Houston's Medical Disaster Response to Hurricane Katrina: Part 1: The Initial Medical Response From Trauma Service Area Q

Hamilton, Douglas R.; Gavagan, Thomas; Smart, Kieran; Upton, Lori; Havron, Douglas A.; Weller, Nancy F.; Shah, Umair A.; Fishkind, Avrim B.; Persse, David; Shank, Paul; Mattox, Kenneth L.

doi:10.1016/j.annemergmed.2008.10.014

Cited by 16 publications

(9 citation statements)

References 10 publications

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“…This was brought to light by Hurricane Katrina's burden on EMS, with more than 1,000 patients transported by EMS in the first 2 weeks and 75% within the first 72 hours. 24 It is necessary to ensure that all responders have an understanding of successful multiagency plans during disasters. Budget constraints may limit travel for training and staging of drills, 25 so research on novel methods of training and exercising skills should be conducted.…”

Section: Discussionmentioning

confidence: 99%

Disaster Preparedness of Nationally Certified Emergency Medical Services Professionals

Fernández

Studnek

Margolis

et al. 2011

Academic Emergency Medicine

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Objectives: During disasters, the public expects that emergency care will be available at a moment's notice. As such, an emergency medical services (EMS) workforce that is trained and prepared for disasters is imperative. The primary objectives of this study were to quantify the amount of individual-level training EMS professionals receive in terrorism and disaster-preparedness, as well as to assess EMS professionals' participation in multiagency disaster drills across the United States. Characteristics of those most likely to have received individual-level training or participated in multiagency disaster drills were explored. The secondary objectives were to assess EMS professional's perception of preparedness and to determine whether the amount of training individuals received was correlated with their perceptions of preparedness.Methods: A structured survey was administered to nationally certified EMT-Basics and paramedics as part of their 2008 recertification paperwork. Outcome variables included individual-level preparedness training, participation in multiagency disaster drills, and perception of preparedness. Descriptive statistics and logistic regression modeling were used to quantify the amount of training received. Spearman rank correlation coefficients were used to analyze whether training was correlated with an individual's perception of preparedness.Results: There were 46,127 EMS professionals who had the opportunity to complete the recertification questionnaire; 30,570 (66.3%) responded. A complete case analysis was performed on 21,438 respondents. Overall, 19,551 respondents (91.2%) reported receiving at least 1 hour of individual-level preparedness training, and 12,828 respondents (59.8%) reported participating in multiagency disaster drills, in the prior 24 months. Spearman rank correlation coefficients revealed that hours of individual-level preparedness training were significantly correlated with the perception of preparedness.Conclusions: While areas where EMS should focus attention for improvement were identified, a majority of nationally certified EMT-Basics and paramedics reported participating in both individual and multiagency disaster-preparedness training. A large majority of respondents reported feeling adequately prepared to respond to man-made and natural disasters and the perception of preparedness correlated with hours of training.

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Section: Discussionmentioning

confidence: 99%

Disaster Preparedness of Nationally Certified Emergency Medical Services Professionals

Fernández

Studnek

Margolis

et al. 2011

Academic Emergency Medicine

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“…Establishment of Health and Medical Coordination Centers (HMCCs) will facilitate the ability of multiple health care facilities in the area to quickly gather incident information and logistical needs, and to act in coordination with public health, EMS, and emergency management. Highly effective implementation of HMCCs has occurred in major hurricanes that required mass evacuations of civilians and hospitalized patients 1758. The formation of these centers has been described in several articles and texts 5359.…”

Section: Medical System Response Box 2: Daymentioning

confidence: 99%

Health Care System Planning for and Response to a Nuclear Detonation

Hick¹,

Weinstock²,

Coleman³

et al. 2011

Disaster med. public health prep.

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ABSTRACTThe hallmark of a successful response to a nuclear detonation will be the resilience of the community, region, and nation. An incident of this magnitude will rapidly become a national incident; however, the initial critical steps to reduce lives lost, save the lives that can be saved with the resources available, and understand and apply resources available to a complex and dynamic situation will be the responsibility of the local and regional responders and planners. Expectations of the public health and health care systems will be met to the extent possible by coordination, cooperation, and an effort to produce as consistent a response as possible for the victims. Responders will face extraordinarily stressful situations, and their own physical and psychological health is of great importance to optimizing the response. This article illustrates through vignettes and supporting text how the incident may unfold for the various components of the health and medical systems and provides additional context for the discipline-related actions outlined in the state and local planners’ playbook.(Disaster Med Public Health Preparedness. 2011;5:S73-S88)

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“…Effective response can be hampered by cross-sector differences in jurisdiction, governance, communication, and organizational culture. Interagency coordination is key to any successful community disaster response 1234. The coordination needed during and after a disaster cannot be achieved without predisaster consensus-building and planning.…”

mentioning

confidence: 99%

Community Engagement and Pediatric Disaster Readiness in a Large Urban Disaster Resource Hospital Network: The Case of “The Great California ShakeOut”

Balasuriya¹,

Iverson²,

Burke³

et al. 2012

Disaster med. public health prep.

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ABSTRACTWe examined the response of 11 Los Angeles County (LAC) hospitals designated as Disaster Resource Centers (DRCs) to a statewide, earthquake preparedness drill, LAC's most comprehensive earthquake disaster drill to date. Semistructured interviews were conducted with the coordinators of 11 of the 14 LAC DRCs within 3 weeks of the drill. Interviews were transcribed and thematic analysis was supported by analytical software (Atlas.ti). Except for one pediatric specialty DRC, most DRCs did little to fully test their institutions' capacity to manage pediatric patients. Few DRCs included children as mock victims. Little or no attention was focused on pediatric triage and other pediatric clinical, psychosocial, and resource issues. Respondents maintained that community readiness is hampered by compartmentalizing the preparedness planning, training, and drilling. Without a mandate to coordinate with other agencies, few DRCs reported coordination with other community entities. Those that did were in smaller submunicipalities within LAC. Community coordination is critical to effective response to disasters, yet disaster preparedness planning and drills are most often uncoordinated and compartmentalized. Drills and training need to be transdisciplinary and coordinated with other community entities likely to play a role in pediatric disaster management.(Disaster Med Public Health Preparedness. 2012;6:182–186)

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Houston's Medical Disaster Response to Hurricane Katrina: Part 1: The Initial Medical Response From Trauma Service Area Q

Cited by 16 publications

References 10 publications

Disaster Preparedness of Nationally Certified Emergency Medical Services Professionals

Disaster Preparedness of Nationally Certified Emergency Medical Services Professionals

Health Care System Planning for and Response to a Nuclear Detonation

Community Engagement and Pediatric Disaster Readiness in a Large Urban Disaster Resource Hospital Network: The Case of “The Great California ShakeOut”

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