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Triage for Civil Support

Triage for Civil Support
Author: Gary Cecchine
Publisher: Rand Corporation
Total Pages: 203
Release: 2004-12-02
Genre: Medical
ISBN: 0833040618

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Even before September 11, 2001, threat assessments suggested that the United States should prepare to respond to terrorist attacks inside its borders. This monograph examines the use of military medical assets to support civil authorities in the aftermath of a chemical, biological, radiological, nuclear, or conventional high explosives attack inside the United States. The authors focus on key questions, including under what circumstances military medical assets could be requested and what assets are likely to be requested.


Triage for Civil Support. Using Military Medical Assets to Respond to Terrorist Attacks

Triage for Civil Support. Using Military Medical Assets to Respond to Terrorist Attacks
Author:
Publisher:
Total Pages: 194
Release: 2004
Genre:
ISBN:

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At the request of the Advanced Systems and Concepts Office (ASCO) of the Defense Threat Reduction Agency (DTRA), RAND conducted this research and analysis based on the likelihood that Department of Defense (DoD) medical assets would be called upon to provide support to civil authorities in the aftermath of a terrorist attack. Originally focused on chemical or biological attacks, it was expanded following the attacks of September it, to include any terrorist attack involving chemical, biological, radiological, nuclear, or conventional high explosives (CBRNE) weapons.


A National Trauma Care System

A National Trauma Care System
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 531
Release: 2016-10-12
Genre: Medical
ISBN: 0309442850

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Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.


DSCA Handbook

DSCA Handbook
Author: United States. Department of Defense
Publisher: United States Department of Defense
Total Pages: 584
Release: 2010
Genre: History
ISBN:

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This two-in one resource includes the Tactical Commanders and Staff Toolkit plus the Liaison Officer Toolkit. Defense Support of Civil Authorities (DSCA)) enables tactical level Commanders and their Staffs to properly plan and execute assigned DSCA missions for all hazard operations, excluding Chemical, Biological, Radiological, Nuclear, high yield Explosives (CBRNE) or acts of terrorism. Applies to all United States military forces, including Department of Defense (DOD) components (Active and Reserve forces and National Guard when in Federal Status). This hand-on resource also may be useful information for local and state first responders. Chapter 1 contains background information relative to Defense Support of Civil Authorities (DSCA) including legal, doctinal, and policy issues. Chapter 2 provides an overview of the incident management processes including National Response Framework (NRF), National Incident Management Systems (NIMS), and Incident Command System (ICS) as well as Department of Homeland Security (DHS). Chapter 3 discuses the civilian and military responses to natural disaster. Chapter 4 provides a brief overview of Joint Operation Planning Process and mission analyis. Chapter 5 covers Defense Support of Civilian Authorities (DSCA) planning factors for response to all hazard events. Chapter 6 is review of safety and operational composite risk management processes Chapters 7-11 contain Concepts of Operation (CONOPS) and details five natrual hazards/disasters and the pertinent planning factors for each within the scope of DSCA.


Tactical Combat Casualty Care Handbook

Tactical Combat Casualty Care Handbook
Author: United States Army
Publisher:
Total Pages: 132
Release: 2017-05-17
Genre:
ISBN: 9781074840136

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Tactical Combat Casualty Care (TCCC) has saved hundreds of lives during our nation's conflicts in Iraq and Afghanistan. Nearly 90 percent of combat fatalities occur before a casualty reaches a medical treatment facility. Therefore, the prehospital phase of care is needed to focus on reducing the number of combat deaths. However, few military physicians have had training in this area and, at the onset of hostilities, most combat medics, corpsmen, and pararescue personnel in the U.S. military have been trained to perform battlefield trauma care through civilian-based trauma courses. These courses are not designed for the prehospital combat environment and do not reflect current practices in the area of prehospital care. TCCC was created to train Soldiers and medical personnel on current best practices for medical treatment from the point of injury to evacuation to Role 3 facilities


Emergency Triage

Emergency Triage
Author: Advanced Life Support Group (ALSG)
Publisher: John Wiley & Sons
Total Pages: 183
Release: 2015-09-08
Genre: Medical
ISBN: 1118369386

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Emergency Triage: Telephone Triage and Advice complements the highly successful Emergency Triage. The algorithms are rooted in the Manchester Triage System (MTS), which is used in hospitals around the world and which is acknowledged as an effective means of clinical prioritisation. This telephone iteration of a triage system which prioritises millions of patients each year provides a robust, safe, evidence-based system for managing the clinical risk in patients who are at a distance from health care providers. The basic principles that drive the MTS remain, but this book addresses the specific difficulties of assessment by telephone. The possible triage outcomes are "face-to-face now", "face-to-face soon" and "face-to-face later" together with a self-care option. Information and advice is suggested at every level. The advice ranges from life-saving interventions, which can be carried out until health care arrives, to self-care instructions. Emergency Triage: Telephone Triage and Advice provides all the necessary information that telephone triage staff must have to hand as well as including examples of questions to be asked. It will be a valuable resource for staff working in emergency departments, health centres and telephone triage organisations. Furthermore hospitals that are already using Emergency Triage will benefit from being linked with a telephone triage system that follows the same protocols. Updated to Version 1.7 in 2023.


Trillion Dollar Triage

Trillion Dollar Triage
Author: Nick Timiraos
Publisher: Hachette UK
Total Pages: 331
Release: 2022-03-01
Genre: Social Science
ISBN: 0316273074

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The inside story, told with “insight, perspective, and stellar reporting,” of how an unassuming civil servant created trillions of dollars from thin air, combatted a public health crisis, and saved the American economy from a second Great Depression (Alan S. Blinder, former Vice Chair of the Federal Reserve). By February 2020, the U.S. economic expansion had become the longest on record. Unemployment was plumbing half-century lows. Stock markets soared to new highs. One month later, the public health battle against a deadly virus had pushed the economy into the equivalent of a medically induced coma. America’s workplaces—offices, shops, malls, and factories—shuttered. Many of the nation’s largest employers and tens of thousands of small businesses faced ruin. Over 22 million American jobs were lost. The extreme uncertainty led to some of the largest daily drops ever in the stock market. Nick Timiraos, the Wall Street Journal’s chief economics correspondent, draws on extensive interviews to detail the tense meetings, late night phone calls, and crucial video conferences behind the largest, swiftest U.S. economic policy response since World War II. Trillion Dollar Triage goes inside the Federal Reserve, one of the country’s most important and least understood institutions, to chronicle how its plainspoken chairman, Jay Powell, unleashed an unprecedented monetary barrage to keep the economy on life support. With the bleeding stemmed, the Fed faced a new challenge: How to nurture a recovery without unleashing an inflation-fueling, bubble-blowing money bomb? Trillion Dollar Triage is the definitive, gripping history of a creative and unprecedented battle to shield the American economy from the twin threats of a public health disaster and economic crisis. Economic theory and policy will never be the same.


Defense Civil Support

Defense Civil Support
Author: Joseph W. Kirschbaum
Publisher:
Total Pages: 50
Release: 2016-07-30
Genre:
ISBN: 9781457864162

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The Department of Defense (DOD) plays a prominent role supporting civil authorities in a chemical, biological, radiological, or nuclear (CBRN) incident. DOD established the Homeland Response Force (HRF), comprising 10 geographically dispersed National Guard forces. Each of the 10 HRFs consists of 583 authorized Army National Guard and Air National Guard personnel who, as part of the HRF, are to respond within 6-12 hours of a request for assistance. The HRF is to provide command and control, search and extraction, medical triage, decontamination, fatality search and recovery, and assistance and support capabilities. This report (1) describes the current status of HRF capabilities and readiness; and (2) assesses DOD's progress incorporating the HRF into the CBRN Response Enterprise. Tables and figures. This is a print on demand report.


Securing Reasonable Caseloads

Securing Reasonable Caseloads
Author: Norman Lefstein
Publisher:
Total Pages: 292
Release: 2011
Genre: Legal assistance to the poor
ISBN: 9780615543765

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For the criminal justice system to work, adequate resources must be available for police, prosecutors and public defense. This timely, incisive and important book by Professor Norman Lefstein looks carefully at one leg of the justice system's "three-legged stool"public defenseand the chronic overload of cases faced by public defenders and other lawyers who represent the indigent. Fortunately, the publication does far more than bemoan the current lack of adequate funding, staffing and other difficulties faced by public defense systems in the U.S. and offers concrete suggestions for dealing with these serious issues.


Crisis Standards of Care

Crisis Standards of Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 217
Release: 2013-10-27
Genre: Medical
ISBN: 0309285526

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Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.