Focus on Disaster Medicine and Preparedness: Recent Episodes
ReachMD
When tested by major catastrophes, the medical community has responded. We banded together to provide emergency medical care and ongoing relief after the earthquake in Haiti and Hurricane Katrina, while the September 11thattacks brought out the best in medical response teams and care providers. Yet every emergency presents unique challenges and learning opportunities. ReachMD scrutinizes our disaster medicine plans, preparedness protocols, and emergency response capabilities. How are we preparing for the next time disaster strikes? How will we react?
Host: Maurice Pickard, MD
Guest: Beth Macy
Beth Macy’s Dopesick is a heartbreaking trajectory that illustrates how America’s twenty-plus year struggle with opioid addiction has persisted for this long and has become so firmly entrenched in practically every corner of our country—from desolate cities to once idyllic farm towns.
Tune in as Beth Macy joins Dr. Maurice Pickard to illuminate the persistent and often conflicting gaps in the treatment and criminal-justice landscapes while shining a hopeful light on the heroes battling the worst drug epidemic in American history.
Host: Andrew Wilner, MD, FACP, FAAN
There is still a great deal to learn about the long term effects of blast injuries on military personnel. Emerging evidence suggests that exposure to a blast can produce both overt and subtle neurological consequences in the brain, but much remains unknown.
Host Dr. Andrew Wilner is joined by Dr. Jack Tsao, Director of Traumatic Brain Injury Programs for the US Navy Bureau of Medicine and Surgery, and Professor of Neurology at the University of Tennessee Health Science Center. He is a Captain in the United States Navy, and an expert in detection and prevention of traumatic brain injury in active duty military personnel.
Host: Brian P. McDonough, MD, FAAFP
In the aftermath of mass violence, from September 11th to the Paris attack to the Orlando shooting, fear and confusion often dominate the public consciousness. Unfortunately, most clinicians are not trained in tactical medicine to respond in times of crisis such as these. But a small subset of survuval medicine experts are working to change this pattern.
Dr. Brian McDonough speaks with Dr. Joseph Alton, Fellow of the American College of Surgeons and the American College of OB/GYN, and author of The Survival Medicine Handbook: A Guide for When Help is Not on the Way. The two discuss key survival and disaster response considerations for clinicians caught in violently dangerous situations.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough welcomes Denise Daniels, Peabody Award-wining broadcast journalist, author, and child development expert who specializes in the social and emotional development of children. Ms. Daniels talks about the challenges in helping children cope with the consistent exposure to tragic news around the world stemming from terrorism, wars, and natural disasters.
Host: Matt Birnholz, MD
Dr. Matt Birnholz sits down with Dr. Andrew Bern, an emergency physician and independent health care consultant in South Florida. They discuss the process of forming specialty sections in ACEP, and focus on Dr. Bern's role in the evolving Disaster Medicine subspecialty through his continuing work in Ecuador. Dr. Bern, a former member of ACEP's Board of Directors, is a founding member of the Disaster, Geriatric, Tactical, Telemedicine and Disaster medicine sections at ACEP.
Host: Matt Birnholz, MD
Dr. Matt Birnholz sits down with Dr. Carl Schultz, Research Director at the Center for Disaster Medical Sciences at University of California, Irvine. Dr. Schultz is a Professor of Emergency Medicine at the UC Irvine and recipient of the Disaster Medical Science Award at ACEP. He talks about the challenges of securing funding for disaster relief in the field and the integration of citizen volunteers in a disaster incident.
Host: Matt Birnholz, MD
Dr. Matt Birnholz welcomes Dr. Clifton Callaway, Professor and Executive Vice Chairman of the Department of Emergency Medicine at the University of Pittsburg School of Medicine. Dr. Callaway received ACEP's Outstanding Contribution to Research Award for his more than two decades of research dedicated to improving brain resuscitation after cardiac arrest. He joins Dr. Birnholz to discuss a research-guided evolution in resuscitation protocols based on improved physiological understandings of secondary brain injuries, comas, and recoveries.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough welcomes Dr Ken Yeager, Associate Professor of Psychiatry at Ohio State University School of Medicine. Dr. Yeager examines how physicians can help their patients handle the stress of a "24-hour news world" with depictions and images of disasters coming into their homes every day.
Host: Brian P. McDonough, MD, FAAFP
Joining Dr. Brian McDonough to discuss clinical approaches to endemic fears and anxieties spread by acts of mass violence and terrorism, both abroad and within the U.S, is Dr. Arthur Caplan, Professor and founding Director of the Division of Medical Ethics in NYU Langone Medical Center’s Department of Population Health.
Guest: George Korch, PhD
Host: Bruce Japsen
The federal government has acknowledged the United States needs to overhaul its effort to develop better measures to counter pandemic flus and bioterrorist threats. So with nearly $2 billion committed, Dr. George Korch, secretary of preparedness and response at the US Department of Health and Human Services, tells host Bruce Japsen about how this new initiative should improve the system of developing and manufacturing drugs and vaccines to prepare for public health crises.
Guest: Karen DeSalvo, MD
Host: Bruce Japsen
Five years after Hurricane Katrina, the horrific memories of disaster and devastation remain, but the healthcare system has created a legacy of resilience for the city's safety net and a potential national model beyond the primary care medical home. Dr. Karen DeSalvo, professor of medicine at the Tulane School of Medicine and a leader in the health system's post-Katrina recovery, tells host Bruce Japsen about the new community-based effort that has since been created to improve medical care delivery in New Orleans.
Guest: Edward Mello, Jr
Host: Mimi Secor, DNP, FNP-BC, FAANP
It takes the entire community working together to effectively respond to a disaster. Trained first responders and medical professionals are key to saving lives. Nurse practitioners and physician assistants play a vital role, but it's crucial that community agencies know your specialties and how you can to be best utilized before a disaster strikes. Nurse practitioner Lt. Colonel Ed Mello joins host Mimi Secor to discuss how advanced practice clinicians can be involved in disaster training and what goes into becoming part of a disaster team.
Guest: Angela Gardner, MD
Host: Bruce Japsen
As healthcare reforms take place, changes are also in the offing in the emergency department amid demands that EDs be able to turn attention from treatment of routine conditions to disasters and other true emergencies. Dr. Angela Gardner, president of the American College of Emergency Physicians, tells host Bruce Japsen about tomorrow's needs for the emergency department, which will have a greater role as health reform is implemented and patients seek primary care.
Guest: Maureen Lichtveld, MD, MPH
Host: Maurice Pickard, MD
Long after the clean-up process from the Deepwater Horizon oil spill is complete along the Gulf of Mexico, we'll still be examining the health effects of this catastrophe. While there is a wealth of information on the health effects of specific contaminants, the effects are less known regarding mixtures of contaminants. What are some of the immediate and potential long-term health risks (both mental and physical) of this disaster? Dr. Maureen Lichtveld, professor and chair of the department of environmental health sciences at the Tulane University, School of Public Health and Tropical Medicine in New Orleans, Louisiana, discusses the role of physicians in this type of public health disaster. How are we identifying the populations most at risk of experiencing health effects from the oil spill, and what are some of the most effective risk communication strategies for these populations? What types of surveillance methods are being used? What can we learn from this disaster to be more prepared for the next? Dr. Maurice Pickard hosts.
Guest: Thomas Kirsch, MD, MPH
Host: Maurice Pickard, MD
Triage isn't the only issue facing healthcare professionals during the acute phase of responding to a disaster: there are also the challenges of limited resources and staffing, as well as the mental and physical preparedness of the medical response team. Dr. Thomas Kirsch, co-director of the Center for Refugee and Disaster Response in the Johns Hopkins Bloomberg School of Public Health, assistant professor and the director of operations for the department of emergency medicine at the Johns Hopkins School of Medicine and deputy director of the Johns Hopkins Office of Critical Event Preparedness and Response, describes his on-the-ground experiences during the first few months after the Haiti earthquake and reflects on the acute phase of the response there. What are some of the lessons learned from Haiti that we can apply to future crises, and what parts of the response were effective? Our guest also discusses the need for ethical training for disaster response teams. Dr. Maurice Pickard hosts.
Guest: Sanjay Gupta, MD
Host: Matt Birnholz, MD
The role of a physician-journalist reporting from the immediate aftermath of a disaster area is not easily defined, and poses both logistic challenges and ethical questions in caring for patients. Is media coverage of physician involvement in disasters altruistic or self-serving? Our guest Dr. Sanjay Gupta, a practicing neurosurgeon and chief medical correspondent for the Health, Medical & Wellness unit at CNN, was one of the first physician journalists to report from the earthquake in Haiti, and joins us to discuss balancing reporting as a journalist during a disaster and caring for patients. Is journalistic objectivity compromised when broadcast media feature live coverage of physicians treating patients? Hosted by Dr. Matthew Birnholz.
Guest: Matt Baker, PhD, PA-C
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
When disaster strikes, the first instinct of a medical professional is to jump in and help; however, that's not necessarily the best tactic. Dr. Matt Baker, dean of the school of science and health at the University of Philadelphia, joins host Lisa Dandrea Lenell to discuss volunteer options for PAs in the event of a local or national disaster. The two also discuss state licensing issues and educational opportunities for PAs who may want to become first responders.
Guest: Richard Besser, MD
Host: Jennifer Shu, MD, FAAP
The Centers for Disease Control and Prevention (CDC) plays a significant role in preparing for and responding to public health emergencies. How has the CDC's emergency response process changed for the better in recent years, particularly as we apply lessons from our response to Hurricane Katrina, and what improvements can still be made? How can we maintain continuity of care among multiple providers during these discombobulating times? Dr. Richard Besser, pediatrician and director of the CDC's Coordinating Office for Terrorism Preparedness and Emergency Response, explores the critical role of doctors on the local level to prepare for emergencies and take action once they occur. Dr. Besser also encourages us to think about personal response and communication plans, as well as stockpiling supply strategies. Dr. Jennifer Shu hosts.
Guest: Richard Besser, MD
Host: Jennifer Shu, MD, FAAP
One major goal of the Centers for Disease Control and Prevention (CDC) is to help prepare the public for emerging health threats. What is the status of public health emergency preparedness at the federal, state and local levels? What progress has been made in preparing our country for natural, biological, chemical and other hazards? And in the context of progress, where is there room for improvement? Dr. Richard Besser, pediatrician and director of the CDC's Coordinating Office for Terrorism Preparedness and Emergency Response, addresses these questions and more with host Dr. Jennifer Shu.
Guest: Narayan Nair, MD
Host: Maurice Pickard, MD
Guest: Robert J. Tosatto, RPh, MPH, MBA
Have you thought about joining the Civilian Volunteer Medical Reserve Corps? Captain Robert Tosatto and Dr. Narayan Nair, directors of the Civilian Volunteer Medical Reserve Corps discuss how all medical professional can join local units to improve health literacy. The MRC works to increase disease prevention, eliminate health disparities and improve public health preparedness. They are trained to respond to emergencies and support the health infrastructure of local communities. Join host Dr. Maurice Pickard to learn more.
Guest: Narayan Nair, MD
Host: Maurice Pickard, MD
Guest: Robert J. Tosatto, RPh, MPH, MBA
Organized in 2002, this nationwide network of local, volunteer medical and public health professionals contribute their expertise throughout the year as well as in times of community need. Corps Directors - Captain Robert Tosatto and Dr. Narayan Nair, describe how the program is working.
Guest: Mark Smith, MD
Host: Larry Kaskel, MD
Dr. Mark Smith, professor and chair of emergency medicine at Georgetown University School of Medicine, and chief of emergency medicine at Washington Hospital Center in Washington, DC, explains to host Dr. Larry Kaskel the positive impact of disaster preparedness guidelines on the day-to-day function of an emergency department. Dr. Smith outlines how the physical facility design and communication system of ER One, the federally-funded project to construct the national prototype for next-generation emergency care, where Dr. Smith is the director, will protect patients from hospital-acquired infections, reduce hospital errors and create an overall safer work environment for care providers.
Guest: Mark Smith, MD
Host: Larry Kaskel, MD
Intended to be built at the Washington Hospital Center in our nation's capital, ER One is projected to serve as the national prototype for emergency department design, to maximize our risk management capabilities in all scenarios, including large-scale terrorist threats and natural disasters. Host Dr. Larry Kaskel welcomes Dr. Mark Smith, director of ER One and professor and chair of emergency medicine at Georgetown University School of Medicine, to describe key design recommendations for an all-risk ready emergency care facility, which features single-patient care rooms that are negatively pressurized to prevent the spread of infection, with self-decontaminating surfaces, and modular equipment solutions.
Guest: Ralph Shealy, MD
Host: John Armstrong, MD
No matter where we live and work, we know that disasters will happen in our community. We don’t necessarily know when and in what form, but in the view of Dr. Ralph Shealy, co-director of the Disaster Preparedness and Response Training Network for the South Carolina Area Health Education Consortium, and an internationally recognized expert in disaster medicine, the eventual certainty of these tragedies makes disaster medicine ‘one of the costs of doing business for society.’ In this conversation with host Dr. John Armstrong, Dr. Shealy implores us to remember that when disaster strikes, there is no guarantee that help is coming from Washington and other government resources. With this in mind, how do we keep ourselves prepared and ready to respond when an emergent calamity strikes in our community?
Guest: Ralph Shealy, MD
Host: John Armstrong, MD
We may one day find ourselves in a disaster scenario that far outstrips our normal capabilities of emergency response. In this circumstance, we may well find ourselves without imaging capabilities or lab results, while also lacking the possibility of consultation or referral. So how can we, as healthcare providers, persevere to create the best possible outcome? Dr. Ralph Shealy, co-director of the Disaster Preparedness and Response Training Network for the South Carolina Area Health Education Consortium, and an internationally recognized expert in disaster medicine, encourages us to get back to the basics of ‘doctoring.' Dr. John Armstrong hosts.
Guest: Ralph Shealy, MD
Host: John Armstrong, MD
There are many avenues for participation by healthcare professionals in disaster preparedness and larger-scale emergency response, but in a sense, many of us are unsure exactly where our areas of expertise would allow us to make a contribution in preparation for, and in response to, a disaster. Should we just accept that disaster will happen, and begin our preparations from there? If not, how and why should we facilitate broader preparations? Dr. Ralph Shealy, co-director of the Disaster Preparedness and Response Training Network for the South Carolina Area Health Education Consortium, and an internationally recognized expert in disaster medicine, presents a series of interesting considerations about our individual roles in disaster scenarios during this conversation with host Dr. John Armstrong.
Guest: James J. James, MD, DrPH, MHA
Host: Bill Rutenberg, MD
Where can a physician get disaster life support training, and what does it entail? Joining host Dr. Bill Rutenberg for a lively discussion of this novel concept is Dr. James James. A retired brigadier general, Dr. James is the director of the American Medical Association Center for Public Health Preparedness and Disaster Response. He is also the editor in chief of the journal Disaster Medicine and Public Health Preparedness. You'll learn about a unique series of courses currently available to train physicians and medical personnel how to function as effective healthcare providers and team leaders during times of disaster.
Host: Bill Rutenberg, MD
Guest: James J. James, MD, DrPH, MHA
The spread of communicable diseases is prevalent following disasters. Joining host Dr. Bill Rutenberg for a conversation of new recommendations for vaccine preparedness to protect disaster survivors is Dr. James James. Dr. James is the director of the American Medical Association Center for Public Health Preparedness and Disaster Response and editor-in-chief of the journal Disaster Medicine and Public Health Preparedness.
Guest: Dave Gruber
Host: Susan Dolan, RN, JD
How are states addressing preparatory needs for a pandemic influenza outbreak? How does a state's preparedness dovetail with other state and federal efforts? Dave Gruber, senior assistant commissioner for the division of health infrastructure preparedness and emergency response for the state of New Jersey, evaluates key preparedness indicators to measure progress in your state. More specifically, Mr. Gruber looks at state-level movement toward anti-viral stockpiling, in collaboration with national preparedness organizations. Susan Dolan hosts.
Guest: Dave Gruber
Host: Susan Dolan, RN, JD
It's been almost a century since the outbreak of Spanish flu in 1918, arguably our most significant struggle with pandemic influenza. Dave Gruber, senior assistant commissioner for the division of health infrastructure preparedness and emergency response for the state of New Jersey, briefly chronicles the breadth of our 20th century pandemic encounters, and examines how these events apply to our evolving understanding of the public health consequences. Very simply, what defines a case of pandemic influenza? Mr. Gruber also updates us on the details of a potential vaccine for prospective Avian flu scenarios. Susan Dolan hosts.
Guest: Philip Smith, MD
Host: Mark Nolan Hill, MD
Guest: Lona Mody, MBBS
A major disaster scenario in the United States would likely overwhelm acute care hospitals. Nursing homes present one alternative location for providing care. In the case of a pandemic influenza outbreak, are these care facilities prepared to handle an overflow of patients? From an ethical standpoint, are they obliged to extend their services to the population at large? Dr. Philip Smith, professor and chief of infectious diseases at the University of Nebraska School of Medicine, and Dr. Lona Mody, assistant professor of internal medicine in the division of geriatric medicine at the University of Michigan Medical School, also examine the need for nursing homes to maintain open lines of local and regional communication with other facilities and public health officials. Dr. Mark Nolan Hill hosts.
Guest: Philip Smith, MD
Host: Mark Nolan Hill, MD
Guest: Lona Mody, MBBS
Providing healthcare in an influenza pandemic would likely bring an all-hands-on-deck approach. The staff at nursing homes and other care facilities would be enlisted to supply treatment to their own residents, likely in addition to outside patients requiring immediate assistance. How can nursing home institutions train their care providers for the specific demands of a pandemic flu scenario? What would be the special needs of nursing home residents during this time? For a closer look at these questions and more, host Dr. Mark Nolan Hill welcomes Dr. Philip Smith, professor and chief of infectious diseases at the University of Nebraska School of Medicine, and Dr. Lona Mody, assistant professor of internal medicine in the division of geriatric medicine at the University of Michigan Medical School.
Guest: Mauricio Lynn, MD
Host: Shira Johnson, MD
Blast injuries present a special set of medical issues. Dr. Mauricio Lynn, director of the Trauma Resuscitation Unit at Ryder Trauma Center at Jackson Memorial Hospital in Miami, discusses the science and medicine behind current strategies for blast injury treatment. From this perspective, Dr. Lynn shares nearly 20 years of military experience in the Israeli Defense Forces Medical Corps with host Dr. Shira Johnson.
Guest: Mauricio Lynn, MD
Host: Shira Johnson, MD
The threat of explosive device attacks is an everyday reality in Isreal. Dr. Mauricio Lynn, associate professor of surgery at the University of Miami Miller School of Medicine and director of the Trauma Resuscitation Unit at the Ryder Trauma Center at Jackson Memorial Hospital in Miami, served in the Israeli Defenses Forces for 18 years. He talks with host Dr. Shira Johnson about our preparedness for an explosive device attack on US soil. What have we learned from the experiences of Israelis and others?
Guest: Edward Pombier
Host: Shira Johnson, MD
Dr. Shira Johnson explores with Ed Pombier, director of the University of Miami Radiation Control Center at Jackson Memorial Hospital, the reality and the impact of a possible radiologic attack. Several years after September 11th, what do you really know about the aftermath of a dirty bomb?
Guest: Richard Weisman, PharmD
Host: Shira Johnson, MD
On March 20, 1995, a group of terrorists launched a chemical attack on the Tokyo Metro, one of the world's busiest commuter transport systems, at the peak of the morning rush hour. The chemical weapon was sarin nerve gas. What do we know about this weapon, its devastating impacts on the body, and how to treat its victims? Dr. Richard Weisman, research associate professor of pediatrics at the University of Miami Miller School of Medicine and coordinator of their Weapons of Mass Destruction Response Program, reviews the critical facts about nerve gas and our current clinical understandings.
Guest: Richard Weisman, PharmD
Host: Shira Johnson, MD
How would the survivors present after a nerve gas attack and what do you need to know to treat them? Dr. Richard Weisman, research associate professor of pediatrics at the University of Miami Miller School of Medicine and coordinator or the Weapons of Mass Destruction Response Program at the University of Miami Jackson Memorial Medical Center discusses the clinical picture of exposure to nerve gas. Dr. Shira Johnson is the host in this infomative session to teach you about the short and long term clinical effects and practical implications.
Guest: Maureen F. Orr, MS
Host: Larry Kaskel, MD
Should health professionals be concerned about secondary contamination? How often does it occur and what are the signs that should prompt you to take extra precautions? Maureen Orr, an epidemiologist at the Centers for Disease Control's Agency for Toxic Substances and Disease Registry, talks with host Dr. Larry Kaskel about her published report, "Secondary Contamination of Medical Personnel, Equipment, and Facilities Resulting From Hazardous Materials Events, 2003-2006."
Guest: Derek Robinson, MD
Host: Maurice Pickard, MD
Emergency room visits nationwide are on the rise, even as the total number of emergency rooms is falling. Add this to the fact that, according to the Center for Disease Control and Prevention's recent publication, National Hospital Ambulatory Medical Care Survey: 2006 Emergency Department Summary, only 15.9 million out of 119 million visits to the emergency room in 2006 were urgent or emergent, and we see just how taxed our emergency rooms are. Dr. Derek Robinson, of the American College of Emergency Physicians, explores solutions to this expensive and inefficient way to provide care. Dr. Maurie Pickard hosts.
Guest: James W. Jones, PsyD, PhD, ThD
Host: Leslie P. Lundt, MD
Religious terrorism has become commonplace in our lifetime. What causes a person to kill innocent strangers in the name of religion? Our guest Dr. James Jones is uniquely qualified to address this question. Dr. Jones, a professor of religion and adjunct professor of clinical psychology at Rutgers University is an authority on comparative religion and a clinical psychologist. Host Dr. Leslie Lundt welcomes Dr. Jones to discuss how we can help patients struggling with these issues.
Guest: Mitchell Levy, MD
Host: Shira Johnson, MD
What is the impact of re-education on outcomes in sepsis in an ICU? Host, Dr. Shira Johnson is joined by Dr. Mitchell Levy, professor of medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital, who discusses the "Surviving Sepsis Campaign." Re-education of physicians and nurses in this global study had a remarkable impact on reducing mortality and morbidity. Dr. Levy explains why outcomes were so dramatically affected.
Guest: W. Frank Peacock, MD
Host: Shira Johnson, MD
Dr. W. Frank Peacock, vice chair in the Department of Emergency Medicine at the Cleveland Clinic Foundation, joins host Dr. Shira Johnson to discuss risk stratification after acute CHF. What does the first BNP really tell you? And what did the ADHERE trial discover about troponin and CHF?
Guest: W. Frank Peacock, MD
Host: Shira Johnson, MD
You are seeing a patient in your office on his first visit. How much more would you be able to tell this patient if you received his lab results just minutes after completing his physical? How would this prospect augment practice in an emergency department? Dr. W. Frank Peacock, chair of emergency preparedness at the Cleveland Clinic Foundation, speaks with host Dr. Shira Johnson about a simple idea that could mark an important change in the practice of medicine.
Guest: Nancy Berlinger, PhD
Host: Maurice Pickard, MD
Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, nonprofit, nonpartisan bioethics research institute located in Garrison, New York discusses how a pandemic will force the individual to think of him or herself as part of a larger society and the consequences of that shift. Efforts to deal with disparities in health care that already exist must be planned for in the context of public health crises and the concept of social justice may take precedence over individual rights.
Guest: Nancy Berlinger, PhD
Host: Maurice Pickard, MD
Dr. Nancy Berlinger speaks about how an epidemic can alter the standard of care and the perception of the public to these changes. If leadership is not prepared to have the larger community embrace these alterations in ethics, physicians will feel the threat of litigation. Dr. Maurice Pickard hosts.
Guest: Nancy Berlinger, PhD
Host: Maurice Pickard, MD
Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, non-profit, non-partisan bioethics research institute, addresses ethical issues that might arise in a pandemic scenario, when resources could be in short supply. As an example, a shortage of ventilators could cause significant problems: how would this impact the role of first responders? Dr. Maurice Pickard hosts.
Guest: Sandro Galea, MD, DrPH, MPH
Host: Maurice Pickard, MD
Dr. Sandro Galea, associate professor of epidemiology at the University of Michigan School of Public Health, discusses the epidemiology of mood disorders among survivors of Hurricane Katrina along the U.S. Gulf Coast. According to Dr. Galea, early detection of stressors that are not being confronted, along with unmet expectations of disaster victims, both must be incorporated into disaster responses. Learn more with host Dr. Maurice Pickard.
Guest: Jonathan Links, PhD
Host: Paul Raeburn
When disaster strikes, there are often as many or more people who suffer psychological wounds than physical maladies. Join host Paul Raeburn as he talks with Dr. Jonathan Links, director of the Johns Hopkins Center for Public Health Preparedness, about a new tool for disaster preparedness: the psychological first aid kit.
Guest: Capt. Mimi Tompkins
Host: Larry Kaskel, MD
When disaster strikes the human body responds. Is there something we can do, at the scene, to delay or prevent the onset of PTSD? Host Dr. Larry Kaskel interviews Captain Mimi Tompkins, co-founder of the Air Line Pilot Association's (ALPA) Critical Incident Response Program, to discuss what physicians need to understand about the implications that a traumatic event has on the physical and psychological being of victims involved.
Guest: Capt. Mimi Tompkins
Host: Larry Kaskel, MD
Once a diagnosis associated with war heroes, now we've seen PTSD caused by various kinds of stressful emergencies. For Capt. Mimi Tompkins, her experience piloting and landing a 1988 Aloha Airlines flight after a large section of the roof ripped off at 24,000 feet led to a PTSD diagnosis. She has since spearheaded efforts to develop a standardized response to airline personnel following a disaster. She talks to host Dr. Larry Kaskel about the processes that are in place now that were not in place at the time of the disaster she experienced in 1988.
Guest: Capt. Mimi Tompkins
Host: Larry Kaskel, MD
On April 28, 1988, an Aloha Airlines jetliner succumbed to an explosive decompression reaction during its climb to cruising altitude. The aircraft lost a 20-foot section of its upper forward fuselage. A senior flight attendant was swept to her death, even as First Officer Mimi Thompson worked to bring the severely crippled airplane to a miraculous safe landing. What happened physically, mentally and emotionally to Mimi’s well-being that day and in the days to follow? We find out first hand, as Ms. Thompson speaks with host Dr. Larry Kaskel.
Guest: Michael Brannigan, PhD
Host: Maurice Pickard, MD
Dr. Maurie Pickard speaks with Dr. Michael Brannigan, Vice President of Clinical and Organizational Ethics at the Center for Practical Bioethics in Kansas City, about some of the ethical issues facing medical practitioners during natural disasters. These issues are approached from the macro (federal vs state), micro (doctor-patient relationship), institutional, and social levels of impact.
Guest: Linda Kruus, PhD
Host: Shira Johnson, MD
Is your office or hospital really prepared for a disaster? Host Dr. Shira Johnson interviews Dr. Linda Kruus from Temple University on what you can learn from her study on who will show up to work and why they will do so in the event of a major disaster.
Guest: Donald Trunkey, MD
Host: Mark Nolan Hill, MD
Dr. Donald Trunkey, professor of surgery and former chair of surgery at Oregon Health and Science University, speaks about his international initiative to train trauma surgeons to be prepared for an array of disaster scenarios, from bullet wounds to nuclear terrorism. Dr. Mark Nolan Hill hosts.
Guest: Donald Trunkey, MD
Host: Mark Nolan Hill, MD
Dr. Donald Trunkey, professor of surgery at Oregon Health and Science University, and an internationally renowned trauma surgeon, gives a historical perspective of trauma medicine from the 16th century to modern times. Dr. Mark Nolan Hill hosts.
Guest: Kristin Dascomb, MD, PhD
Host: Michael Greenberg, MD
In the wake of Hurricane Katrina, Dr. Kristin Dascomb, a pediatrics resident in New Orleans at the time, found herself trapped in a flooding hospital with limited staff and a surplus of unevacuated patients. Dr. Dascomb recounts her personal experiences caring for the sick and wounded without aid of power, food, or water.
Guest: Kristin Dascomb, MD, PhD
Host: Michael Greenberg, MD
Host Dr. Michael Greenberg speaks with Dr. Kristin Dascomb, a pediatrics resident who was trapped in a New Orleans hospital during Hurricane Katrina. Dr. Dascomb recounts her experiences caring for the sick and wounded without aid of power, food, or water.
Guest: James Baker, MD
Host: Maurice Pickard, MD
Dr. James Baker discusses the development of a new vaccine against anthrax that could be absorbed through the nasal mucosa with host Dr. Maurice Pickard. Dr. Baker also explains that the unique utilization of nanoemulsions toward the design of this vaccine may also apply to the development of other vaccines.
Guest: Dan Diamond, MD
Host: Leslie P. Lundt, MD
Dr. Dan Diamond started the nation’s first state-affiliated medical disaster response team. In this segment, Dr. Diamond talks about his experience treating patients in the aftermath of Hurricane Katrina as the director of the mass casualties triage at the New Orleans Convention Center. Dr. Leslie Lundt hosts.
Guest: Michael Sadler, MD
Host: Shira Johnson, MD
Host Dr. Shira Johnson speaks with Dr. Michael Sadler from St Vincent's Hospital in New York City about dealing with his personal and familial obligations while working through the most severe attack on US soil in our nation's history.
Guest: Michael Sadler, MD
Host: Shira Johnson, MD
Join host Dr. Shira Johnson for this poignant discussion with Dr. Michael Sadler, Section Chief of the Division of Body CT at St. Vincent's Hospital in New York City, as he reflects on cases and conditions encountered in the immediate aftermath of the September 11th attacks.
Guest: John Simkovich, DDS, MHA
Host: Bruce Bloom, DDS, JD
Beyond the injuries and other health concerns that arise during and after a disaster, we must also account for the medical needs of patients who are already hospitalized. If the situation requires evacuations of seriously ill patients, how can this be done both safely and effectively? Dr. John Simkovich, director of public health for the South Carolina Department of Health and Environmental Control's Public Health Region 7, and a member of the National Council on Readiness and Preparedness, discusses the process of evacuating patients in a disaster from hospitals, nursing homes, and other care facilities. Dr. Bruce Bloom hosts.
Guest: Patrick O'Neal, MD
Host: Bruce Bloom, DDS, JD
Dr. J. Patrick O'Neal, director of preparedness for the State of Georgia, discusses necessary hospital preparations for a disaster. Dr. Bruce Bloom hosts.
Guest: Patrick O'Neal, MD
Host: Bruce Bloom, DDS, JD
Dr. J. Patrick O'Neal, director of public health for emergency preparedness for the State of Georgia, discusses how to prepare for a pandemic flu outbreak. Dr. Bruce Bloom hosts.
Guest: Patrick O'Neal, MD
Host: Bruce Bloom, DDS, JD
Physicians often transition later careers later in life. How does a physician transition to working for the government? Dr. J. Patick O'Neal, director of preparedness for the state of Georgia, discusses a physician's transition training for a new career in disaster planning. Dr. Bruce Bloom hosts.
Guest: Paul Satterlee, MD
Host: Bruce Bloom, DDS, JD
Host Dr. Bruce Bloom talks with Dr. Paul Satterlee, an emergency room physician, and Dr. Pat Lilja, director of emergency medicine and trauma at North Memorial Hospital in Minneapolis, about the crtiical importance of planning and coordination that took hold during the Minneapolis Bridge collapse in 2007.
Guest: Nicholas Bergman, PhD
Host: Michael Benson, MD
Is anthrax becoming an obsolete weapon? Biotechnology has changed the face of medical research. In developing defenses against anthrax, advances in genomics and proteonomics have suggested new approaches. Perhaps the days of weaponized anthrax are numbered. Join Dr. Nicholas Bergman as he discusses the United States' research emphasis on defending against an antrax attack--even against genetically engineered anthrax. Dr. Bergman received his PhD in biochemistry and molecular biology at the Massachusetts Institute of Technology. He is currently an Assistant Professor in the School of Biology at the Georgia Institute of Technology in Atlanta. He has published a paper examining some of the genomic properties of Anthrax in the Journal of Bacteriology.
Guest: Donald Hudson, MD
Host: Gary Kohn, MD
Psychiatric disease may have a different significance in safety-sensitive occupations, such as those in the aviation industry and emergency and healthcare first-responders. Dr. Donald Hudson discusses medical and administrative management of these cases. Dr. Gary Kohn hosts.
Guest: John Hick, MD
Host: Bruce Bloom, DDS, JD
Dr. John Hick discusses the importance of sound policy and procedure during the pre-hospital phase of a disaster, which eventually allowed for the successful delivery of emergency services at the site of the I-35 Bridge Collapse in Minneapolis in 2007.
Guest: David Dosa, MD, MPH
Host: Susan Dolan, RN, JD
Join Dr. David Dosa, lead author of the special article published in the American Medical Directors Association Journal, titled, "To Evacuate or Not to Evacuate: Lessons Learned from Louisiana Nursing Home Administrators Following Hurricanes Katrina and Rita," as he discusses evacuation versus sheltering in place. Susan Dolan hosts.
Guest: Kevin Smith, MD
Host: Michael Greenberg, MD
Host Dr. Michael Greenberg talks with Dr. Kevin Smith, a dermatologist in private practice in Niagara Falls, Ontario, Canada, about the necessity of having a personal disaster plan in place for your office. Not all disasters are national in scope, as Dr. Smith astutely reminds us. You or a key member of your staff could have an auto accident or be limited by illness. Do you have a strategy to manage the ramifications of this event?
Guest: Katrina Firlik, MD
Host: Cathleen Margolin, PhD
Dr. Katrina Firlik, author of the book, Another Day in the Frontal Lobe: a Brain Surgeon Exposes Life on the Inside, discusses her memories of the day of the 9/11 attacks. She was chief resident in her final year of neurosurgery training and performing surgery when the attacks occurred.