, Essentials of Disaster
Anesthesia
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:16, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/356E02B36B69AC6CE5EBB6D12FDD96CA
,Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:16, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/356E02B36B69AC6CE5EBB6D12FDD96CA
, Essentials of Disaster
Anesthesia
Edited by
Joseph McIsaac
University of Connecticut
Kelly McQueen
University of Wisconsin
Corry Kucik
United States Navy
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:16, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/356E02B36B69AC6CE5EBB6D12FDD96CA
, University Printing House, Cambridge CB2 8BS, United Kingdom
One Liberty Plaza, 20th Floor, New York, NY 10006, USA
477 Williamstown Road, Port Melbourne, VIC 3207, Australia
314–321, 3rd Floor, Plot 3, Splendor Forum, Jasola District Centre,
New Delhi – 110025, India
79 Anson Road, #06–04/06, Singapore 079906
Cambridge University Press is part of the University of Cambridge.
It furthers the University’s mission by disseminating knowledge in the pursuit of
education, learning, and research at the highest international levels of excellence.
www.cambridge.org
Information on this title: www.cambridge.org/9781107498259
DOI: 10.1017/9781316181454
© Cambridge University Press 2020
This publication is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without the written
permission of Cambridge University Press.
First published 2020
Printed in the United Kingdom by TJ International Ltd, Padstow, Cornwall.
A catalogue record for this publication is available from the British Library.
Library of Congress Cataloging-in-Publication Data
Names: McIsaac, Joseph H., editor. | McQueen, Kelly, 1962– editor. | Kucik, Corry, editor.
Title: Essentials of disaster anesthesia / edited by Joseph McIsaac, Kelly McQueen, Corry Kucik.
Description: Cambridge, United Kingdom; New York, NY: Cambridge University Press, 2020. |
Includes bibliographical references and index.
Identifiers: LCCN 2019037718 (print) | LCCN 2019037719 (ebook) | ISBN 9781107498259 (paperback) |
ISBN 9781316181454 (ebook)
Subjects: MESH: Anesthesia | Disasters | Emergency Medicine
Classification: LCC RD81 (print) | LCC RD81 (ebook) | NLM WO 200 | DDC 617.9/6–dc23
LC record available at https://lccn.loc.gov/2019037718
LC ebook record available at https://lccn.loc.gov/2019037719
ISBN 978-1-107-49825-9 Paperback
Cambridge University Press has no responsibility for the persistence or accuracy of
URLs for external or third-party internet websites referred to in this publication
and does not guarantee that any content on such websites is, or will remain,
accurate or appropriate.
.......................................................................................................................................................
Every effort has been made in preparing this book to provide accurate and up-to-date information
that is in accord with accepted standards and practice at the time of publication. Although case histories
are drawn from actual cases, every effort has been made to disguise the identities of the individuals
involved. Nevertheless, the authors, editors, and publishers can make no warranties that the
information contained herein is totally free from error, not least because clinical standards are
constantly changing through research and regulation. The authors, editors, and publishers therefore
disclaim all liability for direct or consequential damages resulting from the use of material contained in
this book. Readers are strongly advised to pay careful attention to information provided by the
manufacturer of any drugs or equipment that they plan to use.
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:16, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/356E02B36B69AC6CE5EBB6D12FDD96CA
, Contents
List of Contributors vii
Preface xi
1. Disaster Anesthesia 1 12. High-Altitude Physiology and
Knut Ole Sundnes Anesthesia 106
Carlton Brown
2. Preparing to Deploy to a Remote
Disaster 14 13. Disaster: Mental Health Effects,
Joseph McIsaac Responses, and What Clinicians Can
Do 116
3. Principles of Emergency and
Shaukat A. Khan and Kirsten
Trauma Surgery 18
M. Wilkins
Christos Giannou and Bruce Paix
14. Considerations When Working
4. Total Intravenous Anesthesia in with Children and Families 124
Disaster Medicine 32
Steve J. Brasington
Phillip Blum and Martin Graves
15. Chemical and Radiologic
5. Inhaled Anesthetics and Draw-Over Exposures in Trauma
Devices in Disaster Response 42 and Disasters 127
Carlton Brown Joseph McIsaac and Corry Kucik
6. Airway Management 48 16. Pain in Disasters 143
Michael J. Murray Tracey Jackson and Matthew Pena
7. Vascular Access, Hydration, and 17. Radiology in the Austere
Fluids 55 or Disaster Environment 157
Michael J. Murray David Besachio
8. Critical Care Delivery for Disasters in and Daniel Sutton
Austere Environments 60 18. Communications 164
Liza Weavind Marina Zuetell
9. Children in Disasters 66 19. Security in Disaster
Simon Hendel Anesthesia 175
10. Special Populations: Children 75 Martin Graves and Corry Kucik
Proshad Efune and Mohammed Iqbal 20. International Humanitarian
Ahmed Law 184
11. Laboratory Tests and Blood Christopher M. Burkle
Banking 96 21. Operation Tomodachi: Anesthetic
Dan Holmes and Felicity Implications 191
Stone Jeffrey M. Carness and Mark J. Lenart
v
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:16, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/112DF69ABB7999284D94E35615DA9E14
, vi Contents
22. Austere Obstetric Anesthesia 207 Appendix 2 Re-Opening Your
Johanna de Haan, Kristin Falce, and Business: A Post-Disaster
Nadia Hernandez Checklist 259
Appendix 3 Disaster Recovery
23. Pharmacy in Disaster Toolkit for Small Businesses 267
Anesthesia 213 Appendix 4 SALT Triage
Robert Bishop and Ashlee Klevens Scheme 299
Hayes Appendix 5 Checklist for Trauma
24. Regional Anesthesia in Disaster Anesthesia 300
Circumstances 220 Appendix 6 Operating Room
Nadia Hernandez and Johanna de Procedures for Mass Casualty
Haan Management Step By Step 302
Appendix 7 Family Disaster
25. Power and Light: Impact of Checklist and Plan 304
Electrical Systems Failure on the Appendix 8 Powered Air Purifying
Delivery of Anesthetic Care 236 Respirator Placement 313
Frederick W. Burgess and Jordan Appendix 9 Quick Reference
Anderson Guides for Mass
Decontamination 315
Appendix 10 Draft Connecticut
Acute Care Hospital Pediatric
Disaster Preparedness
Appendix 1 Strategic Packing v13.2 Checklist 326
NDMS Gear Guide/Personal
Equipment List 244 Index 332
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:16, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/112DF69ABB7999284D94E35615DA9E14
, Contributors
Mohammed Iqbal Ahmed, MD, FASA Frederick W. Burgess, MD, PhD
Attending Anesthesiologist, Children’s Chief, Anesthesia Section
Medical Center Providence VA Medical Center
University of Texas – Southwest Clinical Professor of Surgery
Dallas, TX (Anesthesiology)
Warren Alpert Medical School of Brown
Jordan Anderson, MS University
Clinical Engineer
Providence VA Medical Center Christopher M. Burkle, MD, JD
Providence, RI Consultant, Department of Anesthesiology
and Perioperative Medicine
David Besachio, DO Professor of Anesthesiology
Commander, Medical Corps, US Navy Mayo Clinic
Staff Physician for Vascular, Interventional, Rochester, MN
and Neuroradiology
Naval Medical Center Portsmouth, VA Jeffrey M. Carness, MD
Lieutenant Commander, Medical Corps
Robert Bishop, MD US Navy
Attending Anesthesiologist Attending Anesthesiologist
St Clares/Eastern Health Naval Hospital Bremerton, WA
Torbay, Newfoundland and Labrador,
Canada Johanna de Haan, MD
Program Director, Regional Anesthesia and
Phillip Blum, FANZCA Acute Pain Fellowship
Deputy Director of Anaesthesia Assistant Anesthesiology Residency
Royal Darwin Hospital Program Director
Darwin, Australia University of Texas Health
Steve J. Brasington, MD Science Center
Houston, TX
Medical Executive Director and Pediatric
Psychiatrist Proshad Efune, MD
North Florida Evaluation and Treatment Assistant Professor
Center Department of Anesthesiology and Pain
Florida Department of Children and Management
Families University of Texas – Southwest
Gainesville, FL Dallas, TX
Carlton Brown, MD Kristin Falce, MD
Retired Attending Anesthesiologist Obstetric Anesthesiologist
National Naval Medical Center Steward Health Care
Walter Reed National Military Center St. Joseph’s Medical Center
Bethesda, MD Houston, TX
vii
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:14, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/EFD691E00FCB0D9ABE418D33CAB70485
, viii List of Contributors
Christos Giannou, MBBCh, Mch Corry “Jeb” Kucik, MD, MA, DMCC, FASA, FCCP, FCCM,
International Health and Management of FUHM, FACHE
Health Crises Captain, Medical Corps, US Navy
National and Kapodistrian University Chief Medical Officer
Athens, Greece Naval Medical Readiness and Training
Command Oak Harbor, WA
Martin Graves, BSc, MBBS, FANZCA Associate Professor of Anesthesiology,
LTCOL, Royal Australian Army Medical Rocky Vista University,
Corps Parker, CO
Anaesthetist, The Wollongong Hospital,
Australia Mark J. Lenart, MD, MPH, FASA
Senior Instructor in Defence Medicine, Captain, Medical Corps, US Navy
University College Cork, Ireland Branch Head, Surface Medicine
Bureau of Medicine and Surgery
Simon Hendel, MBBS, MPH, FANZCA Falls Church, VA
Specialist Anaesthetist and Trauma Associate Professor of Anesthesiology
Consultant Uniformed Services University of the
Alfred Health Health Sciences,
Melbourne, Australia F. Edward Hebert School of Medicine
Nadia Hernandez, MD Bethesda, MD
Director, Acute Pain Medicine Joseph McIsaac, MD, MS, MBA, CPE, FASA
Regional Anesthesia and Perioperative Clinical Professor of Anesthesiology
Ultrasound University of Connecticut School of
University of Texas Health Science Center Medicine
Houston, TX Farmington, CT
Dan Holmes, MBChB, MHM, MRCP, FRCA, FANZCA Chief of Trauma Anesthesia
Hartford Hospital
Clinical Director of Trauma
Hartford, CT
Deputy Director of Anaesthesia
Director and Chair of Quality and
Specialist Anaesthetist
Practice
Sunshine Coast University Hospital
Integrated Anesthesiology
Queensland, Australia
Associates, LLC
Tracey Jackson, MD East Hartford, CT
Physician and Consultant Supervisory Medical Officer
Bright Heart Health National Disaster Medical System
San Ramon, CA US Department of Health and Human
Services
Shaukat A. Khan, MD Washington, DC
Assistant Clinical Professor of Psychiatry
Yale University School of Medicine Kelly McQueen, MD, MPH
Staff Psychiatrist, VA Connecticut Health Chair, Department of Anesthesiology
Care System University of Wisconsin – Madison
West Haven, CT Madison, WI
Ashlee Klevens Hayes, PharmD, MHA Michael J. Murray, MD, PhD
Founder, Rx Ashlee Colonel (Retired), Medical Corps,
Huntington Beach, CA US Army
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:14, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/EFD691E00FCB0D9ABE418D33CAB70485
, List of Contributors ix
Professor of Medicine and Anesthesiology Professor, Centre for Risk Management
Geisinger Medical Center and Societal Safety, University of Stavanger,
Danville, PA Norway
Bruce Paix, MBBS, FANZCA Daniel Sutton, MD
Wing Commander, RAAF Reserve Commander, Medical Corps, US Navy
Medical Retrieval Consultant Attending Trauma and Critical Care
SAAS Medstar Emergency Medical Surgeon
Retrieval Naval Medical Center Portsmouth,
Adelaide, Australia VA
Matthew Pena, MD Liza Weavind, MBBCh, MD
Lieutenant Commander (Retired), Medical Professor of Anesthesiology and Critical
Corps, US Navy Care
Associate Professor of Anesthesiology and Vanderbilt University
Pain Medicine Nashville, TN
University of California – Davis
Sacramento, CA Kirsten M. Wilkins, MD
Attending Psychiatrist
Felicity Stone, MBBS Veterans Administration Healthcare
Consultant Anaesthetist System
Royal Darwin Hospital West Haven, CT
Darwin, Australia
Marina Zuetell, MBA
Knut Ole Sundnes, MD Consultant, Radio Communications for
Colonel and Head of Anaesthesia Healthcare
Norwegian Armed Forces Medical Services MHz Consulting Services
Jar, Norway Seattle, WA
Downloaded from https://www.cambridge.org/core. University of Western Ontario, on 18 Jul 2020 at 11:25:14, subject to the Cambridge Core terms
of use, available at https://www.cambridge.org/core/terms. https://www.cambridge.org/core/product/EFD691E00FCB0D9ABE418D33CAB70485
