Evacuation of Intensive Care Units during Disaster: Learning from the Hurricane Sandy Experience

Mary A. King, Molly V. Dorfman, Sharon Einav, Alexander Niven, Niranjan Kissoon, Colin K. Grissom

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Objective Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. Methods We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations. Results Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35% ICU nurses, 21% respiratory therapists, 25% physicians-in-training, and 13% attending physicians). Only 21% had participated in an ICU evacuation drill in the past 2 years and 28% had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43%) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24%), transport sleds (21%), and oxygen tanks and respiratory therapy supplies (19%). An evacuation wish list included walkie-talkies/phones (26%), lighting/electricity (18%), flashlights (10%), and portable ventilators and suction (16%). Conclusions ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future.

Original languageEnglish (US)
Pages (from-to)20-27
Number of pages8
JournalDisaster Medicine and Public Health Preparedness
Volume10
Issue number1
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

Fingerprint

Cyclonic Storms
Disasters
Intensive Care Units
Learning
Communication
Physicians
Patient Identification Systems
Nurses
Hospital Planning
Respiratory Therapy
Electricity
Mandrillus
Urban Hospitals
Suction
Mechanical Ventilators
Critical Care
Lighting
Practice Guidelines
Critical Illness
Cross-Sectional Studies

Keywords

  • critical care
  • disaster
  • emergency preparedness
  • evacuation
  • hurricanes
  • transportation of patients

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Evacuation of Intensive Care Units during Disaster : Learning from the Hurricane Sandy Experience. / King, Mary A.; Dorfman, Molly V.; Einav, Sharon; Niven, Alexander; Kissoon, Niranjan; Grissom, Colin K.

In: Disaster Medicine and Public Health Preparedness, Vol. 10, No. 1, 01.02.2016, p. 20-27.

Research output: Contribution to journalReview article

King, Mary A. ; Dorfman, Molly V. ; Einav, Sharon ; Niven, Alexander ; Kissoon, Niranjan ; Grissom, Colin K. / Evacuation of Intensive Care Units during Disaster : Learning from the Hurricane Sandy Experience. In: Disaster Medicine and Public Health Preparedness. 2016 ; Vol. 10, No. 1. pp. 20-27.
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abstract = "Objective Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. Methods We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations. Results Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35{\%} ICU nurses, 21{\%} respiratory therapists, 25{\%} physicians-in-training, and 13{\%} attending physicians). Only 21{\%} had participated in an ICU evacuation drill in the past 2 years and 28{\%} had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43{\%}) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24{\%}), transport sleds (21{\%}), and oxygen tanks and respiratory therapy supplies (19{\%}). An evacuation wish list included walkie-talkies/phones (26{\%}), lighting/electricity (18{\%}), flashlights (10{\%}), and portable ventilators and suction (16{\%}). Conclusions ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future.",
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N2 - Objective Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. Methods We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations. Results Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35% ICU nurses, 21% respiratory therapists, 25% physicians-in-training, and 13% attending physicians). Only 21% had participated in an ICU evacuation drill in the past 2 years and 28% had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43%) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24%), transport sleds (21%), and oxygen tanks and respiratory therapy supplies (19%). An evacuation wish list included walkie-talkies/phones (26%), lighting/electricity (18%), flashlights (10%), and portable ventilators and suction (16%). Conclusions ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future.

AB - Objective Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. Methods We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations. Results Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35% ICU nurses, 21% respiratory therapists, 25% physicians-in-training, and 13% attending physicians). Only 21% had participated in an ICU evacuation drill in the past 2 years and 28% had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43%) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24%), transport sleds (21%), and oxygen tanks and respiratory therapy supplies (19%). An evacuation wish list included walkie-talkies/phones (26%), lighting/electricity (18%), flashlights (10%), and portable ventilators and suction (16%). Conclusions ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future.

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