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	<title>Comments on: Terror attack would overwhelm L.A., D.C. hospitals, expert says &#8211; Los Angeles Times</title>
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	<link>http://gruntdoc.com/2008/05/terror-attack-would-overwhelm-la-dc-hospitals-expert-says-los-angeles-times.html</link>
	<description>Ramblings of an Emergency Physician in Texas</description>
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		<title>By: scalpel</title>
		<link>http://gruntdoc.com/2008/05/terror-attack-would-overwhelm-la-dc-hospitals-expert-says-los-angeles-times.html/comment-page-1#comment-11025</link>
		<dc:creator>scalpel</dc:creator>
		<pubDate>Thu, 08 May 2008 04:19:34 +0000</pubDate>
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		<description>Most disaster management doesn&#039;t and shouldn&#039;t occur in the EDs themselves. An off-site triage area, a strong local command center, and an integrated collaborative local response are necessities.

You should read &lt;a href=&quot;http://ccforum.com/content/10/1/205&quot; rel=&quot;nofollow&quot;&gt;this article&lt;/a&gt;, it&#039;s illuminating.

&quot;• Less than 10% of the challenges faced during a disaster are medical.

• Only 10% of persons who arrive at a hospital or shelter following a disaster are in need of acute medical attention.

• Only 10% of those presenting to a shelter clinic or a hospital following a disaster have a potentially life-threatening condition.&quot;</description>
		<content:encoded><![CDATA[<p>Most disaster management doesn&#8217;t and shouldn&#8217;t occur in the EDs themselves. An off-site triage area, a strong local command center, and an integrated collaborative local response are necessities.</p>
<p>You should read <a href="http://ccforum.com/content/10/1/205" rel="nofollow">this article</a>, it&#8217;s illuminating.</p>
<p>&#8220;• Less than 10% of the challenges faced during a disaster are medical.</p>
<p>• Only 10% of persons who arrive at a hospital or shelter following a disaster are in need of acute medical attention.</p>
<p>• Only 10% of those presenting to a shelter clinic or a hospital following a disaster have a potentially life-threatening condition.&#8221;</p>
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		<title>By: GruntDoc</title>
		<link>http://gruntdoc.com/2008/05/terror-attack-would-overwhelm-la-dc-hospitals-expert-says-los-angeles-times.html/comment-page-1#comment-11024</link>
		<dc:creator>GruntDoc</dc:creator>
		<pubDate>Thu, 08 May 2008 03:48:58 +0000</pubDate>
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		<description>And, how much of that happened in an ED?  None.  There was a terrific surge, and a separate temporary facility was assembled, and they did a good job.

It also highlights that current ED&#039;s are working on the edge now, and ED&#039;s DON&#039;T have a real surge capacity.

Thanks for helping me prove my point.</description>
		<content:encoded><![CDATA[<p>And, how much of that happened in an ED?  None.  There was a terrific surge, and a separate temporary facility was assembled, and they did a good job.</p>
<p>It also highlights that current ED&#8217;s are working on the edge now, and ED&#8217;s DON&#8217;T have a real surge capacity.</p>
<p>Thanks for helping me prove my point.</p>
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		<title>By: scalpel</title>
		<link>http://gruntdoc.com/2008/05/terror-attack-would-overwhelm-la-dc-hospitals-expert-says-los-angeles-times.html/comment-page-1#comment-11023</link>
		<dc:creator>scalpel</dc:creator>
		<pubDate>Thu, 08 May 2008 03:36:54 +0000</pubDate>
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		<description>&lt;a href=&quot;http://www.bio-medicine.org/medicine-news/Authors-Review-Astrodome-Medical-Response-to-Hurricane-Katrina-15177-1/&quot; rel=&quot;nofollow&quot;&gt;I beg to differ&lt;/a&gt;:

&quot;For several reasons, the situation in Houston was &quot;logistically and politically&quot; conducive to receiving and treating large numbers of evacuees. Most importantly, the area was not affected by Hurricane katrina, leaving its extensive health care system intact and ready to respond. A wide range of academic, governmental, and private organizations came together to make and implement plans for the katrina Clinic. A key first step was the creation of a unified command and control system to direct and coordinate services—a public health infrastructure equivalent to that of a small town was created almost literally overnight.

The Clinic was built in a 100,000-square-foot space in the Reliant Arena. &lt;b&gt;Within 12 hours — aided by the use of existing exhibit hall materials — workers had created a facility including 65 examination rooms. Over the next 2 weeks, the Katrina Clinic saw more than 11,000 of the estimated 27,000 evacuees seeking shelter in the Complex. Clinic staff wrote nearly 17,000 prescriptions, performed nearly 600 x-rays and other radiologic studies, and gave more than 6,000 vaccinations.&lt;/b&gt;&quot;</description>
		<content:encoded><![CDATA[<p><a href="http://www.bio-medicine.org/medicine-news/Authors-Review-Astrodome-Medical-Response-to-Hurricane-Katrina-15177-1/" rel="nofollow">I beg to differ</a>:</p>
<p>&#8220;For several reasons, the situation in Houston was &#8220;logistically and politically&#8221; conducive to receiving and treating large numbers of evacuees. Most importantly, the area was not affected by Hurricane katrina, leaving its extensive health care system intact and ready to respond. A wide range of academic, governmental, and private organizations came together to make and implement plans for the katrina Clinic. A key first step was the creation of a unified command and control system to direct and coordinate services—a public health infrastructure equivalent to that of a small town was created almost literally overnight.</p>
<p>The Clinic was built in a 100,000-square-foot space in the Reliant Arena. <b>Within 12 hours — aided by the use of existing exhibit hall materials — workers had created a facility including 65 examination rooms. Over the next 2 weeks, the Katrina Clinic saw more than 11,000 of the estimated 27,000 evacuees seeking shelter in the Complex. Clinic staff wrote nearly 17,000 prescriptions, performed nearly 600 x-rays and other radiologic studies, and gave more than 6,000 vaccinations.</b>&#8220;</p>
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