Fear, Panic, and Bio-events: A Population-Based Approach
Identifieur interne : 000A88 ( Istex/Corpus ); précédent : 000A87; suivant : 000A89Fear, Panic, and Bio-events: A Population-Based Approach
Auteurs : P. Gregg GreenoughSource :
- Prehospital and Disaster Medicine [ 1049-023X ] ; 2006-10.
Abstract
Reading the Bracha and Burkle article gave me a flashback to a military course I took early in my career:the Combat Casualty Care Course (C4), an exercise of mass-casualty triage and management. Triaging and treating the severely injured–all types of blunt and penetrating injuries–proved relatively manageable with practice. However, what I distinctly remember as the most challenging, were those cases of stress-induced psychosis that the course leaders periodically threw at us. Dazed “soldiers” with the “hundred mile stares” and predictably unpredictable thoughts and behaviors, drained our valuable resourcesas they required constant vigilance in addition to their “three hots and a cot” (three meals and a place to sleep).
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DOI: 10.1017/S1049023X00003903
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Gregg Greenough</name><affiliation><mods:affiliation>Director of Research, Harvard Humanitarian Initiative Boston, Massachusetts, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: ggreenou@hsph.harvard.edu</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:90E267E13F028AE296174389F4010AF25B71F2A9</idno><date when="2006" year="2006">2006</date><idno type="doi">10.1017/S1049023X00003903</idno><idno type="url">https://api.istex.fr/ark:/67375/6GQ-8RKR3W7K-1/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000A88</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000A88</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Fear, Panic, and Bio-events: A Population-Based Approach</title><author><name sortKey="Greenough, P Gregg" sort="Greenough, P Gregg" uniqKey="Greenough P" first="P. Gregg" last="Greenough">P. Gregg Greenough</name><affiliation><mods:affiliation>Director of Research, Harvard Humanitarian Initiative Boston, Massachusetts, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: ggreenou@hsph.harvard.edu</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Prehospital and Disaster Medicine</title><title level="j" type="abbrev">Prehosp. 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However, what I distinctly remember as the most challenging, were those cases of stress-induced psychosis that the course leaders periodically threw at us. Dazed “soldiers” with the “hundred mile stares” and predictably unpredictable thoughts and behaviors, drained our valuable resourcesas they required constant vigilance in addition to their “three hots and a cot” (three meals and a place to sleep).</p></abstract></profileDesc><revisionDesc><change when="2006-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/6GQ-8RKR3W7K-1/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus cambridge not found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="US-ASCII"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.2 20060430//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article dtd-version="2.2" article-type="article-commentary"><front><journal-meta><journal-id journal-id-type="publisher-id">PDM</journal-id><journal-title>Prehospital and Disaster Medicine</journal-title><abbrev-journal-title>Prehosp. Disaster med.</abbrev-journal-title><issn pub-type="ppub">1049-023X</issn><issn pub-type="epub">1945-1938</issn><publisher><publisher-name>Cambridge University Press</publisher-name><publisher-loc>New York, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.1017/S1049023X00003903</article-id><article-id pub-id-type="pii">S1049023X00003903</article-id><article-id pub-id-type="publisher-id">00390</article-id><title-group><article-title>Fear, Panic, and Bio-events: A Population-Based Approach</article-title><alt-title alt-title-type="right-running">Fear, Panic, and Bio-Events</alt-title></title-group><contrib-group><contrib><name><surname>Greenough</surname><given-names>P. Gregg</given-names></name><role>MD,PhD</role><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib></contrib-group><aff id="aff1"><addr-line>Director of Research</addr-line>, <addr-line>Harvard Humanitarian Initiative Boston</addr-line>, <addr-line>Massachusetts</addr-line>, <country>USA</country></aff><author-notes><corresp id="cor1">E-mail: <email xlink:href="ggreenou@hsph.harvard.edu">ggreenou@hsph.harvard.edu</email></corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2006</year></pub-date><volume>21</volume><issue>5</issue><fpage seq="5">297</fpage><lpage>298</lpage><permissions><copyright-statement>Copyright © World Association for Disaster and Emergency Medicine 2006</copyright-statement><copyright-year>2006</copyright-year><copyright-holder>World Association for Disaster and Emergency Medicine</copyright-holder></permissions><abstract abstract-type="text-abstract"><p>Reading the Bracha and Burkle article gave me a flashback to a military course I took early in my career:the Combat Casualty Care Course (C4), an exercise of mass-casualty triage and management. Triaging and treating the severely injured–all types of blunt and penetrating injuries–proved relatively manageable with practice. However, what I distinctly remember as the most challenging, were those cases of stress-induced psychosis that the course leaders periodically threw at us. Dazed “soldiers” with the “hundred mile stares” and predictably unpredictable thoughts and behaviors, drained our valuable resourcesas they required constant vigilance in addition to their “three hots and a cot” (three meals and a place to sleep).</p></abstract><counts><page-count count="2"></page-count></counts><custom-meta-wrap><custom-meta><meta-name>pdf</meta-name><meta-value>S1049023X00003903a.pdf</meta-value></custom-meta><custom-meta><meta-name>dispart</meta-name><meta-value>Editorial Review</meta-value></custom-meta></custom-meta-wrap></article-meta></front><back><ref-list><title>References</title><ref><citation id="ref001" citation-type="other"><label>1.</label> <name><surname>Burkle</surname><given-names>FM</given-names></name>: Population-based triage-management in response to surge capacity requirements during a large-scale bioevent. <italic>Acad Emerg Med</italic> <year>2006</year>.(in press).</citation></ref><ref><citation id="ref002" citation-type="journal"><label>2.</label> <name><surname>Nickell</surname><given-names>LA</given-names></name>, <name><surname>Crighton</surname><given-names>EJ</given-names></name>, <name><surname>Tracy</surname><given-names>CS</given-names></name> <etal></etal>: <article-title>Psychosoical effects of SARS on hospital staff aurvey of a large teritiary care institution</article-title>. <source>CMAJ</source> <year>2004</year>;<volume>170</volume>(<issue>5</issue>):<fpage>793</fpage>–<lpage>798</lpage>.</citation></ref><ref><citation id="ref003" citation-type="journal"><label>3.</label> <name><surname>Schabas</surname><given-names>R</given-names></name>: <article-title>SARS: Prudence not panic</article-title>. <source>CMAJ</source> <year>2003</year>;<volume>168</volume>(<issue>1</issue>):<fpage>1432</fpage>–<lpage>1434</lpage>.</citation></ref></ref-list></back></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Fear, Panic, and Bio-events: A Population-Based Approach</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Fear, Panic, and Bio-events: A Population-Based Approach</title></titleInfo><name type="personal"><namePart type="given">P. 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