Report on the Feasibility of Establishing a National Research and Information Center for Emergency and Disaster Medical Services (1967) / Chapter Skim
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Pages 295-315

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From page 295...
... DISASTER TASK FORCE OF NATIONAL RESEARCH COUNCIL DISASTER SURVEY COMMUNICATION Disaster Surveyor Date Statistics Comments Col 1-2 Identification of disaster Col 3-7 Area of disaster (Postal Zip Code) Col 8 Method of initial alarm to public - forecast (Possibility of impending disaster)
From page 297...
... Statistics Comments Col 10 (Continued) 7 Other 8 Other 9 Combination of above Col 11 Who initiated situation as a medical disaster?
From page 299...
... Statistics Comments Col 14 (Continued) Medical Civil Defense U
From page 301...
... Statistics Comments Col 19 (Continued) 4 From Civil Defense headquarters 5 6 From police 9 Other -- -- _ -- -- - 2 ew oe -- - Col 20 Communication - Radio 0 None 1 Low band (25-50 mc)
From page 303...
... Statistics Comments Col 25 Problems 0 None, not stated or pertinent 1 9 Combination of above 144 ee ee ewe
From page 305...
... APPENDIX B Form VIII Proposed Form for Assessment of Hospitals - Daily Emergency Services by J Cuthbert Owens, M
From page 307...
... DISASTER TASK FORCE OF NATIONAL RESEARCH COUNCIL DAILY EMERGENCY SURVEY - HOSPITALS Disaster Surveyor Date Card #3 Statistics Comments Individuals Interviewed Col 1-5 Identification of Hospital (No.) Col 6-10 Location of Hospital (Postal Zip Code)
From page 309...
... Statistics Comments Col 19-20 Per cent of total visits true emergencies 0O None, not stated or pertinent 99 Col 21-22 Percentage increase in emergency depart- ment census in past 4 years OO None, not stated or pertinent 99 Over Col 23 Is there an OPD separate from E.D.? 0 No 1 Yes 2 Open 8 hours 3 Open over 8 hours 4 Combined with E.D.
From page 311...
... Statistics Comments Col 27 Is doctor available at all times? No Interns Residents Physician - general practitioner Physician - specialist On call outside of hospital On call in hospital More than one doctor on call outside of hosp.
From page 313...
... Statistics Comments Col 31 Are nurses assigned to E.D. on permanent basis?
From page 315...
... Statistics Comments Col 36 Rules for consultation 0 None required 1 By intern 2 By resident 3 By general practitioner 4 By specialist > Other 9 Combination of above Col 37 Specialist coverage 24 hours per day 0 None available 1 All specialties 2 Surgeon only 3 Surgeon and internist only 4 Surgeon, internist and pediatrician 5 No neurosurgeon 6 Other 9 Combination of above Col 38 Is staff permitted to charge for E.D. services to: 0 No one 1 Private patients 2 Compensation cases 3 Service cases 4 Other 9 Combination of above Col 39 Charge for E.D.

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