Emergency Management: Incident Command System

Author(s):  
Dorothy Moses Schulz
2020 ◽  
Vol 38 (2) ◽  
pp. 53-62
Author(s):  
Mostafa Moin Uddin

Background: Bangladesh bears the double burden of extreme exposure and high vulnerability to both natural and man-made disasters. In 2017, an enormous influx of Forcibly Displaced Myanmar Nationals from Myanmar to Bangladesh created massive humanitarian crisis due to geopolitical conflicts. Objective: The objective of this study was to assess the FDMN’s health situation and to work with the district health office facing the emergency. Another objective was to introduce a proper Incident Command System (ICS) approach in order to achieve system efficiencies and improve management capabilities of the district health office. Materials and Methods: This qualitative, exploratory study was conducted at three Upazilas and two disaster prone coastal civil surgeon offices in Bangladesh over a period of one year from May, 2017 to April, 2018. The target population of the study was FDMN’s, local inhabitants, health care providers, public health managers and administrators at different level. Using non-probability purposive sampling method as data collection procedure, 50 semi-structured interviews were carried out. Results: A rapid field assessment was done followed by detailed field assessment. In rapid field assessment it was observed that gaps in proper leadership created confusion and for that some participants were overlooked, while others were underutilized. There was gap in coordination between different actors in the field. It was observed that in crisis situation, challenges associated with coordination and delegations were almost similar. Interview was taken based on concepts from political and social science approaches. Under each approach emergency health management issues, gaps and constrain were discussed along with proposed solutions. In order to conduct a detailed field assessment incident command system approach were broken down to five major categories. Two ICS orientation workshop were done in Cox’s Bazar and Chittagong civil surgeon office. It was evident that CS offices would not have the entire workforce as ICS structure demand but identifying existing stuffs that could fill in all those roles in ICS structure with how to work and go in operation was done. Conclusion: The study advocates that with limited resources utmost priority should be given to train the existing workforce for emergency preparedness, planning and response. Evidence-based incident command system deployment would be beneficial for health emergency management for vulnerable people in Bangladesh. JOPSOM 2019; 38(2): 53-62


2006 ◽  
Vol 4 (3) ◽  
pp. 61
Author(s):  
Major John J. Casey III, USA, MSSI, MHS

Catastrophic scenarios that once seemed merely theoretical have become a stark reality. Horrific natural disasters, the emergence of state-sponsored terrorism, pro liferation of chemical and biological agents, availability of materials and scientific weapons expertise, and recent increases in less discriminate attacks all point toward a growing threat of mass casualty (MASCAL) events. Hospitals across America are upgrading their ability to respond to disasters and emergencies of all kinds as the nation wages its war on terror. To respond to these challenges, many civilian hospitals are relying on the Hospital Emergency Incident Command System (HEICS), an emergency management model that employs a logical management structure, detailed responsibilities, clear reporting channels, and a common nomenclature to help unify responders. Modeled after the FIRESCOPE (FIrefighting RESources of California Organized for Potential Emergencies) management system, HEICS is fast becoming a key resource in healthcare emergency management. Over the past couple of years, military hospitals have begun embracing the HEICS model as well. This article discusses the prevalence of HEICS and provides an analysis of its effectiveness within the Army Medical Department (AMEDD).


1999 ◽  
Vol 1999 (1) ◽  
pp. 1103-1105
Author(s):  
Joseph Scott Masterson ◽  
Jerome Harrison Hilton

ABSTRACT On November 6, 1997, the M/T Shogun ran aground off the coast of Rota, an island in the Commonwealth of the Northern Marianas Islands. The resulting successful salvage response, which lasted 9 days, prevented the occurrence of a major oil spill in a pristine island environment. The response was managed by a Unified Command established under the Incident Command System (ICS) and consisted of the responsible party, U.S. Coast Guard (USCG), and the Commonwealth of the Northern Marianas Islands Emergency Management Office (EMO). Logistical problems, which can be directly attributed to the remote location of the island, were identified and ultimately drove almost every aspect of the response. The Logistics Section, however, repeatedly found solutions to these problems allowing the Unified Command to mount a successful response. This poster presentation seeks to display the remoteness of Rota's location, the logistical difficulties encountered during the response, and the methods used by the Unified Command to successfully overcome them.


2014 ◽  
Vol 8 (6) ◽  
pp. 505-510 ◽  
Author(s):  
Joe S Smith ◽  
Gretchen A Kuldau

AbstractObjectiveThe Incident Command System (ICS) is an adaptable construct designed to streamline response efforts to a disaster or other incident. We aimed to examine the methods used to teach the ICS at US veterinary schools and to explore alternative and novel methods for instruction of this material.MethodsA total of 29 US accredited veterinary schools (as of February 2012) were surveyed, and 18 of the 29 schools responded.ResultsThe ICS and related topics were taught by both classroom methods and online instruction by most of the surveyed schools. Several of the schools used readily available Federal Emergency Management Agency and US Department of Agriculture resources to aid in instruction. Most schools used one course to teach the ICS, and some schools also used unique methods such as field exercises, drills, side-by-side training with disaster response teams, elective courses, extracurricular clubs, and externships to reinforce the ICS and related topics. Some of the surveyed institutions also utilized fourth-year clinical rotations and field deployments during actual disasters as a component of their ICS and emergency response curriculum.ConclusionThe ICS is being taught at some form at a significant number of US veterinary schools. Additional research is needed to evaluate the efficacy of the teaching methods of the ICS in US veterinary schools. (Disaster Med Public Health Preparedness. 2014;8:505-510)


Author(s):  
Joshua M. Sharfstein

A useful management approach for responding to crises is the incident command system. Developed in the 1970s to coordinate efforts at the scenes of fires and other disasters, incident command is now the standard management structure recommended for a broad range of disasters by the Federal Emergency Management Agency. Key attributes of incident command include clear leadership, specified roles, and management by objective. Once an agency has developed the ability to activate an incident command or a modified version of incident command, it is worth using it regularly—including to better manage everyday public health challenges. Doing so builds the muscles of an organization in such areas as mobilizing resources, public communications, and decision-making under pressure.


2005 ◽  
Vol 20 (5) ◽  
pp. 290-300 ◽  
Author(s):  
Jeffrey L. Arnold ◽  
Louise-Marie Dembry ◽  
Ming-Che Tsai ◽  
Nicholas Dainiak ◽  
Ülküen Rodoplu ◽  
...  

AbstractThe Hospital Emergency Incident Command System (Hospital Emergency Incident Command System), nowin its third edition, has emerged asa popular incident command system model for hospital emergency response in the United States and other countries. Since the inception of the Hospital Emergency Incident Command System in 1991, several events have transformed the requirements of hospital emergency management, including the 1995 Tokyo Subway sarin attack, the 2001 US anthrax letter attacks, and the 2003 Severe Acute Respiratory Syndrome (Severe Acute Respiratory Syndrome) outbreaks in eastern Asia and Toronto, Canada.Several modifications of the Hospital Emergency Incident Command System are suggested to match the needs of hospital emergency management today, including: (1) an Incident Consultant in the Administrative Section of the Hospital Emergency Incident Command System to provide expert advice directly to the Incident Commander in chemical, biological, radiological, nuclear (CBRN) emergencies as needed, as well as consultation on mental health needs; (2) new unit leaders in the Operations Section to coordinate the management of contaminated or infectious patients in chemical, biological, radiological, nuclear emergencies; (3) new unit leaders in theOperations Section to coordinate mental health support for patients, guests, healthcare workers, volunteers, anddependents in terrorismrelated emergencies or events that produce significant mental health needs; (4) a new Decedent/Expectant Unit Leader in the Operations Section to coordinate the management of both types ofpatients together; and (5) a new Information Technology Unit Leader in the Logistics Section to coordinate the management of information technology and systems.New uses of the Hospital Emergency Incident Command System in hospital emergency management also are recommended, including: (1) the adoption of the Hospital Emergency Incident Command System as the conceptual framework for organizing all phases of hospital emergency management, including mitigation, preparedness, response, and recovery; and (2) the application of the Hospital Emergency Incident Command System not only to healthcare facilities, but also to healthcare systems.Finally, three levels of healthcare worker competencies in the Hospital Emergency Incident Command Systemare suggested: (1) basic understanding of the Hospital Emergency Incident Command System for all hospital healthcare workers; (2) advanced understanding and proficiency in the Hospital Emergency Incident Command Systemfor hospital healthcare workers likely to assume leadership roles in hospital emergency response; and (3) special proficiency in constituting the Hospital Emergency Incident Command System ad hoc from existing healthcare workers in resource-deficient settings. The Hospital Emergency Incident Command System should be viewed asa work in progress that will mature as additional challenges arise and ashospitals gain further experience with its use.


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