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Ancient communications were slow and precarious, so overseas commanders enjoyed/suffered from partial absence of control by home authorities. Isolation should not be overdone. Literary sources mention official letters home only when remarkable for some reason. Requests to the senate for supplies from Rome were made routinely. Equally, some messages and orders arrived from Carthage. ‘Peripheral imperialism’, far-reaching decisions by men on the spot, are a feature of Roman operations in Iberia. Publius Scipio (father)’s decision to fight the war there is a good example. Other examples are reviewed. Hannibal’s treaty with Philip was co-signed by Carthaginian advisers. Appointment of good subordinates is an important indicator of the quality of a commander’s personal initiatives. Italian Locri is taken as a case study because Hannibal and Scipio both made decisions affecting it. Hannibal’s appointee Hamilcar was guilty of long-term arrogance but was perhaps not as bad as Scipio’s scandalous lieutenant Quintus Pleminius.
The physical world could drain and erode morale. The weather proved to be a central feature in the infantrymen’s experience of war. This chapter considers key themes that emerge from soldiers’ descriptions of winter: the cold, the rain, the mud, the snow, all of which were exacerbated by soldiers’ exhaustion. It discusses in turn the experience of winter 1914, winter 1916, and winter through spring 1917/18. These experiences fed negative perceptions of the military and encouraged men to view the war more pessimistically. They complained about trench conditions, clothing, and food. Furthermore, the anticipation of winter (as much as the experience of it) harmed motivation and morale. It undermined soldiers’ ability to visualise the future as they became frozen in time. Yet, soldiers’ negativity and pessimism after Passchendaele indicate that a deeper, more problematic, and increasingly pervasive gloom descended over the BEF in winter 1917/18. Yet, even then, men fell back on coping mechanisms. Their resilience shone through as they were able to project their discomfort onto the enemy and rationalise their winter experiences as a necessary (and temporary) trial. In fact, the experience of winter transformed soldiers’ perceptions of the campaigning season, which they viewed in a much more positive light. Spring and summer were preferable to the impotence of winter. Even if the warmer months promised more fighting, there was some agency to be found in battle. Furthermore, military action might end the war before the onset of the next winter.
This chapter examines the “nuts and bolts” of war, including the formidable problems of movement and supply, transportation and administration. Logistics represent a vital element of warfare, indispensable to the operations of armies ever since the emergence of organized warfare. Broadly defined, this concept involves moving, supplying, and maintaining military forces, as well as transportation of material, food and animals, communications, personnel replacement, quarters, depots, and rear administration. The Napoleonic Wars witnessed important developments in the logistics and one of its lasting effects was creation and successful dissemination of bureaucratic reforms that improved state’s ability to mobilize forces and extract resources
Describes the ACEP Geriatric ED Accreditation Program and how this guide can be used if preparing for it. Emphasizes that the scope of change may be small or large; pace may be gradual over years; or dramatic over a year. No wrong place to start; no wrong choices to make. Be bold.
The Hospital Surge Preparedness and Response Index is an all-hazards template developed by a group of emergency management and disaster medicine experts from the United States. The objective of the Hospital Surge Preparedness and Response Index is to improve planning by linking action items to institutional triggers across the surge capacity continuum. This responder tool is a non-exhaustive, high-level template: administrators should tailor these elements to their individual institutional protocols and constraints for optimal efficiency. The Hospital Surge Preparedness and Response Index can be used to provide administrators with a snapshot of their facility’s current service capacity in order to promote efficiency and situational awareness both internally and among regional partners.
In the summer of 1914 the armies that went to war in the East were formed according to similar rules and used similar tactics; all were based on conscription and all boasted vast numbers of men. It was believed that the biggest reservoir of human beings offered the best chance of victory. In this respect the statistics were unequivocal: no state could rival Russia. Moreover, even on a peace footing, the Russian army was three times the size of the German army and ten times that of the Austro-Hungarian army. One could attempt to redress this imbalance through training and equipment, and indeed that is what the Central Powers started to do on a large scale, once war had begun. In July 1914 all sides in the conflict – Russia, Germany, Austria-Hungary, and Serbia – had comparable ordnance which did not differ much from the arsenals tested recently on the battlefields of Thrace and Macedonia.
Caporetto had changed the very nature of Italy’s war from an offensive war into a struggle for survival. Italian armed forces, morale, supplies and finance needed to be bolstered, and Britain made the greatest effort – but not for free.
Warfare is not only about exerting military force but also about logistics. Men need arms to fight efficiently and, above all, they have to eat. Thus to a significant degree the struggle for survival and foodstuffs determined the Caste War during its first two decades. Although government forces often suffered as a result of insufficient supplies, they could at least rely on existing structures of production, distribution and transport, such as haciendas, trades and roads. The Caste War rebels, on the other hand, had to create their own economic system from scratch. While insurgents were mostly in a position to live “off the country,” commandeering or plundering the required resources in the areas under their control during the first year of the conflict, provisioning combatants and their families became more trying after their withdrawal to the eastern and southeastern parts of the peninsula. Firearms, powder, lead and other desired items had to be procured either by looting in the government-controlled area or purchasing them in Belize.
Warfare is not only about exerting military force but also about logistics. Men need arms to fight efficiently and, above all, they have to eat. Thus to a significant degree the struggle for survival and foodstuffs determined the Caste War during its first two decades. Although government forces often suffered as a result of insufficient supplies, they could at least rely on existing structures of production, distribution and transport, such as haciendas, trades and roads. The Caste War rebels, on the other hand, had to create their own economic system from scratch. While insurgents were mostly in a position to live “off the country,” commandeering or plundering the required resources in the areas under their control during the first year of the conflict, provisioning combatants and their families became more trying after their withdrawal to the eastern and southeastern parts of the peninsula. Firearms, powder, lead and other desired items had to be procured either by looting in the government-controlled area or purchasing them in Belize.
This Panel Session consisted of three country reports (Democratic People's Republic of Korea; Sri Lanka; and Timor-Leste) and the common issues identified during the Panel discussions relative to industrial accidents and conflicts in the Southeast Asia Region. Important issues identified included the needs for: (1) use of medical technology; (2) stockpiling of essential supplies; (3) human resource development; (4) surveillance systems for disease detection; (5) coordination; and (6) emergency funding.
On 09 April 2004, Typhoon Sudal struck the Island of Yap in the Federated States of Micronesia (FSM). Over 90% of homes, public utilities, and public property were damaged or destroyed. Nearly 10% of the population was displaced to shelters, and the majority of the population was without drinking water or power. United States disaster workers were deployed to Yap for three months to assist in the recovery and relief efforts.
Objective:
The objective of this study was to evaluate the acute healthcare needs of the US disaster relief population serving in a remote setting with limited medical resources.
Methods:
A retrospective chart review of all disaster relief workers presenting to an emergency clinic in Yap during the disaster relief effort from April 2004–July 2004 was performed. Investigators extracted demographic data, chief complaints, medical histories, medical management, disposition, and outcome data from the clinic charts.
Results:
Together, the 60 disaster workers present on Yap during the relief effort made 163 patient contacts in the disaster emergency clinic. A total of 92% of patient contacts were for minor medical complaints or minor trauma, 13% were for upper-respiratory infections, 9% were for gastrointestinal illness, and 9% were for dermatological problems. Eight percent of visits were for serious medical problems or trauma. Life-threatening illnesses or injuries did not occur.
Conclusions:
Disaster relief workers on Yap frequently utilized the disaster relief clinic. In general, disaster workers remained healthy during the relief effort in Yap, and most injuries and illnesses were minor. On-site medical providers resulted in rapid care and stabilization, and after treatment, disaster workers were able to return to duty.
The catamaran HS Sleipner struck a rock and sunk in bad weather and heavy seas on 26 November 1999. Rescue efforts were provided by helicopters and other ships. A total of 68 victims were rescued alive and 16 died, mostly by drowning. Problems were encountered with evacuation, life jackets, and life rafts. Most of those rescued alive suffered from hypothermia. Response times for rescue helicopters should be improved. Emphasis should be placed on correct manifest lists of passengers and crew. Special emphasis must be placed on media relations and cross-boundary issues. Exercises should focus on cooperation and coordination.