Skip to main content

Currently Skimming:

1 Introduction
Pages 1-6

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 1...
... emergency medical notification and response with regard to large motor coaches traveling on rural roads. -- Excerpted from the 2009 NTSB accident report on the "Mexican Hat incident"2 The 2008 bus crash in Utah known as the "Mexican Hat incident" brought to a head the need for an integrated infrastructure capable of responding to mass casualty incidents that occur in rural settings.
From page 2...
... • Discuss opportunities to improve integration and coordination with public health systems to address challenges to national public health security, particularly in rural settings. BACKGROUND The vast majority of the land mass in the United States is rural, and much of that is classified as "frontier," which is defined as counties having less than six people per square mile.3 Mass casualty incidents (MCIs)
From page 3...
... Drew Dawson, director of the Office of Emergency Medical Services of NHTSA said that, although the impetus for the NTSB recommendation to FICEMS was the Mexican Hat incident, the workshop discussion of solutions and approaches should be from an all-hazards perspective. Dawson charged speakers and participants to identify practical, creative, and actionable solutions to incrementally improve rural EMS mass casualty response, both in the short and long term.
From page 4...
... Vast distances and lack of coordinated federal funding impact effective planning, training, and exercises. Equally challenging, many participants repeatedly highlighted the absence of directed federal EMS grant mechanisms as a significant barrier.
From page 5...
... While some participants expressed concern about regionalization decreasing "local" control, as will be highlighted later in this report, regionalization facilitates partnerships and sharing of increased resources that result in greater flexibility to plan and respond at the local level. Workshop chair Robert Bass suggested that mechanisms to identify and share best practices in planning for and responding to MCIs will help federal, state, and local governments.
From page 6...
... The workshop agenda and biographical sketches of the panelists are available in the appendixes.


This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More information on Chapter Skim is available.