Mitigation Journal

Please visit www.mitigationjournal.org for compete show notes and features Edition 239 September 4, 2012 This week on Mitigation Journal: West Nile Virus A joint episode with Medic Cast Joining us is the hosts of This Week in Virology Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 238 August 3, 2012 This week on Mitigation Journal: Why we're all wrong. This week I discuss why I think every group that has an opinion about the Aurora Co. movie shooting is wrong. Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 237 June 5, 2012 This week on Mitigation Journal: Special Guest, Mr. Todd Jasper Doomsday Preppers: More Harm than Good? Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 236 April 24, 2012 This week on Mitigation Journal: Y2K Revisited: Is it time to prepare like its 1999? London 2012 - The next biologic Ground Zero Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 235 April 12, 2012 This week on Mitigation Journal: Are you ready for never agent exposure IOM Crisis Standards of Care Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Overview and awareness video on the topic of Bath Salt abuse. A brief look at chemicals and patient presentation. For more information please visit our main page at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 233 March, 2012 This week on Mitigation Journal: Reviewing your response to active shooter events Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 232 February 21, 2012 This week on Mitigation Journal: Disaster Myths, Social Media, Emergency Communications with special guest: Todd Jasper Associate Director, Homeland Security Division at MSA Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

lease visit www.mitigationjournal.org for compete show notes and features Edition 231 January 30, 2012 This week on Mitigation Journal: An introduction to Cruise Ship Medicine with special guest: Evelyn B. Sklair, RN, EMTP, Chief Medical Officer Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 230/Welcome to 2012! This week on Mitigation Journal: No predictions! - Four actions for preparedness in the New Year Conduct a Hazard Vulnerability Assessment (HVA) Work on your Pre Incident Plans. Define your Target Hazards. Combine your Hazard Vulnerability Assessment (HVA), Pre Incident Plans, and Target Hazard Identification into training Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 229 This week on Mitigation Journal: Cold Weather Emergency Incident Rehab Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Special Guest: Dr. Jeremy Cushman, Medical Director Monroe County NY Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 228 Video- This week on Mitigation Journal: 7 Emergency Management things to know...and why Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 224 - This week on Mitigation Journal: Testing the Emergency Alert Systems Part One Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic With special guest Jamie Davis, The Medic Cast Please visit Mitigation Journal at www.mitigationjournal.org

Three reasons this cyber-attack is cause for concern - No early warning systems in place to detect an attempted or actual cyber-attack. This attack was discovered only after the damage had been done. There was no detection mechanism in place to alert of an attack or attack attempt. Without early warning/detection systems, there could be additional attacks on more critical systems at any point...or in progress.  This could have been a probing attack...to evaluate vulnerability and assess reaction/response. A probing attack could indicate a larger cyber attack is on the horizon. Critical infrastructure lacks resiliency. Impact in this case was limited because redundant systems were in place and functional. Our power grid, by comparison, lacks functional redundancies. Had this attack shut down an electric generator or destroyed a vital component of the power grid, the outcomes could have been much more dramatic. More MJ posts on the power grid; Of Power Grids and Black Outs "... [a] power grid/power supply that may be the most vulnerable (critical infrastructure). Several references have indicated that the Nations power grid is the most "at risk" target we have. It stands to reason that the power generation and distribution network in any community would also be at risk..."      Three Planning Problems for 2011 (MJ 12/2010) 

Please visit www.mitigationjournal.org for compete show notes and features Extra Edition This week on Mitigation Journal: Recent Cyber Attack is cause for concern Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic With special guest Jamie Davis, The Medic Cast Please visit Mitigation Journal at www.mitigationjournal.org Three reasons this cyber-attack is cause for concern - No early warning systems in place to detect an attempted or actual cyber-attack. This attack was discovered only after the damage had been done. There was no detection mechanism in place to alert of an attack or attack attempt. Without early warning/detection systems, there could be additional attacks on more critical systems at any point...or in progress.  This could have been a probing attack...to evaluate vulnerability and assess reaction/response. A probing attack could indicate a larger cyber attack is on the horizon. Critical infrastructure lacks resiliency. Impact in this case was limited because redundant systems were in place and functional. Our power grid, by comparison, lacks functional redundancies. Had this attack shut down an electric generator or destroyed a vital component of the power grid, the outcomes could have been much more dramatic. More MJ posts on the power grid; Of Power Grids and Black Outs

Please visit www.mitigationjournal.org for compete show notes and features Edition 225 Video- This week on Mitigation Journal: Reaction to Cold - Video Edition Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 225 - This week on Mitigation Journal: The Reaction to Cold Environments Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 223 - This week on Mitigation Journal: Testing the Emergency Alert Systems Part One Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic With special guest Jamie Davis, The Medic Cast Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for complete show notes.

Please visit www.mitigationjournal.org for compete show notes and features BioEvent Ready: Three Action Items for Preparedness Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 222 - Notes on writing your biologic event plan and "what good plans have that bad ones don't" Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 221 - This week is a mash of several imprortant topics Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Please visit www.mitigationjournal.org for compete show notes and features Edition 220 - This week is a review of Consumer Level Hazardous Materials and Chemical Assisted Suicide We've gone back to the archives to bring out the best talks on these topics. Its great information for anyone in emergency response or in the emergency department or critical care setting. This podcast contains clips from editions #59, 64, and 72. Each of these podcast editions have been reposted to the podcast feed in their full, original versions as well. Mitigation Journal is: Hosted by Rick Russotti, RN, Paramedic Co Host Matt Comer, Paramedic Please visit Mitigation Journal at www.mitigationjournal.org

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 219 - Undersatnding Flu and Biological Events Introduction Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP, RN Co Hosted by Matt Comer, EMTP Please visit Mitigation Journal at www.mitigationjournal.org

Thanks for tuning in to Mitigation Journal: The All Hazards Podcast! Visit our blog at www.mitigationjournal.blogspot.comContact Mitigation Journal:Call the 24 hour voice mail line at 585672-7844FLA responders use CyanoKit: Check out the dangers of carbon monoxide and cyanide at:http://mitigationjournal.blogspot.com/2007/01/cyanide-deadly-partner-of-carbon.html and related article on blood agents and suicide: http://mitigationjournal.blogspot.com/2008/04/suicide-by-blood-agent.htmlIn search of readiness in the US, Will it ever exist?Check out the blog articles:http://mitigationjournal.blogspot.com/2008/06/in-search-of-preparedness-in-america.htmlhttp://mitigationjournal.blogspot.com/2005/11/stop-training-for-terrorist-and-wmd.htmlhttp://mitigationjournal.blogspot.com/2006/02/just-remember-it-cant-happen-here_03.htmland the importance of vacation...info from Monster.com

Welcome to Mitigation Journal - The All Hazards Podcast!Visit the Mitigation Journal  at www.mitigationjournal.orgCall the voicemail line 585-6727844This week on Mitigation Journal:Anthrax attacks: My predictions from 2001 may have been correct.Detergent Suicide -  Consumer grade hazmats  create deadly situationsPart two of our planning series - Today we'll outline the hazard assessment process and risk analysis - easy to do and easy to relate to any community.

This week on Mitigation Journal The All Hazards Podcast:Call the Mitigation Journal Voice Mail line: (585) 672-7844Fuel issues demand attention: Fuel costs are reaching farther than just prices at the pump...consider the possibility that you may not be able to get fuel at all or only on a limited basis. How will this impact the ability of your service? How will this effect your personnel availability to respond or be called back to work when needed? We also have to consider the average citizen stockpile of fuel, use of unapproved alternate fuels and the related hazards to responders.We'll find out a bit more about the Ricin Guy...talk about ricin exposure and the signs and symptoms of ricin intoxication.Last week I talked about the anniversary of the Oklahoma City bombing...I was reminded this week that March 25, 1995 was the anniversary of the Tokyo subway sarin nerve agent attack. Special thanks to MJ listener, Tom for keeping me on my toes.In a related story, a 14-year old girl commits suicide by creating poison gas...a blood agent, hydrogen sulphide. H2S is a blood agent, similar to Cyanide. Both these events underscore the need for us to be aware that the Consumer-Level Hazardous Materials Events are deadly...can be intentional or accidental...but deadly.

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 217 - My thoughts on Disasters is nothing new Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP, RN Co Hosted by Matt Comer, EMTP Please visit Mitigation Journal at www.mitigationjournal.org

Welcome to Mitigation Journal the All-Hazards Podcast! Our Website is working! Please visit www.mitigationjournal.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff! Contact us: Email - [email protected] Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free! Follow us on Twitter: twitter.com/mjpodcast Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and visit our re-done main page at www.mitigationjournal.com Check out my friends at MedEx Billing at www.medexbilling.com In this edition of Mitigation Journal:   Welcome to a special interview with Mr. Richard Brooks, Director of Ceciel County Emergency Services, on the topic of winter storm activities.

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 216 - MJ 215 A Message from Katrina: Hospitals be ready. Part One Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP, RN Co Hosted by Matt Comer, EMTP Special Guest this week: Jamie Davis, RN, EMTP Host of The MedicCast and The Nursing Show Please visit Mitigation Journal at www.mitigationjournal.org

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 214 - Angelo's Podcast Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP, RN Co Hosted by Matt Comer, EMTP Special Guest this week: Jamie Davis, RN, EMTP Host of The MedicCast and The Nursing Show Please visit Mitigation Journal at www.mitigationjournal.org Follow us on Facebook or on Facebook

Welcome to Mitigation Journal the All-Hazards Podcast! Please visit www.mitigationjournal.blogspot.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff! Contact us: Email - [email protected] Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free! Follow us on Twitter: twitter.com/rickrussotti or @rickrussotti Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and please consider making a donation! Check out my friends at MedEx Billing at www.medexbilling.com Check out my friends at Informed Publishing and look for the Pet Emergency Pocket Guide! Also available on the iTunes App Store. This week on Mitiagtion Journal:We're talking to members of the Net Talon team...these guys are out with a great product. Listen in to hear all the details and visit Net Talon at www.nettalon.com

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 214 - Angelo's Podcast Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP Special Guest this week: Matt Comer, EMTP Please visit Angelo's Fund at http://angelosfund.org/ or on Facebook

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 213 - Health History and Healthy Lessons with Lori VanScoter Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP Special Guest this week: Ms. Lori VanScoter, RN Please visit http://www.lorivanscoter.com/ or on Facebook

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 210 - Public Service Lay-Offs: What impact on domestic preparedness? (part two) Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP Special Guest this week: Mr. Peter Bonadonna, CI/C, EMTP

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 210 - Public Service Lay-Offs: What impact on domestic preparedness? (part two) Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP Special Guest this week: Mr. Peter Bonadonna, CI/C, EMTP

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 210 - Public Service Lay-Offs: What impact on domestic preparedness? (part two) Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP Special Guest this week: Alan Bubel, Assistant Chief, Gates Fire District

Welcome to Mitigation Journal the All-Hazards Podcast! Please visit www.mitigationjournal.blogspot.com for links to the blog and podcast as well as lecture notes, training information and other double-secret stuff! Contact us: Email - [email protected] Call the voicemail line - 585-672-7844 Subscribe to Mitigation Journal at iTunes...its Free! Follow us on Twitter: twitter.com/rickrussotti or @rickrussotti Go to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics and please consider making a donation! Check out my friends at MedEx Billing at www.medexbilling.com Check out my friends at Informed Publishing and look for the RN Pocket Guide! Also available on the iTunes App Store. This week on Mitigation Journal:

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 209 - Public Service Lay-Offs: What impact on domestic preparedness? (part one) Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP Special Guest this week: Alan Bubel, Assistant Chief, Gates Fire District

This week on Mitigation Journal:Special welcome to Jason, listening to us from Fredrick County, MD!A Rochester 9-1-1 operator has been accused of searching data bases including the Terrorism Watch List with 277 names. The searches seemed to have been conducted in January of 2006 and again in October or 2007. Officials believe she intended (or maybe already has) passed information along to "others". Knowing if you or others are on the Terrorist Watch List would be a major piece of intel should you want to carry out an attack...here or anywhere. By the way, the (now ex-) 9-1-1 operator claims discrimination because she is Muslim. I'm going to take this seriously. September is National Preparedness Month! Our Preparedness Tip this week is: Knowing what you childs school emergency plan is vital in cases of emergency or disaster. Do you know what your childs school is going to do in the event of a natural disaster or other crisis? Request a copy of you childs school's emergency plan for these event...keep it and read it. Courage to be Safe - So Everyone Goes Home: What are you prepared to do to prevent line of duty death? Last week on MJ I told you what a tremendous program this was...easily among the most meaningful presentations I've ever seen. This week I talk to Paul Melfi, the New York State Advocate for Courage to be Safe. Paul is a well known fire instructor and a retired Deputy Chief. Paul puts it on the table concerning firefighting safety...listen to him!Check out Courage to be Safe - So Everyone Goes Home at www.everyonegoeshome.com

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 208 - Good school security training gone bad Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP Special Guest this week: Daniel J. McGuire, FAAETS, CATSM from CISM Perspectives

I'm going to try to explain the absence of MJ from blgging and podcasting for the last few months. We'll be putting up new content the first week of May, 2011. Tune in! Contact me! [email protected] or call 585-672-7844 Matt and I will be back shortly.

This is Lessons Learned - Content for the Mitigation Journal app  For compete show notes and features, visi: www.mitigationjournal.org Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP You can be part of the Mitigaiton Journal podcast! Contact us: Voice Mail 585-672-7844 Email [email protected] Follow us on Twitter: twitter.com/rickrussotti

Welcome to Mitigation Journal the All-Hazards Podcast!Contact us:Email - [email protected] the voicemail line - 585-672-7844Subscribe to Mitigation Journal at iTunes...its Free!Follow us on Twitter: twitter.com/mjpodcastGo to www.mitigationjournal.blogspot.com for all the detailed notes on these and other topics!Check out my friends at MedEx Billing at www.medexbilling.com In this edition of Mitigation Journal:It seems simple enough; before you can provide treatment and transportation you have to find the person in need of your service. Actually finding the patient is only part of the job. Providers of emergency medical service (EMS) at all levels must prepare themselves prior to reaching the scene or patient for a variety of potential actions and outcomes. Waiting to arrive on-scene to develop a care plan or mental review of the potential scenarios places both provider and patient at a disadvantage. The fire services use the process of pre-incident planning and size-up to prepare firefighters for potential needs or dangers of any given situation. Pre-incident planning can be used to anticipate additional resources and special needs of a situation. Emergency medical services can and should do the same.EMS and fire service text are filled with acronyms that have become part of daily conversation. Acronyms are memory aids that range from the simple ABCDE’s that remind us of the basics of patient assessment to SLUDGE as a memory jog for organo-phosphate exposure symptoms. In this installment we will introduce the acronym LOCATE as a means of assessing not only the patient, but the scene and patient needs as a whole.

Please go to www.mitigationjournal.blogspot.com for more information.

This weeks Lessons Learned: Oxygen Safety: From the USFA archives.... Thoughts, comments, and constructive corrections are welcome. Call us at 585-672-7844 or email us [email protected]

Thanks for joining us on Mitigaiton Journal Please visit www.mitigationjournal.org for compete show notes and features Edition 207 - National EMS Memorial Bike Ride Move Over Law...Not in New Yourk? Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP Special Guest this week: Paramedic Kevin Esparza, Canandaigua Emergency Squad (http://www.canandaiguaes.org/)

This is Lessons Learned - Content for the Mitigation Journal app  This week: Trauma Assessment Tips For compete show notes and features, visi: www.mitigationjournal.org Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP You can be part of the Mitigaiton Journal podcast! Contact us: Voice Mail 585-672-7844 Email [email protected] Follow us on Twitter: twitter.com/rickrussotti

This is Lessons Learned - Content for the Mitigation Journal app  This week: Survial in Your Car For compete show notes and features, visi: www.mitigationjournal.org Mitigation Journal is: Hosted by Rick Russotti, CI/C, EMTP CoHost Matt Comer, EMTP You can be part of the Mitigaiton Journal podcast! Contact us: Voice Mail 585-672-7844 Email [email protected] Follow us on Twitter: twitter.com/rickrussotti