Principles of Mass Casualty and Disaster Medicine

Chapter

Abstract

Hospital and emergency department emergency management is an essential aspect of modern healthcare. If one looks back more than 30 years, it would be almost impossible to find a hospital role called hospital emergency management or even a position for a healthcare emergency manager in a hospital or medical center. Yet, certain aspects of healthcare emergency management responsibilities have always been addressed by hospitals, such as fire safety, backup power, and the ability to handle victims from a mass casualty event. In addition, the public has strong expectations of the roles hospitals should play during times of disaster. Healthcare institutions are expected to provide both emergency care and continuance of the day to day healthcare responsibilities regardless of the volume and demand. The public believes that hospitals will have light, heat, air conditioning, water, food, and communications capabilities, regardless of the fact that the institution may itself be affected by the calamity.

The emergency management activity must be a directed by a multi-disciplinary group that is central to all activities and reports directly to hospital administrative and medical leadership. This planning effort must focus on all phases of disasters, mitigation, preparedness, response and recovery. These activities must be based on an all hazards approach to ensure preparedness for disasters, terrorism events and public health emergencies. Lastly these efforts must be inclusive of the entire populations and assure that the hospital is able to continue to function during any event to serve its critical resource in the community and serve the entire population. In addition to their traditional roles of child expert, advocate for children, community provider, family resource, and a force behind new research, pediatricians must now take on new roles regarding disaster, terrorism and public health emergency preparedness. Information, education and participation are important initial steps for all child health professionals.

Keywords

Emergency preparedness Emergency management Disaster Terrorism Public health emergency 

References

  1. 1.
    Center for Islamic Research and Studies. In the Shadow of the Lances. In: Middle East Media Research Institute Special Dispatch Series, No. 388, June 12, 2002.Google Scholar
  2. 2.
    Emerson S. Jihad Incorporated: A Guide to Militant Islam in the US. Prometheus Books, 2006. p 153.Google Scholar
  3. 3.
    Stein M, Hirshberg A. Medical consequences of terrorism. The conventional weapon threat. Surg Clin North Am. 1999;79:1537–52.PubMedCrossRefGoogle Scholar
  4. 4.
    Holcomb JB, Helling TS, Hirshberg A. Military, civilian, and rural application of the damage control philosophy. Mil Med. 2001;166:490–3.PubMedGoogle Scholar
  5. 5.
    Biancolini CA, Del Bosco CG, Jorge MA. Argentine Jewish community institution bomb explosion. J Trauma. 1999;47:728–32.PubMedCrossRefGoogle Scholar
  6. 6.
    Caro D. Major disasters. Lancet. 1974;2:1309–10.PubMedCrossRefGoogle Scholar
  7. 7.
    Rignault DP. Recent progress in surgery for the victims of disaster, terrorism, and war. World J Surg. 1992;16:885–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Frykberg ER. Medical management of disasters and mass casualties from terrorist bombings: how can we cope? J Trauma. 2002;53:201–12.PubMedCrossRefGoogle Scholar
  9. 9.
    Lerner EB, Schwartz RB, Coule PL, Weinstein ES, Cone DC, Hunt RC, et al. Mass casualty triage: an evaluation of the data and development of a proposed national guideline. Disaster Med Public Health Prep. 2008;2 Suppl 1:S25–34.PubMedCrossRefGoogle Scholar
  10. 10.
    Sarkisian AE, Khondkarian RA, Amirbekian NM, et al. Sonographic screening of mass casualties for abdominal and renal injuries following the 1988 Armenian earthquake. J Trauma. 1991;31:247–50.PubMedCrossRefGoogle Scholar
  11. 11.
    Chen WK, Cheng YC, Ng KC, et al. Were there enough physicians in an emergency department in the affected area after a major earthquake? An analysis of the Taiwan Chi-Chi earthquake in 1999. Ann Emerg Med. 2001;38:556–61.PubMedCrossRefGoogle Scholar
  12. 12.
    Redlener I, Markenson D. Disaster and terrorism preparedness: what pediatricians need to know. Adv Pediatr. 2003;50:1–37.PubMedGoogle Scholar
  13. 13.
    Chemical-biological terrorism and its impact on children. Pediatrics. 2002;105:662–70.Google Scholar
  14. 14.
    National Center for Injury Prevention and Control. Interim planning guidance for preparedness and response to a mass casualty event resulting from terrorist use of explosives. Atlanta: Centers for Disease Control and Prevention; 2010.Google Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Sky Ridge Medical CenterLone TreeUSA

Personalised recommendations