Major incident - page 2

Is any one aware of any study available for the management of Major incident at ward level. If so where, when and How much.... Read More

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    Hello Bones,

    In the U.S. during the warning or rescue phase of a major event or incident, the hospital goes to the incident. If it cannot reach the incident then it gets as close as possible. The U.S. has mobile hospitals and has developed staffing resources through our National Disaster Medical System.

    Here we have found that if you use the local hospitals during the first two phases you are at risk for creating secondary incidents. The secondary incidents occur when reoccurring events are not managed and then escalate.

    Later as the incident evolves into the recovery phase, patients are integrated into local healthcare facilities. This is the most overlooked aspect of disaster planning. Depending on the type of incident, there maybe prolong elevated acute care/hospital census and extreme staff fatigue/illness.

    I have a pet peeve about using abbreviations and acronyms on Web sites because I feel it can slow and limit the exchange between readers. Since I know it will always happen, for those readers who are not familiar with the specialty or are from outside the U.S., below is a link to the standard abbreviations used in the U.S. U.S standard acronyms and abbreviations from the Federal response plan.

    If any readers have links to other countries list of acronyms or abbreviations they would be appreciated.

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    The National Hazards Center at the University of Colorado, Boulder has information available on line at:

    When I did a search on hospital planning there were many hits. Here are two:

    Hospitals and Community Emergency Response: What You Need to Know. Publication #PB98-130321INF. 1997. 32 pp. $12.00, microfiche; $25.50, paper. Copies can be obtained from the National Technical Information Service, 5285 Port Royal Road, Springfield, VA 22161; (800) 553-6847 or (703) 605-6000; fax: (703) 321-8547; e-mail:; WWW:
    Hospitals must be prepared to protect health care workers who respond to emergencies involving hazardous substances. Of special concern are situations where contaminated patients arrive for triage or treatment following a major disaster. In many localities, hospitals have not been firmly integrated into the community disaster response system and may not be prepared to safely treat multiple casualties that include victims who may be exposed to toxic substances. This document discusses emergency response planning principles that hospitals can adopt to help reduce the risk to health care workers.

    Emergency Preparedness in Health Care Organizations. Linda Young Landesman, Editor. 1996. 194 pp. $35.00, plus $7.95 postage and handling. Available from the Joint Commission on Accreditation of Healthcare Organizations, P.O. Box 75751, Chicago, IL 60675-5751; (630) 792-5800; fax: (800) 676-3299. This book is designed to help hospitals and other health care organizations get ready to face major disasters and emergencies. It covers how to: develop a proactive emergency management plan; gain a clear understanding of key disaster planning issues, including command center operation, communications, community interaction, and emergency department operation; make critical decisions regarding implementation of the disaster plan; train staff; and comply with accreditation standards. Almost half of the book recounts various actual hospital emergency response situations.

    [This message has been edited by Sharon (edited October 18, 2000).]

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