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Sun Sep 14 18:39:12 BST 2008

Well stated. 

Errington C. Thompson, MD

Trauma/Surgical Critical Care

Talk Show Host - WPEK

www.whereistheoutrage.net

Asheville, NC

From: ccm-l-bounces at ccm-l.org [mailto:ccm-l-bounces at ccm-l.org] On Behalf Of
KMATTOX at aol.com
Sent: Sunday, September 14, 2008 1:27 PM
To: drsirmons at gmail.com; DMATNEWS at MEDICCOM.ORG; Redstart at aol.com
Cc: nmcswai at tulane.edu; NDMSMD at aol.com; trauma-list at trauma.org;
kburkholderallen at buckeye-access.com; ccm-l at ccm-l.org
Subject: Re: [CCM-L] ?? DMAT "Military" hospital and/or clinic

I raised QUESTIONS that absolutely MUST be asked.    What ever medical
assets are used during a disaster MUST be coordinated and integrated.
>From Allison as well as from Katrina, both in Louisiana and in Texas, many
questions still remain regarding silos and just when and where local and
outside medical resources should be used.    In addition HUGE numbers of
questions about just what disaster toys should be in place for EMS, EOCs,
and hospitals and just who should and is deciding the list and why?     I do
believe that everyone on the trauma and critical care lists would agree that
much better communications must exist.     The minor conditions certainly do
not and should not clog the major trauma centers and coordinated local and
outside assets are beneficial as long as there is a communication link.    I
only know of ONE politico geographic area that has such coordinated
communication - the State of Connecticut.   As of this morning I can share
with you on line or off line a long list of new things which were
recommended to occur after Allison (not by me, but local and state EOC
personnel) and again loudly after Katrina (again, not by me but by
non-medical EOC persons.    Now we are repeating some of the discoordinated
efforts, to the determent of many of the component parts.       

It is a societal shame that the silos in which all of us live have no
windows.    Unfortunately, the weeds at the base of these silos contain
snakes, crocodiles, poison plants, and bear traps.    

NDMS, DMAT, CMOS, FEMA, etc. etc. do some very good things, but everyone
agrees that each of these areas need some real major changes.    Not only
myself, but also many clinical professional organizations from the AMA,
ACEP, ACS, etc. would be happy to be painfully honest on how all of us can
work much better together.     

k

In a message dated 9/14/2008 11:43:58 A.M. Central Daylight Time,
drsirmons at gmail.com writes:

NDMS was present during tropical storm Allison during June 2001... We had
them at LBJ where I was a surgery resident at the time... Dr. Mattox should
be thankful all are helping for a common goal, instead of the mentality that
he is able to handle all of those patients. With all due respect, sir, thank
them for being there. 

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[CCM-L] ?? DMAT "Military" hospital and/or clinic