IOM: Emergency health system unprepared for disasters

first_imgJun 20, 2006 (CIDRAP News) – The US emergency medical care system is woefully inadequate and unprepared for a pandemic, bioterrorist attack, natural disaster, or other national crisis, three recent reports from the Institute of Medicine (IOM) conclude.The nation’s emergency care system, the reports say, is overburdened, underfunded, and too fragmented to communicate and cooperate effectively across levels and geographic areas. It has little surge capacity to deal with a disaster. In addition, emergency care staff members are often not adequately trained to respond to large-scale disasters or to work with pediatric patients.The IOM report preceded by 2 days a Department of Homeland Security report that describes major shortcomings in the nation’s general preparedness for catastrophic events such as category 5 hurricanes.Emergency system needs comprehensive help”Unfortunately, the [emergency care] system’s capacity is not keeping pace with the increasing demands being placed on it,” said Gail L. Warden, MHA, in a Jun 14 news release from the National Academies, the IOM’s parent organization.”We need a comprehensive effort to shore up America’s emergency medical care resources and fix problems that can threaten the health and lives of people in the midst of a crisis,” added Warden, chair of the committee that wrote the reports and president emeritus of Henry Ford Health System in Detroit.To remedy this situation, the committee that wrote the reports recommends that:Congress appropriate at least $325.5 million toward shoring up the emergency care system—plus funding for readying the system for potential disasters.The emergency care system be “regionalized” so that neighboring hospitals, emergency medical services, and other agencies work together to provide care for all the people in their region.The Veterans Health Administration (VHA) be integrated into civilian disaster planning and management.Guidelines on overcrowding and redirecting ambulances away from packed emergency departments (EDs) be enforced, and coordination and communication between facilities improved.Streamlining tools, such as queuing theory, dashboard systems, and 23-hour observation units, be used to optimize patient treatment and flow.The IOM’s 26-member Committee on the Future of Emergency Care in the US Health System convened in September 2003. Its conclusions on problem areas and recommended solutions have just been published as a series of three reports: Hospital-Based Emergency Care: At the Breaking Point, Emergency Medical Services at the Crossroads, and Emergency Care for Children: Growing Pains.Concerning funding, an IOM overall summary of the three documents states, “Perhaps the area in which greater funding is most important is disaster preparedness. To date, despite their importance in any response to disaster, the various parts of the emergency care system have received very little of the funds that Congress has dispensed for disaster preparedness.”In part this is because the money tends to be funneled through public safety agencies that consider medical care to be a low priority. Congress should therefore make significantly more disaster-preparation funds available to the emergency system through dedicated funding,” the summary says.Hospital-Based Emergency Care: At the Breaking Point specifies the following preparedness funding priorities:Strengthening and sustaining trauma care systemsEnhancing ED, trauma center, and inpatient surge capacityImproving EMS response to explosivesDesigning evidence-based training programsIncreasing the availability of decontamination showers, standby intensive care unit capacity, negative-pressure rooms, and appropriate personal protective equipmentConducting international collaborative research on the civilian consequences of conventional-weapons terrorismIn addition to asking for more preparedness funding, the IOM committee says Congress should establish a pool of $50 million to reimburse hospitals for uncompensated emergency and trauma care.Also, in the next 5 years Congress should provide $88 million to foster coordination and “regionalization” of emergency care and $187.5 million to address shortcomings in emergency pediatric care, the reports conclude.Regional coordination urgedRegionalization would involve directing patients not to just the nearest medical center, but to the nearest facility in the region equipped to handle patients’ specific needs. It “can improve health outcomes, mitigate overcrowding, and reduce costs,” according to the IOM news release.Regionalization would also eliminate the need for every hospital to maintain on-call services for every specialty, which would help address staff shortages caused by decreasing numbers of specialists willing to take emergency calls, the news release said.Hospital-Based Emergency Care says the VHA is “well positioned to enhance regional response, particularly since its hospitals are required by law to maintain excess capacity.” Therefore, the report says, federal organizations should work with states to integrate the VHA into regional disaster planning.To remedy overcrowding and ambulance diversions, the committee asked that the Joint Commission on Accreditation of Healthcare Organization (JCAHO) reinstate strong guidelines to reduce crowding, “boarding” patients in halls or exam rooms until beds become available, and diverting ambulances when EDs are overcrowded. It also called on the Centers for Medicare and Medicaid Services to convene a working group to develop standards to address the situation.Further, the reports note, overcrowding and ambulance diversions are caused by lack of coordination and communication between facilities. Patient admission and transport should be better coordinated across municipalities, the reports conclude.In recommending using queuing theory to help improve efficiency, the committee highlighted its ability to smooth the peaks and valleys of patient admissions, which can eliminate bottlenecks, improve care, and lower costs.The 23-hour observation unit, or clinical decision unit, the reports say, can help ED staff with patient triage, which can help reduce ED crowding. And dashboard systems can help coordinate patient flow.DHS reports on preparedness for catastrophesIn another lengthy report, the Department of Homeland Security (DHS) on Jun 16 assessed the nation’s preparedness for catastrophes such as a major terrorist attack or a category 5 hurricane. The assessment included all 56 states and territories, as well as 75 urban areas.The assessment was ordered by President Bush and Congress in the wake of Hurricane Katrina, according to a DHS news release. Last February the agency released a report based on preparedness self-assessments by states and major cities; the new report represents the findings of expert “peer review teams” that visited the states and cities and checked their plans against national standards.Among the key findings in the Nationwide Plan Review for states and urban areas are:Most planning processes are not adequate as defined in the National Response Plan (NRP).A common deficiency in state and urban areas is the absence of a clearly defined command structure.The ability to give the public accurate, timely information should be strengthened.Significant weaknesses in evacuation planning are of profound concern.Resource management is the “Achilles heel” of emergency planning.Among the key findings for the federal government are:Clear guidance needs to be developed on how state and local governments can coordinate operations with federal partners according to the NRP.Collaboration between government and non-governmental organizations should be strengthened at all levels.Federal, state, and local governments should work with the private sector to optimize transportation of people with disabilities before, during, and after an emergency.The federal government should provide leadership, guidance, and resources necessary to build a shared national homeland security planning system.See also:IOM’s “Future of Emergency Care” seriesNational Academies Jun 14 press releaselast_img read more

Mercer parent company to buy JLT Group for $5.6bn

first_imgIn its statement, MMC said the purchase “accelerates MMC’s strategy to be the preeminent global firm in the areas of risk, strategy and people”. Investors in JLT – which is currently listed on the London Stock Exchange and is a constituent of the FTSE 250 index – will receive £19.15 a share in cash, representing a premium of 33.7% based on JLT’s closing share price on 17 September. JLT’s largest shareholder, Jardine Matheson Holdings, has already confirmed support for the deal, as have JLT directors.The transaction has also been aided by a $5.2bn bridging loan provided by Goldman Sachs.MMC estimated that integrating the company into its structure would cost $375m, but generate annual cost savings of $250m over the next three years.The deal is expected to complete in the spring of next year, subject to regulatory approval.Investment consultants and fiduciary managers in the UK are currently the subject of an inquiry by the Competition and Markets Authority. Marsh & McLennan Companies (MMC), the parent company to investment consulting giant Mercer, has announced a $5.6bn (€4.8bn) deal to acquire Jardine Lloyd Thompson Group.JLT Group is one of Mercer’s main competitors in the pension scheme advisory market in the UK, and also provides insurance, reinsurance and brokerage services.Dan Glaser, CEO and president of MMC, said in a statement to the stock market this morning that the two firms were a “complementary fit” and would create “a platform to deliver exceptional service to clients and opportunities for our colleagues”.Dominic Burke, JLT Group’s chief executive, will join MMC as vice chairman following completion of the transaction. He said: “MMC is, and always has been, one of our most respected competitors and I believe that, combined, we will create a group that will truly stand as a beacon for our industry.”last_img read more

US state passed ban on abortions after 20 weeks

first_imgLifeNews 1 April 2014The Mississippi legislature has approved a bill that would ban abortions after 20 weeks of pregnancy and now the bill heads to the governor for his signature. The measure is similar to legislation pending in Congress and in other states that points to the pain babies feel in abortions as a reason to ban them.The bill, which bans abortions after five months of pregnancy passed in both the state House and Senate, by a 41-10 margin, today and now goes to pro-life Governor Phil Bryant.“Late term abortions are deadly for both mother and child,” noted Dr. Yoest. “A woman seeking an abortion at 20 weeks (five months) is 35 times more likely to die from abortion than she was in the first trimester. At 21 weeks or more, she is 91 times more likely to die from abortion than she was in the first trimester. Such horrendous statistics show the wisdom of the Mississippi legislators who moved today to enact common-sense limits on a dangerous procedure,” said Americans United for Life president Charmaine Yoest. “I want to commend State House Representative Andy Gipson and State Senator Joey Fillingane, who led the way in pulling together pro-life majorities in support of a measure that will protect women from such horrific deaths witnessed in clinics across the country,” said Dr. Yoest.Diane Derzis, who owns Mississippi’s only abortion clinic, promised someone would file a legal challenge to the bill if it becomes law.http://www.lifenews.com/2014/04/01/mississippi-legislature-passes-ban-on-abortions-after-20-weeks/last_img read more

Escapee killed, seven remain on the run

first_img Sharing is caring! 18 Views   no discussions NewsRegional Escapee killed, seven remain on the run by: – June 17, 2011 Share Tweetcenter_img Share Share Police in Jamaica shoot one of the 11 men who escaped from lock-up on TuesdayKINGSTON, Jamaica – The murder-accused who was among 11 prisoners on the run has been shot dead by police, while two others have been recaptured and another has turned himself in.Police say they encountered Barrington Phinn in Newport, Manchester around 11 am yesterday and there was a shootout that ended with the fugitive dead. A homemade shotgun was taken from the scene. The Bureau of Special Investigations is now investigating the circumstances surrounding the shooting and the matter has also been reported to the Independent Commission of Investigations.Phinn was one of an initial 12 prisoners who escaped from the Mandeville police lock-up early Tuesday morning.One man was quickly held, and Jason Smith and Moses Salmon were recaptured yesterday.Another of the escapees, Leroy Howell, turned himself in at the Mandeville police station yesterday morning, accompanied by a pastor.The other seven still at large are Kemar Edwards, Elvis Samuels, Daniel Grant, Ricardo ‘Trash’ Campbell, Christopher Atkins, Dane Wilson and Renaldo Palmer.Caribbean 360 Newslast_img read more

Otto’s Army, Student Association presidents react to Mark Coyle’s departure

first_imgMark Coyle’s departure from Syracuse University shook the community on Wednesday, including Otto’s Army, the Syracuse student section. Coyle, the former SU director of athletics, will take over the same role at Minnesota.His departure means plans in the works between Otto’s Army and Syracuse Athletics will be halted.“We’re shocked like everyone else,” said Otto’s Army President Johnny Oliver. “We were heart-broken when we got the news today.”Representatives from Otto’s Army met with Coyle three or four times since December. The most recent meeting was last week. Coyle was very interested in hearing from students, Oliver said.One meeting between Coyle and Otto’s Army was about improving the game day experience for football and men’s basketball. Oliver said he, Student Association President Aysha Seedat and Vice President Jane Hong were pushing for student season tickets to be included in the student activity fee.AdvertisementThis is placeholder text“It’s an unfortunate situation and I’m sad to see (Coyle) go,” Seedat said in a text message. “The next SA President will have to work closely with the interim AD on the project, should he wish to carry it through and that’s all I have to say.”Oliver said Otto’s Army is “really not sure” what Coyle’s departure means for the athletic fee.“If it weren’t for Mark (Coyle) leaving, it was definitely a goal of my presidency to make the student activity fee include men’s basketball and football season tickets by the 2017-18 year,” Oliver added. “But now with potentially a new face coming in, I have no idea if the next AD is going to even be for it.”MORE COVERAGE:Insight on Mark Coyle’s decision to leave SU from former Minnesota ADMark Coyle’s top three moments as Syracuse’s director of athleticsSyracuse Athletics emails season-ticket holders following Coyle’s departure Related Stories SA, Otto’s Army work to implement student athletic fee3 things we learned from Mark Coyle’s introductory press conference at MinnesotaSyracuse Athletics emails season-ticket holders following Mark Coyle’s departurePoll: Are you understanding of Mark Coyle’s rationale for leaving Syracuse?Insight on Mark Coyle’s decision to leave Syracuse from former Minnesota director of athletics Facebook Twitter Google+ Coyle, whose tenure lasted 11 months, was open to the idea of moving the student section at men’s basketball games from behind the basket to the sideline, Oliver said. Coyle was also on board with a points system idea that would attempt to increase student attendance at SU sporting events. The program would serve as incentive for students to attend athletic events. Coyle, SA and Otto’s Army were close to a concrete plan, Oliver said.For seven years, the University of Cincinnati has held a Student-Athlete Advisory Committee Gatorade Pong tournament to raise money for Mothers Against Drunk Driving (M.A.D.D.). Oliver said he had planned to reach out to Coyle in the next fews days about starting a similar program at SU.“I would hope that he would have been open to the idea, but I definitely have to table that one for now,” Oliver said.Although his departure means those measures will be put on hold, Coyle helped Otto’s Army and SA fund two student bus trips. Normally, SA funds student trips to away basketball and football games. But this year there was a spending limit that made it difficult for SA and Otto’s Army to cover the cost of transportation and tickets.Coyle supplied Otto’s Army with free tickets for the Syracuse football game at Virginia in October. In February, Coyle supplied students with tickets to the Syracuse basketball game at Boston College. He also played an integral role in Otto’s Army bus trip to Houston for the men’s Final Four.“Mark (Coyle) was really all about the students,” Oliver said. “He was really open to all ideas we brought to him and trying to figure out if it was possible.” Comments Published on May 11, 2016 at 10:21 pm Contact Matthew: mguti100@syr.edu | @MatthewGut21last_img read more

Paddy Power backs Michael Haneke to become Cannes Palm d’Or record breaker

first_img Share Flutter moves to refine merger benefits against 2020 trading realities August 27, 2020 Submit Related Articles Paddy Power raises awareness of Missing People with Motherwell ‘silhouette’ stand August 7, 2020 StumbleUpon Share Paddy PowerFrance prepares for more drama this May, as its Cote d’Azur beaches host the 70th Cannes Film Festival. As the festival begins its film screenings, one story is dominating all Cannes headlines. Can Austrian filmmaker Michael Haneke win his third Palm d’Or and become the Festival’s greatest auteur?Opening it’s 2017 Cannes Palm d’Or market, Paddy Power, which holds a 4/5 performance rating on Bookmaker Ratings, has priced Haneke’s ‘Happy End’ as 3/1 favourite to win world cinema’s most prestigious award.A European cinema powerhouse, Haneke is renowned for his socially reflective and emotionally impactful films. Debuting ‘Happy End’ at Cannes, Haneke tells the story of French middle-class family in Calais who are drawn into the chaos of the ongoing European refugee crisis.Leading Haneke’s chasing pack is Russian divorce drama ‘Loveless’ by Andrey Zvyagintsev, priced at 9/2 by Paddy Power. A surprise to many will be American director Todd Haynes children’s fantasy tale ‘Wonderstruck’, which is currently market third favourite at 5/1.Greek Surrealist and former Grand Jury Prize winner (2015) Yorgos Lanthimos returns to Cannes with ‘The Killing of a Sacred Deer’, which Paddy Power has priced as a 9/1 outsider.Issuing a cheeky market note, Paddy Power spokesperson Paddy Power commented: “No, I don’t know much about films, but I Cannes see a clear winner of the Palm d’Or. However, maybe I’m just buying into nominative determinism of its title – in any case, Happy End by Michael Haneke is our favourite.”Paddy Power Cannes Palm d’Or 2017 Bookies Corner: Trump Presidency sinks as US 2020 enters its 100 day countdown July 29, 2020last_img read more

Friday January 11th Local Sports

first_imgIOWA CITY — Iowa coach Fran McCaffery says junior forward Tyler Cook is day-to-day heading into Saturday’s game against 16th ranked Ohio State. The Hawkeyes’ leading scorer and rebounder missed Wednesday night’s victory at Northwestern with a sore knee.Cook’s absence means McCaffery is forced to juggle some positions to maintain an eight-man rotation.The Hawkeyes are 2-3 in the Big Ten and 13-3 overall. == SATURDAYAM-1300 KGLO — Iowa men vs. Ohio State — pre-game 12:30, tipoff 1:30AM-1300 KGLO — NFL Divisional Playoff Games — Indianapolis at Kansas City, followed by Dallas at Los Angeles Rams — joined in progress after Iowa basketball DES MOINES — 1/10/19 Iowa Girls High School Basketball Rankings — Compiled by the Iowa Girls High School Athletic Union — FOR IMMEDIATE RELEASEClass 1ASchool Record LW1 Newell-Fonda 11-0 12 West Hancock 13-0 23 Montezuma 12-1 34 Seymour 10-0 45 Lynnville-Sully 11-2 56 Clarksville 11-1 87 CAM 10-1 98 Janesville 10-2 79 AGWSR 6-4 610 North Mahaska 9-2 1011 Colo-Nesco 9-1 1112 Marquette Catholic 13-2 1213 Kingsley-Pierson 11-1 1314 Westwood 11-2 NR15 Kee 11-2 14Dropped Out: Ar-We-Va (15) — other boys basketballNorth Butler 57, North Iowa 52 @ OsageLake Mills 35, Osage 33Lake Mills 48, Eagle Grove 24Lake Mills 84, Rockford 0Osage 84, Rockford 0Osage 64, Eagle Grove 17Eagle Grove 66, Rockford 18 CLEAR LAKE — Drew Enke scored 21 points to lead #2/3A Clear Lake to a 58-47 win over Waverly-Shell Rock in a non-conference boys basketball game, as you heard on AM-1490/96.7-FM KRIB last night. The Lions held a 25-22 lead at the half and outscored the Go-Hawks 33-25 in the second half, helped by 21-29 free throw shooting. Clear Lake is now 11-0 and will host Hampton-Dumont-CAL as part of a North Central Conference girl-boy doubleheader tonight that starts at 6:15 on KRIB. Class 4ASchool Record LW1 Marion 11-0 12 North Scott 11-2 33 Mason City 8-3 24 Grinnell 10-1 45 Lewis Central 10-0 66 Cedar Rapids Xavier 8-4 57 Waverly-Shell Rock 10-2 88 Bishop Heelan 7-2 119 LeMars 7-3 710 Central DeWitt 10-2 1011 Gilbert 8-4 1412 Denison-Schleswig 10-1 1513 Ballard 10-2 1314 Glenwood 8-3 NR15 Knoxville 10-2 9Dropped Out: Western Dubuque (12) — girls basketballNorth Butler 55, North Iowa 40 == SUNDAYAM-1300 KGLO — NFL Divisional Playoff Games — Los Angeles Chargers at New England, followed by Philadelphia at New Orleans — 11:30 — Top of Iowa Conference quadrangulars@ BelmondNewman 39, Belmond-Klemme 30Newman 66, West Fork 3Newman 54, North Union 24Belmond-Klemme 59, West Fork 15Belmond-Klemme 63, North Union 12North Union 30, West Fork 27 Class 2ASchool Record LW1 Grundy Center 10-0 12 Treynor 11-0 23 Central Decatur 11-0 34 Cherokee 12-0 45 South Central Calhoun 13-0 56 Panorama 11-0 67 Bellevue 14-0 78 Cascade 12-1 89 North Linn 12-0 910 Dike-New Hartford 8-2 1111 Van Buren 10-2 1312 Aplington-Parkersburg 11-1 1013 West Branch 12-2 1414 Wilton 13-1 115 Saint Ansgar 12-1 NRDropped Out: Martensdale-St, Mary (13) Class 5ASchool Record LW1 Iowa City High 10-0 12 Southeast Polk 11-1 43 Johnston 11-2 24 West Des Moines Valley 10-2 65 Waukee 8-3 56 Cedar Rapids Prairie 8-2 87 Cedar Falls 10-1 38 Dowling Catholic 7-4 99 Pleasant Valley 13-0 1010 Cedar Rapids Washington 10-1 711 Iowa City West 8-2 1112 Ankeny Centennial 8-4 1213 Urbandale 8-5 NR14 Ames 6-6 1315 Ankeny 6-6 NRDropped Out: Waterloo West (14), Davenport North (15) DES MOINES — With Nick Norton sidelined for the season Noah Thomas takes over the point guard spot at Drake. The sophomore from Australia responded with a career-high 24 points in Tuesday’s win over Southern Illinois.Drake coach Darian DeVries says Thomas went from averaging 10 minutes per game to playing 37 minutes against the Salukis.Devries says his new role brings subtle changes to the offense.The Bulldogs return to action Sunday with a visit to Northern Iowa. PLEASANT HILL — Southeast Polk won 11 of 14 matches in beating Mason City last night 56-13. Mason City winners were Troy Monahan who picked up a pin at 285, Jace Rhodes who had a major decision at 106, and Colby Schriever who had a decision at 138. Mason City travels to the Ankeny Invitational on Saturday. THIS WEEKEND:== FRIDAYAM-1300 KGLO, kgloam.com, KGLO mobile app — Mason City High at Fort Dodge — girls 6:15, boys followAM-1490/96.7-FM KRIB, kribam.com, KRIB mobile app — Clear Lake vs. Hampton-Dumont-CAL — girls 6:15, boys follow HAMPTON — Clear Lake won a pair of North Central Conference wrestling duals last night at Hampton-Dumont-CAL. The Lions and the Bulldogs tied at 36-36 in the first dual of the night, but Clear Lake won the dual on the fourth tiebreaking criteria, most pins. Clear Lake then beat Iowa Falls-Alden 57-15. Clear Lake will travel to the Osage Duals on Saturday. Hampton-Dumont-CAL beat Iowa Falls-Alden 52-15 in the other dual. WEST LAFAYETTE — The 17th ranked Iowa Hawkeye women were outscored 22-16 in the final quarter in a 62-57 loss at Purdue, as you heard on AM-1300 KGLO last night. Iowa made only three of 17 shots from three point range.That’s Iowa coach Lisa Bluder. The Hawkeyes were also outrebounded 36-30 as they fall to 2-2 in the Big Ten.Megan Gustafson fouled out but had 19 points, while Hannah Stewart added 17 to lead Iowa. Mason City native Makenzie Meyer had six points in 33 minutes of play. Iowa is 11-4 overall and travel to Minnesota on Monday in a game you’ll hear starting at 5:45 on AM-1300 KGLO AMES — The 20th ranked Iowa State Cyclones look to bounce back at home on Saturday against Kansas State. The Cyclones are coming off a 73-70 loss at Baylor and next up host a K-State team that is 1-2 in the league race after a win at home against West Virginia.That’s Iowa State coach Steve Prohm who says the Cyclones will need a better effort on defense.The Cyclones are 2-1 in the Big 12. @ BrittCentral Springs 52, North Butler-Clarksville 18Central Springs 48, West Hancock 33Central Springs 55, Nashua-Plainfield 21West Hancock 42, North Butler-Clarksville 30West Hancock 48, Nashua-Plainfield 29Nashua-Plainfield 39, North Butler-Clarksville 38 @ St. AnsgarSt. Ansgar 42, Forest City 33St. Ansgar 60, Garner-Hayfield-Ventura 24St. Ansgar 46, Northwood-Kensett 32Northwood-Kensett 40, Forest City 39Northwood-Kensett 39, Garner-Hayfield-Ventura 27Forest City 54, Garner-Hayfield-Ventura 29 Class 3ASchool Record LW1 North Polk 11-1 12 Osage 11-0 23 Center Point-Urbana 10-1 34 Clear Lake 8-3 45 Algona 9-1 56 Des Moines Christian 9-2 67 Central Lee 12-2 78 Waukon 10-1 89 Iowa Falls-Alden 11-1 910 Crestwood 8-4 1311 Roland-Story 8-4 1112 Okoboji 11-2 1013 Shenandoah 8-4 1214 Davenport Assumption 8-5 NR15 Creston 6-4 NRDropped Out: Monticello (14), Red Oak (15)last_img read more