General and Trauma Surgeon, Massachusetts General Hospital, Boston, MA. Dr. Ciraulo is Director, Trauma Outreach and Surgical Emergency Preparedness, Maine Medical Center, Portland, ME. Dr. Frykberg is Professor, Surgery, University of Florida College of Medicine, and Chief, General Surgery, University of Florida Health Science Center, Jacksonville, FL. Dr. Hammond is Professor, Surgery, Robert Wood Johnson Medical School, and Director, Surgical Critical Care Service and Trauma Center, New Brunswick, NJ. Dr. Hirshberg is Senior Researcher, ER One Institute, Washington Hospital Center, Washington, DC. Dr. Lhowe is Assistant Professor, Orthopaedic Surgery, Harvard Medical School, and Attending Orthopaedic Surgeon, Massachusetts General Hospital. Dr. O’Neill is Associate Professor, Surgery, and Co-chief, Division of Trauma Surgery and Surgical Critical Care, State University of New York–Downstate Medical Center/Kings County Hospital, Brooklyn, NY.
None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Born, Dr. Briggs, Dr. Ciraulo, Dr. Frykberg, Dr. Hammond, Dr. Hirshberg, Dr. Lhowe, and Dr. O’Neill.
Reprint requests: Dr. Born, University Orthopaedics, Suite 200, 2 Dudley Street, Providence, RI 02905.
"Disasters and Mass Casualties: II. Explosive, Biologic, Chemical, and Nuclear Agents" will be published in the August 2007 issue of the Journal of the American Academy of Orthopaedic Surgeons.
Disaster planning and response to a mass casualty incident pose unique demands on the medical community. Because they would be required to confront many casualties with bodily injury and surgical problems, surgeons in particular must become better educated in disaster management. Compared with routine practice, triage principles in disasters require an entirely different approach to evaluation and care and often run counter to training and ethical values. An effective response to disaster and mass casualty events should focus on an "all hazards" approach, defined as the ability to adapt and apply fundamental disaster management principles universally to any mass casualty incident, whether caused by people or nature. Organizational tools such as the Incident Command System and the Hospital Incident Command System help to effect a rapid and coordinated response to specific situations. The United States federal government, through the National Response Plan, has the responsibility to respond quickly and efficiently to catastrophic incidents and to ensure critical life-saving assistance. International medical surgical response teams are capable of providing medical, surgical, and intensive care services in austere environments anywhere in the world.
This article has been cited by other articles:
|
|
 |
|
  J. Hammond Tornadoes and Disaster Management: Not Just in Kansas, Dorothy Disaster Med Public Health Preparedness, November 1, 2007; 1(2): 67 - 68. [Full Text] [PDF]
|
|
|
|
 |
|
 W. P. Cooney III Disasters and Mass Casualties: II J. Am. Acad. Ortho. Surg., August 1, 2007; 15(8): 449 - 449. [Full Text] [PDF]
|
|
|
|
|
|
J. L. Marsh Disasters and Mass Casualties J. Am. Acad. Ortho. Surg., July 1, 2007; 15(7): 378 - 379. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
