26 results
A Modified Simple Triage and Rapid Treatment Algorithm from the New York City (USA) Fire Department
- Faizan H. Arshad, Alan Williams, Glenn Asaeda, Douglas Isaacs, Bradley Kaufman, David Ben-Eli, Dario Gonzalez, John P. Freese, Joan Hillgardner, Jessica Weakley, Charles B. Hall, Mayris P. Webber, David J. Prezant
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- Journal:
- Prehospital and Disaster Medicine / Volume 30 / Issue 2 / April 2015
- Published online by Cambridge University Press:
- 17 February 2015, pp. 199-204
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- April 2015
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Introduction
The objective of this study was to determine if modification of the Simple Triage and Rapid Treatment (START) system by the addition of an Orange category, intermediate between the most critically injured (Red) and the non-critical, non-ambulatory injured (Yellow), would reduce over- and under-triage rates in a simulated mass-casualty incident (MCI) exercise.
MethodsA computer-simulation exercise of identical presentations of an MCI scenario involving a 2-train collision, with 28 case scenarios, was provided for triaging to two groups: the Fire Department of the City of New York (FDNY; n = 1,347) using modified START, and the Emergency Medical Services (EMS) providers from the Eagles 2012 EMS conference (Lafayette, Louisiana USA; n = 110) using unmodified START. Percent correct by triage category was calculated for each group. Performance was then compared between the two EMS groups on the five cases where Orange was the correct answer under the modified START system.
ResultsOverall, FDNY-EMS providers correctly triaged 91.2% of cases using FDNY-START whereas non-FDNY-Eagles providers correctly triaged 87.1% of cases using unmodified START. In analysis of the five Orange cases (chest pain or dyspnea without obvious trauma), FDNY-EMS performed significantly better using FDNY-START, correctly triaging 86.3% of cases (over-triage 1.5%; under-triage 12.2%), whereas the non-FDNY-Eagles group using unmodified START correctly triaged 81.5% of cases (over-triage 17.3%; under-triage 1.3%), a difference of 4.9% (95% CI, 1.5-8.2).
ConclusionsThe FDNY-START system may allow providers to prioritize casualties using an intermediate category (Orange) more properly aligned to meet patient needs, and as such, may reduce the rates of over-triage compared with START. The FDNY-START system decreases the variability in patient sorting while maintaining high field utility without needing computer assistance or extensive retraining. Comparison of triage algorithms at actual MCIs is needed; however, initial feedback is promising, suggesting that FDNY-START can improve triage with minimal additional training and cost.
. ,Arshad FH ,Williams A ,Asaeda G ,Isaacs D ,Kaufman B ,Ben-Eli D ,Gonzalez D ,Freese JP ,Hillgardner J ,Weakley J ,Hall CB ,Webber MP .Prezant DJ A Modified Simple Triage and Rapid Treatment Algorithm from the New York City (USA) Fire Department . Prehosp Disaster Med.2015 ;30 (2 ):1 -6
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- By Naila A. Ahmad, Dua M. Anderson, Jennifer Aunspaugh, Sabrina T. Bent, Adam Broussard, Staci Cameron, Rahul Dasgupta, Ravinder Devgun, Ofer N. Eytan, Sean H. Flack, Terry G. Fletcher, Charles James Fox, Mary Elise Fox, Scott Friedman, Louise K. Furukawa, Sonja Gennuso, Stanley M. Hall, Hani Hanna, Jacob Hummel, James E. Hunt, Ranu Jain, Joe R. Jansen, Deepa Kattail, Alan David Kaye, David J. Krodel, Gregory J. Latham, Sungeun Lee, Michael G. Levitzky, Alexander Y. Lin, Carl Lo, Hoa N. Luu, Camila Lyon, Kelly A. Machovec, Lizabeth D. Martin, Maria Matuszczak, Patrick S. McCarty, Brenda C. McClain, J. Grant McFadyen, Helen Nazareth, Dolores B. Njoku, Christina M. Pabelick, Shannon M. Peters, Amit Prabhakar, Michael Richards, Kasia Rubin, Joel A. Saltzman, Lisgelia Santana, Gabriel Sarah, Katherine Stammen, John Stork, Kim M. Strupp, Lalitha V. Sundararaman, Rosalie F. Tassone, Douglas R. Thompson, Nicole C. P. Thompson, Paul A. Tripi, Jacqueline L. Tutiven, Navyugjit Virk, Stacey Watt, B. Craig Weldon, Maria Zestus
- Edited by Alan David Kaye, Louisiana State University, Charles James Fox, Tulane University School of Medicine, Louisiana, James H. Diaz, Louisiana State University
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- Essentials of Pediatric Anesthesiology
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- 05 November 2014
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- 16 October 2014, pp ix-xii
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- By Marc Alexander, Joe Bray, Beatrix Busse, Patricia Canning, Ronald Carter, Jonathan Charteris-Black, Billy Clark, Tracy Cruickshank, Barbara Dancygier, Alan Durant, Catherine Emmott, Olga Fischer, Joanna Gavins, Alison Gibbons, Christiana Gregoriou, Geoff Hall, Craig Hamilton, Patrick Colm Hogan, Lesley Jeffries, Manuel Jobert, Rodney H. Jones, Marina Lambrou, Benedict Lin, Bill Louw, Dan McIntyre, Michaela Mahlberg, Jessica Mason, David S. Miall, Sara Mills, Marija Milojkovic, Ruth Page, David Peplow, Mick Short, Paul Simpson, Violeta Sotirova, Gerard Steen, Peter Stockwell, Michael Stubbs, Michael Toolan, Katie Wales, Sara Whiteley
- Edited by Peter Stockwell, University of Nottingham, Sara Whiteley, University of Sheffield
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- The Cambridge Handbook of Stylistics
- Published online:
- 05 March 2015
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- 08 May 2014, pp ix-xv
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- By C. Alan Anderson, Celso Arango, David B. Arciniegas, Igor Bombin, Robert W. Buchanan, C. Robert Cloninger, Joshua Cosman, C. Munro Cullum, Felipe DeBrigard, Steven L. Dubovsky, Robert Feinstein, Lynne Fenton, Christopher M. Filley, Laura A. Flashman, Morris Freedman, Oliver Freudenreich, Kimberly L. Frey, Lauren C. Frey, Kelly S. Giovanello, Deborah A. Hall, John Hart, Kenneth M. Heilman, Katherine L. Howard, Robin A. Hurley, Daniel I. Kaufer, Sita Kedia, James P. Kelly, B. K. Kleinschmidt-DeMasters, Benzi M. Kluger, David G. Lichter, Deborah M. Little, Deborah M. Lucas, Thomas W. McAllister, Mario F. Mendez, Doron Merims, Steven G. Ojemann, Fred Ovsiew, Brian D. Power, Bruce H. Price, Gila Z. Reckess, Martin L. Reite, Matthew Rizzo, Donald C. Rojas, Michael Henry Rosenbloom, Elliott D. Ross, Jeremy D. Schmahmann, Stuart A. Schneck, Jonathan M. Silver, Mark C. Spitz, Sergio E. Starkstein, Katherine H. Taber, Robert L. Trestman, Hal S. Wortzel
- Edited by David B. Arciniegas, C. Alan Anderson, Christopher M. Filley
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- Behavioral Neurology & Neuropsychiatry
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- 05 February 2013
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- 24 January 2013, pp vii-x
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- Edited by Gillette H. Hall, Georgetown University, Washington DC, Harry Anthony Patrinos
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- Indigenous Peoples, Poverty, and Development
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- 05 May 2012
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- 30 April 2012, pp xv-xviii
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- By Yasir Abu-Omar, Matthew E. Atkins, Joseph E. Arrowsmith, Alan Ashworth, Rubia Baldassarri, Craig R. Bailey, David J. Barron, Christiana C. Burt, David Cardone, Coralie Carle, Jose Coddens, Alan M. Cohen, Simon Colah, Sarah Conolly, David J. Daly, Helen M. Daly, Stefan G. De Hert, Ravi J. De Silva, Mark Dougherty, John J. Dunning, Maros Elsik, Betsy Evans, Florian Falter, Nigel Farnum, Jens Fassl, Juliet E. Foweraker, Simon P. Fynn, Andrew I. Gardner, Margaret I. Gillham, Martin J. Goddard, Maximilien J. Gourdin, Jon Graham, Stephen J. Gray, Cameron Graydon, Fabio Guarracino, Roger M. O. Hall, Michael Haney, Charles W. Hogue, Ben W. Howes, Bevan Hughes, Siân I. Jaggar, David P. Jenkins, Jörn Karhausen, Todd Kiefer, Khalid Khan, Andrew A. Klein, John D. Kneeshaw, Andrew C. Knowles, Catherine V. Koffel, R. Clive Landis, Trevor W. R. Lee, Clive J. Lewis, Jonathan H. Mackay, Amod Manocha, Jonathan B. Mark, Sarah Marstin, William T. McBride, Kenneth H. McKinlay, Alan F. Merry, Berend Mets, Britta Millhoff, Kevin P. Morris, Samer A. M. Nashef, Andrew Neitzel, Stephane Noble, Rabi Panigrahi, Barbora Parizkova, J. M. Tom Pierce, Mihai V. Podgoreanu, Hans-Joachim Priebe, Paul Quinton, C. Ramaswamy Rajamohan, Doris M. Rassl, Tom Rawlings, Fiona E. Reynolds, Andrew J. Richardson, David Riddington, Andrew Roscoe, Paul H. M. Sadleir, Ving Yuen See Tho, Herve Schlotterbeck, Maura Screaton, Shitalkumar Shah, Harjot Singh, Jon H. Smith, M. L. Srikanth, Yeewei W. Teo, Kamen P. Valchanov, Jean-Pierre van Besouw, Isabeau A. Walker, Stephen T. Webb, Francis C. Wells, John Whitbread, Charles Willmott, Patrick Wouters
- Edited by Jonathan H. Mackay, Joseph E. Arrowsmith
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- Core Topics in Cardiac Anesthesia
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- 05 April 2012
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- 15 March 2012, pp x-xiii
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Empiric Management of Cyanide Toxicity Associated with Smoke Inhalation
- Daniel J. O’Brien, Donald W. Walsh, Colleen M. Terriff, Alan H. Hall
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- Prehospital and Disaster Medicine / Volume 26 / Issue 5 / October 2011
- Published online by Cambridge University Press:
- 26 November 2011, pp. 374-382
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- October 2011
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Enclosed-space smoke inhalation is the fifth most common cause of all unintentional injury deaths in the United States. Increasingly, cyanide has been recognized as a significant toxicant in many cases of smoke inhalation. However, it cannot be emergently verified. Failure to recognize the possibility of cyanide toxicity may result in inadequate treatment. Findings suggestive cyanide toxicity include: (1) a history of an enclosed-space fire scene in which smoke inhalation was likely; (2) the presence of oropharyngeal soot or carbonaceous expectorations; (3) any alteration of the level of consciousness, and particularly, otherwise inexplicable hypotension (systolic blood pressure ≤90 mmHg in adults). Prehospital studies have demonstrated the feasibility and safety of empiric treatment with hydroxocobalamin for patients with suspected smoke inhalation cyanide toxicity. Although United States Food and Drug Administration (FDA)-approved since 2006, the lack of efficacy data has stymied the routine use of this potentially lifesaving antidote. Based on a literature review and on-site observation of the Paris Fire Brigade, emergency management protocols to guide empiric and early hydroxocobalamin administration in smoke inhalation victims with high-risk presentations are proposed.
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- By Shamsuddin Akhtar, Greg Albert, Sidney Allison, Muhammad Anwar, Haruo Arita, Amanda Barker, Mary Hanna Bekhit, Jeanna Blitz, Tyson Bolinske, David Burbulys, Asokumar Buvanendran, Gregory Cain, Keith A. Candiotti, Daniel B. Carr, Derek Chalmers, John Charney, Rex Cheng, Roger Chou, Keun Sam Chung, Anna Clebone, Frederick Conlin, Susan Dabu-Bondoc, Tiffany Denepitiya-Balicki, Jeanette Derdemezi, Anahat Kaur Dhillon, Ho Dzung, Juan Jose Egas, Stephen M. Eskaros, Zhuang T. Fang, Claudia R. Fernandez Robles, Victor A. Filadora, Ellen Flanagan, Dan Froicu, Allison Gandey, Nehal Gatha, Boris Gelman, Christopher Gharibo, Muhammad K. Ghori, Brian Ginsberg, Michael E. Goldberg, Jeff Gudin, Thomas Halaszynski, Martin Hale, Dorothea Hall, Craig T. Hartrick, Justin Hata, Lars E. Helgeson, Joe C. Hong, Richard W. Hong, Balazs Horvath, Eric S. Hsu, Gabriel Jacobs, Jonathan S. Jahr, Rongjie Jaing, Inderjeet Singh Julka, Zeev N. Kain, Clinton Kakazu, Kianusch Kiai, Mary Keyes, Michael M. Kim, Peter G. Lacouture, Ryan Lanier, Vivian K. Lee, Mark J. Lema, Oscar A. de Leon-Casasola, Imanuel Lerman, Philip Levin, Steven Levin, JinLei Li, Eric C. Lin, Sharon Lin, David A. Lindley, Ana M. Lobo, Marisa Lomanto, Mirjana Lovrincevic, Brenda C. McClain, Tariq Malik, Jure Marijic, Joseph Marino, Laura Mechtler, Alan Miller, Carly Miller, Amit Mirchandani, Sukanya Mitra, Fleurise Montecillo, James M. Moore, Debra E. Morrison, Philip F. Morway, Carsten Nadjat-Haiem, Hamid Nourmand, Dana Oprea, Sunil J. Panchal, Edward J. Park, Kathleen Ji Park, Kellie Park, Parisa Partownavid, Akta Patel, Bijal Patel, Komal D. Patel, Neesa Patel, Swati Patel, Paul M. Peloso, Danielle Perret, Anthony DePlato, Marjorie Podraza Stiegler, Despina Psillides, Mamatha Punjala, Johan Raeder, Siamak Rahman, Aziz M. Razzuk, Maggy G. Riad, Kristin L. Richards, R. Todd Rinnier, Ian W. Rodger, Joseph Rosa, Abraham Rosenbaum, Alireza Sadoughi, Veena Salgar, Leslie Schechter, Michael Seneca, Yasser F. Shaheen, James H. Shull, Elizabeth Sinatra, Raymond S. Sinatra, Neil Singla, Neil Sinha, Denis V. Snegovskikh, Dmitri Souzdalnitski, Julie Sramcik, Zoreh Steffens, Alexander Timchenko, Vadim Tokhner, Marc C. Torjman, Co T. Truong, Nalini Vadivelu, Ashley Vaughn, Anjali Vira, Eugene R. Viscusi, Dajie Wang, Shu-ming Wang, J. Michael Watkins-Pitchford, Steven J. Weisman, Ira Whitten, Bryan S. Williams, Jeremy M. Wong, Thomas Wong, Christopher Wray, Yaw Wu, Anthony T. Yarussi, Laurie Yonemoto, Bita H. Zadeh, Jill Zafar, Martha Zegarra, Keren Ziv
- Edited by Raymond S. Sinatra, Jonathan S. Jahr, University of California, Los Angeles, School of Medicine, J. Michael Watkins-Pitchford
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- Book:
- The Essence of Analgesia and Analgesics
- Published online:
- 06 December 2010
- Print publication:
- 14 October 2010, pp xi-xviii
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. Deichmann Edwards, Miguel A. De La Torre, George E. Demacopoulos, Thomas de Mayo, Leah DeVun, Beatriz de Vasconcellos Dias, Dennis C. Dickerson, John M. Dillon, Luis Miguel Donatello, Igor Dorfmann-Lazarev, Susanna Drake, Jonathan A. Draper, N. Dreher Martin, Otto Dreydoppel, Angelyn Dries, A. J. Droge, Francis X. D'Sa, Marilyn Dunn, Nicole Wilkinson Duran, Rifaat Ebied, Mark J. Edwards, William H. Edwards, Leonard H. Ehrlich, Nancy L. Eiesland, Martin Elbel, J. Harold Ellens, Stephen Ellingson, Marvin M. Ellison, Robert Ellsberg, Jean Bethke Elshtain, Eldon Jay Epp, Peter C. Erb, Tassilo Erhardt, Maria Erling, Noel Leo Erskine, Gillian R. Evans, Virginia Fabella, Michael A. Fahey, Edward Farley, Margaret A. Farley, Wendy Farley, Robert Fastiggi, Seena Fazel, Duncan S. Ferguson, Helwar Figueroa, Paul Corby Finney, Kyriaki Karidoyanes FitzGerald, Thomas E. FitzGerald, John R. Fitzmier, Marie Therese Flanagan, Sabina Flanagan, Claude Flipo, Ronald B. Flowers, Carole Fontaine, David Ford, Mary Ford, Stephanie A. Ford, Jim Forest, William Franke, Robert M. Franklin, Ruth Franzén, Edward H. Friedman, Samuel Frouisou, Lorelei F. Fuchs, Jojo M. Fung, Inger Furseth, Richard R. Gaillardetz, Brandon Gallaher, China Galland, Mark Galli, Ismael García, Tharscisse Gatwa, Jean-Marie Gaudeul, Luis María Gavilanes del Castillo, Pavel L. Gavrilyuk, Volney P. Gay, Metropolitan Athanasios Geevargis, Kondothra M. George, Mary Gerhart, Simon Gikandi, Maurice Gilbert, Michael J. Gillgannon, Verónica Giménez Beliveau, Terryl Givens, Beth Glazier-McDonald, Philip Gleason, Menghun Goh, Brian Golding, Bishop Hilario M. Gomez, Michelle A. Gonzalez, Donald K. Gorrell, Roy Gottfried, Tamara Grdzelidze, Joel B. Green, Niels Henrik Gregersen, Cristina Grenholm, Herbert Griffiths, Eric W. Gritsch, Erich S. Gruen, Christoffer H. Grundmann, Paul H. Gundani, Jon P. Gunnemann, Petre Guran, Vidar L. Haanes, Jeremiah M. Hackett, Getatchew Haile, Douglas John Hall, Nicholas Hammond, Daphne Hampson, Jehu J. Hanciles, Barry Hankins, Jennifer Haraguchi, Stanley S. Harakas, Anthony John Harding, Conrad L. Harkins, J. William Harmless, Marjory Harper, Amir Harrak, Joel F. Harrington, Mark W. Harris, Susan Ashbrook Harvey, Van A. Harvey, R. Chris Hassel, Jione Havea, Daniel Hawk, Diana L. Hayes, Leslie Hayes, Priscilla Hayner, S. Mark Heim, Simo Heininen, Richard P. Heitzenrater, Eila Helander, David Hempton, Scott H. Hendrix, Jan-Olav Henriksen, Gina Hens-Piazza, Carter Heyward, Nicholas J. Higham, David Hilliard, Norman A. Hjelm, Peter C. Hodgson, Arthur Holder, M. Jan Holton, Dwight N. Hopkins, Ronnie Po-chia Hsia, Po-Ho Huang, James Hudnut-Beumler, Jennifer S. Hughes, Leonard M. Hummel, Mary E. Hunt, Laennec Hurbon, Mark Hutchinson, Susan E. Hylen, Mary Beth Ingham, H. Larry Ingle, Dale T. Irvin, Jon Isaak, Paul John Isaak, Ada María Isasi-Díaz, Hans Raun Iversen, Margaret C. Jacob, Arthur James, Maria Jansdotter-Samuelsson, David Jasper, Werner G. Jeanrond, Renée Jeffery, David Lyle Jeffrey, Theodore W. Jennings, David H. Jensen, Robin Margaret Jensen, David Jobling, Dale A. Johnson, Elizabeth A. Johnson, Maxwell E. Johnson, Sarah Johnson, Mark D. Johnston, F. Stanley Jones, James William Jones, John R. Jones, Alissa Jones Nelson, Inge Jonsson, Jan Joosten, Elizabeth Judd, Mulambya Peggy Kabonde, Robert Kaggwa, Sylvester Kahakwa, Isaac Kalimi, Ogbu U. Kalu, Eunice Kamaara, Wayne C. Kannaday, Musimbi Kanyoro, Veli-Matti Kärkkäinen, Frank Kaufmann, Léon Nguapitshi Kayongo, Richard Kearney, Alice A. Keefe, Ralph Keen, Catherine Keller, Anthony J. Kelly, Karen Kennelly, Kathi Lynn Kern, Fergus Kerr, Edward Kessler, George Kilcourse, Heup Young Kim, Kim Sung-Hae, Kim Yong-Bock, Kim Yung Suk, Richard King, Thomas M. King, Robert M. Kingdon, Ross Kinsler, Hans G. Kippenberg, Cheryl A. Kirk-Duggan, Clifton Kirkpatrick, Leonid Kishkovsky, Nadieszda Kizenko, Jeffrey Klaiber, Hans-Josef Klauck, Sidney Knight, Samuel Kobia, Robert Kolb, Karla Ann Koll, Heikki Kotila, Donald Kraybill, Philip D. W. Krey, Yves Krumenacker, Jeffrey Kah-Jin Kuan, Simanga R. Kumalo, Peter Kuzmic, Simon Shui-Man Kwan, Kwok Pui-lan, André LaCocque, Stephen E. Lahey, John Tsz Pang Lai, Emiel Lamberts, Armando Lampe, Craig Lampe, Beverly J. Lanzetta, Eve LaPlante, Lizette Larson-Miller, Ariel Bybee Laughton, Leonard Lawlor, Bentley Layton, Robin A. Leaver, Karen Lebacqz, Archie Chi Chung Lee, Marilyn J. Legge, Hervé LeGrand, D. L. LeMahieu, Raymond Lemieux, Bill J. Leonard, Ellen M. Leonard, Outi Leppä, Jean Lesaulnier, Nantawan Boonprasat Lewis, Henrietta Leyser, Alexei Lidov, Bernard Lightman, Paul Chang-Ha Lim, Carter Lindberg, Mark R. Lindsay, James R. Linville, James C. Livingston, Ann Loades, David Loades, Jean-Claude Loba-Mkole, Lo Lung Kwong, Wati Longchar, Eleazar López, David W. Lotz, Andrew Louth, Robin W. Lovin, William Luis, Frank D. Macchia, Diarmaid N. J. MacCulloch, Kirk R. MacGregor, Marjory A. MacLean, Donald MacLeod, Tomas S. Maddela, Inge Mager, Laurenti Magesa, David G. Maillu, Fortunato Mallimaci, Philip Mamalakis, Kä Mana, Ukachukwu Chris Manus, Herbert Robinson Marbury, Reuel Norman Marigza, Jacqueline Mariña, Antti Marjanen, Luiz C. L. Marques, Madipoane Masenya (ngwan'a Mphahlele), Caleb J. D. Maskell, Steve Mason, Thomas Massaro, Fernando Matamoros Ponce, András Máté-Tóth, Odair Pedroso Mateus, Dinis Matsolo, Fumitaka Matsuoka, John D'Arcy May, Yelena Mazour-Matusevich, Theodore Mbazumutima, John S. McClure, Christian McConnell, Lee Martin McDonald, Gary B. McGee, Thomas McGowan, Alister E. McGrath, Richard J. McGregor, John A. McGuckin, Maud Burnett McInerney, Elsie Anne McKee, Mary B. McKinley, James F. McMillan, Ernan McMullin, Kathleen E. McVey, M. Douglas Meeks, Monica Jyotsna Melanchthon, Ilie Melniciuc-Puica, Everett Mendoza, Raymond A. Mentzer, William W. Menzies, Ina Merdjanova, Franziska Metzger, Constant J. Mews, Marvin Meyer, Carol Meyers, Vasile Mihoc, Gunner Bjerg Mikkelsen, Maria Inêz de Castro Millen, Clyde Lee Miller, Bonnie J. Miller-McLemore, Alexander Mirkovic, Paul Misner, Nozomu Miyahira, R. W. L. Moberly, Gerald Moede, Aloo Osotsi Mojola, Sunanda Mongia, Rebeca Montemayor, James Moore, Roger E. Moore, Craig E. Morrison O.Carm, Jeffry H. Morrison, Keith Morrison, Wilson J. Moses, Tefetso Henry Mothibe, Mokgethi Motlhabi, Fulata Moyo, Henry Mugabe, Jesse Ndwiga Kanyua Mugambi, Peggy Mulambya-Kabonde, Robert Bruce Mullin, Pamela Mullins Reaves, Saskia Murk Jansen, Heleen L. Murre-Van den Berg, Augustine Musopole, Isaac M. T. Mwase, Philomena Mwaura, Cecilia Nahnfeldt, Anne Nasimiyu Wasike, Carmiña Navia Velasco, Thulani Ndlazi, Alexander Negrov, James B. Nelson, David G. Newcombe, Carol Newsom, Helen J. 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Phan, Isabel Apawo Phiri, William S. F. Pickering, Derrick G. Pitard, William Elvis Plata, Zlatko Plese, John Plummer, James Newton Poling, Ronald Popivchak, Andrew Porter, Ute Possekel, James M. Powell, Enos Das Pradhan, Devadasan Premnath, Jaime Adrían Prieto Valladares, Anne Primavesi, Randall Prior, María Alicia Puente Lutteroth, Eduardo Guzmão Quadros, Albert Rabil, Laurent William Ramambason, Apolonio M. Ranche, Vololona Randriamanantena Andriamitandrina, Lawrence R. Rast, Paul L. Redditt, Adele Reinhartz, Rolf Rendtorff, Pål Repstad, James N. Rhodes, John K. Riches, Joerg Rieger, Sharon H. Ringe, Sandra Rios, Tyler Roberts, David M. Robinson, James M. Robinson, Joanne Maguire Robinson, Richard A. H. Robinson, Roy R. Robson, Jack B. Rogers, Maria Roginska, Sidney Rooy, Rev. Garnett Roper, Maria José Fontelas Rosado-Nunes, Andrew C. Ross, Stefan Rossbach, François Rossier, John D. Roth, John K. Roth, Phillip Rothwell, Richard E. 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The Cult of Saints and the Virgin Mary in Medieval Scotland
- Edited by Steve Boardman, Eila Williamson
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- 19 August 2010
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Of all the Celtic countries, Scotland has lacked the kind of scholarly attention that has been lavished fruitfully on Wales, Ireland, Cornwall and Brittany. And yet of all of them, Scotland offers the widest range of interfaces with broader work on the cult of saints. The papers presented here cover this territory very effectively.... [the book] brings together excellent studies that successfully explore the wide ramifications of the topic. Anyone with an interest in saints' cults will want this book. DAUVIT BROUN, Professor of Scottish History, University of Glasgow. This volume examines the phenomena of the cult of saints and Marian devotion as they were manifested in Scotland, ranging from the early medieval period to the sixteenth century. It combines general surveys of the development of the study of saints in the early and later middle ages with more focused articles on particular subjects, including St Waltheof of Melrose, the obscure early medieval origins of the cult of St Munnu, the short-lived martyr cult of David, duke of Rothsay, and the Scottish saints included in the greatest liturgical compendium produced in late medieval Scotland, the Aberdeen breviary. The way in which Marian devotion permeated late medieval Scottish society is discussed in terms of the church dedications of the twelfth and thirteenth-century aristocracy, the ecclesiastical landscape of Perth, the depiction of Mary in Gaelic poetry, and the pervasive influence of the familial bond between holy mother and son in representations of the Scottish royal family. Dr Steve Boardman is Reader in History, University of Edinburgh; Eila Williamson gained her PhD from the University of Glasgow. Contributors: Helen Birkett, Steve Boardman, Rachel Butter, Thomas Owen Clancy, David Ditchburn, Audrey-Beth Fitch, Mark A. Hall, Matthew H. Hammond, Sim Innes, Alan Macquarrie
Index
- Edited by Steve Boardman, Reader in History, University of Edinburgh, Eila Williamson, Gained her PhD from the University of Glasgow.
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1 - The Big Man, the Footsteps, and the Fissile Saint: paradigms and problems in studies of insular saints' cults
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In this chapter, the focus is primarily on the problems that beset investigating saints' cults in the early medieval period, something approached also in Rachel Butter's incisive case-study of St Munnu. The Survey of Dedications to Saints in Medieval Scotland is one of the most welcome developments in such investigations. First, it will help us understand the dynamism and evolution of saints' cults during the later medieval period, a period for which there remains a great deal of work to do, and much headway to be gained in refining and opening out our understanding of medieval Scottish piety and the nexus between society and religion. Second, and more importantly for this contribution, it will help to clarify for us what we do and do not know about the later medieval position of the cult of those saints already present in the Scottish landscape in the period before the twelfth century. It has become increasingly apparent in recent studies that no real progress can be made in our understanding of early medieval saints' cults without a firm grasp of the nature of the later medieval evidence for those cults. This is especially so, given the paucity of clear documentation cited for the likes of church dedications or fair days by key secondary sources like Mackinlay's Ancient Church Dedications and Watson's Celtic Place-Names of Scotland. This chapter primarily addresses the evidence provided by one source which has had to remain largely outwith the remit of the Survey: place-name evidence.
10 - The ‘McRoberts thesis’ and patterns of sanctity in late medieval Scotland
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In 1968 The Innes Review published an article by David McRoberts which was (to use a word often overused in recent years) seminal. Its influence is visible in much, indeed in almost everything, that has been written since 1968 about the Church and about religion in later medieval Scotland. The thesis which it presented was relatively straightforward. McRoberts argued that the fifteenth century witnessed a new and what he called ‘nationalist’ trend in Scottish religious observation. There were several dimensions to this development – but it was especially apparent, McRoberts argued, in the veneration of saints. Before the fifteenth century the Church had neglected Scotland's early saints; thereafter leading clergymen began to look anew at these forgotten worthies. In the earlier part of the century Prior James Haldenstone of St Andrews had coordinated a campaign to have St Duthac officially canonised. Elsewhere there were efforts to relocate the relics and to promote the cults of St Kentigern (at Glasgow and Culross), St Ninian (at Whithorn) and St Triduana (at Restalrig). We find the chronicler Walter Bower lauding St Columba and Archbishop Schevez of St Andrews mounting a search for the relics of St Palladius. This ‘devotional nationalism’ reached its culmination, according to McRoberts, in the early sixteenth century with the work of Bishop William Elphinstone and a team of collaborators in Old Aberdeen, who produced a new martyrology and a new breviary.
2 - St Munnu in Ireland and Scotland: an exploration of his cult
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Munnu, or Fintan Munnu, as he is sometimes called in Scotland, is an apparently straightforward saint, with an eighth-century vita, an obit in the Annals of Ulster, an appearance in Adomnán's Vita Columbae, and a name – Mun or Mund – which appears in a distinctive form in place-names in Scotland: four Kilmuns in Argyll, and an Eilean Munde near Ballachulish in Lochaber. He is intriguing too in the survival of traces of his cult in fifteenth-century references to a keeper of his crozier, and in the surname Mac Gille Mund, evident in Argyll at least into the seventeenth century.
This cheerful opening may sound like a prelude to the cruel news that in fact Munnu is not straightforward at all – that his obit is unreliable, that the person in Vita Columbae is someone else altogether, and that Kilmun may commemorate another saint. I will indeed flag up some potential problems towards the end of this chapter but for now I am going to treat Munnu as if he were a nice simple saint, uncontaminated by overlap or confusion with other saints. And I treat his strange double name – Fintan Munnu – as a helpful aid in our attempts to track his cult. This name derives from the common name Fintan, of which there were many bearers,5 followed by an affectionate form of the same name, arrived at thus: Fintan > *Mo Finn (‘my Finn’ where the f is lenited and therefore silent) > Mun > Munnu.
List of Contributors
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List of Illustrations and Tables
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6 - Wo/men only? Marian devotion in medieval Perth
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A recent study of Marian iconography in relation to The Lord of the Rings pithily notes that Mary, ‘in many respects is the central figure of the Middle Ages’. There is a vast body of surviving texts, statues, pictures, rosaries, misericords, icons, etc., relating to Mary, and even in their vastness they are but a small portion of what existed during the middle ages. This fact underpins this exploration of Marian devotion, which aims to see what sense can be made of the varied but fragmentary evidence for that practice in medieval Perth. It assesses how that evidence fits the broad pattern of such devotion in medieval Europe and whether we can see any kind of gender dimension to that devotional practice. Mary is a figure both human and quasi-divine, both a virgin and a mother, the Church's feminine ideal. As Marina Warner observed, women are equal in God's eyes but not in men's, and ‘Whether we regard the Virgin Mary as the most sublime and beautiful image in man's struggle towards the good and the pure or the most pitiable production of ignorance and superstition, she represents a central theme in the history of western attitudes to women.’
3 - The struggle for sanctity: St Waltheof of Melrose, Cistercian in-house cults and canonisation procedure at the turn of the thirteenth century
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In mid-1206, a group of six inquisitive lay brothers at the Cistercian house of Melrose made an exciting discovery. The brethren had been preparing a tomb for the recently deceased Abbot William II, who was to be buried alongside the tomb of his saintly predecessor, Abbot Waltheof. Waltheof's most famous attribute was the miraculous preservation of his body, a state that had last been witnessed over thirty years previously in 1171. Overcome by the desire to witness this miracle for themselves, the brothers urged the abbey's mason, Brother Robert, to raise the marble cover of St Waltheof's tomb and peer in.
This second discovery of Waltheof's incorruption was an event that must have both re-awakened interest in the saint's cult and re-opened older questions surrounding its promotion. The immediate response of the house appears to have been to commission the well known Cistercian hagiographer, Jocelin of Furness, to write an official account of Waltheof's life and deeds, a work that was begun during the brief abbacy of William's successor, Abbot Patrick (ob. 1207). The Vita's main intention was to raise the profile of Waltheof's cult. The possession of an incorrupt corpse was, as the Vita makes clear, no common claim. Waltheof joined a select group of only six English saints, the shrines of whom were major sites of pilgrimage in the religious landscape of Britain: Canterbury, Bury St Edmunds, Durham, Ely, and London.
9 - Mothers and their sons: Mary and Jesus in Scotland, 1450–1560
- Edited by Steve Boardman, Reader in History, University of Edinburgh, Eila Williamson, Gained her PhD from the University of Glasgow.
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- The Cult of Saints and the Virgin Mary in Medieval Scotland
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In the past few decades there has been a great deal of interest expressed in the history of the family in medieval Europe, particularly the emotional bonds between parents and children. Analysing royal families is one place to start exploring familial bonds. Lois Huneycutt has begun the process for Scottish history by studying St Margaret of Scotland (ob. 1093) and her children. Investigating the portrayal of the relationship between the Blessed Virgin Mary and Jesus is another route to understanding affective familial relations. Scots were children of Mary and siblings of Jesus, believing that a fuller understanding of Mary and Jesus's relationship brought them closer to salvation. They were taught that Mary and Jesus shared a close emotional bond forged through a lifetime of interaction. Jesus began life as a nursing infant clinging to His mother's arms, and ended it as a voluntary sacrifice for human sin. His ascension into heaven, and Mary's later assumption, did not break this tie. Mother and son remained close, working to rescue humanity from sin. Lay people were taught about the Trinity, but tended to distinguish between Jesus and God; Mary was believed to have allied herself with the Son rather than the Father. This mother-son alliance gave humanity hope for salvation, for Mary's determination to help people at Judgement was matched by her influence over Jesus. Whether as human son or resurrected king, Jesus appeared willing to forgive sinners at His mother's request.
Frontmatter
- Edited by Steve Boardman, Reader in History, University of Edinburgh, Eila Williamson, Gained her PhD from the University of Glasgow.
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- The Cult of Saints and the Virgin Mary in Medieval Scotland
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