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tamar.rogoszinski

On the iTunes App Store, there is another app called Medical Management of Radiological Casualties that appears to be similar, but costs $7.99 to download, while REMM's app is free. This app appears to serve a similar function with providing support for healthcare providers, but also includes psychological support information, which REMM does not provide. This app also appears geared toward EMS responders, while the other is primarily made for physicians. 

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tamar.rogoszinski

1. "But with every explosion that shook the Japanese plant it became clearer: there was nobody -- not in Japan, nor Russia, nor the United States -- who had the relevant know-how, equipment, or strategy to handle a nuclear disaster. No international nuclear emergency response group exists today." pg 194

2. "But in the interest of sustainable, socially legitimate solutions, arguably deisions about even the technical responses to disasters should not be left to scientists and engineers alone." pg 196

3. "While national and international disaster relief organizations have refined their response techniques over the past decades, nuclear emergency preparedness and response has hardly gained traction." pg 200

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tamar.rogoszinski

Per Bech - Danish Psychiatrist who provided the author with a story about a patient of his. He is an innovator in clinical psychometrics. 

Journal of the American Medical Association - in 1992 published an article about giving weight to the combination of doctor's experience and biological plausibility. 

Hellmuth Kaiser - a teacher to the author and taught him about fictional cases portrayed on stage. 

Oxford University Press - began publishing a journal devoted to case reports of patients. 

New England Jounrl of Medicine - opened an issue with a case history to highlight patient experience. 

Lone Lindberg - coauthor for Dr. Bech, point out that spontaneous recovery from depression late in life is rare

Leston Havens - psychoanalyst - uses an interesting approach with his patients

pece_annotation_1473443763

tamar.rogoszinski

"The outside world's response to Haiti's continuing cholera epidemic offers a revealing window on this disheartening dynamic"

"The source [of cholera] is clear to public health experts: Cholera was brought to Haiti by Nepalese soldiers quartered in a United Nations peacekeeping camp that spilled its waste into a tributary of the Artibonite."

"The UN has, thus far, refused to acknowledge responsibility for the cholera catastrophe"

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tamar.rogoszinski
Annotation of

There are many people portrayed and mentioned in the film. They discuss issues within governments and insurance companies. They show patients without insurance struggling to get medication and care. As a result, they express issues with access to care and paying for hte care that they receive. They show doctors and the struggles they have with handling patients and those that come in with the ambulance. Nurses and other ER staff are shown as well. They show narratives of several patients in the waiting room and their experience once they do finally make it to a bed. All of these players have a lot of decisions to make, starting with the decision of the patient ot come to this public hospital (possibly because being turned away from others), and ending with a doctor's care and decision whether or not to release patients. 

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tamar.rogoszinski

Emergency response is discussed a lot in this paper with respect to a global level of care. They analyze the current protocols in place that would create a global response and investigate their effectiveness. The need for a more concrete protocol is discussed as most countries exhibit nationalism and self interest that would inhibit them from helping others. 

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tamar.rogoszinski
  1. "At the same time, academic research is often communicated in a format that fails to address the critical policy issues facing aid organizations."
  2. "Because reporting often focuses on the most serious attacks, such as kidnapping and fatalities, workshop participants stressed that incidents perceived to be less severe, such as threats and obstructions, are more likely to be underreported. For this reason it is important to better understand the impact of perceived threats."
  3. "Workshop participants also noted examples of violence linked to situations where the medical treatment provided has not met patients’ expectations or was unsatisfactory in other ways."
  4. "Although violence directly affecting health service delivery in complex security environments has received a great deal of media attention, there is very little publically available research, particularly peer-reviewed, original research. Only thirty-eight articles met the original search criteria outlined in the methods section, of which only eleven contained original research; a further citation search yielded another four original research articles. The remainder was comprised of review articles, commentaries, letters, or analysis based on secondary sources."

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tamar.rogoszinski
  1. The Burning of the Capitol Building in 1814 is discussed. Knowles talks about how the burning was investigated by one of the key engineers of the building, Latrobe. He was allowed to investigate without any issues and was ultimately allowed to rebuild. Most Americans, however, viewed the burning as a failure of the military, not the engineer. 
  2. The Hague Street Explosion of 1850, which was caused by an exploding boiler and resulted in mass casualties. Investigation and determination of responsibility was carried out by the Coroner's office and police. Media and news reporters also assisted in providing information to the public and attributed the explosion to an overheated boiler, as opposed to an engineering flaw. Jurors listened to expert witnesses in order to determine where the blame could be placed, which ultimately led to the disaster being blamed on all involved in the boiler and factory. 
  3. The Iroquois Theater Fire in Chicago that happened in 1903 provides information regarding disaster investigation as well. The fire curtains, shields, and other technology meant to protect the theater from the spread of a fire did not work. Building inspectors came into the city after the disaster to investigate along with architects and other commissioners. It was found that the theater (along with many others in the city) had many building code violations, which called into question the integrity of the entire building code system in Chicago. One of the nation's foremost authorities on fireproof construction, Ripley Freeman, conducted an extensive investigation with financial support from an elite man in Chicago. This marked a new era in history of disaster investigation in the US.