Academic literature on the topic 'Disaster medicine – United States – Planning'

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Journal articles on the topic "Disaster medicine – United States – Planning"

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Feldstein, Bruce. "Emergency Medicine in the United States. Role in Disaster Planning and Management." Prehospital and Disaster Medicine 1, no. 3 (1985): 272–75. http://dx.doi.org/10.1017/s1049023x00065821.

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International organizations such as the World Association for Emergency and Disaster Medicine (Club of Mainz) have brought attention to the need for improved worldwide emergency medical services (EMS) systems and disaster preparedness (1). Similar concerns in the United States (US) for improved emergency medical care have resulted in the organization of emergency medicine as a new medical specialty (2). The practice of this specialty of medicine in some ways differs from the practice of emergency medicine, reanimation medicine, or resuscitology, in Europe. In the United States, emergency medicine specialists provide emergency care for the full range of emergency health conditions, including accidents and trauma, medical emergencies, toxicologic emergencies, psychiatric and social emergencies, and disasters. This care is provided primarily in hospital emergency departments and includes the immediate initial recognition, evaluation, treatment and disposition of these patients with acute illness and injury. For continuing care, patients are referred to their own physicians.Emergency medicine physicians provide medical direction for community EMS and supervise the prehospital emergency medical care provided by non-physicians (emergency medical technicians and paramedics). Emergency physicians engage in the administration, research and teaching of all aspects of emergency medical care. They also provide consultation to governmental and nongovernmental organizations on emergency health care issues. Recently, with the basic framework of emergency medicine established, attention is being given to disaster planning and management.
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Sarin, Ritu R., Paul Biddinger, John Brown, Jonathan L. Burstein, Frederick M. Burkle, Douglas Char, Gregory Ciottone, et al. "Core Disaster Medicine Education (CDME) for Emergency Medicine Residents in the United States." Prehospital and Disaster Medicine 34, no. 05 (August 28, 2019): 473–80. http://dx.doi.org/10.1017/s1049023x19004746.

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AbstractObjectives:Disaster Medicine (DM) education for Emergency Medicine (EM) residents is highly variable due to time constraints, competing priorities, and program expertise. The investigators’ aim was to define and prioritize DM core competencies for EM residency programs through consensus opinion of experts and EM professional organization representatives.Methods:Investigators utilized a modified Delphi methodology to generate a recommended, prioritized core curriculum of 40 DM educational topics for EM residencies.Results:The DM topics recommended and outlined for inclusion in EM residency training included: patient triage in disasters, surge capacity, introduction to disaster nomenclature, blast injuries, hospital disaster mitigation, preparedness, planning and response, hospital response to chemical mass-casualty incident (MCI), decontamination indications and issues, trauma MCI, disaster exercises and training, biological agents, personal protective equipment, and hospital response to radiation MCI.Conclusions:This expert-consensus-driven, prioritized ranking of DM topics may serve as the core curriculum for US EM residency programs.
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Quarantelli, E. L. "Disaster Preparedness." Prehospital and Disaster Medicine 1, S1 (1985): 118–21. http://dx.doi.org/10.1017/s1049023x0004406x.

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The 1973 Emergency Medical Services System Act in the United States mandates that one of the 15 functions to be performed by every EMS system is coordinated disaster planning. Implicit in the legislation is the assumption that everyday emergency medical service (EMS) systems will be the basis for the provisions of EMS in extraordinary mass emergencies, or in the language of the act, during “mass casualties, natural disasters or national emergencies.” Policy interpretations of the Act specified that the EMS system must have links to local, regional and state disaster plans and must participate in biannual disaster plan exercises. Thus, the newly established EMS systems have been faced with both planning for, as well as providing services in large-scale disasters.
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Corneil, D. Wayne. "The Psycho-Social Needs of Health Professionals Providing On-Scene Disaster Care." Prehospital and Disaster Medicine 6, no. 4 (December 1991): 485–87. http://dx.doi.org/10.1017/s1049023x00039054.

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As evidenced in a number of recent disasters, there appears to be an increasing trend, for health care professionals to leave the confines of the hospital to provide on-scene care. This trend may be due to a number of recommendations from a variety of sources such as the National Disaster Medical System, the implementation of the United States Military Disaster Response, Federal Aviation Administration (FAA) recommended airport disaster plans, trends in community disaster planning, and Emergency Medical Services practice.
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Hashikawa, Andrew, Stuart Bradin, and Michael Ambrose. "Review of Disaster and Emergency Preparedness Among Summer Camps in the United States: Updates and Challenges." Prehospital and Disaster Medicine 34, s1 (May 2019): s61. http://dx.doi.org/10.1017/s1049023x19001377.

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Introduction:More than 14 million children in the United States attend summer camps yearly, including many special medical needs children. Summer camps are at risk for multiple pediatric casualties during a disaster. The American Camp Association, in the 2017 critical issues report, identified emergency preparedness as the top critical health and safety issue. Camps, compared to school-based settings, face unique challenges when planning for disasters, but research has been challenging because of the lack of access to camp leadership and data.Aim:Provide a targeted up-to-date synopsis on the current state of disaster preparedness and ongoing collaborative research and technology interventions for improving preparedness among summer camps.Methods:Researchers partnered with a national health records system (CampDoc.com) and American Academy of Pediatrics disaster experts to review results from a national camp survey. Main themes were identified to assess gaps and develop strategies for improving disaster preparedness.Results:169 camps responses were received from national camp leadership. A substantial proportion of camps were missing 4 critical areas of disaster planning: 1) Most lacked online emergency plans (53%), methods to communicate information to parents (25%), or strategies to identify children for evacuation/reunification (40%); 2) Disaster plans failed to account for special/medical needs children (38%); 3) Staff training rates were low for weather (58%), evacuation (46%), and lockdown (36%); 4) Most camps (75%) did not plan with disaster organizations.Discussion:Collaboration with industry and disaster experts will be key to address the gaps identified. Current research and interventions include the recent release of a communication alert tool allowing camps to send mass text emergency notifications. Additionally, a recent pilot to incorporate disaster plans into the electronic health records platform emphasizing communication, evacuation, and identification of local experts has begun. Efforts to develop a unified disaster tool kit for summer camps remains a challenge.
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Morris, Stephen C. "Disaster Planning for Homeless Populations: Analysis and Recommendations for Communities." Prehospital and Disaster Medicine 35, no. 3 (March 4, 2020): 322–25. http://dx.doi.org/10.1017/s1049023x20000278.

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AbstractHomelessness is a growing problem, with perhaps greater than a 150 million homeless people globally. The global community has prioritized the problem, as eradicating homelessness is one of the United Nation’s sustainability goals of 2030. Homelessness is a variable entity with individual, population, cultural, and regional characteristics complicating emergency preparedness. Overall, there are many factors that make homeless individuals and populations more vulnerable to disasters. These include, but are not limited to: shelter concerns, transportation, acute and chronic financial and material resource constraints, mental and physical health concerns, violence, and substance abuse. As such, homeless population classification as a special or vulnerable population with regard to disaster planning is well-accepted. Much work has been done regarding best practices of accounting for and accommodating special populations in all aspects of disaster management. Utilizing what is understood of homeless populations and emergency management for special populations, a review of disaster planning with recommendations for communities was conducted. Much of the literature on this subject generates from urban homeless in the United States, but it is assumed that some lessons learned and guidance will be translatable to other communities and settings.
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Smith, J. Stanley. "Hospital Disaster and Evacuation Planning." Prehospital and Disaster Medicine 5, no. 4 (December 1990): 357–62. http://dx.doi.org/10.1017/s1049023x00027114.

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The world population is becoming increasingly reliant upon nuclear fission for the generation of electric power. In the wake of this activity, there have been two major accidents: Three Mile Island (TMI), near Harrisburg, Pennsylvania, United States, in 1979; and Chernobyl, near Kiev, Ukraine, Soviet Union, in 1986. It is noteworthy that both of these accidents were related to human error and not to malfunction of the emergency back-up systems. So far, nuclear energy production plant accidents have occurred when either the data were misinterpreted or systems misguided by human function.The major problem associated with a nuclear energy generating plant accident is the release of radiation. Even though the medical facilities may not be destroyed physically, they may be rendered useless because of contamination by radiation. Unfortunately, in the event of such an accidental release of radiation, all of the health-care facilities in the area will be contaminated. Therefore, all patients in hospitals and nursing homes will need to be evacuated to facilities outside of the contaminated area and not just relocated within the contaminated area.
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Sharma, Aishwarya, and Sharon Mace. "Reviewing Disasters: Hospital Evacuations in the United States from 2000 to 2017." Prehospital and Disaster Medicine 34, s1 (May 2019): s22. http://dx.doi.org/10.1017/s1049023x19000633.

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Introduction:Between 2000 to 2017, there were over 150 hospital evacuations in the United States. Data received from approximately 35 states were primarily concentrated in California, Florida, and Texas. This analysis will provide disaster planners and administrators statistics on hazards that cause disruptions to hospital facilities.Aim:The aim of this study is to investigate US hospital evacuations by compiling the data into external, internal, and man-made disasters thus creating a risk assessment for disaster planning.Methods:Hospital reports were retrieved from LexisNexis, Google, and PubMed databases and categorized according to evacuees, duration, location, and type. These incidents were grouped into three classifications: external, internal, and man-made. Both partial and full evacuations were included in the study design.Results:There were a total of 154 reported evacuations in the United States. 110 (71%) were due to external threats, followed by 24 (16%) man-made threats, and 20 (13%) internal threats. Assessing the external causes, 60 (55%) were attributed to hurricanes, 21 (19%) to wildfires, and 8 (7%) to storms. From the internal threats, 8 (40%) were attributed to hospital fires and 4 (20%) chemical fumes. From the man-made threats, 6 (40%) were attributed to bomb threats and 4 (27%) gunmen. From the 20 total reported durations of evacuations, 9 (45%) lasted between 2 to 11:59 hours, 6 (30%) lasted over 24 hours, and 5 (25%) lasted up to 1:59 hours.Discussion:Over 70% of hospital evacuations in the US were due to natural disasters. Compared to 1971-1999, there was an increase in internal and man-made threats. Exact statistics on evacuees, durations, injuries, and mortality rates were unascertainable due to a lack of reporting. It is critical to implement a national registry to report specifics on incidences of evacuations to further assist with disaster and infrastructure planning.
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Ketterhagen, MD, Timothy M., Deanna L. Dahl-Grove, MD, and Michele R. McKee, MD. "National survey of institutional pediatric disaster preparedness." American Journal of Disaster Medicine 13, no. 3 (July 1, 2018): 153–60. http://dx.doi.org/10.5055/ajdm.2018.0296.

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Objective: Describe institutional disaster preparations focusing upon the strategies to address pediatric patients in disaster preparedness.Design: Descriptive study using survey methodology.Setting: Hospitals that provide emergency care to pediatric patients throughout the United States.Participants: Survey responses were solicited from hospital personnel that are familiar with the disaster preparedness plan at their institution.Interventions: None.Main outcome measures: Describe how pediatric patients are included in institutional disaster preparedness plans. The presence of a pediatric-specific lead, policies and procedures, and geographic/demographic patterns are also a focus.Results: The survey was distributed to 120 hospitals throughout the United States and responses were received from 29 states. Overall response rate was 58 percent, with 53 percent of the surveys fully completed. Sixty-three percent of hospitals had an individual responsible for pediatric-specific disaster planning and 78 percent specifically addressed the care of pediatric patients (16 yo) in their disaster plan. The hospitals with an individual designated for pediatric disaster planning were more likely to have a disaster plan that specifically addresses the care of pediatric patients (90 percent vs 56 percent; p = 0.015), to represent children with special healthcare needs as simulated patients in disaster exercises (73 percent vs 22 percent; p = 0.003), and to include pediatric decontamination procedures in disaster exercises (78 percent vs 35 percent; p = 0.008) than hospitals without a designated pediatric disaster planner.Conclusion: The majority of hospitals surveyed incorporate pediatric patients into their disaster preparedness plan. Those hospitals with an individual designated for pediatric disaster planning were more likely to specifically address the care of pediatric patients in their institutional disaster plan.
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Burke, S. M., and S. Briggs. "(P2-55) The Role of Nursing in International Disasters: Lessons Learned." Prehospital and Disaster Medicine 26, S1 (May 2011): s153—s154. http://dx.doi.org/10.1017/s1049023x11004997.

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A disaster may result from a serious or sudden catastrophic event that has the potential for massive loss of infrastructure and significant mortality and morbidity. Disasters may be caused by natural or man-made events. With either type, the forces of the event overwhelm the first responders and health organizations in the stricken community and outside assistance is required. Developing countries have the highest burden with limited available resources. Today's complex disasters have increased the need for mobile medical/surgical response teams to provide disaster care. The United States (US) Government created the International Medical Surgical Response Teams (IMSuRT), which, on short notice, deploy a multidisciplinary team of doctors, nurses, and other health professionals to disasters around the world. IMSuRT has a rapidly deployable, fully equipped field hospital. Historically, Massachusetts General Hospital (MGH) in Boston, Massachusetts, US, has played a significant role in responding to humanitarian efforts both within the US and internationally. The MGH nurses play key roles in several response teams, including IMSuRT. Disaster nursing has many unique challenges. Nurses practice daily under controlled situations and become expert in one specialty; however, in the disaster setting this is not possible. Disaster nursing requires a fundamental change in the care of patients. During disasters, nurses work in areas that are not their primary specialty. Disaster nurses must be prepared in the essentials of disaster response- this requires planning, preparation, and training with multiple simulation drills focusing on patient scenarios, equipment utilization, teamwork, triage, decontamination, and scene safety. We must be creative, adaptable, and flexible to the needs of the disaster. Most importantly, cultural sensitivity, and communication are important factors in the delivery of disaster care.
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Dissertations / Theses on the topic "Disaster medicine – United States – Planning"

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Indrakanti, Saratchandra. "Computational Methods for Vulnerability Analysis and Resource Allocation in Public Health Emergencies." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804902/.

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POD (Point of Dispensing)-based emergency response plans involving mass prophylaxis may seem feasible when considering the choice of dispensing points within a region, overall population density, and estimated traffic demands. However, the plan may fail to serve particular vulnerable sub-populations, resulting in access disparities during emergency response. Federal authorities emphasize on the need to identify sub-populations that cannot avail regular services during an emergency due to their special needs to ensure effective response. Vulnerable individuals require the targeted allocation of appropriate resources to serve their special needs. Devising schemes to address the needs of vulnerable sub-populations is essential for the effectiveness of response plans. This research focuses on data-driven computational methods to quantify and address vulnerabilities in response plans that require the allocation of targeted resources. Data-driven methods to identify and quantify vulnerabilities in response plans are developed as part of this research. Addressing vulnerabilities requires the targeted allocation of appropriate resources to PODs. The problem of resource allocation to PODs during public health emergencies is introduced and the variants of the resource allocation problem such as the spatial allocation, spatio-temporal allocation and optimal resource subset variants are formulated. Generating optimal resource allocation and scheduling solutions can be computationally hard problems. The application of metaheuristic techniques to find near-optimal solutions to the resource allocation problem in response plans is investigated. A vulnerability analysis and resource allocation framework that facilitates the demographic analysis of population data in the context of response plans, and the optimal allocation of resources with respect to the analysis are described.
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Schneider, Tamara. "A Framework for Analyzing and Optimizing Regional Bio-Emergency Response Plans." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33200/.

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The presence of naturally occurring and man-made public health threats necessitate the design and implementation of mitigation strategies, such that adequate response is provided in a timely manner. Since multiple variables, such as geographic properties, resource constraints, and government mandated time-frames must be accounted for, computational methods provide the necessary tools to develop contingency response plans while respecting underlying data and assumptions. A typical response scenario involves the placement of points of dispensing (PODs) in the affected geographic region to supply vaccines or medications to the general public. Computational tools aid in the analysis of such response plans, as well as in the strategic placement of PODs, such that feasible response scenarios can be developed. Due to the sensitivity of bio-emergency response plans, geographic information, such as POD locations, must be kept confidential. The generation of synthetic geographic regions allows for the development of emergency response plans on non-sensitive data, as well as for the study of the effects of single geographic parameters. Further, synthetic representations of geographic regions allow for results to be published and evaluated by the scientific community. This dissertation presents methodology for the analysis of bio-emergency response plans, methods for plan optimization, as well as methodology for the generation of synthetic geographic regions.
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Osburn, Toby W. "Hazard mitigation and disaster preparedness planning at American Coastal University: Seeking the disaster-resistant university." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9745/.

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This study employed a qualitative case study method to evaluate the efforts of one university to conduct hazard mitigation and disaster preparedness planning activities and used the Federal Emergency Management Agency framework and selected writings of sociologist and disaster researcher E.L. Quarantelli as models for evaluating the institution's approach. The institution studied was assigned a fictitious name and the identities of the study participants withheld in order to protect the integrity of the institution's planning efforts and its personnel. The study utilized a 92-item questionnaire, field interviews, and review and analysis of documentary materials provided by the institution for data collection purposes. Pattern-matching techniques were applied to identify themes and trends that emerged through the course of data collection. The results indicate the institution has developed an organizational culture that is broadly responsive to and engaged in disaster preparedness planning at multiple levels in a manner generally consistent with principles identified in select writings of Quarantelli. Results further indicate the institution has engaged in identifying hazard mitigation priorities but not in a manner consistent with that advocated by the Federal Emergency Management Agency in its publication entitled Building a Disaster-Resistant University.
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Garber, Nikola Marie. "Natural disasters in international affairs formulating reconstruction planning in NOAA /." [Hattiesburg, MS : The University of Southern Mississippi], 2004. http://www.usm.edu/international/files/Garber-FullDissertation.pdf.

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Caudle, Sharon L. "Homeland security and capabilities-based planning : improving national preparedness." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Sep%5FCaudle.pdf.

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Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, September 2005.
Thesis Advisor(s): C.J. LaCivita, Kathryn E. Newcomer. Includes bibliographical references (p. 87-94). Also available online.
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Silvia, Adam M. "Haiti and the Heavens: Utopianism and Technocracy in the Cold War Era." FIU Digital Commons, 2016. http://digitalcommons.fiu.edu/etd/2544.

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This study examined technocracy in Haiti in the Cold War era. It showed how Haitian and non-Haitian technicians navigated United States imperialism, Soviet ideology, and postcolonial nationalism to implement bold utopian visions in a country oppressed by poverty and dynastic authoritarianism. Throughout the mid-to-late twentieth century, technicians lavished Haiti with plans to improve the countryside, the city, the workplace, and the home. This study analyzed those plans and investigated the motivations behind them. Based on new evidence discovered in the private correspondence between Haitian, American, and Western European specialists, it questioned the assumption that technocracy was captivated by high-modernist ideology and US hegemony. It exposed how many technicians were inspired by a utopian desire to create a just society—one based not only on technical knowledge but also on humanist principles, such as liberty and equality. Guided by the utopian impulse, technicians occasionally disobeyed policymakers who wished to promote modernization and the capitalist world-economy. In many cases, however, they also upset the Haitian people, who believed technocracy was too exclusive. This study concluded that technicians were empowered by expertise but unable to build the utopias they envisioned because they were constantly at odds with both policymakers at the top and the people whose lives they planned.
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Phillips, Margaret J. "Bioterrorism : a survey of western United States hospital response readiness." Thesis, 2003. http://hdl.handle.net/1957/30596.

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A study to evaluate the level of hospital preparedness to respond to a bioterrorist attack such as smallpox or anthrax, in the western United States (Arizona, California, Idaho, Nevada, Oregon and Washington) was conducted from May to September 2000. A survey questionnaire was mailed to 300 randomly selected hospitals. A telephone survey followed. The data examined the population served, licensed bed capacity, median income of the population served, the geographic location, and the type of facility served. The findings from the 177 hospitals that answered the survey showed that only 28.8% of them had a specific plan in place in the event of a bioterrorist attack to their communities. More hospitals with large bed capacity serving large populations had plans to respond to the event of a bioterrorist attack than those hospitals with small bed capacity, usually serving small rural communities. Although the comparison of hospitals in each of the six western states showed no statistically significant difference between the number of hospitals with a plan to respond to a biological threat, hospitals in California showed the largest percentage of specific plans addressing biological events, followed by hospitals in the state of Washington. When the type of facility was considered, private hospitals more often developed a plan due to high-density population through their area than non-private hospitals, which indicates that bioterrorism plans may be developed when the funds are available. The most frequent answer given for not developing a plan was lack of adequate funding. Findings indicated a need for additional resources directed to hospitals, especially in rural areas. Because this study was conducted before the tragic terrorism events occurred in the United States in the fall of 2001, it may be considered a benchmark for future readiness evaluations of the response to the impact of those events in the Western states.
Graduation date: 2004
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Brooks, Dorcas A. "Situated Architecture in the Digital Age: Adaptation of a Textile Mill in Holyoke, Massachusetts." 2011. https://scholarworks.umass.edu/theses/575.

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The City of Holyoke, Massachusetts is one of many aging, industrial cities striving to revitalize its economy based on the promise of increased digital connectivity and clean energy resources. But how do you renovate 19th century mills to meet the demands of the information age? This architectural study explores the potential impact of sensing technologies and information networks on the definition and function of buildings in the 21st century. It explores the changes that have taken place in industrial architecture since 1850 and argues for an architecture that supports local relationships and environmental awareness. The author explores the industrial history of Holyoke, appraises emerging uses of sensing technologies and presents a thorough narrative of her site analysis and conceptual design of a digital fabrication and incubation center within an existing textile mill.
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Books on the topic "Disaster medicine – United States – Planning"

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Services, U. S. Department of Health and Human. National health security strategy of the United States of America. Washington, D.C: Dept. of Health and Human Services, 2009.

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U.S. Department of Health and Human Services. Interim implementation guide for the National Health Security Strategy of the United States of America. Washington, D.C: U.S. Department of Health and Human Services, 2009.

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Emergency public health: Preparedness and response. Sudbury, Mass: Jones & Bartlett Learning, 2011.

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United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions. A nation prepared: Strengthening medical and public preparedness and response : hearing of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Twelfth Congress, first session ... May 17, 2011. Washington: U.S. Government Printing Office, 2013.

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Institute of Medicine (U.S.). Forum on Medical and Public Health Preparedness for Catastrophic Events and National Academies Press (U.S.), eds. Medical countermeasures dispensing: Emergency use authorization and the postal model : workshop summary. Washington, D.C: National Academies Press, 2010.

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United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response, ed. BARDA strategic plan 2011-2016. Washington, D.C: U.S. Dept. of Health and Human Services, Assistant Secretary for Preparedness and Response, 2011.

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Essentials of public health preparedness. Burlington, MA: Jones & Bartlett Learning, 2013.

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D, Haddow George, and Coppola Damon P, eds. Managing children in disasters: Planning for their unique needs. Boca Raton: Taylor & Francis, 2011.

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Disaster case management: Developing a comprehensive national program focused on outcomes : hearing before the Ad Hoc Subcommittee on Disaster Recovery of the Committee on Homeland Security and Governmental Affairs, United States Senate, One Hundred Eleventh Congress, first session, December 2, 2009. Washington: U.S. G.P.O., 2010.

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Surgery, United States Veterans Administration Dept of Medicine and. Department of Medicine and Surgery strategic planning projections, fiscal years 1988-1992. Washington, DC: The Dept., 1988.

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Book chapters on the topic "Disaster medicine – United States – Planning"

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Mathews, T. P. "The Air Transportable Hospital Concept of the United States Air Force." In Emergency and Disaster Medicine, 492–95. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-69262-8_82.

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C. Morris, Stephen. "Resilient Health System and Hospital Disaster Planning." In Contemporary Developments and Perspectives in International Health Security - Volume 2 [Working Title]. IntechOpen, 2020. http://dx.doi.org/10.5772/intechopen.95025.

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Disaster planning is integral component of hospital operations and management, and hospital resiliency is critical to society and health systems following a disaster. Additionally, hospitals, like all public institutions have significant risk of security incidents including terrorism, isolated and mass violence, social unrest, theft and vandalism, natural and human made disasters. Security and disaster planning are cumbersome, expensive and easy to deprioritize. When a hospital disaster is defined as anything that exceeds the limits of the facility to function at baseline, disasters and security incidents are intertwined: disasters create security problems and vice-versa. Hospital resiliency to disasters and security incidents stems from a systems-based approach, departmental and administrative participation, financial investment and flexibility. Significant best practices and lessons learned exist regarding disaster and security planning and ignorance or lack of adoption is tantamount to dereliction of duty on the part of responsible entities. This chapter consists of a review of the concepts of hospital disaster and security planning, response and recovery, as well as hospital specific disaster and security threats (risk) and their associated mitigations strategies. Risks will be presented follow a hazard vulnerability analysis (HVA), a common framework in emergency management, disaster planning and disaster medicine. As such, each element of risk is defined in terms of likelihood and impact of an event. Concepts of disaster medicine that are also addressed, as are administrative concerns, these elements are designed to be applicable to non-experts with an emphasis on cross disciplinary understanding. Additionally, elements are presented using incident and hospital incident command terminology and those not familiar should learn these concepts though free online training on the incident command system provided by several sources including The United States Federal Emergency Management Agency (FEMA), prior to reading.
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Mothershead, Jerry L. "Disaster Response in the United States." In Disaster Medicine, 79–83. Elsevier, 2006. http://dx.doi.org/10.1016/b978-0-323-03253-7.50018-2.

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Burby, R. J. "Reconstruction/Disaster Planning: United States." In International Encyclopedia of the Social & Behavioral Sciences, 12841–44. Elsevier, 2001. http://dx.doi.org/10.1016/b0-08-043076-7/04456-9.

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Mothershead, Jerry L. "Disaster Response in the United States." In Ciottone's Disaster Medicine, 82–85. Elsevier, 2016. http://dx.doi.org/10.1016/b978-0-323-28665-7.00013-3.

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Vick, Dan J., Asa B. Wilson, Michael Fisher, and Carrie Roseamelia. "Community Hospital Disaster Preparedness in the United States." In Hospital Management and Emergency Medicine, 429–53. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch022.

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Disasters are common events in the United States. They generally result in casualties and community hospitals play a critical role in caring for these victims. Therefore, it is critical that hospitals are prepared for disasters. There has been increased focus on hospital disaster preparedness in the United States because of events that have occurred in the 21st century. To determine the current state of disaster preparedness among community hospitals, a comprehensive review of the literature was conducted that focused on studies and other articles pertaining to disaster preparedness in U.S. community hospitals. The review showed mixed results as to whether hospitals are better prepared to handle disasters. Barriers to preparedness were identified. Opportunities for improvement may require additional study and involvement by federal and state governments, other agencies, and hospitals themselves to overcome barriers and assist hospitals in achieving a higher level of preparedness.
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FitzGerald, Denis J. "Civil Unrest and Rioting * *The content of this chapter exclusively reflects the view of the author and does not represent official policy of the U.S. Department of Defense or the United States Government." In Disaster Medicine, 889–92. Elsevier, 2006. http://dx.doi.org/10.1016/b978-0-323-03253-7.50189-8.

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Geiling, James, and Kerry Fosher. "Mutual Aid * *The opinions and assertions contained herein are those of the authors and are not to be construed as official or necessarily reflecting the views of the Department of Veterans Affairs or the United States Government." In Disaster Medicine, 182–92. Elsevier, 2006. http://dx.doi.org/10.1016/b978-0-323-03253-7.50034-0.

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M., Andrea, and Mario G. "Hazard Mitigation Planning in the United States: Historical Perspectives, Cultural Influences, and Current Challenges." In Approaches to Disaster Management - Examining the Implications of Hazards, Emergencies and Disasters. InTech, 2013. http://dx.doi.org/10.5772/54209.

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"Emergency Sheltering and Temporary Housing Issues: Assessing the Disaster Experiences and Preparedness Actions of People with Disabilities to Inform Inclusive Emergency Planning in the United States." In Coming Home after Disaster, 185–98. Routledge, 2016. http://dx.doi.org/10.4324/9781315404264-24.

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Conference papers on the topic "Disaster medicine – United States – Planning"

1

Smith, Gavin P. "A Review of the United States Disaster Assistance Framework: Planning for Recovery." In Solutions to Coastal Disasters Congress 2008. Reston, VA: American Society of Civil Engineers, 2008. http://dx.doi.org/10.1061/40968(312)69.

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