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Sun Sep 14 18:27:17 BST 2008

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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