Electronic Mass Casualty Assessment and Planning Scenarios (EMCAPS): development and application of computer modeling to selected National Planning Scenarios for high-consequence events.


:Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casualty Assessment and Planning Scenarios (EMCAPS), developed to have broad application across emergency management and public health fields as part of a catastrophic events preparedness planning process. As a scalable, flexible tool, EMCAPS is intended to support emergency preparedness planning efforts at multiple levels ranging from local health systems to regional and state public health departments to Metropolitan Medical Response System jurisdictions. Designed around the subset of the National Planning Scenarios with health effects, advanced by the US Department of Homeland Security, the tool's platform is supported by the detailed descriptions and readily retrievable evidence-based assumptions of each scenario. The EMCAPS program allows the user to manipulate key scenario-based input variables that would best reflect the region or locale of interest. Inputs include population density, vulnerabilities, event size, and potency, as applicable. Using these inputs, EMCAPS generates the anticipated population-based health surge influence of the hazard scenario. Casualty estimates are stratified by injury severity/types where appropriate. Outputs are graph and table tabulations of surge estimates. The data can then be used to assess and tailor response capabilities for specific jurisdictions, organizations, and health care systems. EMCAPS may be downloaded without cost from http://www.hopkins-cepar.org/EMCAPS/EMCAPS.html as shareware.


Ann Emerg Med


Scheulen JJ,Thanner MH,Hsu EB,Latimer CK,Brown J,Kelen GD




Has Abstract


2009-02-01 00:00:00














  • Hospital delays and problems with thrombolytic administration in patients receiving thrombolytic therapy: a multicenter prospective assessment. Virginia Thrombolytic Study Group.

    abstract:STUDY OBJECTIVES:To assess the timing of key decisions and clinical events in the treatment of acute myocardial infarction with thrombolytic therapy. DESIGN:Prospective study of emergency department patients. SETTING:EDs in 11 urban and two rural hospitals. TYPES OF PARTICIPANTS:Patients with presumed acute myocardi...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究


    authors: Gonzalez ER,Jones LA,Ornato JP,Bleecker GC,Strauss MJ

    更新日期:1992-10-01 00:00:00

  • The emergency management of a medicinal leech bite.

    abstract::Leeches have been used as a medicinal remedy for years untold. Recently, there appears to have been a resurgence in the use of the medicinal leech, Hirudo medicinalis. Presented is the case of a patient who called the emergency department for advice concerning the management of a bleeding leech bite. We discuss briefl...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Adams SL

    更新日期:1989-03-01 00:00:00

  • Shaken baby syndrome: a review of 20 cases.

    abstract::Twenty cases of shaken baby syndrome are reviewed to determine important signs, symptoms, physical findings, laboratory parameters, and prognosis. The signs and symptoms of this form of head trauma are nonspecific. The findings may mimic infection, intoxication, or metabolic abnormalities. Diagnosis depends on a high ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Ludwig S,Warman M

    更新日期:1984-02-01 00:00:00

  • Managed care and emergency medicine: conflicts, federal law, and California legislation.

    abstract::The traditional use of the American ED, one of unrestricted access by patients and payment for services by insurers, is being questioned in this era of health care reform. Both primary care physicians and managed care organizations have questioned the use of the ED by patients without obvious problems of an emergency ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Derlet RW,Young GP

    更新日期:1997-09-01 00:00:00

  • Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?

    abstract:STUDY OBJECTIVE:To be able to adhere to discharge instructions after a visit to the emergency department (ED), patients should understand both the care that they received and their discharge instructions. The objective of this study is to assess, at discharge, patients' comprehension of their ED care and instructions a...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Engel KG,Heisler M,Smith DM,Robinson CH,Forman JH,Ubel PA

    更新日期:2009-04-01 00:00:00

  • Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

    abstract:STUDY OBJECTIVE:Adverse drug events represent the most common cause of preventable nonsurgical adverse events in medicine but may remain undetected. Our objective is to determine the proportion of drug-related visits emergency physicians attribute to medication-related problems. METHODS:This prospective observational ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Hohl CM,Zed PJ,Brubacher JR,Abu-Laban RB,Loewen PS,Purssell RA

    更新日期:2010-06-01 00:00:00

  • Ventilation skills of emergency medical technicians: A teaching challenge for emergency medicine.

    abstract::We assessed the ability of 64 emergency medical technicians (EMTs) to ventilate a resuscitation manikin with a bag valve mask and with a pocket face mask to determine if their skill levels met the American Heart Association standard of 12 ventilations per minute, each with a tidal volume of 800 mL or more. All ventila...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Cummins RO,Austin D,Graves JR,Litwin PE,Pierce J

    更新日期:1986-10-01 00:00:00

  • Physician compliance with advanced cardiac life support guidelines.

    abstract:STUDY OBJECTIVE:To determine compliance with advanced cardiac life support (ACLS) guidelines among ACLS-certified and non-ACLS-certified physicians. DESIGN:Retrospective review of consecutive cardiac arrests between July 1989 and June 1990, including assessment of the resuscitation leaders' ACLS certification. SETTIN...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Cline DM,Welch KJ,Cline LS,Brown CK

    更新日期:1995-01-01 00:00:00

  • Telephone follow-up after the emergency department visit: experience with acute asthma.

    abstract:STUDY OBJECTIVE:This study explored how a variety of demographic and illness-related factors were associated with telephone follow-up among patients visiting the emergency department for acute asthma. METHODS:We performed a prospective cohort study as part of the Multicenter Airway Research Collaboration (MARC). The s...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Boudreaux ED,Clark S,Camargo CA Jr,MARC Investigators.

    更新日期:2000-06-01 00:00:00

  • The spectrum of informed consent in emergency psychiatric research.

    abstract:STUDY OBJECTIVE:I evaluate the variation in requirements for informed consent in studies evaluating chemical tranquilization of agitated patients. METHODS:A computer-assisted literature search of the National Library of Medicine was performed. Additional use of the references listed in the articles identified with the...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Brown J

    更新日期:2006-01-01 00:00:00

  • The emergency services physician assistant: results of two years' experience.

    abstract::The physician assistant (PA) has become an integral part of urban health care. The roles chosen are diverse and often meet the particular needs of physicians or hospitals. We have developed a unique program in emergency services that allows for training and development of PAs in two distinctly different hospital setti...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Goldfrank L,Corso T,Squillacote D

    更新日期:1980-02-01 00:00:00

  • Intravenous access in the critically ill trauma patient: a multicentered, prospective, randomized trial of saphenous cutdown and percutaneous femoral access.

    abstract:STUDY OBJECTIVE:To compare the speed of IV access and the rate of infusion for saphenous venous cutdown and percutaneous femoral catheterization. DESIGN:Prospective, randomized, multicentered trial. Patient enrollment occurred from September 1990 through September 1991. SETTING:Patients were enrolled at three urban L...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Westfall MD,Price KR,Lambert M,Himmelman R,Kacey D,Dorevitch S,Mathews J

    更新日期:1994-03-01 00:00:00

  • Treatment of pyelonephritis in an observation unit.

    abstract:STUDY OBJECTIVE:To determine the feasibility of managing patients with acute pyelonephritis as outpatients after initial treatment with IV antibiotics in an emergency department observation unit. DESIGN:Prospective and uncontrolled. SETTING:ED observation unit. TYPE OF PARTICIPANTS:Nonpregnant female patients 14 yea...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Ward G,Jorden RC,Severance HW

    更新日期:1991-03-01 00:00:00

  • Improved outcomes in patients with acute allergic syndromes who are treated with combined H1 and H2 antagonists.

    abstract:STUDY OBJECTIVE:Although the addition of H(2) blockers to H(1) antagonists has been promoted for use in anaphylaxis, there have been no large studies establishing the advantage of this approach in treating acute allergic syndromes. In this study we tested the hypothesis that combined H(1) and H(2) blockage results in i...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lin RY,Curry A,Pesola GR,Knight RJ,Lee HS,Bakalchuk L,Tenenbaum C,Westfal RE

    更新日期:2000-11-01 00:00:00

  • Comparison of motor vehicle damage documentation in emergency medical services run reports compared with photographic documentation.

    abstract:STUDY OBJECTIVE:To determine whether emergency medical services (EMS) run reports adequately document vehicle damage when compared with vehicle photographs by using a traffic accident scoring system. DESIGN:A prospective study consisting of three phases: photographing motor vehicle collisions and collecting their resp...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Hunt RC,Brown RL,Cline KA,Krohmer JR,McCabe JB,Whitley TW

    更新日期:1993-04-01 00:00:00

  • Fracture of the carpal navicular--efficacy of clinical findings and improved diagnosis with six-view radiography.

    abstract::A prospective study was conducted to determine the usefulness of clinical findings and 25-degree pronation and supination radiologic views to diagnose carpal navicular fractures. All patients presenting to the emergency department during a two-year period who fell on their outstretched hand and had pain and/or swellin...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Mehta M,Brautigan MW

    更新日期:1990-03-01 00:00:00

  • Geriatric-specific triage criteria are more sensitive than standard adult criteria in identifying need for trauma center care in injured older adults.

    abstract:STUDY OBJECTIVE:We evaluate the sensitivity of Ohio's 2009 emergency medical services (EMS) geriatric trauma triage criteria compared with the previous adult triage criteria in identifying need for trauma center care among older adults. METHODS:We studied a retrospective cohort of injured patients aged 16 years or old...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Ichwan B,Darbha S,Shah MN,Thompson L,Evans DC,Boulger CT,Caterino JM

    更新日期:2015-01-01 00:00:00

  • Analysis of pediatric hospitalizations after emergency department release as a quality improvement tool.

    abstract:STUDY OBJECTIVE:We characterize repeat pediatric emergency department visits and determine the cause for such visits as an indicator of potential need for quality improvement. We hypothesized that most repeat ED visits resulting in hospitalization do not represent medical errors. METHODS:The study was performed at a l...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Depiero AD,Ochsenschlager DW,Chamberlain JM

    更新日期:2002-02-01 00:00:00

  • Evaluation of Early Childhood Home Visiting to Prevent Medically Attended Unintentional Injury.

    abstract:STUDY OBJECTIVE:We evaluated the influence of home visiting on the risk for medically attended unintentional injury during home visiting (0 to 3 years) and subsequent to home visiting (3 to 5 years). METHODS:A retrospective, quasi-experimental study was conducted in a cohort of mother-child pairs in Hamilton County, O...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Folger AT,Bowers KA,Dexheimer JW,Sa T,Hall ES,Van Ginkel JB,Ammerman RT

    更新日期:2017-09-01 00:00:00

  • From submission to publication: a retrospective review of the tables and figures in a cohort of randomized controlled trials submitted to the British Medical Journal.

    abstract:STUDY OBJECTIVE:We characterize the quantity and quality of data tables and figures in reports of randomized controlled trials (RCTs) submitted to the British Medical Journal (BMJ) and published in peer-reviewed journals. We investigate how the peer review process affected table and figure quality. METHODS:We reviewed...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Schriger DL,Sinha R,Schroter S,Liu PY,Altman DG

    更新日期:2006-12-01 00:00:00

  • Mixed fluoxetine/loxapine overdose and atrial flutter.

    abstract::A 19-year-old man who attempted suicide by ingesting approximately 600 mg fluoxetine (Prozac) and 140 mg loxapine (Loxitane) had two episodes of atrial flutter shortly thereafter. Admission serum fluoxetine, norfluoxetine, and loxapine levels were 1,053 ng/mL, 702 ng/mL, and 40 ng/mL, respectively. This case of atrial...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Roberge RJ,Martin TG

    更新日期:1994-03-01 00:00:00

  • Metered-dose inhalers: do emergency health care providers know what to teach?

    abstract:STUDY OBJECTIVE:To evaluate the ability of emergency health care providers and patients to demonstrate the proper use of metered-dose inhalers (MDIs). DESIGN:Prospective cross-sectional survey. SETTING:Five Midwestern community teaching hospitals. PARTICIPANTS:One hundred eighty-five health care providers, comprisin...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Jones JS,Holstege CP,Riekse R,White L,Bergquist T

    更新日期:1995-09-01 00:00:00

  • Delayed diagnosis of traumatic diaphragmatic hernia during pregnancy.

    abstract::We present a case of delay in diagnosis of diaphragmatic rupture and herniation in a pregnant 25-year-old woman. The diaphragmatic rupture was secondary to trauma sustained five months prior to presentation. Subsequent to her accident, she was provided medical care on multiple occasions for symptoms of intractable nau...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Henzler M,Martin ML,Young J

    更新日期:1988-04-01 00:00:00

  • Acute respiratory failure during therapy for salicylate intoxication.

    abstract::The case of a patient who developed severe acute respiratory failure during therapy for salicylate intoxication is described. The individual with aspirin overdose is at risk for this complication because of the potential for treatment modalities to cause or worsen lung edema initiated by the effects of salicylates on ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Zimmerman GA,Clemmer TP

    更新日期:1981-02-01 00:00:00

  • Techniques, success, and adverse events of emergency department adult intubations.

    abstract:STUDY OBJECTIVE:We describe the operators, techniques, success, and adverse event rates of adult emergency department (ED) intubation through multicenter prospective surveillance. METHODS:Eighteen EDs in the United States, Canada, and Australia recorded intubation data onto a Web-based data collection tool, with a gre...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究


    authors: Brown CA 3rd,Bair AE,Pallin DJ,Walls RM,NEAR III Investigators.

    更新日期:2015-04-01 00:00:00

  • How do physicians adopt and apply opioid prescription guidelines in the emergency department? A qualitative study.

    abstract:STUDY OBJECTIVE:An increase in prescriptions for opioid pain medications has coincided with increasing opioid overdose deaths. Guidelines designed to optimize opioid prescriptions written in the emergency department have been implemented, with substantial controversy. Little is known about how physicians perceive and a...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Kilaru AS,Gadsden SM,Perrone J,Paciotti B,Barg FK,Meisel ZF

    更新日期:2014-11-01 00:00:00

  • Effect of immediate fluid resuscitation on the rate, volume, and duration of pulmonary vascular hemorrhage in a sheep model of penetrating thoracic trauma.

    abstract:STUDY OBJECTIVE:To determine the effects of early fluid resuscitation on the rate, volume, and duration of hemorrhage using a sheep model of uncontrolled pulmonary vascular hemorrhage. METHODS:Sixteen adult sheep were anesthetized and fitted with catheters to measure systemic and pulmonary artery pressures. A branch o...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Sakles JC,Sena MJ,Knight DA,Davis JM

    更新日期:1997-03-01 00:00:00

  • Toxic shock syndrome: a review.

    abstract::TSS is a recently described acute febrile illness characterized by hypotension, rash, desquamation, and multisystemic involvement. While most common in menstruating women, TSS also occurs in men and non-menstruating women. It is now known that the disease is caused by one or more toxins produced by the S aureus organi...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审


    authors: Wright SW,Trott AT

    更新日期:1988-03-01 00:00:00

  • What do health savings accounts mean for the emergency department?

    abstract::The insurance market is evolving, with increased emphasis on plans with high deductibles and a large degree of coinsurance. This article serves as an introduction to the defining characteristics of consumer-driven health care plans and their associated health savings accounts. We discuss the most recent evidence on th...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: McConnell KJ

    更新日期:2005-12-01 00:00:00

  • Past, present, and future immunotherapy of snake venom poisoning.

    abstract::Management of snake venom poisoning with antivenin has been the time-proven and medically accepted standard in virtually every country, including the United States. All antivenins are equine in source, and administration to patients exposes them to all the adverse effects of heterologous antisera. The purity and speci...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Sullivan JB Jr

    更新日期:1987-09-01 00:00:00