{"title":"Pre-Earthquake Vulnerability Assessment","authors":"R. Eldar, J. Adler","doi":"10.1017/S1049023X00028880","DOIUrl":"https://doi.org/10.1017/S1049023X00028880","url":null,"abstract":"Abstract Health planning for disasters builds on an awareness of ways in which the disaster affects health and on anticipation of tasks to be performed by the health sector. In view of the possibility of an earthquake of significant magnitude in Israel, and in the absence of previous earthquake experience, published data of earthquake health effects were studied, such as causes of death and injury, casualty rates and factors influencing these, distribution of injuries and their severity, effect on health care facilities and on physical, social and psychological environments. Implications of the studied data were applied to relevant conditions in Israel and to an earthquake there. A predisaster vulnerability assessment was thus obtained, pointing to the nature, size, and space and time distribution of tasks the health sector would be expected to perform should an earthquake occur in Israel. On the basis of this assessment some recommendations for the preparation and preparedness of the health sector for such an occurrence are submitted.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"280 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":"125733945","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":"Management of Heat Stroke Patients: A Study of three Years Experience","authors":"P. Safar","doi":"10.1017/S1049023X00029307","DOIUrl":"https://doi.org/10.1017/S1049023X00029307","url":null,"abstract":"The presentation is based on Heat Stroke Center at the city of Mena where a large number visit annu-ally as one of the Islamic holy places for pilgrimage (Hajj). Rituals are performed in a sandy valley with temperatures ranging from 30-50°C with relative humidity of 25 to 50%. Illnesses are presented as heat cramps, exhaustion or stroke. This last one is less common and characterized by hyperpirexia above 40°, anhydrosis and CNS disturbances from confu-sion to convulsions and coma. Being the most severe form of heat illness has high mortality rate. In our experience the predisposing factors have been confirmed as high temperature, humidity and excessive physical exertion among unaclimatized pil-grims who come from many different points not hav-ing such extreme conditions as those found in the pilgrimage holy places. Contributory unfavorable factors are related to overcrowded places, old age, obesity, diabetes mellitus and respiratory or cardiac disease.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"7 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":"125593033","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 Effects of Aeromedical Transport on the Survival of Burn Patients","authors":"F. Brown, Frank Freidman, M. Juric","doi":"10.1017/S1049023X00029265","DOIUrl":"https://doi.org/10.1017/S1049023X00029265","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"22 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":"130228662","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":"Resolutions Concerning Disaster Medicine and Nuclear War","authors":"","doi":"10.1017/s1049023x00032507","DOIUrl":"https://doi.org/10.1017/s1049023x00032507","url":null,"abstract":"The members of the World Association for Emergency and Disaster Medicine (WAEDM) (The Club of Mainz) have considered the medical consequences of a major nuclear war and would like to make the following recommendations to all relevant governments and powers, and their medical professions: 1. That disaster medical preparedness should be continued and developed for conventional wars, nuclear accidents and the single small nuclear bomb explosion (e.g., by accident or terrorism).","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"60 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":"127266029","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":"Ten Years of Obligatory Education of Life Support for Medical Students","authors":"B. Dworacek, J. F. V. Poorten, F. Rutten","doi":"10.1017/S1049023X00028818","DOIUrl":"https://doi.org/10.1017/S1049023X00028818","url":null,"abstract":"In 1979, Eisenberg et al. evaluated the survival rate after an out-of-hospital cardiac arrest in a population of approximately half a million people. It was concluded that the survival rate definitely depended on the time before the initiation of cardiopulmonary resuscitation (CPR) and the time the definitive care was received. Both were equally important. The time limits found were four minutes for initiation of CPR and eight minutes for definitive care.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"162 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":"127369089","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":"Compact Ventilators in Emergency Medicine","authors":"B. Dahlgren, H. Nilsson","doi":"10.1017/S1049023X00028673","DOIUrl":"https://doi.org/10.1017/S1049023X00028673","url":null,"abstract":"An increasing amount of medical equipment is brought to the scene of a medical emergency. Most of these apparatus seem to be only slightly modified versions of equipment originally designed to be used inside the hospital. This equipment has to function in various extreme environmental conditions.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"3 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":"129019054","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 Mega Code for Advanced Cardiac Life Support (ACLS): Training and Performance Evaluation","authors":"W. Kaye, A. Sladen, R. Stewart","doi":"10.1017/S1049023X00028806","DOIUrl":"https://doi.org/10.1017/S1049023X00028806","url":null,"abstract":"ACLS for cardiac arrest consists of basic life support, which includes mouth-to-mouth breathing and external chest compression; management of the airway with adjunctive equipment including intubation and ventilator support with supplemental oxygen; recognition of specific cardiac dysrhythmias and appropriate emergency therapy; electrical defibrillation and cardioversion; techniques for placement of intravenous lines; diagnosis of and therapy for acidbase abnormalities with particular emphasis on respiratory and metabolic acidosis; drug therapy during the pre-arrest phase, the cardiac arrest itself, and the period following resuscitation; and stabilization, to prevent cardio-respiratory arrest, and during the post-resuscitation period. In 1975, the American Heart Association developed an ACLS Training Program in which cognitive knowledge is presented at lectures and practical skills are taught and tested at several performance stations.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"1 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":"115659658","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":"International Military-Civilian Collaboration Potential for Disaster Aid in Latin America","authors":"C. D. V. Goyet","doi":"10.1017/S1049023X00032568","DOIUrl":"https://doi.org/10.1017/S1049023X00032568","url":null,"abstract":"Latin American and Caribbean countries have been affected by many natural disasters in past decades. Earthquakes caused in Peru (1970) approximately 70,000 deaths, in Nicaragua (1972) 5,000 deaths while destroying the capital, Managua, and in Guatemala (1976) 22,000. Hurricanes also wreak havoc: hurricane Fifi in Honduras (1974) with 10,000 deaths, hurricane David (1979), and hurricane Allen in Saint Lucia, Haiti and Jamaica (1980), have amply demonstrated the high vulnerability of these countries to emergency situations. These catastrophes and many other smaller ones required that all resources of the nation, governmental or private, military or civilian, be mobilized in a coordinated manner to meet the emergency needs of the population.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"59 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":"128379583","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}
J. Hobbhahn, F. Jesch, H. Vogel, C. Madler, K. Peter
{"title":"Total Blood Exchange with Pyridoxalated Polyhemoglobin","authors":"J. Hobbhahn, F. Jesch, H. Vogel, C. Madler, K. Peter","doi":"10.1017/S1049023X00028648","DOIUrl":"https://doi.org/10.1017/S1049023X00028648","url":null,"abstract":"There is a great clinical need for readily available volume replacement fluids with the property of oxygen transport. From the fluorocarbone emulsions only stromafree hemoglobin solutions seem to meet the essential requirements of oxygen transport and delivery at the tissue level. However, the high oxygen affinity and the short intravascular persistence have been preventing, up until now, the application of hemoglobin solutions for blood replacement. Recently, a modified hemoglobin solution with a decreased oxygen affinity and a long intravascular persistence, has been produced by binding pyridoxalphosphate to the hemoglobin and its subsequent crosslinking. The hemodynamics and oxygen unloading capacity of this pyridoxalated polyhemoglobin have been investigated in a model of total blood exchange.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"32 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":"114566361","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":"Anecdotes on Resuscitation Potentials Following the Earthquake of 1970 in Peru","authors":"P. Safar, V. Ramos, J. Mosquera, A. Ames","doi":"10.1017/S1049023X00028910","DOIUrl":"https://doi.org/10.1017/S1049023X00028910","url":null,"abstract":"Data on resuscitation potentials immediately following major earthquakes are lacking. Published reports have been unrevealing. Retrospective interviews of surviving eyewit esses might be more revealing. The epicenter of the last major Peruvian earthquake of May 30, 1970, was off the coast, but the damage included most of central Peru including the Andean Range. A total of 80,000 people were killed, including the entire population of Yungay (25,000), buried alive by several m of an ice-mud-rock avalanche which broke off Mt. Huascaran (22,000ft.). There, resuscitation potential was zero. In nearby Huaras (pop. 30,000, alt. 12,000 ft.), 15,000 died, 90% of houses were destroyed. Interviews with lay survivors gave unclear reports.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"166 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":"114929152","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}