Prehospital and Disaster Medicine

Table of Contents
VOLUME 21, NUMBER 6
November–December 2006

Editor’s Corner
Structure and Science . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .369
Marvin L. Birnbaum, MD, PhD

Original Research
Impact of a Citywide Blackout on an Urban Emergency Medical Services Station . . . . . . . . . . . . . . . . . . . . 372
John Freese, MD; Neal J. Richmond, MD; Robert A. Silverman, MD; James Braun, MAAPAA;
Bradley J. Kaufman, MD; John Clair

Control of Hemorrhage in Critical Femoral or Ingunial Penetrating Wounds—
An Ultrasound Evaluation . . . . . . . . . . . . . . . . . . . . . .379
Michael Blaivas, MD, RDMS; Stephen Shiver, MD; Matthew Lyon, MD, RDMS;
Srikar Adhikari, MD

Terrorism and Mental Health in the Rural Midwest . . . . . . . . . . . . . . . . . . . . . .383
Suzanne R. Hawley, PhD, MPH; Elizabeth Ablah, PhD, MPH; Gary C. Hawley, PsyD;
David J. Cook, PhD; Shirley A. Orr, MHS, ARNP, CNAA; Craig A. Molgaard, PhD, MPH

Rapid Needs Assessment of Hurricane Katrina Evacuees—Oklahoma,
September 2005. . . . . . . . . . . . . . . . . . . . . 390
Sara Russell Rodriguez, MSN, MPH; Jolianne Stone Tocco, MPH; Sue Mallonee, RN, MPH;
Larui Smithee, MS; Timothy Cathey, MD; Kristy Bradley, DVM

Pattern of Drug Prescription and Utilization among Bam Residents during
the First Six Months after the 2003 Bam Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .396
Gholamreza Sepehri, PhD; Manzumeh-Shamsi Meimandi, MSc, Pharm D

Hawaii Physician and Nurse Bioterrorism Preparedness Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .404
Alan R. Katz, MD; Dawn M. Nekorchuk, MS; Peter S. Holck, PhD; Lisa A. Hendrickson, MD;
Allison A. Imrie, PhD; Paul V. Effler, MD

A Pilot Assessment of Hospital Preparedness for Bioterrorism Events . . . . . . . . . . . . . . . . . . . . . .. . . . . .414
Craig D. Thorne, MD, MPH; Howard Levitin, MD; Marc Oliver, RN, MPH, MA;
Sue Losch-Skidmore, BSN, BC; Beth A. Neiley, RN, MS; Myra M. Socher, BS, EMT/P; Patricia W. Gucer, PhD

Performance Indicators as Quality Control for Testing and Evaluating Hospital
Management Groups: A Pilot Study. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .423
Anders Rüter, MD; Heléne Nilsson, RN; Tore Vilkström, MD, PhD

Predictive Effect of Out-of-Hospital Time in Outcomes of Severely Injured
Young Adult and Elderly Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427
Amado Alejandro Báez, MD, MSc; Peter L. Lane, MD; Barbara Sorondo, MD, MBA; Ediza M. Giráldez, MD

Percutaneous Transtracheal Ventilation: Resuscitation Bags Do Not Provide
Adequate Ventilation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .431
Edmond A. Hooker, MD; Daniel F. Danzl, MD; Daniel O'Brien, MD; Michael Presley, MD;
Ginger Whitaker; M. Keith Sharp, Sc.D

Special Report
A Four-Step Approach for Establishment of a National Medical Response to
Mega-Terrorism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436
Adi Leiba, MD, MHA; Amir Blumenfeld, MD; Ariel Hourvitz, MD; Gali Weiss, RN, MHA;
Michal Peres, RN, MPA; Dagan Schwartz, MD; Avishay Goldberg, PhD; Yehezkel Levi, MD;
Yaron Bar-Dayan, MD, MHA

Who Should Worry for the "Worried Well?"? Analysis of Mild Casualties
Center Drills in Non-Conventional Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .441
Adi Leiba, MD, MHA; Avi Goldberg, MD, MHA; Ariel Hourvitz, MD, MHA; Gali Weiss, RN, MHA;
Michal Peres, RN, MPA; Ahuva Karskass, RN, MHA; Dagan Schwartz, MD; Yehezkel Levi, MD;
Yaron Bar-Dayan, MD, MHA

Comprehensive Review
Out-of-Hospital Resuscitation: Have We Gone Too Far? . . . . . . . . . . . . . . . . . . . . . . . . .445
Corita Grudzen, MD

Assessing Levels of Hospital Emergency Preparedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 451
Lieut. Col. (ret) Bruria Adini, MA; Col. (res) Avishay Goldberg, MA, MPH, PhD;
Col. (res) Danny Laor, MD, MHA; Robert Cohen, PhD; Roni Zadok; Col. Yaron Bar-Dayan, MD, MHA

Brief Report
Casualty Collection in Mass-Casualty Incidents: A Better Method for Finding
Proverbial Needles in a Haystack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .459
Kristina E. Knotts, DO; Stuart Etengoff, DO, FACEP; Kimberly Barber, PhD;
Ina J. Golden, RN, BSN, CEN, EMT-P

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .467