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 22-42
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and emergency medical care deserves more time in our educational programs than it is receiving at present. Resident physicians have even complained that participation in disaster rehearsals at hospitals is not a part of their training curriculum (55)
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states and three Canadian provinces were also carefully scrutinized and analyzed by Skudder and Wade (130,131) in cooperation with the Trauma Committee.
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Meetings were held by this new committee on 29 December 1964 and 25 March 1965. At a session on 20 August 1965, it became evident that the entire spectrum of emergency medical services, in addition to those relating to disaster, could not be excluded, because disaster medical services were a natural evolution of daily or general emergency medical care.
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action which assumes the authority for coordination of these services. The problem is everyone's responsibility, - not necessarily that of the health disciplines.
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Currently, education and attention are being directed more toward diag- nosis, triage, and movement than toward specific treatment at the site of injury, even though failure to initiate proper emergency treatment before movement is a well-recognized source of further injury or even death en route to the hospital (75)
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From page 33... ...
begun to take serious interest in these areas by conducting more respon- sible professional surveys and providing courses for ambulance drivers and attendants. Of unique importance is the development of a model ambu- lance ordinance for communities and states, recommended by the Joint Action Program of the American College of Surgeons, the American Asso- ciation for the Surgery of Trauma, and the National Safety Council.
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A number of questions occurred to the Task Force regarding current problems in transportation. Will there be improved survival and less morbidity if the acutely ill and injured are properly attended before entry to the hospital?
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small disaster may isolate or completely destroy the community. When hospital emergency facilities are poor, there is little interest in first aid training and ambulance services, no matter what the size of the insti- tution.
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specialty assistance for more definitive care. The profession should insist that all its physicians have an "emergency and disaster conscience," and interdisciplinary management should be encouraged (6)
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services (96,99,101)
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