Paramedics in Mass Casualty Events

Paper Summary:

The paper examines the use and need of tactical paramedics in mass care events, such as the previous events of Hurricane Katrina and the rescue operation and the event of September 11, 2001, and its resulting mass casualty care. The paper provides an extensive literature review that shows how the emergency medical service (EMS) profession is vital and should be viewed with the same respect as other professions. The paper also learns that a trauma care emergency response is one that requires flexibility and yet demands coordination, which is seriously lacking between agencies.

Outline:
Objective
Significance of the Study
Methodology
Background
Literature Review
Summary of Literature Reviewed in This Study
Recommendations of The Study

From the Paper:

"The American Medical Association (AMA) along with four major medical centers and three national health organizations established the National Disaster Life Support (NDLS) training program in 2003 for the purpose of better preparing health care professionals and emergency response personnel for mass casualty events. Stated as the "overarching goal is to standardize emergency response training nationwide and strengthen our nation's public health system." (Advanced Disaster Life Support, 2004, p.1) Prior to the 2001 terrorist attacks disaster education programs were being developed by various academic centers toward meeting what was perceived to be a lack of preparedness of medical disaster personnel and planning. Since 2001, there has been an increased demand for a course that is recognized nationally in training for "all-hazards" for better preparation of health care professionals and emergency response personnel. Toward this end a 'all-hazards' coordinated training program has been developed by a collaboration between academic, state and federal centers that goes by the name of the 'National Disaster Life Support Education Consortium (NDLSEC) that receives the funding from the Centers of Disease Control and Prevention (CDC)."

Sample of Sources Used:

• Tang, Nelson and Kelen, Gabor D. (2007) Role of Tactical EMS in Support of Public Safety and the Public Health Response to Hostile Mass Casualty Incident. Disaster Medicine and Public Health Preparedness. 1 (Supplement 1) 55-56 2007. Online available at: http://www.dmphp.org/cgi/content/full/1/Supplement_1/S55
• Rinnert KJ, Hall WL. Tactical emergency medical support. Emerg Med Clin N Am. 2002;20:929-952.
• Heck JJ, Pierluisi G. Law enforcement special operations medical support. Prehosp Emerg Care. 2001;5:403-406.
• American College of Emergency Physicians. Policy statement: tactical emergency medical support. Ann Emerg Med. 2005;45:108.
• Davis JD, Tang N. Efficacy of a federal law enforcement tactical medicine program following a catastrophic natural disaster: the DHS ICE SRT response to Hurricane Katrina. Prehosp Emerg Care. 2006;10:173-179.

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