tailieunhanh - Báo cáo khoa học: "Concluding thoughts on the new nature of disaster management"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Concluding thoughts on the new nature of disaster management. | Available online http content 10 1 111 Editorial Concluding thoughts on the new nature of disaster management David Crippen Associate Professor Director Neurovascular ICU Department of Critical Care Medicine University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA Corresponding author David Crippen crippen@ Published 14 December 2005 Critical Care 2006 10 111 doi cc3946 This article is online at http content 10 1 111 2005 BioMed Central Ltd Environmental cataclysms will be with mankind even after we have learned to prevent man-made disasters. Prior to Hurricane Katrina disaster planning preparedness and responses were mostly theoretical and based on our preconceived notions of what a disaster should be 1 and were mostly untested except on relatively small scales. Katrina has changed that in many ways. We knew Katrina was coming and we knew with uncanny precision how it would affect us. We watched it approach arrive and depart. We articulated what we should do and we found out vividly what we couldn t do despite our best intentions. Virtually all our previous responses to environmental disaster involved protecting citizens from adverse effects and then resuscitating survivors after the fact 2 . Now we have found that most of that paradigm has been rendered moot and radically new concepts have taken their place. As pointed out by the authors of the reports presented here virtually all of our previous disaster plans - including those in hospitals -were woefully inadequate and failed miserably 3 . Unless we learn the present and future logistical problems of environmental disasters we cannot effectively plan for them. Part of that process is deciding whether we are more interested in constructing or blaming. Americans are notorious for blaming public officials for inadequacies real or imagined 4 . Public servants are a convenient target for blame when things go wrong but if there is any blame it is rarely unilateral. .

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