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Emergency Medical Services (EMS) Consultants: 3
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Crisis Management Consultant Luiz Hargreaves
Luiz Hargreaves
AAS, MD, MA, MSc
Orlando FL
USA
Dr. Luiz Hargreaves is a Brazilian emergency physician, holding an MA in Security Management (Webster University) and an MS in Political Science with a focus in International Terrorism. His passion for the field of Crisis and Disaster Preparedness, Management, and Homeland Security, having been engaged for some years as Director of the Medical Department at the Brazilian House of Representatives as well as the Emergency Coordinator of the Special Operations Unit.
His previous experience extends to planning and managing emergency response operations, disaster preparedness and homeland security, including five presidential inaugurations, mass gathering, sporting and entertainment events involving many celebrities and some official visits by Heads of State and other authorities.
In the Academic field, Dr. Hargreaves has lectured at different Universities and worked as a speaker in many conferences abroad. He also has many years of experience as a Professor and Academic Coordinator for several Graduate programs. He is the author of various books and articles in the field of disaster preparedness, crisis management, and Homeland Security.
Core Competencies:
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Languages Spoken: Portuguese, English, Spanish, French (Basic) and Italian (Basic).
Areas of Expertise:
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1/27/2016
· Crisis Management
As an emergency professional, we are prepared to deal with unexpected situations, including disasters. Every time we hear about potential or real crisis, we automatically review the procedures in our minds and the desire to help is enormous. On many occasions, I would like to go directly to a scene to assist the victims and my peers. I believe that this feeling is not different among everyone involved in this field.
10/21/2015
· Crisis Management
Some articles have been written over the years about panic in disasters and fires. The idea that panic rarely occurs in disasters has been readily accepted. When disasters happen, usually, people act in such a way to show solidarity with the other victims. It is common to see some degree of organization in order to assist searches and reconstruction work.
9/9/2015
· Crisis Management
In 1903, a fire killed more than 600 people in the Iroquois Theater in Chicago. Most of the victims were children. Among the causes of this tragedy were inadequate emergency exits, insufficient and poorly signposted, overcrowding, lack of fire protection equipment and even suspicion of bribery of persons responsible for overseen the safety conditions of the Theater.
2/11/2013
· Crisis Management
By: Luiz Hargreaves
The proverb above has received different versions, including this one credited to Benjamin Franklin. A kingdom lost because of a nail. We could also say, a disaster caused by a simple problem that could have been avoided.
11/2/2012
· Crisis Management
It is usual to find on beaches, sand castles being built. They arouse the curiosity of many, especially children and are really true masterpieces. However, the more elaborate and larger they are, the easier it is for them to be destroyed, what ends up constituting a paradox. The more sophisticated, the more fragile.
11/23/2010
· Crisis Management
There once was a fire in a forest, the animals were in panic… they saw a hummingbird going towards the river, picking up some water in order to try to extinguish the fire. He repeated this gesture frequently and thoroughly.
11/23/2010
· Crisis Management
In recent years, organizations have increasingly been incorporating strategic planning into management. All organizations, including State(s), have missions, values and visions. In other words, it is necessary for everyone in these organizations to understand what it means to work for this corporation or what it means to be a government employee.
Aquatics Safety Consultant Gerald Dworkin
Gerald Dworkin
Consultant. Aquatics Safety & Water Rescue
P.O. Box 3006
3 Mills Rd.
Kennebunkport ME
04046
USA
phone: 207-967-8614
Gerald M. Dworkin is a professional Aquatics Safety & Water Rescue Consultant for Lifesaving Resources, LLC. He has an extensive background in Aquatics Safety, Lifeguard Training and Operations, Water Rescue, Swiftwater Rescue, Surf Rescue, and Ice Rescue, EMS and Firefighting. Along with several textbooks, he has written and published over 40 articles, and has consulted in over 500 drowning and aquatic injury litigation cases as both a Plaintiff and Defense Expert Witness.
Expert Witness Services
As an expert witness, Mr. Dworkin evaluates the Standard of Care as it pertains to Incident Prevention, Victim Recognition, and Emergency Management and provides accident reconstruction, depositions, written reports, and courtroom testimony.
His Areas of Expertise Include:
- Lifesaving, Lifeguarding and Aquatics Safety
- Water Rescue, Swiftwater Rescue, Surf Rescue, and Ice Rescue
- CPR (Cardiopulmonary Resuscitation) & Basic Life Support
- Mechanisms & Physiology of Drowning
- Drowning and Aquatic Injury Prevention and Emergency Management
- Lifeguard Training and Operations
- Mechanisms and Emergency Management of Diving Accidents
1/15/2015
· Emergency Medical Services (EMS)
By: Gerald Dworkin
Based on our research of ice rescue incidents and fatalities during the years 2006 & 2007, approximately 85% of the incidents were initiated as a result of humans venturing out onto the ice to rescue a domestic animal. The purpose of this article is three-fold. First, we need to educate the public about the need to control their pets and to prevent them from going out onto the ice because no ice should ever be considered as being "safe ice". Second, we need to also educate the public to call 911, rather than to make an attempt to rescue their pets that have fallen through the ice. And, third, First Responder agencies and their personnel need to be trained and equipped to properly, effectively, and safely respond to domestic animal rescues on and through the ice.
12/5/2014
· Emergency Medical Services (EMS)
By: Gerald Dworkin
In February 2004, the National Fire Protection Association (NFPA) published NFPA 1670: Standard on Operations and Training for Technical Search and Rescue Incidents. The purpose of this standard is to minimize threats to rescuers while conducting operations at technical SAR incidents, and the standard deals specifically with identifying and establishing levels of functional capability for conducting technical rescue operations safely and effectively. Although these standards were designed for all types of Technical Rescue operations, they also address water and ice rescue operations.
10/28/2014
· Aquatics Safety
By: Gerald Dworkin
On July 13, 2004, a 55-year-old man collapsed in the Medina (Ohio) Aquatic and Fitness Center. The aquatic manager for the city, Darlene Donkin, responded and assessed him to be in cardiac arrest. Although Donkin was a CPR instructor and taught more than 100 classes on the subject, she had never actually performed it in a life-and-death situation prior to this incident.
9/16/2014
· Aquatics Safety
By: Gerald Dworkin
The following incidents and places, as well as the circumstances surrounding them, are fictional. On the Scene Dispatch at 16:04 hrs: KGT-597 to Rescue 15, respond to Bakersville Pond off Cemetery Island for a report of a dog through the ice, approximately 100 yards from shore.
8/7/2014
· Aquatics Safety
By: Gerald Dworkin
DALLAS, April 1 - Chest compressions alone, or Hands-Only Cardiopulmonary Resuscitation (CPR), can save lives and can be used to help an adult who suddenly collapses, according to a new American Heart Association scientific statement.
7/2/2014
· Aquatics Safety
By: Gerald Dworkin
Shallow Water Blackout (SWB) vs. Hyperventilation-Induced Blackout (HIB)....
4/9/2014
· Accident Prevention & Safety
By: Gerald Dworkin
TWO BOYS, age 11, are ice skating at a local pond. Suddenly, the ice cracks and one boy falls through into 34 degree Fahrenheit water. His friend runs to his aid, and potential tragedy grows as the second boy is pulled into the ice cold water by the panic stricken child already in the water. Unless help is immediately available, both boys will perish within a few minutes, either from drowning or hypothermia (decreased body temperature).
2/27/2014
· Accident Prevention & Safety
By: Gerald Dworkin
Based on a 1961 study at Williamston, MI, conducted by the Michigan State Police, the Indiana University Health and Safety Department, the Michigan Highway Department, and the American Red Cross, it was estimated that approximately 400 persons lose their lives as a result of being trapped in automobiles that have plunged into the water.
1/24/2014
· Aquatics Safety
By: Gerald Dworkin
Although showing a slight downward trend, U.S. pool-related drownings have see-sawed for the past several years - despite reinforcement of safety messages in the media.
12/19/2013
· Aquatics Safety
By: Gerald Dworkin
Properly recognizing and managing suspected spinal injuries caused by head-first entries into the water require high levels of training. Lifeguards and other water rescue personnel must be able to evaluate the signs and symptoms associated with spinal trauma and the manner in which an injury occurs. The rescuer should assume that a spinal injury exists if the forces causing the trauma were sufficient to damage the spine.
11/14/2013
· Aquatics Safety
By: Gerald Dworkin
In the event a firefighter is suddenly and unexpectedly immersed in deep water while wearing full turnout gear, the firefighter's survival is dependent upon the actions taken during the first critical seconds of the immersion. The incidence of this type of emergency increases when firefighters are fighting apartment fires around a swimming pool, during suppression activities on and around piers and docks, as well as during a fall-through incident in which the firefighter falls through a floor into a basement filled with water.
10/16/2013
· Aquatics Safety
By: Gerald Dworkin
The purpose of this article is to describe the proper use and application of the Stearns Cold Water/ Ice Rescue Suit by Fire, Rescue, and other Public Safety Personnel during cold water and ice rescue incidents. This article has been specifically written to address the prevention of Torso Reflex or Inhalation Response during the rescuer's entry into cold water.
9/25/2013
· Aquatics Safety
By: Gerald Dworkin
Nearly half of all flood related deaths occur in vehicles. Most of these deaths take place when people drive into flooded highway dips or low drainage areas.
8/22/2013
· Aquatics Safety
By: Gerald Dworkin
In 1996, a tragic accident occurred on a soccer field at Northeast Park in the Park Ridge Recreation and Park District in Illinois. After a short rain delay in the game, the skies started clearing and a referee decided to resume play.
8/8/2013
· Pools and Spas (Recreational)
By: Gerald Dworkin
Since 1980, the Consumer Product Safety Commission (CPSC) has documented over 18 incidents, including five deaths, involving children between the ages of two and 14 who were injured or died due to body part entrapment involving the drain of a swimming pool, wading pool or spa.
7/18/2013
· Aquatics Safety
By: Gerald Dworkin
As a result of renewed electronic and print media exposure, the Heimlich Controversy has once more reared its head creating a confusing message for lifeguard and other rescue personnel regarding the resuscitation procedures to be used when confronted with a near-drowning resuscitation incident.
6/21/2013
· Aquatics Safety
By: Gerald Dworkin
A Statement for Healthcare Professionals From the American Heart Association Task Force on Automatic External Defibrillation
5/29/2013
· Aquatics Safety
By: Gerald Dworkin
All public and semi-public aquatic facilities should be equipped with appropriate spinal immobilization devices (SIDs), in addition to cervical collars, lateral stabilization items (i.e. blankets, towels, sand bags, and so forth), and appropriate immobilization material (i.e. straps and bandages).
4/23/2013
· Aquatics Safety
By: Gerald Dworkin
Because of the major health concerns today, there is a major reluctance among emergency service personnel to perform direct mouth-to-mouth rescue breathing on an unknown victim.
3/20/2013
· Aquatics Safety
By: Gerald Dworkin
For the past three issues, jems has presented a thorough review of spinal immobilization devices that are used in traditional rescue situations.
2/13/2013
· Aquatics Safety
By: Gerald Dworkin
Each year approximately one million people in the United States suffer from acute myocardial infarction (heart attack) of which approximately 700,000 die. About 350,000 of these fatalities occur outside the hospital, usually within two hours after the onset of symptoms of a heart disorder.
11/29/2012
· Aquatics Safety
By: Gerald Dworkin
During an emergency is not when you want to discover that your equipment is incompatible with your EMS service. Avoiding that fate can save a lot, including a life.
10/1/2012
· Aquatics Safety
By: Gerald Dworkin
Torso Reflex, also known as Gasp Reflex , Inhalation Response, or Cold Water Shock, is caused by sudden immersion into water colder than 70 degrees F. Sudden immersion into cold water triggers an involuntary reflexive torso gasp that can cause the person to aspirate water into his/her airway and lungs, which can lead to laryngospasm, disorientation, panic, and the loss of any physical ability to swim or remain afloat.
3/19/2012
· Aquatics Safety
By: Gerald Dworkin
I’ve always advocated the need for aquatics facilities to collaborate and coordinate lifeguard and water rescue training and emergency operations with community fire, rescue, emergency medical services (EMS) and law enforcement agencies.
12/20/2011
· Aquatics Safety
By: Gerald Dworkin
For aquatics facilities to effectively integrate rescue and safety services with those of the local fire and rescue agencies and emergency medical services (EMS), it's imperative that all agencies establish collaborative agreements and cooperative training programs.
10/7/2011
· Aquatics Safety
By: Gerald Dworkin
The National Fire Protection Association (NFPA) establishes standards for the Fire and Rescue industry.
9/25/2009
· Aquatics Safety
By: Gerald Dworkin
In February 2004, the National Fire Protection Association (NFPA) published NFPA 1670: Standard on Operations and Training for Technical Search and Rescue (SAR) Incidents. The purpose of this standard was to minimize threats to rescuers while conducting operations at technical SAR incidents.
9/24/2009
· Aquatics Safety
By: Gerald Dworkin
Each year, there are approximately 1,500 incidents and 600 deaths occur involving vehicles that have gone off the road and plummeted into the water. Therefore, the public needs to plan for these types of emergencies by (A) rehearsing the steps necessary for a successful self-rescue from a vehicle in the water, and (B) having the rescue/escape tools readily available for use during this type of emergency situation.
Emergency Medicine Consultant Gary Tamkin
Gary W. Tamkin MD Inc.
Dr. Gary Tamkin, MD, FACEP
4 Valley High
Lafayette CA
94549
USA
phone: 925-786-8469
I am a board-certified emergency medicine physician. I have been called upon to express opinions in the areas of medical malpractice, personal injury, negligence, standard of care, and causation. I am involved in both plaintiff and defense cases, and expert witness work accounts for less than 10% of my total income.
My qualifications include:
- Award-winning emergency physician in active practice with 30 years clinical experience
- Associate Clinical Professor of Emergency Medicine at University of California San Francisco School of Medicine (volunteer)
- Current VP of company that staffs 500 emergency departments, overseeing more than 5000 ER providers in risk management and quality assurance issues
- Fellow of the American College of Emergency Physicians (FACEP)
- Past President of the California Chapter of the American College of Emergency Physicians
- Medical Director of California Highway Patrol
- Extensive publication and speaking experience in the area of emergency medicine
Featured resources
EMT: Basic Pearls of Wisdom (2nd ed.)
by Guy H. Haskell, PhD, JD, NREMT-P
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by Jon Burroughs, MD, et al
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