Mitigation Journal: Recent Episodes

Rick Russotti, RN, EMTP

Unique Perspectives on Disaster and Emergency Preparedness

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Edition 239 September 4, 2012

This week on Mitigation Journal:

West Nile Virus A joint episode with Medic Cast Joining us is the hosts of This Week in Virology Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 238 August 3, 2012

This week on Mitigation Journal:

Why we're all wrong. This week I discuss why I think every group that has an opinion about the Aurora Co. movie shooting is wrong. Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 237 June 5, 2012

This week on Mitigation Journal:

Special Guest, Mr. Todd Jasper Doomsday Preppers: More Harm than Good? Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 236 April 24, 2012

This week on Mitigation Journal:

Y2K Revisited: Is it time to prepare like its 1999? London 2012 - The next biologic Ground Zero Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 235 April 12, 2012

This week on Mitigation Journal:

Are you ready for never agent exposure

IOM Crisis Standards of Care

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Overview and awareness video on the topic of Bath Salt abuse. A brief look at chemicals and patient presentation. For more information please visit our main page at www.mitigationjournal.org

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Edition 233 March, 2012

This week on Mitigation Journal:

Reviewing your response to active shooter events

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 232 February 21, 2012

This week on Mitigation Journal:

Disaster Myths, Social Media, Emergency Communications

with special guest:

Todd Jasper

Associate Director, Homeland Security Division at MSA

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 231 January 30, 2012

This week on Mitigation Journal:

An introduction to Cruise Ship Medicine

with special guest:

Evelyn B. Sklair, RN, EMTP, Chief Medical Officer

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 230/Welcome to 2012!

This week on Mitigation Journal:

No predictions! - Four actions for preparedness in the New Year

  1. Conduct a Hazard Vulnerability Assessment (HVA)
  2. Work on your Pre Incident Plans.
  3. Define your Target Hazards.
  4. Combine your Hazard Vulnerability Assessment (HVA), Pre Incident Plans, and Target Hazard Identification into training

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 229

This week on Mitigation Journal:

Cold Weather Emergency Incident Rehab

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

Special Guest:

Dr. Jeremy Cushman, Medical Director Monroe County NY

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Edition 228 Video-

This week on Mitigation Journal:

7 Emergency Management things to know...and why

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 224 -

This week on Mitigation Journal:

Testing the Emergency Alert Systems Part One

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

With special guest Jamie Davis, The Medic Cast

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Three reasons this cyber-attack is cause for concern -

  1. No early warning systems in place to detect an attempted or actual cyber-attack. This attack was discovered only after the damage had been done. There was no detection mechanism in place to alert of an attack or attack attempt. Without early warning/detection systems, there could be additional attacks on more critical systems at any point...or in progress.
  2. This could have been a probing attack...to evaluate vulnerability and assess reaction/response. A probing attack could indicate a larger cyber attack is on the horizon.
  3. Critical infrastructure lacks resiliency. Impact in this case was limited because redundant systems were in place and functional. Our power grid, by comparison, lacks functional redundancies. Had this attack shut down an electric generator or destroyed a vital component of the power grid, the outcomes could have been much more dramatic. More MJ posts on the power grid; Of Power Grids and Black Outs

"... [a] power grid/power supply that may be the most vulnerable (critical infrastructure). Several references have indicated that the Nations power grid is the most "at risk" target we have. It stands to reason that the power generation and distribution network in any community would also be at risk..." Three Planning Problems for 2011 (MJ 12/2010)

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Extra Edition

This week on Mitigation Journal:

Recent Cyber Attack is cause for concern

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

With special guest Jamie Davis, The Medic Cast

Please visit Mitigation Journal at www.mitigationjournal.org

Three reasons this cyber-attack is cause for concern -

  1. No early warning systems in place to detect an attempted or actual cyber-attack. This attack was discovered only after the damage had been done. There was no detection mechanism in place to alert of an attack or attack attempt. Without early warning/detection systems, there could be additional attacks on more critical systems at any point...or in progress.
  2. This could have been a probing attack...to evaluate vulnerability and assess reaction/response. A probing attack could indicate a larger cyber attack is on the horizon.
  3. Critical infrastructure lacks resiliency. Impact in this case was limited because redundant systems were in place and functional. Our power grid, by comparison, lacks functional redundancies. Had this attack shut down an electric generator or destroyed a vital component of the power grid, the outcomes could have been much more dramatic. More MJ posts on the power grid; Of Power Grids and Black Outs

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Edition 225 Video-

This week on Mitigation Journal:

Reaction to Cold - Video Edition

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 225 -

This week on Mitigation Journal:

The Reaction to Cold Environments

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 223 -

This week on Mitigation Journal:

Testing the Emergency Alert Systems Part One

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

With special guest Jamie Davis, The Medic Cast

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BioEvent Ready: Three Action Items for Preparedness

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 222 -

Notes on writing your biologic event plan and "what good plans have that bad ones don't"

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 221 -

This week is a mash of several imprortant topics

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 220 -

This week is a review of Consumer Level Hazardous Materials and Chemical Assisted Suicide

We've gone back to the archives to bring out the best talks on these topics. Its great information for anyone in emergency response or in the emergency department or critical care setting.

This podcast contains clips from editions #59, 64, and 72. Each of these podcast editions have been reposted to the podcast feed in their full, original versions as well.

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

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Edition 219 -

Undersatnding Flu and Biological Events Introduction

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP, RN

Co Hosted by Matt Comer, EMTP

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Thanks for tuning in to Mitigation Journal: The All Hazards Podcast! Visit our blog at www.mitigationjournal.blogspot.com

Contact Mitigation Journal:
Call the 24 hour voice mail line at 585672-7844

FLA responders use CyanoKit: Check out the dangers of carbon monoxide and cyanide at:
http://mitigationjournal.blogspot.com/2007/01/cyanide-deadly-partner-of-carbon.html

and related article on blood agents and suicide: http://mitigationjournal.blogspot.com/2008/04/suicide-by-blood-agent.html

In search of readiness in the US, Will it ever exist?
Check out the blog articles:
http://mitigationjournal.blogspot.com/2008/06/in-search-of-preparedness-in-america.html
http://mitigationjournal.blogspot.com/2005/11/stop-training-for-terrorist-and-wmd.html
http://mitigationjournal.blogspot.com/2006/02/just-remember-it-cant-happen-here_03.html

and the importance of vacation...info from Monster.com

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Welcome to Mitigation Journal - The All Hazards Podcast!
Visit the Mitigation Journal at www.mitigationjournal.org
Call the voicemail line 585-6727844

This week on Mitigation Journal:
Anthrax attacks: My predictions from 2001 may have been correct.
Detergent Suicide - Consumer grade hazmats create deadly situations
Part two of our planning series - Today we'll outline the hazard assessment process and risk analysis - easy to do and easy to relate to any community.

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This week on Mitigation Journal The All Hazards Podcast:
Call the Mitigation Journal Voice Mail line: (585) 672-7844

Fuel issues demand attention: Fuel costs are reaching farther than just prices at the pump...consider the possibility that you may not be able to get fuel at all or only on a limited basis. How will this impact the ability of your service? How will this effect your personnel availability to respond or be called back to work when needed?
We also have to consider the average citizen stockpile of fuel, use of unapproved alternate fuels and the related hazards to responders.

We'll find out a bit more about the Ricin Guy...talk about ricin exposure and the signs and symptoms of ricin intoxication.

Last week I talked about the anniversary of the Oklahoma City bombing...I was reminded this week that March 25, 1995 was the anniversary of the Tokyo subway sarin nerve agent attack. Special thanks to MJ listener, Tom for keeping me on my toes.

In a related story, a 14-year old girl commits suicide by creating poison gas...a blood agent, hydrogen sulphide. H2S is a blood agent, similar to Cyanide.

Both these events underscore the need for us to be aware that the Consumer-Level Hazardous Materials Events are deadly...can be intentional or accidental...but deadly.

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Edition 217 -

My thoughts on Disasters is nothing new

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP, RN

Co Hosted by Matt Comer, EMTP

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Welcome to Mitigation Journal the All-Hazards Podcast! Our Website is working! Please visit www.mitigationjournal.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff!

Contact us: Email - mitigationjournal@gmail.com Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free!

Follow us on Twitter: twitter.com/mjpodcast Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and visit our re-done main page at www.mitigationjournal.com

Check out my friends at MedEx Billing at www.medexbilling.com

In this edition of Mitigation Journal:

Welcome to a special interview with Mr. Richard Brooks, Director of Ceciel County Emergency Services, on the topic of winter storm activities.

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Edition 216 -

MJ 215 A Message from Katrina: Hospitals be ready. Part One

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP, RN

Co Hosted by Matt Comer, EMTP

Special Guest this week: Jamie Davis, RN, EMTP Host of The MedicCast and The Nursing Show

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Edition 214 -

Angelo's Podcast

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP, RN

Co Hosted by Matt Comer, EMTP

Special Guest this week: Jamie Davis, RN, EMTP Host of The MedicCast and The Nursing Show

Please visit Mitigation Journal at www.mitigationjournal.org

Follow us on Facebook

or on Facebook

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Welcome to Mitigation Journal the All-Hazards Podcast! Please visit www.mitigationjournal.blogspot.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff!

Contact us: Email - mitigationjournal@gmail.com Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free!

Follow us on Twitter: twitter.com/rickrussotti or @rickrussotti

Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and please consider making a donation!

Check out my friends at MedEx Billing at www.medexbilling.com

Check out my friends at Informed Publishing and look for the Pet Emergency Pocket Guide! Also available on the iTunes App Store.

This week on Mitiagtion Journal:
We're talking to members of the Net Talon team...these guys are out with a great product. Listen in to hear all the details and visit Net Talon at www.nettalon.com

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Edition 214 -

Angelo's Podcast

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

Special Guest this week: Matt Comer, EMTP

Please visit Angelo's Fund at http://angelosfund.org/

or on Facebook

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Edition 213 -

Health History and Healthy Lessons with Lori VanScoter

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Ms. Lori VanScoter, RN

Please visit http://www.lorivanscoter.com/

or on Facebook

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Edition 210 -

Public Service Lay-Offs: What impact on domestic preparedness? (part two)

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Mr. Peter Bonadonna, CI/C, EMTP

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Edition 210 -

Public Service Lay-Offs: What impact on domestic preparedness? (part two)

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Mr. Peter Bonadonna, CI/C, EMTP

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Edition 210 -

Public Service Lay-Offs: What impact on domestic preparedness? (part two)

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Alan Bubel, Assistant Chief, Gates Fire District

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Welcome to Mitigation Journal the All-Hazards Podcast!

Please visit www.mitigationjournal.blogspot.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff!

Contact us: Email - mitigationjournal@gmail.com Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free!

Follow us on Twitter: twitter.com/rickrussotti or @rickrussotti

Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and please consider making a donation!

Check out my friends at MedEx Billing at www.medexbilling.com

Check out my friends at Informed Publishing and look for the RN Pocket Guide! Also available on the iTunes App Store.

This week on Mitigation Journal:

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Edition 209 -

Public Service Lay-Offs: What impact on domestic preparedness? (part one)

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Alan Bubel, Assistant Chief, Gates Fire District

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This week on Mitigation Journal:
Special welcome to Jason, listening to us from Fredrick County, MD!

A Rochester 9-1-1 operator has been accused of searching data bases including the Terrorism Watch List with 277 names. The searches seemed to have been conducted in January of 2006 and again in October or 2007. Officials believe she intended (or maybe already has) passed information along to "others". Knowing if you or others are on the Terrorist Watch List would be a major piece of intel should you want to carry out an attack...here or anywhere. By the way, the (now ex-) 9-1-1 operator claims discrimination because she is Muslim. I'm going to take this seriously.

September is National Preparedness Month! Our Preparedness Tip this week is: Knowing what you childs school emergency plan is vital in cases of emergency or disaster. Do you know what your childs school is going to do in the event of a natural disaster or other crisis? Request a copy of you childs school's emergency plan for these event...keep it and read it.

Courage to be Safe - So Everyone Goes Home: What are you prepared to do to prevent line of duty death? Last week on MJ I told you what a tremendous program this was...easily among the most meaningful presentations I've ever seen. This week I talk to Paul Melfi, the New York State Advocate for Courage to be Safe. Paul is a well known fire instructor and a retired Deputy Chief. Paul puts it on the table concerning firefighting safety...listen to him!
Check out Courage to be Safe - So Everyone Goes Home at www.everyonegoeshome.com

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Edition 208 -

Good school security training gone bad

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Daniel J. McGuire, FAAETS, CATSM from CISM Perspectives

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I'm going to try to explain the absence of MJ from blgging and podcasting for the last few months. We'll be putting up new content the first week of May, 2011. Tune in!

Contact me! mitigationjournal@gmail.com or call 585-672-7844

Matt and I will be back shortly.

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This is Lessons Learned - Content for the Mitigation Journal app

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Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

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Voice Mail 585-672-7844

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Welcome to Mitigation Journal the All-Hazards Podcast!

Contact us:
Email - mitigationjournal@gmail.com
Call the voicemail line - 585-672-7844
Subscribe to Mitigation Journal at iTunes...its Free!
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Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics!

Check out my friends at MedEx Billing at www.medexbilling.com

In this edition of Mitigation Journal:
It seems simple enough; before you can provide treatment and transportation you have to find the person in need of your service. Actually finding the patient is only part of the job. Providers of emergency medical service (EMS) at all levels must prepare themselves prior to reaching the scene or patient for a variety of potential actions and outcomes. Waiting to arrive on-scene to develop a care plan or mental review of the potential scenarios places both provider and patient at a disadvantage. The fire services use the process of pre-incident planning and size-up to prepare firefighters for potential needs or dangers of any given situation. Pre-incident planning can be used to anticipate additional resources and special needs of a situation. Emergency medical services can and should do the same.

EMS and fire service text are filled with acronyms that have become part of daily conversation. Acronyms are memory aids that range from the simple ABCDE’s that remind us of the basics of patient assessment to SLUDGE as a memory jog for organo-phosphate exposure symptoms. In this installment we will introduce the acronym LOCATE as a means of assessing not only the patient, but the scene and patient needs as a whole.

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This weeks Lessons Learned: Oxygen Safety: From the USFA archives.... Thoughts, comments, and constructive corrections are welcome.

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Edition 207 -

National EMS Memorial Bike Ride

Move Over Law...Not in New Yourk?

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Paramedic Kevin Esparza, Canandaigua Emergency Squad (http://www.canandaiguaes.org/)

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This is Lessons Learned - Content for the Mitigation Journal app

This week: Trauma Assessment Tips

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Mitigation Journal is:

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This is Lessons Learned - Content for the Mitigation Journal app

This week: Survial in Your Car

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Mitigation Journal is:

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Edition 206 -

Is NIMS Dead?

White Powder Calls...again.

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guest this week: Asst. Chief Alan Bubel, Gates Fire District, Rochester, NY

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Happy New Year!

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Edition 205 -

Arizona Shooting

Reduction in healthcare=increased at-risk

Pseudoephedrine and Meth Production

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

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Happy New Year!

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Edition 204 -

NYC Snowstorm results in demotion

FD, Vacants, and the Homeless

Transport any way you can in a crisis

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

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Happy New Year!

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Edition 203 -

NYC Snowstorm and Action

No refusal weekend...Why only this weekend?

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

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Edition 202 -

CO Events...yes, we're talking about "that" again

See Something/Say Something - Goes to Wal-Mart

The Patriot Act App

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

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Edition 201 - Maintaining a Culture of Preparedness

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

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Edition 200 - Four years of podcasting with Mitigation Journal!

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

Special Guests:

Jamie Davis

Bob Breese, CI/C, EMTP

Dan McQuire, CISM Perspectives

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Our Topics:

DHS Color Code Threat System to be Changed

What if your service had a WikiLeak?

Motorists Stranded in NY During Storm: Are you ready?

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

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This week we talk with Peter Bonadonna on the topic of Pre Hosptial Ultrasound. We also open up issues of training, education, and triage with ultrasound. For more information from Peter, visit his site at http://www.bonadonna.com/ or 12 Lead ECG.com

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

You can be part of the Mitigaiton Journal podcast!

Contact us:

Voice Mail 585-672-7844

Email mitigationjournal@gmail.com

Follow us on Twitter: twitter.com/rickrussotti

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Thanks for joining us on Mitigaiton Journal

Please visit www.mitigationjournal.org for compete show notes and features

We've got some sound issues this week...thanks for understaning

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

You can be part of the Mitigaiton Journal podcast!

Contact us:

Voice Mail 585-672-7844

Email mitigationjournal@gmail.com

Follow us on Twitter: twitter.com/rickrussotti

View Details

Thanks for joining us on Mitigaiton Journal

Please visit www.mitigationjournal.org for compete show notes and features

Mitigation Journal is:

Hosted by Rick Russotti, CI/C, EMTP

CoHost Matt Comer, EMTP

You can be part of the Mitigaiton Journal podcast!

Contact us:

Voice Mail 585-672-7844

Email mitigationjournal@gmail.com

Follow us on Twitter: twitter.com/rickrussotti

View Details

Visit www.mitigaitonjournal.org for show notes and additional details!

View Details

Please go to mitigationjournal.org for all our show notes

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Welcome to Mitigation Journal the All-Hazards Podcast! Please visit www.mitigationjournal.blogspot.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff!

Contact us: Email - mitigationjournal@gmail.com Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free!

Follow us on Twitter: twitter.com/rickrussotti or @rickrussotti

Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and please consider making a donation!

Check out my friends at MedEx Billing at www.medexbilling.com

Check out my friends at Informed Publishing and look for the Pet Emergency Pocket Guide! Also available on the iTunes App Store.

This week on Mitiagtion Journal:

Getting ready for National Preparedness Month coming up September, 2010 we're talking about communication. This week we'll talk with Mr. Mark Tornstrom from invisible Bracelet. Tune in and hear how this communications technology will make a difference in every day emergencies and large-scale events.

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Welcome to Mitigation Journal the All-Hazards Podcast! Our Website is working! Please visit www.mitigationjournal.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff!

Contact us: Email - mitigationjournal@gmail.com Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free!

Follow us on Twitter: twitter.com/mjpodcast Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and visit our re-done main page at www.mitigationjournal.com

Check out my friends at MedEx Billing at www.medexbilling.com

Check out my friends at Informed Publishing and look for the Pet Emergency Pocket Guide! Also available on the iTunes App Store.

This week on Mitiagtion Journal:

This week we have a video of some recent joint training on the topic of Emergency Incident Rehabilitation. This training activity took place at the North Greece FD training gounds and was the first of its kind in quite a while.

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Northeast Spring means Winter Storm, FF Heart Disease: AED's alone are not the answer, N95 mask use raises PPE/SCBA Questions amoung non-traditional responders, A is for accountability, and accountability is for Everyone! Don't miss the In-Service Training Edition on Wednesday