During the past 20 years, natural disasters have claimed morethan 3 million lives worldwide, affected at least 800 millionpeople, and resulted in property damage exceeding $50 billion.1The recent earthquake of magnitude 7.2 in Kobe, Japan, leftmore than 5000 people dead. In the United States, the greatearthquake along the New Madrid fault of the Mississippi Valleyin 1812 is said to have rung church bells in Boston and causedthe Mississippi River to flow backward for three days.2,3 Ifa magnitude 8.3 earthquake were to take place along the SanAndreas 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 HarborUCLA 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 1215, 1991.
Address reprint requests to Dr. Schultz at the Department of Emergency Medicine, HarborUCLA Medical Center, 1000 W. Carson St., Box 21, P.O. Box 2910, Torrance, CA 90509-2910.
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