Analyze

this

This epi study looks at multiple organizations that have put together data regarding the respiratory health changes of individuals that were directly affected by destruction of the WTC in 2001. It proposes the problems that are faced by those individuals and the difficulties of treating them and acquiring data about them. This data will not only help these individuals with treatment and education, but can also help with plans for future care if this kind of thing is unfortunately ever to happen again.

This study is published in Disaster Medicine and Public Health Preparedness (DMPHP).  DMPHP is a journal that is focused on emphasizing public health preparedness and disaster response for all health care and public health professionals globally. Using scientific information that they've gathered, they make it accessible and understandable from medical and public health perspectives. As per the title they study many emergency situations such as 9/11, H1N1, and Katrina.

"The role of epidemiology in disaster response policy development" cites this epi study. This article addresses the role of epidemiology in informing policies after a disaster to mitigate ongoing exposures, provide care and compensation, and improve preparedness for future disasters. It uses our article to support the argument that epidemiology should be used for prep for disaster.

Professionals can use this information of affected individuals in order to designate their post event focus on care for emergency providers. 

Although nothing is specifically mentioned the author has an affiliation with New York Medical school. American Medical Association.

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf

This policy applies to American law and patients who are in need of emergency medical treatment and is to be followed by all emergency departments and personnel alike. 

This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.