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Anesthetic Considerations in Homeland Disasters 

Anesthetic Considerations in Homeland Disasters
Chapter:
Anesthetic Considerations in Homeland Disasters
Author(s):

Robert Perelmut

and Ernesto A. Pretto Jr.

DOI:
10.1093/med/9780190495756.003.0032
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date: 26 August 2019

This chapter will primarily focus on anesthetic considerations in homeland disasters likely to require the presence of the anesthesiologist in the out-of-hospital or prehospital environment. In order to understand the context within which anesthesiologists might be asked to function in the out-of-operating room setting during disaster response, we will provide a brief review of the disaster management functions of prehospital emergency medical services (EMS)/trauma systems. We will also describe the reorganization of hospital and intensive care services necessary to handle a surge of incoming critically injured or ill casualties. Our focus will be the role of the anesthesiologist, working in partnership with community or local EMS/trauma system and its network of hospitals, since the local EMS/ambulance system constitutes the basic functional unit of disaster medical response in the United States. We will end with a brief description of the major challenges we face in the delivery of intensive care services in mass and catastrophic casualty disasters.

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