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MASS CASUALTY TRAUMA TRIAGE PARADIGMS and PITFALLS July 2019
1 Mass Casualty Trauma Triage - Paradigms and Pitfalls EXECUTIVE SUMMARY Emergency medical services (EMS) providers arrive on the scene of a mass casualty incident (MCI) and implement triage, moving green patients to a single area and grouping red and yellow patients using triage tape or tags. Patients are then transported to local hospitals according to their priority group. Tagged patients arrive at the hospital and are assessed and treated according to their priority. Though this triage process may not exactly describe your agency’s system, this traditional approach to MCIs is the model that has been used to train American EMS As a nation, we’ve got a lot providers for decades. Unfortunately—especially in of trailers with backboards mass violence incidents involving patients with time- and colored tape out there critical injuries and ongoing threats to responders and patients—this model may not be feasible and may result and that’s not what the focus in mis-triage and avoidable, outcome-altering delays of mass casualty response is in care. Further, many hospitals have not trained or about anymore. exercised triage or re-triage of exceedingly large numbers of patients, nor practiced a formalized secondary triage Dr. Edward Racht process that prioritizes patients for operative intervention American Medical Response or transfer to other facilities. The focus of this paper is to alert EMS medical directors and EMS systems planners and hospital emergency planners to key differences between “conventional” MCIs and mass violence events when: • the scene is dynamic, • the number of patients far exceeds usual resources; and • usual triage and treatment paradigms may fail. -
Stage 2 Report 1/11
Drug Policy Expert Committee Stage 2 Report Drugs: Meeting the Challenge Victoria: Drug Policy Expert Committee Drugs: Meeting the Challenge Stage Two Report: November 2000 http://www.dhs.vic.gov.au/phd/dpec/index.htm Design + Production: AD[ART] DESIGN ISBN 0 642 73930 7 1 Stage 2 Report Drugs: Meeting the Challenge 2 Acknowledgements The Committee is indebted to many people and organisations for The Committee would like to acknowledge, in particular, the input, their valuable contribution to the work of the Committee advice and support of: throughout Stage Two. Their input has informed the development • The special advisors to the Committee on culturally and of this report. linguistically diverse communities, Mr Hass Dellal, Mr Phong It was clear to the Committee that the community remains rightly Nguyen; all of the Committee’s advisors, who have made an concerned about the level of drug use and its consequences. invaluable contribution to the work of the Committee; the R E The willingness of individuals and organisations to contribute Ross Trust and Professor Roger Wales who supported the time, energy and thinking to the process of consultation impressed international conference on prevention. A full list of special the Committee. advisors to the Committee is at Appendix 16. • Professor Robin Room, Director of the Centre for Social Few of the people who have assisted the Committee in their work Research on Alcohol and Drugs, Stockholm University who believe that there is a simple solution to the current problems contributed to the international conference on prevention and posed by drug use. The advice received reflected the knowledge provided information on other matters to assist the Committee. -
James Hillier
14 City Lofts 112-116 Tabernacle Street London EC2A 4LE offi[email protected] +44 (0) 20 7734 6441 JAMES HILLIER Shadow & Bone Small Axe The Crown Television Role Title Production Company Director DCI Bill Raynott STEPHEN Hat Trick for ITV Alrick Riley Tony Leech DECEIT Story Films Niall MacCormack Jack Cocker CLOSE TO ME Viaplay / Channel 4 Michael Samuels Captain Churik SHADOW & BONE 21 Laps Entertainment / Netflix Lee Toland Krieger / Eric Heisserer Chief Inspector SMALL AXE BBC / Amazon Studios Steve McQueen Dr Stu Ford DOCTORS BBC Dan Wilson The Equerry (Series Regular) THE CROWN SEASON TWO Left Bank Pictures / Netflix Stephen Daldry Nathan Stone PRIME SUSPECT 1973 Noho / ITV David Caffrey The Equerry (Series Regular) THE CROWN SEASON ONE TVE Various Oliver Grau (Series Regular) MERLÍ SEASON 1 Left Bank Pictures / Netflix Stephen Daldry Joseph McCoy FRONTIER Raw TV Ben Chanan James Downing CASUALTY BBC Jon Sen Admiral Nelson THE BRITISH Nutopia Jenny Ash Chris LONDON’S BURNING Juniper Justin Hardy Mick SURVIVORS BBC Ian B. McDonald Sgt Christian Young (Series HOLBY BLUE SERIES TWO BBC / Kudos Martin Hutchins Regular) Damian EASTENDERS BBC Michael Kellior Sgt Christian Young (Series HOLBY BLUE SERIES ONE BBC / Kudos Martin Hutchins Regular) Keith Spalding GOLDPLATED Channel 4 Julie Ann Robinson / Robert Delamere Robert Barrie (Recurring) THE BILL Talkback Thames Bill Scot-Rider Marcus Octavius THE RISE AND FALL OF ROME: BBC Chris Spencer REVOLUTION Garret Gibbens BLACKBEARD Dangerous Films Richard Dale Darren HOLBY CITY BBC Nick Adams Jeremy -
GRID M1CAT, Casualty and Theft
1 1 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 3 3 4 NEAR FINAL DRAFT 8/23/21 4 5 5 *211451* 6 6 7 2021 Schedule M1CAT, Casualty and Theft 7 8 Do not complete Schedule M1CAT if you completed federal Form 4684 to report a net gain from a casualty or theft on your federal income tax return. 8 9 9 10 112233333 10 FIRSTYour First Name NAME, and Initial INITXXXXX LastYOUR Name LAST NAMEXXXXXXXXXXXXXXXXXXXX Social Security Number 11 11 12 1 Description of properties, including the type, location, and date acquired for each property. Use a separate line for each property lost or damaged 12 13 from the same casualty or theft event. You must file a separate Schedule M1CAT for each casualty or theft event involving personal property. 13 14 14 15 Property A PROPERTY A DESCRIPTIONXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 15 16 16 Property B 17 PROPERTY B DESCRIPTIONXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 17 18 18 Property C 19 PROPERTY C DESCRIPTIONXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 19 20 20 Property D 21 PROPERTY D DESCRIPTIONXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 21 22 22 23 Property A Property B Property C Property D 23 24 24 25 2 Cost or other basis (see instructions) . 2 123456789123456789123456789 12345678 25 26 3 Insurance or other reimbursement, whether or not you filed a claim 26 27 (see instructions)Note: If line 2 is more than line 3, skip line 4 . -
Think Big and Fight Smart
Our little heroes inspire us to think big and fight smart 2017 Annual Report Meet Joseph: A tenacious two-year-old on a mission. Joseph came to Cohen Children’s Medical Center when his parents noticed that he had stopped moving his legs. We saw a four-month-old boy with the world at his fi ngertips. At the time, he couldn’t speak, but our team read his symptoms loud and clear. We immediately surrounded him with specialists, who diagnosed a spinal tumor, and within 24 hours, we had him on the road to recovery. Almost two years later, he’s more than a happy, healthy toddler; he’s one of our biggest sources of inspiration. of the hospital, thanks to innovative and eff ective treatment. These stories, like the stories of so many of our patients, inspire the team at Cohen Children’s to do more. Whether it’s by adopting new treatments through research or delivering an extra dose of compassion that shows how much we understand and how much we care, our strengths make us stand out among the best children’s hospitals nationwide. It’s why we rank in nine pediatric specialties as listed in U.S. News & World Report — and our team continually strives to do better. Great care comes alive at Cohen Children’s Medical Center, and we couldn’t make it happen without the bravery of our patients and their families. As New York State’s largest provider of pediatric healthcare services, we look to our patients as the beacons of strength that is contagious, and these little faces inspire the work keep us grounded in our mission: to provide the best we do every day. -
Mass Casualty Incident (MCI) Response Module 1
Mass Casualty Incident (MCI) Response Module 1 (Hamilton County Fire Chief's Association, 2013) 1 Objectives Purpose: This module will educate staff on mass casualty triage incident response, including how to: • Define mass casualty triage • Determine considerations for adults and pediatrics • Understand the importance of a patient tracking system • Recognize and implement the patient admission/ discharge MCI triage process • Determine how to appropriately handle the deceased in a large-scale MCI • Recognize the range of incidents that may cause MCIs 2 MCI Basics 3 What is an MCI? • A mass casualty incident (MCI) is an incident where the number of patients exceeds the amount of healthcare resources available. • This number varies widely across the country, but is typically greater than 10 patients. 4 Types of MCI Notifications • During a large scale incident such as a mass casualty, it is important to have a mass notification system. Successful mass notification systems will: . Internally: alert staff to activate MCI protocols and prepare for a potential surge of patients . Externally: increase community awareness 5 Assisting in MCI Response Considerations for hospital staff in an MCI: • Some patients may arrive to the hospital without having been assessed/ triaged at the scene • MCI response requires efficiency and coordination • Non-clinical personnel (including hospital volunteers) can assist in moving patients to designated areas based on level of care • Help gather patient information in the emergency treatment area • Staff should review patients in clinical assignment for any potential discharges/ transfers to make room for potential MCI admissions, a process known as “surge discharge” (Chung S, 2019) 6 Triage Basics Definition of MCI Triage Triage means “to sort.” Triage in an MCI is the assignment of resources based on the initial patient assessment and consideration of available resources. -
Casualty Accumulation Risk
Casualty Accumulation Risk October 2015 Authors: Brad Fischtrom (AIG) Luc de Lignières (Axa) Tim Jandeck (Generali) Michael Brauner (Munich Re) Guillaume Ominetti (Scor) Eric Schuh, Andrea Scascighini and Sabrina Wulf (Swiss Re, workgroup lead) CRO Forum Secretariat: Kuba Szczygielski Contents 1 Executive summary 6 2 Understanding casualty accumulation risk 8 2.1 Defining casualty accumulation risk 11 – Classic clash 11 – Serial aggregation 12 – Systemic loss 12 2.2 Examples of historical accumulation losses 13 – Asbestos 13 – Deepwater Horizon oil spill 14 – The medical malpractice crisis in France 15 – Economic, societal and legal environments 15 2.3 Casualty accumulation matters in an interconnected and fast evolving society 16 – Cyber 18 – Pandemic 20 – Nanotechnology 20 – E-cigarettes 21 – Concussions 21 – Climate change 22 2.4 Embedding casualty risks in the overall accumulation risk 23 – Crossing the lines of business 23 – Accumulation with the asset side of the balance sheet 24 3 Assessing the potential effects of uncontrolled casualty accumulation 25 3.1 Why is casualty accumulation risk more challenging to assess and model than property catastrophe accumulation risk? 25 – Impact on insurers 26 3.2 Scenario-based modelling 27 – The unfolding of a liability disaster 27 – The scenario approach to quantification 28 – Mapping scenarios to portfolio exposures 28 3.3 A forward-looking approach 28 – Limitations of current actuarial techniques 28 – Studying loss generation: from natural catastrophe modelling to liability exposures 29 -
Annual Report 2019
2020 Newsletter & 2019 Annual Report © 2018 The Andy Warhol Foundation for the Visual Arts / Artists Rights Society (ARS), New York / Ronald Feldman Gallery, New York New Gallery, Feldman / Ronald York New Rights Society (ARS), Artists / Arts Visual for the Foundation Warhol Andy The © 2018 Santa Fe Conservation Trust Earns National Recognition The Santa Fe Conservation Trust is proud to announce that it has renewed its land trust accreditation with the Land Trust Alliance – proving once again that it is committed to profes- sional excellence and to maintaining the public’s trust in its Board of Directors conservation work. as of January 1, 2020 As an accredited land trust, SFCT must renew every five Joanna Prukop, Board Chair years, confirming our compliance with national quality stan- Nancy Cook, Vice Chair dards and providing continued assurance to donors and George Strickland, Treasurer landowners of our commitment to care forever for their land Brant Goodman, Secretary Peter Martin, At-Large and easements. Every aspect of our work is scrutinized, from Michael Avery Jackson Blagden our internal policies and procedures, to our fundraising, to Marianne Dwight David Fleischaker our conservation work. It means that SFCT has the strength Clayton Jernigan Sandra Massengill and integrity to be here for the long haul to provide the best Julie Martinez, MD Al Reed Dennis Romero Quinn Simons services to all our constituents. Whether you are a donor, a Justin Svetnicka landowner or an organizational partner, you can be assured that SFCT is a well-run organization, here to improve your Committee Members quality of life through our work. -
Creating a Better Future Annual Report 2019 Our Core Values
CREATING A BETTER FUTURE ANNUAL REPORT 2019 OUR CORE VALUES The Immune Deficiency Foundation (IDF) improves the diagnosis, treatment, and quality of life of people affected by primary immunodeficiency (PI) through fostering a community empowered by advocacy, education, and research. Our core values are inclusion, integrity, and innovation. Inclusion can only occur when everyone within our community and beyond has the opportunity to belong, to be heard, to be valued. To uphold integrity, it’s critically important that we are trustworthy stewards for the PI community, putting their livelihood first. We will embrace challenges head-on with new solutions and ways to strengthen the PI community through innovation. In addition, we commit to serving our constituents with transparency, trust, and compassion. The Immune Deficiency Foundation is proud to be an equal opportunity employer. We are rare and we are powerful. Like the stripes of a zebra, no two people are the same, and at IDF, we celebrate this uniqueness every day. An inclusive, diverse, and fair workplace makes our community more powerful. At IDF, we build communities and programs for people living with PI. It’s through these services, that they can connect with other individuals, families, and healthcare professionals who are living and working with PI. In 2019, we implemented initiatives to foster relationships within the community, and provide rich and accurate information and resources to thousands. We helped advance research and worked collaboratively with expert clinicians from across the country to better understand patient experiences and improve outcomes. All those living with PI continue to rely on IDF for information and support, which is why we’ve made the commitment to ensure a better future for generations to come. -
Retained Property Casualty Insurance- Related Risk: Interaction of Actuarial Analysis and Accounting
A PUBLIC POLICY PRACTICE NOTE Retained Property Casualty Insurance- Related Risk: Interaction of Actuarial Analysis and Accounting April 2018 Developed by The Casualty Practice Council's Committee On Property and Liability Financial Reporting A PUBLIC POLICY PRACTICE NOTE Retained Property Casualty Insurance-Related Risk: Interaction of Actuarial Analysis and Accounting April 2018 1850 M Street N.W., Suite 300 Washington, D.C. 20036-5805 The American Academy of Actuaries is a 19,000-member professional association whose mission is to serve the public and the U.S. actuarial profession. The Academy assists public policymakers on all levels by providing leadership, objective expertise, and actuarial advice on risk and financial security issues. The Academy also sets qualification, practice, and professionalism standards for actuaries in the United States. Committee on Property and Liability Financial Reporting (2017) Lisa Slotznick MAAA, FCAS, Chairperson Kathy Odomirok MAAA, FCAS, Vice Chairperson John Pierce MAAA, FCAS, FCA, Vice Chairperson Ralph Blanchard MAAA, FCAS Jeff Carlson MAAA, FCAS Kevin Christy MAAA, FCAS Tom DeFalco MAAA, FCAS Rob Flannery MAAA, ACAS Derek Freihaut MAAA, FCAS John Gleba MAAA, FCAS, FCA Susan Gozzo Andrews MAAA, FCAS Lise Hasegawa MAAA, ACAS David Heppen MAAA, FCAS Stephen Koca MAAA, FCAS Ramona Lee MAAA, ACAS George Levine MAAA, FCAS Jim McCreesh MAAA, FCAS Mary Frances Miller MAAA, FCAS, HONFIA Rodney Morris MAAA, FCAS Jay Morrow MAAA, FCAS Judy Mottar MAAA, ACAS Alejandra Nolibos MAAA, FCAS Chet Szczepanski MAAA, FCAS Glenn Tobleman MAAA, FCAS, FCA COPLFR gratefully acknowledges the efforts of Tom Conway, John Gleba, Mary Frances Miller, Lisa Slotznick, Patty Smolen and Rob Walling. -
Mark Hinton Stewart
MARK HINTON STEWART COMPOSER Mark Hinton Stewart is a British film composer whose music moves seamlessly from a refined classicism to a more contemporary feel. He has recently re-ignited his passion for writing classical works; full details are available on request. Mark composed the title music for Waterloo Road with Shed Productions for the BBC, and created a compelling score for Magnolia for Red Productions. He scored the US film feature The Man From Earth with Richard Schenkman, as well as a special two-parter of the BBC’s Casualty. He scored Holby Blue Series II, the latest creation from Tony Jordan for BBC1 made by Red Planet / Kudos, having also scored series 1, and then went onto score The Chase series 2, for Rollem Productions. He also scored the 6-part comedy series for the BBC, Parents Of The Band, created by Jimmy Nail and Tarquin Gotch. Mark most recently scored Crash, for Red Planet Pictures. Originally a classically trained pianist and organist, he has worked with some of the biggest names in the film/pop scene, from Sir George Martin to Jools Holland and Adam F. Mark assisted on the Music Supervision of both, Lock, Stock and Two Smoking Barrels and The Real Howard Spitz, and has scored a number of films including Tube Tales (the Sky Pictures movie with Ewan McGregor, Denise van Outen, Rachel Weisz, Jason Flemyng and Bob Hoskins), The Truth Game for Screen Production Associates, the feature Dog Eat Dog for Film Four/Tiger Aspect Pictures and Baby Juice Express for The Spice Factory starring Nick Moran. -
Spin Sucks 1St Edition Pdf, Epub, Ebook
SPIN SUCKS 1ST EDITION PDF, EPUB, EBOOK Gini Dietrich | 9780133432220 | | | | | Spin Sucks 1st edition PDF Book A wonderful look at how PR has changed in light of the digital world, this book is a great read for anyone in the marketing or public relations industries. Knots Landing — Dallas — See other items More The Dick Powell Theater. Harvey Birdman, Attorney at Law — If you are new to online marketing or a marketing student, you will devour this book and refer back to it often. Most jump directly to tactics, but Gini Dietrich says that's the absolute wrong place to start. Hancock Citizen James — Tonight Starring Jack Paar — Extremely useful book for PR and communications professionals about digital marketing, reputation, importance of having engaging and original content, crisis management and so much more! Big Brother USA Fraggle Rock: The Animated Series Saved by the Bell — Published February 24th by Que Publishing first published October 30th What demoralized public relations the most? Provides the authority and expertise of leading contributors from an international board of authors Presents the latest release in the Advances in Inorganic Chemistry series Includes the latest information on nanoscale coordination chemistry. Modern Public Relations began in and remained largely the same for the next 70 years: PR people built relationships with influential journalists and set up events to get public attention. Home Improvement — The Tycoon — Lab Rats: Elite Force Viva La Bam — Wildboyz — Homewrecker An American Supplement was published in the U. And it also very clearly never went through the copyediting stage. Pardon the Interruption Gomer Pyle, U.