Prehospital and Disaster Medicine

Table of Contents
VOLUME 21, NUMBER 4
July– August 2006

Editor’s Corner
Accentuate the Positive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221
Marvin L. Birnbaum, MD, PhD

Original Research
Transient Modeling in Simulation of Hospital Operations for Emergency Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223
Jomon Aliyas Paul; Santhosh K. George, MS; Pengfei Yi, PhD; Li Lin, PhD

Anti-personnel Landmine Injuries during Peace: Experience in an European Country . . . . . . . . . . . . . . . . . . . . . 237
Stamatios A. Papadakis, MD, PhD; Eleni C. Babourda, MD; Thomas C. Mitsitskas, MD;
Sotirios Markakidis, MD; Costas Bachtis, MD; Koukouvis Dimitrios, MD; Apostolos A. Tentes, MD, PhD

Reanimation Unit Experience of a Second-Level Hospital in Mexico City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242
Jorge Loria-Castellanos, MD; Juan Manuel Rocha-Luna, MD; Guadalupe Márquez Ávila

What a Disaster?! Assessing Utility of Simulated Disaster Exercise and Educational
Process for Improving Hospital Preparedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249
Bruce H. Bartley, MB, BS, FRCSE, FACEM; Julian B. Stella, MS, BS, FACEM; Liam D. Walsh, MB, BS, FACEM

Special Report
Weapons of Mass Destruction Preparedness and Response for the XIV Pan-American Games,
Santo Domingo, 2003 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .256
Amado Alejandro Báez, MD, MSc; Matthew D. Sztajnkrycer, MD, PhD; Ediza M. Giráldez, MD;
Hugo Pérez Comprés, MD

Brief Report
Paramedic Student Performance: Comparison of Online with On-Campus Lecture
Delivery Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .261
Michael W. Hubble, PhD, NREMT-P; Michael E. Richards, MD, MPA

Medical Preparedness Against Chemical and Biological Incidents for NATO
Summit-Istanbul and Lessons Learned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268
Levent Kenar, MD, PhD; Turan Karayilanoglu, Pharm, PhD

Using Innovative Simulation Modalities for Civilian-Based, Chemical, Biological,
Radiological, Nuclear, and Explosive Training in the Acute Management of Terrorist
Victims: A Pilot Study. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
Italo Subbarao, DO, MBA; William F. Bond, MD; Christopher Johnson, DO; Edburt B. Hsu, MD, MPH;
Thomas E. Wasser, PhD, Med

Prevalence of Radioactive Signals from Surveillance of an Emergerncy Department . . . .. . . . . . . . . . . . . . . .276
Frank Guyette, MD, MS; Joe Suyama, MD; Jerry Rosen, MS; Michael Allswede, DO

Special Report
Medical Support during the European Union Summit in Gothenburg, Sweden, June 2001 . . . . . . . . . .282
Kristina M.C. Johnsson, MD; Per A. Örtenwall, MD, PhD; Anne-Lii H. Kivi, RN;
Annika H.E. Hedlin, RN

Editorial Comments
Difficult Discussions: Military Intervention and United Nation Reform. . . . . . . . . . . . . . . . . . . . . . . . .286
Frederick M. Burkle, Jr., MD, MPH