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Resuscitation Potentials in Mass Disasters

Published online by Cambridge University Press:  28 June 2012

Peter Safar
Peter Safar
Affiliation:
Resuscitation Research Center, Department of Anesthesiology and Critical Care Medicine andPresbyterian-University Hospital University of Pittsburgh, Pittsburgh PA
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Mass disasters are events which overwhelm, damage or destroy local Emergency Medical Services (EMS) systems, and therefore need the response of a State or National Disaster Medical System (NDMS). Natural mass disasters include major earthquakes, floods, hurricanes and fires. Manmade mass disasters include major fires, industrial accidents, wars, and nuclear accidents. Mass disasters must be distinguished from “multicasualty incidents” (MCI), such as major transportation accidents, which the local EMS system should be able to handle, if necessary, with the assistance of surrounding (regional) EMS systems. Endemic-epidemic disasters (e.g., droughts, famines, infectious diseases, and refugee problems) are catastrophes which deserve separate considerations, as they require ongoing political-economic solutions.

Type
Papers from the Second International Assembly on Emergency Medical Services: Focus on Disasters, Baltimore, Maryland, April, 1986
Information
Prehospital and Disaster Medicine , Volume 2 , Issue 1-4: Contributions from the Second International Assembly on Emergency Medical Services-Focus on Disaster, Baltimore, Md., USA, 1986 and 4th World Congress on Emergency and Disaster Medicine Brighton, U.K. June, 1985 , 1986 , pp. 34 - 47
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1986

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References

REFERENCES

1.Frey, R: The Club of Mainz for improved worldwide emergency and critical care medicine systems and disaster preparedness. Crit Care Med 6:389, 1978.Google ScholarPubMed
2.Frey, R, Safar, P (Eds.): Proceedings of the First World Congress on Emergency and Disaster Medicine (Club of Mainz), Mainz, 1977. (Vol. 1) Types and Events of Disasters. Organization in Various Disaster Situations. (Vol. 2) Resuscitation and Life Support, Relief of Pain and Suffereing. Disaster Medicine, Heidelberg, Springer Verlag, 1980.Google Scholar
3.Safar, P (Ed.): Disaster Resuscitology. Proceedings of the Second World Congress on Emergency and Disaster Medicine (Club of Mainz), Pittsburgh, U.S.A., 1981. J World Assoc Emerg Disaster Med 1/Suppl I, 1985.Google Scholar
4.Safar, P, Kirimli, N, Agnes, A, et al. Anecdotes on resuscitation potentials following earthquake of 1980 in Italy. (Abstract). J World Assoc Emerg Disaster Med 1/4, 1985.Google Scholar
5.Safar, P, Ramos, V, Mosquera, J, et al. Anecdotes on resuscitation potentials following the earthquake of 1970 in Peru. (Abstract). J World Assoc Emerg Disaster Med 1/4, 1985.Google Scholar
6.Burkle, FM Jr, Sanner, PH, Wolcott, BW (Eds.): Disaster Medicine. New York, Medical Examination Publ., 1984.Google Scholar
7.Manni, C, Paderni, S: The earthquake in Italy in 1980. J World Assoc Emerg Disaster Med 1/Suppl 1:412, 1985.Google Scholar
8.Safar, P (Ed.): Military and Disaster Medicine. J World Assoc Emerg Disaster Med 1/1, 1985.CrossRefGoogle Scholar
9.Whelan, TJ: Who is the civilian-military contingency hospital system patient? Symposium Proceedings “The Role of the Health Professional in Medical Readiness,” July 1983. McLean, VA, Maximus Publ. 1983 (for Naval Postgraduate School, Monterey, CA).Google Scholar
10.Bellamy, RF: The causes of death in conventional warfare—implications for combat casualty care research. Milit Med 149:55, 1984.CrossRefGoogle ScholarPubMed
11.Lown, B: Physicians and nuclear war. (a) N Engl J Med 246:2331, 1981. (b) J World Assoc Emerg Disaster Med 1:8, 1985.Google ScholarPubMed
12.Chazov, El: Nuclear war, the ultimate disaster. J World Assoc Emerg Disaster Med 1/1:5, 1985.CrossRefGoogle Scholar
13.World Health Organization (WHO): Reports and resolutions concerning emergency medical services, nuclear war, etc. WHO, Ave Appia, 12H Geneva 27, Switzerland.Google Scholar
14.World Association for Emergency and Disaster Medicine (WAEDM): Resolutions concerning disaster medicine and nuclear war. J World Assoc Emerg Disaster Med 1/1:15, 1985 (Amsterdam, Elsevier Publ.).CrossRefGoogle Scholar
15.Safar, P: Prevention of nuclear war and disaster preparedness. J World Assoc Emerg Disaster Med 1/1:18, 1985.CrossRefGoogle Scholar
16.Safar, P, Bircher, N: Cardiopulmonary-Cerebral Resuscitation. An Introduction to Resuscitation Medicine. Prepared for the World Federation of Societies of Anaesthesiologists. Stavanger, A. Laerdal Publ.; London-Philadelphia-Toronto, W.B. Saunders Publ., 1987 (3rd edition).Google Scholar
17.Seeley, S: Accidental death and disability: the neglected disease of modern society. Committee on Trauma and Committee on Shock, Division of Medical Sciences, 1966. National Academy of Sciences, 1966. National Academy of Sciences, National Research Council, 2101 Constitution Ave.,Washington, D.C., U.S.A., 20418.Google Scholar
18.American Society of Anesthesiologists, Committee on Acute Medicine (Safar, P. Chairman): Community-wide emergency medical services. J Amer Med Assoc 204:595, 1968.Google Scholar
19.Cowley, RA: The total emergency medical system for the State of Maryland, Maryland State Med J, July 1975.Google ScholarPubMed
20.Cowley, RA, Hudson, F, Canlon, E, et al. An economical, improved helicopter program for transporting emergency, critically ill injured patients in Maryland. J Trauma 13/12:1029, 1973.CrossRefGoogle Scholar
21.MacKenzie, C, Shin, B, Fisher, R, et al. Two-year mortality and 760 patients transported by helicopter direct from road accident scene. American Surgeon 45:101, 1979.Google ScholarPubMed
22.Cowley, RA: The resuscitation and stabilization of major multiple trauma patients in a trauma center environment. Clinical Medicine 83:14, 1976.Google Scholar
23.Frey, R, Nagel, E, Safar, P (Eds.): Mobile intensive care units. Advanced emergency care delivery systems. Symposium Mainz 1973. Anesthesiology and Resuscitation Vol. 95. Heidelberg, Springer Verlag, 1976.CrossRefGoogle Scholar
24.Pantridge, JF, Geddes, JS: A mobile intensive care unit in the management of myocardial infarction. Lancet 11:271, 1967.CrossRefGoogle Scholar
25.National Academy of Sciences/National Research Council: Medical requirements for ambulance design and equipment (P Safar, Past 15. Co-Chairman). NRC, 2101 Constitution Ave, Washington, D.C., September 1968.Google Scholar
26a.Safar, P, Brose, RA: Ambulance design and equipment for resuscitation. Arch Surg 90:343, 1965.CrossRefGoogle ScholarPubMed
26b.Safar, P, Espsito, G, Benson, DM: Ambulance design and equipment for mobile intensive care. Arch Surg 102:163, 1971.CrossRefGoogle ScholarPubMed
27.Safar, P, Esposito, G, Benson, DM: Emergency medical technicians as allied health professionals. Anesth Analg 51:27, 1972.CrossRefGoogle ScholarPubMed
28.Caroline, NL: Emergency Care in the Streets. Boston, Little Brown Publ., 1979, 1983, 1986.Google Scholar
29.Cobb, LA, Werner, JA, Trobaugh, GB: Sudden cardiac death. A decade's experience with out of hospital resuscitation. Modern Concepts of Cardiovasc Dis (Am Heart Assoc) 49/6,7:1,37, 1980.Google ScholarPubMed
30.Eisenberg, MS, Hallstrom, A, Bergner, L: Long-term survival after out-of-hospital cardiac arrest. N Engl J Med 306:1340, 1982.CrossRefGoogle ScholarPubMed
31.Roth, R, Stewart, RD, Rogers, K, et al. Out-of-hospital cardiac arrest: factors associated with survival. Ann Emerg Med 13:237, 1984.CrossRefGoogle ScholarPubMed
32.Benson, DM, Stewart, C: Inadequacy of prehospital emergency care, comparison of transportation modes. Crit Care Med 1:130, 1973.CrossRefGoogle Scholar
33.Fitts, WT, Lehr, HB, Bitner, RL, et al. An analysis of 950 fatal injuries. Surgery 56:663, 1964.Google ScholarPubMed
34.Becker, DP, Miller, JD, Ward, JD, et al. The outcome from severe head injury with early diagnosis and intensive management. J Neurosurg 47:491, 1977.CrossRefGoogle ScholarPubMed
35.Bruce, DA, Gennarelli, TA, Langfitt, TW: Resuscitation from coma due to head injury. Crit Care Med 6:254, 1978.CrossRefGoogle ScholarPubMed
36.Marshall, LF, Smith, RW, Shapiro, HM: The outcome with aggressive treatment in severe head injuries. II. Acute and chronic barbiturate administration in the management of head injury. J Neurosurg 50;26, 1979.CrossRefGoogle ScholarPubMed
37.Negovsky, VA, Gurvitch, AM, Zolotokrylina, ES: Postresuscitation Disease. Amsterdam, Elsevier Publ., 1983.Google Scholar
38.Kirimli, B, Kampschulte, S, Safar, P: Resuscitation from cardiac arrest due to exsanguination. Surg Gynecol Obstet 129:89, 1969.Google ScholarPubMed
39.Torpey, DJ: Resuscitation and anesthetic management of casualties. J Amer Med Assoc 202:955, 1967.CrossRefGoogle ScholarPubMed
40.American Academy of Orthopedic Surgeons: Manual on Emergency Care and Transportation of the Sick and Injured. Chicago, IL, AAOS Publ. (430 N. Michigan Ave, Chicago, IL 60611), 1971; 1986.Google Scholar
41.American College of Surgeons Committee on Trauma (Collicott, PE, et al): Advanced Trauma Life Support Course for Physicians, 1984. American College of Surgeons, 55 East Erie Street, Chicago, IL, 60611, U.S.A.Google Scholar
42.Star, LD, Abelson, LC, DelGuercio, LRM, et al. Mobilization for trauma teams for aircraft disasters. Aviation Space and Environmental Med 51/11:1261, 1980.Google ScholarPubMed
43.Adler, J (Ed.): Proceedings International Symposium on Disaster Medicine, Jerusalem, Israel, 1984. International publication (J.A., Share-Zedek Hospital, Jerusalem, Israel).Google Scholar
44.Safar, P: The mechanisms of dying and their reversal. In, Principles and Practice of Emergency Medicine. Schwartz, G, Safar, P, Stone, J, et al (Eds.) Philadelphia, W.B. Saunders Publ., (1978), 1986. Chapter 1.Google Scholar
45.Cowley, RA, Trump, BF (Eds.): Pathophysiology of Shock, Anoxia, and Ischemia. Baltimore, Williams and Wilkins Publ., 1981.Google Scholar
46.Shoemaker, WC: Pathophysiology and therapy of shock syndromes. In, Textbook of Critical-Care. Shoemaker, WC, Thompson, WL, Holbrook, PR (Eds.). Philadelphia, W.B. Saunders Publ., 1984, p. 52. Chapter 11.Google Scholar
47.Cowley, RA, Dunham, CM: Shock Trauma/Critical Care Manual. Initial Assessment and Management. Baltimore, University Park Press, 1982.Google Scholar
48.Trunkey, DD, Lewis, FR: Current Therapy of Trauma 1984–1985. Philadelphia, B.C. Decker Publ., 1984.Google Scholar
49.Hayes, RL, Pechura, CM, Becker, DP: A head injury animal model: physiological studies of mechanical brain injury in the cat. J World Assoc Emerg Disaster Med 1/Suppl 1:6, 1985.Google Scholar
50.Kaplan, BC, Civetta, JM, Nagel, EL, et al. The military anti-shock trouser in civilian pre-hospital emergency care. J Trauma 13:843, 1973.CrossRefGoogle ScholarPubMed
51.Sassano, J: The rapid infusion system. In, Hepatic Transplantation: Anesthetic and Perioperative Management. Winter, PM, Kang, YG (Eds.). Philadelphia, Praeger Publ., 1986.Google Scholar
52.Safar, P, Abramson, NA, Bircher, N, et al. Openchest CPR or emergency cardiopulmonary 40. bypass for resuscitation from cardiac arrest. A review. J Amer Med Assoc, submitted. (See also Pretto et al, and Levine et al, Ann Emerg Med, in press).Google Scholar
53.Bar-Joseph, G, Safar, P, Stezoski, SW, et al. Stroma-free hemoglobin, hydroxyethyl starch, lactated Ringers, or blood, for severe prolonged hemorrhagic shock in monkeys. (Abstract). Crit Care Med 11:219, 1983.CrossRefGoogle Scholar
54.Takaori, M, Safar, P: Treatment of massive hemorrhage with colloid and crystalloid solution. J Amer Med Assoc 199:297, 1967.CrossRefGoogle Scholar
55.Maningas, PA, DeGuzman, LR, Hinson, CS, et al. Use of 7.5% NaCl/6% Dextran 70 for treatment of severe hemorrhagic shock in swine. (Abstract #53). Ann Emerg Med 15/5:632, 1986.CrossRefGoogle Scholar
56.Wald, N: Radiation injury. In, Cecil Textbook of Medicine, Chapter 520. Philadelphia, W.B. Saunders Publ., 1982, p. 2228.Google Scholar
57.MacLeod, GK: The Three Mile Island (TMI) Accident. J World Assoc Emerg Disaster Med 1/Suppl 1:398, 1985.Google Scholar
58. Editorial: Chernobyl, U.S.S.R. Lancet, June 7, 1986, p. 1321.CrossRefGoogle Scholar
59.Villazon, A: The Mexico City earthquake of 1985, an international disaster. J World Assoc Emerg Disaster Med 2/1–4, 1986.Google Scholar
60.Silverstein, M, Safar, P (Co-Chm.): Questions for military medicine. In, Maintain Life on Earth. 6th World Congress of the International Physicians for the Prevention of Nuclear War. Bonhoeffer, K, Gerecke, D (Eds.). Neckarsulm, WG, Jungjohann Verlag, 1986.Google Scholar
61.Switzerland's Civilian Defense Office: The civilian defense system of Switzerland. J World Assoc Emerg Disaster Med 1/1:12, 1985.CrossRefGoogle Scholar
62.Leaning, J, Keyes, L (Eds.): The Counterfeit Ark: Crisis Relocation for Nuclear War. Cambridge, Ballinger Publishing Company, 1984.Google Scholar
63.Bonhoeffer, K, Gerecke, D (Eds.): Maintain Life on Earth. 6th World Congress of the International Physicians for the Prevention of Nuclear War. Neckarsulm, WG, Jungjohann Verlag, 1986.Google Scholar
64.Safar, P (Chm.): Emergency and disaster medicine, civil defense, and nuclear war. In, Maintain Life on Earth. 6th World Congress of the International Physicians for the Prevention of Nuclear War. Bonhoeffer, K, Gerecke, D (Eds.) Neckarsulm, WG, Jungjohann Verlag, 1986.Google Scholar
65.Safar, P (Chm.): Prescriptions against roots of wars. In, Maintain Life on Earth. 6th World Congress of the International Physicians for the Prevention of Nuclear War. Bonhoeffer, K, Gerecke, D (Eds.). Neckarsulm, WG, Jungjohann Verlag, 1986.Google Scholar
66.Silverstein, ME: The national disaster medical system (NDMS) planning for the U.S.A. J World Assoc Emerg Disaster Med 1/1:39, 1985.CrossRefGoogle Scholar
67.Mahoney, LE, Esch, VH: The national disaster medical system. Emergency Medical Services 15/5:13, 1986.Google ScholarPubMed
68.Bisgard, JC, Mullaly, CF: The civilian-military contingency hospital system (CMCHS) in the U.S.A. J World Assoc Emerg Disaster Med 1/1:35, 1985.CrossRefGoogle Scholar