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Hurricane Dorian Webinar with Team Rubicon [video]
From the Video Description: "Webinar discussing the impact of hurricane Dorian on the Bahamas. Hosted by Dr. Thomas Kirsch, professor and executive director of the National Center for Disaster Medicine and Public Health, featuring Dr. David Callaway, the medical director for Team Rubicon." This video has a duration of 55 minutes and 9 seconds.
Uniformed Services University of the Health Sciences
Kirsch, Thomas; Callaway, David
2019-09-18
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Health Consequences of Disasters and Evacuation: What Patients Need to Know to Prepare
"This installment of Courage to Care is designed to facilitate doctor patient dialogue around the health implications of exposure to disasters, especially those that require the need for evacuation. The talking points below can help you ask the questions that will help your patients assess, prepare for and respond to an evacuation, and do so in a way that is responsive to their unique health needs. There is also a separate fact sheet for individuals and families that your office can download and distribute in your waiting area or clinic. In addition, you may disseminate this electronically to colleagues, and/or put it on your own organization's website to enhance your health outreach in the community."
Uniformed Services University of the Health Sciences
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Public Health Emergencies: 'The Role of the Military Family'
"Public health emergencies, such as the swine flu epidemic, create a call to action for individuals and families to take responsibility for their health. The public is a key partner in addressing public health crises that affect national and international communities. Because these kinds of health crises impact national security, the health and resilience of our military (its fighting force as well as military families and children) are very important. Families have a responsibility to protect the health and safety of children of all ages in times of health emergencies and disasters. Flu viruses are extremely unpredictable and variable. While leaders in science, medicine and government closely monitor and seek to find solutions to disease outbreaks, the best way to protect oneself and one's family is through practicing common
sense, basic hygiene, staying informed, and following recommendations over the course of the crisis. Here are some important tips for your family's health and safety during a public health emergency."
Uniformed Services University of the Health Sciences
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Flu Season 2011: What Military Healthcare Providers Should Know
"The flu season is not just a time of routine
vaccination. For military healthcare providers,
the flu season can provide patient-centered
care opportunities: building new patient
relationships; reassuring patients who
are feeling the stressors of war and/or its
aftermath; and, educating young parents and
families about general hygiene.
Healthcare providers play a significant role
in medical intervention (disease surveillance,
identification, and treatment) and in
influencing patient behaviors for protecting
individual, family, and public health.
Addressing your patient's questions about
the flu provides a 'teachable moment' for
educating patients, especially parents, about
important health habits that can last a lifetime."
Uniformed Services University of the Health Sciences
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Caring For Your Family During Flu Season
"If you are a military mom or dad, grandparent
or caregiver, here are some important things
you should know about caring for your family
and children during the flu season."
Uniformed Services University of the Health Sciences
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Caring for Children During the Flu Season
"If you are a military mom or dad, grandparent or caregiver, here are some important things you should know about the flu, and caring for children during the flu season. [...] Flu season is November through March. The flu is spread through coughing, sneezing, even touching. You can get the flu from the cough or sneeze of someone who has it, or by touching a surface that someone with the flu has touched (such as a door knob, stair railing or telephone) and then putting that finger or hand in contact with your nose, mouth or eyes."
Uniformed Services University of the Health Sciences
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Fostering Safety, Health, and Preparedness: A 9/11 Anniversary Message for Our Military Healthcare Community
"Military medical providers will play an important role this fall as the nation observes the 5th anniversary of 9/11, the anthrax attacks, and the War on Terror. Disaster anniversary events are often catalysts that cause many individuals to re-experience powerful feelings around trauma and loss. For many, disaster anniversaries provide permission to seek help for physical and emotional problems. It is important that military healthcare settings create a safe environment this fall for our soldiers, sailors, airmen, marines, and their families to feel comfortable about discussing health and safety concerns, which may be
more pronounced at this time. Our military community has learned a great deal about preparing and responding to disaster and terrorism these past five years and has met the challenge in supporting
deployments and protecting the nation. This Courage to Care provides highlights from previous issues related to individual, family and community preparedness that can serve as 'teachable moments' to
foster the health and safety of our troops and their families at this important moment in our nation's history."
Uniformed Services University of the Health Sciences
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Family Planning for Disasters: How to Plan For and Protect Your Family's Health
"Major events such as Hurricane Katrina make us think about the impact of such disasters on our family and loved ones, and how prepared we would be. Whether we live in areas that are vulnerable to certain natural disasters, we all need to plan for the kinds of disasters, including terrorism, bioterrorism or pandemic threats, that could require us to evacuate our homes. This fact sheet provides information on three
aspects of family preparedness planning for disasters. The first pertains to the 'special health needs' of your family. The second involves specific 'tips around evacuation'. The third provides steps for 'creating a family communication plan'."
Uniformed Services University of the Health Sciences
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Psychological First Aid: Helping Victims in the Immediate Aftermath of Disaster
As a healthcare provider, first responder, leader or manager of disaster operations, this fact sheet describes an evidenced-based approach for helping victims cope in the immediate aftermath of a disaster known as Psychological First Aid, and explains how to administer it.
Uniformed Services University of the Health Sciences
2005-01
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Improving Ion Mobility Spectrometry Detection Methods for Trace Forensics and Military Field Applications
"Ion mobility spectrometry (IMS) is a proven technology for field portable detection of vapor phase explosive compounds due to its high sensitivity and rapid analysis. However, IMS technology is limited in identifying complex samples in the field due to poor resolution and limited dynamic range. Combining gas chromatography (GC) to IMS can overcome some of the limitations by separating the components in a mixture before detection; however, the addition of GC increases system complexity and lengthens analysis times. The performance characteristics of the IMS and GC/IMS operational modes of the GC-IONSCAN were evaluated to determine if GC/IMS is more reliable than IMS in the detection of explosive compounds amidst interferents."
Uniformed Services University of the Health Sciences
Cook, Greg
2006-09-14
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Emergency Radiation Medicine Response, AFRRI Pocket Guide
This pocket guide includes guidelines for how to respond to a radiation emergency and information in table form regarding acute radiation syndrome (ARS) and a flow chart for radiation patient treatment. This is a foldable guide with a chart and table.
Uniformed Services University of the Health Sciences
2008-09
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Fact Sheet: The Health Consequences of Diasters and Evacuation: What Patients Need to Know to Prepare
"This installment of Courage to Care is designed to facilitate doctor patient dialogue around the health implications of exposure to disasters, especially those that require the need for evacuation. The talking points below can help you ask the questions that will help your patients assess, prepare for and respond to an evacuation, and do so in a way that is responsive to their unique health needs."
Uniformed Services University of the Health Sciences
2005
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Fact Sheet: Psychological First Aid: Helping Victims in the Immediate Aftermath of Disaster
"As a healthcare provider, first responder, leader or manager of disaster operations, this fact sheet describes an evidenced-based approach for helping victims cope in the immediate aftermath of a disaster known as Psychological First Aid, and explains how to administer it. Psychological First Aid aims to mollify the painful range of emotions and physical responses experienced by people exposed to disaster. These reactions include combinations of confusion, fear, hopelessness, helplessness, sleeplessness, physical pain, anxiety, anger, grief, shock, aggressiveness, mistrustfulness, guilt, shame, shaken religious faith, and loss of confidence in self or others."
Uniformed Services University of the Health Sciences
2005-01
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Courage to Care: Fostering Safety, Health, and Preparedness: A 9/11 Anniversary Message for our Military Healthcare Community
"Military medical providers will play an important role this fall as the nation observes the 5th anniversary of 9/11, the anthrax attacks, and the War on Terror. Disaster anniversary events are often catalysts that cause many individuals to re-experience powerful feelings around trauma and loss. For many, disaster anniversaries provide permission to seek help for physical and emotional problems. It is important that military healthcare settings create a safe environment this fall for our soldiers, sailors, airmen, marines, and their families to feel comfortable about discussing health and safety concerns, which may be more pronounced at this time. Our military community has learned a great deal about preparing and responding to disaster and terrorism these past five years and has met the challenge in supporting deployments and protecting the nation. This Courage to Care provides highlights from previous issues related to individual, family and community preparedness that can serve as 'teachable moments' to foster the health and safety of our troops and their families at this important moment in our nation's history."
Uniformed Services University of the Health Sciences
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Courage to Care: Flu Season 2011: What Military Healthcare Providers Should Know
"The flu season is not just a time of routine vaccination. For military healthcare providers, the flu season can provide patient-centered care opportunities: building new patient relationships; reassuring patients who are feeling the stressors of war and/or its aftermath; and, educating young parents and families about general hygiene. Healthcare providers play a significant role in medical intervention (disease surveillance, identification, and treatment) and in influencing patient behaviors for protecting individual, family, and public health. Addressing your patient's questions about the flu provides a 'teachable moment' for educating patients, especially parents, about important health habits that can last a lifetime. There is also a companion fact sheet for patients, Caring for Your Family During Flu Season, to be placed in waiting areas or given directly to military family patients."
Uniformed Services University of the Health Sciences
2011?
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Courage to Care: Family Planning for Disasters: How to Plan For and Protect Your Family's Health
"Major events such as Hurricane Katrina make us think about the impact of such disasters on our family and loved ones, and how prepared we would be. Whether we live in areas that are vulnerable to certain natural disasters, we all need to plan for the kinds of disasters, including terrorism, bioterrorism or pandemic threats, that could require us to evacuate our homes. This fact sheet provides information on three aspects of family preparedness planning for disasters. The first pertains to the special health needs of your family. The second involves specific tips around evacuation. The third provides steps for creating a family communication plan."
Uniformed Services University of the Health Sciences
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Groups and Organizations in War, Disasters, and Trauma
The Antarctic environment is one which provides information on the difficult task of living in a contained environment. The ability to sustain oneself in small group operations with little contact with the outside for various periods of time is critical to the operations of contained, protected environments such as the Survivable Collective Protection System (SCPS) in a chemical and biological warfare (CBW) environment. The provision of medical care following the nuclear disaster at Chernobyl is presented in this volume, providing information concerning the stresses and coping strategies after toxic exposure. The ways in which threats are perceived and the experience of risk is mediated through group values, culture, and symbols. Risk perception is an inherent aspect of the CBM experience of threat, fear, and terror, one which will influence leaders and troops alike. Acute stress reactions to conventional and CBW military threat, particularly classical forms such as combat stress reaction (CSR) and post-traumatic stress disorder (PTSD), are discussed with regard to the psychiatric treatment roles of the medic, the medical aid station, the field hospital and the rear echelon hospital. Lastly, the broad areas of responses to disasters and the development of psychiatric symptoms and the lack of symptoms in communities exposed to tragedies and disasters are examined.
Uniformed Services University of the Health Sciences. Department of Psychiatry
Ursano, Robert J., 1947-
1988-07
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Responding to Bioterrorism: Individual and Community Needs
"In the fall of the year preceding the Sept 11, 2001 terrorist attack on New York City a and the Pentagon in Washington, DC, and subsequent bioterrorist anthrax attacks, plans were begun for our conference, 'Planning for Biological Events: Responses to Terrorism and Infectious Disease Outbreaks.' The goal of this conference was to address the state and local needs in preparation for behavioral and mental health consequence management after a bioterrorist attack. The importance of the conference was evident as it was held in October shortly after bioterrorist anthrax attacks had begun in New York City and Washington, D.C. The conference brought together national and international experts in disaster mental health, the social sciences and health care and policy planners from states and regions across the nation. The result has been a detailed consideration of the needs of state, local and regional as well as national contributions to mental health care needs after a bioterrorist attack. Planning for mental health and behavioral consequence management after a bioterrorist attack must address the nation as a whole. The goal of terrorism is to disrupt the continuity of the nation by instilling fear and decreasing safety. This affects not only those who may develop mental health problems but also those who continue to work and care for their families and loved ones while experiencing an altered sense of safety, increased fear and arousal and concern for their future. Consequence management for mental health begins with considering the needs of the nation as a whole and then moves to the needs of those directly exposed and those who may have been vulnerable before a bioterrorist attack and now bear the additional burdens of lost supports and increased demands."
Uniformed Services University of the Health Sciences. Department of Psychiatry
Ursano, Robert J., 1947-; Fullerton, Carol S.; Norwood, Ann E., 1953-
2002-06
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Gender, Stress, and Coping in the U.S. Military: Volume 3 Performance
"Military leaders have long recognized that mission readiness requires both the absence of disease and the presence of mental, physical, and spiritual health. However, little is presently known about the health of military women, particularly as it may be uniquely affected by trauma and war. Such knowledge is essential to meeting the health needs of military women for all mission contingencies. These missions include: peacekeeping and peacemaking activities (e.g., the Sinai MFO Treaty, Somalia); humanitarian aid (care of civilian refugees following the Persian Gulf War; natural and human-made disasters including assistance in Hurricane Andrew, the Los Angeles riots, threats of chemical terrorist attack, and the Oklahoma City bombing); and potential combat. As the number of active duty women increases (approximately 10% in 1995), women are assuming critical positions of responsibility which fully expose them to the hazards of combat and war. The systematic study of the effects of trauma on women's health is important for women in all branches of service. There is a close interplay between performance, health and psychosocial factors in responding to trauma, disaster, and combat. Understanding the gender-specific responses associated with traumatic stress is important for the development of command policy, training scenarios, and medical care procedures. However, little is presently known about how the health of military women may be uniquely affected by trauma and war."
Uniformed Services University of the Health Sciences. Department of Psychiatry
Ursano, Robert J., 1947-; Fullerton, Carol S.; Norwood, Ann E., 1953-
1995-10
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Caring for Children during the Flu Season: Fact Sheet for Patients
"Many military parents are coping with other issues: lengthened deployments, extended time as an only parent, being the parent of a spouse that might be suffering injury or trauma, or living off base with ones family, just to name a few. These issues are stressful, and add to fatigue when illness strikes. If you or your children get sick, seek help from your medical provider. Ask friends or family to run to the market or drugstore. Stock up on canned soups, fruit juices, freeze breads and meats so that in the event of illness there will be healthy food in your home."
Uniformed Services University of the Health Sciences. Department of Psychiatry
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Planning for Bioterrorism: Behavioral & Mental Health Responses to Weapons of Mass Destruction & Mass Disruption
This monograph includes an edited transcript and an executive summary from the conference, Planning for Bioterrorism: Behavioral and Mental Health Responses to Weapons of Mass Destruction and Mass Disruption. The conference was held July 14-16, 2000. The conference addressed the history, nature, and threat of biological agents. Agents were described to better appreciate the behavioral implications for illness, disease, prevention, and vaccination. Community and individual responses to potential bioterrorist events were described. Future approaches to the management and treatment of behavioral and mental health issues following exposure to biological agents and bioterrorism were discussed. The conference concluded with recommendations for policy, communication, education and training, and research.
Uniformed Services University of the Health Sciences. Department of Psychiatry
2000-07-16
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Psychological and Behavioral Responses to a Chemical and Biological Warfare Environment: Final Recommendations
In this present world climate, chemical and biological warfare (CBW) is a realistic threat to U.S. Air Force personnel. Medical care for conventional and chemical casualties in the CBW environment requires individual protection, group protection, and decontamination as well as supply and patient transfer through contaminated areas. CBW stirs terror in individuals both because of the particular psychological fears it arouses and the tremendous difficulties presented by the need to continue to operate after an attack. Recommendations derived from CBW research cover the issues of command (e.g., maintenance of communications and morale, and command policy in the face of mass casualties), medical care (e.g., alcohol use as a risk factor in CBW environment, low dose exposures, internal SCPS-M management, and unique stressors of the CBW environment), performance (e.g., group responses to contamination and isolation effects on performance), and training (e.g., unit reconstitution following heavy losses, grief leadership, buddy care, development of first aid capability within squadrons, crews, and work units, maintenance of cohesion in flying and ground crews, and training for commanders in command posts). These recommendations should serve as the basis for the development of command policy, training scenarios, medical command and medical care procedures and the direction of future research in this area.
Uniformed Services University of the Health Sciences. Department of Psychiatry
Ursano, Robert J., 1947-
1988-09
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Terrorism and Disaster: What Clinicians Need to Know: Viral Hemorrhagic Fevers
"Upon completion of this case, participants will be able to: 1) Describe the natural and intentional sources of transmission and spread of viral hemorrhagic fevers (VHF), including use as a biologic weapon. 2) Discuss the initial presentation and clinical manifestations of VHF, including methods for confirming this diagnosis. 3) Outline important strategies for infection control for healthcare workers caring for patients with cases of suspected VHF. 4) Describe processes for communication with public health authorities and media about VHF. 5) Describe the current recommended therapy for patients with VHF."
Uniformed Services University of the Health Sciences. Department of Psychiatry
Durning, Steven J.; Roy, Michael J.
2005-04-01
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Terrorism and Disaster: What Clinicians Need to Know: Psychiatric Sequelae in a Survivor of 9/11
"Upon completion of this case, participants will be able to: 1) Discuss the common psychiatric sequelae to victims directly and indirectly exposed to a mass disaster. 2) Explain the recommendations for parents regarding their childrens viewing of television replays in the immediate aftermath of disaster events. 3) List the possible long-term psychiatric sequelae that victims may develop after a terrorist event. 4) Describe a generally recommended cognitive behavioral therapy protocol for the treatment of posttraumatic stress disorder. 5) List the medications that have proven efficacy for the treatment of posttraumatic stress disorder. 5) Discuss resilience and posttraumatic growth for victims exposed to a terrorist attack."
Uniformed Services University of the Health Sciences. Department of Psychiatry
Holly, Molly J.; Hamaoka, Derrick
2005-04-01
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Exposure to Death, Disasters, and Bodies
"This is the fourth of a series of six volumes addressing the various psychological and behavioral factors of performance and medical care delivery in a chemical and biological warfare (CBW) environment. This volume addresses the unique stress of exposure to death and disaster both for individuals and for a community. In December 1985, the U.S. Army suffered its largest peacetime loss when a chartered plane carrying 248 soldiers crashed in Gander, Newfoundland. This tragedy resulted in 248 soldiers killed, all of whom were from one Army Post, Fort Campbell, Kentucky. This was one-third of a force which had been deployed to the Sinai Desert in a multi-national peacekeeping effort. The impact of this disaster upon the soldiers, unit and community at Fort Campbell, and the impact to the body recovery and body identification process at Dover Air Force Base, Delaware, are the focus of this volume. Such research is conducted to obtain answers which will assist in establishing programs that will be in place and be available when disaster, tragedy, or CBW strike."
Uniformed Services University of the Health Sciences. Department of Psychiatry
Ursano, Robert J., 1947-
1988-06
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Active Shooter: What You Can Do to Mitigate Harm
This document outlines how to quickly respond to an active shooter situation, and appropriate responses from workplace leadership and personnel.
Uniformed Services University of the Health Sciences. Center for the Study of Traumatic Stress
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Restoring a Sense of Well-Being in Children After a Disaster
From the Document: "Children are often exposed both directly and indirectly to the effects of disasters. While some will live in close proximity to an area or community directly impacted by disaster, many others will learn about it through the media or from their parents or friends. It is important for parents, caregivers, and professionals to answer children's questions and reassure them about their safety."
Uniformed Services University of the Health Sciences. Center for the Study of Traumatic Stress
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Managing a Worplace or an Organization After a Disaster
"A disaster such as an earthquake or hurricane creates unusual challenges for management. You and your staff may find yourselves suffering from its effects. Emotional stress, physical injury, bereavement, loss of property, and disruption of normal routines may limit the availability and energy of your work group. At the same time, the group may face new responsibilities--caring for its own members, and facilitating community recovery. Besides meeting customers' special needs for assistance following a disaster, personnel are often called on to support local authorities in providing community services. The following can help you structure your response. Much of the human suffering associated with a disaster happens after the event itself, and can be mitigated by effective management."
Uniformed Services University of the Health Sciences. Center for the Study of Traumatic Stress
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Disaster Related Deaths and Infection: Truth, Myth, or In-Between: Health Considerations of Human Remains in the Disaster Setting
"Death is an expectable part of disaster. In some disasters such as earthquakes in which history shows that deaths can be in the hundred's of thousands, management of the remains of the dead are a major concern. For disaster victims as well as professional first responders who will recover and take care of remains this aspect of a disaster is especially distressing. Learning to not look at the faces and hands of the dead, can decrease ones identification with the victims ('It could have been me. It could have been my spouse/child.') and protect to some extent from the distress. However the number of dead, their condition, child deaths and loss of ones own friends and relatives adds to the stress burden of exposure to death and the dead. Posttraumatic Stress Disorder can be one outcomes of extensive exposure to grotesque death. Often there are also health concerns associated with the exposure to remains. Knowledge about the facts of risk and of best practices that help minimize difficulties on site, may help reduce the distress of those who are recovering remains, volunteers who may be disaster victims as well as professional first responders are at risk and need knowledge, training, education and leadership as well as compassion, concern, rest and respite."
Uniformed Services University of the Health Sciences. Center for the Study of Traumatic Stress
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Disaster Related Death: Managing Concerns About the Dead or Missing
"In all disasters, respect for the spiritual and religious customs associated with remains and burial is an important part of recovery for the affected population. Often customs may not be the same as ones own. Protecting the body and soul of the dead, the rituals of burial, who conducts the ceremonies and whether one can afford the ceremony/burial when you have just lost all your possessions are common concerns. Those who provide medical, psychiatric and mental health care we well as first responders and those recovering remains should seek out local religious leaders for specific guidance on customs for death and burials. For example, in Haiti, although 80% of the population are Catholic, nearly half of the population also practice Vodou. (AKA Voodoo, Vaudou or Vodoun). Belief in Vodou may or may not be acknowledged to a stranger. Specific rules and customs related to death and burial are very important in Vodou."
Uniformed Services University of the Health Sciences. Center for the Study of Traumatic Stress
