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Fri Dec 1 00:58:46 GMT 2006

Just a bad idea in my opinion.  However, tax dollars being wasted on "home 
land security" items is nothing new.  I saw quite some time ago in a news 
paper that home land money was used to  purchase lawn mowers, several snow 
blowers and a trailer to house them in!  How is this related to my security?
  Last time I checked it was difficult enough to start an IV in a moving 
vehicle.  How is it any easier to do other complicated medical procedures on 
the run?  Granted that most of the procedures would be done while the 
vehicle is stationary, im sure.  God forbid that this unit get into a motor 
vehicle collision while transporting theses patients to the facility, or 
runs into mechanical issues.  What do you do if the unit is no longer 
mobile?
  Most state police agencies around the country have vehicles that act as 
command posts with all of the gadgets like, infrared cameras, surveillance 
cameras, and the catch phrase "interoperability" capabilities, to name a 
few.
  The scene is no place to have non trained personnel.  They maybe hurting 
more than helping in most cases.
  Have a good night all.
   A. Caruso NREMT-P

>From: cadeth66 at aol.com
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: Hackensack hospital adding a trauma unit on wheels
>Date: Thu, 30 Nov 2006 18:04:23 -0500
>
>Being an EMT in the state of NJ. I dont see this unit as something that 
>would be used frequently. Its use on an extremely large scale MCI would and 
>could prove useful, MEDIVAC helicopters would be our first resource to get 
>patients out to the appropriate center for definitive care, but jesus why 
>do they need something as HUGE as that. Quite frankly its a joke, they just 
>want the biggest toys to play with. Your gonna see it in a few parades and 
>than never hear about it for years to come. Well... there goes some more of 
>my tax dollars to waste.
>
>MS
>
>
>-----Original Message-----
>From: nappio at aol.com
>To: trauma-list at trauma.org
>Sent: Thu, 30 Nov 2006 11:20 AM
>Subject: Re: Hackensack hospital adding a trauma unit on wheels
>
>
>Good Point,,, I changed my mind.  I do fault them.  dn
>
>
>-----Original Message-----
>From: hammond at umdnj.edu
>To: trauma-list at trauma.org
>Sent: Thu, 30 Nov 2006 11:06 AM
>Subject: RE: Hackensack hospital adding a trauma unit on wheels
>
>
>The "fault" is that these are our tax dollars "at work", from Congressional
>carve-outs. Money wasted in one area is money that can't be used where it's
>needed.
>
>
>Jeffrey Hammond MD, MPH
>Chief, Trauma/Surgical Critical Care
>Robert Wood Johnson Medical School
>New Brunswick, NJ
>ph: 732-235-7920
>e-mail: hammond at umdnj.edu
>
>-----Original Message-----
>From: trauma-list-bounces at trauma.org 
>[mailto:trauma-list-bounces at trauma.org]
>On Behalf Of nappio at aol.com
>Sent: Thursday, November 30, 2006 10:55 AM
>To: trauma-list at trauma.org
>Subject: Re: Hackensack hospital adding a trauma unit on wheels
>
>In addition, the Army national guard has little known  Civil Support
>Teams(CST) which are fully armed units composed of soldiers who wear polo
>shirts with an embroided logo and not camo's so not to draw attention to
>themselve, they drive blacked out SUV's to the seen and have full
>epidemiological, bio and radiation ID capabilities in addition to the suits
>and hardware to explore these "unknown" situations.  The job should be
>already getting done in most states...Hackensack is a progressive, busy,
>profitable hospital.  They enjoy being on the cutting edge of medicine
>regardless of whether it is cost effective for the populus because it IS
>cost effective for them because they are seen as the Technology leader.  I
>dont fault them for their bravado,, it is just obvious to me, however, that
>some day they are going to  "get in the way"..dn
>
>
>-----Original Message-----
>From: hammond at umdnj.edu
>To: trauma-list at trauma.org
>Sent: Thu, 30 Nov 2006 10:36 AM
>Subject: RE: Hackensack hospital adding a trauma unit on wheels
>
>
>To the best of my knowledge, this purchase was a unilateral one, not
>coordinated with exisiting agencies in NJ.
>
>Moreover, I question some of the strategy of well-meaning but not specially
>trained personnel going TO the scene. That's a dangerous place.
>
>In a "limited" mass casualty event (using Mickey Stein's terminology) this
>unit won't be needed. The goal will be to move patients from there, not
>treat in place. In a really mega-event, it will be too small.
>
>The biologic incident response vehicle, which presumably has surveillance
>equipment, does have have intriguing possibilities however, and I see this
>as potentially more valuable than the treatment vehicle.
>
>
>Jeffrey Hammond MD, MPH
>Chief, Trauma/Surgical Critical Care
>Robert Wood Johnson Medical School
>New Brunswick, NJ
>ph: 732-235-7920
>e-mail: hammond at umdnj.edu
>
>-----Original Message-----
>From: trauma-list-bounces at trauma.org 
>[mailto:trauma-list-bounces at trauma.org]
>On Behalf Of nappio at aol.com
>Sent: Thursday, November 30, 2006 10:07 AM
>To: Trauma & Critical Care mailing list
>Subject: Re: Hackensack hospital adding a trauma unit on wheels
>
>So what.  A McDonalds can be an OR with a scalpel and a flashlight.  Unless
>this unit is deployed as part of a concerted plan under direction of the
>appropriate field commander, it is nothing more then a billboard for
>Hackensack and the NJ senator.  Is this part of a national program for
>emergency response?  Is it part of DMAT team?  I doubt it. But I do bet we
>will be seeing it in some parades.  DN Sent from my Verizon Wireless
>BlackBerry
>
>-----Original Message-----
>From: "Andrew J Bowman" <andrewj.bowman at gmail.com>
>Date: Thu, 30 Nov 2006 08:27:34
>To:"Trauma & Critical Care mailing list" <trauma-list at trauma.org>
>Subject: Re: Hackensack hospital adding a trauma unit on wheels
>
>If I remember correctly, this was one of Dr. R Adams Cowley's initial ideas
>before the state of Maryland let him use helicopters.  Semi-trucks that
>rolled to the scene of accidents and carried a full trauma team.
>
>Andrew Bowman
>
>----- Original Message -----
>From: "S Schecter" <schecters at gmail.com>
>To: <trauma-list at trauma.org>
>Sent: Thursday, November 30, 2006 8:20 AM
>Subject: Hackensack hospital adding a trauma unit on wheels
>
>
>http://northjersey.com/page.php?qstr=eXJpcnk3ZjcxN2Y3dnFlZUVFeXkzJmZnYmVsN2Y
>3dnFlZUVFeXk3MDI4MTU3
>
>   Wednesday, November 29, 2006
>
>By BOB GROVES
>STAFF WRITER
>
>  North Jersey will soon have the nation's first truly mobile emergency
>trauma unit -- a hospital on wheels with an operating room, seven beds, a
>surgical team, nurses and therapists.
>
>By late next year, victims of catastrophes or terrorist attacks in the 
>metro
>area may not need to take an ambulance to the emergency room. Instead,
>Hackensack University Medical Center will come directly to them.
>
>Hackensack has received $3.2 million in federal funding to produce the 
>unit,
>which will have the navigability of an RV on crowded city streets.
>
>The vehicle will be about the size of a FedEx truck. It will have walls 
>that
>expand it to the size of a double-wide mobile home and additional modular
>units that house a communications center and a toxic substances testing
>laboratory.
>
>"Our goals are to improve outcomes and minimize loss of life from terrorism
>and natural disasters," said Dr. Joseph Feldman, chairman of the
>Emergency/Trauma Department at Hackensack.
>
>   *ER for house calls*
>------------------------------
>
>Hackensack University Medical Center's $3.2 million Mobile Emergency Trauma
>Department will include:
>
>....  43-foot truck with expandable sides
>
>....  Portable operating room
>
>....  Seven critical-care beds
>
>....  Digital X-ray
>
>....  Portable field laboratory
>
>....  A small pharmacy
>
>....  Telemetric medicine system
>
>....  Mass casualty and biological incident response support vehicles
>
>Source: HUMC
>
>Hackensack's new emergency trauma unit will be "deployable to any mass
>casualty event" in the tri-state area, Feldman said Tuesday during a press
>conference at the hospital.
>
>In a disaster, it will be able to maneuver through "densely populated,
>debris-filled urban areas," Feldman said.
>
>This will make it superior to a much larger mobile trauma unit operated by
>the Federal Emergency Management Agency, Feldman said. That FEMA vehicle is
>as cumbersome as a tractor-trailer truck, which hampered it from navigating
>the wake of Hurricane Katrina last year, he said.
>
>Rep. Steve Rothman, a Fair Lawn Democrat who helped obtain the federal
>funding, stressed that Hackensack's rolling operating room "is a portable
>facility" for a highly dangerous region.
>
>"We're delighted to come up with the money to provide a response to
>biological, chemical or radioactive incidents," said Rothman, a member of
>the House Appropriations Committee.
>
>U.S. Sen. Frank Lautenberg, a New Jersey Democrat, said 9/11 taught
>everybody in the metro area a lesson.
>
>"We know life has changed," said Lautenberg, who along with fellow Democrat
>Sen. Robert Menendez, help procure the Hackensack mobile unit funding.
>
>"One of the worst things is not to be able to get to a place we have to be
>when an emergency happens," he said. "This unit will get to the scene in a
>hurry. This mini-hospital can make the difference between life or death. It
>will bring an emergency room and acute care people need."
>
>The modular vehicle will be operated by members of the hospital's disaster
>preparedness team, and additional people who will be hired for the job,
>Feldman said.
>
>The additional unit, however, will not shortchange staffing at Hackensack's
>emergency department, which handles 90,000 patients per year, he said.
>
>E-mail: groves at northjersey.com
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Hackensack hospital adding a trauma unit on wheels