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The Current Crisis in Emergency Care and the Impact on Disaster Preparedness
BACKGROUND: The Homeland Security Act (HSA) of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care,...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2008
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386501/ https://www.ncbi.nlm.nih.gov/pubmed/18452615 http://dx.doi.org/10.1186/1471-227X-8-7 |
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author | Cherry, Robert A Trainer, Marcia |
author_facet | Cherry, Robert A Trainer, Marcia |
author_sort | Cherry, Robert A |
collection | PubMed |
description | BACKGROUND: The Homeland Security Act (HSA) of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. DISCUSSION: After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. SUMMARY: Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need. |
format | Text |
id | pubmed-2386501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-23865012008-05-16 The Current Crisis in Emergency Care and the Impact on Disaster Preparedness Cherry, Robert A Trainer, Marcia BMC Emerg Med Commentary BACKGROUND: The Homeland Security Act (HSA) of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. DISCUSSION: After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. SUMMARY: Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need. BioMed Central 2008-05-01 /pmc/articles/PMC2386501/ /pubmed/18452615 http://dx.doi.org/10.1186/1471-227X-8-7 Text en Copyright © 2008 Cherry and Trainer; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Commentary Cherry, Robert A Trainer, Marcia The Current Crisis in Emergency Care and the Impact on Disaster Preparedness |
title | The Current Crisis in Emergency Care and the Impact on Disaster Preparedness |
title_full | The Current Crisis in Emergency Care and the Impact on Disaster Preparedness |
title_fullStr | The Current Crisis in Emergency Care and the Impact on Disaster Preparedness |
title_full_unstemmed | The Current Crisis in Emergency Care and the Impact on Disaster Preparedness |
title_short | The Current Crisis in Emergency Care and the Impact on Disaster Preparedness |
title_sort | current crisis in emergency care and the impact on disaster preparedness |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386501/ https://www.ncbi.nlm.nih.gov/pubmed/18452615 http://dx.doi.org/10.1186/1471-227X-8-7 |
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