Read Case Study: Tokyo: Terror in the Subway (Goldschmitt, D. & Bonvino, R. (2009). Medical Disaster Response: A Survival Guide for Hospitals in Mass Casualty Events. CRC Press, Chapter 16, pp. 237-256
Make sure to locate in the APUS Library and on the web, and utilize (cite, reference, list) in the discussion, additional resources about for the Tokyo Case Study.
Analyze, evaluate this week’s topics in the context of Tokyo Case Study.
What worked and what didn’t?
How would you have managed the Tokyo Mass Casualty Incident?
Readings:
Goldschmitt, D. & Bonvino, R. (2009). Medical Disaster Response: A Survival Guide for Hospitals in Mass Casualty Events. CRC Press, Chapters 27-33 (pp. 455-583) & Chapter 16 (pp. 237-256)
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In Week 3 we examine logistical, organizational, and communication issues in the clinical management of Mass Casualty Incidents.
Patient Flow issues are related to surmounting a large patient influx and the communication process necessary to determine resource allocation and forecast patient volumes. The knowledge of patient flow patterns is critical to disaster planning.
In Mass Casualty Incidents, the creation of the Discharge Unit should be on the same level of importance as the delineation of the Command Center. Without the Discharge Unit the patients will languish and the hospital will compromise the ability to provide further care for incoming patients. In a disaster, no patient should leave the hospital without passing through Discharge unit.
Without a properly planned physical plant design for the emergency department, the performance of a successful disaster mitigation strategy is challenged. Failure to take the special requirements for Mass Casualty Incidents into account will present unanticipated problem when a Mass Casualty Incident occurs. The key in disaster management architectural planning is whiter the proposed design will allow for appropriate patient flow.
The new information management systems enhance patient management and allow hospitals and other healthcare and emergency services provides to communicate with hospital core Health Information System. It also enable the implementation of the National Network for Real-time Syndromic and Bioterrorist Surveillance Systems.
Victim lists are essential tools for hospital response. Victim lists are required, not only to identify victims that have come into the hospital but also to identify casualties brought to multiple other sites during a disaster.
EMS is designated as one of the First Responders in Mass Casualty Incidents. EMS provides emergency medical care outside of a medical care facility and transports those individuals to an appropriate destination.
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