The personal stories of the event, especially of the one paramedic whose name I didn't catch (Hispanic, Female). The emotional tellings of the events were incrediably visceral. I cannot conceive a scenario worse than what they had to deal with.
Columbia University was one of the first medical schools to open a program in Narrative Medicine. This program was built within their College of Physicians and Surgeons. Rita Charon is the executive director of the program and is on the forefront of spreading the need for narrative medicine in the medical field. Colleagues of hers also believe that medicine has become too professional and clinical, and doctors focus on treating medical problems based off symptoms, not the patient. The educational program at Columbia created the opportunity to earn a Masters of Science degree in Narrative Medicine in 2009, making to one of the first programs devoted to only narrative medicine.
The authors include Paul E Farmer, Bruce Nizeye, Sara Stulac, Salmaan Keshavjee. Paul Farmer is a physician and anthropologist that is very active on this subject and has many different publications on the matter. Paul and the other authors are all involved with Partners in Health. All authors are doctors and very active in global health and efforts. Partners in Health focuses on developing healthcare in countries of need.
-“…since the era in which demand for foreign labor made immigration a social necessity seem so remote, the immigrant’s body was entirely legitimized through its function as an instrument of production, the performance of which was interrupted by illness or accident.” – Succinctly captures modern views of illness of foreigners.
-Unless his presence constitutes a threat to public order, any foreigner habitually resident in France whose health is such that he requires medical treatment the lack of which could lead to exceptionally serious consequences, and provided that he is effectively unable to receive appropriate treatment in his country of origin, will be granted a temporary residence permit validated ‘for private and family life.’” Ordinance of November 2, 1945; modified on May 11, 1998 to bring into line with the European Convention of Human Rights
-“Should we accept ‘getting our hands dirty’ by agreeing to work with the immigrants’ service of the prefect’s office on the difficult issue of deportations?” asked Charles Candillier, a medical officer in the Seine-Saint-Denis Directorate of Healthy and Social Welfare, in an internal memo. His answer is crystal clear: “Although we recognize the ethical ambiguities of the situation, we did agree, on the grounds that our intervention could only be beneficial in helping to prevent arbitrary explusions.”
Miriam Ticktin is a professor of anthropology and co-director of Zolberg Institute for Migration and Mobility. She has a PhD in social sciences from Stanford and has many recent publications, all focused around immigration and humanitarianism, mainly overseas, as well as social research in these areas.
http://www.newschool.edu/nssr/faculty/?id=4d54-6379-4e44-4d35
A recent article was published about the technologies that the American Red Cross relies on and offers. Red Cross offers a free mobile app that provides lifesaving information on anyones phone who wants and needs it. Many volunteers utilize this information to be able to respond on scene when necessary. Their national shelter system and home fire geographic information system also helps them map out the best escape routes and prevention methods utilizing technology as well as providing them with fast response alarm times. The American Red Cross also depends on other organizations as well as technologies to help transport people, volunteers, medicine, etc to areas in need. They also depend on other organizations for response orders and collaboration of technologies, resource, hospitals and knowledge.
It creates a history and a better undestanding of the events that affected so many people on the East coast. It also compares the two storms to exhibit in both cases there were things we could have done better.
It is said that EMTALA doesn't apply to ambulance services, technically this would be true. Yet, EMTALA does indeed effect our patients, and anything that effects our patients can effect us and should be a concern of ours as EMS providers. If EMTs are spending time in the hospital sorting out insurance issues and payment, that is more time they are out of service. Also, if the patient's treatment time is delayed, not only will the hospital be blamed, but so will EMS. If a patient is in cardiac arrest, EMTs will not be stopping and wasting time to find out insurance and payment issues from family members, that will be the last thought on their mind. They will be transporting and attempting to stabilize the patient. EMTs and EMS will not compromise the health of a patient due to insurance or payment issues, just like hospitals are now mandated to do.
The topic of biosecurity comes up a lot in this article. The prevalence of this threat is greatly discussed as well as the importance of preparedness. Global health and emergency response efforts are also greatly discussed. Citing emerging diseases as one of the major threats to global security. Public threat response is an aspect that is also widely discussed in this paper as well. Adaptations and improvements in responses are necessary due to new science and technologies that have and are developing. Overall, biosecurity needs to be addressed and threat response improved.
Firstly, the bibliography is incrediable thorough and comprehensive. There appears to have been a great deal of research into many aspects of the disaster by these researchers. There were a lot of news articles referenced within the bibliography to captures real events that happened in order to apply those to the greater concept. There were also many anthrological and sociological articles on disasters and their effects within the bibliography, which had been referenced frequently too,