scholarly journals Medical Needs Documented by Emergency Medical Services (EMS) Responders to Areas Affected by Typhoon Haiyan in the Philippines: Implications on Disaster Response Policy

2018 ◽  
Vol 52 (2) ◽  
Author(s):  
Carlos Primero D. Gundran ◽  
Hilton Y. Lam ◽  
Jaifred Christian F. Lopez ◽  
Emelia B. Santamaria ◽  
Anna Cristina A. Tuazon ◽  
...  

Background. Despite existing disaster preparedness policies in the Philippines, there has not been any validated assessment of the quality of disaster medical response, which would require reliable aggregate data on patient diagnoses and management. Objective. This mixed-methods study documented the diagnoses, triage classification and case management of patients seen by Philippine EMS groups who responded to the Typhoon Haiyan disaster in the Philippines in November and December 2013, as well as difficulties associated in gathering these data, using the Utstein-style Template for Uniform Data Reporting of Acute Medical Response in Disasters as framework. Methods. Three hundred (300) individuals vetted by EMS organizations were invited to answer a survey modeled after the Utstein-style template, and submit tallies of patients seen. Out of 52 responses received, policy recommendations were subsequently generated on concerns assessed by the template using the nominal group technique. Results. The submitted data yielded a total of 41,202 patients with information on age, sex, and diagnosis; 19,193 with triage classification; and 27,523 with information on case management. The focus group discussion underlined the absence of a standard communication and information management system. Participants recommended establishing such a system, and highlighted the role of the Department of Health – Health Emergency Management Bureau in coordinating disaster medical response efforts and information management. Conclusion. This study underlines the importance of effective communication, and multisectoral coordination, to generate reliable data and thus, facilitate resource allocation for disaster medical response.

2018 ◽  
Vol 52 (2) ◽  
Author(s):  
Hilton Y. Lam ◽  
Carlos Primero D. Gundran ◽  
Jaifred Christian F. Lopez ◽  
Emelia B. Santamaria ◽  
Anna Cristina A. Tuazon ◽  
...  

Background. Despite the implementation of policies related to disaster risk reduction and management in the Philippines, the response after Typhoon Haiyan in November 2013 was hampered by operational challenges. Objective. The purpose of this study was to document disaster response experiences of Typhoon Haiyan from field level emergency medical service (EMS) responders, a key component of the disaster response, specifically the enabling factors and hindrances to disaster medical response activities, including their self-perceived level of preparedness in these activities. Methods. In this mixed-methods study, 52 respondents identified enabling factors and hindrances to their disaster response and their corresponding self-perceived level of preparedness. In a subsequent focus group discussion, the researchers used the nominal group technique to process the respondents’ experiences. Results. The respondents identified factors that enabled or hindered their response activities such as coordination, stress debriefing, infrastructure, and preparedness. Furthermore, an average of 33% of the respondents said they were adequately prepared to deliver the necessary medical services during the disaster response, thus validating previous studies on preparedness and disaster response operations. Conclusion. The government should critically examine its cluster approach to disaster response and consider an integrated, inclusive, and proactive approach in disaster planning.


2019 ◽  
Vol 34 (s1) ◽  
pp. s4-s5
Author(s):  
Matteo Paganini ◽  
Luca Ragazzoni ◽  
Fabio Rossitto ◽  
Aurora Vecchiato ◽  
Rita Bonfini ◽  
...  

Introduction:After Action Reports analyze events and recommend actions to facilitate preparedness and response to future similar disasters. However, there is no consensus among the templates developed to collect data during disasters and little is known about how to report hospital responses.Aim:The hypothesis was that the use of a new assessment tool for hospital response to natural disasters facilitates the systematic collection of data and the delivery of a scientific report after the event.Methods:A data collection tool, focused on hospital response to natural disasters, was created modifying the “Utstein-Style Template for Uniform Data Reporting of Acute Medical Response in Disasters”,1 and tested the reaction of the hospitals involved in the response to the Central Italy earthquake on August 24th, 2016.Results:Four hospitals were included. The completion rate of the tool was of 97.10%. A total of 613 patients accessed the four emergency departments, most of them in Rieti hospital (178; 29.04%). Three hundred and thirty – six patients were classified as earthquake-related (54.81%), most of which with trauma injuries (260; 77.38%).Discussion:The new reporting tool proved to be easy to use and allowed to retrospectively reconstruct most (97.10%) of the actions implemented by hospital responders. Details about activation, patient fluxes, times, and actions undertaken were easily reconstructed throughout in-field interviews of hospital managers and patients’ charts. Patients were uniformly distributed across the four hospitals, and the hospital capabilities were able to cope with this mass influx of casualties. The Modified Utstein Template for Hospital Disaster Response Reporting is a valid tool for hospital disaster management reporting. This template could be used for a better comprehension of hospital disaster reaction, debriefing activities, and revisions.


Author(s):  
Howard Backer ◽  
David Duncan ◽  
Kate Christensen ◽  
Asha Devereaux ◽  
Brett Rosen ◽  
...  

Abstract Wildfires have become a regular seasonal disaster across the Western region of the United States. Wildfires require a multifaceted disaster response. In addition to fire suppression, there are public health and medical needs for responders and the general population in the path of the fire, as well as a much larger population impacted by smoke. This paper describes key aspects of the health and medical response to wildfires in California, including facility evacuation and shelter medical support, with emphasis on the organization, coordination, and management of medical teams deployed to fire incident base camps. This provides 1 model of medical support and references resources to help other jurisdictions that must respond to the rising incidence of large wildland fires.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Yanming Cheng ◽  
Xieqiu Zhao ◽  
Jing Wu ◽  
Hemiao Liu ◽  
Yulian Zhao ◽  
...  

In recent years, with the constant development and integration of Internet technology, Internet of Things technology, and intelligent terminal technology, to make people’s work and life more comfortable and convenient, these new technologies have been more and more widely used in daily home life such as social education, agricultural production, industrial production, medical, and other fields. However, at present, there are still a lot of room for development in the application of new technologies in the medical and health industry. Especially in the context of hospital information construction and medical difficulties, the functions of fixed information points such as traditional nurse stations and doctor stations no longer meet the growing medical needs of people. Therefore, how to introduce these new technologies and design to a practical and low-cost intelligent medical information management system that realizes the convenient management and efficient management of medical personnel has become a top priority. In view of the problems faced by the hospital, this paper proposes an intelligent medical plan based on NB-IoT technology and develops a smart hospital information management system. Test results indicate that patients can easily and conveniently register their appointments through the Android mobile client. Through checking medical records and hospital news updates, medical staff can more easily complete their work. Comparison results of performance variance between the common server and adaptive algorithm web server demonstrate that an adaptive load balancing algorithm can achieve a more accurate allocation of the load. Therefore, the web smart medical information management platform can manage hospitals more comprehensively.


2001 ◽  
Author(s):  
Jimmy Johnston ◽  
Kimberly Yates ◽  
Pete Bourgeois ◽  
Diane Burdick ◽  
Jim Giattina ◽  
...  

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