Report on the Feasibility of Establishing a National Research and Information Center for Emergency and Disaster Medical Services (1967) / Chapter Skim
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Pages 337-357

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From page 337...
... Statistics Comments Col 42 Staff - physicians 0 Not stated or pertinent 1 General Practitioners only 2 General Practitioners with consultant visits available 3 Part specialty coverage on staff - no surgeon 4 Part specialty coverage on staff - surgeon included 5 Full specialty coverage 6 Other 9 Combination of above Col 43 Hospital controlled by Not stated or pertinent Church Private County Community City State Military Veterans University (not state or city) W O O N H A U L W N F O Col 44 Location of hospital O Not stated or pertinent 1 In disaster area 2 Near disaster area - less than 5 miles from disaster Between 5-10 miles from disaster Between 10-25 miles from disaster Between 25-50 miles from disaster Over 50 miles from disaster Other " S O u n & Ww Oo Col 45 Signs denoting emergency entrance None, not stated or pertinent None on main thoroughfare directing to hospital None identifying hospital None denoting emergency entrance Not lighted Lighted Excellent system of signs Disaster traffic pattern poor Disaster traffic pattern good Combination of above w o m O n a w l W N ee © 161
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From page 339...
... Statistics Comments Col 46 Construction and arrangement - daily care w m a n u & W w W N H O Not stated or pertinent Parking area blocked by cars at emergency area Inadequate turn-around space No marquee for protection Poor location of emergency unit to entrance No waiting area near emergency department No telephone near emergency department Excellent construction and arrangement Other Combination of above Col 47 Construction and arrangement - mass UW & W N H O Ov casualties None considered in construction Limited space ground floor - 25 or less Space for 25-100 persons ground floor Space for 100-200 persons ground floor Space for over 200 persons ground floor Space for over 100 persons ground floor plus operating room facilities Combination of above Col 48 Construction and arrangement - mass N O W casualties Emergency department not used for triage Expansion from emergency department into OPD Expansion from emergency department into physical medicine gymnasiums Expansion from emergency department into large hallways Expansion from emergency department into large room Two-way traffic in emergency area One-way traffic in emergency area Other Combination of above Col 49 Hospital Disaster Plan W O N A U F W N & OO None Incomplete and inadequate - adequate personnel Incomplete with inadequate personnel Complete not utilized - personnel uninformed Complete - utilized well Complete inadequate personnel Previous trial run Previous disaster experience Other Combination of above 162
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From page 341...
... Statistics Comments Col 50 Hospital Disaster Plan - activation O M O n Q U & W N =H © No one specified Chief of Surgery Administrator Chief of Staff Disaster Chairman Staff member - unassigned General Practitioner Non-surgical specialist Surgical specialist Combination of above Col 51 Medication issued to discharged inpatients O Not stated or pertinent 1 On floor 2 In hospital area other than floor 3 Prescription only 4 At relocated area 5 Other 9 Combination of above Col 52 Relocation of patients within hospital 0 1 9 None Yes Col 53 Triage - initially N O W W ND = © \O None General Surgeon General Practitioner Resident Intern Non-surgical specialist Surgical specialist Other Combination of above Col 54 Triage - later S O W W N = © ‘O o None ° General Surgeon General Practitioner Resident Intern Non-surgical specialist Surgical specialist Other Combination of above 163
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From page 343...
... Statistics Comments Col 55 Non-medical personnel undertaking definitive care under direction O None or not necessary 1 Nurses - registered 2 Nurses - practical 3 Dentists 4 Veterinarians 5 Layman - trained 6 Layman - untrained 7 Other 9 Combination of above Col 56 Identification and diagnosis Not stated or pertinent Identification tags completed No identification tags - medical records only Identification tags including diagnosis and initial treatment Medical records completed in triage area Diagnosis initially lacking Treatment initially lacking - not recorded Identification initially lacking Other Combination of above W N = © oO oM mn N a n U L Col 57 Emergency procedures QO None, 1 Initiated immediately 2 Delayed 3 Other 9 Col 58-59 Types of Injured - fractures 00 None O01 99 Over Col 60-61 Types of injured - head (brain) 00 None 01 99 Over Col 62-63 Types of injured - peripheral nerve including cord 00 None 99 Over 164
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From page 345...
... Statistics Comments Col 64-65 Types of injuries - chest OO None 01 99 Over Col 66-67 Types of injuries - abdomen OO None O01 99 Over Col 68-69 Types of injuries - burn OO None 01 99 Over Col 70-71 Types of injuries - soft tissue OO None 01 99 Over Col 72-73 Types of injuries - eye OO None 01 99 Over Col 74-75 Types of injuries - psychiatric 0O None 01 99 Over Col 76-77 Types of injuries - urological 00 None O01 99 Over Col 78-79 Types of injuries - shock (Separate from above)
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From page 347...
... DISASTER TASK FORCE OF NATIONAL RESEARCH COUNCIL DISASTER SURVEY - HOSPITALS Disaster Surveyor Date Hospital Card #2 Statistics Comments Col 1 Disaster Treatment areas designated 0 No change from daily care 1 Shock ward 2 Burn ward 3 Soft tissue ward 4 Eye 5 Orthopedic 6 Ambulatory 7 Preoperative 8 Other 9 Combination of above Col 2 Emergency Department (Physical layout) 0 None available 1 Inadequate 2 Adequate Col 3 Emergency Department Committee 0 None 1 Staff 2 Physicians only 3 Physicians, administrator and nurse 4 Available but seldom meets - poor control 5 Available, meets frequently - poor control 6 Available, meets frequently - controls policies 7 Members seldom seen in emergency unit 8 Other 9 Combination of above Col 4 Equipment available 0 Not stated or pertinent 1 Poor 2 Fair 3 Excellent 4 Inadequate 5 Other 9 Combination of above 166
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From page 349...
... Statistics Comments Col 5 Communications - within hospital O None, not stated or pertinent 1 Walkie Talkie 2 Telephone 3°‘Television 4 Bell boy 5 Page lights and/or speaker 6 "Hot lines" 7 Radio - police, ambulance, etc. 8 Other 9 Combination of above Col 6 Wound procedure policies - Emergency Area (See individual survey also)
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From page 351...
... Statistics Comments Col 10 Aspiration QO None necessary 1 Abdomen for diagnosis - yes 2 Abdomen for diagnosis - no 3 Chest (including pericardium) for diagnosis and treatment - yes 4 Chest (including pericardium)
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From page 353...
... Statistics Comments Col 15 Reference materials None stated, pertinent or available Surgery Orthopedics Toxicology Medicine Pediatrics Trauma manual Public health regulations Other Combination of above O O N A U K W H H O Col 16 Radiology O Not stated or pertinent Portable available Portable not available Equipment available to decrease number of movements for x-ray - e.g. plastic carts, special mattress, special x-ray equipment Facilities on separate floor Facilities available in or near emergency unit Facilities available for decontamination Facilities not available for decontamination Other Combination of above W N = O M A N A U ES Col 17 Identification of medical and paramedical personnel and employees during disaster O Not stated or pertinent 1 Method in effect 2 No method 9 Combination of above Col 18 Dietary Problems O None, not stated or pertinent 1 Facilities available for increased burden 2 Facilities not available for increased burden 9 Combination of above Col 19 News media O Not stated or pertinent 1 Area for news media personnel assigned 2 Area for news media personnel not assigned 3 Communications to outside available for news media Authorized individual available for official comments 5 No authorized individual available for official comments 6 Other tS 9 Combination of above 169
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From page 355...
... Statistics Comme nts Col 20 Traffic and security O Not stated or pertinent 1 No special individuals assigned 2 Special individuals assigned - very well handled 3 Special individuals assigned - poorly handled 4 Other 9 Combination of above Col 21 Method of handling relatives and onlookers Not stated, pertinent or none Special individuals assigned to problem Special individuals not assigned to problem Ministers, Priests, Rabbi Non-medical hospital personnel Volunteers Other O u W N = © \O Combination of above Col 22 Rotation schedule for personnel Not stated or pertinent Preplanned Not planned - no problem Not planned - problem Personnel over-burdened without relief Other UW W h e © 9 Combination of above Col 23 Personnel Pools Not stated, pertinent, or none Available for all departments Not available for all departments Pool for litter bearers No pool for litter bearers Pool for messengers No pool for messengers Other N O O N WH DO w= © Oo Combination of above Col 24 Notification of personnel at time of disaster O Not stated or pertinent 1 No system developed prior to disaster 2 System developed prior to disaster 3 Other 9 Combination of above 170
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From page 357...
... Statistics Comments Col 25 Trouble shooting 0 Not stated or pertinent 1 Individual assigned 2 No individual assigned 3 Other 9 Combination of above Col 26 Patient's valuables O Not stated or pertinent 1 Plan for collecting valuables 2 No plan for collecting valuables 3 Other 9 Combination of above Col 27 Traffic pattern within hospital QO Not stated or pertinent 1 None developed 2 Method developed and functioning well 3 Method developed and not functioning well 4 Other 9 Combination of above Col 28 Morgue O Not stated or pertinent 1 Assigned area for increased load 2 No assigned area for increased load 3 Other 9 Combination of above Col 29 Obstetric organization in disaster 0 Not stated or pertinent 1 9 Combination of above Col 30 Pediatric organization in disaster QO Not stated or pertinent 1 9 Combination of above Col 31 Anesthesia organization in disaster 0 Not stated or pertinent l 9 Combination of above 171
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