 We join you in remembering those whose lives were taken.
As we take time to reflect on the 10th Anniversary of a day none of us will ever forget, let us come together to grieve, to remember, to express our gratitude to those who demonstrated what it is to be a hero, and to pledge ourselves to live in honor of their bravery.
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El mundo actual dista mucho del mundo de nuestra infancia. Los eventos con víctimas masivas debidos a demoledoras catástrofes naturales, creadas o inducidas por el hombre nos han cambiado para siempre, y como médicos debemos estar preparados para actuar con nuestro saber y experiencia. ¿Sabremos que hacer ante un tsunami, un temblor, un incendio, un apagón, una inundación, actos de terrorismo o una guerra con armas nucleares?
En este día especial le enviamos de nuevo algunos articulos con estos temas, conocimiento que esperemos nunca necesitar, pero es mejor tener este tipo de información que pudiera sernos util en su momento dado.
Preparación para emergencias para incidentes biológicos y químicos: un estudio de los programas de residencia en anestesiología de los Estados Unidos
Emergency preparedness for biological and chemical incidents: a survey of anesthesiology residency programs in the United States.
Candiotti KA, Kamat A, Barach P, Nhuch F, Lubarsky D, Birnbach DJ. Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami School of Medicine/Jackson Memorial Hospital, R-C370, 1611 NW 12th Ave., Miami, Florida 33101, USA. kcandiotti@miami.eduAnesth Analg. 2005 Oct;101(4):1135-40 Abstract
We surveyed health care professionals about their preparations to manage the clinical problems associated with patients exposed to hazardous substances, including weapons of mass destruction (WMD). Training for WMD is considered a key part of public health policy and preparedness. Although such events are rare, when they do occur, they can cause mass casualties. In many models of mass casualty management, anesthesiology personnel are responsible for treating patients immediately on arrival at the hospital. We studied the extent of training offered to anesthesiology personnel in the use of WMD protective gear and patient management inUnited States (US) anesthesiology residency programs. Information was obtained via an online survey to all program directors and chair persons of anesthesiology programs. We polled all of the 135 US anesthesiology programs of which 90 (67%) responded. Only 37% had any form of training, and many of them did not repeat training after initial sessions. Twenty-eight percent of programs east of the Mississippi River reported some form of training whereas only 17% of programs west of it reported training available. The majority of anesthesia residency programs in the US that responded to our survey provided little or no training in the management of patients exposed to WMD. IMPLICATIONS: In an attack involving weapons of mass destruction or toxic chemicals, anesthesiologists will provide care. Our survey of United States anesthesiology residency programs demonstrated that there is limited training of residents regarding the anesthetic management of patients injured by weapons of mass destruction. This has serious public health implications.
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Manejo de la vía aérea durante un evento con víctimas en masaAirway management during a mass casualty event. Talmor D. Source Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, Boston, MA 02215, USA. dtalmor@bidmc.harvard.eduRespir Care. 2008 Feb;53(2):226-31 Abstract Mass casualty respiratory failure will lead to many challenges, not the least of which is safe and secure management of the victims' airways. These patients will be sicker than those typically managed in the operating room and will require more emergency management of their airways. Mass casualty incidents involving biological or chemical agents will pose the additional risk of exposure to pathogen. During the severe acute respiratory syndrome epidemic in Toronto, airway manipulation was clearly identified as the procedure most associated with risk to health care workers. Planning for scenarios such as these will require consideration of personal protection for health care workers to minimize these risks. Understanding the risks involved and the airway techniques required for each possible scenario will be key to planning and preparation http://www.rcjournal.com/contents/02.08/02.08.0226.pdf
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Mesa redonda sobre detección de bioterrorismo: información basada en sistema de vigilancia
Roundtable on bioterrorism detection: information system-based surveillance.
Lober WB, Karras BT, Wagner MM, Overhage JM, Davidson AJ, Fraser H, Trigg LJ, Mandl KD, Espino JU, Tsui FC.
University of Washington, Seattle, Washington, USA.
J Am Med Inform Assoc. 2002 Mar-Apr;9(2):105-15.
Abstract
During the 2001 AMIA Annual Symposium, the Anesthesia, Critical Care, and Emergency Medicine Working Group hosted the Roundtable on Bioterrorism Detection. Sixty-four people attended the roundtable discussion, during which several researchers discussed public health surveillance systems designed to enhance early detection of bioterrorism events. These systems make secondary use of existing clinical, laboratory,paramedical, and pharmacy data or facilitate electronic case reporting by clinicians. This paper combines case reports of six existing systems with discussion of some common techniques and approaches. The purpose of the roundtable discussion was to foster communication among researchers and promote progress by 1) sharing information about systems, including origins, current capabilities, stages of deployment, and architectures; 2) sharing lessons learned during the development and implementation of systems; and 3) exploring cooperation projects, including the sharing of software and data. A mailing list server for these ongoing efforts may be found at http://bt.cirg.washington.edu
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MANUAL DE INTERVENCIÓN PSICOLÓGICA Y SOCIAL EN VICTIMAS DE TERRORISMO 11-M
Ana Zapardiel Fernández, Syra Balanzat Alonso
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