Activating physicians within a hospital emergency plan: A concept whose time has come?

2007 ◽  
Vol 2 (2) ◽  
pp. 74-80 ◽  
Author(s):  
Kristine M. Gebbie, DrPH, RN ◽  
Steve Silber, MD, MBA ◽  
Michael McCollum, MPA ◽  
Eliot J. Lazar, MD, MBA
Keyword(s):  
Emergency Plan ◽  
Hospital Emergency ◽  
Emergency Plans ◽  
Emergency Responders ◽  
Recall Protocol ◽  
Medical Response ◽  
Timely Response ◽  
Site Staff ◽  
Level Of Knowledge ◽  
Hospital Emergency Plan

Background: Clinicians are an essential component of the medical response to an emergency in which there are actual or suspected injuries. However, little is known about the institutional notification methods for clinicians during emergencies, particularly for off-site staff. Further, there is little knowledge regarding clinicians’ level of awareness of the emergency plans at hospitals with which they are affiliated, or of their knowledge regarding the notification protocols involved in plan activation during an emergency. If physicians are unaware of how to respond to an actual or threatened emergency, the effectiveness of any hospital emergency plan is severely limited. Objective: This study sought to examine hospital emergency plans, institutional clinician notification, and recall procedures, as well as clinicians’ level of knowledge regarding the emergency notification and recall protocol(s) at the hospital(s) with which they are affiliated. Methods: Written surveys were sent to hospital emergency coordinators, chiefs of service, and individ-ual clinicians employed by a large, multihospital healthcare system in a major urban area. Results: We found that 64 percent of respondents’ hospitals had a recall protocol; of those, 53 percent required that the hospital contact clinicians, with 17 percent of those hospitals using a central operator to make the calls. Of the chiefs of services who participat-ed, 56 percent claimed to be very familiar with their facility’s emergency plan, and 53 percent knew that it had been activated at least once in the past year. Conclusions: Hospital emergency responders are not sufficiently knowledgeable of their institutions’ emergency plans. In order to ensure sufficient surge capacity and timely response, a tiered activation sys-tem, intimately familiar to potential responders, should be developed, taught, and drilled by hospitals to formalize physician call-up.

Terrorism in Turkey

2003 ◽  
Vol 18 (2) ◽  
pp. 152-160 ◽  
Author(s):  
Ulkumen Rodoplu ◽  
Jeffrey Arnold ◽  
Gurkan Ersoy
Keyword(s):  
Rural Areas ◽  
Life Support ◽  
Terrorist Attacks ◽  
Advanced Trauma Life Support ◽  
Emergency Plan ◽  
Hospital Emergency ◽  
Incident Command ◽  
The Past ◽  
Medical Response ◽  
Emergency Medical

AbstractOver the past two decades, terrorism has exacted an enormous toll on the Republic of Turkey, a secular democracy with a 99.8% Muslim population. From 1984 to 2000, an estimated 30,000 to 35,000 Turkish citizens were killed by a nearly continuous stream of terrorism-related events. During this period, the Partiya Karekeren Kurdistan (PKK), a Kurdish separatist group (re-named KADEK in 2002), was responsible for the vast majority of terrorism-related events (and casualties), which disproportionately affected the eastern and southeastern regions of Turkey, in which the PKK has focused its activities. Most terrorist attacks over the past two decades have been bombings or shootings that produced <10 casualties per event. From 1984 to 2003, 15 terrorist attacks produced ≥30 casualties (eight shootings, five bombings, and two arsons). The maximum number of casualties produced by any of these events was 93 in the Hotel Madimak arson attack by the Tu r kish Islamic Movement in 1993.This pattern suggests that terrorist attacks in Turkey rarely required more than local systems of emergency medical response, except in rural areas where Emergency Medical Services (EMS) are routinely provided by regional military resources. The last decade has seen the development of several key systems of local emergency response in Turkey, including the establishment of the medical specialty of Emergency Medicine, the establishment of training programs for EMS providers, the spread of a generic, Turkish hospital emergency plan based on the Hospital Emergency Incident Command System, and the spread of advanced training in trauma care modeled after Advanced Trauma Life Support.

Terrorism in Turkey

2003 ◽  
Vol 18 (2) ◽  
pp. 152-160 ◽  
Author(s):  
Ulkumen Rodoplu ◽  
Jeffrey Arnold ◽  
Gurkan Ersoy
Keyword(s):  
Rural Areas ◽  
Life Support ◽  
Terrorist Attacks ◽  
Advanced Trauma Life Support ◽  
Emergency Plan ◽  
Hospital Emergency ◽  
Incident Command ◽  
The Past ◽  
Medical Response ◽  
Emergency Medical

AbstractOver the past two decades, terrorism has exacted an enormous toll on the Republic of Turkey, a secular democracy with a 99.8% Muslim population. From 1984 to 2000, an estimated 30,000 to 35,000 Turkish citizens were killed by a nearly continuous stream of terrorism-related events. During this period, the Partiya Karekeren Kurdistan (PKK), a Kurdish separatist group (re-named KADEK in 2002), was responsible for the vast majority of terrorism-related events (and casualties), which disproportionately affected the eastern and southeastern regions of Turkey, in which the PKK has focused its activities. Most terrorist attacks over the past two decades have been bombings or shootings that produced <10 casualties per event. From 1984 to 2003, 15 terrorist attacks produced ≥30 casualties (eight shootings, five bombings, and two arsons). The maximum number of casualties produced by any of these events was 93 in the Hotel Madimak arson attack by the Tu r kish Islamic Movement in 1993.This pattern suggests that terrorist attacks in Turkey rarely required more than local systems of emergency medical response, except in rural areas where Emergency Medical Services (EMS) are routinely provided by regional military resources. The last decade has seen the development of several key systems of local emergency response in Turkey, including the establishment of the medical specialty of Emergency Medicine, the establishment of training programs for EMS providers, the spread of a generic, Turkish hospital emergency plan based on the Hospital Emergency Incident Command System, and the spread of advanced training in trauma care modeled after Advanced Trauma Life Support.

The Role of the Physician at a Medical Disaster: Hospital Emergency Response Teams

1986 ◽  
Vol 2 (1-4) ◽  
pp. 128-132
Author(s):  
Eric Alcouloumre ◽  
Davis Rasumoff
Keyword(s):  
Los Angeles ◽  
Emergency Response ◽  
Medical Personnel ◽  
Hospital Emergency ◽  
Medical Response ◽  
Emergency Medical ◽  
Response Team ◽  
Emergency Medical Personnel ◽  
Emergency Medical Response

The Hospital Emergency Response Team concept, as outlined here and in the Multi-Casualty Incident Operational Procedures of the California Fire Chiefs Association, is the result of a consensus effort by all EMS interest groups in Los Angeles. It is an effective way to utilize the skills of emergency medical personnel at the scene of a disaster. The role of the physician is an important one, and this concept was specifically designed to maximize the benefit to be derived from having a physician at the scene. It is important, however, that physicians recognize their limitations; a medical degree does not automatically confer “mystic abilities”in the area of disaster management. The role of the physician should include pre-disaster planning and at-scene patient management responsibilities as a member or leader of a pre-designated hospital-based emergency medical response team.

scholarly journals Effectiveness of Household Emergency Plans in Violent Tornadoes

2020 ◽  
pp. 1-2
Author(s):  
Zhen Cong ◽  
Daan Liang ◽  
Jianjun Luo
Keyword(s):  
Logistic Regression ◽  
Empirical Evidence ◽  
Family Involvement ◽  
Random Sampling ◽  
Telephone Survey ◽  
Multinomial Logistic Regression ◽  
Family Members ◽  
Emergency Plan ◽  
Emergency Plans

ABSTRACT Objective: This study examined factors that were associated with the effectiveness of pre-existing household emergency plans during the 2011 EF5 Joplin and EF4 Tuscaloosa tornadoes. We focused on whether discussing with family members helped increase the plan’s effectiveness. Methods: A telephone survey based on random sampling was conducted in 2012 with 1006 respondents in both cities. Each city experienced huge losses, injuries, and casualties. The working sample included 494 respondents who had a household emergency plan in place before these tornadoes. Results: Multinomial logistic regression showed that discussing with family members increased the helpfulness of the plan in Joplin, where people had not experienced tornadoes frequently and were less prepared for tornadoes relative to residents in Tuscaloosa. Conclusions: This study provides empirical evidence on the importance of encouraging family involvement when making household emergency plans, especially in places that are less prepared for disasters than those that are better prepared.

scholarly journals Lessons from the Brussels Terrorist Attack

2019 ◽  
Vol 34 (s1) ◽  
pp. s91-s92
Author(s):  
Andreas Möhler
Keyword(s):  
Disaster Response ◽  
Terrorist Attack ◽  
Damage Control ◽  
Mass Casualty ◽  
Emergency Plan ◽  
War Injuries ◽  
Burn Care ◽  
Medical Response ◽  
Key Factor ◽  
Medical Teams

Introduction:On March 22, 2016, the capital of Europe was hit by two terrorist attacks. As terrorism becomes more and more violent, it is critical to learn and share experiences in order to enhance effectiveness in saving lives.Methods:A field perspective and experience feedback from the Emergency Medical Response.Results:The first attack hit the departure hall of the airport, which, due to its strategic role, relies upon a dedicated emergency plan. However, it focuses on airplane crashes and not on explosions in a crowded terminal. The second attack hit the subway at rush hour. An attack in such a confined environment is particularly challenging for the rescue teams, as injuries are worsened, access hindered, and exits numerous.Eleven medical teams were sent in order to perform triage and provide vital care. The medical response was organized by two disaster response teams. Advanced Medical Posts were set up and the mass casualty plans of all hospitals were activated. Managing war injuries for civilian teams was challenging. On-site care consisted essentially in prehospital damage control and burn care in order to ensure rapid evacuations for haemostatic surgery. 313 victims were dispatched to thirty hospitals. Another challenge was safety. Several threats were apparent and explosives were found on both sites. Lessons from Paris had prompted a review of our multiple sites Emergency Plan. One single way of communication was used and the evacuations were managed centrally. Finally, the key factor that helped limit the number of casualties was the acquaintanceship between emergency workers and non-medical teams built during exercises, allowing them to adapt and blend in as one team.Discussion:Lessons from previous attacks were crucial to improve our management of the medical response. These should be shared around, as another attack may always occur anywhere and at any time.

Evaluation of Emergency Plans of High-Speed Railway in Mountainous Area Based on Intuitionistic Fuzzy Sets

2014 ◽  
Vol 926-930 ◽  
pp. 3812-3817
Author(s):  
Yun Hao Yao ◽  
Yuan Fu Li
Keyword(s):  
Fuzzy Sets ◽  
Index System ◽  
High Speed ◽  
Intuitionistic Fuzzy Sets ◽  
Mountainous Areas ◽  
Emergency Plan ◽  
Emergency Plans ◽  
High Speed Railway ◽  
Intuitionistic Fuzzy ◽  
The Index System

The emergency plan of high-speed railway plays an important role in guiding railway emergency management, the quality of which will directly affect the effectiveness and efficiency of emergency and rescue. Aiming at characteristics emergency plans of high-speed railway in mountainous areas, the evaluation index system of emergency plan of high-speed railway in mountainous areas is proposed. Based on the index system and intuitionistic fuzzy sets evaluation matrix, the scoring function value method is used to evaluate the index system. This paper uses the entropy method to assign weight to the index system, and finally take the emergency plan of high-speed railway from Guiyang to Guangzhou as an example to demonstrate the rationality.

Establishing a High Level of Knowledge Regarding Bioterrorist Threats in Emergency Department Physicians: Methodology and the Results of a National Bio-Preparedness Project

2007 ◽  
Vol 22 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Adi Leiba ◽  
Nir Drayman ◽  
Yoram Amsalem ◽  
Adi Aran ◽  
Gali Weiss ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical Knowledge ◽  
Rapid Diagnosis ◽  
Average Score ◽  
Medical Systems ◽  
Hospital Emergency ◽  
Level Of Knowledge ◽  
Microbiological Agents ◽  
High Level ◽  
Military Physicians

AbstractIntroduction:Medical systems worldwide are facing the new threat of morbidity associated with the deliberate dispersal of microbiological agents by terrorists. Rapid diagnosis and containment of this type of unannounced attack is based on the knowledge and capabilities of medical staff. In 2004, the knowledge of emergency department physicians of anthrax was tested. The average test score was 58%. Consequently, a national project on bioterrorism preparedness was developed. The aim of this article is to present the project in which medical knowledge was enhanced regarding a variety of bioterrorist threats, including cutaneous and pulmonary anthrax, botulinum, and smallpox.Methods:In 2005, military physicians and experts on bioterrorism conducted special seminars and lectures for the staff of the hospital emergency department and internal medicine wards.Later, emergency department senior physicians were drilled using one of the scenarios.Results:Twenty-nine lectures and 29 drills were performed in 2005.The average drill score was 81.7%.The average score of physicians who attended the lecture was 86%, while those who did not attend the lectures averaged 78.3% (NS).Conclusions:Emergency department physicians were found to be highly knowledgeable in nearly all medical and logistical aspects of the response to different bioterrorist threats. Intensive and versatile preparedness modalities, such as lectures, drills, and posters, given to a carefully selected group of clinicians, can increase their knowledge, and hopefully improve their response to a bioterrorist attack.

Intelligent Extraction and Generation Technology of Emergency Plan

2020 ◽  
Author(s):  
haiyang liu
Keyword(s):  
Emergency Response ◽  
Process Model ◽  
Human Life ◽  
Process Models ◽  
Emergency Plan ◽  
Response Process ◽  
Emergency Plans ◽  
Response Condition ◽  
Business Process Modeling Notation ◽  
Generation Technology

&lt;p&gt;Natural disasters will bring a huge threat to the safety of human life and property. When disasters happen, leaders at all levels need to respond in time. Emergency plans can be regarded as the effective guidance of natural disaster emergency responses, and they include the textual descriptions of emergency response processes in terms of natural language. In this paper, we propose an approach to automatically extract emergency response process models from Chinese emergency plans, and can automatically generate appropriate emergency plans. First, the emergency plan is represented as a text tree according to its layout markups and sentence-sequential relations. Then, process model elements, including four-level response condition formulas, executive roles, response tasks, and flow relations, are identified by rule-based approaches. An emergency response process tree is generated from both the text tree and extracted process model elements, and is transformed to an emergency response process that is modeled as business process modeling notation. Finally, when different disasters occur, a new plan is generated according to the training of historical plan database. A large number of experiments in the actual emergency plan show that this method can extract the emergency response process model, and can generate a suitable new plan.&lt;/p&gt;

Study on Semantic Model of Urban Rail Transit Emergency Plan

2013 ◽  
Vol 380-384 ◽  
pp. 2822-2826
Author(s):  
Yun Tao Du ◽  
Ling Ling Zhong
Keyword(s):  
Real World ◽  
Urban Rail Transit ◽  
Rail Transit ◽  
Semantic Model ◽  
Emergency Plan ◽  
Emergency Plans ◽  
The Core ◽  
Ontology Model ◽  
Urban Rail

Emergency plan modeling is the foundation of the work for digitizing emergency plans. On the basis of analyzing the content and structure of the existing urban rail transit emergency plans, a formalization method for emergency plans based on ontology is put forward. The core terms of emergency plans are extracted and classified. The relationships between various concepts are concluded. Combined with related concepts of ontology five meta-words, the ontology model of emergency plans is constructed. The emergency plan system from a subway company is presented as a real world case to establish the semantic model, providing the feasibility of the method proposed.

An Organizational Metamodel for Hospital Emergency Departments

2014 ◽  
Vol 8 (5) ◽  
pp. 436-444 ◽  
Author(s):  
Kubilay Kaptan
Keyword(s):  
Waiting Time ◽  
Simulated Data ◽  
Health Care Facilities ◽  
Time Behavior ◽  
Emergency Plan ◽  
Hospital Emergency ◽  
Nonstructural Components ◽  
Organizational Policies ◽  
And Behavior ◽  
Hospital Emergency Departments

AbstractI introduce an organizational model describing the response of the hospital emergency department. The hybrid simulation/analytical model (called a “metamodel”) can estimate a hospital’s capacity and dynamic response in real time and incorporate the influence of damage to structural and nonstructural components on the organizational ones. The waiting time is the main parameter of response and is used to evaluate the disaster resilience of health care facilities. Waiting time behavior is described by using a double exponential function and its parameters are calibrated based on simulated data. The metamodel covers a large range of hospital configurations and takes into account hospital resources in terms of staff and infrastructures, operational efficiency, and the possible existence of an emergency plan; maximum capacity; and behavior both in saturated and overcapacitated conditions. The sensitivity of the model to different arrival rates, hospital configurations, and capacities and the technical and organizational policies applied during and before a disaster were investigated. This model becomes an important tool in the decision process either for the engineering profession or for policy makers.(Disaster Med Public Health Preparedness. 2014;8:436-444)

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