Naval War College Review – In the Coast Guardís superb search-and-rescue response to Hurricane Katrina, there was a noticeable absence of Coast Guard medical personnel. The U.S. Coast Guardís health services are not prepared for the operational role that will be forced upon them by a maritime mass-casualty incident, whether terrorist attack or accidentóon a vessel, in a harbor, or on the waterfront. Organizational and cultural change will be required to achieve all-hazards first-response preparedness.
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