Emergency Preparedness—Planning, Response and Recovery

2016 ◽  
pp. 25-32
Author(s):  
Kenneth W. Dungan
Keyword(s):  
Emergency Preparedness ◽  
Preparedness Planning ◽  
Response And Recovery

Effects of Hurricanes on Emergency Department Utilization: An Analysis Across 7 US Storms

2020 ◽  
pp. 1-8
Author(s):  
Kevin C Heslin ◽  
Marguerite L Barrett ◽  
Molly Hensche ◽  
Gary Pickens ◽  
Jeanne S Ringel ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Preparedness ◽  
Emergency Department Utilization ◽  
Disease Category ◽  
Preparedness Planning ◽  
Emergency Managers ◽  
Planning Processes ◽  
Ed Visits ◽  
The Impact ◽  
Population Rate

ABSTRACT Objective: Emergency departments (EDs) are critical sources of care after natural disasters such as hurricanes. Understanding the impact on ED utilization by subpopulation and proximity to the hurricane’s path can inform emergency preparedness planning. This study examines changes in ED utilization for residents of 344 counties after the occurrence of 7 US hurricanes between 2005 and 2016. Methods: This retrospective observational study used ED data from the Healthcare Cost and Utilization Project State Inpatient Databases and State Emergency Department Databases. ED utilization rates for weeks during and after hurricanes were compared with pre-hurricane rates, stratified by the proximity of the patient county to the hurricane path, age, and disease category. Results: The overall population rate of weekly ED visits changed little post-hurricane, but rates by disease categories and age demonstrated varying results. Utilization rates for respiratory disorders exhibited the largest post-hurricane increase, particularly 2–3 weeks following the hurricane. The change in population rates by disease categories and age tended to be larger for people residing in counties closer to the hurricane path. Conclusions: Changes in ED utilization following hurricanes depend on disease categories, age, and proximity to the hurricane path. Emergency managers could incorporate these factors into their planning processes.

scholarly journals (P1-103) Utilization of a Pediatric Disaster Coalition as a Model for Regional Pediatric Disaster Planning

2011 ◽  
Vol 26 (S1) ◽  
pp. s132-s132
Author(s):  
G. Foltin ◽  
A. Flamm ◽  
A. Cooper ◽  
M. Sagy ◽  
B.M. Greenwald ◽  
...  
Keyword(s):  
Critical Care ◽  
Emergency Preparedness ◽  
Large Scale ◽  
Pediatric Emergency ◽  
Mass Casualty ◽  
Metropolitan Region ◽  
Pediatric Care ◽  
Preparedness Planning ◽  
Field Triage ◽  
Care Surgery

PurposeThere remains a lack of comprehensive pediatric emergency preparedness planning worldwide. A disaster or mass-casualty incident (MCI) involving pediatric patients could overwhelm existing pediatric resources within the New York City (NYC) metropolitan region. The NYC Department of Health and Mental Hygiene (DOHMH) recognizing the importance to plan for a MCI with a large number of pediatric victims, implemented a project (the Pediatric Disaster Coalition; PDC), to address gaps in the healthcare system to provide effective and timely pediatric care during a MCI.MethodsThe PDC includes experts in emergency preparedness, critical care, surgery, and emergency medicine from the NYC pediatric/children's hospitals, DOHMH, Office of Emergency Management, and Fire Department (FDNY). Two committees addressed pediatric prehospital triage, transport, and pediatric critical care (PCC) surge capacities. They developed guidelines and recommendations for pediatric field triage and transport, matching patients' needs to resources, and increasing PCC Surge Capacities.ResultsSurge recommendations were formulated. The algorithm developed provides specific pediatric triage criteria that identify severity of illness using the traditional Red, Yellow, and Green categories plus an Orange designation for continual reassessments that has been adopted by FDNY that has trained > 3,000 FDNY EMS personnel in its use. Triaged patients can be transported to appropriate resources based on a tiered system that defines pediatric hospital capabilities. The Surge Committee has created PCC Surge Capacity Guideline that can be used by hospitals to create their individual PCC surge plans. 15 of 25 NYC hospitals with PCC capabilities are participating with PDC planning; 5 have completed surge plans, 3 are nea completion, and 7 are in development. The completed plans add 92 surge beds to 244 regularly available PICU beds. The goal is to increase the PCC surge bed capacity by 200 + beds.ConclusionsThe project is an effective, multidisciplinary group approach to planning for a regional, large-scale pediatric MCI. Regional lead agencies must emphasize pediatric emergency preparedness in their disaster plans.

scholarly journals Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Science and the CBRNE Science Medical Operations Science Support Expert (CMOSSE)

2019 ◽  
Vol 13 (5-6) ◽  
pp. 995-1010
Author(s):  
C. Norman Coleman ◽  
Judith L. Bader ◽  
John F. Koerner ◽  
Chad Hrdina ◽  
Kenneth D. Cliffer ◽  
...  
Keyword(s):  
Subject Matter ◽  
Systems Approach ◽  
Lessons Learned ◽  
Incident Management ◽  
Senior Managers ◽  
Preparedness Planning ◽  
Medical Response ◽  
Core Elements ◽  
Subject Matter Expertise ◽  
Response And Recovery

ABSTRACTA national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.

scholarly journals Stakeholder engagement in radiological protection: Developing theory, practice and guidelines

2020 ◽  
Vol 55 ◽  
pp. S211-S218 ◽  
Author(s):  
C. Turcanu ◽  
M. Van Oudheusden ◽  
B. Abelshausen ◽  
C. Schieber ◽  
T. Schneider ◽  
...  
Keyword(s):  
Emergency Preparedness ◽  
Stakeholder Engagement ◽  
Indoor Radon ◽  
Ionising Radiation ◽  
Radiological Protection ◽  
National Policies ◽  
European Project ◽  
Response And Recovery ◽  
Radiation Research ◽  
Local Levels

The European project ENGAGE investigated formal or informal demands and expectations for stakeholder engagement in radiological protection, and their translation into practices at national and local levels. Three contexts were examined in detail: nuclear emergency preparedness, response and recovery; exposure to indoor radon; and medical exposures to ionising radiation. Research showed that prescriptions and practices for stakeholder engagement would benefit from acknowledging the normative and substantive rationales for engagement. It suggests broadening participation both in terms of stakeholders – particularly from the perspective of integration of radiological protection into broader frameworks – and the forms of participation – for instance by recognising the importance of informal and citizen-led engagement. In addition, more systematic approaches for stakeholder engagement should be included in the elaboration and evaluation of national policies. Finally, results substantiate the need for developing radiological protection culture in a participatory, multi-disciplinary way. Recommendations for more robust stakeholder engagement in radiological protection are formulated based on the findings.

Building a National Model of Public Mental Health Preparedness and Community Resilience: Validation of a Dual-Intervention, Systems-Based Approach

2014 ◽  
Vol 8 (6) ◽  
pp. 511-526 ◽  
Author(s):  
O. Lee McCabe ◽  
Natalie L. Semon ◽  
Carol B. Thompson ◽  
Jeffrey M. Lating ◽  
George S. Everly ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Emergency Preparedness ◽  
Health Planning ◽  
Public Mental Health ◽  
Community Resilience ◽  
The United States ◽  
Local Health ◽  
Health Departments ◽  
Preparedness Planning

AbstractObjectiveWorking within a series of partnerships among an academic health center, local health departments (LHDs), and faith-based organizations (FBOs), we validated companion interventions to address community mental health planning and response challenges in public health emergency preparedness.MethodsWe implemented the project within the framework of an enhanced logic model and employed a multi-cohort, pre-test/post-test design to assess the outcomes of 1-day workshops in psychological first aid (PFA) and guided preparedness planning (GPP). The workshops were delivered to urban and rural communities in eastern and midwestern regions of the United States. Intervention effectiveness was based on changes in relevant knowledge, skills, and attitudes (KSAs) and on several behavioral indexes.ResultsSignificant improvements were observed in self-reported and objectively measured KSAs across all cohorts. Additionally, GPP teams proved capable of producing quality drafts of basic community disaster plans in 1 day, and PFA trainees confirmed upon follow-up that their training proved useful in real-world trauma contexts. We documented examples of policy and practice changes at the levels of local and state health departments.ConclusionsGiven appropriate guidance, LHDs and FBOs can implement an effective and potentially scalable model for promoting disaster mental health preparedness and community resilience, with implications for positive translational impact.(Disaster Med Public Health Preparedness. 2014;8:511-526)

Nongovernmental Resources to Support Disaster Preparedness, Response, and Recovery

2013 ◽  
Vol 7 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Joie D. Acosta ◽  
Anita Chandra ◽  
Jeanne S. Ringel
Keyword(s):  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Vital Role ◽  
Just In Time ◽  
Control And Prevention ◽  
Response And Recovery ◽  
State And Local ◽  
Disaster Preparedness And Response ◽  
Local Levels

AbstractObjectiveAlthough recent emergencies or disasters have underscored the vital role of nongovernmental (NGO) resources, they remain not well understood or leveraged. We intended to develop an assets framework that identifies relevant NGO resources for disaster preparedness and response that can be used to assess their availability at state and local levels.MethodsWe conducted a search of peer-reviewed publications to identify existing asset frameworks, and reviewed policy documents and gray literature to identify roles of NGOs in emergency preparedness, response, and recovery. A standardized data abstraction form was used to organize the results by NGO sector.ResultsWe organized NGO assets into 5 categories: competencies, money, infrastructure or equipment, services, relationships, and data for each of the 11 sectors designated by the Centers for Disease Control and Prevention in the 2011 preparedness capabilities.ConclusionsOur findings showed that the capacity of each sector to capture data on each asset type needs strengthening so that data can be merged for just-in-time analysis to indicate where additional relief is needed. (Disaster Med Public Health Preparedness. 2013;0:1–6)

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