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Sara.Till

Obviously, the individual testimonies hold enormous emotional power. Having a tearful mother share of her grief at losing two children, watching former marines such as Denita McCall fight for their lives against cancer, or seeing Mike Partain's massive spreadsheet of male breast cancer incidence all strike deeply. Yet, the most compelling piece was early on in the film. Ensingmer and Partain visit a cemetery near Camp Lejeune. While there, they note the sheer number of graves from between 1957-1987-- the vast majority belonging to infants and children. This, personally, was the most moving; witnessing the sheer number of lives  lost while hearing the excuses and lackluster responses of governing bodies demonstrated just how dire this situation was.

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erin_tuttle

The article referenced many other papers that focus on the modern health threats due to scientific advancement, the spread of disease in modern society, and on the current approach to health prevention and the response to epidemics. This suggests that the paper was a culmination of ideas that did not include new research or data.

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erin_tuttle

There are seven authors on this project, all of whom are connected to research institutes or universities. The project was primarily written by individuals associated with the Stockholm International Peace Research Institute, which has a good reputation.

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Sara.Till

The article primarily asserts that how a patient narrates or describes their medical history is deeply rooted in their native culture. As such, physicians must be aware of how an individual's medical experiences can be altered based on this. In turn, physicians must recognize the importance of story-telling and anecdotes when receiving information directly from patients. Narratives project the patient's experience and events through their perspective, granting professionals a glimpse into their thought processes and action patterns.

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erin_tuttle

The argument is mainly supported by historical examples of structural failures and the subsequent investigations. The post incident investigation tactics, or lack thereof, discussed support the argument that disasters require an existing structure for authority and procedure. The 1814 Burning of the Capitol Building is an example of an unrestricted investigation that had a successful ending, the building was reconstructed. The 1850 Hauge St. Explosion shows how a joint investigative team without proper distribution of expertise and responsibility leads to an incomplete investigation.  Finally, the 1903 Iroquois Theater Fire is an example of a modern investigation process that utilized available knowledge and resources effectively.

 

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erin_tuttle
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This policy has significant implications as to the future of EMS and fire response, if it became common to carry firearms while on duty. While there are safety benefits, and EMS personnel in Bethel Township say they are also more confident knowing they could defend themselves, it is important to recognize that police have extensive training and protocols on when and how to safely use their firearms. Police should still respond to EMS calls if there is any suspicion that the scene may be unsafe. Additionally, the knowledge that calling an ambulance also means calling several people who may be armed could negatively affect the public opinion of EMS. EMS is here to help the public, and for this to be successful those in need have to feel safe calling 911.

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Sara.Till

The first portion of the article focuses on the shift of sexual violence from a woman's rights issue to the larger title of "gender-violence". From there, Dr. Ticktin argues the nuances of this transition necessitated medicalizing sexual violence, and turned it into a condition to be treated by tools within the humanitarian kit. Just as how we now attempt to treat polio by handing out vaccines and flyers, rape is covered by blanket protocols and procedures. In attempts to make this issue more respected, we sacrificed the nuances of care necessary for adequate treatment.

This is further exemplified in Dr. Ticktin's description of humanitarian aid-- the preservation of life itself, with disregard to the kind of life being lived. She goes on to contend that sexual violence is by its very definition a "kind" of life, thus creating an inherent conflict in the overarching goal of treating sexual violence and humanitarian interventions.

Dr. Ticktin also pays respect to the inherent difficulty in maintaining the typical principles used during humanitarian aid efforts, especially when attempting to treat gender violence. One of her primary examples is the work of MSF in the Congo Republic. During the conflict, roadblocks would be set by armed men, and thus MSF were forced to accept military escorts-- destroying the key humanitarian tenant of neutrality. Moreover, many of these militia men were perpetrators of the sexual violence, something MSF was seeking to treat. 

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erin_tuttle
  • “Sometimes the foreigner, too, is no more than his body, but this body is no longer the same: useless to the political economy, it now finds its place in a new moral economy that values suffering over labor and compassion more than rights.”
  • “The compassion protocol is thus a procedure of the last resort that derives from a form of sympathy evoked in the face of suffering. It demands the right to keep alive individuals who have nothing except their mere existence.”
  • “the medical officers were caught between the duties mandated to them by the public institution that employed them and those their profession required them to respect”

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Sara.Till

The article specifically highlights the failure to utilize all the resources given to Haiti after the earthquake. It specifically focuses on how monetary donations have been improperly managed, and how several mitigating factors forced this money to be basically wasted. Moreover, it explores why donors are now hesitant to invest in combating the newest plight (cholera) and why UN peacekeeping forces hurt more than helped recovery efforts.

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Sara.Till

As an ambulatory agency, BSVAC obviously utilizes the typical EMS technologies, such as oxygen, BVM, ambulance, pulse oximetry, ect. However, it should be noted at the time of publication (2014), an article by the New York Times describing BSVAC's economic struggles, only 1 of the 6 functional rigs could be used due to lack of funding. At the time of the article, this rig had broken down-- and only through the volunteer maintenance by an EMT student's father had it been returned to commission. This leads me to believe that well BSVAC has all the available technologies, these may be dated or somewhat worn in nature.