Mass hospitalization

Critical Care Organization During Mass Hospitalization... 

One of the big differences in organizing this type of aid from the system of field surgery, is that the deployment and functioning of the mass hospitalization emergency system is unexpected and interferes with normal hospital work routines [11]. More than 20 years ago J.E. Waeckerle wrote Catastrophe at first is scary and shocking, later confuses and creates confusion in all areas, where to start from and what to do [12]. 

At present, the improvement in treatment results of the injured with multiple trauma during mass hospitalization depends in the first place on the organization of aid. 

Table 20.1 Characterization of injuries during the mass hospitalization...

The Head Doctor took full responsibility and the command to deal with the emergency situation of mass hospitalization of injured victims. In this kind of situation the strict principle of centralization was put into effect. 

The analysis of the emergency medical aid provided during mass hospitalization in the Nalchik Republican Clinical Hospital can be summarized as follows The term military field surgery coined by the famous Russian surgeon NI Pirogov in the nineteenth century [14] equally applies to situations which involve both injured people and doctors during mass trauma accidents in big cities and can be described as military municipal surgery . 

G. L. Brownell, "New Imaging Systems," iu Nuclear Medicine Technical Progress Report, Massachusetts General Hospital, Boston, Mass., July 1, 1974-Apr. 1,1975. 

Human blood has an osmotic pressure relative to water of approximately 7.7 atm at body temperature (37°C). In a hospital, intravenous glucose (C6H)2Ofc) solutions are often given. If a technician must mix 500.111L of a glucose solution for a patient, what mass of glucose should be used ... 

Technetium-99m (the m signifies a metastable, or moderately stable, species) is generated in nuclear reactors and shipped to hospitals for use in medical imaging. The radioisotope has a half-life of 6.01 h. If a 165-mg sample of technetium-99m is shipped from a nuclear reactor to a hospital 125 kilometers away in a truck that averages 50.0 kmh. what mass of technetium-99m will remain when it arrives at the hospital ... 

A. Fox and R. M. T. Rosario, Quantification of muramic acid, a marker for bacterial peptidoglycan in dust collected from hospital and home air-conditioning filters using gas-chromatography mass spectrometry. Indoor Air-Intemat. J. Air Quality Cl. 4 239 (1994). 

Most patients with severe to fulminant CD require hospitalization for appropriate treatment. Patients should be assessed for possible surgical intervention if abdominal distention, masses, abscess, or obstruction are present. Intravenous daily doses of corticosteroids equivalent to prednisone 40 to 60 mg are recommended as initial therapy to rapidly suppress severe inflammation. 

Harvard Medical School, Massachusetts General Hospital, Mass General Institute for Neurodegenerative Disorders, Charlestown, Massachusetts 02129... 

Improvement Item Mass casualty plan was not implemented initially due to communication difficulties. Communication of patient status at decontamination was not well-coordinated with Red Cross shelter representatives. Persons at shelters were registered, but if they were sent to the hospital or left with friends/family, their status was unknown. 

Hazardous Materials Response Team(s) Establish the HazMat Group, and Provide Technical information/Assistance to Command, EMS Providers, Hospitals, and Law Enforcement. Detect/Monitor to Identify the Agent, Determine Concentrations and Ensure Proper Control Zones. Continually Reassess Control Zones, Enter the Hot Zone (with chemical personal protective clothing) to Perform Rescue, Product Information, and Reconnaissance. Product Control/Mitigation may be implemented in Conjunction with Expert Technical Guidance. Improve Hazardous Environments Ventilation, Control HVAC, Control Utilities. Implement a Technical Decontamination Corridor for Hazardous Materials Response Team (HMRT) Personnel. Coordinate and Assist with Mass Decontamination. Provide Specialized Equipment as Necessary. Assist Law Enforcement Personnel with Evidence Preservation/Collection, Decontamination. 

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