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Journal of the World Association for Emergency and Disaster Medicine最新文献

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Military-Civilian Collaboration for Disaster Medicine in Canada (Discussion Comment) 加拿大灾难医学军民合作(讨论评论)
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032647
Barry Armstrong
{"title":"Military-Civilian Collaboration for Disaster Medicine in Canada (Discussion Comment)","authors":"Barry Armstrong","doi":"10.1017/S1049023X00032647","DOIUrl":"https://doi.org/10.1017/S1049023X00032647","url":null,"abstract":"Besides defense, a military organization can protect a country in two ways: (1) Ensure the integrity of a country despite internal disasters and disturbances; military aid can have a humanitarian role. (2) International responsibilities. The Canadian Forces participate in peacekeeping and disaster relief all over the globe. This international military job results in increased prestige for Canada and security for Canadians.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130649297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
National Disaster Medical System (NDMS) Planning for the USA: A Unique Opportunity for the Peaceful use of Military Assets 美国国家灾害医疗系统(NDMS)规划:和平利用军事资产的独特机会
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032672
M. Silverstein
{"title":"National Disaster Medical System (NDMS) Planning for the USA: A Unique Opportunity for the Peaceful use of Military Assets","authors":"M. Silverstein","doi":"10.1017/S1049023X00032672","DOIUrl":"https://doi.org/10.1017/S1049023X00032672","url":null,"abstract":"Magnitude and Configuration of Disasters. The increasing number of disasters and consequent casualties in an era of growing sophistication of care for the emergency patient mandates a systematized disaster response utilizing all of a nation's resources in optimum fashion. Life in the second half of this century has grown more complicated and in so doing has laid the basis for more complex disasters. Larger groups of people are vulnerable to individual catastrophic events. Population increases and sociopolitical alterations have accelerated the trend toward the establishment of residential and industrial centers in areas subject to natural disasters. Societal and political pressures are increasing tensions, producing ever more disasters along a broad spectrum, ranging from isolated terrorist events through low intensity conflict to limited conventional warfare. Perhaps most important, our increasingly technological society has not only contributed significantly to the menu of conflicts but has brought a variety of new transportation and industrial hazards to the ordinary course of life.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117159401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Civilian Emergency Hospital Plans for Conventional War in Sweden 瑞典民用急救医院常规战争计划
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X0003260X
K. Norberg, B. Brismar
{"title":"Civilian Emergency Hospital Plans for Conventional War in Sweden","authors":"K. Norberg, B. Brismar","doi":"10.1017/S1049023X0003260X","DOIUrl":"https://doi.org/10.1017/S1049023X0003260X","url":null,"abstract":"In war a large number of military and civilian wounded and injured patients, and patients with disease, will increase the strain on the system of medical care. The expected distribution of injured in a conventional war can be estimated on the basis of previous war experiences, especially from World War II (1), the Korean war (5), the Vietnam war (7, 8), and the Arab-Israel wars (3). Corresponding figures for the civilian population are less readily accessible. Statistical data from previous wars as well as expected weapon development can be compared with data from various peacetime accidents and disasters. Thus, the expected distribution of injuries can be estimated (Table 1) (7).","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129930282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Helicopter Ambulance Missions in Stockholm, Sweden 瑞典斯德哥尔摩的直升机救护任务
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032738
B. Brismar, A. Alveryd
{"title":"Helicopter Ambulance Missions in Stockholm, Sweden","authors":"B. Brismar, A. Alveryd","doi":"10.1017/S1049023X00032738","DOIUrl":"https://doi.org/10.1017/S1049023X00032738","url":null,"abstract":"In the county of Stockholm with 2 million inhabitants and an area of 6,500 km2 , a trial project with a helicopter ambulance, staffed by physicians, was carried out during the summer seasons of 1978 to 1980. A total of 507 missions were accomplished. The Trial Project. During the summer a large number of tourists visit the Stockholm archipelago. For these people there is a problem in the event of acute illness or accident to get qualified medical care without delay. A Bell 206 Long Ranger was based at Barkarby airport just outside the city of Stockholm. This was manned by doctors, ambulance personnel and a pilot, and was supplied with an emergency kit, intubation equipment, a portable ECG apparatus and a defibrillator.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124879482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long Distance Casualty Transportation and Treatment in the Vietnam War 越南战争中的远距离伤员运输和治疗
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032714
A. B. Tarrow
{"title":"Long Distance Casualty Transportation and Treatment in the Vietnam War","authors":"A. B. Tarrow","doi":"10.1017/S1049023X00032714","DOIUrl":"https://doi.org/10.1017/S1049023X00032714","url":null,"abstract":"At the beginning of many of its armed conflicts, the United States has found itself unprepared for large numbers of casualties. The Vietnam War was no exception. In August 1965, Marines landed at Chu Lai, just south of Danang in South Vietnam, for their first major unit combat effort. They suffered more casualties than anticipated. They were cared for by Navy physicians and corpsmen in the combat area and then flown by helicopter to the Danang airbase. There, they were further triaged in a small field hospital, which quickly became saturated with those casualties which could not be moved. Those less seriously wounded and those who could be made transportable were flown directly to Clark Airforce Base in the Philippines by C130 combat aircraft, a flight of approximately 3 hours. They arrived unwashed, in their combat gear, with weapons on the litters. A C130 aircraft carries 72 litter casualties when fully loaded. At Clark AFB, after word had been received of the combat action, all patients, who could be discharged, were sent out. All personnel at the base, including wives and dependents, were mobilized to help at the hospital. They washed and moved the casualties as they arrived.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115950047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physicians Must Confront the Increasing Threat of Nuclear War 医生必须面对日益增长的核战争威胁
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032477
B. Lown
{"title":"Physicians Must Confront the Increasing Threat of Nuclear War","authors":"B. Lown","doi":"10.1017/S1049023X00032477","DOIUrl":"https://doi.org/10.1017/S1049023X00032477","url":null,"abstract":"This is an age of unprecedented uncertainty. Life is now perilously posed at the precipice of history. Never before has man possessed the destructive resources to make this planet uninhabitable. Having unlocked the Pandora's box of the atom, a new dimension has been provided to our potential for self-annihilation. An objective assessment indicates no vital national interest that would justify nuclear war. Nonetheless, the nuclear arms race is ever accelerating.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127336676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Military-Civilian Collaboration in Disaster Medicine 社论:灾难医学中的军民合作
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032453
P. Safar
{"title":"Editorial: Military-Civilian Collaboration in Disaster Medicine","authors":"P. Safar","doi":"10.1017/S1049023X00032453","DOIUrl":"https://doi.org/10.1017/S1049023X00032453","url":null,"abstract":"This is an editorial comment for Volume 1, Number 1. Medical disasters are “events in which the number of acutely ill or injured persons exceeds the capacity of the local emergency medical services (EMS) system to provide basic and advanced medical care according to prevalent regional standards.” There are multi-casualty incidents, such as transportation accidents, in which the local EMS system is overwhelmed; mass disasters, such as major earthquakes and wars, in which the local EMS system is severely damaged; and endemic disasters, such as combinations of famine, epidemics and revolutions which often occur in world regions without EMS systems. Nuclear war has become recognized as the “ultimate disaster” which is beyond disaster medicine systems' capacities to save lives. Military medicine, however, which is organized for “conventional” war, offers the maximal life-saving potential for mass disasters in peace time.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123188632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Medical Attendance in Air Transportation of Patients 空运病人的医疗护理
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032751
P. Dürner, R. Frey, M. Kassuhlke
{"title":"Medical Attendance in Air Transportation of Patients","authors":"P. Dürner, R. Frey, M. Kassuhlke","doi":"10.1017/S1049023X00032751","DOIUrl":"https://doi.org/10.1017/S1049023X00032751","url":null,"abstract":"Summary Air transportation missions of seriously ill or injured patients are subdivided into rescue missions and medical evacuation missions. In 1981, for rescue missions, 29 stationed rescue helicopters were available with an operation radius of 50 km. Their task consisted of securing the primary care for vital risk patients as soon as possible. Medical evacuation missions were realized by helicopter, ambulance aircraft, and airliner. Before take-off a medical briefing was held to diminish the transport-trauma. Patients with cardiopulmonary insufficiency are at risk as simultaneous appearance of acceleration, climbing rate, falling cabin pressure and emotional stress may produce serious complications. Additional education of the medical crew is required.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"25 12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121077998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Cooperation Between Developing and Industrialized Countries in Disaster Relief 发展中国家与工业化国家救灾合作
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X00032593
Jürgen Weyand
{"title":"Cooperation Between Developing and Industrialized Countries in Disaster Relief","authors":"Jürgen Weyand","doi":"10.1017/S1049023X00032593","DOIUrl":"https://doi.org/10.1017/S1049023X00032593","url":null,"abstract":"A disaster may be defined, for this paper, as “a situation in which an urgent need arises for international assistance to relieve humansuffering.” Disasters are frequently divided into manmade and natural disasters. Many so-called natural disasters have, however, a considerable manmade component in their etiology. The number of people vulnerable to the effects of disasters is increasing, and in the future disasters affecting human beings are likely to occur with greater frequency and severity, Full account must also be taken of the effects of a rapidly expanding world population, of advances in science and technology, and of economic and ecological factors.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127130488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physician-Staffed Helicopter Ambulance Service in Norway 挪威配备医生的直升机救护服务
Journal of the World Association for Emergency and Disaster Medicine Pub Date : 1985-03-01 DOI: 10.1017/S1049023X0003274X
J. Moe, Erling W. Skole
{"title":"Physician-Staffed Helicopter Ambulance Service in Norway","authors":"J. Moe, Erling W. Skole","doi":"10.1017/S1049023X0003274X","DOIUrl":"https://doi.org/10.1017/S1049023X0003274X","url":null,"abstract":"There are high mountains around Oslo, which is located at the foot of the Oslo Fjord. The winter is rough, with snowstorms and secondary roads often closed, and people often ski long distances. Avalanches have buried many people. We started a physician-staffed ambulance helicopter service on June 1, 1978 out of the Central Hospital of Akershus, Oslo, primarily to get a physician to the scene as soon as possible. The helicopter is on alert 24 h a day and can take off in 2 min in the daytime and 15 min at night. In 86% of the cases, the helicopter can land within 50 m of the patient. At night, the landing places have to be more secure. The helicopter is a Bolkow BO 105, which can carry 2 patients, 1 pilot, 1 rescuer or paramedic, and 1 physician. In case of an accident on a lake, the paramedic is a frogman and in case of an avalanche we take a specially trained dog along. The pilot has vase experience with helicopter duty, and the paramedic has good medical and rescue experience. The physician has to be a specialist in emergency medicine and is usually an anesthesiologist. The team is always on duty at the hospital where the helicopter is stationed, only 100 m from the emergency entrance of the hospital.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"243 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133671046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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