9. US emergency and disaster response in the past, present, and future: The multi-faceted role of emergency health care

  1. Jesse M. Pines MD, MBA, MSCE3,
  2. Jameel Abualenain MD, MPH4,
  3. James Scott MD5 and
  4. Robert Shesser MD, MPH6
  1. Joseph A. Barbera1 and
  2. Anthony G. Macintyre2

Published Online: 30 MAY 2014

DOI: 10.1002/9781118779750.ch9

Emergency Care and the Public's Health

Emergency Care and the Public's Health

How to Cite

Barbera, J. A. and Macintyre, A. G. (2014) US emergency and disaster response in the past, present, and future: The multi-faceted role of emergency health care, in Emergency Care and the Public's Health (eds J. M. Pines, J. Abualenain, J. Scott and R. Shesser), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118779750.ch9

Editor Information

  1. 3

    Director, Office for Clinical Practice Innovation, Professor of Emergency Medicine and Health Policy, The GeorgeWashington University, Washington, DC, USA

  2. 4

    Assistant Professor of Emergency Medicine, Department of Emergency Medicine, The GeorgeWashington University, Washington, DC, USA; King Abdulaziz University, Jeddah, Saudi Arabia

  3. 5

    Professor of Emergency Medicine and Health Policy, The GeorgeWashington University School of Medicine and Health Science, Washington, DC, USA

  4. 6

    Professor and Chair, Department of Emergency Medicine, The GeorgeWashington University, Washington, DC, USA

Author Information

  1. 1

    Engineering Management (Crisis and Emergency Management), Institute for Crisis, Disaster, and Risk Management, Department of Engineering Management and Systems Engineering, The George Washington University, USA

  2. 2

    Department of Emergency Medicine, The George Washington University, USA

Publication History

  1. Published Online: 30 MAY 2014
  2. Published Print: 13 MAY 2014

ISBN Information

Print ISBN: 9781118779804

Online ISBN: 9781118779750

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Keywords:

  • emergency healthcare delivery;
  • emergency medicine;
  • emergency response;
  • multiagency coordination systems (MACS);
  • national incident management system (NIMS);
  • U. S. disaster response

Summary

This chapter describes the integral roles and major influences of Emergency Medicine and emergency healthcare delivery on the past and present U. S. disaster response capabilities. These influences have occurred across all types of hazards (intentional, technological, and natural) and across all phases of comprehensive emergency management (mitigation, preparation, response, recovery). National Incident Management System (NIMS), issued by the US Department of Homeland Security in 2004 and revised in 2008 describes not only Incident Management Teams for direct management of the impacts of an incident but also describes Multiagency Coordination Systems (MACS). These concepts become increasingly important in effective public health and health care emergency response and are becoming more refined. Future roles and responsibilities are also explored, including the emerging concept of Emergency Public Health as a distinct discipline.