Most recently published

Electronic Medical Records – Potential Benefits of a ‘Health Cloud’
Rodrigo (Roddy) Moscoso
May 19, 2010
The 21st-century world of high-tech communications – ranging from the transmission of classified information to social texting and junk mail – has not yet, partly because of privacy concerns, significantly improved the forwarding of medical records. What can and should be done about this?

DHR, MEMA, the LEMs & Maryland’s WST Example
Pamela Spring and Rainier C. Harvey, Sr.
May 12, 2010
The 2009 inauguration of President Barack Obama was a truly historic event in many ways – and for many reasons, not least of which is that it provided a “golden standard” opportunity for the State of Maryland and its National Capital Region partners to use, validate, and learn from a

Your Thoughts Compared with DomPrep40’s National Experts on…Mass-Casualty Preparedness &Response
W. Craig Vanderwagen and John F. Morton
May 12, 2010
Are U.S. hospitals currently prepared to deal with the aftermath of a nuclear explosion – or any other mass-casualty incident? Not yet, according to the DP40 panel of experts. Reader opinions are hereby requested.

Hospital Expansion Through Alternate Care Sites
Joseph Cahill
May 5, 2010
At a time in U.S. history when mass-casualty events are not only more frequent but also much better publicized, the numerous public and private-sector agencies involved are, correctly, focusing greater attention on their own preparedness to cope with such “when, not if” situations. Hospitals, for example, many of which are

A Mall Setting in Georgia for H1N1 Vaccinations
Elizabeth Hausauer and Connie Russell
April 28, 2010
Advance planning, a can-do spirit of cooperation, a focus on the small details, and excellent communications skills – all were essential ingredients in Georgia’s eminently successful campaign to protect the citizens of that great state from the global flu pandemic.

Law Enforcement Pandemic Resilience: Time to Recalibrate
Joseph W. Trindal
April 28, 2010
The global-disaster scenario originally forecast fell far short of the dire predictions. Which is a good reason to celebrate. But not a reason to stop planning and preparing for “what might have been.” Hurricane Katrina taught many lessons worth learning, the most important of which is that states, communities, and

Using Regulations to Neutralize Red Tape
Joseph Cahill
April 21, 2010
In times of urgent need, a “probably acceptable” solution is almost always better than one that is demonstrably not very effective and/or has failed in the past. That is the common-sense understanding reflected in the Emergency Use Authorization rule that permits the FDA to approve apparently effective – but not

Pandemic Preparedness: Advance Planning Is Mandatory
Jennifer Smither
April 21, 2010
Healthcare workers, first responders, and emergency managers in Louisiana and Missouri used the H1N1 global pandemic to demonstrate how an imminent disaster – combined with information sharing, the early promulgation of preparedness plans, and a modicum of managerial expertise – can provide valuable lessons learned to cope with future disasters

H1N1: Learning from a Less-Than-Worst-Case Scenario
Craig DeAtley
April 14, 2010
The best that can be said, usually, about worst-case scenarios, after the fact, is that they never actually happened. But the just-in-case preparations for the 2009-10 H1N1 “Swine Flu” global scare generated some residual training benefits, and even the mistakes made can, and should, be transmogrified into valuable lessons learned.

Pandemics Are In The Air
Diana Hopkins
April 7, 2010
Lightning strikes are sudden and spectacular, highly visible, and extremely violent. Not to mention lethal. Bacteria and viruses are just the opposite – totally invisible, in fact. But they kill many more people, in every country in the world, year after year than lightning does. It may be helpful to

Using NHSS ‘To Minimize the Risks’
Raphael M. Barishansky
April 7, 2010
There are 10 principal objectives in what has been described as “the first comprehensive policy document” focusing specifically on protecting the health of the American people in times of national emergency – e.g., a major mass-casualty incident such as an earthquake, volcanic eruption, or terrorist attack. Here is a quick

H1N1: A Lesson for Healthcare Preparedness
Theodore Tully
April 4, 2010
The numerous mistakes, misunderstandings, and miscalculations made in preparing for the potential loss of perhaps millions of lives during the 2009-10 global pandemic that never happened do not represent a total loss. Just the opposite, in fact – if (a very big if) political decision makers, emergency managers, and healthcare

Leadership and Stewardship in Microeconomic Decision-Making
Dennis R. Schrader
May 19, 2010
Protection of the nation’s “critical infrastructure” has long been one of the highest priorities of senior officials at all levels of government. After 9/11, response and recovery started to receive equal billing. Now comes belated recognition that “resilience” also is needed – and should be built into construction projects at

Electronic Medical Records – Potential Benefits of a ‘Health Cloud’
Rodrigo (Roddy) Moscoso
May 19, 2010
The 21st-century world of high-tech communications – ranging from the transmission of classified information to social texting and junk mail – has not yet, partly because of privacy concerns, significantly improved the forwarding of medical records. What can and should be done about this?

DHR, MEMA, the LEMs & Maryland’s WST Example
Pamela Spring and Rainier C. Harvey, Sr.
May 12, 2010
The 2009 inauguration of President Barack Obama was a truly historic event in many ways – and for many reasons, not least of which is that it provided a “golden standard” opportunity for the State of Maryland and its National Capital Region partners to use, validate, and learn from a

Your Thoughts Compared with DomPrep40’s National Experts on…Mass-Casualty Preparedness &Response
W. Craig Vanderwagen and John F. Morton
May 12, 2010
Are U.S. hospitals currently prepared to deal with the aftermath of a nuclear explosion – or any other mass-casualty incident? Not yet, according to the DP40 panel of experts. Reader opinions are hereby requested.

Hospital Expansion Through Alternate Care Sites
Joseph Cahill
May 5, 2010
At a time in U.S. history when mass-casualty events are not only more frequent but also much better publicized, the numerous public and private-sector agencies involved are, correctly, focusing greater attention on their own preparedness to cope with such “when, not if” situations. Hospitals, for example, many of which are

A Mall Setting in Georgia for H1N1 Vaccinations
Elizabeth Hausauer and Connie Russell
April 28, 2010
Advance planning, a can-do spirit of cooperation, a focus on the small details, and excellent communications skills – all were essential ingredients in Georgia’s eminently successful campaign to protect the citizens of that great state from the global flu pandemic.

Law Enforcement Pandemic Resilience: Time to Recalibrate
Joseph W. Trindal
April 28, 2010
The global-disaster scenario originally forecast fell far short of the dire predictions. Which is a good reason to celebrate. But not a reason to stop planning and preparing for “what might have been.” Hurricane Katrina taught many lessons worth learning, the most important of which is that states, communities, and

Using Regulations to Neutralize Red Tape
Joseph Cahill
April 21, 2010
In times of urgent need, a “probably acceptable” solution is almost always better than one that is demonstrably not very effective and/or has failed in the past. That is the common-sense understanding reflected in the Emergency Use Authorization rule that permits the FDA to approve apparently effective – but not

Pandemic Preparedness: Advance Planning Is Mandatory
Jennifer Smither
April 21, 2010
Healthcare workers, first responders, and emergency managers in Louisiana and Missouri used the H1N1 global pandemic to demonstrate how an imminent disaster – combined with information sharing, the early promulgation of preparedness plans, and a modicum of managerial expertise – can provide valuable lessons learned to cope with future disasters

H1N1: Learning from a Less-Than-Worst-Case Scenario
Craig DeAtley
April 14, 2010
The best that can be said, usually, about worst-case scenarios, after the fact, is that they never actually happened. But the just-in-case preparations for the 2009-10 H1N1 “Swine Flu” global scare generated some residual training benefits, and even the mistakes made can, and should, be transmogrified into valuable lessons learned.

Pandemics Are In The Air
Diana Hopkins
April 7, 2010
Lightning strikes are sudden and spectacular, highly visible, and extremely violent. Not to mention lethal. Bacteria and viruses are just the opposite – totally invisible, in fact. But they kill many more people, in every country in the world, year after year than lightning does. It may be helpful to

Using NHSS ‘To Minimize the Risks’
Raphael M. Barishansky
April 7, 2010
There are 10 principal objectives in what has been described as “the first comprehensive policy document” focusing specifically on protecting the health of the American people in times of national emergency – e.g., a major mass-casualty incident such as an earthquake, volcanic eruption, or terrorist attack. Here is a quick
A U.S. Responder’s View of Israeli Security & Preparedness
Glen Rudner
March 31, 2010
This first-person report by a homeland-security professional compares the U.S. civil-aviation security system with its Israeli counterpart and declares Israel a clear winner – for two reasons: (1) The virtually unanimous Israeli mindset is focused primarily on national survival; and (2) Israeli security sidesteps politics by profiling all passengers through
FINAL REPORT: The Chemical Threat & The State of Chemical Preparedness
Stephen Reeves and John F. Morton
March 30, 2010
The DP40 and DomPrep readers where asked to voice their opinions on how prepared the United States is for a chemical attack and what it might mean for local emergency managers if a chemical warfare agent or TIC/TIM (toxic industrial chemical/toxic industrial material) event occurred.
‘By Far the Greatest Threat to U.S. Civil Aviation’
Neil C. Livingstone
March 24, 2010
Umar Farouk Abdulmutullab was walking, almost literally, in the footsteps of Richard Reid when he tried to detonate an “underwear” bomb aboard Northwest Airlines Flight 253 on Christmas Day 2009. Additional jihadist attacks are inevitable – unless and until the United States changes its supposedly egalitarian screening process in favor
Surgically Implanted Death: Human IEDs vs. Full-Body Scanning
Joseph W. Trindal
March 24, 2010
Terrorist patterns of adaptation continue to present challenges for the emergency services community worldwide. In the 1980s the number of terrorist suicide/homicide bombings was rapidly increasing and spreading. Terrorist tactics almost exclusively involved person-borne and vehicle-borne delivery of improvised explosive devices (IEDs). Some terrorist groups led the way toward adaptation,
Department of Defense Focuses on IT Innovation
Thomas Payne
March 24, 2010
The same revolution in information technology that has given the U.S. armed services communications, cybersecurity, research, and other advanced capabilities previously deemed impossible can be used by other government agencies, and by the civilian sector, to improve and perfect their own products and services on a continuing basis.
The Need for Situational Awareness in a CBRNE Attack
Jordan Nelms
March 24, 2010
The handling of mass-casualty incidents involving chemical, biological, radiological, nuclear, and/or explosive materials requires special training and purpose-built systems and equipment, but the greatest need on-site is continuing awareness by emergency responders of the horrendous threat they, and the innocent victims they are helping, are facing.
The Short- & Long-Term Changes Needed at DHS, TSA
Neil C. Livingstone
March 23, 2010
Contrary to Secretary Napolitano’s rather politicized assertion that “the [U.S. aviation security] system worked,” it definitely did NOT work. But it could be made immensely more effective – less costly as well – if certain common-sense, albeit politically difficult, changes were made. Beginning immediately, and starting at the top.
Partners in Preparedness: Close to 2000 Attendees at Public Health Preparedness Summit
Jack Herrmann
March 17, 2010
Those who were fortunate and farsighted enough to attend last month’s Public Health Preparedness Summit in Atlanta not only heard many of the nation’s senior healthcare officials report on recent innovations and achievements but also, of greater importance, were able to network with their peers and colleagues from every state
Responding to CBRNE Attacks: A Quick Primer
Jennifer Smither
March 17, 2010
The dangers posed by IEDs, chemical and biological weapons & devices, and other WMDs has grown exponentially in recent years – to the point that many analysts now use the term “when, not if” in answering questions about the possibility of additional terrorist attacks against the United States. The time
Critical Infrastructure Protection: Another Role for NIMS Plus ICS
Stephen Grainer
March 10, 2010
The numerous presidential directives and policy documents issued since the 9/11 terrorist attacks have focused on various specialized areas of homeland-security and counterterrorism operations and activities. Many of those “specialized areas” are closely interrelated in their separate but complementary goals and objectives, though, and when used in combination can achieve
The PPE & Other Basic Needs of Tactical Officers
Richard Schoeberl
March 10, 2010
An alarming report issued by the WMD Commission – combined with the growing need to “protect the protectors” and an increase in other responsibilities – suggests that law-enforcement agencies, specifically including SWAT teams, may soon have to become hazmat experts as well.
Keeping It Simple – And the Need for Pre-Planning
William (Jeremy) Magers
March 10, 2010
Question: How does an all-electric racing car work? Answer: By pushing the “start” button. One of the biggest problems in the field of domestic preparedness, it says here, is the misguided instructional emphasis on theory and complex technology rather than maintaining a laser-beamed focus on practical training, the explanation of
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