Nationwide Response Issues After an Improvised Nuclear Device Attack Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary (2014) / Chapter Skim
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9 Roles of Regional Health Care Coalitions in Planning and Response
9 Roles of Regional Health Care Coalitions in Planning and Response
Pages 81-92
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From page 81... ...
This would considerably en hance surge capacity as long as health care staff is properly trained. x Nascent health care coalitions now exist throughout the United States, but work needs to be done to help them mature and to interconnect them, especially across state lines.
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From page 82... ...
IMPROVING HOSPITAL PREPAREDNESS With casualties running into the tens of thousands or hundreds of thousands, responding to an IND attack would be a monumental task that could not be effectively handled by any single hospital or health care organization working in isolation. David Marcozzi of the Office of the Assistant Secretary for Preparedness and Response spoke of the office's desire to develop a comprehensive national preparedness and response health care system that is coordinated to meet local, state, and national needs during public health emergencies.
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From page 83... ...
. Another way to increase surge capacity is by normal attrition.
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From page 84... ...
The NCR coalition was activated for the presidential inauguration of 2013, during which coalition partners worked together to plan for and coordinate emergency response as well as developing incident action plans and other documents. Following an IND attack, the NCR coalition expects to perform numerous functions: receive mass casualties through medical surge capacity; establish communications resistant to the accompanying electromagnetic pulse; stockpile resources needed for an emergency (e.g., radiation detection equipment, respirators, and decontamination supplies)
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From page 85... ...
The remaining partner will need to become part of another regional coalition to handle the resulting mass casualties. ROLES FOR OUTLYING COMMUNITIES Eric Toner of the UPMC Center for Health Security painted a stark picture of the post–IND attack mayhem that would ensue in outlying hospitals in the absence of a health care coalition.
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From page 86... ...
Almost all coalitions reported joint planning, joint training and drills, regular meetings, formal links, joint purchasing, and joint response to mass casualty events. Somewhat fewer reported sharing bed availability and surge capacity, participating in a local emergency operations center, coordinating alternative care facilities, and coordinating use of volunteers.
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From page 87... ...
into Local, Regional, and National Response As previously discussed in Chapter 7, RITN is a network of 51 academic medical centers, 6 blood donor centers, and 7 umbilical cord blood banks. It has published treatment guidelines for acute radiation syndrome as well as guidelines for determining eligibility for and conducting a stem cell transplant, according to speaker and RITN medical advisor David Weinstock of the Dana-Farber Cancer Institute.
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From page 88... ...
on a workday in the center of Detroit. The scenario assumed 14,000 fatalities, 30,000 seriously injured victims in the severe damage zone and moderate damage zone, and 10,000 minor injuries.
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From page 89... ...
3 RACES is the Radio Amateur Civil Emergency Service manned by volunteer operators who are licensed and certified by Federal Emergency Management Agency and the Federal Communications Commission. The purpose of RACES is to ensure communication during drills, exercises, and emergencies.
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From page 90... ...
Newly developing health care coalitions have more opportunity to respond to an IND because they can pool and share their resources more easily up front. Robust health care coalitions, if sufficiently large, have the capacity to receive mass casualties; establish communications resistant to the EMP; share situational awareness and scarce resources; provide palliative care for victims not expected to survive; and manage mass fatalities, among other joint functions.
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From page 91... ...
If needed, these centers could accept approximately 30,000 patients around the country after a disaster. RITN is eager to partner with regional and local health care coalitions to augment the national response capability in an IND event.
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