The Chain of Survival in Industrial Emergencies and Disasters is similar to the cardiac arrest chain of survival of the American Heart Association (AHA) and the trauma chain of survival. It is a sequence of five inter-linked rings, which when practiced, decreases the mortality and morbidity in the concerned population. The first ring is Early Prevention, which should be a combined effort of healthcare professionals and industrial authorities. The second ring is Early Recognition. Industrial workers and surrounding communities should be equally trained in hazard and risk analysis along with vulnerability assessment. The third ring is Access to Care by the Early Response System, involving a universal emergency response number and early intervention by on-site trained medical professionals. This ring emphasizes the importance of a link with the surrounding communities, as they are the first responders and the front-line victims. The fourth ring is Early Advanced Care by EMS for transportation to hospitals or by Emergency Department personnel in referral hospitals. The fifth and the last ring is Early Rehabilitation, which includes integrated post emergency care, overall rehabilitation and early return to work. The key to successful implementation of Chain of Survival is to have identified components of care, training and quality monitoring. When practiced diligently, this could help prevent industrial disasters, and mitigate their harmful effects on occurrence.

Healthcare systems all over the world are stretched out and being reconfigured to deal with COVID 19 pandemic. Some countries have flattened the curve, some are still fighting to survive it and others are embracing the second wave. Globally, there is an urgent need to increase the resilience, capacity and capability of healthcare systems to deal with the current crisis and improve upon the future responses. The epidemiological burden of COVID 19 has led to rapid exhaustion of local response resources and massive disruption to the delivery of care in many countries. Healthcare networking and liaison are essential component in disaster management and public health emergencies. It aims to provide logistical support between hospitals; financial support through local or regional governmental & nongovernmental agencies for response; manpower & mechanism for coordination and to implement policies, procedures and technologies in the event of such crisis. This brief report describes how four independent private hospitals in northern India had adopted the principles of healthcare networking, pooled their resources, and scaled up one of the partner hospitals as Dedicated COVID 19 Hospital (DCH) to treat moderate to severe category of COVID 19 patients. It brings out the importance of a unique coalition between private and public healthcare system.

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