Author Archive


  A pharmacist and member of a Disaster Medical Assistance Team shares his personal account of the challenges his team overcame when responding to Hurricane Katrina in this 2005 article. Listen on

Article Out Loud – Staying Ahead of ‘The Big One’

Having an expandable plan, reinforced by and during daily operations, is the best way to prepare for the next major disaster. The planning model described in this 2013 article was as invaluable then as it is today.

Article Out Loud – Green Building Plus Greater Safety Equals Survival

Whether building a house or an entire community, the emphasis on lowering the carbon footprint and/or reducing energy costs could and should be complemented by “off the grid” considerations and a broad spectrum of disaster-resistant features more needed today than ever before.

Article Out Loud – Special Facilities – More Than Just Shelters

Emergency managers are tasked with creating disaster plans to protect the people within their jurisdictions. With numerous possible scenarios, any disaster may require the establishment of special facilities to provide sheltering, vaccinations, and other emergency services to the public.

Article Out Loud – Evacuation Planning: A Long, Long Way to Go

The laws are in place but are often unenforceable. Transportation assets are available but are almost always overcommitted. Clear mandates from local, state, and federal decision-makers are obviously needed to restore order from the current chaos.

Adrift – The No-Win Scenario in Responder Training

In a training scenario, a lose-lose situation may make a lasting impression on students, but does little to improve the decision-making skills of the responders. Regularly faced with making life-or-death decisions, emergency responders should receive training that includes no-win as well as winnable alternatives, thus reflecting real-life scenarios while not deflating student confidence.

Data-Driven Decisions – Lies & Statistics

As the old saying goes, there are “lies, damned lies, and statistics.” The reality of how statistical data is gathered, compared, and used can make the decision-making process more difficult. In emergency medical services, setting the bar based on available statistics affects both lives and budgets, so decisions must be

Community Paramedicine – Bringing the Hospital Home

As hospitals fill with patients and the cost of medical care rises, the use of community paramedicine also may increase. To fill the gap between routine doctor visits and emergency transport to hospitals, communities have the opportunity to expand the use of highly trained paramedics to better serve their populations’s

‘Old-School’ Response to Medical Emergencies

This current emergency medical services (EMS) dispatch and response process has evolved significantly over the past few decades. A dispatcher records the details of a 911 call in a web-based application. That information flows through a computer terminal into an ambulance. The unit responds using directions from a global positioning


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Article Out Loud – Citizen Soldiers and American State Defense Forces

By JAMES P. HOWARD Ⅱ, An Article Out Loud from the Domestic Preparedness, September 06, 2023.Targeted-violent events threaten staff and students’ physical, psychological, and emotional well-being in public schools. However, the increasing frequency of these incidents raises concerns about the preparedness of incoming teachers and current staff to handle such

Article Out Loud – Bioterrorism – Could Smallpox Return?

Although smallpox was eradicated from its human population and reservoir, it is still in designated stockpiles controlled by two nations and possibly in other unknown locations. Learn about the possible threat and the need for greater preparedness and discussion.


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