the pa’s role in responding to large scale health emergencies

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The PA’s Role in Responding to Large Scale Health Emergencies

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Page 1: The PA’s Role in Responding to Large Scale Health Emergencies

The PA’s Role in Responding to Large Scale Health Emergencies

Page 2: The PA’s Role in Responding to Large Scale Health Emergencies

Should I respond? Do I have to?

Dr. Carlo Urbani

Historical precedents

Professional ethical guidelines

Page 3: The PA’s Role in Responding to Large Scale Health Emergencies

What are the costs?

Health and Safety

Time and financial

Nature of the work

Self Care

Page 4: The PA’s Role in Responding to Large Scale Health Emergencies

How do I do this?American Red Cross

www.redcross.orgMedical Reserve Corps

www.medicalreservecorps.govMedical Teams International

www.medicalteams.orgNational Disaster Medical System

www.hhs.gov/aspr/opeo/ndms/index.htmlSalvation Army

www.salvationarmyusa.org

Page 5: The PA’s Role in Responding to Large Scale Health Emergencies

References American Academy of Physician Assistants (2007). Physician assistants and medical

response to disasters and emergencies: amending state laws. Available at: http://www.aapa.org/gandp/disasters.html, accessed on November 4, 2007.

American Academy of Physician Assistants (2007). Public health crisis/disaster response. EXTERNAL 2007 – 2008 AAPA Policy Manual. Available at: http://www.aapa.org/manual/external.pdf, accessed on November 4, 2007.

American Academy of Physician Assistants (2007). The physician assistant in disaster response: core guidelines. Adopted 2006. Available at: http://www.aapa.org/manual/18- ThePAinDisasterResponse.pdf , accessed on November 4, 2007.

American Medical Association. Disaster Preparedness. Available at: http://www.ama-assn.org/ama/pub/category/6206.html, accessed on November 4, 2007.

Atas, J.G.; Irvin, C.B. Management of evacuee surge from a disaster area: solutions to avoid non- emergent, emergency department visits. Prehospital and Disaster Medicine. 2007 May- Jun; 22(3): 220-3.

Boland, Richard. Can It get any worse? Frontiers of Health Services Management. 2006, 23(1), 31- 4.

Cosgrave, J.; Telford, J.. The international humanitarian system and the 2004 Indian Ocean earthquake and tsunamis. Disasters. 2007; 31 (1): 1–28.

Dirkzwager, J.E.; Grievink, A.; Morren, M., et al. Use of mental health services among disaster survivors: predisposing factors. BMC Public Health. 2007; 7: 173.

Dyregov, A.; Kristoffersen, J.I.; Gjestad, R.; Voluntary and professional disaster workers; similarities and differences in reactions, Journal of Traumatic Stress. 9(3), 541-556.

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Erich, J.. As good as advertised: mobile hospital shines in Katrina response. Emergency Medical Services. February 2007.

Guerra, F.; Jernigan, D.B.; Jhuhg, M.A., et al. Chronic disease and disasters medication demands of Hurricane Katrina evacuees. American Journal of Preventative Medicine. 2007 Sep; 33(3): 207-10.

Infectious Diseases Section, Louisiana State University Health Science Center. Eight months later: Hurricane Katrina aftermath challenges facing the infectious diseases section of the Louisiana State University health science center. Clinical Infectious Diseases. 2006; volume 43: 485–489.

Iserson, K.V.; Heine, C.E.; Larkin, G.L. et al. Fight or Flight: The Ethics of Emergency Physician Disaster Response. Annals of Emergency Medicine. 2007 July; 20(10).

Jhung, M.; Shahab, N.; Rohr-Akegrini, C. et al. Chronic disease and disasters: medication demands of Hurricane Katrina evacuees. American Journal of Preventative Medicine. 2007; 33(3): 207-210.

Long, M.; Meyer, D.; Jacobs, G.. Psychological distress among American Red Cross disaster workers responding to the terrorist attacks of September 11, 2001. Psychiatry Research. 149 (2007), 303- 308.

Medical Reserve Corps. Volunteers building strong, healthy, and prepared communities. Available at: http://www.medicalreservecorps.gov/HomePage, accessed October 30, 2007.

National Disaster Medical System. Disasters and emergencies. Available at: http://www.hhs.gov/aspr/opeo/ndms/index.html, accessed October 30, 2007.

Rebmann, T.; English, J.F.; Carrico, R.. Disaster preparedness lessons learned and future directions for education: Results for focus groups conducted at the 2006 APIC Conference. American Journal of Infection Control. 2007; 35:374-81.

Reilley, B.; Herp, M.; Sermand, D., et al. SARS and Carlo Urbani. New England Journal of Medicine. 2003; 348:1951-1952.

Telford, John. The international humanitarian system and the 2004 Indian Ocean earthquake and tsunamis. Disasters. 2007 Mar; 31(1): 1-28

Wickramasinghe, K., Ishara, M.H., Liyanage, P., et al. Outcome-based approach in development of a disaster management course for healthcare workers. Annals of the Academy of Medicine Singapore. 2007 Sep; 36(9): 765-5.

Young, D. New law targets disaster response confusion. American Journal of Health-System Pharmacy. 2007; 64(7): 687-8.