This document provides guidance and considerations for mass fatality catastrophe response planning. It discusses establishing policies and procedures, understanding deceased handling and assisting families. It emphasizes establishing the role of a Mass Fatality Response Coordinator. The document outlines objectives such as not becoming overwhelmed and overcoming denial. It discusses definitions of catastrophes versus disasters and provides examples of high probability, low frequency health catastrophes. The document provides guidance on planning for various scenarios from contained events to nationwide disease outbreaks. It also discusses realities of potential mass fatality situations and the need for multi-agency planning.
Environmental health and disaster managementEurice Nshiti
Presentation on environmental health (Definition of environmental health and other concepts, Pollution; air, land , and water) and disasters (Definition, types, and management)
"...On 29 September 2006, Eric Noji (Stanford, 1977) delivered a lecture on the public health consequences of disasters, at the University of Pittsburgh’s main campus. However, this wasn't an ordinary lecture delivered to a packed auditorium of scholars and students. Eric’s lecture was Webcast around the world. It was expected to reach more than 1.5 million viewers, the largest academic lecture in history. Instead they had more than 3 million! Unfortunately, this exceeded the number of global access portals the university and its 12 global telecommunication partners had anticipated. Internet pioneer Vint Cerf (Stanford, 1965), was at Eric’s lecture and managed to wirelessly contact several friends around the world who opened up enough additional access points to allow another 50,000 viewers to log on—just 10 minutes late..."
- Stanford Magazine, JULY/AUGUST 2007
1) Public health issues are important in disaster management. Natural disasters can cause deaths, injuries, homelessness and damage infrastructure like roads and utilities. They can also increase risks of communicable diseases by disrupting sanitation and increasing population density.
2) Critical public health interventions after disasters focus on environmental health like ensuring clean water, sanitation and hygiene to prevent disease outbreaks. They also involve providing shelter, controlling disease, and addressing nutrition issues.
3) While disasters do not usually cause disease outbreaks, risks can increase under conditions of overcrowding and sanitation breakdowns, as seen in refugee camps. Diseases spread through water and respiratory routes. Mass immunization is usually not effective or needed
Disasters have negatively impacted human health and development since ancient times. This document discusses disaster nursing and management. It defines disasters, their classification, and their health effects. The goals of disaster nursing are to achieve the best health outcomes and meet survivors' basic needs. Disaster management involves preparing for, responding to, and recovering from emergencies through coordinated response efforts. Triage is critical to efficiently allocate limited healthcare resources to those with the most urgent needs during mass casualty events.
This document discusses disaster management and the roles of nurses. It describes different types of natural and man-made disasters and outlines the phases of a disaster - pre-impact, impact, and post-impact. It explains the nurse's roles in assessment, preparedness, response, and rehabilitation efforts during each disaster phase. Key responsibilities include triage, first aid, evacuation, psychological support, safety measures, and helping to restore normal community functioning after a disaster.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document outlines a lecture on disaster nursing. It defines disasters and different types. It discusses patterns of injury and mortality from various natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes. It emphasizes the role of nursing in all phases of disaster management from mitigation and preparedness to response and recovery. Specific nursing roles include triage, addressing mental health needs, caring for vulnerable groups, and coordinating with other agencies. The document argues that education on disaster nursing concepts should be provided to nurses worldwide to strengthen disaster response.
This document outlines a lecture on disaster nursing. It begins with an introduction that defines key terms like disaster and discusses types of natural disasters. It then covers topics like patterns of mortality and injury from disasters, the phases of disaster response, and the roles and responsibilities of nurses during disasters. The document emphasizes that nurses are on the frontlines during disasters but receive little disaster-related training. It promotes developing a online "Supercourse" to educate nurses worldwide on disaster nursing concepts and preparedness. The overall goal is to build global awareness of the importance of disaster nursing.
Environmental health and disaster managementEurice Nshiti
Presentation on environmental health (Definition of environmental health and other concepts, Pollution; air, land , and water) and disasters (Definition, types, and management)
"...On 29 September 2006, Eric Noji (Stanford, 1977) delivered a lecture on the public health consequences of disasters, at the University of Pittsburgh’s main campus. However, this wasn't an ordinary lecture delivered to a packed auditorium of scholars and students. Eric’s lecture was Webcast around the world. It was expected to reach more than 1.5 million viewers, the largest academic lecture in history. Instead they had more than 3 million! Unfortunately, this exceeded the number of global access portals the university and its 12 global telecommunication partners had anticipated. Internet pioneer Vint Cerf (Stanford, 1965), was at Eric’s lecture and managed to wirelessly contact several friends around the world who opened up enough additional access points to allow another 50,000 viewers to log on—just 10 minutes late..."
- Stanford Magazine, JULY/AUGUST 2007
1) Public health issues are important in disaster management. Natural disasters can cause deaths, injuries, homelessness and damage infrastructure like roads and utilities. They can also increase risks of communicable diseases by disrupting sanitation and increasing population density.
2) Critical public health interventions after disasters focus on environmental health like ensuring clean water, sanitation and hygiene to prevent disease outbreaks. They also involve providing shelter, controlling disease, and addressing nutrition issues.
3) While disasters do not usually cause disease outbreaks, risks can increase under conditions of overcrowding and sanitation breakdowns, as seen in refugee camps. Diseases spread through water and respiratory routes. Mass immunization is usually not effective or needed
Disasters have negatively impacted human health and development since ancient times. This document discusses disaster nursing and management. It defines disasters, their classification, and their health effects. The goals of disaster nursing are to achieve the best health outcomes and meet survivors' basic needs. Disaster management involves preparing for, responding to, and recovering from emergencies through coordinated response efforts. Triage is critical to efficiently allocate limited healthcare resources to those with the most urgent needs during mass casualty events.
This document discusses disaster management and the roles of nurses. It describes different types of natural and man-made disasters and outlines the phases of a disaster - pre-impact, impact, and post-impact. It explains the nurse's roles in assessment, preparedness, response, and rehabilitation efforts during each disaster phase. Key responsibilities include triage, first aid, evacuation, psychological support, safety measures, and helping to restore normal community functioning after a disaster.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document outlines a lecture on disaster nursing. It defines disasters and different types. It discusses patterns of injury and mortality from various natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes. It emphasizes the role of nursing in all phases of disaster management from mitigation and preparedness to response and recovery. Specific nursing roles include triage, addressing mental health needs, caring for vulnerable groups, and coordinating with other agencies. The document argues that education on disaster nursing concepts should be provided to nurses worldwide to strengthen disaster response.
This document outlines a lecture on disaster nursing. It begins with an introduction that defines key terms like disaster and discusses types of natural disasters. It then covers topics like patterns of mortality and injury from disasters, the phases of disaster response, and the roles and responsibilities of nurses during disasters. The document emphasizes that nurses are on the frontlines during disasters but receive little disaster-related training. It promotes developing a online "Supercourse" to educate nurses worldwide on disaster nursing concepts and preparedness. The overall goal is to build global awareness of the importance of disaster nursing.
This document discusses disaster management in India. It begins by defining disasters and describing India's vulnerability to various natural disasters like floods, droughts, cyclones, and earthquakes. It then explains key concepts in disaster management including the disaster cycle, mitigation, preparedness, response and recovery. Specific challenges around public health in disasters are also summarized, like providing shelter, water and sanitation to displaced populations to prevent disease outbreaks. The document emphasizes the importance of community awareness and capacity building for effective disaster response.
The slide includes 1.Introduction to Disaster, 2.Disaster Impact and Response, 3.Relief Phase of Disaster, 4.Disaster Mitigation, 5.Disaster Preparedness 6.Personal Protection in different types of Disaster, 7.Man-made Disasters, 8. Policies concerned with disaster management 9.Worst Disasters in India 10. Organizations concerned with disaster management.
A total of 130+ slides will give a detailed idea of the disaster and its management.
This document provides an overview of a lecture on disaster nursing. It begins with introducing the speakers and objectives of the lecture. The bulk of the document then defines disasters and different types. It discusses the health impacts of various natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes. The document also covers disaster phases, the role of nursing in disasters, and argues that disaster nursing training needs to be incorporated into nursing education programs globally. It promotes using an online "Supercourse" to disseminate disaster nursing education materials worldwide.
This document is a lecture on disaster nursing that covers several key topics:
1. It defines disasters and discusses different types including natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes.
2. It outlines the phases of disasters from mitigation to preparedness to response to recovery.
3. It emphasizes the important role that nurses can play in disasters but notes they often receive little training. The lecture aims to educate nursing students on disaster nursing concepts.
4. It discusses strategies like effective communication, establishing registries, and training programs to better prepare nurses for disaster response roles.
This is a presentation I gave at Skepticamp Ohio 2009 on Virus Evolution. The goal was to give audience the scientific background to skeptically evaluate claims being made about the current Swine Flu Epidemic.
This document discusses disaster management and provides details on various types of disasters. It covers:
1) Disasters are a global problem that occur daily and affect health, socioeconomic development, and the environment due to issues like pollution and climate change.
2) Disasters can cause ecological disruption, loss of life, and deterioration of health services. They have significant impacts on living conditions, economic performance, and the environment.
3) Effective disaster management requires preparation, planning, and coordination between various teams to minimize loss of life and damage from both natural and man-made disasters.
Disaster managemt and its classification (1).pptxMona22maurya
Disasters caused by human factors are called man-made disasters. They can be intentional like acts of terrorism or unintentional like industrial and technological accidents. Some major man-made disasters include the Bhopal gas tragedy, Chernobyl nuclear disaster, and wars which have caused widespread damage and loss of life. Preventing such disasters requires stricter regulations on hazardous facilities, proper siting of chemical plants away from cities, and measures to reduce human errors.
This document provides an overview of disaster nursing and management. It begins with introducing the course objectives, which are to define key disaster-related terms and discuss concepts like disaster nursing principles, health effects of disasters, and the roles of nursing in disaster situations. It then defines different types of natural hazards and disasters like cyclones, earthquakes, floods, volcanoes and others. Specific natural disasters that commonly occur in the Philippines are also identified. The document discusses disaster risk and management, and provides examples of recent disasters like the COVID-19 pandemic and its effects. Overall, the summary introduces core concepts and terminology for understanding disaster nursing.
This document provides an overview of disaster nursing and management. It begins with introducing the course objectives, which are to define key disaster-related terms and discuss concepts like disaster nursing principles, health effects of disasters, and the roles of nursing in disaster situations. It then defines different types of natural hazards and disasters like cyclones, earthquakes, floods, volcanoes and others. Specific natural disasters that commonly occur in the Philippines are also identified. The document discusses disaster risk and management, and provides examples of recent disasters like the COVID-19 pandemic and its effects. Overall, the summary introduces core concepts and terminology for understanding disaster nursing.
What is resilience when it comes to talking about communities and disasters? I discuss the emergence and importance of social vulnerability as it relates to public health preparedness, too.
The Experimental Child - Child and Family Impacts of the Coronavirus SyndemicUniversité de Montréal
The Experimental Child - Child and Family Impacts of the Coronavirus Syndemic
Abstract
Not only is the coronavirus crisis a natural laboratory of stress offering health and social care services a unique historical opportunity to observe its impact on entire populations around the world, but the responses to the crisis by international health authorities, such as the WHO, along with national and local educational institutions and health care and social services, are creating an unprecedented and unpredictable environment for children and youth. This hostile new environment for growth and development is marked by the sudden and unpredictable imposition of confinement and social isolation, cutting off or limiting opportunities for the development of cognitive abilities, peer relationships, and social skills, while exposing vulnerable children and youth to depriving, negligent, or even abusive home environments.
For this reason, this crisis has been renamed a syndemic, encompassing two different categories of disease—an infectious disease (SARS-CoV-2) and an array of non-communicable diseases (NCDs). Together, these conditions cluster within specific populations following deeply-embedded patterns of inequality and vulnerability (Horton, 2020). These pre-existing fault lines of inequity, poverty, mental illness, racism, ableism, ageism create stigma and discrimination and amplify the impacts of this syndemic. And children are the most vulnerable population around the world. The impact on children is part of a cascade of consequences affecting societies at large, smaller communities, and the multigenerational family, all of which impinge on children and youth as the lowest common denominator (Di Nicola & Daly, 2020).
This exceptional set of circumstances—in response not only to the biomedical and populational health aspects but also in constructing policies for entire societies—is creating an “experimental childhood” for billions of children and youth around the world. With its commitment to the social determinants of health and mental health, notably in light of the monumental Adverse Childhood Events (ACE) studies (Felitti & Anda, 2010), social psychiatry and global mental health in partner with child and family psychiatry and allied professions must now consider their roles for the future of these “experimental children” around the world. The parameters for observing the conditions of this coronavirus-induced syndemic in the family and in society, along with recommendations for social psychiatric interventions, and prospective paediatric, psychological, and social studies will be outlined.
Keywords: Children & families, COVID-19, syndemic, ACE Study, confinement, social isolation
This document discusses the importance of emergency preparedness for organizations. It begins by noting that disasters occur annually in the U.S. and asks organizations to consider if they are prepared to continue operations if a major disaster struck. It then poses questions for organizations to evaluate their preparedness plans, staff willingness and ability to return to work, and arrangements with partners. The document emphasizes that preparing now can help reduce impacts on individuals, society, and the economy during a disaster. It asks community organizations to make emergency plans, share preparedness information, work with public health, and plan for vulnerable populations' safety.
Stienstra - Cooperation in public health good for global economyStef Stienstra
The document discusses the benefits of international cooperation in public health to combat infectious diseases in developing countries. It notes that such cooperation is good for the global economy by preventing pandemics and their economic impacts. It provides examples of recent public health crises like Ebola and arguments that more investment in pandemic preparedness through activities like strengthening health systems and coordinating response capabilities can significantly reduce risks to human lives and livelihoods at a relatively low cost compared to reacting to outbreaks. Military resources may also provide valuable support to public health efforts through capabilities in areas like logistics, communications, and mobile medical facilities.
The document discusses disaster management and provides definitions and classifications of different types of disasters including natural disasters like earthquakes, floods, hurricanes, and tsunamis as well as man-made disasters like technological accidents and conflicts. It outlines the goals of emergency preparedness to reduce loss of life, damage, and impact during disasters and describes disaster planning, mitigation, and management processes. Key aspects like activating disaster plans, establishing response teams, and national policy-making are summarized.
This document summarizes key aspects of providing medical care during and after disasters and complex emergencies. It outlines the timeline of needs from initial search and rescue through longer-term care. It describes how needs evolve from emergency surgery to rehabilitation, medicine for chronic diseases, addressing communicable diseases and public health issues. It emphasizes integrating health care with public health priorities around water, sanitation, nutrition and shelter. The document stresses considering patients' long-term needs beyond surgery and preparing for varying types and intensities of disasters while remembering that communities persevere.
At the 2016 CCIH Annual Conference, Dr. Jonathan Quick of Management Sciences for Health discusses recent pandemics and explores the keys to preventing future outbreaks.
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
This document discusses disaster management in India. It begins by defining disasters and describing India's vulnerability to various natural disasters like floods, droughts, cyclones, and earthquakes. It then explains key concepts in disaster management including the disaster cycle, mitigation, preparedness, response and recovery. Specific challenges around public health in disasters are also summarized, like providing shelter, water and sanitation to displaced populations to prevent disease outbreaks. The document emphasizes the importance of community awareness and capacity building for effective disaster response.
The slide includes 1.Introduction to Disaster, 2.Disaster Impact and Response, 3.Relief Phase of Disaster, 4.Disaster Mitigation, 5.Disaster Preparedness 6.Personal Protection in different types of Disaster, 7.Man-made Disasters, 8. Policies concerned with disaster management 9.Worst Disasters in India 10. Organizations concerned with disaster management.
A total of 130+ slides will give a detailed idea of the disaster and its management.
This document provides an overview of a lecture on disaster nursing. It begins with introducing the speakers and objectives of the lecture. The bulk of the document then defines disasters and different types. It discusses the health impacts of various natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes. The document also covers disaster phases, the role of nursing in disasters, and argues that disaster nursing training needs to be incorporated into nursing education programs globally. It promotes using an online "Supercourse" to disseminate disaster nursing education materials worldwide.
This document is a lecture on disaster nursing that covers several key topics:
1. It defines disasters and discusses different types including natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes.
2. It outlines the phases of disasters from mitigation to preparedness to response to recovery.
3. It emphasizes the important role that nurses can play in disasters but notes they often receive little training. The lecture aims to educate nursing students on disaster nursing concepts.
4. It discusses strategies like effective communication, establishing registries, and training programs to better prepare nurses for disaster response roles.
This is a presentation I gave at Skepticamp Ohio 2009 on Virus Evolution. The goal was to give audience the scientific background to skeptically evaluate claims being made about the current Swine Flu Epidemic.
This document discusses disaster management and provides details on various types of disasters. It covers:
1) Disasters are a global problem that occur daily and affect health, socioeconomic development, and the environment due to issues like pollution and climate change.
2) Disasters can cause ecological disruption, loss of life, and deterioration of health services. They have significant impacts on living conditions, economic performance, and the environment.
3) Effective disaster management requires preparation, planning, and coordination between various teams to minimize loss of life and damage from both natural and man-made disasters.
Disaster managemt and its classification (1).pptxMona22maurya
Disasters caused by human factors are called man-made disasters. They can be intentional like acts of terrorism or unintentional like industrial and technological accidents. Some major man-made disasters include the Bhopal gas tragedy, Chernobyl nuclear disaster, and wars which have caused widespread damage and loss of life. Preventing such disasters requires stricter regulations on hazardous facilities, proper siting of chemical plants away from cities, and measures to reduce human errors.
This document provides an overview of disaster nursing and management. It begins with introducing the course objectives, which are to define key disaster-related terms and discuss concepts like disaster nursing principles, health effects of disasters, and the roles of nursing in disaster situations. It then defines different types of natural hazards and disasters like cyclones, earthquakes, floods, volcanoes and others. Specific natural disasters that commonly occur in the Philippines are also identified. The document discusses disaster risk and management, and provides examples of recent disasters like the COVID-19 pandemic and its effects. Overall, the summary introduces core concepts and terminology for understanding disaster nursing.
This document provides an overview of disaster nursing and management. It begins with introducing the course objectives, which are to define key disaster-related terms and discuss concepts like disaster nursing principles, health effects of disasters, and the roles of nursing in disaster situations. It then defines different types of natural hazards and disasters like cyclones, earthquakes, floods, volcanoes and others. Specific natural disasters that commonly occur in the Philippines are also identified. The document discusses disaster risk and management, and provides examples of recent disasters like the COVID-19 pandemic and its effects. Overall, the summary introduces core concepts and terminology for understanding disaster nursing.
What is resilience when it comes to talking about communities and disasters? I discuss the emergence and importance of social vulnerability as it relates to public health preparedness, too.
The Experimental Child - Child and Family Impacts of the Coronavirus SyndemicUniversité de Montréal
The Experimental Child - Child and Family Impacts of the Coronavirus Syndemic
Abstract
Not only is the coronavirus crisis a natural laboratory of stress offering health and social care services a unique historical opportunity to observe its impact on entire populations around the world, but the responses to the crisis by international health authorities, such as the WHO, along with national and local educational institutions and health care and social services, are creating an unprecedented and unpredictable environment for children and youth. This hostile new environment for growth and development is marked by the sudden and unpredictable imposition of confinement and social isolation, cutting off or limiting opportunities for the development of cognitive abilities, peer relationships, and social skills, while exposing vulnerable children and youth to depriving, negligent, or even abusive home environments.
For this reason, this crisis has been renamed a syndemic, encompassing two different categories of disease—an infectious disease (SARS-CoV-2) and an array of non-communicable diseases (NCDs). Together, these conditions cluster within specific populations following deeply-embedded patterns of inequality and vulnerability (Horton, 2020). These pre-existing fault lines of inequity, poverty, mental illness, racism, ableism, ageism create stigma and discrimination and amplify the impacts of this syndemic. And children are the most vulnerable population around the world. The impact on children is part of a cascade of consequences affecting societies at large, smaller communities, and the multigenerational family, all of which impinge on children and youth as the lowest common denominator (Di Nicola & Daly, 2020).
This exceptional set of circumstances—in response not only to the biomedical and populational health aspects but also in constructing policies for entire societies—is creating an “experimental childhood” for billions of children and youth around the world. With its commitment to the social determinants of health and mental health, notably in light of the monumental Adverse Childhood Events (ACE) studies (Felitti & Anda, 2010), social psychiatry and global mental health in partner with child and family psychiatry and allied professions must now consider their roles for the future of these “experimental children” around the world. The parameters for observing the conditions of this coronavirus-induced syndemic in the family and in society, along with recommendations for social psychiatric interventions, and prospective paediatric, psychological, and social studies will be outlined.
Keywords: Children & families, COVID-19, syndemic, ACE Study, confinement, social isolation
This document discusses the importance of emergency preparedness for organizations. It begins by noting that disasters occur annually in the U.S. and asks organizations to consider if they are prepared to continue operations if a major disaster struck. It then poses questions for organizations to evaluate their preparedness plans, staff willingness and ability to return to work, and arrangements with partners. The document emphasizes that preparing now can help reduce impacts on individuals, society, and the economy during a disaster. It asks community organizations to make emergency plans, share preparedness information, work with public health, and plan for vulnerable populations' safety.
Stienstra - Cooperation in public health good for global economyStef Stienstra
The document discusses the benefits of international cooperation in public health to combat infectious diseases in developing countries. It notes that such cooperation is good for the global economy by preventing pandemics and their economic impacts. It provides examples of recent public health crises like Ebola and arguments that more investment in pandemic preparedness through activities like strengthening health systems and coordinating response capabilities can significantly reduce risks to human lives and livelihoods at a relatively low cost compared to reacting to outbreaks. Military resources may also provide valuable support to public health efforts through capabilities in areas like logistics, communications, and mobile medical facilities.
The document discusses disaster management and provides definitions and classifications of different types of disasters including natural disasters like earthquakes, floods, hurricanes, and tsunamis as well as man-made disasters like technological accidents and conflicts. It outlines the goals of emergency preparedness to reduce loss of life, damage, and impact during disasters and describes disaster planning, mitigation, and management processes. Key aspects like activating disaster plans, establishing response teams, and national policy-making are summarized.
This document summarizes key aspects of providing medical care during and after disasters and complex emergencies. It outlines the timeline of needs from initial search and rescue through longer-term care. It describes how needs evolve from emergency surgery to rehabilitation, medicine for chronic diseases, addressing communicable diseases and public health issues. It emphasizes integrating health care with public health priorities around water, sanitation, nutrition and shelter. The document stresses considering patients' long-term needs beyond surgery and preparing for varying types and intensities of disasters while remembering that communities persevere.
At the 2016 CCIH Annual Conference, Dr. Jonathan Quick of Management Sciences for Health discusses recent pandemics and explores the keys to preventing future outbreaks.
Similar to Mass fatality planning Daniel Jordan, PhD (20)
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
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share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
2. Objectives:
Develop and Organize
Establish MFC Response Policy &
Procedures
Understand Handling Deceased
Assist Families and Loved Ones
Familiarity with Death Certification Process
Establish Role of Mass Fatality Response
Coordinator in an Operations Center
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
3. Mass Fatality Planning Objectives:
(FEMA)
Don’t become
overwhelmed
Overcome denial
and “disbelief”
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
4. Mass Fatality Planning Objectives:
(Jordan)
vs.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
5. FEMA Definition:
Catastrophes vs Disasters
Mass vs Multi casualty and fatality
Community activity breaks down
Infrastructure (buildings, roads, water, power)
Daily life: Work, leisure, education
Social order
Local governance into recovery and beyond
Help from outside is not available
FEMA and Enrico Quarantelli. “Emergencies, Disasters and Catastrophes
are Different Phenomena.”
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
6. Catastrophes:
High Probability, Low Frequency
Health (Worst case, large scale, infrequent)
Pandemic: 5,000 to 80,000+ Ventura County
deaths, nation/world-wide, no/little mutual aid
Natural (Likely, not as large scale)
7.9 or larger earthquakes, dam failure, tsunamis,
likely some mutual aid from outside CA
Human-made (Less likely, smaller scale)
Biological or dirty bomb attack, larger than 9/11
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
7. Mass Fatality Incident Guidance
Planning tool,
not a plan
Start with worst case
scenario
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
8. Reality Check
It "may not be ethical, it may
not be nice, it may not even
be legal, but it might be the
only thing you can do.”
Michael Leavitt, Secretary of
Health and Human Services
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
9. Reality Check: It Could Get Bad --
Really, Really Bad
“The corpses had backed up at the undertakers’,
filling every available area of these establishments
and pressing into living quarters; in hospital
morgues overflowing into corridors; in the
[Philadelphia] city morgue overflowing into the
street. And they backed up in homes. They lay on
porches, in closets, in corners of the floor, on
beds.”
Barry, JM. (2004). The Great Influenza: The Epic Story of
the Deadliest Plague in History.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
10. Reality Check: AHRQ* Plan
(See Any Problems with This?)
Establish a Regional Home Death Management
Process
Set up regional hubs for body retrieval and processing
with a review by the Medical Examiner, a registration
process, and a temporary holding place awaiting
definite management.
Deploy refrigerated trucks from the hospital for body
management, exchanged daily to regional processing
sites.
Arrange for Web-based death certificate processing
and secure tracking to the Department of Health.”
*Agency for Healthcare Research and Quality
http://www.ahrq.gov/research/mce/mce8b.htm
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
11. Reality Check: A State Pan Flu Plan
(See Any Problems with This?)
Handling of Deceased Bodies by the General Public,
Such as At-Home-Death: If . . . the death of a family
member occurs in your home . . . isolate the body in an
area where it will not be touched or disturbed. If the body
must be moved or otherwise touched . . . wear gloves
and avoid contacting oral and respiratory secretions
(from mouth, eyes, nose). Wash hands thoroughly after
touching the body or surfaces contaminated by
secretions. Thoroughly disinfect surfaces and launder
clothing that may have been contaminated by secretions.
Call appropriate authorities to report the death.
State of ------------, Dep’t. of Health. Public Health Pandemic
Influenza Response Plan, Ver. 5. (emphasis added)
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
12. Reality Check: Mass Fatality Plan
Weaknesses
Consider:
15-20% of the population has died
35-40% of the population is very sick
Nationwide pandemic, mutual aid is not
coming
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
13. Reality Check: Yes, It Could Get
Bad -- Really, Really Bad
Epidemiological Modeling: Ventura County
could have between 5,000 and 125,000
deaths in a 6 to 8 week period (with a
second, smaller wave following the first)
Our society is not prepared
No society can be truly prepared
But we must do our best
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
14. Nationwide Pandemic:
What’s Different from 1918?
Travel:
Speed
Numbers
Frequency
of trips Plane landing at Maho Bay, St Maarten
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
15. Nationwide Pandemic:
1918 and Now
More people have impaired immune systems
due to medical advances allowing them to
live longer . . . overall our population has
lower immunity levels*
Elderly, transplant recipients, cancer survivors
getting chemotherapy or radiation, and viral
infections including HIV
We’re actually in worse shape than in 1918
*http://www.evans.amedd.army.mil/PandemicFlu/1918.htm
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
16. Why Establish an MFC Plan?
Notify and assist families
Protect families, property, estates --
the future
Identify the deceased, repatriate as possible
Maintain evidence trail
Determine and certify causes of death
Track patterns for prevention and mitigation
Properly dispose of remains
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
17. Need a Multi-Agency Plan
Health Department
Hospitals
Community health entities
Mortuaries
County/City planning agencies, parks
departments
and more
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
21. Transport of Deceased
Assume: System is overwhelmed
From scenes to funeral homes and/or
morgues
Funeral homes and morgues to burial sites
Access to appropriate vehicles, ambulances,
hearses, trucks,
Body bags, boards, coffins, equipment
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
23. Morgue Standards
Out of sight from bystanders and victims.
Access control: Only authorized staff.
Attempt to identify all human remains.
Photographs and descriptive information for each
body.
Collect and store, find refrigerated containers or
temporary burial to allow for subsequent
investigation and/or identification.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
24. Family Assistance
Center
Plans
Psychological
First Aid
Community
Intervention
25. Family and Community Assistance
Centers
Removed from the press, the morgue
Mental Health staff trained in psychological
first aid
Emotional support and practical information
Gathering place for families to get
information and provide support to each
other
Establish community response plans
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
26. Be able to address whether dead
bodies cause epidemics
Dead bodies from natural disasters do not
have epidemic causing diseases (e.g.,
cholera, typhoid, malaria, or plague).
Victims of disease need some precautions
Follow precautions, use Personal Protective
Equipment (PPE) use
Partially Derived from: Morgan, O., Tidball-
Binz, M. & Van Alphen, D. Eds. (2006).
Management of dead bodies after
disasters: a field manual for first
responders. Washington, D.C: PAHO.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com Avian Flu Virus
27. How Urgent is Collection of Dead
Bodies?
Body collection is not the most urgent task
after a natural disaster.
The living are our priority.
No significant public health risk is related to
simple presence of dead bodies.
Collect bodies as soon as possible and
maintain identification.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
28. Health Risks to the Public and
Workers Handling Dead Bodies
Rescue workers, morgue workers, etc.
have small risk from tuberculosis, hepatitis
B and C, HIV, and diarrheal diseases.
Infectious agents causing these diseases
last no more than two days in a dead body
(HIV may survive up to six days).
Reduce risk with rubber boots and gloves.
Little risk to general public
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
29. Handling the Deceased:
Examples of Advice
Follow DOC/EOC Cover the body or
instructions head before moving
Universal precautions Use backboards
Volunteers only (even Double glove and tape
staff should be wrists
volunteers)!
Use shovels not hands
Masks help emotionally
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
31. Survivors: Special Considerations
Orphans (especially if 1918 pattern held)
Elderly
People with special needs
Language barriers
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
32. Mental Health Issues
The primary desire of relatives (from all
religions and cultures) is to identify their
loved ones.
Help with decision-making.
Grieving and traditional burial are important
for the personal and community recovery
and healing. [See Cultural Competencies in
MFCs plan.]
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
33. Examples of Dealing with Victims,
Loved Ones, Bystanders
Act with respect and dignity for all involved.
Reduce pain witnesses may feel (they will
watch handling of the deceased).
Handle deceased as if they were still alive.
Avoid “M.A.S.H. humor.”
Watch for signs of stress among responders
and help them get time.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
35. PIOs, Journalists
Challenge comments or statements
regarding the need for mass burial or
incineration of bodies to avoid epidemics.
Consult PAHO/WHO, ICRC, the IFRC or
local Red Cross sources.
Don’t join alarmists by spreading bad
information.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
41. Cremation vs Burial
(PAHO* Guidelines)
Cremation is not universally accepted destroys
evidence.
Large amounts of fuel are needed.
Achieving complete incineration is difficult, often
resulting in partially incinerated remains that have
to be buried.
Logistically difficult to arrange cremation of a
large number of dead bodies.
Pan-American Health Organization
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
42. Collective Burial Not Mass Graves
2.5 acres can hold about 2,000 bodies.
Gridding system, each body identified or
identifying characteristics recorded.
Special training for heavy equipment
operators.
Dilemma: Repatriation vs. permanence.
Avoid trauma, even international
consequences of mass graves
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
43. Collective Burial Site Criteria
Accessible yet able to be protected.
Not linked to water tables.
Relatively flat expanses of open ground.
Dirt, low proportions of rock to be cleared.
Convertible to permanent cemeteries.
Neighborhood burials, local parks
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
44. Example Collective Burial Site Location:
This is not an actual planned site, but an
example of thinking through the process
Parcel ARN
234005014
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
45. One Hundred Year Flood Plain
Parcel ARN
234005014
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
46. Scary dairy close up with 100 year
Parcel ARN
floodplain
234005014
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
47. Memorializing
Plans
Collective burial sites planned as
temporary have become permanent
48. Winfield Township’s 1918 Influenza Mass
Grave Site
History Of the 1918 Mass Graves in Winfield
Township, Butler County PA
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
49. 1918_Program_Service_b_Ukranian_C
atholic.jpg
www.saxonburglocalhistory.com/Winfield.html
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
50. Alaska Inuit mass grave marker
site of a mass grave in
Brevig Mission, Alaska,
where 72 people were
buried following their
deaths during the
Spanish flu breakout of
1918. Ned Rozell
photo.
Photo by Ned Rozell
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
51. Castlebar, Ireland Memorial to
the Flu Victims of 1918
Daniel Jordan, PhD, ABPP
Castlebar, Ireland Memorial to the Flu Victims of 1918
drdanj@roadrunner.com
52. Maori
memorial
Carved wooden Maori
cenotaph erected at
Te Koura marae.
Cenotaph designed
and carved by Tene
Waitere of Ngati
Tarawhai.
Photograph 1920 by
Albert Percy Godber.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
53. September 16, 1928, a hurricane hit near the
Jupiter Lighthouse (FL) heading west across
Palm Beach County to Lake Okeechobee. It
destroyed hundreds of buildings and
damaged millions of dollars in property. Lake 1928 Hurricane, Florida
Okeechobee dike collapsed -- 1,800 to 3,000
fatalities. 1,600 buried in a mass grave in
Port Mayaca in Martin County. In West Palm
Beach, 69 white victims were placed in a
mass grave in Woodlawn cemetery and
approximately 674 black victims were buried
in this mass grave in the City's pauper's
burial field. Many others were never found.
On Sep. 30, 1928, the City proclaimed an
hour of mourning for the victims with rites
conducted at each burial site. 2,000 persons
attended at the pauper's cemetery, black
educator and activist Mary McLeod Bethune
(1876-1955) read the Mayor's proclamation.
This burial site was not again recognized
until 1991, when a Yoruba (Nigerian
religious) ceremony was held here.
National Register #02001012 (2002)
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
56. Managing bodies of foreign
nationals
Families or countries may demand
identification and repatriation of bodies.
Problems could have serious economic
and diplomatic implications.
Bodies must be kept for identification.
Department of Foreign Affairs or Governor’s
Office, foreign consulates, embassies,
INTERPOL, etc.
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
58. Give Every Consideration to
Participants
Operational Debrief
Psychological First Aid, referral and
follow-up interventions
Information capture, tactical changes,
organizational learning and practice
Staff welfare, staff recovery
Overall follow-up planning
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
59. Demobilization
Body Recovery Demobilization
Personal Effects Recovery Demobilization
Family Assistance Center Demobilization
Morgue Demobilization
Collective Interment Operations
Demobilization
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
60. Breakout Session: Suggested (Initial)
Mass Fatality Annex Work Groups
Scene(s) Management (may be entire For each domain we
County) including Transportation need at least:
Hospital Mass Fatality Plans Objectives
Funeral Home/Mortuary Roles
Disaster Morgue
Policies
Family Assistance, Identification &
Management &
Viewing (cultural & religious issues) Organization Plan
Health and Safety (universal precautions) Procedures
Social Welfare (e.g., orphans, displaced
people)
Communications and Media
Disposition, Collective Burial, Memorials
Demobilization
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com
61. Contact
Daniel Jordan, PhD, ABPP
Research Psychologist
2240 E. Gonzales Road, Suite 220-M
Oxnard, CA 93036
Phone: 805-981-5258
Email: drdanj@roadrunner.com or
dan.jordan@ventura.org
Daniel Jordan, PhD, ABPP
drdanj@roadrunner.com