The Current Crisis in Emergency Care and the Impact on Disaster PreparednessReportar como inadecuado

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BMC Emergency Medicine

, 8:7

First Online: 01 May 2008Received: 14 December 2007Accepted: 01 May 2008DOI: 10.1186-1471-227X-8-7

Cite this article as: Cherry, R.A. & Trainer, M. BMC Emerg Med 2008 8: 7. doi:10.1186-1471-227X-8-7


BackgroundThe Homeland Security Act HSA of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined.

DiscussionAfter 9-11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies.

SummaryCurrently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-227X-8-7 contains supplementary material, which is available to authorized users.

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Autor: Robert A Cherry - Marcia Trainer


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