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Disaster Preparedness and Response de Paul P. Rega

Disaster Preparedness and Response: WHAT DO I DO NOW EMERGENCY MEDICINE

Autor Paul P. Rega
en Limba Engleză Paperback – 14 oct 2022

Cum reacționează un sistem medical atunci când cererea depășește instantaneu resursele disponibile, iar protocoalele standard de triaj devin insuficiente? Aceasta este provocarea clinică și logistică fundamentală pe care Disaster Preparedness and Response o analizează cu o precizie chirurgicală. Publicat sub egida Oxford University Press în seria WHAT DO I DO NOW EMERGENCY MEDICINE, volumul semnat de Paul P. Rega refuză abordările teoretice abstracte în favoarea unui model operațional bazat pe experiență clinică și dovezi. Observăm o tranziție necesară de la medicina de urgență convențională la ceea ce autorul numește „medicină cataclismică”, un domeniu impus de realitatea schimbărilor climatice și a conflictelor globale.

Structura lucrării este concepută pentru a oferi claritate în haos, punând accent pe etica medicală în condiții de austeritate și pe importanța sistemelor de comandă și control. Clinicienii care folosesc Koenig and Schultz's Disaster Medicine ca referință vor găsi aici un instrument complementar, mai concis și mai orientat spre luarea deciziilor imediate în teren sau în unitățile de primiri urgențe suprasolicitate. Spre deosebire de Disaster Nursing and Emergency Preparedness, Fourth Edition, care se concentrează pe rolul asistenților medicali, lucrarea de față vizează leadership-ul strategic necesar coordonării echipelor multidisciplinare.

Apreciem modul în care Paul P. Rega integrează lecțiile învățate din evenimente istorice, precum uraganul Hugo, cu provocările moderne ale pandemiei COVID-19. Deși autorul a explorat anterior teme ale condiției umane în Droppings of an Optimistic Fatalist, în volumul de față adoptă un ton clinic riguros, transformând fatalismul în pregătire pragmatică. Este o resursă esențială pentru a construi acea reziliență instituțională capabilă să gestioneze nu doar urgențele de zi cu zi, ci și dezastrele care definesc secolul XXI.

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Specificații

ISBN-13: 9780197577516
ISBN-10: 0197577512
Pagini: 384
Dimensiuni: 236 x 156 x 19 mm
Greutate: 0.57 kg
Editura: Oxford University Press
Colecția OUP USA
Seria WHAT DO I DO NOW EMERGENCY MEDICINE

Locul publicării:New York, United States

De ce să citești această carte

Această resursă este indispensabilă medicilor de urgență și coordonatorilor de servicii de salvare care doresc să treacă de la intuiție la un management bazat pe dovezi în situații de criză. Cititorul câștigă o înțelegere profundă a triajului etic și a structurilor de comandă necesare în catastrofe naturale sau tehnologice. Este un ghid practic care transformă haosul unui incident cu victime multiple într-un flux de lucru coordonat și eficient.

Despre autor

Paul P. Rega este un expert recunoscut în medicina de dezastru, cu o carieră dedicată îmbunătățirii răspunsului medical în situații de criză extremă. Activitatea sa academică și clinică se concentrează pe dezvoltarea de curricule pentru „medicina cataclismică”, adaptate noilor realități climatice. Pe lângă rigoarea științifică demonstrată în seria WHAT DO I DO NOW EMERGENCY MEDICINE, autorul aduce o perspectivă umanistă asupra profesiei, vizibilă și în alte scrieri ale sale, precum Droppings of an Optimistic Fatalist. Expertiza sa îmbină strategiile tactice cu o înțelegere profundă a leadership-ului în condiții de stres extrem.

Descriere

Disaster medicine has occupied an increasingly important niche within the specialty of emergency medicine over the latter half of the 20th century. Regardless of whether an event was natural, anthropogenic, or a combination of both, emergency medicine was and is the ideal discipline to develop the human resources, the strategies, the tactics, and the evidence- based research to elevate the field of disaster medicine. It began, organizationally speaking, with Hurricane Hugo in 1989 and it is continuing through the 2019 COVID- 19 pandemic and beyond.Now that we are well into the 21st century, we must steady our footing as a specialty on the 20th century's foundation so that we can wrestle with the more intricate challenges of the future. In the past two decades our global populations have experienced sectarian violence, wars, genocide, migration, terrorism, emerging infectious diseases, and pandemics. These natural and anthropogenic events will only worsen exponentially as we become intrinsically trapped by the effects of climate change. The United Nation's Intergovernmental Panel on Climate Change has recently concluded that regardless of how we try to reverse the effects of global warming, what we are experiencing now in terms of hurricanes, floods, and droughts will continue to worsen over the next 30 years. Should we, as a species, continue to equivocate and as global temperatures climb, these events will become more frequent and more catastrophic. "Catastrophic" may even be too mild a term. It is possible that over the next few years, the academic arm of emergency medicine may need to consider developing a curriculum devoted to "Cataclysmic Medicine."To confront these possibilities, there first needs to be a knowledge of disaster medicine and disaster management at its most basic level. It begins with crisis leadership, command and control, communications, and coordination. When all these pieces of the jigsaw puzzle are fitted together properly and enclosed by a proper ethical frame, then the best and most ethical and moral disaster medical can will be provided to the patient and to the community.The intent of this book is to introduce these concepts using diverse viewpoints and scenarios. Readers are challenged to cogitate, create, and layer their own set of building blocks upon the preexisting foundation, thereby reinforcing and sustaining their own capacity to prepare for and respond to any adverse eventuality, mass casualty or otherwise. I hope that the experiential and evidence- based contents of this book will inspire readers to delve deeper into the nuances of disaster medicine and will serve as an impetus for a more profound quest for knowledge and a desire to serve those who will be experiencing the worst moments of their lives.The intent of this book is to introduce these concepts using diverse viewpoints and scenarios. Readers are challenged to cogitate, create, and layer their own set of building blocks upon the preexisting foundation, thereby reinforcing and sustaining their own capacity to prepare for and respond to any adverse eventuality, mass casualty or otherwise. It is hoped that the experiential and evidence- based contents of this book will inspire readers to delve deeper into the nuances of disaster medicine and it will serve as an impetus for a more profound quest for knowledge and a desire to serve those who will be experiencing the worst moments of their lives.

Recenzii

Dr. Rega's book reflects his decades-long interest in both the foundations and easily-overlooked subtleties of disaster preparedness. Expert care resides in the details, and the emergency physician will find within these pages a wealth of detailed, yet always accessible and eminently readable information to guide strategies for preparedness, training, self-protection, and patient care. As our community of emergency physicians prepares for the next challenge hovering in the darkness, let us thank Paul for illuminating a path forward." -Steven B. Abrams, MD, Attending Physician, Department of Emergency Medicine, Montefiore Medical Center, Bronx NY; Coordinating Editor, Practical Reviews in Emergency Medicine
Paul Rega's book represents the culmination of his career teaching and researching in the field of disaster management and uses the 'three e's: easy-to-read, educational, and entertaining. The topics are introduced by examples of disasters, using each example to introduce principles of disaster and mass casualty management. All emergency providers in every geographic location should be familiar with the principles and concepts of disaster management taught in this book, it is a must-read." -Bruce Janiak, Professor Emeritus of Emergency Medicine, Medical College of Georgia, Augusta University
It's all here: a comprehensive, thorough, and concise guide to the effective management of disasters of any description. Written by a widely-recognized expert in the field, it is full of practical strategies to assist anyone confronting the difficult task of emergency planning and contains an enormous amount of critical information that is difficult to find anywhere, let alone under one cover. It adeptly balances the need for accessibility, detail, and depth to become a one-stop guide to effective disaster planning, response, and resource allocation. Particularly useful to the emergency physician or emergency manager, it is an invaluable resource." -Ronald J. DiCecco, MD, FACEP, Emergency Physician, Critical Care Flight Physician, and EMS Medical Director of 30 years

Notă biografică

Paul P. Rega, M.D. is the Director of Disaster Medicine Curriculum as well as an Assistant Professor for the Department of Emergency Medicine and the Department of Public Health at the University of Toledo College of Medicine. Professional areas of interest include disaster medicine and concepts, hyperbaric medicine, pediatric emergency medicine, and invasive techniques in emergency medicine.