1

Prof. Dr. Teodoro Javier Herbosa Emergency Medicine Universiti Kebangsaan Malaysia

and University of the Philippines, Manila

Board Member, World Association of Disaster and Emergency Medicine

2

Hospitals Safe from DisastersHospitals Safe from Disasters

•Hospitals should remain functional after disasters

•Often, hospital leaders in Asia adopt an evacuation policy aftermath an earthquake

3

Hospitals are not like schools, office buildings, hotels. Hospitals must function after an earthquake.

Hospitals Safe from DisastersHospitals Safe from Disasters

4

Disaster Risk ReductionDisaster Risk Reduction

Structural Engineers & Physicians with vast disaster risk reduction experiences in health systems in the Asia

Training module for hospitals capacity building to reduce disaster risks

5

ObjectiveObjective

Discuss a course called HOSPITAL PREPAREDNESS FOR EMERGENCIES (HOPE) �

Trains staff on rapid assessment tools for structural damages

functional collapse of hospitals

emergency response therein

6

Course DevelopmentCourse Development

Asia – high risk disasters - lack of advanced Risk Reduction through capacity buidling & emergency management - burden on hospitals to cope w/ mass casualties

1998 HOPE Course developed for: Philippines IndiaIndonesiaNepal

Bangladesh (2003)�Pakistan (2007) �

All 6 countries - RISK for earthquakes

7

What is HOPE?What is HOPE?

32 hours (intensive) 4 days 32 hours (intensive) 4 days

enhance hospital preparedness enhance hospital preparedness

capacity and emergency responsecapacity and emergency response

structural, nonstructural, non--structural, and structural, and

functional concerns functional concerns

8

23 Lessons & 7 Exercises 123 Lessons & 7 Exercises 1stst ed.ed.

��Overview of Disasters & HealthOverview of Disasters & Health��Disaster Risk ManagementDisaster Risk Management��Seismology ConceptsSeismology Concepts��Structural & Non structural Structural & Non structural Assessments of HospitalsAssessments of Hospitals��Operational & Functional Operational & Functional Components of HospitalsComponents of Hospitals��Emergency Department Emergency Department ��Mass Casualty managementMass Casualty management��TriageTriage

•• Resuscitation & Disaster Resuscitation & Disaster Medical CareMedical Care

•• HEICS HEICS •• Hospital Disaster PlanningHospital Disaster Planning•• Mgt of the DeadMgt of the Dead•• Psychosocial issuesPsychosocial issues•• Mgt of Resources Mgt of Resources •• Return to Normal Return to Normal

OperationsOperations•• 7 Exercises/Table tops 7 Exercises/Table tops

Simulations/RolePlaySimulations/RolePlay

9

HOPE Course AimsHOPE Course Aims

�To enhance hospital based preparedness and response.

�To coordinate engineers, clinical & administrative leaders in a hospital based disaster risk management approach:

� Principles of disaster risk management

� Working together to make steps toward preparing each hospital to respond to disasters and MCI's

10

HOPE Course Objectives

Performance Objectives:

By the end of the course, the participant will be able to:

� Conduct a vulnerability assessment of the hospital

� Develop a hospital preparedness and response plan

� Conduct a disaster response

11

Program for Enhancement of Program for Enhancement of Emergency ResponseEmergency Response--PEERPEER

Principal CoursesPrincipal Courses· MFR· CSSR· HOPEHOPE

Instructor WorkshopsInstructor Workshops

· TFI· MFRIW· CSSRIW

HOPEIWSubsidiary CourseSubsidiary Course· Canine SAR

12

Relationship of PEER Courses

CSSR Extraction

MFR Medical first responderHOPE Hospital

Disaster

13

o

DevelopmentDevelopment

••Funding Funding -- USAID OFDAUSAID OFDA

••ADPC ADPC

••curriculum by Asians for curriculum by Asians for

Asians Asians

••NSETNSET

••JHU (CIEDRS) JHU (CIEDRS) -- course reviewcourse review

adpcadpc

14

ImplementationImplementation

ERROR: ioerrorOFFENDING COMMAND: image

STACK: