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Mental Health

Conversation With an EMT


Author:

Paul Maniscalco, MPA, EMT-P

Adjunct Assistant Professor George Washinton University School of Medicine and Health Sciences

Medically Reviewed On: September 14, 2001

Below is a conversation with Paul M. Maniscalco, an adjunct assistant professor at the School of Medicine and Health Sciences at George Washington University. He is the past president of the National Association of Emergency Medical Technicians, and currently serves as a deputy chief in the Bureau of Emergency Medical Services for a large urban EMS system.

Mr. Maniscalco has consulted with many federal agencies and organizations on issues related to the response and management of emergency incidents, disaster and terrorism, as well as pre-hospital care and safety. He is the author of the textbook, The EMS Incident Management System - EMS Operations for Mass Casualty and High Impact Incidents, and Understanding Terrorism and Managing its Consequences.

In your estimation, how are we doing with the tracking of survivors and tracking of the deceased?
The tracking of patients resulting from a mass casualty incident is usually an easy task when the event involves less than one hundred patients. Those types of incidents usually involve a response from a limited number of jurisdiction emergency response organizations and result in transportation of the injured by ambulance to a small number of hospital facilities.

In the present situation in New York City, the scenario currently being played out is extraordinary. There are thousands of injured that were treated and transported by many different emergency response agencies to hospitals throughout New York and New Jersey.

The information is compiled from all sources, reviewed to the best possible levels for accuracy and then released. The accuracy of information is critical, and it is essential to avoid errors. But being accurate will of course delay access to information, and many times this frustrates concerned families and friends. But simple things like misspelling a name, for instance "Smith" being spelled "Smyth", could result in horrible misunderstandings. The system in place is very sophisticated and is designed to provide the best possible information in a timely manner.

How is this terrorist crisis different, qualitatively, from the Oklahoma City bombing?
While all of these events have left unimaginable death and destruction in the aftermath, this latest barbaric act is truly unprecedented in all aspects. The size of affected area, technique employed, numbers of patients, number of rescuers, fiscal impact and length of time to manage the aftermath are historically the largest of their kind.

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