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From page 233... ...
DISASTER TASK FORCE OF NATIONAL RESEARCH COUNCIL DISASTER SURVEY FIRST AID Statistics Comments Col 1-2 Identification of disaster (No.) Col 3-7 Area of disaster (Postal Zip Code)
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From page 235... ...
Statistics Comments Col 29-31 Number of deaths at scene 000 999 Col 32-33 Number of lives saved by definitive treatment at site 00 99 Col 34-35 Number alive at time of arrival of medical personnel and died before transportation OQ None, not stated or pertinent 99 Col 36-37 Number who died at scene and autopsy determined, survival possible with proper care OO None, not stated or pertinent 99 Col 38-40 Number diagnosed and tagged 000 No diagnosis or tags available 999 Col 41-43 Number of inaccurate diagnoses 000 None, not stated or pertinent 999 Col 44-45 Number of physicians instituting triage and treatment 00 99 Col 46-47 Number of nurses present 00 99 Col 48-49 Number of trained first-aid personnel 00 99 110
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From page 237... ...
Statistics 1 50-51 Additional personnel None, not stated or pertinent Dentists Osteopaths Podiatrists Veterinarians Pharmacists Boy Scouts Medical students Combination of above Comments l 52-53 Types of physicians Not stated, pertinent, no specialists General Practitioners General Surgeons Orthopedists Obstetricians Neurosurgeons Urologists Internists Pediatricians ' Psychiatrists ' Non-clinicians . Medical students ' Interns | Residents + Other ' Combination of above 91 54 Training of first-aid personnel None, not stated or pertinent Basic first-aid - Red Cross Advanced first-aid - Red Cross Boy Scout Military Medical Self-Help Other Training inadequate Training adequate Combination of above 91 55 Method of alert of first-aid personnel None, not stated or pertinent Radio Telephone Television Word of mouth - unofficial Word of mouth - official Passerby or observer Involved in disaster Other Combination of above lll
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From page 239... ...
Statistics Comme nt s Col 56 Method of alert - doctors O M N A U R W N H e E O None, not stated or pertinent Radio Telephone Television Word of mouth - unofficial Word of mouth - official Passerby or observer Involved in disaster Other Combination of above Col 57 Method of alert - nurses O M N I Q A U P W N E O None, not stated or pertinent Radio Telephone Television Word of mouth - unofficial Word of mouth - official Passerby or observer Involved in disaster Other Combination of above Col 58 Method of alert - additional personnel O A N A U P W N E O excluding ambulance None, not stated or pertinent Radio Telephone Television Word of mouth - unofficial Word of mouth - official Passerby or observer Involved in disaster Other Combination of above Col 59 Method of arrival at scene O M I A U LF W N F O first-aid personnel Already present, not stated or pertinent Private car Car of friend, or unknown individual Ambulance Police Fire department Walked Airplane Other Combination of above 112
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From page 241... ...
Statistics Comments Col 60 Method of arrival - physicians O M O n N Q U KF W N -- H O Already present, not stated or pertinent Private car Car of friend, or unknown individual Ambu lance Police Fire department Walked Airplane Other Combination of above Col 61 Method of arrival - nurses o m a n n u N k P W D E O Already present, not stated or pertinent Private car Car of friend, or unknown individual Ambu lance Police Fire department Walked Airplane Other Combination of above Col 62 Method of arrival - additional personnel w M m n x n u F W D -- & © excluding ambulance Already present, not stated or pertinent Private car Car of friend, or unknown individual Ambu lance Police Fire department Walked Airplane Other Combination of above Col 63 Who gave directions - first aid personnel w e n on ou n & W N Ee © Self, not stated or pertinent Doctor not in charge Doctor in charge Nurse Assigned first aid authority Unassigned first aid authority Police Fire department Other Combination of above 113
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From page 243... ...
Statistics Comments Col 64 Who gave directions - physicians Self, not stated or pertinent Doctor assigned Doctor unassigned Medical Civil Defense State Disaster Committee member County Disaster Committee member Police Fire Department Other Combination of above O D N A U K P W N H EH Oo Col 65 Who gave directions - nurses Self, not stated or pertinent Doctor assigned Doctor unassigned Medical Civil Defense State Disaster Committee Member County Disaster Committee Member Police Fire Department Other Combination of above o w o m n n u k W N eH © Col 66 Who gave directions - additional personnel excluding ambulance personnel O Self, not stated or pertinent 1 Doctor not in charge 2 Doctor in charge 3 Nurse 4 Assigned first aid authority 5 Unassigned first aid authority 6 Police 7 Fire Department 8 Other 9 Combination of above Col 67 Time involved at disaster - first aid (hours) O Less than 1 hour, not stated or pertinent 1 9 Over 9 hours Col 68 Time involved at disaster - physicians O Less than 1 hour, not stated or pertinent 1L 9 Over 9 hours 114
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From page 245... ...
Statistics Col 69 Time involved at disaster - nurses O Less than 1 hour, not stated or pertinent 1 9 Over 9 hours Comments Col 70 Time involved at disaster - additional personnel excluding ambulance O Less than 1 hour, not stated or pertinent 1 9 Over 9 hours Col 71 Problems encountered None, not stated or pertinent Improper organization - no planning Lack of medical supplies No cooperation from authorities Hindrance by bystanders Untrained individuals undertaking treatment No standards of disaster care followed No power No communications Combination of above W o A m A y Y R D U P W N P O Col 72 Problems encountered O None, not stated or pertinent 1 Lack of transportation 2 Patients moved unnecessarily 3 Patients moved who needed definitive care at site No triage No central control station Patients inaccessible No plasma expanders or blood needed Professional personnel lacking Combination of above w o w m n w ~ a a u n & Col 73 Problems encountered 0 None, not stated or pertinent l Lack of stretchers 2 Lack of identification tags, records 3 Other 9 Combination of above Col 74 Problems encountered 0 None, not stated or pertinent 9 Combination of above 115
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From page 247... ...
Statistics Comments Col 75 Problems encountered O None, not stated or pertinent 9 Combination of above Col 76 Problems encountered O None, not stated or pertinent 9 Combination of above Col 77 Problems encountered O None, not stated or pertinent 9 Combination of above Col 78 Coverage at scene adequate for Not stated or pertinent Physicians Nurses First aid personnel Police Fire department Stretcher bearers Special rescue units Other Combination of above w o m a n a u w n k wh Dd = © Col 79 Coverage at scene inadequate for Not stated or pertinent Physicians Nurses First aid personnel Police Fire department Stretcher bearers Special rescue units Other Combination of above w m a n u k W w W n N r e © 116
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From page 249... ...
APPENDIX B Form V Proposed Form for Survey of the Disaster Site by J Cuthbert Owens, M
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From page 251... ...
DISASTER TASK FORCE OF NATIONAL RESEARCH COUNCIL DISASTER SITE SURVEY Disaster Surveyor Date Statistics Comments Col 1-2 Identification of disaster (No.) Col 3-7 Location of disaster (Postal Zip Code)
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