{"title":"Appeal By the International Red Cross to the Second Special Session of the United Nations General Assembly Devoted to Disarmament","authors":"A. Hay, Ahmed Abu-Gura, Enrique de la Mata","doi":"10.1017/S0020860400068182","DOIUrl":"https://doi.org/10.1017/S0020860400068182","url":null,"abstract":"On the eve of the Second Special Session of the United Nations General Assembly which will be devoted to disarmament, the Presidents of the Standing Commission of the International Red Cross, of the International Committee of the Red Cross and of the League of Red Cross and Red Crescent Societies, consider it their duty to express the growing concern of the world Red Cross movement over the unprecedented escalation of the nuclear and conventional arms race. The following appeal expresses the spirit which has inspired the International Red Cross Movement throughout the 120 years of its humanitarian activities for mankind over which there looms today the threat of a catastrophe liable to dwarf any disaster recorded in human history.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1982-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128701535","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}
{"title":"A Review of Pulmonary Barotrauma in Scuba Diving Accidents","authors":"B. G. Mathew","doi":"10.1017/S1049023X00029034","DOIUrl":"https://doi.org/10.1017/S1049023X00029034","url":null,"abstract":"The increasing popularity of scuba diving as a sport necessitates that emergency personnel become familiar with medical diving problems. It is important to understand that pulmonary barotrauma can be sustained with an uncontrolled ascent of little more than 1 meter. This can occur under any circumstance in which compressed air is breathed under water. The most common is scuba diving or submarine escape training, but it may also be encountered when a person escapes from a submerged car or a child surfaces after breathing from an inverted bucket in a swimming pool. Two cases of pulmonary barotrauma are reported and the spectrum of presentation of this condition is discussed. Knowledge of this condition increases clinical awareness resulting in early diagnosis and effective treatment. It will be shown that it is better to over treat this condition, as the side effects of treatment are minimal and the results of failure to treat can be disastrous.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121272282","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}
{"title":"Military-Civilian Collaboration for Disaster Medicine in Israel (Discussion Comment)","authors":"Y. Adler","doi":"10.1017/S1049023X00032635","DOIUrl":"https://doi.org/10.1017/S1049023X00032635","url":null,"abstract":"The only organization presently capable of responding immediately to a mass casualty situation in peacetime in Israel would be the Israeli Defense Forces. They have available the necessary means, organization, trained manpower and equipment. If a state of emergency would be proclaimed in the state of Israel in case of a major earthquake or similar disaster, in any part of the country, the chief military commander would be in charge. His army would take command over that area. All the other civilian institutions concerned with the care of casualties, including fire fighting forces, police and hospitals, would come under his command. With the military in charge, the response would be much shorter. The chief military commander would proclaim a state of emergency if he feels that it is warranted.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123801777","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}
{"title":"The Medical Disaster Management Plan for the Rotterdam Harbor","authors":"H. N. Hart","doi":"10.1017/S1049023X00029782","DOIUrl":"https://doi.org/10.1017/S1049023X00029782","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126661464","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}
{"title":"The Effect of Anti-Shock Garments on Prehospital Survival: The Need for Controlled Clinical Trials","authors":"P. Pepe, W. H. Bickell, K. Mattox","doi":"10.1017/S1049023X00028703","DOIUrl":"https://doi.org/10.1017/S1049023X00028703","url":null,"abstract":"Abstract There exists strong sentiment, among emergency medical personnel and physicians alike, that the pneumatic anti-shock garment (PASG) “saves lives.” As a result, controlled studies have been criticized as the “withholding of important therapy.” The purpose of this presentation is to confirm the need for controlled clinical trials of the PASG. Despite an early report that the PASG offered no advantage in terms of the presenting emergency center Trauma Score (TS), similar disparagements have continued, particularly because survival data were not discussed. The present report is a pilot analysis of the effect of the PASG on the prehospital survival of patients arriving at an urban trauma center in the United States. In the study, sixty-eight patients were assigned randomly to control and PASG groups in a prospective investigation involving injured patients with systemic hypotension. The 32 control patients, whose mean initial systolic blood pressure (BP) was 59 ± 32 mm Hg, and the 36 PASG-treated patients, whose mean initial BP was 55 ± 31 mm Hg, were found to be well matched for age, sex, type and location of injuries, initial field TS; response, field management, and transport times; and the total amount of intravenous crystalloid infused. The results demonstrated no significant difference between the control and PASG-treated groups in terms of those pronounced dead on arrival at the trauma center (9/32 vs. 10/36). Further studies are therefore justified to determine how the PASG affects the long-term morbidity and mortality of injury victims, particularly those within certain sub-groups such as penetrating abdominal versus those with penetrating thoracic injuries. This report reaffirms the need for early responsible, scientific scrutiny of prehospital interventions.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115206335","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}
{"title":"A Major Train Accident Tests Contingency Plans and a Statewide EMS System","authors":"R. Cowley, W. Clark, A. Ramzy","doi":"10.1017/S1049023X00029216","DOIUrl":"https://doi.org/10.1017/S1049023X00029216","url":null,"abstract":"international cooperation is mandatory. The Japanese Association for Acute Medicine submitted the idea of the JMTDR to the Japanese government. The purpose of JMTDR is to dispatch medical relief teams immediately to disaster-stricken areas in the developing countries, mainly in Asia. The term \"disaster\" for JMTDR is limited to natural disasters. This idea was reported by the Ministry of Foreign Affairs at the Cabinet Meeting and was approved and authorized as one of the governmental organizations on March 5th, 1982. Since that time, Japan has sent the JMTDR to six countries, i.e., Ethiopia (Famine), Mexico (Earthquake), Columbia (Eruption of Nevado Del Ruiz and alluvion), Cameroon (Volcanic gas asphyxia), El Salvador (Earthquake), and Solomon (Cyclone). We analyzed the reports by the team leaders. Each complained of the lack of their own air transport capability. To use Self-Defence Airforce craft to overseas locations is not yet approved by the general public. This restrained us from carrying heavy equipment and vehicles and we were compelled to waste time and bear psychological burdens. In conclusion, however, JMTDR could help the exhausted local medical staffs in several occasions.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128989430","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}
{"title":"Prehospital Care for Patients with Head Injury and its Relevance to Post Traumatic Prognosis","authors":"G. Singbartl","doi":"10.1017/S1049023X00028995","DOIUrl":"https://doi.org/10.1017/S1049023X00028995","url":null,"abstract":"Head injury has been demonstrated to be one of the most important lesions in polytrauma patients and of very decisive relevance to the posttraumatic prognosis. Moreover, other lesions and their sequelae (e.g. shock, thorax trauma) are known to worsen the primary cerebral injury by causing secondary brain damage due to hypotension and hypoxemia. This study considers the influence of prehospital emergency care to the posttraumatic prognosis in severe head injuries.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124458713","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}
{"title":"Field Decontamination and Triage in Chemical Emergencies","authors":"C. Doyle","doi":"10.1017/S1049023X00028697","DOIUrl":"https://doi.org/10.1017/S1049023X00028697","url":null,"abstract":"Triage and rescue of casualties from accidents involving hazardous materials is a challenge for many emergency medical services (EMS) personnel. With very toxic materials, the untrained and unprepared rescuer may become a victim. In addition, few hospitals in the United States have decontamination units attached to their emergency departments and emergency department personnel may become exposed if the casualty is not decontaminated. Many environmental cleanup teams, including the U.S. Environmental Protection Agency (EPA) team, are well trained in materials handling but are not immediately available when a hazardous materials spill with personal injuries occurs.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128164350","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}
{"title":"Close Support Management of Mass Casualties in Counterterrorist Operations on an Aircraft","authors":"T. Moles","doi":"10.1017/S1049023X00029745","DOIUrl":"https://doi.org/10.1017/S1049023X00029745","url":null,"abstract":"the Stockholm region, Sweden. It concentrates on the activities of medical teams for first aid, sent to the site of a disaster from one or more of six emergency hospitals within the region. Each team consists of the surgeon and anesthetist on duty and three nurses with special training in emergency medicine, anesthesia or intensive care. The personnel leaving the hospital are replaced by other personnel in the hospital. All members of the team are equipped with special clothing such as an overall and warm underwear, helmet and boots, allowing outdoor work at the low temperatures frequently encountered in the Swedish winter. Doctors and nurses have special markings, so that they are easily recognized. All members of the teams carry personal medical equipment, adequate to administer first aid to 5 patients, among these 2 seriously injured. It is contained in a belt with four bags and a small rucksack. It is flexible and easily carried by the personnel. In addition, a mobile disaster unit is brought to the scene by the fire service.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125638186","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}
{"title":"The NAEMSP: A Source of a Physician Network for Major Incidents in the U.S.A.","authors":"P. Pepe, R. Fowler, R. Stewart","doi":"10.1017/S1049023X00029150","DOIUrl":"https://doi.org/10.1017/S1049023X00029150","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132224524","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}