Podcast
Questions and Answers
In a highly decentralized disaster response scenario, which of the following coordination strategies would MOST effectively address the challenge of resource allocation across multiple jurisdictions with potentially conflicting priorities?
In a highly decentralized disaster response scenario, which of the following coordination strategies would MOST effectively address the challenge of resource allocation across multiple jurisdictions with potentially conflicting priorities?
- Establishing a multi-jurisdictional coordination entity with binding authority to reallocate resources based on dynamically assessed needs, overriding local control where necessary.
- Implementing a 'laissez-faire' approach, allowing each jurisdiction to manage its resources independently, fostering innovation through competition and minimizing bureaucratic overhead.
- Developing a sophisticated resource-sharing agreement with predefined escalation protocols, facilitated by a real-time resource tracking system incorporating game theory principles to optimize distribution. (correct)
- Mandating a standardized Incident Command System (ICS) structure across all participating jurisdictions to ensure seamless interoperability.
Considering the Sendai Framework's emphasis on risk-informed development, how should a national government MOST effectively integrate climate change projections, characterized by deep uncertainty and non-stationary processes, into its long-term urban planning and infrastructure investment decisions?
Considering the Sendai Framework's emphasis on risk-informed development, how should a national government MOST effectively integrate climate change projections, characterized by deep uncertainty and non-stationary processes, into its long-term urban planning and infrastructure investment decisions?
- Implementing a moratorium on new infrastructure development in vulnerable coastal areas until climate models achieve higher precision, minimizing exposure to potential future hazards.
- Adopting a 'no-regrets' approach, prioritizing investments that yield benefits across a wide range of plausible climate futures, maximizing resilience to unforeseen impacts.
- Utilizing a dynamic adaptive policy pathways (DAPP) framework, continuously monitoring climate change indicators and adjusting infrastructure plans based on predefined trigger points, enabling flexible responses to evolving risks. (correct)
- Employing a traditional cost-benefit analysis using the most likely single climate scenario to guide investment decisions, ensuring efficient resource allocation under predictable conditions.
Given the complexities of cascading disasters, such as an earthquake triggering a nuclear plant failure, which risk assessment methodology would provide the MOST holistic understanding of potential systemic vulnerabilities and interdependencies?
Given the complexities of cascading disasters, such as an earthquake triggering a nuclear plant failure, which risk assessment methodology would provide the MOST holistic understanding of potential systemic vulnerabilities and interdependencies?
- Implementing a Bayesian network-based risk assessment that models the interdependencies between infrastructure systems (e.g., energy, communication, transportation) and their probabilistic failure cascades. (correct)
- Performing a qualitative scenario analysis, identifying potential high-impact, low-probability events without quantifying probabilities or interdependencies.
- Employing a probabilistic risk assessment (PRA) focused solely on the initiating event (earthquake) and its immediate consequences (structural damage).
- Conducting a hazard-specific vulnerability analysis for the nuclear plant, independent of external triggers.
In the context of the Hyogo Framework for Action and its emphasis on building resilience, what strategies should be prioritized to address the 'attribution problem' – the difficulty in directly linking specific disaster risk reduction (DRR) interventions to quantified reductions in disaster losses?
In the context of the Hyogo Framework for Action and its emphasis on building resilience, what strategies should be prioritized to address the 'attribution problem' – the difficulty in directly linking specific disaster risk reduction (DRR) interventions to quantified reductions in disaster losses?
Considering the complexities of urban informal settlements regarding disaster risk, what integrated policy approach would MOST effectively reduce vulnerability while respecting the rights and livelihoods of residents?
Considering the complexities of urban informal settlements regarding disaster risk, what integrated policy approach would MOST effectively reduce vulnerability while respecting the rights and livelihoods of residents?
Given the limitations of traditional top-down approaches to risk communication during a rapidly evolving pandemic, what innovative strategies could be MOST effectively employed to foster public trust and encourage adherence to public health guidelines?
Given the limitations of traditional top-down approaches to risk communication during a rapidly evolving pandemic, what innovative strategies could be MOST effectively employed to foster public trust and encourage adherence to public health guidelines?
Within a healthcare setting, what advanced logistical optimization strategy would MOST effectively ensure timely and equitable distribution of scarce medical resources (e.g., ventilators, critical medications) during a mass casualty event?
Within a healthcare setting, what advanced logistical optimization strategy would MOST effectively ensure timely and equitable distribution of scarce medical resources (e.g., ventilators, critical medications) during a mass casualty event?
Following a catastrophic earthquake, what innovative financial mechanisms could be MOST effectively employed to accelerate long-term recovery and reconstruction, mitigating the risk of prolonged economic stagnation?
Following a catastrophic earthquake, what innovative financial mechanisms could be MOST effectively employed to accelerate long-term recovery and reconstruction, mitigating the risk of prolonged economic stagnation?
How should the framework of the United Nations International Strategy for Disaster Reduction (UNISDR, now UNDRR) MOST effectively promote the integration of indigenous knowledge and local practices into national disaster risk reduction (DRR) strategies, ensuring culturally appropriate and context-specific interventions?
How should the framework of the United Nations International Strategy for Disaster Reduction (UNISDR, now UNDRR) MOST effectively promote the integration of indigenous knowledge and local practices into national disaster risk reduction (DRR) strategies, ensuring culturally appropriate and context-specific interventions?
Considering scenario planning for a large-scale cyberattack targeting critical infrastructure, what type of simulation exercise would MOST effectively assess the cascading impacts and interdependencies across multiple sectors (e.g., energy, finance, healthcare)?
Considering scenario planning for a large-scale cyberattack targeting critical infrastructure, what type of simulation exercise would MOST effectively assess the cascading impacts and interdependencies across multiple sectors (e.g., energy, finance, healthcare)?
Given the increasing frequency and intensity of extreme weather events, what innovative legal and regulatory frameworks could be MOST effectively implemented to promote 'climate-smart' land use planning and development, mitigating future disaster risks?
Given the increasing frequency and intensity of extreme weather events, what innovative legal and regulatory frameworks could be MOST effectively implemented to promote 'climate-smart' land use planning and development, mitigating future disaster risks?
In the context of disaster preparedness, what strategic advantage could a 'digital twin' – a high-fidelity virtual replica of a city or region – offer in optimizing evacuation planning and resource allocation during a major hurricane?
In the context of disaster preparedness, what strategic advantage could a 'digital twin' – a high-fidelity virtual replica of a city or region – offer in optimizing evacuation planning and resource allocation during a major hurricane?
Considering the ethical complexities of disaster triage in resource-scarce environments, what novel decision-making framework could MOST effectively balance utilitarian principles (maximizing lives saved) with considerations of equity and procedural justice?
Considering the ethical complexities of disaster triage in resource-scarce environments, what novel decision-making framework could MOST effectively balance utilitarian principles (maximizing lives saved) with considerations of equity and procedural justice?
What are the critical elements of a comprehensive 'PACE' (Primary, Alternate, Contingency, Emergency) communication plan, and how can it be dynamically adapted to ensure resilience in the face of evolving technological disruptions and cybersecurity threats during a prolonged disaster?
What are the critical elements of a comprehensive 'PACE' (Primary, Alternate, Contingency, Emergency) communication plan, and how can it be dynamically adapted to ensure resilience in the face of evolving technological disruptions and cybersecurity threats during a prolonged disaster?
How can decision makers MOST effectively reconcile the tension between the need for rapid response in a disaster (e.g., deploying emergency personnel) and the imperative of conducting thorough risk assessments prior to intervention, especially in complex and unfamiliar environments?
How can decision makers MOST effectively reconcile the tension between the need for rapid response in a disaster (e.g., deploying emergency personnel) and the imperative of conducting thorough risk assessments prior to intervention, especially in complex and unfamiliar environments?
In the context of post-disaster reconstruction, how can decision-making models incorporating circular economy principles (emphasizing resource reuse and waste minimization) contribute to achieving more sustainable and resilient outcomes compared to traditional linear models (extract, produce, dispose)?
In the context of post-disaster reconstruction, how can decision-making models incorporating circular economy principles (emphasizing resource reuse and waste minimization) contribute to achieving more sustainable and resilient outcomes compared to traditional linear models (extract, produce, dispose)?
How can disaster management strategies be adapted to address the unique challenges posed by slow-onset disasters (e.g., drought, sea-level rise), which lack the immediate triggers of rapid-onset events, and lead to a gradual and protracted erosion of community resilience?
How can disaster management strategies be adapted to address the unique challenges posed by slow-onset disasters (e.g., drought, sea-level rise), which lack the immediate triggers of rapid-onset events, and lead to a gradual and protracted erosion of community resilience?
Given the growing prevalence of 'fake news' and misinformation during disaster events, what strategies would be MOST effective for emergency management agencies to build and earn trust with the public and combat disinformation campaigns in real time?
Given the growing prevalence of 'fake news' and misinformation during disaster events, what strategies would be MOST effective for emergency management agencies to build and earn trust with the public and combat disinformation campaigns in real time?
Within the START (Simple Triage and Rapid Treatment) method, which parameter is the MOST immediate determinant for classifying a trauma patient as 'Immediate' when resources are severely constrained?
Within the START (Simple Triage and Rapid Treatment) method, which parameter is the MOST immediate determinant for classifying a trauma patient as 'Immediate' when resources are severely constrained?
During a disaster surge management event, which of the following metrics would BEST inform real-time adjustments to patient triage and resource allocation?
During a disaster surge management event, which of the following metrics would BEST inform real-time adjustments to patient triage and resource allocation?
During the immediate aftermath of a catastrophic earthquake, which of the following actions should be prioritized by first responders to maximize the potential number of lives saved?
During the immediate aftermath of a catastrophic earthquake, which of the following actions should be prioritized by first responders to maximize the potential number of lives saved?
Considering long-term community resilience, what is the MOST critical factor in enabling a community to adapt and thrive and learn from the events following the devastation following the event.
Considering long-term community resilience, what is the MOST critical factor in enabling a community to adapt and thrive and learn from the events following the devastation following the event.
In the context of 'Critical Incident Stress Debriefing (CISD)', when should this intervention be used?
In the context of 'Critical Incident Stress Debriefing (CISD)', when should this intervention be used?
What is the MOST important goal of 'Psychological First Aid'?
What is the MOST important goal of 'Psychological First Aid'?
Which of the following is the MOST efficient and practical strategy for Emergency Room (ER) nurses to implement the 'Daily Triage' approach in a hospital setting?
Which of the following is the MOST efficient and practical strategy for Emergency Room (ER) nurses to implement the 'Daily Triage' approach in a hospital setting?
Which of the following qualities is the MOST critical for a triage officer during a disaster to possess, according to Frederick Burkle Jr.?
Which of the following qualities is the MOST critical for a triage officer during a disaster to possess, according to Frederick Burkle Jr.?
Which patient should be tagged 'Expectant' according to disaster-triage protocols?
Which patient should be tagged 'Expectant' according to disaster-triage protocols?
Your agency, tasked with community rebuilding has received the task of setting up new transitional housing for homeless disaster victims. What should be the PRIMARY goal?
Your agency, tasked with community rebuilding has received the task of setting up new transitional housing for homeless disaster victims. What should be the PRIMARY goal?
What is the MOST IMPORTANT action that triage personnel should take during a disaster?
What is the MOST IMPORTANT action that triage personnel should take during a disaster?
Which is the MAJOR function performed by nurses as part of their role in mitigation?
Which is the MAJOR function performed by nurses as part of their role in mitigation?
Which task is the MOST significant task to prepare for a disaster?
Which task is the MOST significant task to prepare for a disaster?
After a disaster strikes, how can the 'recovery phase' be described?
After a disaster strikes, how can the 'recovery phase' be described?
Which of the following actions is MOST related to the disaster-response phase of an emergency?
Which of the following actions is MOST related to the disaster-response phase of an emergency?
R.A. 10121, otherwise known as 'The Philippine Disaster Risk Reduction and Management Act of 2010', has what main goal during prevention?
R.A. 10121, otherwise known as 'The Philippine Disaster Risk Reduction and Management Act of 2010', has what main goal during prevention?
Consider several common challenges with disaster situations. Which of the following is the MOST relevant to disaster communication challenges?
Consider several common challenges with disaster situations. Which of the following is the MOST relevant to disaster communication challenges?
Flashcards
Disaster Management
Disaster Management
The process of preparing for and responding to disasters, organizing resources to lessen harm, and managing prevention, preparedness, response, and recovery.
UNISDR
UNISDR
A UN initiative for disaster risk reduction essential for sustainable development hinging on risk-informed development path.
UNDRR
UNDRR
Supports disaster risk reduction implementation, voluntary approach to disaster risk reduction, and people centered.
Sendai Framework
Sendai Framework
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HFA Strategic Goals
HFA Strategic Goals
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Hyogo Framework Priorities
Hyogo Framework Priorities
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Disaster Prevention and Mitigation
Disaster Prevention and Mitigation
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Nurse's Role in Mitigation
Nurse's Role in Mitigation
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Disaster Preparedness
Disaster Preparedness
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Disaster Challenges
Disaster Challenges
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Surge Management
Surge Management
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Disaster Planning
Disaster Planning
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Emergency Kit
Emergency Kit
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Learning Preparedness
Learning Preparedness
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PACE
PACE
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Disaster Triage
Disaster Triage
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Triage Officer Traits
Triage Officer Traits
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Daily Triage
Daily Triage
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Local EMS Overload
Local EMS Overload
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Minimal/Minor (Green)
Minimal/Minor (Green)
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Delayed (Yellow)
Delayed (Yellow)
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Immediate (Red)
Immediate (Red)
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Deceased (Black)
Deceased (Black)
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Expectant (Gray)
Expectant (Gray)
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Triage Personnel
Triage Personnel
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START Triage
START Triage
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START Parameters
START Parameters
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JumpSTART Triage
JumpSTART Triage
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Disaster Recovery
Disaster Recovery
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Community Rebuilding
Community Rebuilding
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Health & 1st Aid
Health & 1st Aid
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Community Infrastructure
Community Infrastructure
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Local Capacity
Local Capacity
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Early Recovery Transition
Early Recovery Transition
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Reconstruction Process
Reconstruction Process
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Rehabilitation
Rehabilitation
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Stress Debriefing
Stress Debriefing
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Psychological First Aid
Psychological First Aid
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Group Assessment
Group Assessment
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Study Notes
Disaster Management
- Disaster management is a systematic process.
- It efficiently prepares for and responds to disasters.
- It strategically organizes resources.
- Aims to reduce the harm caused by disasters.
- It includes responsibilities of disaster prevention, preparedness, response, and recovery.
United Nations International Strategy for Disaster Reduction (UNISDR)
- It is based on the theory that reducing disaster risk is key to sustainable development.
- Essential is a risk-informed development path for successful disaster risk management.
- UNISDR recognizes the need for behavioral change in society.
- Behavioral change reduces disaster losses.
- On May 1, 2019, its name changed to UNDRR.
UNDRR (United Nations Office for Disaster Risk Reduction)
- Supports implementation and review of the Sendai Framework for Disaster.
- Adopted at the third UN World Conference on Disaster Risk Reduction on March 18, 2015, in Sendai, Japan.
- Four priorities for action are the foundation of the vision.
- The Sendai Framework is a 15-year voluntary and people-centered approach.
- It aims to reduce disaster risk.
Three Strategic Goals of the Hyogo Framework for Action (HFA)
- Integrate disaster risk considerations into sustainable development at all levels.
- Emphasize disaster prevention, mitigation, preparedness, and vulnerability reduction.
- Develop and strengthen institutions, mechanisms, and capacities.
- Focus particularly in communities to improve resilience to hazards.
- Incorporate risk reduction approaches in designing and implementing emergency programs.
- Include preparedness, response, and recovery.
- Also include programs for rebuilding affected communities.
Sendai Framework
- It succeeds the Hyogo Framework for Action (HFA) 2005-2015.
- It aims to build resilience of nations and communities to disasters.
- Outcome of stakeholder consultations in March 2012.
- Inter-governmental negotiations occurred from July 2014 to March 2015.
- Supported by the UNDRR, requested by the UN General Assembly.
- It requires focused action by States across sectors at local, national, regional, and global levels.
Priority Areas of Focus
- The four priority areas of focus are as follows:
Priority 1: Understanding Disaster Risk
- Disaster risk management should base on understanding all dimensions of disaster risk.
- This includes vulnerability and capacity, exposure of persons and assets, hazard characteristics and the environment.
- This knowledge is for risk assessment, prevention, mitigation, preparedness, and response.
Priority 2: Strengthening Disaster Risk Governance
- It is important to manage disaster risk at the national, regional, and global levels.
- Disaster risk governance is important for prevention, mitigation, preparedness, response, recovery, and rehabilitation.
- Disaster risk governance also fosters collaboration and partnership.
Priority 3: Investing in Disaster Risk Reduction
- Public and private investment in disaster risk prevention and reduction through structural and non-structural measures is essential.
- This will enhance the economic, social, health and cultural resilience of persons, communities, countries and their assets, as well as the environment.
Priority 4: Enhancing Disaster Preparedness
- Enhance disaster preparedness for effective response and to “Build Back Better” in recovery, rehabilitation, and reconstruction.
- Growth of disaster risk means a need to strengthen disaster preparedness.
- Take action in anticipation of events.
- Ensure capacities are in place for effective response and recovery at all levels.
- The recovery, rehabilitation, and reconstruction phase is critical.
- Integrates disaster risk reduction into development measures.
Pre-Impact Phase
- This phase occurs before a disaster.
- It aims to reduce the potential for human, material, or environmental losses caused by hazards.
- It ensures that these losses are minimized when the disaster strikes.
Prevention and Mitigation
- Disaster mitigation actions can prevent a disaster or reduce the severity of its effects.
- Mitigation activities include awareness through education and disaster prevention measures.
- Immunization programs and public education are examples.
Disaster Prevention
- The aim is outright avoidance of adverse impacts of hazards and related disasters.
- Achieved through action taken, such as construction or dams.
- Action examples also include embankments that eliminate flood risks, and land-use regulations.
- Also, action involves no settlement in high-risk zones and seismic engineering designs for critical buildings.
Disaster Mitigation
- Aims to lessen or limit the adverse impacts of hazards and related disasters.
- Mitigation measures encompass hazard-resilient construction.
- Mitigation measures consist of improved environmental policies and public awareness.
- R.A. 10121 – Philippine Disaster Reduction and Management Act of 2010
Philippines Disaster Prevention and Mitigation
- It emphasizes key strategic actions.
- This emphasis gives importance to hazards evaluation and mitigation.
- Also emphasizes vulnerability analyses, identification of hazard-prone areas, and mainstreaming DRRM into development plans.
Role of Nurse in Mitigation
- Measures are designed to prevent hazards from causing emergencies.
- Or to lessen the likely effects of emergencies.
- Community assessment involves knowledge of community resources.
- Resource examples are emergency services, hospitals, and clinics.
- Also involves knowledge of community health personnel, community government officials, and local industry.
- Important is risk management, identify, analyze, evaluate, treat, and monitor risk.
Preparedness
- Disaster preparedness is a set of measures taken in advance.
- Advanced measures include governments, organizations, communities, or individuals.
- Advanced measures intend to better respond and cope with the immediate aftermath of a disaster.
- This includes disasters that are human-induced or caused by natural hazards.
- Simple initiatives can go a long way.
- Examples are training for search and rescue.
- Other examples are establishing early warning systems, developing contingency plans, or stockpiling equipment and supplies.
- Disaster preparedness plays an important role in building the resilience of communities.
Challenges in Disaster Situations
- Common communication challenges must be addressed.
- Communication among organizations and across many people is a priority.
- It is difficult given today’s changing environment.
- Communication and coordination are crucial aspects of emergency management.
- Communication system failure can occur due to infrastructure damage.
- This is due to lack of operator familiarity, demands, inadequate supplies and integration of providers and technologies.
Information Management
- Disaster plans facilitate data sharing and portability of health records.
- This supports pre- and post-disaster recovery healthcare planning.
- Allows optimal recovery of infrastructure for medical and behavioral healthcare, public health and social services.
Coordination
- It's important for jurisdictions to consider their response when entire regions are impacted.
- Planning includes identifying opportunities to strengthen the regional coordination.
- Aims to ensure effective medical and public health response to large-scale disasters.
- Detailed processes for distributing resources are an essential component.
- Critical are the processes including personnel, equipment and supplies across multiple organizations.
- Leadership roles and rescue coordination must be worked out in advance.
Advanced Warning Systems
- Used for evacuation from danger areas.
- Included in community disaster response plans.
- Lead time and reliability improvements have made the systems more useful.
- Disseminating warnings is a way to reduce disaster losses.
Surge Management
- Disaster plans will account for a sudden surge of patients.
- This means the effective triage of patients.
- Distributes patients to hospitals in a coordinated manner.
- This may mean even distribution of patients to several hospitals.
- This is opposed to delivering most to the closest hospital.
Disaster Planning
- Community mutual aid plan is needed.
- This supports hospitals, nursing homes, or other residential healthcare facilities in the event of evacuation.
- Healthcare plans must be realistic and achievable.
- Required is specific detail about where the relocated patients will go.
- Also required is who will care for the relocated patients.
- Response requires addressing alternative modes of transportation and adequate security measures.
Personal and Home Disaster Survival
- Important is assembling an emergency kit.
- An emergency kit is essential to prepare for an emergency.
- Ensure the kit addresses specific needs.
- Consider items used every day when deciding what to add to the survival kit.
What to Include in an Emergency Kit
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Pack batteries and portable chargers for adaptive equipment, such as hearing aids
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Pack any communication aids
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Include at least 1 week's supply of all prescription medications and a cooler for refrigerated medications
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Medical supplies and important health documents
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Extra mobility devices, such as a cane or a walker, if you can obtain these additional supplies
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A contact list (e.g., numbers and addresses of people who support one's physical or mental health) in a watertight container
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Necessary are supplies for pets and service animals (food, water, medicine, toys and bags to treat waste)
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Once you build your emergency kit, keep it up to date, complete, and easy to find
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Check emergency kits every 6 months to make sure all contents are current and functional.
Learning Preparedness Skills
- Those are the knowledge, abilities, and actions individuals, communities, and organizations take.
- It intends to anticipate, respond to, and recover from disasters.
- Aims to minimize harm and maximize resilience.
PACE (Primary, Alternate, Contingency, Emergency)
- PACE is a methodology to building resilient communication plans.
- Communication plans use the acronym Primary, Alternate, Contingency, Emergency.
- Used for reliable communications capabilities.
- Used if first responders, public safety agencies, enterprises, and local governments need assistance.
- It delivers structured framework.
- Optimizes communication efforts in emergencies.
- It delivers backup and alternative connectivity options.
- Primary means are compromised or unavailable.
- Each method will be completely independent of the other systems.
- Preferred method is communication in normal circumstances.
Impact Response: Disaster Triage Categories
- Triage comes from the French word trier.
- Trier means “to sort out.
- Sort and chose a process to place the right patient to receive care.
- Patients must receive the right level of care.
- Baron Dominique Jean Larrey – Napoleons chief surgeon, is credited for the first triage system.
- He died at 76 on July 25, 1842.
Abilities of A Triage Officer
- These are the personal abilities to triage effectively:
- Clinically Experienced
- Good Judgement and Leadership
- Calm and Cool under stress
- Decisive
- Knowledgeable of available resources
- Sense of humor
- Creative Problem Solver
- Available
- Experienced and knowledgeable regarding anticipated casualties
Daily Triage
- Performed by nurses often in the Emergency Departmant.
- Utilizes standardized approach augmented by clinical judgement.
- Goal is assess and treat to identify the sickest patients.
- Treat those before the patients who are less ill.
Incident Triage
- Occurs when ED is stressed by a large number of patients.
- It can be due to an acute incident or an ongoing medical crisis such as pandemic influenza.
- Utilizes existing agency resources.
- Care is still provided to the most critically ill patients.
- ED delays may be longer than usual.
- Everyone who presents for care is attended to eventually.
Disaster Triage
- The term is for local EMS and hospital emergency services when overwhelmed.
- This occurs to the point that immediate care cannot be provided because of available resources.
- During disaster, patients are:
- Minimal or Minor (Designated with the color green) –Patients are physiologically well compensated.
- Probably to remain so for an extended period.
- Can wait for a considerable period with minimal risk of deterioration.
Other Disaster Categories
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Delayed (designated with the color yellow) – patients are with compensated physiology.
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They have significant potential for deterioration.
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Immediate (designated with the color red) – patients with uncompensated physiology and injuries and are life-threatening.
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Deceased (designated with the color black) – patients are with no detectable vital signs.
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Expectant (designated as color gray) patients are alive but are unlikely to survive
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Triage personnel must not become victims during disasters.
Simple triage and rapid treatment
- The START triage tool is commonly used adult primary tool.
- Used for MCI patients developed by the Newport Beach Fire and Marine Department and Hoang Hospital, California.
- First published in 1983 and revised in 1994.
- Devised only for adults, with an arbitrary lower application limit of a patient weight of 100 pounds.
Parameters of START
- Ability to walk
- The presence or absence of spontaneous respirations
- Respiratory rates
- Assessment of perfusion
- The ability to obey commands
JumpSTART
- A pediatric MCI triage tool that first creates standards for triage of children.
- Created for Multicausality or Disaster Settings.
- Developed in 1995 and modified in 2001 by Dr. Lou Romig is a pediatric emergency physician.
- Has a background EMS, disaster preparedness and response.
Post-Impact:
Recovery, reconstruction, and rehabilitation
Reconstruction:
- This phase occurs after a disaster. The restoration of an organization.
- Organizations follow up by any impacts from a disaster.
- The recovery by its time, the organization has achieved social stability.
The recovery phase:
- It can last anywhere from six months to a year.
- It depends on the depending on the severity of the incident.
An example of recovery is creating:
- Strategic protocols and action plans to address the most serious impacts of a disaster.
- Protocols give a clear outline of action to take
- Create action plans for various disaster events and cover multiple scenarios.
Example for flood protocol including:
- Mitigation plans can be water (with fan deployment, etc.)
- Preferred water remediation
- Secondary and tertiary services to contact
Community Rebuilding
- Includes integrated Approaches
- Rebuilding provides a safe shelter option through long term recovery programs.
- The plans focus on self settlement, managed camps, and safety management
- The rebuilds includes shelter kits,safe building information and assistance for permanent residences
Health and watsan
- Focuses on low tech and sustainable strategies for the community This action can complement a focused approached to safe practices and medical care.
- Community members become responsible for first- aid and sanitation services with minimal technology
Community infrastructure and services
- Important is to Re-establish community health and education resources and services.
- Community becomes the main resource for assistance
- Volunteers are equipped to educate new programs regarding safety.
- Empowerment for community is achieved through agency and organization
Local capacity development
- Local groups are supported to create long term assistance programs These programs include sustainability with management.
- Core volunteer services become first responders trained to assist in medical needs
Early recovery
It implements assessment by assisting with first disaster assessment .and planning
- Creates long term quality care through early intervention following transition.
Reconstruction
- The overall aim of reconstruction and its responsibility relies on families. As community member start, people adjust and build back former lives.
- It is the community action to rebuild roads for daily use and infrastructure. Community members and volunteers will maintain safe environment after disaster
Rehabilitation
After a disater, the focus will be restoring the community by providing:
- Transport
- Utilities
- Healthcare
- Temporary homes
Critical Incident Stress Debriefing
- Is the process to help people work ,often groups to promote a safe transition for traumatic events
- Facilitators provide intervention for crisis by creating a relationship.
- Connecting responders so similar experiences can offer education
- This process will create healthy transitions after tragic events.
List of Symptoms from Trauma or Stress
The list of symptoms often stems from all types of stress.
- Stress includes all signs across emotional ,behavioral and cognitive.
- Its important for team leaders to be familiar with the varying sign
1. Introduction and Assessment:
- To identify the group of people and its unique process, facilitators allow new members to ask questions
2. Act phase:
- Supporters allows each community member to share unique perspectives.
- This helps focus the conversation on actual and factual data to guide trauma transitions
3. Thought and Emotion Phase:
- After facts been collected, people will express emotions regarding the experience.
4. Reaction Phase:
- Facilitators act as an outlet to navigate trauma and concerns about moving forward, includes their fear of certain actions
5. Symptom phase:
- During this phase, assistance is given for actions by facilitators. Support and coping mechanism will help community members
6. Teaching phase:
- There is a focus on education and information to normalize any stressors and behaviors
7. Re-entry phase:
- The aim is to connect members and support groups with professional members to encourage a safe and happy recovery.
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