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pece_annotation_1480985114

erin_tuttle
Annotation of

This policy was created in response to attacks against non-police first responders, the effort to enable the responders to carry firearms was in part motivated by a 911 call where the caller faked a medical emergency and then took the firefighters hostage when they arrived. He later stated that he had chosen a medical emergency because he knew they wouldn’t be armed. This, and other incidents, began to affect patient care as paramedics no longer felt safe entering buildings without police.

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ciera.williams

The study was published in BMC Infectious Diseases, a peer-reviewed journal on the prevention, diagnoisis, and management of infectious disease. The journal seems to be genrally well respected.

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erin_tuttle

Stakeholders from every level of the health care system were mentioned, as well as he portrayal of Liberians in the quarantine zones and living in Monrovia. For the citizens in quarantine zones, the film emphasized the challenges that come from an outbreak including food and water shortages, fear, and the rising tension caused by a lack of information and the government’s actions. The main family followed throughout the film was faced with the challenge of trying to get out of Monrovia and bringing their children the United States to join the rest of the family, an understandable decision in a time of crises. The decision to leave Monrovia however directly opposes the decisions made by the government and health officials who imposed quarantines as a way of containing the virus, and were forced to lift the quarantines due to rioting.

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ciera.williams

Following the attacks on 9/11/2001, a number of health issues arose in the population of residents and workers present. Dust and other toxins inhaled from the rubble created a number of respiratory issues. The need for monitoring of these, and other, health conditions is what lead to the need for such a policy. Without the policy in place, victims would need to fund their own healthcare, and with the large number of affected people, the price would be more or less ridiculous to force on people. 

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erin_tuttle

This article has been referenced in several articles, although due to the number of scientific articles written about the World Trade Center Collapse there are likely more. One such article is “Dealing with Disaster: The Politics of Catastrophe in the United States, 1789-1861”.

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ciera.williams
Annotation of

The film gave a lot of instances where the providers were more or less just having fun. For example, nearly every interview invoved the guys sitting down and drinking a beer while joking. While this proved their humanity, it also showed that the doctors spent much of their free time having fun rather than getting sleep. I would assume that they weren't drinkng while still "on call" or planning on giving care, and thus had the time to get proper rest. The amount of luxury afforded to the doctors after the trip also was a bit less compelling. At the end, the doctors were swimming at a nice pool and just relaxing, which is understandable for destressing. But it also seemed to take away some perspective. These doctors go on about how little resources they have to give and how the wish they could stay on their mission, but immediately turn back to luxury. Its just a bit hypocritical. And I understand that they cannot directly contribute to the people they care for in terms of wealth, but I found it was a bit unnecessary to include in the film.

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erin_tuttle

No bibliography is available in the PDF as the article is a published as the third chapter in a book. The bibliography of the book found online does not separate sources by chapter, however the extensive list of sources and historical aspect of the article suggests a significant amount of research into the statistics and available archived applications.

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ciera.williams

The article addresses the lack of unity in the decision making proceess during emergencies. Lots of life-or-death decisions are left up to a doctor's judgemnet, which causes ambiguity as a result. One can argue that doctors are given this right to judgment as a sign of their training and the trust we put in them. However, when the trust is perceived as betrayed by affected individuals, the judgement is called into question. 

Another point is the lack of evacuation preparadness in hospitals.