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Volume 334:438-444 February 15, 1996 Number 7
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A Medical Disaster Response to Reduce Immediate Mortality after an Earthquake
Carl H. Schultz, M.D., Kristi L. Koenig, M.D., and Eric K. Noji, M.D., M.P.H.

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During the past 20 years, natural disasters have claimed more than 3 million lives worldwide, affected at least 800 million people, and resulted in property damage exceeding $50 billion.1 The recent earthquake of magnitude 7.2 in Kobe, Japan, left more than 5000 people dead. In the United States, the great earthquake along the New Madrid fault of the Mississippi Valley in 1812 is said to have rung church bells in Boston and caused the Mississippi River to flow backward for three days.2,3 If a magnitude 8.3 earthquake were to take place along the San Andreas fault, it is estimated that . . . [Full Text of this Article]

The Problem

The Operations Plan

Phase 1: Solo-Treatment Areas

Phase 2: Disaster-Medical-Aid Centers

Phase 3: Casualty-Collection Points

The Training Course

Triage

Intravenous Fluids

Anesthesia and Analgesia in the Field

Command and Control

Discussion


Source Information

From the Department of Emergency Medicine, Los Angeles County Harbor–UCLA Medical Center and UCLA School of Medicine, Los Angeles (C.H.S.); the Department of Emergency Medicine, Alameda County Medical Center, Highland Campus, University of California, San Francisco (K.L.K.); and the Disaster Assessment and Epidemiology Section, Division of Environmental Hazards and Health Effects, Centers for Disease Control and Prevention, Atlanta (E.K.N.). Presented in part at the annual meeting of the Society for Academic Emergency Medicine, Washington, D.C., May 12–15, 1991.

Address reprint requests to Dr. Schultz at the Department of Emergency Medicine, Harbor–UCLA Medical Center, 1000 W. Carson St., Box 21, P.O. Box 2910, Torrance, CA 90509-2910.

References


Related Letters:

Medical Response after an Earthquake
Bessman E. S., Kaufman J. L., Schultz C. H., Koenig K. L., Noji E. K.
Extract | Full Text  
N Engl J Med 1996; 334:1746-1747, Jun 27, 1996. Correspondence

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