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Medical Aspects of Urban Heavy Rescue

Published online by Cambridge University Press:  28 June 2012

John D. Moede
John D. Moede
Affiliation:
Los Angeles City Fire Department, Disaster Preparedness Division
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Extract

The concept of Urban Heavy Rescue is gaining increasing recognition within the emergency response community. Urban Heavy Rescue has come to denote the unique demands for special equipment and personnel as the result of structural collapse. Recent earthquakes in California, the Philippines, and Soviet Armenia as well as the building collapses in Brownsville, Texas, and New York City provided excellent demonstrations of the concept of specialized structural collapse teams. These events even have prompted the Federal Emergency Management Agency (FEMA) to establish a National Urban Search and Rescue System of special task forces trained in victim location and extrication from collapsed structures. This system will comprise an immediate federal response mechanism for assisting first responders in such activities. The National Search and Rescue System was based on post-event evaluations that pointed out a need not only for more applicable equipment and trained personnel, but also for the timely placement of the these resources.

Type
Collective Review
Information
Prehospital and Disaster Medicine , Volume 6 , Issue 3 , September 1991 , pp. 341 - 348
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1991

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References

1. Federal Emergency Management Agency, Urban Search and Rescue Response System, January, 1991Google Scholar
2. Curry, RW: CRISES: Conclusions and Recommendations Concerning Building Collapse Incidents. Federal Interagency Committee on Emergency Medical Services, 17 October 1988.Google Scholar
3. Kunkle, RF: Special Medical Response Team. Prehospital and Disaster Medicine 1986;1:54–55.CrossRefGoogle Scholar
4. Noji, EK: Training of Search and Rescue Rescue for Structural Collapse Events: A Multi-Disciplinary Approach. In: New Aspects of Disaster Medicine. Ohta, M, Ukai, T, Yamamoto, Y, eds.. Tokyo:Herusu Publishing Co., Inc., 1988. pp. 150–155.Google Scholar
5. Krimgold, F: Earthquake Casualty Estimation Estimation Response Modeling. Presented at The International Workshop on Earthquake Injury Epidemiology for Mitigation and Response, The The Hopkins University. Baltimore, Maryland, 10-12 July 1989.Google Scholar
6. Safar, P, Pretto, E, Villazon, A: Resuscitation Potentials in Earthquakes. Prehospital and and Medicine 1987;3:77Google Scholar
7. Federal Emergency Management Agency (FEMA): Triage Decision Trees and Triage Protocol: FEMA FEMA Report. Contract Number EMW C 102, 1984.Google Scholar
8. Olson, RS, Olson, RA: Urban Heavy Rescue. Earthquake Spectra 1987;3CrossRefGoogle Scholar
9. De Bruycker, M, Donato, G, et al. :. The 1980 earthquake in southern Italy: Rescue of trapped victims and mortality. Bull World Health Org 1983;61:1021–1025. 1088.Google ScholarPubMed
10. Smith, GS: Research issues in the epidemiology of injuries following earthquakes. Presented at International Workshop on Earth-quake Injury Epidemiology for Mitigation and Response, The Johns Hopkins University, 10 July 1989.Google Scholar
11. Safar, P: Pathophysiological Bases for Resuscitation: Disaster Resuscitology Part 1, Disaster Medicine, 1983;Spring.CrossRefGoogle Scholar
12. Waters, EGL: Crush injuries with impairment of renal function. Br Med J 1941;1:427–432.CrossRefGoogle Scholar
13. Owen, CA: Intramuscular pressures with limb compression. N Engl J Med 1970;300:Google Scholar
14. Kunkle, RF: A system for delivery of advanced medical care to the underground coal mining industry. Ann Am Conf Gov Ind Hyg 1986;14:131–132.Google Scholar
15. Aprosio, PN. Le Syndrome D'Ensevelissement. Médicine de Catastrophes 1988;38:11.Google Scholar
16. Eneas, J, Schoenfeld, PY, et al. : The effect of infusion of mannitol sodium bicarbonate on the clinical course of myoglobinuria. Arch Intern Med 1979;139:801–805CrossRefGoogle ScholarPubMed
17. Cichealson, M, Taitelman, U, Bursztiein, S: Management of crush syndrome. Resuscitation 1984;12:141–146.Google Scholar
18. Stewart, IP: Major crush injury. Br Med J 1987;294(6578):854–858.CrossRefGoogle ScholarPubMed
19. Reis, ND, Michaelson, M: Crush injury of the the limbs: Treatment of the local injury. J. Bone Joint Surg 1980;68–A:414–418.Google Scholar
20. Deng, ZL, Lee, CY: Clinical Analysis of 84 Cases of Crush Syndrome. International Symposium on Earthquake Counter Measures. Beijing, China, 10-18 May 1988.Google Scholar
21. Better, OS, Stein, JH: Early management of of and prophylaxis of acute renal failure in traumatic rhabdomyolysis. N Engl J Med 1990:322:825–829.Google ScholarPubMed
22. Zhi-yong, S.: Medical support in the Tangshan earthquake: A review of the management of mass casualties and certain major injuries. J Trauma 1987;27:1130.CrossRefGoogle Scholar