Regionalizing Emergency Care Workshop Summary (2010) / Chapter Skim
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8 Preparedness
8 Preparedness
Pages 109-122
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From page 109... ...
"I worry that we lack some of the communitarian spirit that Bill Haddon [the first administrator of the National Highway Safety Administration] and David Boyd [administrator of the 1973 Emergency Medical Services (EMS)
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From page 110... ...
LINKING DAILY EMERGENCY CARE AND DISASTER PREPAREDNESS David Marcozzi, emergency physician and director of public health policy for the White House National Security Staff, began by highlighting the fundamental question, "What is regionalization? " He pointed out that the H1N1 virus does not respect state or international borders.
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From page 111... ...
Regionalization provides an opportunity to exercise disaster plans on a regular basis through the daily delivery of acute health care. REGIONALIZATION AND PREPAREDNESS FOR CATASTROPHIC EVENTS Jon Krohmer, the principal deputy assistant secretary and deputy chief medical officer in the DHS's Office of Health Affairs, observed that "it's interesting when we look at regionalization from a preparedness perspective." But he cautioned that it's more than just multiple-casualty events; we really need to look this topic from the perspective of preparedness for catastrophic events.
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From page 112... ...
Health care regions have been established essentially by default through natural patient flows. Emergency management regions have been established based on public service considerations, including law enforcement and fire service response.
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From page 113... ...
Their initial plan was to house special needs patients -- for example individuals with high blood pressure and diabetes who require insulin and regular blood sugar testing and perhaps more extensive workups -- at a hospital during an evacuation. "Well," she said, "there are not enough hospital beds anywhere to take in all the diabetics, hypertensives, and people who are bed-bound and need help with activities of daily living." So they have been working with their public health partners.
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From page 114... ...
Then I'll be back in the rotation.' So," she said, "we have in place a single coordinating entity that directs a particular patient to a particular hospital based on its resources in real-time." Upton said that the Regional Hospital Preparedness Council is a 501(c)
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From page 115... ...
There are 121 hospitals and 220 nursing homes in the region and she said that the coordinating center provides a safety net for them. "They have just one phone number they have to call." A CULTURE OF PREPAREDNESS Joe Waeckerle, chief medical officer in the Missouri Office of Homeland Security, discussed the rationale for regionalized disaster preparedness systems that are integrated into the rest of the regionalized health care system.
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From page 116... ...
He said he would encourage them to place this operation in the context of emergency management and have the medical operations center as an annex to the emergency operations center.
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From page 117... ...
Kellermann said that "If a terrorist placed a bomb in the emergency center of Grady Hospital in Atlanta -- the only Level I trauma center for an area encompassing over 5 million people -- he would bring down the entire trauma care system for half of the state. " And there is no Plan B in Atlanta today," he added.
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From page 118... ...
public health emergency preparedness programs require regional planning activities. The federal government has developed 15 planning scenarios, one of which involves an explosive event.
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From page 119... ...
The local hospital emergency department received notification from the airport before any EMS or first responders had arrived on the scene. At the time they had about 50-55 people in the ED waiting room.
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From page 120... ...
He said that if we continue to shrink our daily capacity, it should not be a shock to anyone that our surge capacity has decreased. Altered Standards of Care A participant observed that the panelists all spoke about the need to build on and leverage the capabilities of the day-to-day emergency care system, but that disasters are much different with respect to the austere environment and the altered community and political dynamics.
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From page 121... ...
2009. PowerPoint slide presented at the Regionalizing Emergency Care Workshop, Washington, DC.
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