Setting up medical camps and mobilizing resources. Providing adequate shelter and sanitary facilities. Development of search and rescue team
Systemic Approach for a Response to MCM(cont...) 3. Recovery: It involves measures, which support emergency affected areas in reconstruction of the physical infrastructure and restoration of economic and emotional well being. Counseling programme for those who lost the near ones Restoring services like roads, communication link Providing financial support employment Reconstructing damaged buildings 4. Prevention and Mitigation: It involves measures to eliminate or reduce the incidence of severity of disasters. Preventing habitation in risk zones Disaster resistant buildings
Immediate Action Required in Different Type of Disaster The DISASTER Paradigm • D detect • I incident command • S scene safety and security • A assess hazards • S support needed • T triage/treatment • E evacuation • R recovery
Planning for MCM at Various Levels (National, Community & Health Care Facility) Ministry of health National Emergency Control Center Provincial Emergency Control Center Local Emergency Control Center Mass Causality Incident Information & request Direction & advice ------------ Authority & advice Authority & advice Authority & advice ---------------- ----------------- Ministry of health National emergency planning & preparedness committee Governor Mayor Provincial emergency planning & preparedness committee Local emergency planning & preparedness committee Police Defence Health Fire & rescue Welfare Local Govt L. ER Service L. Health Service Community Representatives Mass Casualty Management Systems WHO, 2007
Issues, Challenges and Strategies for MCM Issues, Challenges 1. The authority to activate or approve the use of altered standards of care under certain conditions. 2. Financial issues related to reimbursement and other ways of covering medical care costs. 3. Issues related to effective communication with the public. 4. Legal issues related to liability, licensing, and inter- governmental or regional mutual aid agreements. 5. Issues related to populations with special needs. 6. Issues related to transportation of patients. Strategies 1. Develop general and event-specific guidance for allocating inadequate health and medical care resources during a MC event. 2. Develop and implement a process to address nonmedical (i.e., finance, communication, etc.) issues related to the delivery of health and medical care during a MC event. 3. Develop a comprehensive strategy for risk communication with the public before, during, and after a MC event. 4. Develop practical tools, such as searchable databases, for verifying credentials of medical
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- Fall '19