Dan Hanfling Selected Publications

Rubinson L, Hick JL, Hanfling D, Care for the Critically Ill During a Disaster: A Framework for Optimizing Critical Care Surge Capacity, Chest 2008; 133: 18S – 31S.

Place RC, Hanfling D, Howell JM, Mayer TA, Bioterrorism-Related Inhalational Anthrax: Can Extrapolated Adult Guidelines Be Applied to A Pediatric Population? Biosecurity and Bioterrorism, Mar 2007, Vol. 5, No. 1: 35 -42

Hanfling D, Equipment, Supplies and Pharmaceuticals: How Much Might it Cost to Achieve Basic Surge Capacity? Academic Emergency Medicine, 2006 13: 1232-1237.

Hanfling D, Lang CR, Aircrash Preparedness and Response in Disaster Medicine, 1st Edition, ed. Greg Ciottone, Mosby, 2006.

Hanfling D, Llewellyn C, Burkle, F, International Disaster Response in Disaster Medicine, 1st Edition, ed. Greg Ciottone, Mosby, 2006.

Hanfling D, West Nile Virus in Preparing for the Written Board Examination in Emergency Medicine, 5th Edition; ed. Carol Rivers, Milford, OH: Emergency Medicine Educational Enterprises, Inc., 2005.

Hanfling D, Smallpox in Preparing for the Written Board Examination in Emergency Medicine, 5th Edition, ed. Carol Rivers, Milford, OH: Emergency Medicine Educational Enterprises, Inc., 2005.

Hanfling D, Desper J, Healthcare Facility Disaster Preparedness in Disaster Preparedness for Healthcare Executives, ed. Jay Shiver and P.J. Maddox, 2005, unpublished monograph.

Howell JM, Mayer TA, Hanfling D et.al., Screening for Inhalational Anthrax Due to Bioterrorism: Evaluating Proposed Screening Protocols, Clinical Infectious Disease, 2004 Dec 15;39(12):1842-7.

Watts, D., Hanfling, D., Waller, M., Gilmore, C., Fakhry, S, & Trask, A.,. (2004). An Evaluation of the Use of Guidelines in Prehospital Management of Brain Injury. Journal of Prehospital Emergency Care, Vol. 8, No. 3, July/September 2004, pp. 254-261.

Hick, JL, Hanfling, D, Burstein JL, et. al., Health Care Facility and Community Strategies for Patient Care Surge Capacity, Annals of Emergency Medicine, September 2004.

Hanfling, D, Schafer, K, Armstrong, C, Challenges for Healthcare Preparedness for Homeland Security, in Topics in Emergency Medicine. Vol. 26, No. 2, April/June 2004, pp. 128-142.

Hick, JL, Hanfling, D, Burstein, JL, et. al., Protective Equipment for Healthcare Facility Decontamination Personnel: Regulations, Risks and Recommendations, Annals of Emergency Medicine 2003; 42:370-380.

Hick, JL, Penn, P, Hanfling, D, et.al., Training Healthcare Facility Decontamination Teams, Annals of Emergency Medicine 2003; 42:381-390.

Mayer TA, Morrison A, Bersoff-Matcha S, Hanfling D, et. al.: Inhalational Anthrax Due to Bioterrorism: Would Current CDC Guidelines Identify the 11 October-November 200l Cases?, Clinical Infectious Disease, 2003; 36:1275-83.

Jones, J, Hanfling, D, Howell, J, “Amiodarone Does Not Increase Scene Time in Cardiac Arrest”, poster presentation, regional SAEM, Washington, DC, March 2003

Vojtko, M, Hanfling, D, The Sternal IO and Vascular Access – Any Port in a Storm, Air Medical Journal, 22:1 January-February 2003 p. 1-3.

Mayer TA, Bersoff-Matcha S, Murphy C, Hanfling D, et al.: Clinical Presentation of Inhalational Anthrax Following Bioterrorism Exposure: Report of 2 Surviving Patients. JAMA 2001; 286: 2549-2553.

Hanfling D, Addo-Ayensu G, Mayer TA, Inventing the Wheel: Creating a Regional Disaster Response Following Bioterrorism in the National Capital Region, monograph [unpublished]

Drenkard K, Hanfling D, Healthcare System Disaster Preparedness, Journal of Nursing Administration, Volume 32, No. 9, pp. 461-469, September 2002.

“Forming the Initial Link: Educating Providers in the Guidelines for Pre-hospital Management of Traumatic Brain Injury,” Dan Hanfling, Dorraine D. Watts, Thom A. Mayer, Arthur L. Trask, Samir M. Fakhry, poster presentation, ACEP Research Forum, Chicago, IL October 2001.

“Educating Pre-hospital providers about Stroke,” Dan Hanfling, Yves Duroseau, John M. Howell, Thom A. Mayer, poster presentation, ACEP Research Forum, Chicago, IL October 2001.

“The Hemodynamic Effects of Calcium Chloride in a Canine Model of Acute Propranolol Intoxication,” Jeffrey N. Love, Dan Hanfling, John M. Howell, Annals of Emergency Medicine. 1996:28:1-6.

“Cardiovascular Effects of Calcium Chloride in a Canine Model of Acute Propranolol Intoxication,” poster presentation, Society of Academic Emergency Medicine, Annual Meeting, Denver, CO, May 1996.

“Benign Angiopathy of the Central Nervous System,” poster presentation, American College of Physicians, Providence, RI, May 1993.

“SIDS Deaths in New York City Welfare Hotels, 1986 – 1988,” Public Health Research Project, New York City Department of Health, with Dr. Ellis Arnstein and Dr. Karla Damus, 1988.

INVITED LECTURES/PRESENTATIONS

National Academy of Sciences, Institute of Medicine, “Consequences of IND Detonation: Evacuation of Serious Casualties”, Washington DC, August 7, 2008.

Inova Regional Trauma Center, Surgical Critical Care Forum, “Disaster Triage: Allocating Scarce Medical Resources”, Falls Church, VA, July 21, 2008.

National Institute of Health, National Library of Medicine, “Creating a Regional Response to Disaster Events”, Bethesda, MD, April 21, 2008.

Rush University, Continuing Medical Education Programs, “Faces of Flu”, Birmingham, AL, November 14, 2007.

University of Arkansas, Washington Regional Medical Center, Hospital Disaster Planning Conference, “Strategies for Surge Capacity Planning”, Fayetteville, AR, November 10, 2007.

American College of Chest Physicians, Annual Conference, “ICU Disaster Planning – Best Practices at Inova Health System”, Chicago, IL, October 21, 2007.

University of Kansas Medical Center, “Surge Capacity: Plans and Perils”, Wichita, KS, October 15, 2007.

Veterans Health Administration, Conference on Altered Standards of Care, “A View from the Private Sector – Developing an Approach to Altered Standards of Care”, Arlington, VA, September 6, 2007.

CDC/AMA 2nd National Congress on Public Health Preparedness, Medical Capacity Planning Community Awards, “The Northern Virginia Hospital Alliance – Creating a Regional Healthcare Response Capability”, Washington, DC, July 18, 2007.

World Research Group, Surge Capacity Planning Conference, “Surge Capacity and Altered Standards of Care”, Chicago, IL, April 19, 2007.

National Disaster Medical System, Annual Meeting, “Role of Healthcare Partnerships in Medical Surge Capability”, Nashville, TN, April 20, 2007.

Rush University, Continuing Medical Education Programs, “Faces of Flu”, Atlanta, GA, January 18, 2007.

DARPA, Defense Science Office Seminar on Biodefense, “From ‘Reload’ to ‘Overload’: The Emergency Department and an Alternative Care Model for Bioterror Response”, Arlington, VA, December 13, 2006.

Beijing Municipal Health Bureau, 2006 Sino-American Conference on Disaster Medicine, “Overview of US Emergency Preparedness and Response: All Disasters are Local”, Beijing, China, December 7, 2006

Beijing Municipal Health Bureau, 2006 Sino-American Conference on Disaster Medicine, “Healthcare Facility Preparedness for Disaster”, Beijing, China, December 7, 2006.

University of Kansas Medical Center, Hospital Disaster Preparedness Conference, “Creating Medical Surge and It’s Effects on Standards of Care”, Overland Park, KS, November 9, 2006.

OSHA-JCAHO National Conference, Disaster Readiness on the Homefront, “Surge Capacity Management”, Washington, DC, October 19, 2006.

California Hospital Association, “Medical Surge Capacity and Altered Standards of Care”, Sacramento, CA, September 27, 2006.

Center for Biosecurity, University of Pittsburgh Medical Center, Disease Disaster and Democracy, “Providing Medical Care in the Setting of Limited Resources” panel discussion, Washington, DC, May 23, 2006.

Israel Ministry of Health and Medical Corps of the Israel Defense Forces, Emergency and Disaster Preparedness Course, “Integrating Local, State and Federal Disaster Response in the United States”, Mishmeret Hasharon, Israel, May 7, 2006.

Centers for Disease Control and Prevention, Inhalation Anthrax Clinical Guidelines Expert Review Group, “Suggested Revisions to the CDC Guidelines: The Inova Fairfax Protocol”, Atlanta, GA, March 13, 2006

Infectious Disease Society of America, Seasonal and Pandemic Influenza 2006: At the Crossroads, “A Critical Metric for Successful Pandemic Flu Planning: Creating Healthcare Facility Surge Capacity”, Washington, DC, February 2, 2006

NASA, International Health Continuing Education Series- Session 15, “Local and Regional Aspects of Emergency Response to Disaster”, Washington, D.C., December 2, 2005.

Uniformed Services University for Health Sciences, CBRNE Response Course, “Confined Space Medicine”, Bethesda, MD, November 15, 2005.

OSHA-JCAHO National Summit on the First Receiver Guidelines, “How to Dress for Success: Selecting Chemical Protective Clothing”, Washington, D.C., October 6, 2005.

Missouri Hospital Association, “It Could Happen Here: Disaster in the Heartland”, Branson, MO, June 9, 2005.

Disaster Preparedness and Response: Comparing the Israeli and American Perspectives, “Responding to Chemical Attack”, Richmond, VA, April 11, 2005.

Department of Defense, Defense Science Board, “Medical Surge Capacity”, Arlington, VA, April 5, 2005.

Greater Nashville Emergency Preparedness Challenge, “Lessons Learned from 9-11 and Anthrax Attacks”, Nashville, TN, February 22, 2005.

State of Michigan, Disaster Preparedness Conference, “Responding to Disaster: Leading the Way”, Lansing, MI, January 31, 2005.

North Dakota and Montana Family Practice Association Annual Meeting, “Physician Leadership in Disaster Preparedness”, Big Sky, MO, January 17, 2005

Inova Fairfax Hospital, Pediatric Grand Rounds, “Terror Targeting Children: Considerations for Pediatric Disaster Planning”, Falls Church, VA, December 9, 2004.

George Mason University, 2nd Annual Biodefense Conference, “Evaluating Screening Proposals for Identification of Inhalational Anthrax”, Arlington, VA, November 23, 2004.

Montana Healthcare Association, Annual Conference, Keynote Address, “Making Healthcare a Part of the Homeland Security Equation: Making Due With What You Have”, Billings, MT, September 23, 2004.

St. Vincent’s Healthcare System, Special Grand Rounds, “Physician Leadership in Disaster Preparedness: Influencing the Outcome”, Billings, MT, September 23, 2004.

University of South Dakota, Department of Internal Medicine Grand Rounds, “Physician Leadership in Disaster Preparedness: Influencing the Outcome”, Sioux Falls, SD, September 22, 2004.

South Dakota 3rd Annual Bioterrorism Preparedness Conference, “Ten Lessons Learned Post 911: Or Lessons Yet to Learn”, Sioux Falls, SD, September 21, 2004.

Uniformed Services University for Health Sciences, Counterterrorism Lecture Series, “Collapsed Structures and Confined Space Medicine”, Bethesda, MD, April 15, 2004.

Association of Air Medical Services 2004 Spring Conference, “Medical Director as Team Leader—How to Get it Right”, Washington, DC, March 5, 2004.

George Mason University, School of Public Policy, “Accidental Biological, Chemical and Radiological Release Events – Lessons and Implications for Disaster Preparedness”, Arlington, VA, March 2, 2004.

Virginia Biotechnology Summit, “Healthcare System IT Disaster Support: Diagnosis, Reporting and Response.” Tysons Corner, VA, October 15, 2003.

George Mason University, School of Public Policy, “Healthcare System Disaster Preparedness and Response: Policies and Practices.” Arlington, VA, October 7, 2003.

NASA, International Health Continuing Education Series, Bioterrorism – Session 7: “I Think I Have Anthrax … Responding to Bioterror in the National Capital Region”, NASA Headquarters, Washington, DC, August 22, 2003.

Council on Foreign Relations, Emergency Responders Panel briefing on CFR Task Force Report “Emergency Responders: Drastically Underfunded, Dangerously Unprepared,” Washington, DC, June 30, 2003.

Johns Hopkins University, Center for BioDefense Strategies, Smallpox Vaccine Panel Discussion, Baltimore, MD, June 18, 2003.

Arizona EMS Association Annual Meeting, “Do I Have to Get Dressed Up? Recommendations for Use of Personal Protective Equipment by Healthcare Facility Personnel,” Mesa, AZ, June 5, 2003.

Uniformed Services University for Health Sciences panel discussion, “Community Preparedness for Bioterrorism,” Bethesda, MD, May 6, 2003.

American College of Emergency Physicians, Emergency Medicine Connections Conference. “2003 Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE) Update.” New Orleans, LA, April 28, 2003.

American College of Emergency Physicians, Emergency Medicine Connections Conference. “Healthcare Management Aspects of Terrorism Preparedness.” New Orleans, LA, April 30, 2003.

Air Medical Transport Conference. “Inova AirCare Response to the Pentagon—The Role of AirMedical Transport in Support of Homeland Security Initiatives.” Kansas City, MO, November 6, 2002.

State of Nebraska EMS Medical Directors Meeting, “Implementation of Prehospital Traumatic Brain Injury Protocols.” Omaha, NE, October 11, 2002. [on behalf of Brain Trauma Foundation]

State of Nebraska EMS Medical Directors Meeting, “America Under Attack – Responding to Hell.” Omaha, NE, October 11, 2002.

State of Washington EMS Medical Directors Meeting. “Implementation of Prehospital Traumatic Brain Injury Protocols.” SeaTac, WA, October 10, 2002. [on behalf of Brain Trauma Foundation]

I Congresso de Medicina Emergencia. “America Under Attack – Responding to Hell.” Santiago, Chile, September 11, 2002.

I Congresso de Medicina Emergencia. “Prehospital Care Delivery: Load and Go, or Stay and Play – A comparison of International EMS Systems.” Santiago, Chile, September 10, 2002.

I Congresso de Medicina Emergencia. “Emergency Medical Services in the United States—Educating the First Responders.” Santiago, Chile, September 10, 2002.

GOVSEC, The Government Security Expo and Conference. “The New ‘First Responders’: Emergency Department and Hospital Preparedness for Mass Decontamination.” Washington, D.C., July 24, 2002.

Premier Bioterrorism Readiness Networking Forum. “Supply Chain Management Post 9-11.” Baltimore, MD, July 17, 2002.

Johns Hopkins University School of Public Health, Center for Civilian BioDefense Studies, Medical and Public Health Aspects of Bioterrorism. “Anthrax as a Biological Weapon – Who Are the First Responders?” Baltimore, MD, June 12, 2002.

Armed Forces Journal Conference on Homeland Security and Bioterrorism Response. “The Integration of Public/Private Health Partnership.” Arlington, VA, May 23, 2002.

Panel Discussion on the Role of Trauma Centers in Homeland Security. “Who Are the First Responders?” American Trauma Society Annual Meeting, Arlington, VA, April 22, 2002.

Consequences of Terrorism, Regional Medical Response Training for a Nuclear, Biological or Chemical Attack. “Who Are the First Responders?” New Hanover Health Network, Wilmington, NC, April 12, 2002.

American College of Emergency Physicians, The Fight Against Terrorism: The Role of Emergency Medicine, “Emergency Department and Hospital Preparedness,” Chicago, IL, March 10, 2002.

American College of Emergency Physicians, The Fight Against Terrorism: The Role of Emergency Medicine, “Understanding Homeland Security,” Chicago, IL, March 10, 2002.

George Washington University, “After 9/11 – Today’s Lessons for Tomorrows Preparedness.” Examining How Hospitals can Develop Disaster and Crisis Management Plans.” Washington, D.C., February 28, 2002.

Department of Defense, Defense Science Board Briefing “Anthrax Attacks and Lessons Learned” Arlington, VA, February 20, 2002.

Health Finance Management Association, “Hospital Preparedness in the Wake of 9/11,” Charlottesville, VA, February 14, 2002.

Health Leaders, Roundtable Discussion on Hospital Disaster Preparedness, Nashville, TN, February 7, 2002.

Premier Advocacy, Federal Affairs Network Meeting, “Disaster Preparedness-Views From the Frontline,” Washington, D.C., December 11, 2001.

“Fire and Collapse at the Pentagon: A Review of USAID/OFDA Urban Search and Rescue Capabilities.” XXIII Congress of Pan-American Intensive Care Society, Pucon, Chile, November 3, 2001.

Subject Matter Expert, Armed Forces Journal WMD III Conference: Bioterrorism Consequence Management Tabletop Exercise, Herndon, VA, April 2-3, 2001.

“Acute Stroke Management: From the Living Room to the Emergency Room,” Acute Stroke Treatment and Prevention in the New Millennium, Kaiser Permanente of the MidAtlantic Region seminar series, National Institutes of Health, May 2001.

“Critical Care Bed Tracking System,” in Armed Forces Journal WMD II Conference: Communications Interoperability Seminar, McLean, VA, October 2000.

“Bells and Whistles: New ED Products to Consider,” lecture presentation, ACEP Emergency Medicine Connection, New York, NY, April 2000.

“Hot Topics in ED Information Systems,” lecture presentation, ACEP Emergency Medicine Connection, New York, NY, April 2000.

“Defying the Rule of Holes: Urban Search and Rescue,” lecture presentation, Inova Fairfax Hospital Internal Medicine Grand Rounds, April 2000.

“The Threat of Biological Terrorism: What if the Genie Gets Out of the Bottle?,” lecture presentation, Inova Fairfax Hospital Emergency Medicine Grand Rounds, April 1999.

“Mountain Madness: High Altitude Illness and the Mount Everest Disaster,” lecture presentation, Inova Fairfax Hospital, Emergency Medicine Grand Rounds, April 1998.

“Airport Emergency Planning and Mass Casualty Response,” lecture presentation, Greater Caribbean Regional Initiative, SAR Conference, San Juan, PR, August 1996.

“Aircrash Emergency Preparedness and Disaster Response,” lecture presentation, Airport Safety Management Seminar, San Jose, Costa Rica, August 1995.

EDUCATIONAL VIDEO PROJECT

“Healthcare Facility Mass Decontamination” instructional video, Inova Health System, 2002.

“Healthcare Facility Disaster Response: What should you do?” instructional video, Inova Health System, 2006.

FUNDED RESEARCH PROJECTS

Co-Principal Investigator, Advanced Resuscitation of Refractory VT/VF IV Amiodarone Evaluation (ARRIVE) Registry, Grant funded by Wyeth-Amherst Laboratories, July 2001 – June 2002.

INVITED WORKING GROUP ACTIVITIES

Booz Allen Hamilton, Veterans Health Administration, Comprehensive Emergency Management Program Analysis project [June 2007 to present]

State of Colorado, Department of Public Health, Office of EMS, Trauma Site Review, Swedish Medical Center [August 11-12, 2008]

American College of Chest Physicians, Working Group on Emergency Mass Critical Care [January 2007]

DHS/HHS Joint Advisory Working Group on Research and Development [June 2007 to present]

American College of Emergency Physicians, Medical Response Coordination and Collaboration project [January 2007 to present]

Horizon Foundation (Howard County, Maryland), Pandemic Influenza Stratification of Care project [December 2006 to present]

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, HAVBED Advisory Working Group [December 2006]

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, Alternate Care Facility Advisory Panel [November 2006 – June 2008]

Department of Health and Human Services, Public Health and Medical Workgroup, National Mutual Aid and Resource Management Initiative [October 2006]

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, Providing Mass Medical Care with Scarce Resources project development [April 2006]

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, Mass Evacuation Project Advisory Board [April 2006]

United States Coast Guard, Mass Rescue Working Group, [February 2006]

Health Resources and Services Administration, U.S, Department of Health and Human Services, Expert Panel for Development of HRSA Grant Performance Measures [January 2006]

University of Pittsburgh Medical Center, Center for Biosecurity, Strategic Medical Intelligence Initiative, Working Group on Forensic Epidemiology, January 2006.

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, CBRNE Survey Advisory Committee Meeting, Reston, VA, June 21, 2005.

University of Pittsburgh Medical Center, Center for BioSecurity, Working Group on Emergency Mass Critical Care and Study Group on Mass Casualty Mechanical Ventilation [June 2003 – June 2005].

Occupational Safety Health Administration, Protecting Hospital-Based ‘First Receivers’ During Large Scale Emergencies, Stakeholders meeting and review panel, Washington, DC, December 9, 2003.

Department of Homeland Security, Lessons Learned Information Sharing Network [MIPT/DFI/Stimson Center/CBACI], Multidisciplinary Research Working Group [February 2004].

Department of Homeland Security, Office of Domestic Preparedness, Training Strategy Revision working group, Washington DC, December 5, 2003 through August 2004.

State of Missouri, Office of Emergency Medical Services, Trauma System Review Team, St. Louis, February 27-28, 2006; Kansas City, January 31-February 1, 2006; Kansas City, December 16-17, 2004; St. Louis, MO, November 3-4, 2004; Kansas City, MO, October 27-29, 2003.

Subject Matter Expert, Naval Medical Research Center (NMRC) Institutional Review Board to review RESUS: Restore Effective SUrvival in Shock study protocol, Bethesda, MD [July 2003- June 2005].

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, Grants Application Review Committee, Building the Evidence to Promote Bioterrorism and other Public Health Emergency Preparedness in Health Care Systems, Rockville, MD, September 4-5, 2003.

NASA, Medical Policy Formulation for Extreme Environments Workshop, Tysons Corner, VA, July 24-25, 2003 and Fairfax, VA, December 8, 2005.

Georgetown University, Working Sessions on the Psychosocial Dimensions of Biodefense, Washington, DC, June – November 2003.

CONGRESSIONAL TESTIMONY

Congressional Testimony, U.S. Congress, Senate Committee on Health, Education, Labor and Pensions, “Enhancing Public Health and Medical Preparedness: Reauthorization of Public Health Security and Bioterrorism Preparedness and Response Act”, Dirksen Senate Office Building, Washington, D.C., March 16, 2006.

Secure Virginia Initiative, Health and Medical Subpanel, “Health and Medical Policy Development and Planning for ‘All Hazards’ Disaster Preparedness”, Richmond, Virginia, August 21, 2002.

Secure Virginia Initiative Panel, Health and Medical Forum on Terrorism Preparedness, “Diagnosing Anthrax: Lessons Learned?” Richmond, Virginia, April 25, 2002.

Congressional Briefing, U.S. Congress, Healthcare Leadership Council, “Lessons Learned in Recent Disaster Events,” U.S. Capitol Building, Washington, D.C., December 5, 2001.

Congressional Testimony, U.S. Congress, Senate Governmental Affairs Committee on “Terrorism Through the Mail: Protecting the Postal Workers and the Public.” Dirksen Senate Office Building, Washington, D.C., October 31, 2001.

State of Virginia, General Assembly Testimony before Virginia Preparedness and Security Panel, Health, Medical & Agriculture Subcommittee, Richmond, Virginia, October 18, 2001.

Congressional Testimony, U.S. Congress, Senate Governmental Affairs Subcommittee on International Security, Proliferation, and Federal Services on “FEMA’s Role in Managing a Bioterrorist Attack and the Impact of Public Health Concerns on Bioterrorism Preparedness,” Dirksen Senate Office Building, Washington, D.C., July 23, 2001.