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pece_annotation_1479079481

Sara_Nesheiwat

There was no emergency response addressed in this article directly. Yet, I believe patient narrative and the understanding of the connection between cultural stigmas or background and patient narrative is so imperative for EMS and other healthcare providers. It is crucial for emergency responders to understand possible cultural influences on patients and how that might effect their perception of their illness or how they reflect what they are experiencing to you as the their health care provider. 

pece_annotation_1473575632

Sara_Nesheiwat
Annotation of

According to the history page of American Red Cross, the organization began in 1882. In the 23 years following that, the organization aided in disaster relief efforts with the US Army during the Spanish American War. Not until prior to WW1 was the first water safety, first aid and health program introduced by the organization, where they first expanded their efforts and scope of what they can offer. What truly motivated the way and thinking of disaster relief was the outbreak of war America had. The organization grew tremendously because of war. In the 4 years between 1914 an 1918, chapters of American Red Cross went from 107 to 3,864- which is astonishing. Membership also grew from 17,000 to 20 million in that time. With this large jump of people and chapters came a large growth in funding and material to cover programs, hospitals, nurses, etc to aid refugees and American and Allied forces. Then in 1918, influenza pandemic struck and American Red Cross was able to help combat that and in the process took on more nurses to do so. This trend of growth is seen during times of war, or devastation such as the Great Depression, Mississippi River flood and WW2. Ultimately, what motivated the growth and disaster response was the need for it. As need increased for care during times of war, devastation or disease, American Red Cross grew, due to those in support of troops overseas, volunteering time and money, which allowed for the organization to grow and gain the moment needed to combat epidemics and eventually natural disasters.

pece_annotation_1480143817

Sara_Nesheiwat

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.

pece_annotation_1474155850

Sara_Nesheiwat

The film points out that there is a clear need for more public health infrastructure. Procedures to combat outbreak should be enacted but also increasing the education of the masses on disease spread and how to act preventatively, as well as effectively. 

pece_annotation_1480823167

Sara_Nesheiwat

The methods utilized in this paper are not necessarily new or inventive, yet this doesn't detract from its effectiveness. The data used for this study was collected from surveys of 1,569 people and the data was then analyzed using statistical methods of logistic regression.

pece_annotation_1474775697

Sara_Nesheiwat

There was very detailed recounting of investigations of three historical cases. The similarities between those cases and the World Trade Center investigations were then compared. Methods used include data collection, analysis and comparison. The author utilizes expert testimony and cites documents and the media often as well.

pece_annotation_1474821427

Sara_Nesheiwat
Annotation of

This registry allows for the tracking of the health effects of the 9/11 disaster. It is open to the public, where they can see the most common disorders and afflictions that those effected by 9/11 are dealing with today. The public can access this website and read up on the rates of lung infection, heart disease, PTSD, alcohol use, as well as the effect it has had on adolescent health. This registry was not only set up for the public use though, it is also used and produced by researchers. The researchers track the longterm health effects 9/11 has had on those exposed. The data also provides experts and researchers with the means to draw conclusions and analyses. Learning about the long term effects of 9/11 will raise awareness as well as allow for the understanding of how disasters of this caliber can effect those around it, in both long term and short term ways. 

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Sara_Nesheiwat

I personally wouldn't say that emergency response was a factor discussed or addressed in this paper. Rather,there was a discussion about illegal immigration and public health aspects and the duty France and other countries had to those seeking residence or living in their respective countries. I think more so, public health aspects were discussed in this paper as well as social aspects of duty and justice rather than emergency response.