Mass Casualties A Lessons Learned Approach

Pot Luck Spokesman? The information void in the hours following the shooting of US President Ronald Reagan late Monday afternoon, March 30, 1981, spawned many false rumors and misinformation, which White House political adviser Lyn Nofziger understood threatened the credibility of the White House. He therefore took the podium before the 200 plus assembled press in Ross Hall to tell them that he would be bringing with him a credible physician to brief them once the president was out of surgery. However, he didn’t have many options to draw from for that credible physician. At the hospital, the surgeons tending the three shooting victims had first-hand information about the afternoon’s events, but each surgeon knew only about his own injured patient. White House physician Dan Ruge meanwhile had been at the president’s side throughout the afternoon and was a possible candidate, but his White House association made his credibility suspect according to White House aides. The job became the drafting of the most logical person to be spokesman. That would have been the seasoned physician CEO of the George Washington University Medical Center Ron Kaufman, but he was out of town. Next up was Dennis O’Leary, the physician dean for clinical affairs, as the preferred spokesman. To the White House, O’Leary was a total unknown, but a review of his credentials would hardly have been reassuring. He had originally been recruited to George Washington University as a blood specialist. Reticent by nature, he had minimal public-relations and public-speaking experience, save two years as a member of his hometown high school debate team. He had no surgical or trauma training or experience. But beggars can’t be choosers, as the saying goes. Kindly stated, O’Leary was probably the least bad choice to serve as White House/hospital spokesman to inform the world of the status of the wounded President Reagan, special agent Tim McCarthy, and press secretary Jim Brady. Yet, with a little bit of luck, it might all work out. And it did.

As a well balanced and fully illustrated introductory text, this book provides a comprehensive overview of the physical, technological and social components of natural disaster. The main disaster-producing agents are reviewed systematically in terms of geophysical processes and effects, monitoring, mitigation and warning. The relationship between disasters and society is examined with respect to a wide variety of themes, including damage assessment and prevention, hazard mapping, emergency preparedness, the provision of shelter and the nature of reconstruction. Medical emergencies and the epidemiology of disasters are described, and refugee management and aid to the Third World are discussed. A chapter is devoted to the sociology, psychology, economics and history of disasters.; In many parts of the world the toll of death, injury, damage and deprivation caused by natural disasters is becoming increasingly serious. Major earthquakes, volcanic eruptions, droughts, floods and other similar catastrophes are often followed by large relief operations characterized by substantial involvement of the international community. The years 1990-2000 have therefore been designated by the United Nations as the International Decade for Natural Disaster Reduction.; The book goes beyond mere description and elevates the field of natural catastrophes to a serious academic level. The author's insights and perspectives are also informed by his practical experience of being a disaster victim and survivor, and hence the unique perspective of a participant observer. Only by surmounting the boundaries between disciplines can natural catastrophe be understood and mitigation efforts made effective. Thus, this book is perhaps the first completely interdisciplinary, fully comprehensive survey of natural hazards and disasters. It has a clear theoretical basis and it recognizes the importance of six fundamental approaches to the field, which it blends carefully in the text in order to avoid the partiality of previous works. It covers the earth and social sciences, as well as engineering, architecture and development studies. This breadth is made possible by virtue of a strong emphasis on simple principles of the interaction of geophysical agents with human vulnerability and response.; All students of environmental sciences/studies and geography should find this book useful. It is an introductory text which treats this dramatic subject area as something demanding serious academic treatment and not just as an assemblage of horror stories.; This book is intended for undergraduate students in geography and environmental studies/sciences. The book should also appeal to any professional or researcher concerned with man- environment relations, whether in social science or natural science or engineering.

As a well balanced and fully illustrated introductory text, this book provides a comprehensive overview of the physical, technological and social components of natural disaster. The main disaster-producing agents are reviewed systematically in terms of geophysical processes and effects, monitoring, mitigation and warning. The relationship between disasters and society is examined with respect to a wide variety of themes, including damage assessment and prevention, hazard mapping, emergency preparedness, the provision of shelter and the nature of reconstruction. Medical emergencies and the epidemiology of disasters are described, and refugee management and aid to the Third World are discussed. A chapter is devoted to the sociology, psychology, economics and history of disasters.; In many parts of the world the toll of death, injury, damage and deprivation caused by natural disasters is becoming increasingly serious. Major earthquakes, volcanic eruptions, droughts, floods and other similar catastrophes are often followed by large relief operations characterized by substantial involvement of the international community. The years 1990-2000 have therefore been designated by the United Nations as the International Decade for Natural Disaster Reduction.; The book goes beyond mere description and elevates the field of natural catastrophes to a serious academic level. The author's insights and perspectives are also informed by his practical experience of being a disaster victim and survivor, and hence the unique perspective of a participant observer. Only by surmounting the boundaries between disciplines can natural catastrophe be understood and mitigation efforts made effective. Thus, this book is perhaps the first completely interdisciplinary, fully comprehensive survey of natural hazards and disasters. It has a clear theoretical basis and it recognizes the importance of six fundamental approaches to the field, which it blends carefully in the text in order to avoid the partiality of previous works. It covers the earth and social sciences, as well as engineering, architecture and development studies. This breadth is made possible by virtue of a strong emphasis on simple principles of the interaction of geophysical agents with human vulnerability and response.; All students of environmental sciences/studies and geography should find this book useful. It is an introductory text which treats this dramatic subject area as something demanding serious academic treatment and not just as an assemblage of horror stories.; This book is intended for undergraduate students in geography and environmental studies/sciences. The book should also appeal to any professional or researcher concerned with man- environment relations, whether in social science or natural science or engineering.

Over 100 researchers from 16 countries contribute to the first comprehensive handbook on post-traumatic stress disorder. Eight major sections present information on assessment, measurement, and research protocols for trauma related to war veterans, victims of torture, children, and the aged. Clinicians and researchers will find it an indispensible reference, touching on such disciplines and psychiatry, psychology, social work, counseling, sociology, neurophysiology, and political science.