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(3,111 posts)
1. Hard to imagine trying to run a hospital and provide any but the most basic level of medical care in these conditions
Tue Feb 20, 2024, 11:28 AM
Feb 2024

I retired a few years ago working the facilities side of hospital administration in a 350 bed hospital located outside of Seattle. One of my charges was emergency preparedness with the most serious threat being a very major earthquake. Our hospital was one of newer vintage and on relatively stable soils is one of the few in the region expected to make it thru a major earthquake and still have some level of functionality. I was amazed that the medical staff just assumed and planned that, once they rode out the earthquake, they would be able to conduct orderly triage of the expected earthquake injured that would gradually show up. I tried to get folks to understand that in all likelihood while damage to roads and bridges and other infrastructure needed to reach the hospital and a finite supply of ambulances and medevac helicopters would slow the patient arrival, everyone that could walk in would and folks who could drive earthquake damaged roads would bring themselves or others in by private vehicle. A trickle would within hours quickly become a torrent. While the medical care itself was not my charge, making sure the campus and facility would support the intense operational need was. My biggest fears were, first, that the ground heave from a major earthquake would sever the utility's water supply lines. Try running a proper hospital operation with no running water. Hand sanitizer and rubbing alcohol get you only so far and meaningful resupply after an earthquake is likely a week or more away. Second concern was the number of family and friends that would come with the injured. There is finite spare space in a hospital and waiting rooms and lounges that must become overflow triage space and family clogged hallways slow medical response and supply. Even enough parking would be an issue if we could somehow force excess folks to shelter there if that is how they came to us. And finally, just as we are seeing in Gaza, hospitals are seen as refuges and they are under bad circumstances, war and major earthquakes being most notable, the last places that likely have power, maybe water and food. So where are people, injured or not, when all the local infrastructure is damaged and not working, going to go? In Washington State the state level emergency response coordinator was ultimately the military under civilian guidance. I urged our hospital leadership to put on the table with the state a request in the case of a major event for immediate National Guard support to help manage the logistics of the crowds that I was sure were going to show and not want to leave. The first line medical folks are great people, but they are human and there is only so much they can do and the pressure they must feel in these sorts of situations must be unrelenting and off the scale.

Hard to imagine trying to run a hospital and provide any but the most basic level of medical care in these conditions dutch777 Feb 2024 #1
K&R PatSeg Feb 2024 #2
Totally inhumane. Lonestarblue Feb 2024 #3
It is effin evil malaise Feb 2024 #4
GD Fucking HAMAS is Fucking Evil and Cha Feb 2024 #34
Gang rape/Mass murder. Let he who is without guilt cast the first stone. Chainfire Feb 2024 #46
HAMAS wanted this to Happen. Cha Feb 2024 #47
It is your claimn that Hamas wanted to see the population exterminated and the land laid to waste? Chainfire Feb 2024 #51
Nutty-yahoo is the modern-day Milosevic peppertree Feb 2024 #5
I hate to break it to th LA times but that is exactly what war is Ray Bruns Feb 2024 #6
You are confusing apartheid and genocide with war ColinC Feb 2024 #7
You are confusing who is doing what in the war. former9thward Feb 2024 #8
Who is doing what in war? ColinC Feb 2024 #10
They send rockets into civilian areas on a random basis. former9thward Feb 2024 #48
Israel is murdering children, starving them and depriving them of sanitary water ColinC Feb 2024 #73
I am confusing nothing. War is horror blood disease and death. Ray Bruns Feb 2024 #13
War is horrible. Yet again, this is not war. ColinC Feb 2024 #17
Hamas said it's a war. Israel is responding Arazi Feb 2024 #28
"War generally requires push and pull of territory by both parties" Ray Bruns Feb 2024 #32
It requires no such thing EX500rider Feb 2024 #50
The vast majority of those conflicts are not war ColinC Feb 2024 #61
I think the Iraqi's and Afghans would not agree it was not war EX500rider Feb 2024 #64
Much as the Koreans and Phillipinos would likely consider their occupations war. ColinC Feb 2024 #68
The Japanese invasion of the Philippines was certainly war EX500rider Feb 2024 #70
I am not referring to the Korean civil War or the invasion of the phillipines ColinC Feb 2024 #71
"Just needless killing on behalf of one side."... Oct 7th keithbvadu2 Feb 2024 #86
Is Netanyahu breeding more terrorists than he's killing? Martin Eden Feb 2024 #14
Why are you saying Palestinians are singularly bloodthirsty? Arazi Feb 2024 #15
I said no such thing. Martin Eden Feb 2024 #16
Yes, you did Arazi Feb 2024 #24
Historically this is a trend. It's a slippery slope argument right now, ColinC Feb 2024 #31
Now you're comparing Palestinians to ISIS??!! Arazi Feb 2024 #36
Actually let's start at Israel violating the Oslo Accords following Sharon's death ColinC Feb 2024 #37
Or how about we go back to the Six Day War? Arazi Feb 2024 #45
We are talking about Palestine so let's stay there. ColinC Feb 2024 #72
The British bear responsibility, no doubt Arazi Feb 2024 #77
It really isn't another topic considering they have never not been occupied and the territory ColinC Feb 2024 #80
This "Trend" Zeitghost Feb 2024 #39
No, I didn't Martin Eden Feb 2024 #69
Thank you for the detailed response Arazi Feb 2024 #75
I suspect his plan is to render that point moot Bettie Feb 2024 #62
Martin, your post is both eloquent and truthful. Earth-shine Feb 2024 #76
Thank You Martin Eden Feb 2024 #78
Ray you are 100% correct. Irish_Dem Feb 2024 #21
So, you don't agree w/ the concept of War Crimes al bupp Feb 2024 #49
My personal feelings have nothing to do with the fact that war is annihilation. Irish_Dem Feb 2024 #57
I think justifying war crimes by way excusing attacks on civilians "the way things are" al bupp Feb 2024 #67
K&R hay rick Feb 2024 #9
Watched an interview with him this morning Nanjeanne Feb 2024 #11
Nah, it's war. A war Hamas instigated knowing full well the consequences Arazi Feb 2024 #12
When was the last time Hamas attacked Israelis or reacquired lost territory? ColinC Feb 2024 #18
10/7 is just "something that happened months ago"? maxsolomon Feb 2024 #20
Again I find it interesting how folks justify indefinite killing ColinC Feb 2024 #25
Hamas said it's a war. That's *their* word Arazi Feb 2024 #22
Does that make sense to you? ColinC Feb 2024 #27
Hamas is a death cult. Nothing makes sense Arazi Feb 2024 #33
I'm not talking about war. I'm talking about needless disproportionate killing ColinC Feb 2024 #35
You think Israel cares what the world thinks?! Arazi Feb 2024 #40
Justifying war crimes by "that's just war" isn't a very convincing argument ColinC Feb 2024 #85
"because a terrorist organization" EX500rider Feb 2024 #54
Yeah one GD thing HAMAS Cha Feb 2024 #30
It has been happening since the day Zeitghost Feb 2024 #44
You seem unaware of how war works. The Pearl Harbor attack killed 68 US civilians EX500rider Feb 2024 #52
Japan was consistently acquiring territory while losing little ColinC Feb 2024 #65
"Annihilation" is what Hamas baited Israel into. maxsolomon Feb 2024 #19
I find it a strange mindset that is frankly incredibly human ColinC Feb 2024 #23
"Israel has probably killed far more people in retaliation for the killing of less than 2,000 people, than the US.. EX500rider Feb 2024 #55
I stand corrected ColinC Feb 2024 #58
Who "baited" who? David__77 Feb 2024 #38
Ah, the chicken and egg. maxsolomon Feb 2024 #41
As many here point out: needless bloodshed is a part of war ColinC Feb 2024 #88
HAMAS Started This Fucking War Cha Feb 2024 #26
What do the innocent Palestinians whose families are murdered by the IDF have to do with Hamas? ColinC Feb 2024 #29
HAMAS Invaded Israel and Slaughtered Innocent Israelis & Cha Feb 2024 #43
Again. I don't understand what that has to do with the people being murdered by the IDF? ColinC Feb 2024 #53
What do the innocent civilians in all wars have to do with their government? EX500rider Feb 2024 #56
Innocent civilians in all wars are not necessarily explicitly targeted. ColinC Feb 2024 #59
They do not appear to be to me, quite the opposite EX500rider Feb 2024 #63
and Israel is morally responsible for continuing this war and killing tens of thousands of civilians DBoon Feb 2024 #42
Britain started the war when they invaded and occupied Palestine ColinC Feb 2024 #87
The Warsaw Ghetto pfitz59 Feb 2024 #60
Wrong in so many ways. madaboutharry Feb 2024 #81
Christiane Amanpour had some troubling videos on moniss Feb 2024 #66
I wonder if they were anywhere near an Israeli border kibbutz on 10/7? Patton French Feb 2024 #74
Denigrating and belittling victims of the Holocaust madaboutharry Feb 2024 #79
How is highlighting people's suffering denigrating victims of the holocaust? ColinC Feb 2024 #82
You need to read your own thread. madaboutharry Feb 2024 #83
Once again ColinC Feb 2024 #84
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