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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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United States

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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?

Language:

English


Episodes

PAs Making an Impact in Disaster Medicine

7/6/2009
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Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Matt Baker, PhD, PA-C When disaster strikes, the first instinct of a medical professional is to jump in and help; however, that's not necessarily the best tactic. Dr. Matt Baker, dean of the school of science and health at the University of Philadelphia, joins host Lisa Dandrea Lenell to discuss volunteer options for PAs in the event of a local or national disaster. The two also discuss state licensing issues and educational opportunities...

Duration:00:14:59

A Physician’s Role in Providing Care in a Disaster

9/3/2008
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Host: John Armstrong, MD Guest: Ralph Shealy, MD We may one day find ourselves in a disaster scenario that far outstrips our normal capabilities of emergency response. In this circumstance, we may well find ourselves without imaging capabilities or lab results, while also lacking the possibility of consultation or referral. So how can we, as healthcare providers, persevere to create the best possible outcome? Dr. Ralph Shealy, co-director of the Disaster Preparedness and Response...

Duration:00:14:59

How You Can Take Part in Disaster Prep and Response

9/3/2008
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Host: John Armstrong, MD Guest: Ralph Shealy, MD There are many avenues for participation by healthcare professionals in disaster preparedness and larger-scale emergency response, but in a sense, many of us are unsure exactly where our areas of expertise would allow us to make a contribution in preparation for, and in response to, a disaster. Should we just accept that disaster will happen, and begin our preparations from there? If not, how and why should we facilitate broader...

Duration:00:12:59

Leading in Tragic Times: Disaster Life Support Training

9/3/2008
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Host: Bill Rutenberg, MD Guest: James J. James, MD, DrPH, MHA Where can a physician get disaster life support training, and what does it entail? Joining host Dr. Bill Rutenberg for a lively discussion of this novel concept is Dr. James James. A retired brigadier general, Dr. James is the director of the American Medical Association Center for Public Health Preparedness and Disaster Response. He is also the editor in chief of the journal Disaster Medicine and Public Health...

Duration:00:12:59

Limiting the Post-Disaster Spread of Disease

9/3/2008
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Host: Bill Rutenberg, MD Guest: James J. James, MD, DrPH, MHA The spread of communicable diseases is prevalent following disasters. Joining host Dr. Bill Rutenberg for a conversation of new recommendations for vaccine preparedness to protect disaster survivors is Dr. James James. Dr. James is the director of the American Medical Association Center for Public Health Preparedness and Disaster Response and editor-in-chief of the journal Disaster Medicine and Public Health Preparedness. 

Duration:00:12:59

State-Level Readiness for Pandemic Flu

9/2/2008
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Host: Susan Dolan, RN, JD Guest: Dave Gruber How are states addressing preparatory needs for a pandemic influenza outbreak? How does a state's preparedness dovetail with other state and federal efforts? Dave Gruber, senior assistant commissioner for the division of health infrastructure preparedness and emergency response for the state of New Jersey, evaluates key preparedness indicators to measure progress in your state. More specifically, Mr. Gruber looks at state-level movement toward...

Duration:00:12:59

A Review of the Basics of Pandemic Influenza

9/2/2008
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Host: Susan Dolan, RN, JD Guest: Dave Gruber It's been almost a century since the outbreak of Spanish flu in 1918, arguably our most significant struggle with pandemic influenza. Dave Gruber, senior assistant commissioner for the division of health infrastructure preparedness and emergency response for the state of New Jersey, briefly chronicles the breadth of our 20th century pandemic encounters, and examines how these events apply to our evolving understanding of the public health...

Duration:00:12:59

Nursing Home Readiness for a Flu Pandemic

8/28/2008
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Host: Mark Nolan Hill, MD Guest: Philip Smith, MD Guest: Lona Mody, MBBS A major disaster scenario in the United States would likely overwhelm acute care hospitals. Nursing homes present one alternative location for providing care. In the case of a pandemic influenza outbreak, are these care facilities prepared to handle an overflow of patients? From an ethical standpoint, are they obliged to extend their services to the population at large? Dr. Philip Smith, professor and chief of...

Duration:00:12:59

Pandemic Flu: How Could Nursing Homes Pitch In?

8/28/2008
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Host: Mark Nolan Hill, MD Guest: Philip Smith, MD Guest: Lona Mody, MBBS Providing healthcare in an influenza pandemic would likely bring an all-hands-on-deck approach. The staff at nursing homes and other care facilities would be enlisted to supply treatment to their own residents, likely in addition to outside patients requiring immediate assistance. How can nursing home institutions train their care providers for the specific demands of a pandemic flu scenario? What would be the...

Duration:00:13:27

The Science and Medicine of Blast Injury Care

8/21/2008
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Host: Shira Johnson, MD Guest: Mauricio Lynn, MD Blast injuries present a special set of medical issues. Dr. Mauricio Lynn, director of the Trauma Resuscitation Unit at Ryder Trauma Center at Jackson Memorial Hospital in Miami, discusses the science and medicine behind current strategies for blast injury treatment. From this perspective, Dr. Lynn shares nearly 20 years of military experience in the Israeli Defense Forces Medical Corps with host Dr. Shira Johnson.

Duration:00:12:59

Preparedness for an Explosive Devices Attack in the US

8/21/2008
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Host: Shira Johnson, MD Guest: Mauricio Lynn, MD The threat of explosive device attacks is an everyday reality in Isreal. Dr. Mauricio Lynn, associate professor of surgery at the University of Miami Miller School of Medicine and director of the Trauma Resuscitation Unit at the Ryder Trauma Center at Jackson Memorial Hospital in Miami, served in the Israeli Defenses Forces for 18 years. He talks with host Dr. Shira Johnson about our preparedness for an explosive device...

Duration:00:12:59

Radiation Disaster Response Protocol

8/14/2008
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Host: Shira Johnson, MD Guest: Edward Pombier Dr. Shira Johnson explores with Ed Pombier, director of the University of Miami Radiation Control Center at Jackson Memorial Hospital, the reality and the impact of a possible radiologic attack. Several years after September 11th, what do you really know about the aftermath of a dirty bomb? 

Duration:00:12:59

Physiologic Effects of Nerve Gas

8/11/2008
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Host: Shira Johnson, MD Guest: Richard Weisman, PharmD On March 20, 1995, a group of terrorists launched a chemical attack on the Tokyo Metro, one of the world's busiest commuter transport systems, at the peak of the morning rush hour. The chemical weapon was sarin nerve gas. What do we know about this weapon, its devastating impacts on the body, and how to treat its victims? Dr. Richard Weisman, research associate professor of pediatrics at the University of Miami Miller...

Duration:00:12:59

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 Dr....

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

Prognostic Indicators in Acute CHF

7/17/2008
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Host: Shira Johnson, MD Guest: W. Frank Peacock, MD Dr. W. Frank Peacock, vice chair in the Department of Emergency Medicine at the Cleveland Clinic Foundation, joins host Dr. Shira Johnson to discuss risk stratification after acute CHF. What does the first BNP really tell you? And what did the ADHERE trial discover about troponin and CHF?

Duration:00:12:59

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

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