Bioterrorism and disaster preparedness among medical specialties

Authors

  • Joshua E. Lane, MD, MBA
  • Jacob Dimick, BS, MHS
  • Michael Syrax, BA, MA
  • Madhusudan Bhandary, PhD
  • Bruce S. Rudy, DEd, PA-C

DOI:

https://doi.org/10.5055/ajdm.2012.0080

Keywords:

bioterrorism, terrorism, disaster preparedness, emergency preparedness, medical specialty

Abstract

Objective: A core priority of all medical specialties includes information for members regarding inherent priorities and principles.The authors sought to investigate the priority and contribution of various medical specialties to the fields of bioterrorism, terrorism, disaster preparedness, and emergency preparedness.
Design: A mixed study design (quantitative and qualitative) was used to identify pertinent characteristics of various medical specialties. A scored survey analysis of resources available from the representative organizations and/or societies of the primary medical specialties and select subspecialties was examined and scored based on availability, ease of accessibility, updated status, and content. A MEDLINE search completed through PubMed using the medical subject headings bioterrorism, terrorism, disaster preparedness, and emergency preparedness coupled with specific medical specialties was conducted to assess the involvement and contribution of each to the medical literature.
Main outcome measures: The primary study outcome was to evaluate the priority of and existing resources available to members for bioterrorism/terrorism and disaster/emergency preparedness among various medical specialties as reflected by their representative organizations and scientific publication.
Results: The search of individual medical specialties and of the medical literature (2000-2010) revealed that these topics (via keywords bioterrorism, terrorism, disaster preparedness, and emergency preparedness) are indeed a priority topic for the majority of medical specialties. A number of specialties with expectant priority in these topics were confirmed. All seven primary care specialties demonstrated a core priority of these topics and offered resources. The MEDLINE (PubMed) search yielded 7,228 articles published from 2000 to 2010.
Conclusion: Bioterrorism/terrorism and disaster/ emergency preparedness are priority topics of most medical specialties. This core priority is demonstrated by both the medical specialty resources in addition to the contribution of scientific articles from these medical specialties. This reflects the diverse medical care that is necessary for terrorist threats and the collaborative efforts that will help to make the medical response to these threats more cohesive.

Author Biographies

Joshua E. Lane, MD, MBA

Public Health Preparedness, Penn State College of Medicine, Hershey, Pennsylvania; Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia; Department of Surgery, Mercer University School of Medicine, Macon, Georgia; Division of Dermatology, Department of Internal Medicine, Mercer University School of Medicine, Macon, Georgia; Division of Dermatology, Department of Medicine, The Medical College of Georgia, Augusta, Georgia.

Jacob Dimick, BS, MHS

Public Health Preparedness, Penn State College of Medicine, Hershey, Pennsylvania.

Michael Syrax, BA, MA

Public Health Preparedness, Penn State College of Medicine, Hershey, Pennsylvania.

Madhusudan Bhandary, PhD

Department of Mathematics, Columbus State University, Columbus, Georgia.

Bruce S. Rudy, DEd, PA-C

Public Health Preparedness, Penn State College of Medicine, Hershey, Pennsylvania.

References

National Commission on Terrorist Attacks Upon the United States: Available at http://www.9-11commission.gov/. Accessed January 11, 2012.

Blin A: The United States confronting terrorism. In Chaliand G, Blin A (eds.): The History of Terrorism. Los Angeles, CA: University of California Press, 2007: 398-419.

Uddin SG, Barnett DJ, Parker CL, et al.: Emergency preparedness: Addressing a residency training gap. Acad Med. 2008; 83(3): 298-304.

Wetter DC, Daniell WE,Treser CD: Hospital preparedness for victims of chemical or biological terrorism. Am J Public Health. 2001; 91: 710-716.

Landesman LY, Leonard RB: SARA three years later: Emergency physicians’ knowledge, beliefs, and actions. Prehosp Disaster Med. 1993; 8: 39-44.

Edgell M, James MR: Contaminated casualties: Are we prepared to receive them? J Accid Emerg Med. 1994; 11: 172-174.

Burgess JL, Blackmon GM, Brodkin CA, et al. Hospital preparedness for hazardous material incidents and treatment of contaminated patients.West J Med. 1997; 167: 387-391.

Cone DC, Davidson SJ: Hazardous materials preparedness in the emergency department. Prehosp Emerg Care. 1997; 1: 85-90.

Hsu CE, Mas FS, Jacobson HE, et al.: Public health preparedness of health providers: Meeting the needs of diverse, rural communities. JAMA. 2006; 98(11): 1784-1791.

Williams J, Nocera M, Casteel C: The effectiveness of disaster training for health care workers: A systematic review. Ann Emerg Med. 2008; 52: 211-222.

Kaji AH, Langford V, Lewis RJ: Assessing hospital disaster preparedness: A comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork. Ann Emerg Med. 2008; 52: 195-201.

American Medical Association (AMA): The federation of medicine. National Medical Specialty Society Web sites. Available at http://www.ama-assn.org/ama/pub/about-ama/our-people/the-federation-medicine/national-medical-specialty-society-websites.shtml. 2010. Accessed March 1, 2010.

Vastag B: Experts urge bioterrorism readiness. JAMA. 2001; 285: 30-31.

Martin SD, Bush AC, Lynch JA: A national survey of terrorism preparedness training among pediatric, family practice, and emergency medicine programs. Pediatrics. 2006; 118: e620-e626.

Crane JS, McCluskey JD, Harbison RD: Assessment of community healthcare providers ability and willingness to respond to emergencies resulting from bioterrorist attacks. J Emerg Trauma Shock. 2010; 3: 13-20.

Chokshi NK, Behar S, Nager AL, et al.: Disaster management among pediatric surgeons: Preparedness, training, and involvement. Am J Disaster Med. 2008; 3: 5-14.

Chen FM, Hickner J, Fink KS, et al.: On the front lines: Family physicians’ preparedness for bioterrorism. J Fam Pract. 2002; 51: 745-750.

Alexander GC, Larkin GL,Wynia MK: Physicians’ preparedness for bioterrorism and other public health priorities. Acad Emerg Med. 2006; 13: 1238-1241.

Kaiser HE, Barnett DJ, Kirsch TD, et al.: Perspectives of future physicians on disaster medicine and public health preparedness: Challenges of building a capable and sustainable auxiliary medical workforce. Disaster Med Public Health Prep. 2009; 3: 210-216.

Centers for Disease Control and Prevention, US Department of Health and Human Services: Training Future Physicians about Weapons of Mass Destruction; Report of the Expert Panel on Bioterrorism Education for Medical Students. Available at https://members.aamc.org/eweb/DynamicPage.aspx?Action=Add&ObjectKeyFrom=1A83491A-9853-4C87-86A4-F7D95601C2E2&WebCode=PubDetailAdd&DoNotSave=yes&ParentObject=CentralizedOrderEntry&ParentDataObject=InvoiceDetail&ivd_formkey=69202792-63d7-4ba2-bf4e-a0da41270555&ivd_prc_prd_key=079FA12B-595E-467B-9492-EF495C9BFF7D. Accessed January 11, 2012.

Published

01/01/2012

How to Cite

Lane, MD, MBA, J. E., J. Dimick, BS, MHS, M. Syrax, BA, MA, M. Bhandary, PhD, and B. S. Rudy, DEd, PA-C. “Bioterrorism and Disaster Preparedness Among Medical Specialties”. American Journal of Disaster Medicine, vol. 7, no. 1, Jan. 2012, pp. 48-60, doi:10.5055/ajdm.2012.0080.

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Section

Articles