Trauma and Emergency Preparedness
After 9/11, the American Society of Anesthesiologists (ASA) established its Committee on Trauma and Emergency Preparedness (COTEP). Though the terrorist attacks of 2001 have not been repeated, heretofore simple everyday names such Katrina, Ike, and Sandy now invoke images of devastation. From the tornadoes that struck the southeastern United States and Joplin, MO, in 2011 to the earthquakes that wreaked havoc in Haiti and Japan, numerous natural disasters have underscored the foresight that the ASA showed in preparing its members to respond during emergencies. Thanks to the anesthesiologists who have shared their individual experiences during these disasters with COTEP, we have collectively gained great insight into preparing for future events and the roles of anesthesiologist in mass-casualty situations.
COTEP is committed to providing a user-friendly web site that will help you, your family, and your practice prepare for an emergency. In addition, this site provides accurate and timely information for managing casualties from natural disasters, fires, industrial accidents, and weapons of mass destruction. In ANY emergency, if you can access the Internet, we will be here to help.
COTEP Committee Members
Michael J. Murray, M.D., Ph.D., Chair (2013)
Mayo Clinic College of Medicine
5777 E. Mayo Blvd.
Phoenix, AZ 85054
Shawn T. Beaman, M.D., Adj. (2013)
Peter A. DeSocio, D.O., Adj. (2013)
Peter Dunbar, M.B., Ch.B., M.B.A. (2013)
Thomas E. Grissom, M.D. (2014)
Carin A. Hagberg, M.D. (2014)
Heather E. Kaiser, M.D., Adj. (2013)
Olga Y. Kaslow, M.D., Ph.D. (2015)
Jens W. Krombach, M.D., Adj. (2014)
Maureen McCunn, M.D., Adj. (2012)
Brian P. McGlinch, M.D., Adj. (2013)
Joseph McIsaac, III, M.D., Adj. (2012)
Michael W. Roberts, M.D., Adj. (2013)
Albert Varon, M.D. (2015)
ASA NEWSLETTER links to relevant articles
Does Anesthetic Care for Trauma Present Increased Risk for Patient Injury and Professional Liability? A Closed Claims Analysis
Sam R. Sharar, M.D., Committee on Critical Care Medicine and Trauma Medicine
Changes in Trauma Anesthesiology since September 11
Richard Dutton, M.D., M.B.A., Thomas Grissom, M.D., F.C.C.M., Michael Murray, M.D., Ph.D.
Military Anesthesiology (2009)
Military Anesthesiology (2008)
Military Anesthesiology (2007)
Military Anesthesiology (2006)
Trauma: Airway Management (2005)
What is trauma anesthesiology?
Links of Interest:
American College of Surgeons Committee on Trauma
Trauma.org is an independent, non-profit organization providing global education, information and communication resources for professionals in trauma and critical care.
National Trauma Institute
The National Trauma Institute (NTI) is a 501 (C) (3) nonprofit organization dedicated to funding projects with the promise to advance clinical trauma practice, save lives and reduce disability
The Joint Theater Trauma System (JTTS) Clinical Practice Guidelines (CPGs) can be found at the webpages below. To the greatest extent possible, JTTS CPGs are evidenced-based. Where evidence is lacking or unclear, but where the need for a CPG is paramount, guidelines were developed based on the best available data and subject matter expert (SME) consensus. Routine updates of CPGs occur on approximately an annual basis. Additionally, based on new evidence or prevailing SME input, CPGs are updated in whole or part whenever the need arises. SMEs include, but are not limited to, military and civilian experts, deployed clinicians, Service trauma/surgical consultants, and other military trauma system personnel.This is a public website, no access codes required.
American Society of Anesthesiologists, Committee on Blood Management
Trauma Anesthesiology Fellowships:
University of Washington, Harborview Medical Center
The University of Washington offers a faculty fellowship in trauma anesthesiology at Harborview Medical Center in Seattle. The program is designed to offer education and training in peri-operarive trauma medicine including prehospital care, emergency medicine, anesthesia and intensive care medicine."
University of Maryland, R Adams Cowley Shock Trauma Center
A trauma anesthesiology fellowship at the R Adams Cowley Shock Trauma Center in Baltimore, Maryland consists of 12 months of training split between operating rooms, electives and research. Fellows also have the opportunity to fly with the Maryland State Police troopers to observe pre-hospital patient care and complete the Advanced Trauma Life Support course.
The main objective of the STC Anesthesia Fellowship is to gain exposure to a variety of medical and surgical conditions encountered in acutely injured patients. Our goal for the Anesthesiology Fellow is to become an expert in the field of trauma/critical care and excel in the management of difficult traumatic airways, complicated patients, and novel techniques of resuscitation.
University of Pennsylvania (see Track 6-Acute Care Anesthesiology)
The University of Pennsylvania Department of Anesthesiology and Critical Care offers the first ACUTE CARE ANESTHESIOLOGY fellowship program. This fellowship is designed to prepare the post-graduate anesthesiologist for practice in trauma, emergency and disaster medicine, with a focus on resuscitation. Following a base 9-months training in critical care (and board eligibility), the fellow focuses on her/his area of interest:
- trauma and emergency medical systems,
- global health, or
- emergency preparedness and disaster medicine.
Rotations at outside institutions or overseas is balanced with work as a junior attending in the operating room.
Trauma Anesthesiology Curriculum:
The Committee on Trauma and Emergency Preparedness has collaborated on the creation of model curriculum goals and objectives for trauma anesthesiology that could be inserted into existing training programs. Individuals and programs are free to modify this curriculum as needed to meet their own objectives based on their training requirements and limitations.
Personal and Family Preparedness:
Ready.gov is a site that contains information on personal preparedness special areas are Ready America, Ready Business, and Ready Kids. It is sponsored by Homeland Security and the Citizen Corps.
Family Preparedness Guide
State of Florida Family Preparedness Guide, available in several languages
A child-friendly, age-appropriate preparedness guide for children.
An activity booklet for young children.
American Academy of Pediatrics Family Readiness Kit
Parent’s Guide to family preparedness.
Hospital and Departmental Preparedness:
Centers for Disease Control
This planning guide addresses emergency water supply planning for hospitals and health care facilities.
Hospital Preparedness Exercises Pocket Guide
Manual for Anesthesia Department Organization and Management
Accessible for ASA Members. Chapter 7 in the 2010 Manual for Anesthesia Department Organization and Management addresses emergency preparedness and is available on the ASA Website. The entire manual is also available here.
Hospital Preparedness website
Extensive set of frequently updated references. One of the best resources on all aspects of hospital preparedness.
Hospital Disaster Surge Modeling
Detailed logistical analysis of personnel and equipment over time for various scenarios.
Health Disaster Management: Guidelines for Evaluation and Research
Supplement of Prehospital and Disaster Management-2003
Hazard Vulnerability Analysis
Agency for Healthcare Research and Quality (AHRQ)
This site which specifically addresses pediatric considerations in emergency preparedness has now been archived but many of the links are still valid and current.
General Disaster Sites:
PandemicFlu.Gov is an official U.S. Government Web site and is managed by the Department of Health and Human Services.
CodeReady is a Minnesota initiative created to help all Minnesotans be informed, organized and connected on emergency preparedness. Learn how to create a plan, build a kit and become prepared.
Federal Emergency Management Agency (FEMA)
This comprehensive website offers information on personal and family preparedness with many forms and brochures that can be downloaded. This site provides information regarding all types of hazards and is an excellent resource for anyone preparing for, responding to, or recovering from a disaster.
American Red Cross
Each year the American Red Cross responds to over 70,000 disasters across the country. This comprehensive website provides detailed information for personal, family and workplace preparedness, as well as information on classes and volunteer opportunities.
New York City Healthcare
The Center for Biosecurity
The Center for Biosecurity publishes a newsletter with up-to-date information regarding a broad range of threats.
This newsletter is published by an independent group and focused on first responders.
Pan American Health Organization
This newsletter addresses Disasters: Preparedness and Mitigation in the Americas.
Yale Center for Public Health Preparedness
This site provides newsletters, additional links, and educational resources.
U.S. Department of Health and Human Services
The Assistant Secretary for Preparedness and Response maintains a Public Health Emergency website that is frequently updated. It provides a fast reference for events in the United States and elsewhere.
U.S. Department of Homeland Security
National Preparedness Goals 2011-This publication describes the U.S. approach to preparing for the threats and hazards that pose the greatest risk to the security of the country.
Congressional Research Services
Congressional Primer on Major Disasters and Emergencies
NIH's Medline Plus
This page on Radiation Exposure provides an extensive list of links related to radiation exposure and patient management.
International Atomic Energy Agency
U.S. Department of Health and Human Services
Radiation Emergency Medical Management: Guidance on diagnosis and treatment for health care providers.
Center for Disease Control, Radiation Emergencies
This site provides information on radiation emergencies for both professional and personal.
Chemical Hazards Management:
Chemical Hazards Emergency Medical Management: a new portal from the National Library of Medicine, intended as a one-stop source for first responders, first receivers, and emergency planners. Useful references for medical hazmat management are not all that common (ATSDR’s MHMI site being a notable exception).
On-Line Training Resources:
These courses, textbooks, and training sites offer self-study and home study courses at no charge or at a very nominal fee and offer a certificate of completion and, in most cases, offer continuing education credit.
A Complete list of excellent resources and links
AMA Management of Public Health Emergencies
A resource guide for physicians and other community responders. A good place to start your online study. You can also order a free CD-ROM.
AMA: Bioterrorism Agents Quick Reference Guide
AMA: Anthrax-frequently asked questions
AMA: Smallpox-frequently asked questions
Borden Institute: Blast injury
CDC Environmental Health
Community Emergency Response Team (CERT)
Health & Human Services, Disasters
Homeland Security Digital Library
Medical Aspects of Biological Warfare
Medical Aspects of Chemical Warfare
Medical Management of Radiological Casualties Handbook
Personal Protective Equipment (PPE)