Download e-book for iPad: Disaster Medicine, 3rd Edition by Gregory Ciottone

By Gregory Ciottone

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Severe reactions possibly leading to PTSD include dissociation, intrusive reexperiencing (nightmares), extreme attempts to avoid disturbing memories (substance use), extreme emotional numbing, hyperarousal (panic attacks, rage), severe anxiety (extreme helplessness, compulsions, or obsessions), and severe depression. The mental health ramifications are possibly greater for those who witness or are involved with certain experiences from a disaster. 31 On the other hand, the National Center for PTSD states that some factors might be protective, including social support, higher income and education, successful mastery of past disasters and traumatic events, reduction of exposure to trauma, and provision of regular and factual information about the emergency.

Managing a volume of exposed patients in a limited healthcare environment can be challenging and can include issues of decontamination; on-site prehospital management; transportation; the use of PPE; and treatment of patterns of injury specifically associated with chemical and radiological sequelae, such as skin lesions, blisters and burns, nervous system disorders, inhalational injuries, and acute radiation syndrome. Some disasters fall into less specific points for medical management due to the nature of the event.

Participants of a tabletop exercise are broad and may include government officials (mayors, city council members, risk manager), public works/utilities personnel (water superintendent, gas company representative), law enforcement (police chief, sheriff), community services (Red Cross representative), emergency management (emergency program manager, National Guard representative), fire department representatives (fire chief, dispatcher), emergency medical/health personnel (emergency medical coordinator, public health official), and public information officers.

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