OBJECTIVE The provision of sophisticated medical care in an austere environment is challenging. During and after a mass casualty event, it is likely that critical care services will be needed beyond an intensive care unit (ICU) setting. The objective of this article is to explore existing ICU care systems such as military aeromedical transport that may be applicable to disaster medicine and to ...

About one year prior to the earthquake, the JMA’s Committee on Emergency and Disaster Medicine proposed that Japan Medical Association Team (JMAT) be formed and issued a press release to that effect. The JMA decided to form JMAT on March 15, 2011, in response to the earthquake, and requested that prefectural medical associations nationwide send JMAT to the affected areas as emergency medical re...

6 To the Editor, 7 8 On January 12, 2010, a 7.0 earthquake struck Haiti, 9 affecting 3 million people and causing 220000 deaths and 10 more than 300000 injuries [1]. In response to a request from 11 Hopital Saint Francois de Sales in Port-au-Prince, a series of 12 surgical teams were deployed from the Shock Trauma Center 13 at the University of Maryland Medical Center (STC-UMMC) 14 to operate 2...

A tragic disaster occurred on April 24, 2013, in Bangladesh, when a nine storied building in a suburban area collapsed and killed 1115 people and injured many more. The study describes the process of rescue operation and emergency management services provided in the event. Data were collected using qualitative methods including in-depth interviews and a focus group discussion with the involved ...

This paper presents a two-stage multi-criteria stochastic programming model for a multi-facility location problem in pre-disaster planning for effective post-disaster emergency logistics. The selection of locations of Emergency Response and Distribution Centers (ERDC) is considered both for pre-disaster storage and postdisaster transportation of commodities such as search and rescue teams, medi...

OBJECTIVES The differences between pediatric (< or = 17 years of age) and adult clinical field encounters were analyzed from four deployments of Disaster Medical Assistance Teams (DMATs). METHODS A retrospective cohort review of all patients who presented to DMAT field clinics during two hurricanes, one earthquake, and one flood was conducted. Descriptive statistics were used to analyze: (1) ...

In postdisaster settings, health care providers encounter secondary surges of unmet primary care and mental health needs that evolve throughout disaster recovery phases. Whatever a community's predisaster adequacy of health care, postdisaster gaps are similar to those of any underserved region. We hypothesize that existing practice and evidence supporting medical homes and care coordination in ...

Background This study aimed to investigate medical records using traditional Korean medicine (TKM) in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. Methods After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM) in Jindo area were installed. The AKOM mobilized volunteer TKM ...