BACKGROUND When providing care under combat or hostile conditions, it may be necessary for a casualty to remain engaged in military tasks after being wounded. Prehospital care under other remote, austere conditions may be similar, whereby an individual may be forced to continue purposeful actions despite traumatic injury. Given the adverse side-effect profile of intramuscular (i.m.) morphine, a...

Given the current tempo of overseas contingency operations, military orthopaedic surgeons are increasingly performing their duties in an austere environment. At Level 1 trauma centers and combat support hospitals, resources tend to be more abundant than in less "metropolitan'' locations. Combat casualty care has reinforced the idea of a multidisciplinary team approach to severely injured trauma...

OBJECTIVE To describe the reasons for encounter (RFE) at the casualty department of a small rural hospital and to highlight the value of the hospital to the community, and to health care workers, medical educators, and policy makers. SETTING A small South Australian rural town with a population of about 4500 served by a 50-bed hospital that provides a 24 hour casualty service manned by the lo...

Neurosurgical conditions have been increasingly causing huge burden and associated disability to the person, their families, larger society. Casualty- emergency setting bring a amount of distress confusion in them unknown patients cause increased difficulty for healthcare professionals terms tracing family making informed decision keeping mind welfare. Two case studies presented here speaking a...

Over the past four years there have been 93 multiple-casualty terrorist attacks in Israel, 33 of them in Jerusalem. The Hadassah-Hebrew University Medical Center is the only Level I trauma center in Jerusalem and has therefore gained important experience in caring for critically injured patients. To do so we have developed a highly flexible operational system for managing the general intensive ...

OBJECTIVES To assess the preparedness of hospital pharmacies in New Jersey to provide pharmaceutical services in mass casualty scenarios. METHODS An electronic cross-sectional survey was developed to assess the general knowledge of available resources and attitudes toward the preparedness of the pharmacy department. RESULTS Out of 60 invitations to participate, 18 surveys (30%) were complet...

Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casualty Assessment and Planning Scenarios (EMCAPS), developed to have broad applic...

Prior studies of war and political engagement focus on mass mobilizing, successful conflicts and treat war as a monolithic variable affecting all Americans equally. In this study, we analyze the more limited, less successful conflicts prevalent since 1945, and we examine the influence of disparities in local communities’ casualty rates on their residents’ patterns of political engagement. Using...