Introduction to Disasters Daniel Kollek, MD, CCFP(EM) Director, Centre for Excellence in Emergency...
-
Upload
wilfrid-hampton -
Category
Documents
-
view
216 -
download
1
Transcript of Introduction to Disasters Daniel Kollek, MD, CCFP(EM) Director, Centre for Excellence in Emergency...
Introduction to Disasters
Daniel Kollek, MD, CCFP(EM)Director, Centre for Excellence in Emergency PreparednessAssociate Professor, Division of Emergency MedicineMcMaster University
Disaster
• The Merriam-Webster dictionary definition of disaster is "a sudden or great misfortune."
• The Medical definition if a disaster is "when the destructive effects of an event overwhelm the ability of a given area or community to meet the demand for health care."
How have health care systems
dealt with disaster in the past?
September 11, 2001- NYC
September, 2002 - Jerusalem
The new kid on the block
What kind of disasters
might we face and how do we assess our risk?
Natural disaster
Natural Events
• Hurricane/Tornado• Severe
Thunderstorm• Snowfall• Blizzard• Ice Storm• Earthquake• Tidal wave
• Drought• Flood - external• Wild fire• Landslide• Volcano• Epidemic• Extreme
temperature
Technological disaster
Technological events
• Electrical failure• Generator failure• Transportation
failure• Fuel Shortage• Natural gas failure• Water failure• Sewage failure• Steam failure• Structural damage
• Fire alarm failure• Communications failure• Medical gas failure• Medical vacuum failure• Info. systems failure• Fire – internal• Flood – internal• Hazmat exposure –
internal• Supply failure
Man-made disasters
Anthrax envelope - 2001
Human events
• MCI – Trauma• MCI - Medical• MCI – Hazmat• Hazmat – external• Terrorism – chemical• Terrorism – biological• Terrorism -
radiological
• VIP situation• Infant abduction• Hostage situation• Civil disturbance• Labor action• Forensic admission• Bomb threat
For each event you must assess risk
• What is the probability of occurrence?
• What impact would it have?
• What is your preparedness?
How do we characterise disasters?
By settings (from local to global)
By timeline (from static to dynamic)
By Phase
Planning & Mitigation
By Phase
Disaster response
By Phase
Recovery
There are common threads in most disasters
A disaster often has multiple patients
A disaster always has multiple players
The Players:
• Police• Fire• EMS• Hospitals• Volunteers• Public health
• Elected officials• Civil servants• Utilities• Transit• Provincial / Federal
agencies• Media
Whatever the case….
What you need in a disaster
• Supplies
• Equipment
• Manpower
A system to deliver this to you in a useful fashion
• Information
• Guidance
• Money
and……..
Incident Managementis the system
IMS is the system
used for command
and control of a disaster
response
IM Systems have
standard components
IM Systems have a
standard command structure
Response guided by IMS
will have a standard sequence of events
Do it right and you will become
the…..