Disaster Management and Preparedness
The management of the medical effects of contemporary disasters, whether natural or man-made, is one of the most significant challenges facing medical providers today. Disaster medical care is NOT the same as conventional medical care. Disaster medical care requires a fundamental change (crisis management care) in the care of disaster victims.
The demands of disaster medical relief have changed over the past decade in the scope of medical care, the spectrum of threats, and the field of operations. Increasingly, civilian surgical teams, including critical care providers, are being asked to respond to complex disasters, with the spectrum of threats ranging from natural disasters to complex man-made disasters such as war and terrorism. Many contemporary disasters occur in “austere” environments. An austere environment is a setting where access, transport, resources, or other aspects of the physical, social, or economic environments impose severe constraints on the adequacy of immediate care for the population in need.
KeywordsMass casualty incident (MCI) Crisis management Incident Command system Triage Expectant victim Damage control Critical mortality
- 1.Briggs SM. Advanced disaster medical response manual for providers. 2nd ed. Woodbury: Cine-Med Publishing; 2014.Google Scholar
- 3.Briggs SM. Role of civilian surgical teams in response to international disasters. 2010 ACS Bull. 2010;95(1):14–7.Google Scholar
- 5.Meara J, McClain C, Mooney D, Rogers S, editors. Global surgery and anesthesia manual: providing care in resource-limited settings. Boca Raton: CRC Press; 2015.Google Scholar
- 6.Briggs SM. Natural disasters: an overview. In: Partridge R et al., editors. Oxford handbook of disaster medicine. New York: Oxford University Press; 2012.Google Scholar
- 10.Harete M, Poss WB, Sweney J. Disaster preparedness, pediatric considerations in primary blast injury, chemical and biological terrorism. World J Crit Care Med. 2014;4(3):15–23.Google Scholar
- 16.Joint Committee to Create a National Policy to Enhance Survivability from Mass Casualty Shooting Events. Improving survival from active shooter events: the Hartford consensus. Bull Am Coll Surg. 2013;98(6):14–6.Google Scholar
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 2.5 International License (http://creativecommons.org/licenses/by-nc/2.5/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.
The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.