This article reviews the history and structure of the National Disaster Medical System (NDMS), with an emphasis on its definitive care component. NDMS's capacity to handle very large mass casualty events, such as those included in the National Planning Scenarios, is examined. Following Hurricane Katrina, Congress called for a reevaluation of NDMS. In that context, we make three key suggestions ...

Disaster medical response has historically focused on the pre-hospital and initial treatment needs of casualties. In particular, the critical care component of many disaster response plans is incomplete. Equally important, routinely available critical care resources are almost always insufficient to respond to disasters that generate anything beyond a 'modest' casualty stream. Large-scale monet...

the concept of casualty or the causal argument is a concept that draws attention of the philosophers over the time. among those who consider the causal argument is thomas aquinas, a famous philosopher of the scholastic era. among contemporary muslim philosophers, allameh mohammad hossein tabatabaee, has also worked on this concept. the aim of the paper is to study around the concept of casualty...

Background: Head injury is significant public health problem and it one of leading causes death worldwide. Our aim this study to various patterns, epidemiological aspects, radiological findings treatment modalities head injury. Material Method: A total 250 cases injuries satisfying inclusion criteria were included in the using convenience non-random sampling method reporting period from October...

CROSSING the road is safe enough-but only for those who always take care. The child who relaxes his vigilance is heading for disaster. The Casualty Officer is in a like condition. Most bone injuries are obvious even to the patient and are easily confirmed by the doctor; but without constant care errors are inevitable and, as with crossing the road, the penalty is high. The object of this short ...

The Tactical Combat Casualty Care (TCCC) project begun by the Naval Special Warfare Command and continued by the U.S. Special Operations Command developed a set of tactically appropriate battlefield trauma care guidelines that were initially published in 1996. Transition of these guidelines into use throughout the Department of Defense has been ongoing since that time. The need for updates to t...

UNLABELLED In a 28-mo period 14 multiple-casualty terror events occurred in Jerusalem, challenging the Department of Anesthesiology and Critical Care Medicine of the city's sole Level 1 trauma center. We performed a retrospective review of the response of the department to evaluate staff activities, resource use (emergency department, operating rooms, and intensive care unit [ICU]), and patient...