Hospital preparedness for possible nonconventional casualties: an Israeli experience

Schreiber, Shaul; Yoeli, Naomi; Paz, Gedalia; Barbash, Gabriel I.; Varssano, David; Fertel, Nurit; Hassner, Avi; Drory, Margalit; Halpern, Pinchas

doi:10.1016/j.genhosppsych.2004.05.003

Cited by 18 publications

(8 citation statements)

References 30 publications

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“…Employers of disaster responders might also screen for mental health symptoms and exposures after new disasters to identify and refer those people in need of care. Another approach is to train disaster responders to build up psychological resources to cope with disaster exposures before engaging in disaster response work (Schreiber et al., ).…”

Section: Discussionmentioning

confidence: 99%

Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders

Bromet

Clouston

Gonzalez

et al. 2017

Journal of Traumatic Stress

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The psychological consequences of a second disaster on populations exposed to an earlier disaster have rarely been studied prospectively. Using a pre- and postdesign, we examined the effects of Hurricane Sandy on possible World Trade Center (WTC) related posttraumatic stress disorder (PTSD Checklist score of ≥ 50) and overall depression (major depressive disorder [MDD]; Patient Health Questionnaire depression score of ≥ 10) among 870 WTC responders with a follow-up monitoring visit at the Long Island WTC Health Program during the 6 months post-Hurricane Sandy. The Hurricane Sandy exposures evaluated were damage to home (8.3%) and to possessions (7.8%), gasoline shortage (24.1%), prolonged power outage (42.7%), and filing a Federal Emergency Management Agency claim (11.3%). A composite exposure score also was constructed. In unadjusted analyses, Hurricane Sandy exposures were associated with 1.77 to 5.38 increased likelihood of PTSD and 1.58 to 4.13 likelihood of MDD; odds ratios for ≥ 3 exposures were 6.47 for PTSD and 6.45 for MDD. After adjusting for demographic characteristics, WTC exposure, pre-Hurricane Sandy mental health status, and time between assessments, reporting ≥ 3 Hurricane Sandy exposures was associated with a 3.29 and 3.71 increased likelihood of PTSD and MDD, respectively. These findings underscore the importance of assessing the impact of a subsequent disaster in ongoing responder health surveillance programs.

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Section: Discussionmentioning

confidence: 99%

Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders

Bromet

Clouston

Gonzalez

et al. 2017

Journal of Traumatic Stress

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“…When preparing for an unexpected emergency such as an earthquake or tsunami, the role of every organization and the methods used for cooperation must be considered. 4 ' 5 As Quarantelli suggested, planning should be seen as a process involving practices, interactions, and relationships. 2 Volunteers play a crucial role in mass-casualty incidents.…”

Section: Discussionmentioning

confidence: 99%

“…6 In a recent publication regarding hospital preparedness in Israel, two additional components were proposed: (1) raising the awareness of hospital management to the psychological needs of staff under hazardous conditions; and (2) equipping the team leaders with leadership tools aimed at enhancing resilience and improving the response to their personal needs (as well as promoting cohesiveness and coping skills). 5 Takuapa Hospital in Phang Nga was one of the principal referral centers for people injured in the Tsunami. The Hospital Manager noted that the staff implemented the hospital's major incident policy-a protocol that had been practiced two weeks earlier, when a disaster was simulated involving 80 people injured in a traffic crash.…”

Section: Discussionmentioning

confidence: 99%

Disaster Healthcare System Management and Crisis Intervention Leadership in Thailand–Lessons Learned from the 2004 Tsunami Disaster

Peltz

Ashkenazi

Schwartz

et al. 2006

Prehosp. Disaster med.

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Introduction:Quarantelli established criteria for evaluating the effectiveness of disaster management.Objectives:The objectives of this study were to analyze the response of the healthcare system to the Tsunami disaster according to the Quarantelli principles, and to validate these principles in a scenario of a disaster due to natural hazards.Methods:The Israeli Defense Forces (IDF) Home Front Command Medical Department sent a research team to study the response of the Thai medical system to the disaster. The analysis of the disaster management was based on Quarantelli's 10 criteria for evaluating the management of community disasters. Data were collected through personal and group interviews.Results:The three most important elements for effective disaster management were: (1) the flow of information; (2) overall coordination; and (3) leadership. Although pre-event preparedness was for different and smaller scenarios, medical teams repeatedly reported a better performance in hospitals that recently conducted drills.Conclusions:In order to increase effectiveness, disaster management response should focus on: (1) the flow of information; (2) overall coordination; and (3) leadership.

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“…Numerous surveys of hospitals in the United States, [6] Canada, [7] India, [8] Japan, [9] China, [10] and Israel [11] have reported low levels of preparedness for WMD terrorist incidents. These findings underscore that, to achieve preparedness, continuing attention to planning process is required.…”

Section: Disaster Preparedness and Plansmentioning

confidence: 99%

Hospital Planning for Weapons of Mass Destruction Incidents

Perry

Lindell²

2008

21st Century Management: A Reference Handbook

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As terrorists attacks increase in frequency, hospital disaster plans need to be scrutinized to ensure that they take into account issues unique to weapons of mass destruction. This paper reports a review of the literature addressing hospital experiences with such incidents and the planning lessons thus learned. Construction of hospital disaster plans is examined as an ongoing process guided by the disaster planning committee. Hospitals are conceived as one of the components of a larger community disaster planning efforts, with specific attention devoted to defining important linkages among response organizations. This includes the public health authorities, political authorities, prehospital care agencies, and emergency management agencies. A review is completed of six special elements of weapons of mass destruction incidents that should be addressed in hospital disaster plans: incident command, hospital security, patient surge, decontamination, mental health consequences, and communications. The paper closes with a discussion of the importance of training and exercises in maintaining and improving the disaster plan.KEY WORDS: Hospital disaster plans, mass casualties, terrorism, weapons of mass destruction � 116

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Hospital preparedness for possible nonconventional casualties: an Israeli experience

Cited by 18 publications

References 30 publications

Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders

Hurricane Sandy Exposure and the Mental Health of World Trade Center Responders

Disaster Healthcare System Management and Crisis Intervention Leadership in Thailand–Lessons Learned from the 2004 Tsunami Disaster

Hospital Planning for Weapons of Mass Destruction Incidents

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