Mass Casualty Incident or Event (MCI/MCE) A situation in which
a hospital receiving multiple casualties does not have the
resources to deal with the patients simultaneously. McAlister, 2011
Surge Capacity A health facilitys ability to rapidly expand beyond
normal services to meet increased demand for bed space, qualified
personnel, medical services and public health programs in the event
of a large scale disaster. Norman et al, 2012
Slide 3
Slide 4
Hospital emergency preparedness and response was inadequate.
Lack of comprehensive plans Lack of training Evolution of MCEs
Learn from the mistakes of others. You cant live long enough to
make them yourselves. Eleanor Roosevelt
Slide 5
There is a quantitative relationship between increasing
casualty load and gradual degradation of the level of trauma care
in multiple casualty incidents Norman, 2012
Slide 6
Set up EM HICS Owned by Intermedix Provides technology support
to connect heathcare providers, public health agencies, and
emergency management Funded by CDPHE OEPR Requires participation in
a healthcare coalition for integrated, coordinated, and organized
response
Slide 7
Emergency preparedness follows the EOP and HICS Enhance the EOP
Improve hospital emergency preparedness Ensure quality of care
Slide 8
H
Slide 9
Improve hospital emergency preparedness for Saint Anthony
Hospital Quicker response Staff is more comfortable with Hospital
Incident Command (HICS) Better management of the event
Slide 10
Evaluate EM HICS Survey HICS during debriefing Implement EM
HICS Used during an active shooter exercise Provide staff training
Provided during routine emergency preparedness meetings Set up EM
HICS database Contact databaseAssign HICS positionsSet up initial
job actionsInsert files into IRGs
Slide 11
Slide 12
Incident Commander Operations Section Chief Staging Area
Manager Security Branch Director Medical Director Nursing Services
Director Planning Section ChiefLogisitics Section Chief
Communication Unit Leader Facilities Unit Leader Admin/Finance
Section Chief Scribe Public Information Officer Safety
OfficerLiaison Officer
Slide 13
Slide 14
Slide 15
Slide 16
Slide 17
Slide 18
Required as part of the health care coalition Mostly data entry
which is time consuming No stakeholders
Slide 19
Data entry completed Results following implementation and
evaluation
Slide 20
Slide 21
Slide 22
Slide 23
Slide 24
Slide 25
Slide 26
Slide 27
Slide 28
Slide 29
Slide 30
Slide 31
Slide 32
Slide 33
Slide 34
Databases entered into EM HICS No data collected
Slide 35
Enhance EOP Notification Guidance Organization
Communication
Slide 36
Funding canceled further development Time and effort Web based
Acceptance
Slide 37
Adopted throughout all Colorado hospitals Required for the
Foothills Health Care Coalition
Slide 38
Relationship experience Application to my workplace
Contribution to Public Health Improve emergency preparedness and
response Assure quality health care
Slide 39
Core competencies strengthened Development of plans to support
health efforts Assurance of the provision of health care Evaluation
of effective, accessible, and quality health services Concentration
competencies strengthened Application of programming planning
principles Monitor and evaluation of program effectiveness
Slide 40
Other competencies Environmental Health Public Health
Management Biostatistics/Epidemiology
Slide 41
Learn from the mistakes of others. You cant live long enough to
make them yourselves.
Slide 42
Auf der Heide, E. (2006). The Importance of Evidence-Based
Disaster Planning. Annals of Emergency Medicine, 47(1), 34-49.
doi:10.1016/j.annemergmed.2005.05.009 Barbisch, D.F., and Koenig,
K.L. (2006). Understanding Surge Capacity: Essential Elements.
Society for Academic Emergency Medicine, 13(11), 1098-1102.
doi:10.1197/j.aem/2006.06.041 Bayram, J.D., Sauer, L.M., Catlett,
C., Levin, S., Cole, G., Kirsch, T.D., Kelen, G. (2013). Critical
Resources for Hospital Sure Capacity: An Expert Consensus Panel.
PLOS Current Disasters, (1).
doi:10.1371/currents.dis.67c1afe8d78ac2ab0ea52319eb119688 Djalali,
A., Castren, M., Hosseinijenab, V., Khatib, M., Ohlen,G. and
Kurland, L. (2012). Hospital incident command system (HICS)
performance in Iran; decision making during disasters. Scandinavian
Journal of Trauma, Resuscitation and Emergency Medicine, 20, 14.
doi:10.1186/1757 7241 20 14 McAlister, V.C. (2011). Drills and
exercises: the way to disaster preparedness. Canadian Journal of
Surgery, 54 (1), 7-8. doi:10.1503/cjs.036910 Norman, I.D., Aikins,
M., Binka, F.N., and Nyarko, K.M. (2012). Hospital All-Risk
Emergency Preparedness in Ghana. Ghana Medical Journal, 46(1),
34-42.