National Medical Response to Mass Disasters in the United States: Are We Prepared?

Ernesto A. Pretto, Peter Safar

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Preparing for a resuscitation response to mass disasters, such as major earthquakes or industrial disasters, requires revisions of present local, regional, and national disaster plans. These should include the following: (1) life-supporting first aid and basic rescue capability of the lay public; (2) advanced trauma life support and advanced (heavy) rescue capability brought quickly to the scene from local and surrounding (regional) emergency medical services systems; and (3) trauma hospitals sending medical resuscitation teams to, and receiving casualties from, the disaster scene for resuscitative surgery and definitive care. Local and regional everyday emergency medical services systems would respond first. The armed forces should help, at least for transport and security. We propose that the National Disaster Medical System replace its civil defense model with an emergency medical services model, designed to mobilize rapid support for local emergency medical services systems from regional, state, and national resources. Coordination should be by one federal agency, such as the Federal Emergency Management Agency, which, however, needs to focus more on resuscitation through physician input.

Original languageEnglish (US)
Pages (from-to)1259-1262
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Volume266
Issue number9
DOIs
StatePublished - Sep 4 1991

ASJC Scopus subject areas

  • Medicine(all)

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