Providing critical care during a disaster

The interface between disaster response agencies and hospitals

J. Christopher Farmer, Paul K. Carlton

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objective: Recent natural disasters have highlighted shortfall areas in current hospital disaster preparedness. These include the following: 1) insufficient coordination between hospitals and civil/governmental response agencies; 2) insufficient on-site critical care capability; 3) a lack of "portability" of acute care processes (i.e., patient transport and/or bringing care to the patient); 4) education shortfalls; and 5) the inability of hospitals to align disaster medical requirements with other competing priorities. Conclusions: Definition of the roles and responsibilities of a hospital during a disaster requires additional planning precision beyond the prehospital response phase. Planners must also better define plans for circumstances when or if a hospital is rendered unusable. Disaster medical training of hospital personnel has been inadequate. This article details the specifics of these issues and outlines various potential approaches to begin addressing and formulating remedies to these shortfalls.

Original languageEnglish (US)
JournalCritical Care Medicine
Volume34
Issue number3 SUPPL.
DOIs
StatePublished - Mar 2006

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Disasters
Critical Care
Hospital Personnel
Patient Care
Education

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Providing critical care during a disaster : The interface between disaster response agencies and hospitals. / Farmer, J. Christopher; Carlton, Paul K.

In: Critical Care Medicine, Vol. 34, No. 3 SUPPL., 03.2006.

Research output: Contribution to journalArticle

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