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Dr. Knowles uses various historical reports and accounts, both official and third-party, to chart the development of disaster investigation in the United States. He cites various agencies including the National Institute of Standards and Technology and the Underwriters' Laboratory or UL, LLC. 

This policy ensures that EMTs and Paramedics who transport patients to hospitals are not refused admittance or directed to other facilities due to their patients' inability to pay or other factors. While emergency departments still may declare a divert status, whereby incoming EMS units are advised that the ER is either full or unable to accept patients due to other factors, this act, and other relevant state statutes, require that hospitals still accept, treat, and stabilize any patients that are brought to their facilities.

Emergency response, specifically the recovery response in the aftermath of a disaster such as Hurricane Katrina, is the principal focus of this report.

The author argues that a patient's narrative regarding his or her medical history can vary significantly and be affected by his or her culture. Cultural norms can determine how a patient presents or describes signs and symptoms or can determine the extent to which a patient is willing to share information with medical professionals.