ACTEP2014: How to set up guideline for MCI
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The document outlines guidelines for pre-hospital and in-hospital management of medical emergencies, emphasizing hazard vulnerability analysis (HVA) for disaster preparedness. It details various potential hazards, their impacts, and necessary community preparedness strategies. The document also incorporates suggestions for collaboration among organizations, risk assessment tools, and community disaster preparedness plans.
ACTEP2014: How to set up guideline for MCI
- 1. How to set up guideline for MCI Pre-hospital & In-hospital Asst Prof Prasit Wuthisuthimethawee Attending physician, Department of Emergency Medicine, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla Adjunct faculty of BIDMC Disaster Medicine Fellowship Program, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
- 5. รถโดยสารสาธารณะ 137,609 คัน รถโดยสารสาธารณะเกิดอุบัติเหตุ 5,019 ครั้ง รายงานการวิเคราะห์อุบัติเหตุบนท้องถนน ประจา ปี 2555 กระทรวงคมนาคม
- 14. Leader Data Coordination Committee/unit/organization Budget HVA Strategy
- 15. Plan Do Check Act
- 18. 4 C’s • Collaborate • Communicate • Coordinate • Capitalize
- 20. Hazard Vulnerability Analysis • Knowing your risks and preparing of them • Disaster guideline or plan is based in result of HVA • All data gathering: past and present
- 21. Hazard Vulnerability Analysis • Events • Probability • Effect and impact • Current capabilities • Ranking
- 23. Risk = VCP • Vulnerability • Consequence • Probability
- 24. Hazard Vulnerability Analysis Disaster Management DETERMINATION OF POTENTIAL RISK OF THE HAZARD OCCURING HAZARD LOW MODERATE HIGH Natural Disasters Ice/Snow/Blizzards Flooding Earthquakes Fire Outbreak/Epidemic Resource/Utility Disasters Loss of Power/Electric/Generator Communication/Telephone Failure IT Failure Loss of Water Fuel Shortage Fire- Internal Medical Gas Shutdown Staff Unavailability Mass Casualty Accidents Bus Accidents Train Accidents Airplane Accidents Hostage Situation Industrial Accidents Fires Chemical Hazmat Weapons of Mass Destruction Chemical Weapons Biological Weapons Nuclear Weapons Radiological Weapons High Explosive Devices Bomb Threat
- 25. earthquake in the lower mainland because it is more likely and will have considerable damage even though the extent of damage will be considerably less than the strongest earthquake possible. Hazard Groups Hazard Accidents • Air crashes • Marine accidents • Motor vehicle crashes Atmosphere • Snow storms • Blizzards • Ice storms and fog • Hailstorms • Lightning • Hurricanes • Tornadoes • Heat waves Dam failure • Dam failure (includes foundations and abutments) Disease and epidemics • Human diseases • Animal diseases • Plant diseases • Pest infestations Explosions and emissions • Gas and gas leaks (pipeline) • Gas and gas leaks (gas wells) • Mine • Other explosions Fire - urban and rural • Fire (urban and rural - excludes interface fire) Fire - wildfire and interface • Wildfire (includes interface fire) Geological • Avalanches: - highways - other • Debris avalanches and debris flows • Landslides: HRVA Tool Kit 4-5
- 26. Hazard and Vulnerability Identification - highways - other • Submarine slides • Land subsidence Hazardous materials • Hazardous spills - general (on site or transport routes) - radiation - infectious materials Hydrologic • Drought • Erosion and accretion • Flooding • Ice jams • Storm surges Power outage • Electrical power outage Riots • Riots/public disorder Seismic • Ground motion effects • Tsunamis Space object • Space object crash Structural • Structural collapse Terrorism • Terrorism (hostile act against state) Volcanic • Ash falls • Pyroclastic flows • Lava flows • Mudflows There may be other hazards. Do not limit yourself to this list, however, you may with to constrain the scope of risk analysis work to the highest risks. If so, include those hazards with a potential to have at least an occasional possibility of occurring and a high level of impact.
- 28. RISK ANALYSIS Date: APRIL 21, 2003 No HAZARD SCIENTIFIC DETAILS INCLUDING IMPACTS & VULNERABILITY LIKLIEHOOD CONSEQUENCE SEVERITY 1 FLOODING FRESHET FLOODING IMPACTS VILLAGES AND FAMRS CAUSING LOCALIZED AND SEVERE PROPERTY DAMAGE. VULNERABILITIES: SCHOOL, STORM CREEK BRIDGE, AND NO EVAC PLAN 4 3 2 INTERFACE FIRE WILDFIRE THREATENS VILLAGE AND FORCES EVACUATION. VULNERABILITIES: SMOKE IRRITANT, ACCESS CUT OFF TO NORTH, EVAC TO SOUTH OK BUT NO ARRANGEMENTS IN PLACE FOR EVAC AND SHELTER TO NEAREST TOWN. 3 3 Impacts: Fatal 1 Injury 1 Crit. Inf. 2 Lifeline 2 Property 3 Envir. 2 Econ./Soc. 2 LIKLIEHOOD 6: Frequent or Very Likely 5: Moderate or Likely 4: Occasional, Slight Chance 3: Unlikely, Improbable 2: Highly Unlikely (Rare Event) 1: Very Rare Event CONSEQUENCE: IMPACT AND VULNERABILITY 4: Very High 3: High 2: Low 1: Very Low
- 29. FREQUENCY OR PROBABILITY INCREASING RISK CONSEQUENCE: IMPACT & VULNERABILITY 6 5 4 3 2 1 1 2 3 4 VERY HIGH CONSEQUENCES FREQUENT OR VERY LIKELY 6: Frequent or Very Likely 5: Moderate or Likely 4: Occasional, Slight Chance 3: Unlikely, Improbable 2: Highly Unlikely (Rare Event) 1: Vary Rare Event 4: Very High 3: High 2: Low 1: Very Low
- 30. HAZARD AND VULNERABILITY ASSESSMENT TOOL NATURALLY OCCURRING EVENTS SEVERITY = (MAGNITUDE - MITIGATION) EVENT PROBABILITY HUMAN IMPACT PROPERTY IMPACT BUSINESS IMPACT PREPARED-NESS INTERNAL RESPONSE EXTERNAL RESPONSE RISK Likelihood this will occur Possibility of death or injury Physical losses and damages Interruption of services Preplanning Time, effectiveness, resources Community/ Mutual Aid staff and supplies Relative threat* SCORE 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 - 100% Blizzard 0 2 2 3 2 2 3 0% Drought 1 2 2 2 2 2 2 22% Dust/Sand Storm 1 1 2 1 3 3 3 24% Earthquake, >6 Local 3 3 3 3 3 3 2 94% Epidemic/Natural 2 3 2 3 3 3 2 59% Flood, Local 2 3 3 3 3 3 2 63% Hurricane 0 0 0 0 0 0 0 0% Ice Storm 1 3 2 3 3 3 3 31% Infectious Disease (SARS, etc.) 1 3 3 3 3 3 2 31% Landslide 1 1 2 2 3 3 2 24% Severe Thunderstorm 1 1 1 1 2 2 2 17% Snow/Ice/Hail Storm 2 2 2 2 3 3 3 56% Temperature Extremes 1 1 1 1 2 2 2 17% Tsunami - Tidal Wave 0 0 0 0 0 0 0 0% Tornado 0 0 0 0 0 0 0 0% Volcano 0 0 0 0 0 0 0 0% Wild Fire 2 3 2 3 3 3 2 59% AVERAGE SCORE 1.06 1.65 1.59 1.76 2.06 2.06 1.76 21% *Threat increases with percentage. * Events in Bold have occurred previously 18 RISK = PROBABILITY * SEVERITY 185 0.21 0.35 0.60 Notes Natural Hazards : HVAlDetailedHM.xls
- 63. Guidelines for community disaster preparedness plan • Aims of the plan • Assessment of community – Strength VS Weakness – Risk, Vulnerability, Resources • Relationship with government • Warning system • Evacuation procedures • Emergency shelters International Federation of Red Cross and Red Crescent Societies
- 64. Guidelines for community disaster preparedness plan • Search and rescue • Damage/Needs assessment • Road cleaning/Debris clearing • Communication • Law and Order/Security • Transport • Repair of community services International Federation of Red Cross and Red Crescent Societies
- 65. Guidelines for community disaster preparedness plan • Health • Personal support • Welfare • Relief supplies • Outside assistant • Testing plan • Revision and update plan • Aware of plan • Risk reduction activities International Federation of Red Cross and Red Crescent Societies
- 71. International Federation of Red Cross and Red Crescent Societies
- 74. 74
- 92. Phonetic Alphabet Alpha Juliet Sierra Bravo Kilo Tango Charlie Lima Uniform Delta Mike victor Echo November Whiskey Foxtrot Oscar X-ray Golf Papa Yankee Hotel Quebec Zulu India Romeo
- 93. ?
- 94. Summary
- 95. Leader Data Coordination Committee/unit/organization Budget HVA Strategy
- 96. Plan Do Check Act
- 97. Preparedness cycle Plan Organize & Equip Train Evaluate/Improve Exercise Preparedness cycle
- 100. ขอบคุณครับ
- 105. Disaster and Emergency Medicine Research workshop • Professor Marvin Birnbuam • Former president of WADEM • 7-9 December, 2014 • Royal Phuket City Hotel