A new report released by the U.S. House of Representative on
Monday clearly states that emergency trauma centers in hospitals in seven major
U.S.
cities lack the ability to treat victims of a significant terrorist strike or
natural disaster.
“If a terrorist attack had occurred on March 25 when we did
our survey, the consequences would have been catastrophic. The emergency care
systems were stretched to the breaking point and had no capacity to respond to
a surge of victims,” said Rep. Henry Waxman, D-Calif., chairman of the House
Committee on Oversight and Government Reform, as quoted by the USA Today. He called
the situation “truly alarming.”
“Hospital Emergency Surge Capacity: Not Ready for the
Predictable Surprise,” as the report was named, examined the ability of 34
hospitals in Chicago, Denver, Houston, Los Angeles, Minneapolis, New York City
and Washington to handle a national emergency. The survey was taken March 25 at
4:30 p.m. local time in each city, a time chosen because it was neither the
busiest nor the slowest time of day in emergency rooms.
And “the results of the survey show that none of the
hospitals surveyed in the seven cities had sufficient emergency care capacity
to respond to an attack generating the number of casualties that occurred in Madrid,” the report
said. Nearly 1,000 victims were transported to 15 hospitals and 270 victims
arrived at a single hospital for emergency care after the incident.
Moreover, it was found that Washington D.C.’s
emergency rooms were operating above capacity, which means new patients must
wait in hallways, waiting rooms or offices.
Physicians and other health workers should undergo intensive
training and preparation before an attack, so to be able to save as many lives
as possible.
Waxman said the report is meant to highlight the need to
protect the nation’s major trauma centers from Medicaid cuts planned by the
Bush administration. These changes due to take effect on May 26 could annually
cost the country’s 34 Level 1 trauma centers a total of $623 million in lost
federal funding and potentially $600 million in lost state funding.
Medicaid cuts will lead to reduction in personnel and “readiness
will occur in our hospitals and emergency departments across the country. And
even worse, it will occur in the midst of a serious and intractable nursing and
nursing faculty shortage and limit our ability to respond to a disaster,
particularly a blast or explosive injury with serious burns,” warned Colleen
Conway Welsh, dean of Vanderbilt University School of Nursing, according to the
Washington Times.
Not only that U.S. hospitals have insufficient sources to
deal with too many patients at once, but, according to a study by HealthGrades,
a health care ratings organization(called Patient Safety in American Hospitals
Study), from 2004 through 2006, patient safety errors resulted in
238,337 potentially preventable deaths of U.S. Medicare Patients and cost the
Medicare program $8.8 billion.
The analysis found that about 1.1 million medical errors happened
in the U.S.
hospitals over the three-year period. Moreover, other findings of the study
showed that patients experiencing a medical error had a 20 percent chance of
dying; failure to rescue accounted for at least 188,000 lives lost, about 128
deaths for every 1,000 patients; bed sores, failure to rescue and
post-operative respiratory failure accounted for 63.4 percent of incidents.
With all these facts given, we shall wonder where the U.S. medical
service is heading and who we shall trust our lives. Is personnel’s lack of
training a major cause for all these medical errors? And there are many other
questions without answers in a field which should be a top priority for everyone.