DISASTER MANAGEMENT

PROTOCOL
Whatis the purpose of a
Disaster Drill?

Who can participate in this

drill?

What are the Departments

involved in this drill?
DISASTER
 Disaster or Multi-Causality Incident (MCI) can be
defined as an event that results in a large number of
serious ill patients or injured victims which exceed
the ability of the emergency room and hospital to
provide routine care using its own resources.

 Disaster needs declaration when the immediate

patient load on the emergency department is
greater than normal or a situation is created which
is too great a load for the normal system of a
hospital to cope up with.
Disaster Management
 Disaster management is an important
extension of the emergency services as the
Emergency Department and the ambulances
are the first to respond in such situations.

 However, to cope up with extra load on the

whole hospital system, it is necessary to
follow well designed and tested Disaster
Management Protocols so as to effectively
manage disasters.
Disaster Management Cont….
Various disasters have occurred and are expected to occur
within the proximity of Hospitals which include the
following:

 1. Cyclones.
 2. Flooding (Rivers, Rain).
 3. Vehicular accidents (City and school buses, multi-passenger
vehicles).
 4. Train accidents.
 5. Aircraft crashes.
 6. Industrial accidents.
 7. Terrorism incidents (Gunshots, bomb blasts).
 8. Building and Construction Site Collapses (Hotels and
Factories).
Types of Disaster
EXTERNAL DISASTER: Occurs outside the premises of
Hospitals. The disaster response plan is activated for
external disasters. Examples - Train accident, bus
accidents, aircraft crashes, bomb blasts, etc.

INTERNAL DISASTER: Occurs within the premises of

Hospitals. Examples- Fire accident, collapse of roof,
electrical shocks, chemical spillage and explosion
can occur in any ICU, OT or Ward. Others include
burns, road accidents, falls and crowd violence.
Hospital Role during Disaster
 Dispatch of ambulances and EMTs to the scene of the accident.
 Dispatch of emergency physicians to the scene of the accident (if required).
 Triage and prioritization of the victims to the hospital.
 Transportation of the victims to the hospital.
 Triage of victims at the emergency department.
 Clinical and emergency care of the patients based on their priority and
condition.
 Stabilization, appropriate specialty referral and surgical interventions.
 Ensuring continuum of care through operation theatres, ICUs and wards.
 Supply of manpower, equipment, drug and consumables during disaster
response.
 Overall supervision and coordination of the disaster response by
establishing Command.
 Isolation of infectious patients, whenever applicable.
 Certification of death and medico-legal formalities, whenever applicable
Activation Criteria
The first Emergency Physician or Doctor or Paramedic
reaching the disaster site shall relay the information
regarding the disaster using the headings in the
mnemonic METHANE

 M – Major Incident Declared?

 E – Exact Location
 T – Type of Incident
 H - Hazards present of suspected
 A – Access- routes those are safe to use
 N – Number, type, severity of casualties
 E – Emergency services present and those required
Management of Clinical Activities
 HOSPITAL COMMAND CONTROL (HCC)

 DISASTER COMMANDER

 TRIAGE TEAM

 DECONTAMINATION PROCEDURE (DECON ROOM)

 WASTE MANAGEMENT

 HAZMAT TEAM

 DISASTER KITS

 ONSITE COMMANDER

 ONSITE TRIAGE TEAM

 COMMAND CONTROL RECIEVES METHANE CALL

DISASTER COMMANDER NOTIFIES THE RECEPTION

RECEPTION PERSONAL WILL NOTIFY ALL THE HODs

BLOOD OT ICU SECURITY LAB

COO
BANK INCHARGE TEAM INCHARGE INCHARGE
INCHARGE
PATIENT COORDINATOR’ NURSING
HOUSE KEEPING HEAD INCHARGE SUPERINTENDENT

RADIOLOGY
INCHARGE MAINTENANCE
INCHARGE PHARMACY INCHARGE