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WOULD YOU DECLARE A MAJOR INCIDENT?
Colin Smart and his team questioned participants at six conferences on major incident management as to whether or not they would declare a major incident based on three pictorial scenarios. The decision to declare a major incident was found to be subjective, with personnel involved in emergency services interpreting the situations differently. Many had unrealistic expectations of the ability of the local health services to cope, underestimating this considerably (Prehosp Disaster Med 2008;23:70–6).
POST-KATRINA DISASTER RELIEF CLINICS
A retrospective chart review of post-Katrina clinic visits was undertaken in order to obtain information for strategic planning for post-disaster healthcare delivery, such as charitable donations of medications and medical supplies. Patients attended with complaints chiefly related to ear, nose, throat, dental, dermatological and cardiovascular problems. 21% of attendances were for prescription refills for chronic illnesses. Donations of certain classes of medication were more useful than others (Prehosp Disaster Med 2008;23:41–7).
Contrast-induced nephropathy is an important cause of acute renal failure. Trauma patients appear to …