Prehospital and Disaster Medicine
VOLUME 17, NUMBER 2
April - June 2002

Table of Contents


Editor's Corner
Prehospital and Disaster Medicine: Roles and Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Marvin L. Birnbaum, MD, PhD

Origninal Research
Health of Displaced Albanian Kosovars in the Former Yugoslav Republic of Macedonia: Fitness
toTravel and Health Outcomes Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Douglas W. MacPherson MD,MSc(CTM), FRCPC; Jacqueline E. M.Weekers MPH; Thomas F
O'Rourke MD; Cecilia Stiles; Brian D. Gushulak MD

Emergency Health and Risk Management in Sub-Saharan Africa: A Lesson from the Embassy
Bombings in Tanzania and Kenya . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Zoanne A. Clack, MD; Mark E. Keim, MD; Anthony G. Macintyre, MD; Kevin Yeskey, MD

Frail Elderly as Disaster Victims: Emergency Management Strategies . . . . . . . . . . . . . . . . . . . . . . . . . .67

Lauren S. Fernandez, MS; Deana Byard, BA; Chien-Chih Lin, BA; Samuel Benson, AEMT-P;
Joseph A. Barbera, MD


Can the "Golden Hour of Shock" Safely Be Extended in Blunt Polytrauma Patients? Prospective
Cohort Study at a Level I Hospital in Eastern Switzerland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

Joseph J. Osterwalder, MD,MPH

Psychological Distress Following Urban Earthquakes in California . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Linda B. Bourque, PhD; Judith M. Siegel, PhD; Kimberley I. Shoaf, DrPH

Description of Ambulance Diversions in the Edmonton Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Sunil Sookram, MD, FRCP(C); Kent Riddle REMT-P; Eddie Chang MD, FRCP(C);
Terry Sosnowski, MD, FRCP(C)


Resuscitation for Patients with Out-of-Hospital Cardiac Arrest: Singapore . . . . . . . . . . . . . . . . . . . . . 96
Ghee Hian Lim, MD, MBBS, FRCSEd; Eillyne Seow,MD, MBBS, FRCSEd, FAMS

Brief Reports
Rapid On-Site Defibrillation Versus the Community Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102
J.C. Fedoruk, BA, LlB, MD, CCFP (EM), FACEP, FCLM; D. Paterson, BSc, MSc, MD; M. Hlynka, PhD;
K.Y. Fung, PhD; Michael Gobet, EMCA, RN, EMAIII;Wayne Currie, PAD Coordinator

Mortality in Land-Mine Accidents in Iran . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Hameed Reza Jahunlu, MD; Hans Husum, MD; Torben Wisborg, MD, DEAA

Continuing Education
Frederick C. Cuny Memorial Series
Disasters and Development: Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Rob S. Stephenson, Charles DuFrane

Instructions for Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v
Guidelines for Advertisers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii

Editorial Office
University of Wisconsin-Madison USA
Marvin L. Birnbaum, MD, PhD, Editor-in-Chief
Production Editor
Donna Schaan
Advertising
Mary Duss
Subscriptions
Mary Duss
Web Editor
Laura Prijic
University of Wisconsin-Madison
Editorial Interns

Laura Prijic
Kirta L. Hartwig

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