危机应对医疗方案

Health systems
Plan
will be prepared
through a
continuous cycle
of planning,
equipping,
training and
exercising.
Train
P.E.T.E.
Plan
Public Health Preparedness Strategic Plan
Communication
Redundancy Contingency plans Incident Command!
Lessons Learned
Workforce issues
Adequate staff
Hospital Planning
Incident Command Education/Training
Equip
Ventilators, PPE, Pharmaceuticals, etc…
Train
OSHA, DHS, Other
Exercise
Local, Regional, Statewide, Interstate, National
Public Health Response
Terrorism
The goals of terrorists are to:
Create confusion, fear, chaos, and mistrust.
Break down the physical and political infrastructure.
Intimidate, subjugate, and weaken authority.
Environmental
Oil spills, pollution, waste runoff
Explosions Mine disasters Industrial accidents War Fire
Terrorism
Poking skunks is dangerous!
Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7
Integrated Plans
Federal
National Response Framework (NRF)
Supported by National Incident Management System (NIMS) and the National Disaster Medical System (NDMS)
Strategic Plan 2007-2010
County CEMP Plans Hospital CEMP Plans
Goal of Surge Thinking
Maximize survival for all players!
Minimize morbidity! Maximize resource utilization! Will require new thinking!
Natural Disasters
Natural Disasters
Tornadoes Forest Fires Floods Blizzards Cyclones/Typhoon Hurricanes Heatwave
Tsunami Volcanic Eruption Earthquakes Mudslides Limnic Eruption Draught/Famine Hail
HOW WILL OUR ENEMIES FIGHT US?
UNCLASSIFIED
A Weapon of Mass Destruction is a device or material specifically designed to produce casualties or terror. CBRNE incidents may result from industrial accidents, acts of war, or acts of terrorism.
Special Needs Behavior Health
Patient & Employee
Lessons Learned
Hospital Security
Facility support Protective measures
Patient Safety Mutual Aid
Natural Disasters - Florida
Hurricanes Tornadoes Forest Fires Flooding Freezing Sinkholes Drought Heatwave Hail
Natural Байду номын сангаасisasters - Florida
Public and private partners
Medivac
Man-Made Disasters
Unintentional / Accidental
Engineering Failures
Bridges, Buildings, Dams
Transportation
Planes, Trains, Automobiles, Shipping
Comprehensive Emergency Management Plan (CEMP)
Provides guidance Integrated and coordinated response Emergency Support Functions (ESF-8) Follows NRF
2004
July 31 to December 3 9 Hurricanes; 5 Tropical
Storms Charley, Frances,
Jeanne, Ivan
2005
June 8 to January 6 15 Hurricanes; 12
Tropical Storms Katrina, Rita
Chemical Biological Radiological Nuclear Energetics /
Explosives
Chemical Agents
Mustard gas Sarin Phosgene Cyanide Chlorine
What’s The Fuss?
How Do We Respond To This…
So We Don’t Feel Like This…
Disaster Characteristics
Increased death, injury, illness that can’t be managed
Demonstrate understanding of the role of Respiratory Therapists in disaster response and emergency management; and, describe the role of Respiratory Therapists as volunteers for disaster response.
County Health Departments Pre-hospital Outpatient Services Hospitals Pharmacies Laboratories Mortuary Services
Health Care System
Surge Capacity
Domestic Security Regions
Coordination public, government, and private organizations
Equal triage distribution Notification of family Evacuation/Sheltering
of evacuees
Disaster Characteristics
Objectives
Explain the various levels of equipment and support Respiratory Therapists will utilize in responding to mass casualty incidents and disasters.
Integrated Plans
State
Florida Department of Health
Bomb, Blast, Burn (B3) Biological (B4) Pandemic Influenza Public Health and Medical Preparedness
Consequence Management
The objective of consequence management is:
Provide support Save lives Relieve suffering Mitigate further harm
Preparedness Cycle
Cost – 2004 Hurricane Season
Florida’s hospitals incurred $163.2 million in unexpected costs
Expenses related to facility modifications to reduce damage from future storms would exceed $48 million
Average hospital impact of more than $1 million
Total impact on hospitals > $200 million
Lessons Learned
Preparation Facility Planning
Power, Medical Gases, Water, Etc. Flood zone Material Resources
Disaster Response And Respiratory Care
Objectives
Understand the universal characteristics of disasters and the components of an all hazards approach to disaster management involving healthcare practitioners.
Discuss the implication of Pandemic Influenza as it relates to planning and response capability and capacity.
Describe the impact of Bioterrorism and manmade disasters to health care systems, providers, and disaster preparedness plans.
Media attention Heightened security;
crime scene Immediate and long
term emotional support Significant property damage
Impact of Disasters
In the past 20 years “Although the yearly death totals from disaster declined by approximately 30%, the number of people affected by disaster increased 59%” (AARC Times. 2006. p. 8)