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When tested by major catastrophes, the medical community has responded. We banded together to provide emergency medical care and ongoing relief after the earthquake in Haiti and Hurricane Katrina, while the September 11thattacks brought out the best in medical response teams and care providers. Yet every emergency presents unique challenges and learning opportunities. ReachMD scrutinizes our disaster medicine plans, preparedness protocols, and emergency response capabilities. How are we prep ...
 
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show series
 
Host: Maurice Pickard, MD Guest: Beth Macy Beth Macy’s Dopesick is a heartbreaking trajectory that illustrates how America’s twenty-plus year struggle with opioid addiction has persisted for this long and has become so firmly entrenched in practically every corner of our country—from desolate cities to once idyllic farm towns. Tune in as Beth Macy …
 
Host: Andrew Wilner, MD, FACP, FAAN There is still a great deal to learn about the long term effects of blast injuries on military personnel. Emerging evidence suggests that exposure to a blast can produce both overt and subtle neurological consequences in the brain, but much remains unknown. Host Dr. Andrew Wilner is joined by Dr. Jack Tsao, Direc…
 
Host: Brian P. McDonough, MD, FAAFP In the aftermath of mass violence, from September 11th to the Paris attack to the Orlando shooting, fear and confusion often dominate the public consciousness. Unfortunately, most clinicians are not trained in tactical medicine to respond in times of crisis such as these. But a small subset of survuval medicine e…
 
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Denise Daniels, Peabody Award-wining broadcast journalist, author, and child development expert who specializes in the social and emotional development of children. Ms. Daniels talks about the challenges in helping children cope with the consistent exposure to tragic news around the w…
 
Host: Matt Birnholz, MD Dr. Matt Birnholz sits down with Dr. Andrew Bern, an emergency physician and independent health care consultant in South Florida. They discuss the process of forming specialty sections in ACEP, and focus on Dr. Bern's role in the evolving Disaster Medicine subspecialty through his continuing work in Ecuador. Dr. Bern, a form…
 
Host: Matt Birnholz, MD Dr. Matt Birnholz sits down with Dr. Carl Schultz, Research Director at the Center for Disaster Medical Sciences at University of California, Irvine. Dr. Schultz is a Professor of Emergency Medicine at the UC Irvine and recipient of the Disaster Medical Science Award at ACEP. He talks about the challenges of securing funding…
 
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr Ken Yeager, Associate Professor of Psychiatry at Ohio State University School of Medicine. Dr. Yeager examines how physicians can help their patients handle the stress of a "24-hour news world" with depictions and images of disasters coming into their homes every day.…
 
Host: Matt Birnholz, MD Dr. Matt Birnholz welcomes Dr. Clifton Callaway, Professor and Executive Vice Chairman of the Department of Emergency Medicine at the University of Pittsburg School of Medicine. Dr. Callaway received ACEP's Outstanding Contribution to Research Award for his more than two decades of research dedicated to improving brain resus…
 
Host: Brian P. McDonough, MD, FAAFP Joining Dr. Brian McDonough to discuss clinical approaches to endemic fears and anxieties spread by acts of mass violence and terrorism, both abroad and within the U.S, is Dr. Arthur Caplan, Professor and founding Director of the Division of Medical Ethics in NYU Langone Medical Center’s Department of Population …
 
Guest: George Korch, PhD Host: Bruce Japsen The federal government has acknowledged the United States needs to overhaul its effort to develop better measures to counter pandemic flus and bioterrorist threats. So with nearly $2 billion committed, Dr. George Korch, secretary of preparedness and response at the US Department of Health and Human Servic…
 
Guest: Karen DeSalvo, MD Host: Bruce Japsen Five years after Hurricane Katrina, the horrific memories of disaster and devastation remain, but the healthcare system has created a legacy of resilience for the city's safety net and a potential national model beyond the primary care medical home. Dr. Karen DeSalvo, professor of medicine at the Tulane S…
 
Guest: Edward Mello, Jr Host: Mimi Secor, DNP, FNP-BC, FAANP It takes the entire community working together to effectively respond to a disaster. Trained first responders and medical professionals are key to saving lives. Nurse practitioners and physician assistants play a vital role, but it's crucial that community agencies know your specialties a…
 
Guest: Angela Gardner, MD Host: Bruce Japsen As healthcare reforms take place, changes are also in the offing in the emergency department amid demands that EDs be able to turn attention from treatment of routine conditions to disasters and other true emergencies. Dr. Angela Gardner, president of the American College of Emergency Physicians, tells h…
 
Guest: Maureen Lichtveld, MD, MPH Host: Maurice Pickard, MD Long after the clean-up process from the Deepwater Horizon oil spill is complete along the Gulf of Mexico, we'll still be examining the health effects of this catastrophe. While there is a wealth of information on the health effects of specific contaminants, the effects are less known rega…
 
Guest: Thomas Kirsch, MD, MPH Host: Maurice Pickard, MD Triage isn't the only issue facing healthcare professionals during the acute phase of responding to a disaster: there are also the challenges of limited resources and staffing, as well as the mental and physical preparedness of the medical response team. Dr. Thomas Kirsch, co-director of the C…
 
Guest: Sanjay Gupta, MD Host: Matt Birnholz, MD The role of a physician-journalist reporting from the immediate aftermath of a disaster area is not easily defined, and poses both logistic challenges and ethical questions in caring for patients. Is media coverage of physician involvement in disasters altruistic or self-serving? Our guest Dr. Sanjay …
 
Guest: Matt Baker, PhD, PA-C Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA When disaster strikes, the first instinct of a medical professional is to jump in and help; however, that's not necessarily the best tactic. Dr. Matt Baker, dean of the school of science and health at the University of Philadelphia, joins host Lisa Dandrea Lenell to discuss vol…
 
Guest: Richard Besser, MD Host: Jennifer Shu, MD, FAAP The Centers for Disease Control and Prevention (CDC) plays a significant role in preparing for and responding to public health emergencies. How has the CDC's emergency response process changed for the better in recent years, particularly as we apply lessons from our response to Hurricane Katrin…
 
Guest: Richard Besser, MD Host: Jennifer Shu, MD, FAAP One major goal of the Centers for Disease Control and Prevention (CDC) is to help prepare the public for emerging health threats. What is the status of public health emergency preparedness at the federal, state and local levels? What progress has been made in preparing our country for natural, …
 
Guest: Narayan Nair, MD Host: Maurice Pickard, MD Guest: Robert J. Tosatto, RPh, MPH, MBA Have you thought about joining the Civilian Volunteer Medical Reserve Corps? Captain Robert Tosatto and Dr. Narayan Nair, directors of the Civilian Volunteer Medical Reserve Corps discuss how all medical professional can join local units to improve health lite…
 
Guest: Narayan Nair, MD Host: Maurice Pickard, MD Guest: Robert J. Tosatto, RPh, MPH, MBA Organized in 2002, this nationwide network of local, volunteer medical and public health professionals contribute their expertise throughout the year as well as in times of community need. Corps Directors - Captain Robert Tosatto and Dr. Narayan Nair, describe…
 
Guest: Mark Smith, MD Host: Larry Kaskel, MD Dr. Mark Smith, professor and chair of emergency medicine at Georgetown University School of Medicine, and chief of emergency medicine at Washington Hospital Center in Washington, DC, explains to host Dr. Larry Kaskel the positive impact of disaster preparedness guidelines on the day-to-day function of a…
 
Guest: Mark Smith, MD Host: Larry Kaskel, MD Intended to be built at the Washington Hospital Center in our nation's capital, ER One is projected to serve as the national prototype for emergency department design, to maximize our risk management capabilities in all scenarios, including large-scale terrorist threats and natural disasters. Host Dr. La…
 
Guest: Ralph Shealy, MD Host: John Armstrong, MD No matter where we live and work, we know that disasters will happen in our community. We don’t necessarily know when and in what form, but in the view of Dr. Ralph Shealy, co-director of the Disaster Preparedness and Response Training Network for the South Carolina Area Health Education Consortium, …
 
Guest: Ralph Shealy, MD Host: John Armstrong, MD We may one day find ourselves in a disaster scenario that far outstrips our normal capabilities of emergency response. In this circumstance, we may well find ourselves without imaging capabilities or lab results, while also lacking the possibility of consultation or referral. So how can we, as health…
 
Guest: Ralph Shealy, MD Host: John Armstrong, MD There are many avenues for participation by healthcare professionals in disaster preparedness and larger-scale emergency response, but in a sense, many of us are unsure exactly where our areas of expertise would allow us to make a contribution in preparation for, and in response to, a disaster. Shoul…
 
Guest: James J. James, MD, DrPH, MHA Host: Bill Rutenberg, MD Where can a physician get disaster life support training, and what does it entail? Joining host Dr. Bill Rutenberg for a lively discussion of this novel concept is Dr. James James. A retired brigadier general, Dr. James is the director of the American Medical Association Center for Publi…
 
Host: Bill Rutenberg, MD Guest: James J. James, MD, DrPH, MHA The spread of communicable diseases is prevalent following disasters. Joining host Dr. Bill Rutenberg for a conversation of new recommendations for vaccine preparedness to protect disaster survivors is Dr. James James. Dr. James is the director of the American Medical Association Center …
 
Guest: Dave Gruber Host: Susan Dolan, RN, JD How are states addressing preparatory needs for a pandemic influenza outbreak? How does a state's preparedness dovetail with other state and federal efforts? Dave Gruber, senior assistant commissioner for the division of health infrastructure preparedness and emergency response for the state of New Jerse…
 
Guest: Dave Gruber Host: Susan Dolan, RN, JD It's been almost a century since the outbreak of Spanish flu in 1918, arguably our most significant struggle with pandemic influenza. Dave Gruber, senior assistant commissioner for the division of health infrastructure preparedness and emergency response for the state of New Jersey, briefly chronicles th…
 
Guest: Philip Smith, MD Host: Mark Nolan Hill, MD Guest: Lona Mody, MBBS A major disaster scenario in the United States would likely overwhelm acute care hospitals. Nursing homes present one alternative location for providing care. In the case of a pandemic influenza outbreak, are these care facilities prepared to handle an overflow of patients? Fr…
 
Guest: Philip Smith, MD Host: Mark Nolan Hill, MD Guest: Lona Mody, MBBS Providing healthcare in an influenza pandemic would likely bring an all-hands-on-deck approach. The staff at nursing homes and other care facilities would be enlisted to supply treatment to their own residents, likely in addition to outside patients requiring immediate assista…
 
Guest: Mauricio Lynn, MD Host: Shira Johnson, MD Blast injuries present a special set of medical issues. Dr. Mauricio Lynn, director of the Trauma Resuscitation Unit at Ryder Trauma Center at Jackson Memorial Hospital in Miami, discusses the science and medicine behind current strategies for blast injury treatment. From this perspective, Dr. Lynn s…
 
Guest: Mauricio Lynn, MD Host: Shira Johnson, MD The threat of explosive device attacks is an everyday reality in Isreal. Dr. Mauricio Lynn, associate professor of surgery at the University of Miami Miller School of Medicine and director of the Trauma Resuscitation Unit at the Ryder Trauma Center at Jackson Memorial Hospital in Miami, served in the…
 
Guest: Edward Pombier Host: Shira Johnson, MD Dr. Shira Johnson explores with Ed Pombier, director of the University of Miami Radiation Control Center at Jackson Memorial Hospital, the reality and the impact of a possible radiologic attack. Several years after September 11th, what do you really know about the aftermath of a dirty bomb?…
 
Guest: Richard Weisman, PharmD Host: Shira Johnson, MD On March 20, 1995, a group of terrorists launched a chemical attack on the Tokyo Metro, one of the world's busiest commuter transport systems, at the peak of the morning rush hour. The chemical weapon was sarin nerve gas. What do we know about this weapon, its devastating impacts on the body, a…
 
Guest: Richard Weisman, PharmD Host: Shira Johnson, MD How would the survivors present after a nerve gas attack and what do you need to know to treat them? Dr. Richard Weisman, research associate professor of pediatrics at the University of Miami Miller School of Medicine and coordinator or the Weapons of Mass Destruction Response Program at the Un…
 
Guest: Maureen F. Orr, MS Host: Larry Kaskel, MD Should health professionals be concerned about secondary contamination? How often does it occur and what are the signs that should prompt you to take extra precautions? Maureen Orr, an epidemiologist at the Centers for Disease Control's Agency for Toxic Substances and Disease Registry, talks with hos…
 
Guest: Derek Robinson, MD Host: Maurice Pickard, MD Emergency room visits nationwide are on the rise, even as the total number of emergency rooms is falling. Add this to the fact that, according to the Center for Disease Control and Prevention's recent publication, National Hospital Ambulatory Medical Care Survey: 2006 Emergency Department Summary,…
 
Guest: James W. Jones, PsyD, PhD, ThD Host: Leslie P. Lundt, MD Religious terrorism has become commonplace in our lifetime. What causes a person to kill innocent strangers in the name of religion? Our guest Dr. James Jones is uniquely qualified to address this question. Dr. Jones, a professor of religion and adjunct professor of clinical psychology…
 
Guest: Mitchell Levy, MD Host: Shira Johnson, MD What is the impact of re-education on outcomes in sepsis in an ICU? Host, Dr. Shira Johnson is joined by Dr. Mitchell Levy, professor of medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital, who discusses the "Surviving Sepsis Campaign." Re…
 
Guest: W. Frank Peacock, MD Host: Shira Johnson, MD Dr. W. Frank Peacock, vice chair in the Department of Emergency Medicine at the Cleveland Clinic Foundation, joins host Dr. Shira Johnson to discuss risk stratification after acute CHF. What does the first BNP really tell you? And what did the ADHERE trial discover about troponin and CHF?…
 
Guest: W. Frank Peacock, MD Host: Shira Johnson, MD You are seeing a patient in your office on his first visit. How much more would you be able to tell this patient if you received his lab results just minutes after completing his physical? How would this prospect augment practice in an emergency department? Dr. W. Frank Peacock, chair of emergency…
 
Guest: Nancy Berlinger, PhD Host: Maurice Pickard, MD Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, nonprofit, nonpartisan bioethics research institute located in Garrison, New York discusses how a pandemic will force the individual to think of him or herself as part of a larger society and the …
 
Guest: Nancy Berlinger, PhD Host: Maurice Pickard, MD Dr. Nancy Berlinger speaks about how an epidemic can alter the standard of care and the perception of the public to these changes. If leadership is not prepared to have the larger community embrace these alterations in ethics, physicians will feel the threat of litigation. Dr. Maurice Pickard ho…
 
Guest: Nancy Berlinger, PhD Host: Maurice Pickard, MD Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, non-profit, non-partisan bioethics research institute, addresses ethical issues that might arise in a pandemic scenario, when resources could be in short supply. As an example, a shortage of venti…
 
Guest: Sandro Galea, MD, DrPH, MPH Host: Maurice Pickard, MD Dr. Sandro Galea, associate professor of epidemiology at the University of Michigan School of Public Health, discusses the epidemiology of mood disorders among survivors of Hurricane Katrina along the U.S. Gulf Coast. According to Dr. Galea, early detection of stressors that are not being…
 
Guest: Jonathan Links, PhD Host: Paul Raeburn When disaster strikes, there are often as many or more people who suffer psychological wounds than physical maladies. Join host Paul Raeburn as he talks with Dr. Jonathan Links, director of the Johns Hopkins Center for Public Health Preparedness, about a new tool for disaster preparedness: the psycholog…
 
Guest: Capt. Mimi Tompkins Host: Larry Kaskel, MD When disaster strikes the human body responds. Is there something we can do, at the scene, to delay or prevent the onset of PTSD? Host Dr. Larry Kaskel interviews Captain Mimi Tompkins, co-founder of the Air Line Pilot Association's (ALPA) Critical Incident Response Program, to discuss what physicia…
 
Guest: Capt. Mimi Tompkins Host: Larry Kaskel, MD Once a diagnosis associated with war heroes, now we've seen PTSD caused by various kinds of stressful emergencies. For Capt. Mimi Tompkins, her experience piloting and landing a 1988 Aloha Airlines flight after a large section of the roof ripped off at 24,000 feet led to a PTSD diagnosis. She has si…
 
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