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Article Out Loud – Hospitals Must Prepare Now for Future Contingencies

Whether responding to mass casualties from a nuclear blast or an attack by a single “Lone Wolf” shooter, hospital preparedness requires careful planning, effective coordination, and collaboration in the sharing of critical resources. Inter-hospital cooperation and training will almost always result in a better outcome than would be possible through

Hospitals Must Prepare Now for Future Contingencies

Considering the financial constraints already in place, and the likelihood that there will be continuing reductions in federal grant funds for preparedness, the challenge facing U.S. hospitals and other healthcare facilities to do more with less has perhaps never been greater. More specifically, in preparedness planning and operations, very few

Healthcare Reform: Major Effects on Hospital Preparedness

No matter what the Supreme Court decides on the constitutionality of the healthcare reform act, U.S. hospitals must prepare now for major changes in their planning, everyday operations, and both budgetary and personnel resources. Many of those changes may be costly. Most will be time-consuming and/or difficult to implement. But

Joplin & Irene Force Changes in Hospital Evac Plans

Article Out Loud Significant changes in hospital emergency planning have taken place since and largely because of Hurricane Katrina in 2005. Hospitals, along with nursing homes, have had their safety and security requirements strengthened by regulatory and/or accreditation agencies to ensure that their emergency plans take into account how they

Hospitals & Fire Departments: Three-Alarm Fires, MSH & Best-Practice Results

A major fire in one of the nation’s finest hospitals led quickly to: (a) the massive evacuation of almost 450 patients; and (b) numerous follow-up meetings to find out what had gone wrong and how to handle such incidents more quickly, and more effectively, in the future. The end result

Hospital Emergency Departments – Infectious Diseases: The First Line of Defense

Very few Emergency Departments in U.S. hospitals can cope with a major outbreak of infectious diseases. But there is much that could & should be done before an outbreak occurs. Improved communications between and among all major medical facilities in the same geographic area should be the first priority, along

Hospital Emergency Planning: Hospitals Qualify as Critical Infrastructure

How does one define “critical”? Far too often in today’s interconnected world, that important designation is awarded retrospectively – i.e., after a terroristic attack or major weather disaster. A credible case can be made, though, that major hospitals and other healthcare facilities deserve that description because of their intrinsic value

Hospital Surge Capacity – A Moving Target

The emergency rooms of most U.S. hospitals are often overcrowded even on a supposedly “slow” day. A mass-casualty incident makes the situation exponentially worse, creating a simultaneous demand for additional space, a larger staff, and more medical supplies. The last resort is usually the use of an alternate-care site –

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Article Out Loud – Five Key Domains of Incident Management

  Full article by Aaron Clark-Ginsberg, an Article Out Loud from Domestic Preparedness, July 10, 2024. In this feature article, a behavioral social scientist lists five key domains that can help incident management teams assess and improve their effectiveness. Effective incident management is a set of activities, not simply boxes

Article Out Loud – Jane Doe – Responding to Vulnerable Patients

  Full article by Catherine L. Feinman, an Article Out Loud from Domestic Preparedness, June 26, 2024. In this feature article, the editor of Domestic Preparedness shares the real-life story of a medical crew who responded to a call that left a lasting impression. Despite the prevalence of first responders

Article Out Loud – Invisible Chains: Human Trafficking, Drug Abuse, and Support

  Full article by Sandra Dennis-Essig, an Article Out Loud from Domestic Preparedness, June 19, 2024. In this feature article, an emergency manager collaborated with the New Jersey Coalition Against Human Trafficking as an advocate, speaker, and survivor to share trauma-informed care and advocacy that first responders, legislators, and others

Article Out Loud – Fentanyl Hazards and Detection

  Full article by Ashley Bradley and Kristin Omberg, an Article Out Loud from Domestic Preparedness, June 12, 2024. In this feature article, a biomedical scientist and a senior technical advisor share new ways scientists at Pacific Northwest National Laboratory are expanding detection strategies and technologies to keep responders safe. The

Article Out Loud – A Modern Take on an Age-Old Biological Weapon

  Full article by Raphael M. Barishansky, an Article Out Loud from Domestic Preparedness, June 12, 2024. In this feature article, a public health leader shares his perspective on the recent reports of North Korea launching balloons filled with fecal matter and propaganda into South Korea. Could similar tactics be

Article Out Loud – The Nexus Between Drug and Human Trafficking

  Full article by Richard Schoeberl, Jeff Bolettieri, and Bill Loucks, an Article Out Loud from Domestic Preparedness, June 5, 2024. In this feature article, three professionals with extensive law enforcement experience describe how transnational criminal organizations are using their experience in drug trafficking to utilize routes and operating procedures

Article Out Loud – A Plan to Protect the Youngest Children

  Full article by Marie O’Connell, an Article Out Loud from Domestic Preparedness, June 5, 2024. In this feature article, the executive director of a non-profit organization serving children and educators describes a safety program in Florida that is free to schools. Most educational and training programs for protecting schools

Article Out Loud – A Critical Imperative for Natural Hazards

  Full article by Sandra Dennis-Essig, an Article Out Loud from Domestic Preparedness, May 29, 2024. In this feature article, an emergency management professional describes how communities can take a comprehensive preparedness approach to mitigate the potentially devastating effects of natural hazards by integrating the intricate interrelations of physical, social,

Article Out Loud – Key Bridge Collapse: Unity of Effort

  Full article by Michael Prasad, an Article Out Loud from Domestic Preparedness, May 22, 2024. In this feature article, a Certified Emergency Manager and senior research analyst provides an update on the unity of effort involved in the Francis Scott Key Bridge collapse effort in Baltimore, Maryland. Together, many

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