Preparedness And Response To A Rural Mass Casualty Incident
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Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events
Author : Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events Publisher : National Academies Press Page : 144 pages File Size : 49,9 Mb Release : 2011-04-18 Category : Medical ISBN : 9780309212908
Preparedness and Response to a Rural Mass Casualty Incident by Institute of Medicine,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Catastrophic Events Pdf
Problems contacting emergency services and delayed assistance are not unusual when incidents occur in rural areas, and the consequences can be devastating, particularly with mass casualty incidents. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop to examine the current capabilities of emergency response systems and the future opportunities to improve mass casualty response in rural communities.
Disasters and Mass Casualty Incidents by Mauricio Lynn,Howard Lieberman,Lior Lynn,Gerd Daniel Pust,Kenneth Stahl,Daniel Dante Yeh,Tanya Zakrison Pdf
Mass Casualty events may occur as a result of natural or human-caused disasters or after an act of terrorism. The planning and response to disasters and catastrophes needs to take into consideration the distinction between progressive and sudden events. Insidious or slowly progressive disasters produce a large number of victims but over a prolonged time period, with different peaks in the severity of patients presenting to the hospital. For example, radiation events will produce a large number of victims who will present days, weeks, months, or years after exposure, depending on the dose of radiation received. The spread of a biological agent or a pandemic will produce an extremely high number of victims who will present to hospitals during days to weeks after the initial event, depending on the agent and progression of symptoms. On the other hand, in a sudden disaster, there is an abrupt surge of victims resulting from an event such as an explosion or a chemical release. After the sarin gas attack in a Tokyo subway in 1995, a total of 5500 victims were injured and required medical attention at local hospitals immediately after the attack. The car bomb that exploded near the American Embassy in Nairobi, Kenya, killed 213 people and simultaneously produced 4044 injured patients, many requiring medical care at local hospitals. The Madrid train bombing in March 2004 produced more than 2000 injured victims in minutes, overwhelming the city’s healthcare facilities. More than 500 injured patients were treated at local hospital after the mass shooting in Las Vegas. Finally, earthquakes may produce a large number of victims in areas in which the medical facilities are partially or completely destroyed. Sudden events bring an immediate operational challenge to community healthcare systems, many of which are already operating at or above capacity. The pre-hospital as well as hospital planning and response to sudden mass casualty incidents (SMCI’s) is extremely challenging and requires a standard and protocol driven approach. Many textbooks have been published on Disaster Medicine; although they may serve as an excellent reference, they do not provide a rapid, practical approach for management of SMCI’s. The first edition of “Mass Casualty Incidents: The Nuts and Bolts of Preparedness and Response for Acute Disasters” dealt exclusively with sudden mass casualty incidents. The second edition will expand its focus and include planning and response for insidious and protracted disasters as well. This new book is designed to provide a practical and operational approach to planning, response and medical management of sudden as well as slow progressive events. The target audience of the second edition will be health care professionals and institutions, as well as allied organizations, which respond to disasters and mass casualty incidents. Parts I and II are essentially the first edition of the book and consist of planning of personnel, logistic support, transport of patients and equipment and response algorithms. These 2 parts will be revised and updated and include lessons learned from major mass shootings that occurred recently in the United States and other parts of the world Part III will describe the planning process for progressive disasters and include response algorithms and checklists. Part IV will handle humanitarian and mental health problems commonly encountered in disaster areas. Part V will deal with team work and communication both critical topics when handling catastrophes and mass casualty incidents. This new book will be a comprehensive tool for healthcare professionals and managers and should perform demonstrably better in sales and downloads. It will be of value at the pre-hospital as well as the hospital level, to plan and respond to the majority of catastrophes and mass casualty incidents.
Preparing for Mass-casualty Incidents by Steven A. MacArthur Pdf
With the increased concern about bioterrorism -- whether chemical, biological or radiological -- there is an emphasis on hospital preparedness for serious mass-casualty incidents (MCIs). And even though The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) began requiring hazard vulnerability analysis (HVA) as part of its environment of care program when it revised the emergency management standards in January 2001, most hospitals have not yet developed adequate emergency plans either because of monetary concerns or confusion about the best way to get started.
Assessing Central Indiana's Preparedness for a Mass Casualty Event by United States. Congress. House. Committee on Homeland Security. Subcommittee on Emergency Preparedness, Response and Communications Pdf
Disaster Response Practices by Michael Madigan Pdf
This book provides guidelines for emergency managers, responders, and health care professionals to establish a mass casualty/mass fatality (MC/MF) management plan. It identifies a need for a stronger and more global management structure for MC/MF events that includes standardized practices of identification, disposition, and possible repatriation to restore the situation to pre-event levels. This book covers this comprehensive process including disaster mortuary operational response teams (DMORTs), simple triage and rapid treatment (START) and national nurse response teams. It also demonstrates leadership in MC/MF events within government agencies, the public sector and international organizations featuring case studies, scenario questions and summaries of lessons learned.
Medical Disaster Response by David Goldschmitt,Robert Bonvino Pdf
While the job of a clinician in a disaster scenario is to save lives without regard for the cause or rationale for the injury, medical and emergency professionals who understand the diverse aspects of a disaster are better equipped to respond effectively. Giving emergency personnel the tools they need to perform in catastrophic situations, Medical Disaster Response: A Survival Guide for Hospitals in Mass Casualty Events addresses the critical planning and response issues surrounding a mass casualty disaster before, during, and after the event. The book presents the fundamental components of a comprehensive medical disaster management plan that provides readers with a framework for developing individual policies to suit their particular institution. It examines natural, man-made, and terrorist disasters, and offers insight into the different strategies required for distinct scenarios, as well as the need to be prepared for the cascade effect of secondary events resulting from the original disaster. Real case studies examining medical disaster response This volume provides a powerful and unique case example through a chronology of the events of September 11th, offering a firsthand account and insight into the quintessential test case for disaster response effectiveness. It also profiles other notorious events—including Hurricane Katrina, the Madrid bombings, the SARS outbreak in 2004, and the sarin gas attack in Tokyo in 2005—as seen through the eyes of the expert contributors who witnessed and responded to these tragedies. The book presents the lessons learned from these events by the contributing authors who acted on the front lines of the medical disaster response. It is a valuable reference manual for emergency planning, response, and healthcare professionals to confront future disasters and help prevent and mitigate destruction and unnecessary casualties.
Operational Templates and Guidance for EMS Mass Incident Deployment by U. S. Department of Homeland Security Federal Emergency Management Agency Pdf
Emergency Medical Services (EMS) agencies regardless of service delivery model have sought guidance on how to better integrate their emergency preparedness and response activities into similar processes occurring at the local, regional, State, tribal, and Federal levels. This primary purpose of this project is to begin the process of providing that guidance as it relates to mass care incident deployment.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Board on Health Sciences Policy,Committee on Evidence-Based Practices for Public Health Emergency Preparedness and Response
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Board on Health Sciences Policy,Committee on Evidence-Based Practices for Public Health Emergency Preparedness and Response Publisher : National Academies Press Page : 501 pages File Size : 52,5 Mb Release : 2020-11-28 Category : Medical ISBN : 9780309670388
Evidence-Based Practice for Public Health Emergency Preparedness and Response by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Board on Health Sciences Policy,Committee on Evidence-Based Practices for Public Health Emergency Preparedness and Response Pdf
When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies Publisher : National Academies Press Page : 155 pages File Size : 45,9 Mb Release : 2018-10-25 Category : Medical ISBN : 9780309482127
Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Forum on Medical and Public Health Preparedness for Disasters and Emergencies Pdf
Disasters tend to cross political, jurisdictional, functional, and geographic boundaries. As a result, disasters often require responses from multiple levels of government and multiple organizations in the public and private sectors. This means that public and private organizations that normally operate independently must work together to mount an effective disaster response. To identify and understand approaches to aligning health care system incentives with the American public's need for a health care system that is prepared to manage acutely ill and injured patients during a disaster, public health emergency, or other mass casualty event, the National Academies of Sciences, Engineering, and Medicine hosted a 2-day public workshop on March 20 and 21, 2018. This publication summarizes the presentations and discussions from the workshop.
Bioterrorism and Mass Casualty Preparedness in Hospitals, United States, 2003 by Richard W. Niska,Catharine W. Burt Pdf
In response to the terrorism incidents of September 2001, the Office of the Assistant Secretary of Planning and Evaluation, Department of Health and Human Services, requested that the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) survey hospitals regarding their preparedness for treating patients from bioterrorism attacks or mass casualty incidents. It provided funding to field a special supplement to the 2003 National Hospital Ambulatory Medical Care Survey (NHAMCS). Data from the 2003 NHAMCS supplement will serve as a baseline for hospital terrorism preparedness because there were no major funding programs directed toward hospitals for this purpose prior to the start of the Bioterrorism Hospital Preparedness Program of the Health Resources and Services Administration (HRSA) in fiscal year (FY) 2002. Even these funds had not yet been fully awarded to hospitals at the time this survey was fielded in 2003. Prior to the inception of the HRSA program, the Domestic Preparedness Program of the Department of Defense had not allocated any funding for hospitals, although it funded emergency response agencies.
Ronald W. Perry,Michael K. Lindell,Kathleen J. Tierney
Author : Ronald W. Perry,Michael K. Lindell,Kathleen J. Tierney Publisher : Joseph Henry Press Page : 320 pages File Size : 48,6 Mb Release : 2001-11-06 Category : Science ISBN : 9780309171977
Facing the Unexpected by Ronald W. Perry,Michael K. Lindell,Kathleen J. Tierney Pdf
Facing the Unexpected presents the wealth of information derived from disasters around the world over the past 25 years. The authors explore how these findings can improve disaster programs, identify remaining research needs, and discuss disaster within the broader context of sustainable development. How do different people think about disaster? Are we more likely to panic or to respond with altruism? Why are 110 people killed in a Valujet crash considered disaster victims while the 50,000 killed annually in traffic accidents in the U.S. are not? At the crossroads of social, cultural, and economic factors, this book examines these and other compelling questions. The authors review the influences that shape the U.S. governmental system for disaster planning and response, the effectiveness of local emergency agencies, and the level of professionalism in the field. They also compare technological versus natural disaster and examine the impact of technology on disaster programs.
Institute of Medicine,Board on Health Sciences Policy,Committee on Guidance for Establishing Standards of Care for Use in Disaster Situations
Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Guidance for Establishing Standards of Care for Use in Disaster Situations Publisher : National Academies Press Page : 519 pages File Size : 52,9 Mb Release : 2012-08-26 Category : Medical ISBN : 9780309253468
Crisis Standards of Care by Institute of Medicine,Board on Health Sciences Policy,Committee on Guidance for Establishing Standards of Care for Use in Disaster Situations Pdf
Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.
