Prepared By: Mehtab Jaffer Senior Instructor 1/2/2018 1
By the end of the session participants will be able to: 1.Define Mass Casualty incidents and Management (MCM), its issues, challenges, strategies, and management plan. 2.Describe various types of disasters and differentiate various color codes. 3.Describe the concept of triage management and the core competencies of triage nurse and during disaster management. 4.Discuss Emergency severity Index (ESI) for triage management. 5.Discuss AKUH policy and dynamics in relation to disaster management. 6.Identify and locate the agency’s emergency response plan.7.Discuss effective communication skills and resource management/mobilization during MCM, disaster and triage management. 8.Discuss planning for MCM at various levels (National, Community & Health Care Facility). 9.Explore issues, challenges and strategies for MCM. 10.Describe the role/core competencies of an emergency In-Charge Nurse, Triage Nurse and other Emergency Room nurses during disaster/triage system.
Reduce or avoid potential lossess loss of life and property reduce the disaster impact (physical/psychological) impact during and immediately disaster steps to recover after disaster greater preparedness better warnings reduced vulnerability prevention of disasters
Pre-Hospital Initial Triage = START triage model 1. Patient Extraction – Removing the remaining victims from the affected areas and delivering them to designated treatment areas. 2. Secondary Triage/Medical Treatment – A treatment area for each category of patient (RED, YELLOW, BLACK GREEN) shall be established 3. Transportation of Patients
Definition: “Any occurrence that causes damage , ecological disruption , loss of human life or deterioration of health and health services on a scale sufficient to warrant an extraordinary response from outside the affected community or area”. (WHO, 2007) Forces overwhelm a community. Services are compromised. Outside assistance is required.
Beyond the Range of Normal Experience
1. Natural Disasters: • Meteorological Disasters (cyclones, typhoons, hurricanes, snowstorms) • Topological Disasters (landslides and floods) • Disasters that Originate Underground (earthquakes, volcanic eruptions) • Biological Disasters (communicable diseases, epidemics)
2. Man-Made Disasters: Warfare Disasters (bombardment, chemical, nuclear) Civil Disasters (riot and demonstrations) Accidents Disasters Transportation (planes, trucks, trains); Structural collapse (buildings, dams, bridges) Explosions; fires; chemical (toxic waste and pollution) Biological (sanitation)
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- Fall '19
- ESI, triage