We are talking everything on disaster weather topics in this episode of the podcast. We have a special guest, meteorologist Becky DePodwin (@wx_becks) on the show to share her expertise with us and doubling our meteorologist cred because our disaster weather expert Kyle is on the show, too.

In the first of this two-part episode, we discuss Becky’s background in everything from storm chasing to working in the Accuweather forecast center in State College, Pennsylvania, to her transition to a focus on emergency management. She also is the host or co-host of two different podcasts:

In this first episode, we look at mental health and the psychological cost of weather-related disasters. What makes people correctly assess their risk for disasters and what leads them to develop things like PTSD in relation to later disasters when they have a near miss or even just watch disaster coverage on TV?

Also on this episode is Dr. Joe Holley, Kyle Nelson, and co-hosts Jamie Davis and Sam Bradley.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

cardiac arrest resuscitation trainingIn this episode, we talk about some of the unique situations where a patient in cardiac arrest may be viable in disaster settings. Part of this is a look at the amazing research Dr. Joe Holley has been involved with regarding human cadaver-based CPR research. He and his team work to better understand the physiology of cardiac arrest, CPR, and survivable resuscitation.

Joe and the researchers with whom he’s involved will be publishing their most recent work on CPR and cardiac arrest in the Journal Resuscitation coming up in the next few months. Their research looked at human cadaveric models rather than animal models to examine the mechanical aspects of CPR and their effects on neurologically intact survival of cardiac arrest.

Kyle brings in his ski patrol experience to discuss the response to cardiac arrest in the alpine ski environment. Many resorts have a strong medical response team. It is important to have an understanding as a responder of what resources and equipment is available before you make the decision to commit those resources when they might be needed for other responses.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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snake biteDr. Ben Abo joins the Disaster Podcast team to talk about the chapter he authored in the Wilderness EMS textbook on Animal Bites and Stings chapter. He also co-authored the water rescue chapter as well, which we will cover in another episode.

We start off with Ben clarifying the difference between venomous and poisonous animals. Venom is injected while a poison can be inhaled, ingested, absorbed, or injected. When in doubt, treat all unknown animal related poisonings as envenomations.

We also talk about Venom One an international antivenin resource based in Florida that has any antivenin needed and the logistics to transport it anywhere in the world.

Venom One has the only nationally available antivenin bank in the U.S. 786-331-4443 is the direct number to Venom One or through the local poison centers to contact Miami Dade area poison center to connect with them.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

We revisit the Wilderness EMS textbook for a look at chapters 29 and 30. These are the chapters “Technical Rescue Interface? SAR non Snow” and “Technical Rescue Interface Ski Patrols and Mountaineering Rescue.” To help us on this is the chapter author for the text, Dr. Keith Conover. Dr. Conover has been Chief Medical Officer of the Federal Disaster Medical Assistance Team in Pittsburgh since 2004. He’s also a member of Pennsylvania DMAT1 and Allegheny Mountain Rescue (http://www.amrg.info).

Also on the show were co-host Sam Bradley, Dr. Joe Holley, Dr. Seth Hawkins, and our disaster weather expert Kyle Nelson.

As far as cave rescue:

  • 80% of cave rescue is the same as aboveground wilderness and mountain rescue
  • cave environment is a lot different than the aboveground environment and need to be prepared, physically and mentally
  • radios don’t work underground
  • GPS doesn’t work underground
  • topo maps don’t work underground
  • medical care may be constrained by technical aspects of the rescue: limited access to patient.
  • Disaster Never Sleeps, Neither Do We

The Wilderness EMS textbook is designed for EMS providers and leaders who deliver medical care in the wilderness, and those practicing wilderness medicine as part of a formal team. The textbook is a comprehensive, expertly-written reference ideal for this fast-changing and multidisciplinary specialty.

This first-of-its-kind text provides specialized instruction and best practices for wilderness EMS practitioners and students – crucial information for the success of today’s rescue missions. A strong foundation in evidence-based medicine, clinical experience, and field applicability makes it especially useful for any EMS provider in a wilderness environment.

Search And Rescue Evacuation

http://www.conovers.org/ftp/SAR-Evacs-lowres.pdf

WEMS Textbook Link

https://shop.lww.com/Wilderness–EMS/p/9781496349453

Raw Medicine Podcast Link

https://rawmedicine.org

Raw Medicine Podcast Facebook page

https://www.facebook.com/rawmedic/

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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designsafe-radio-logo-NHERIDan Zehner is back with us from the Design Safe Radio Podcast to give us updates on what they’re doing to research and create better and more resilient building materials. Dan works with the Natural Hazards Engineering Research Infrastructure (NHERI) program, funded by the National Science Foundation, which catalyzes advances in natural hazards engineering research.

Dan brings us some the latest updates in building materials design and testing to keep our communities safe and resilient in the face of disasters. In addition to testing of structures and structural materials, NHERI facilities test natural forces and events to better understand the phenomena at work in these events. The NHERI facilities are scattered in colleges and university research centers around the country. Each of them focus on specific types of events and structural components.

Here’s some more about those facilities: www.designsafe-ci.org/facilities/experimental

Also on the show this week were co-hosts Sam Bradley and Jamie Davis, along with Dr. Joe Holley from Paragon Medical Education Group and our disaster weather expert Kyle Nelson.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Wilderness-EMS-Textbook-coverThis week Laura McGladrey a psychological nurse practitioner joins us on the call to share her work as the author of the chapter in the recently published Wilderness EMS textbook. Laura is accompanied on the show by the textbook’s organizer Dr. Seth Hawkins and they discuss the concept of stress and how it affects how we react to ongoing situations such as might be found in the wilderness or austere medical setting.

Laura shares the five methods to help manage a survivor of a wilderness stress situation, decrease arrival and reestablish safety. They are: Create a sense of safety in the scene, Create calm, Create a sense of self-efficacy, Create connection to family and loved ones, Create hope that the situation will resolve.

We also discuss the risks of increased suicide rates among responders and how it is increasingly important to identify stress injuries and intervene early to stop the progression of the stress event on a person. Laura mentions that different groups of responders (wildland firefighters, ski patrol, USAR teams, etc.) all have unique distinct patterns in how they present with stress injuries.

Also on the call are co-hosts Sam Bradley and Jamie Davis, along with our disaster weather expert, Kyle Nelson.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Trek MedicsJason Friesen from TrekMedics.org joins us on the show this week. We’ve had Jason on the show before talking about his non-profit organization. To refresh your memory. Trek Medics International is a 501c 3 registered nongovernmental organization dedicated to improving emergency medical systems in communities without reliable access to emergency care through innovative mobile phone technologies.

Their hallmark system, called Beacon, is used to build out functionality in areas without sophisticated first world radio infrastructure using a dedicated mobile application. Beacon is a text message-based emergency dispatching platform designed specifically for communities with limited access to emergency care and transport. It enables to communities to leverage their own resources in order to design, launch, manage and sustain their own emergency response networks on any phone, with or without an internet connection, and anywhere there’s a mobile phone signal.

Also on the show this week with Jason are co-hosts Jamie Davis and Sam Bradley, plus show regulars Dr. Joe Holley and our disaster weather expert, Kyle Nelson. If you want to join the conversation, check out our Facebook Group and ask questions or leave comments on each week’s episode posts.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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line of duty shootingsWe dig into crush syndrome and a tie to the opioid epidemic for emergency responders in this episode of the Disaster Podcast with a clinical topic from Dr. Joe Holley. It’s a total body system-wide process that results from compression injury to muscle tissue releases toxins into the body.

EMS and disaster responders see crush syndrome more frequently than we might think we do. While we think about collapsed structures and heavyweights compressing the body for an extended period of time.

For example: consider an elderly person who falls and breaks a hip then is unable to call for help and remains in a static position for an extended period of time. This prolonged positional crush syndrome is often unrecognized in the field. Similar cases are seen in opioid and other unconscious overdose patients.

The primary cause of injury from crush syndrome is related to rhabdomyolysis and kidney function problems. It starts when muscle tissue becomes ischemic because of position, compression, or crushing injury. As the cells die, they rupture and release intracellular contents including large protein molecules like myoglobin along with potassium ions.

The myoglobin becomes lodged in the filtration system of the kidneys and causes renal failure while the flood of potassium has significant cardiac side effects. Overall acidosis from anaerobic metabolism during the crush incident causes a failure or reduction in the patient’s compensatory mechanisms.

Also on the show this week are Sam Bradley and co-host Jamie Davis, plus the Disaster Podcast disaster weather expert, Kyle Nelson.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Amtrak Train Derailment PhotoThis week we talk with Chief Scott A. LaVielle, EFO, CFO, CEMSO, FM, MIFireE, from Tumwater, Washington, who was one the responding chief officers on the Washington State I-5 Amtrak Train Derailment incident. Scott talks about attending the NFA EMS Special Operations Course to develop skills and training on large-scale MCI incidents in March 2017 which prepared for him and his team for this event, though they couldn’t have predicted it ahead of time.

After attending the course, the local emergency response community in Thurston County, Washington started to organize their MCI plan for the county in April 2017. Thurston County had a plan in concept, according to Chief LaVielle, they just needed to put the plan into a document where they would all be on the same page.

After the plan was developed, the county agencies started training evolutions on it. As the plan developed, multiple agencies in Thurston County including Tumwater fire and police started training on such a plan with an active shooter scenario in June of 2017 at Black Hills High School.

Little did they know that the training would be put into effect less than a year later with the I-5 Amtrak derailment. Scott stresses the need for a “scalable plan” so that you can adjust from small to large to major mass casualty incident.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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Bryan Koon on Hazard Mitigation

Bryan Koon

We talk about mitigating natural disasters in this week’s episode of the Disaster Podcast. Coming on the show is Bryan Koon. Bryan is the former Director at the Florida Division of Emergency Management and currently Vice President of Homeland Security and Emergency Management with IEM. He also serves as Chair of the Multi Hazard Mitigation Council. The Council is comprised of leading experts in mitigation and serves as an independent, non-governmental, non-profit entity that advocates for smart mitigation practices nationwide.

Natural hazards present significant risks to many communities across the United States. Fortunately, there are measures governments, building owners, developers, tenants and others can take to reduce the impacts of such events. Natural disasters cause billions in damages and significant human suffering, much of which could be avoided by strategic local zoning, adopting more stringent codes and using FEMA Building Science Guidance and other tools for new and retrofit construction.

In this new Study, NIBS MMC examined 23 years of federal grants data to determine the BCR for mitigation grants, and examined an expanded set of mitigation tactics to determine the BCR of building new structures beyond code requirements. The hazard categories covered in this Study are Riverine Flood, Hurricane Surge, Wind, Earthquake, and Wildland-Urban Interface Fire.

The Study shows a savings of $15.5 Billion from one year of building new construction beyond code requirements and $158 Billion in savings from federally funded mitigation grant programs funded between 1993-2016.

Hazard mitigation program implementation saves our nation money. The new data shows that money spent exceeding select provisions of the 2015 model building code saves the nation $4 for every $1 spent & mitigation grants funded through select government agencies saves the Nation $6 for every $1 spent in losses avoided. The below monetary figures use 2016 dollars.

In addition to the benefits of losses avoided, approximately 87,000 jobs would be added nationwide. The study further estimates that mitigation investments would prevent more than hundreds of deaths,, injuries and cases of post-traumatic stress disorder.

Achieving resilience relies on actions and investments by both the public and private sector—with benefits also accruing to each sector. This 2017 Interim Report developed by The Institute shows an expanded look at the sources of mitigation and the numerous benefits for different stakeholders, beyond just federal spending impacts.

Disaster Never Sleeps, Neither Do We

We will be bringing you more special updates from our Disaster Podcast team members as we get them in from around the world.

Stay tuned here to the Disaster Podcast website at DisasterPodcast.com or on our Disaster Podcast Facebook group for updates and discussion.



Paragon Brings “The Experience”

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

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