Focus On Disaster Medicine And Preparedness

Guest: Mitchell Levy, MD Host: Shira Johnson, MD What is the impact of re-education on outcomes in sepsis in an ICU?  Host, Dr. Shira Johnson is joined by Dr. Mitchell Levy, professor of medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital, who discusses the "Surviving Sepsis Campaign."  Re-education of physicians and nurses in this global study had a remarkable impact on reducing mortality and morbidity.  Dr. Levy explains why outcomes were so dramatically affected.   

Guest: W. Frank Peacock, MD Host: Shira Johnson, MD Dr. W. Frank Peacock, vice chair in the Department of Emergency Medicine at the Cleveland Clinic Foundation, joins host Dr. Shira Johnson to discuss risk stratification after acute CHF. What does the first BNP really tell you? And what did the ADHERE trial discover about troponin and CHF?

Guest: W. Frank Peacock, MD Host: Shira Johnson, MD You are seeing a patient in your office on his first visit. How much more would you be able to tell this patient if you received his lab results just minutes after completing his physical? How would this prospect augment practice in an emergency department? Dr. W. Frank Peacock, chair of emergency preparedness at the Cleveland Clinic Foundation, speaks with host Dr. Shira Johnson about a simple idea that could mark an important change in the practice of medicine.

Guest: Nancy Berlinger, PhD Host: Maurice Pickard, MD Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, nonprofit, nonpartisan bioethics research institute located in Garrison, New York discusses how a pandemic will force the individual to think of him or herself as part of a larger society and the consequences of that shift. Efforts to deal with disparities in health care that already exist must be planned for in the context of public health crises and the concept of social justice may take precedence over individual rights.

Guest: Nancy Berlinger, PhD Host: Maurice Pickard, MD Dr. Nancy Berlinger speaks about how an epidemic can alter the standard of care and the perception of the public to these changes. If leadership is not prepared to have the larger community embrace these alterations in ethics, physicians will feel the threat of litigation. Dr. Maurice Pickard hosts.

Guest: Nancy Berlinger, PhD Host: Maurice Pickard, MD Dr. Nancy Berlinger, deputy director and research associate at The Hastings Center, an independent, non-profit, non-partisan bioethics research institute, addresses ethical issues that might arise in a pandemic scenario, when resources could be in short supply. As an example, a shortage of ventilators could cause significant problems: how would this impact the role of first responders? Dr. Maurice Pickard hosts.

Guest: Sandro Galea, MD, DrPH, MPH Host: Maurice Pickard, MD Dr. Sandro Galea, associate professor of epidemiology at the University of Michigan School of Public Health, discusses the epidemiology of mood disorders among survivors of Hurricane Katrina along the U.S. Gulf Coast. According to Dr. Galea, early detection of stressors that are not being confronted, along with unmet expectations of disaster victims, both must be incorporated into disaster responses. Learn more with host Dr. Maurice Pickard.

Guest: Jonathan Links, PhD Host: Paul Raeburn When disaster strikes, there are often as many or more people who suffer psychological wounds than physical maladies. Join host Paul Raeburn as he talks with Dr. Jonathan Links, director of the Johns Hopkins Center for Public Health Preparedness, about a new tool for disaster preparedness: the psychological first aid kit.

Guest: Capt. Mimi Tompkins Host: Larry Kaskel, MD When disaster strikes the human body responds. Is there something we can do, at the scene, to delay or prevent the onset of PTSD? Host Dr. Larry Kaskel interviews Captain Mimi Tompkins, co-founder of the Air Line Pilot Association's (ALPA) Critical Incident Response Program, to discuss what physicians need to understand about the implications that a traumatic event has on the physical and psychological being of victims involved.

Guest: Capt. Mimi Tompkins Host: Larry Kaskel, MD Once a diagnosis associated with war heroes, now we've seen PTSD caused by various kinds of stressful emergencies. For Capt. Mimi Tompkins, her experience piloting and landing a 1988 Aloha Airlines flight after a large section of the roof ripped off at 24,000 feet led to a PTSD diagnosis. She has since spearheaded efforts to develop a standardized response to airline personnel following a disaster. She talks to host Dr. Larry Kaskel about the processes that are in place now that were not in place at the time of the disaster she experienced in 1988.

Guest: Capt. Mimi Tompkins Host: Larry Kaskel, MD On April 28, 1988, an Aloha Airlines jetliner succumbed to an explosive decompression reaction during its climb to cruising altitude. The aircraft lost a 20-foot section of its upper forward fuselage. A senior flight attendant was swept to her death, even as First Officer Mimi Thompson worked to bring the severely crippled airplane to a miraculous safe landing. What happened physically, mentally and emotionally to Mimi’s well-being that day and in the days to follow? We find out first hand, as Ms. Thompson speaks with host Dr. Larry Kaskel.

Guest: Michael Brannigan, PhD Host: Maurice Pickard, MD Dr. Maurie Pickard speaks with Dr. Michael Brannigan, Vice President of Clinical and Organizational Ethics at the Center for Practical Bioethics in Kansas City, about some of the ethical issues facing medical practitioners during natural disasters. These issues are approached from the macro (federal vs state), micro (doctor-patient relationship), institutional, and social levels of impact.

Guest: Linda Kruus, PhD Host: Shira Johnson, MD Is your office or hospital really prepared for a disaster? Host Dr. Shira Johnson interviews Dr. Linda Kruus from Temple University on what you can learn from her study on who will show up to work and why they will do so in the event of a major disaster.

Guest: Donald Trunkey, MD Host: Mark Nolan Hill, MD Dr. Donald Trunkey, professor of surgery and former chair of surgery at Oregon Health and Science University, speaks about his international initiative to train trauma surgeons to be prepared for an array of disaster scenarios, from bullet wounds to nuclear terrorism. Dr. Mark Nolan Hill hosts.

Guest: Donald Trunkey, MD Host: Mark Nolan Hill, MD Dr. Donald Trunkey, professor of surgery at Oregon Health and Science University, and an internationally renowned trauma surgeon, gives a historical perspective of trauma medicine from the 16th century to modern times. Dr. Mark Nolan Hill hosts.

Guest: Kristin Dascomb, MD, PhD Host: Michael Greenberg, MD  In the wake of Hurricane Katrina, Dr. Kristin Dascomb, a pediatrics resident in New Orleans at the time, found herself trapped in a flooding hospital with limited staff and a surplus of unevacuated patients. Dr. Dascomb recounts her personal experiences caring for the sick and wounded without aid of power, food, or water.

Guest: Kristin Dascomb, MD, PhD Host: Michael Greenberg, MD Host Dr. Michael Greenberg speaks with Dr. Kristin Dascomb, a pediatrics resident who was trapped in a New Orleans hospital during Hurricane Katrina. Dr. Dascomb recounts her experiences caring for the sick and wounded without aid of power, food, or water.

Guest: James Baker, MD Host: Maurice Pickard, MD Dr. James Baker discusses the development of a new vaccine against anthrax that could be absorbed through the nasal mucosa with host Dr. Maurice Pickard. Dr. Baker also explains that the unique utilization of nanoemulsions toward the design of this vaccine may also apply to the development of other vaccines.

Guest: Dan Diamond, MD Host: Leslie P. Lundt, MD Dr. Dan Diamond started the nation’s first state-affiliated medical disaster response team. In this segment, Dr. Diamond talks about his experience treating patients in the aftermath of Hurricane Katrina as the director of the mass casualties triage at the New Orleans Convention Center. Dr. Leslie Lundt hosts.

Guest: Michael Sadler, MD Host: Shira Johnson, MD Host Dr. Shira Johnson speaks with Dr. Michael Sadler from St Vincent's Hospital in New York City about dealing with his personal and familial obligations while working through the most severe attack on US soil in our nation's history.