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Focus on Disaster Medicine and Preparedness

ReachMD

When tested by major catastrophes, the medical community has responded. We banded together to provide emergency medical care and ongoing relief after the earthquake in Haiti and Hurricane Katrina, while the September 11thattacks brought out the best in medical response teams and care providers. Yet every emergency presents unique challenges and learning opportunities. ReachMD scrutinizes our disaster medicine plans, preparedness protocols, and emergency response capabilities. How are we preparing for the next time disaster strikes? How will we react?

When tested by major catastrophes, the medical community has responded. We banded together to provide emergency medical care and ongoing relief after the earthquake in Haiti and Hurricane Katrina, while the September 11thattacks brought out the best in medical response teams and care providers. Yet every emergency presents unique challenges and learning opportunities. ReachMD scrutinizes our disaster medicine plans, preparedness protocols, and emergency response capabilities. How are we preparing for the next time disaster strikes? How will we react?
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ReachMD

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When tested by major catastrophes, the medical community has responded. We banded together to provide emergency medical care and ongoing relief after the earthquake in Haiti and Hurricane Katrina, while the September 11thattacks brought out the best in medical response teams and care providers. Yet every emergency presents unique challenges and learning opportunities. ReachMD scrutinizes our disaster medicine plans, preparedness protocols, and emergency response capabilities. How are we preparing for the next time disaster strikes? How will we react?

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English


Episodes

Nerve Gas Exposure: The Clinical Picture

8/11/2008
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Host: Shira Johnson, MD Guest: Richard Weisman, PharmD How would the survivors present after a nerve gas attack and what do you need to know to treat them? Dr. Richard Weisman, research associate professor of pediatrics at the University of Miami Miller School of Medicine and coordinator or the Weapons of Mass Destruction Response Program at the University of Miami Jackson Memorial Medical Center discusses the clinical picture of exposure to nerve gas. Dr. Shira Johnson is...

Duration:00:12:59

Secondary Contamination: A Threat to Our Safety?

8/6/2008
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Host: Larry Kaskel, MD Guest: Maureen F. Orr, MS Should health professionals be concerned about secondary contamination? How often does it occur and what are the signs that should prompt you to take extra precautions? Maureen Orr, an epidemiologist at the Centers for Disease Control's Agency for Toxic Substances and Disease Registry, talks with host Dr. Larry Kaskel about her published report, "Secondary Contamination of Medical Personnel, Equipment, and...

Duration:00:13:18

A Quantitative Look at ER Overuse

8/6/2008
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Host: Maurice Pickard, MD Guest: Derek Robinson, MD Emergency room visits nationwide are on the rise, even as the total number of emergency rooms is falling. Add this to the fact that, according to the Center for Disease Control and Prevention's recent publication, National Hospital Ambulatory Medical Care Survey: 2006 Emergency Department Summary, only 15.9 million out of 119 million visits to the emergency room in 2006 were urgent or emergent, and we...

Duration:00:12:59

The Psychology of Religious Violence and Terrorism

7/28/2008
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Host: Leslie P. Lundt, MD Guest: James W. Jones, PsyD, PhD, ThD Religious terrorism has become commonplace in our lifetime.  What causes a person to kill innocent strangers in the name of religion?  Our guest Dr. James Jones is uniquely qualified to address this question. Dr. Jones, a professor of religion and adjunct professor of clinical psychology at Rutgers University is an authority on comparative religion and a clinical psychologist. Host Dr. Leslie Lundt welcomes...

Duration:00:10:59

Can We Improve Outcomes With Sepsis Re-Education?

7/24/2008
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Host: Shira Johnson, MD Guest: Mitchell Levy, MD What is the impact of re-education on outcomes in sepsis in an ICU?  Host, Dr. Shira Johnson is joined by Dr. Mitchell Levy, professor of medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital, who discusses the "Surviving Sepsis Campaign."  Re-education of physicians and nurses in this global study had a remarkable impact on reducing mortality and...

Duration:00:12:28

Point of Care: Bedside Diagnostic Testing

7/17/2008
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Host: Shira Johnson, MD Guest: W. Frank Peacock, MD You are seeing a patient in your office on his first visit. How much more would you be able to tell this patient if you received his lab results just minutes after completing his physical? How would this prospect augment practice in an emergency department? Dr. W. Frank Peacock, chair of emergency preparedness at the Cleveland Clinic Foundation, speaks with host Dr. Shira Johnson about a simple idea that could mark an important...

Duration:00:12:59

Ethical Issues in a Pandemic: Social Justice

3/19/2008
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Host: Maurice Pickard, MD Guest: Nancy Berlinger, PhD Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, nonprofit, nonpartisan bioethics research institute located in Garrison, New York discusses how a pandemic will force the individual to think of him or herself as part of a larger society and the consequences of that shift. Efforts to deal with disparities in health care that already exist must be planned for in the context of public...

Duration:00:12:59

Ethical Pandemic Dilemmas: Resource Shortages

3/19/2008
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Host: Maurice Pickard, MD Guest: Nancy Berlinger, PhD Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, non-profit, non-partisan bioethics research institute, addresses ethical issues that might arise in a pandemic scenario, when resources could be in short supply. As an example, a shortage of ventilators could cause significant problems: how would this impact the role of first responders? Dr. Maurice Pickard hosts.

Duration:00:12:59

Persisting Depression Among Katrina Survivors

12/17/2007
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Host: Maurice Pickard, MD Guest: Sandro Galea, MD, DrPH, MPH Dr. Sandro Galea, associate professor of epidemiology at the University of Michigan School of Public Health, discusses the epidemiology of mood disorders among survivors of Hurricane Katrina along the U.S. Gulf Coast. According to Dr. Galea, early detection of stressors that are not being confronted, along with unmet expectations of disaster victims, both must be incorporated into disaster responses. Learn...

Duration:00:12:59

The Psychological First Aid Kit

9/18/2007
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Host: Paul Raeburn Guest: Jonathan Links, PhD When disaster strikes, there are often as many or more people who suffer psychological wounds than physical maladies. Join host Paul Raeburn as he talks with Dr. Jonathan Links, director of the Johns Hopkins Center for Public Health Preparedness, about a new tool for disaster preparedness: the psychological first aid kit.

Duration:00:12:33

Can PTSD be Mitigated?

9/13/2007
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Host: Larry Kaskel, MD Guest: Capt. Mimi Tompkins When disaster strikes the human body responds. Is there something we can do, at the scene, to delay or prevent the onset of PTSD? Host Dr. Larry Kaskel interviews Captain Mimi Tompkins, co-founder of the Air Line Pilot Association's (ALPA) Critical Incident Response Program, to discuss what physicians need to understand about the implications that a traumatic event has on the physical and psychological being of victims...

Duration:00:12:59

PTSD and First Aid for the Psyche

9/13/2007
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Host: Larry Kaskel, MD Guest: Capt. Mimi Tompkins Once a diagnosis associated with war heroes, now we've seen PTSD caused by various kinds of stressful emergencies. For Capt. Mimi Tompkins, her experience piloting and landing a 1988 Aloha Airlines flight after a large section of the roof ripped off at 24,000 feet led to a PTSD diagnosis. She has since spearheaded efforts to develop a standardized response to airline personnel following a disaster. She talks to host Dr. Larry Kaskel about...

Duration:00:15:24

Reacting to Trauma & Stress: Reliving the 1988 Aloha Airlines Disaster

9/13/2007
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Host: Larry Kaskel, MD Guest: Capt. Mimi Tompkins On April 28, 1988, an Aloha Airlines jetliner succumbed to an explosive decompression reaction during its climb to cruising altitude. The aircraft lost a 20-foot section of its upper forward fuselage. A senior flight attendant was swept to her death, even as First Officer Mimi Thompson worked to bring the severely crippled airplane to a miraculous safe landing. What happened physically, mentally and emotionally to...

Duration:00:13:17

Ethical Issues Arising in Natural Disasters

9/12/2007
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Host: Maurice Pickard, MD Guest: Michael Brannigan, PhD Dr. Maurie Pickard speaks with Dr. Michael Brannigan, Vice President of Clinical and Organizational Ethics at the Center for Practical Bioethics in Kansas City, about some of the ethical issues facing medical practitioners during natural disasters. These issues are approached from the macro (federal vs state), micro (doctor-patient relationship), institutional, and social levels of impact.

Duration:00:13:45

Planning for Personnel Management in a Disaster

9/7/2007
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Host: Shira Johnson, MD Guest: Linda Kruus, PhD Is your office or hospital really prepared for a disaster? Host Dr. Shira Johnson interviews Dr. Linda Kruus from Temple University on what you can learn from her study on who will show up to work and why they will do so in the event of a major disaster.

Duration:00:12:27

Preparing Trauma Surgeons for Disaster Scenarios

9/6/2007
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Host: Mark Nolan Hill, MD Guest: Donald Trunkey, MD Dr. Donald Trunkey, professor of surgery and former chair of surgery at Oregon Health and Science University, speaks about his international initiative to train trauma surgeons to be prepared for an array of disaster scenarios, from bullet wounds to nuclear terrorism. Dr. Mark Nolan Hill hosts.

Duration:00:12:59

History of Trauma Surgery

9/6/2007
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Host: Mark Nolan Hill, MD Guest: Donald Trunkey, MD Dr. Donald Trunkey, professor of surgery at Oregon Health and Science University, and an internationally renowned trauma surgeon, gives a historical perspective of trauma medicine from the 16th century to modern times. Dr. Mark Nolan Hill hosts.

Duration:00:12:59

Surviving Katrina: Recollections of a Hospital Crisis

9/4/2007
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Host: Michael Greenberg, MD Guest: Kristin Dascomb, MD, PhD  In the wake of Hurricane Katrina, Dr. Kristin Dascomb, a pediatrics resident in New Orleans at the time, found herself trapped in a flooding hospital with limited staff and a surplus of unevacuated patients. Dr. Dascomb recounts her personal experiences caring for the sick and wounded without aid of power, food, or water.

Duration:00:13:22

A Medical Resident's Experience Surviving Katrina

9/4/2007
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Host: Michael Greenberg, MD Guest: Kristin Dascomb, MD, PhD Host Dr. Michael Greenberg speaks with Dr. Kristin Dascomb, a pediatrics resident who was trapped in a New Orleans hospital during Hurricane Katrina. Dr. Dascomb recounts her experiences caring for the sick and wounded without aid of power, food, or water.

Duration:00:13:16

A New Weapon Against Bioterrorism

9/4/2007
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Host: Maurice Pickard, MD Guest: James Baker, MD Dr. James Baker discusses the development of a new vaccine against anthrax that could be absorbed through the nasal mucosa with host Dr. Maurice Pickard. Dr. Baker also explains that the unique utilization of nanoemulsions toward the design of this vaccine may also apply to the development of other vaccines.

Duration:00:12:59

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