Development of a State Medical Surge Plan, Part II: Components of a Medical Surge Plan

Abstract

In 2003, the Utah State Department of Health received funding from the Health Resources and Services Administration to develop a medical surge plan to increase the number of available hospital beds in the state by 1250 beds, including 125 beds for burn or critical trauma patients. A prior article discussed the planning procedures and process. This article describes the major components of the plan, including analysis of threats, direction and control, activation and system response; communications; and critical issues.

Hospital Disaster Planning in the Western Cape, South Africa

“…15,16 Hospital Out of Communication or Cut Off from Resources The event of a major incident occurring in which basic infrastructure is affected including electricity and water supply has become a more frequent occurrence if one examines recent natural disasters all over the world. Facilities also need to make use of other local and community areas as possible areas to forward transfer patients.…”

Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research

“…Implicit in the literature on surge capacity is the expectation that a severe, prolonged surge event, and the response it engenders, necessarily entails a diminished standard of care (Barbera, Yeatts, and Macintyre ; Bonnett et al ; Bradt et al ; Felland et al ; Hick, Christian, and Sprung ; Hick et al , ; Kaji, Koenig, and Bey ; Kaji, Koenig, and Lewis ; Moser et al ; Phillips ; Rothman et al ; Welzel et al ). While the three‐tier standard of care model proposed by Hick, Barbera, and Kelen () explicitly confronts the objectives and implications of surge capacity, the wider tendency has been to incorporate such concerns as an aside or afterthought.…”

“…ACEP ; AHRQ ; Baker et al ; Balcan et al ; Bartlett ; Bartlett and Borio ; Bonnett et al ; D'Aoust et al ; Eastman et al ; ECRI Institute ; Emery et al ; Estacio ; Felland et al ; Fisher et al ; Greenko et al ; Hall ; Hick, Barbera, and Kelen ; Hick, Christian, and Sprung ; Hick et al ; Hirshberg et al ; Hoard et al ; Hodge, Gable, and Calves , ; Hogg et al ; Hsu et al ; Kaji et al ; Kaji, Koenig, and Bey ; Koh et al ; Kort, Stuart, and Bontovics ; Krumkamp et al ; Langabeer et al ; Levin, Gebbie, and Qureshi ; Meredith et al ; Monto et al ; Moser et al , ; Potter and Brough ; Robertson and Cooper ; Romano ; Roszak et al ; Rykken et al ; Scheulen et al ; Sefrin and Kuhnigk ; Severance ; Shih and Koenig ; Stratton and Tyler ; Swanson et al ; Tadmor, McManus, and Koenig ; Taylor ; Watkins et al ; WHO .…”

“…Adini et al ; Avery et al ; Balcan et al ; Bartlett ; Bartlett and Borio ; Bonnett et al ; Burkle ; Estacio ; Felland et al ; Fisher et al ; Hanfling ; Hanley and Bogdan ; Hick, Barbera, and Kelen ; Hick et al , ; Higgins et al ; Hota et al ; Hotchkin and Rubinson ; Hsu et al , ; Kaji, Koenig, and Bey ; Kaji and Lewis ; Kort, Stuart, and Bontovics ; Krumkamp et al ; Miller, Randolph, and Patterson ; Moser et al , ; Nap et al ; Peleg and Kellermann ; Phillips ; Robertson and Cooper ; Romano ; Rottman et al ; Schull ; Schultz and Koenig ; Shapiro ; Shih and Koenig ; Sprung et al ; Tadmor, McManus, and Koenig .…”

“…Avery et al ; Baker et al ; Dayton et al ; DeLia and Wood ; Felland et al ; Hanfling ; Hanley and Bogdan ; Hick, Barbera, and Kelen ; Hick et al ; Hogg et al ; Jenkins, O'Connor, and Cone ; Kaji, Koenig, and Bey ; Kelen et al ; Krumkamp et al ; Miller, Randolph, and Patterson ; Moser et al ; Peleg and Kellermann ; Satterthwaite and Atkinson ; Schull ; Schull et al ; Schultz and Stratton ; Sprung et al ; Welzel et al .…”