id author title date pages extension mime words sentences flesch summary cache txt cord-018237-5qfdqlpw Rinnert, K. J. Catastrophic Anachronisms: The Past, Present and Future of Disaster Medicine 2006 .txt text/plain 5571 222 37 Regardless of disaster events, on a daily basis, the great majority of healthcare facilities and emergency medical services (EMS) systems, even in prosperous Western nations, are overwhelmed in terms of emergency care capacity, be they government-based or private entities. Some key reasons for increases in the frequency, magnitude and impact of disasters (natural, unintentional and intentional) since the mid-20 th century z Exponential growth of human populations, concentrated in high-risk venues (e.g., shorelines, earthquake zones and prior uninhabited regions), particularly those externally dependent upon on others for sustenance (food supply chains), power resources and public health hygiene, making human populations increasingly vulnerable when infrastructures disrupted. In essence, there is a spiraling risk for catastrophic events involving multiple casualties and population-based medical morbidity, including proximal injury and illness and subsequent psychological and public health concerns (Table 1) . Even within hospitals, dealing with disaster management is generally administrative in nature (training, equipment, procedures, personnel) and consumes and diverts medical care professionals' time and efforts from their day-to-day patient care activities. ./cache/cord-018237-5qfdqlpw.txt ./txt/cord-018237-5qfdqlpw.txt