The post-September 11 era has prompted unprecedented attention to medical preparations for national special security events (NSSE), requiring extraordinary planning and coordination among federal, state, and local agencies. For an NSSE, the US Secret Service (USSS) serves as the lead agency for all security operations and coordinates with relevant partners to provide for the safety and welfare ...

of all the unintentional injuries among children, about 38% are from children’s road traffic injuries (rtis). this denotes 16.5% of mortality among children out of the global mortality for due to rtis with fatal outcomes. as children grow older the predominant type of their injuries changes. children aged among 5-19 are more likely to be injured on roads. they are mainly victims of the adults’ ...

ABSTRACT Introduction The Military Health System serves to globally provide health services and trained medical forces. providers possess variable levels of deployment preparedness. aim the Clinical Readiness Program is develop assess knowledge, skills, abilities (KSAs) needed for combat casualty care. Methods developed a KSA metric general orthopedic surgery. methodology underwent proof concep...

I would like to thank the American Association for the Surgery of Trauma and President Cryer for the opportunity to deliver the 2004 Fitts Lecture. When Dr. Cryer asked me to deliver this lecture, I actually wondered whether he had called the wrong number. Dr. Basil Pruitt described Dr. William P. Fitts in his 1992 Fitts Lecture as a ‘physician soldier in World War II, an author, a chairman, an...

Burn injuries remain a significant cause of morbidity and mortality during modern military conflicts and peacekeeping operations. Considering that commercially available dressings are not designed to meet the challenges of treating combat burn wounds, DRDC Toronto has designed a novel, absorbent and medicated bi-layer wound dressing to address key requirements for treating external war wounds. ...

Best possible pre-hospital treatment in the event of a mass casualty incident (MCI) is related to prioritizing rescue tasks and using rescue resources efficiently. Currently, information is almost always documented on paper-based forms and communicated by one-to-one talks, messengers, radio and mobile phone. Pervasive computer-based solutions are not established yet. Although the mere technolog...

The tourniquet has been used for over 300 years for effective hemorrhage control during surgery and trauma. However, tourniquets are far from benign, causing a host of complications collectively known as tourniquet injury. A tremendous body of clinical experience and scientific research has resulted in principles of safe use and advances in tourniquet design, minimizing tourniquet injury under ...

Worst case scenarios for pandemic influenza planning in the US involve over 700,000 patients requiring mechanical ventilation. UK planning predicts a 231% occupancy of current level 3 (intensive care unit) bed capacity. Critical care planners need to recognise that mortality is likely to be high and the risk to healthcare workers significant. Contingency planning should, therefore, be multi-fac...

We develop a Markov decision process (MDP) model to examine aerial military medical evacuation (MEDEVAC) dispatch policies in a combat environment. The problem of deciding which aeromedical asset to dispatch to each service request is complicated by the threat conditions at the service locations and the priority class of each casualty event. We assume requests for MEDEVAC support arrive sequent...