Thomas D. Kirsch
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The Need to Incorporate Post-Acute Care Entities Into the National Disaster Medical System Open
The National Disaster Medical System (NDMS) is critical to healthcare preparedness and response in the United States but currently has limited capacity for handling large-scale mass-casualty surge events. Crises, such as the COVID-19 pande…
View article: Principles of humanitarian and disaster response for healthcare systems in the modern era
Principles of humanitarian and disaster response for healthcare systems in the modern era Open
The following manuscript is a condensed review of discussion points raised by a panel of experts at the 2023 American College of Surgeons Point Counterpoint conference on humanitarian and disaster response. The field of disaster management…
Difficult Airway Response Team Outcomes in an Academic Emergency Department: A Prospective, Multidisciplinary Airway Management Cohort Study Open
Background Successful first-attempt intubation minimizes the risk of hypoxemia, hypoventilation, and hypoperfusion. However, few data exist on outcomes of team-based difficult airway management in the Emergency Department (ED) for patients…
Use of Information Technology Systems for Regional Health Care Information-Sharing and Coordination During Large-Scale Medical Surge Events Open
Medical surge events require effective coordination between multiple partners. Unfortunately, the information technology (IT) systems currently used for information-sharing by emergency responders and managers in the United States are insu…
A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management Open
The congressionally authorized National Disaster Medical System Pilot Program was created in December 2019 to strengthen the medical surge capability, capacity, and interoperability of affiliated healthcare facilities in 5 regions across t…
Validation of Opportunities to Strengthen the National Disaster Medical System: The Military–Civilian NDMS Interoperability Study Quantitative Step Open
The National Disaster Medical System (NDMS) Pilot Program was authorized by Congress to improve the interoperability, capabilities, and capacity of the NDMS. To develop a roadmap for planning and research, the mixed methods Military-Civili…
Utilization of the TRAIN Learning Network for Online Disaster Medicine and Public Health Training During the COVID-19 Pandemic Open
Objective: The coronavirus disease 2019 (COVID-19) pandemic dramatically accelerated a growing trend toward online and asynchronous education and professional training, including in the disaster medicine and public health sector. This stud…
<span>Opportunities to Strengthen the National Disaster Medical System: The Military–Civilian NDMS Interoperability Study</span> Open
The definitive care component of the National Disaster Medical System (NDMS) may not be able to effectively manage tens of thousands of casualties resulting from a catastrophic disaster incident or overseas conflict. To address this potent…
View article: The National Disaster Medical System and military combat readiness: A scoping review
The National Disaster Medical System and military combat readiness: A scoping review Open
A scoping review was conducted to describe the history of the National Disaster Medical System (NDMS) in the context of US military medical preparedness for a large-scale overseas military conflict. National Disaster Medical System civilia…
<b>Paul S. Auerbach, MD, MS, FACEP, FAAEM, MFAWM (Hon.)</b><b>January 4, 1951–June 23, 2021</b> Open
Paul S. Auerbach is often called the father of wilderness medicine. Sometimes it annoyed him.“I get a lot of credit for wilderness medicine, but that’s not fair. I am just the tip of the iceberg. There are so many people doing incredible t…
Learning from Hurricane Maria’s Impacts on Puerto Rico: A Progress Report Open
a powerful Category 4 hurricane struck the Commonwealth of Puerto Rico.The resulting impact from Hurricane Maria on the island, its economy, and its people was catastrophic.In addition to the lives lost and injuries incurred, the storm aff…
Health Care Workers Deserve Better Protections From Coronavirus Disease 2019 Open
Among the 232,000 deaths in the US attributable to coronavirus disease 2019 (COVID-19) are more than 1336 physicians, nurses, environmental staff members, technicians, orderlies, emergency medical technicians, and other health care workers…
Health Care Workers Deserve Better Protections From Coronavirus Disease 2019 Open
It's a grim reality. Included among the 232,000 deaths in the US attributable to coronavirus disease 2019 (COVID-19) are more than 1336 physicians, nurses, environmental staff members, technicians, orderlies, emergency medical technicians,…
Reexamining Health-Care Coalitions in Light of COVID-19 Open
The national response to the coronavirus disease 2019 (COVID-19) pandemic has highlighted critical weaknesses in domestic health care and public health emergency preparedness, despite nearly 2 decades of federal funding for multiple progra…
Recommended Process Outcome Measures for Stop the Bleed Education Programs Open
Trauma is a critical public health issue as the leading cause of death for Americans between the ages of 1 and 44 years. In response to this reality, a number of Stop the Bleed education programs are being implemented to teach the lay publ…
The Need for a National Strategy to Assess and Reduce Disaster-Related Mortality in the United States Open
"The Need for a National Strategy to Assess and Reduce Disaster-Related Mortality in the United States." , 109(4), pp. 539–540
Disaster Response 2.0: Noncommunicable Disease Essential Needs Still Unmet Open
An editorial is presented which addresses the authors' views about disaster response management and the unmet medical needs of patients with noncommunicable diseases (NCDs) in America as of 2018. The economic aspects of disasters such as H…
Strategies for Improved Hospital Response to Mass Casualty Incidents Open
Mass casualty incidents are a concern in many urban areas. A community’s ability to cope with such events depends on the capacities and capabilities of its hospitals for handling a sudden surge in demand of patients with resource-intensive…
Brief, Web‐based Education Improves Lay Rescuer Application of a Tourniquet to Control Life‐threatening Bleeding Open
Objective The objective was to determine whether brief, Web‐based instruction several weeks prior to tourniquet application improves layperson success compared to utilizing just‐in‐time (JiT) instructions alone. Background Stop the Bleed i…
Health Care Coalitions as Response Organizations: Houston After Hurricane Harvey Open
Health care coalitions play an increasingly important role in both preparedness for, response to, and recovery from large scale disaster events occurring across the United States. The actions taken by the South East Texas Regional Advisory…
Stop the Bleed Education Consortium: Education program content and delivery recommendations Open
This study was funded by a US Department of Defense \ngrant to the National Center for Disaster Medicine & Public Health, titled \n“Core Support - National Center for Disaster Medicine and Public Health \n(NCDMPH),” Grant number: HT9404-12…
Regions Respond to Catastrophes Open
In large-scale disasters that include but are not limited to detonation of an improvised nuclear device, a major earthquake, or another large hurricane striking a major US city, we will simultaneously lose health care system capacity with …
Impact of interventions and the incidence of ebola virus disease in Liberia—implications for future epidemics Open
To better understand the impact of national and global efforts to contain the Ebola virus disease epidemic of 2014–15 in Liberia, we provide a detailed timeline of the major interventions and relate them to the epidemic curve. In addition …