DISASTER MANAGEMENT

DEFINITION

DISASTER IS AN EVENT THAT

OCCURS IN MOST CASES SUDDENLY AND
UNEXPECTEDLY, CAUSING SEVERE
DISTURBANCES TO PEOPLE ,OBJECTS
AND ENVIRONMENT RESULTING IN LOSS
OF LIFE ,PROPERTY AND HEALTH OF
POPULATION
This is a situation where
overwhelming number of
casualties occurs which require
simultaneous emergency
treatment - the immediate
number of patients exceeds and
the capability of the facility
also increases.
 The management of casualties consists
of two important phases:-
 Pre-hospital phase, involving
Rescue of Survivors
 The collection & evacuation
of casualties
Types of disaster
 Pre-Hospital Phase of Disaster
Management
• This consists of sending a Quick Reaction Team
(QRT) or Mobile Medical Team(MMT)who will
provide first aid medical treatment at the site and
facilitate evacuation of casualties to the hospital.
 Hospital Phases of Disaster Management
External Disaster: The response will depend on the
following circumstances:
• The hospital is unaffected by the disaster and the
disaster site is away from the hospital.
In this situation hospital resources can be utilized to
the maximum without affecting own functioning.
• The hospital itself is affected by the disaster.
Here the capability of the hospital may be
compromised and outside help may be required
after careful understanding of the situation.
• Internal Disaster:
Only the hospital is affected by an agent or an
event such as fire . Here also outside help
may have to be sought after realizing the
situation.
 Action at hospital

During Working Hours: On receipt of information the

following personal will be contacted immediately:-
• Administrator
• CMO
• Casualty Incharge (Emergency)
• HR
• Nursing superintendent
• Security supervisor
 DURING OFF DUTY HOURS :NIGHT
inform the activate the
I/C Casualty Disaster Plan

inform the
CODE YELLOW
Administrator
ACTIVATED and N.S.

The Chief Coordinator,

Key personnel and
in charges Lab, Blood
medical staff assemble
Bank, Radio- Diagnosis
outside hospital and Operation Theaters,

Pharmacy,
Resident doctors and
Housekeeping
Clinical faculties are
Manager , Transport
contacted and Administration,

gather latest inputs

about approximate
number of casualties
Organization:
Upon patient arrival, the Mass Causalities
management plan will be activated. A figure of
10casualties has been taken for provision of
manpower and material.
 The disposition of the management plan
Control Cell- Consisting of:-
Central Control Team
Public Relation Officer (PR)
Reception Centre:-
 Reception Centre No. 1 (Casualty and Emergency Dept.)
 Reception Centre no.2 medical ward
 Resuscitation
Emergency 12 Beds
Disaster Wards
• Disaster ward no. 1 (Male General ward) 11 Beds
• Disaster ward no. 2 ( Female General ward) 07 Beds
 Supportive service departments which need
activation at top gear are:-
 Pathology
 Radio Diagnosis
 Blood Bank
 Pharmacy
 Transport
 Mortuary
 Kitchen
 Laundry
 Hospital Bio Medical Waste Management
 Triage
• Red - Priority-I (P-I)These casualties need
immediate resuscitation and urgent surgery.
• Yellow- Priority-II (P-II) These casualties need
early surgery and possible resuscitation.
• Green - Priority-III (P-III) These are minimally
injured/sick or cases with no hope of
survival.
• Black – Priority –IV (P-IV) Dead Body.
 ACTION PROCESS
On receipt of activation orders, the following actions will be
taken
• All faculty members will report to Central Control Team.
• All nursing staff will report to Nursing Superintendent
and all O.T. Technician to O.T. in-charge.
• Once the mass casualties start reporting to hospital, it will
have to be assessed. If the casualties are primarily
medical or surgical , accordingly Medicine Division or
Surgical Division gets activated to manage.
• Initial quick examination will be done in ambulance/
vehicles/ on stretchers for allotment of priorities and
direct the casualties to the respective wards / OT etc.
• Short minimum documentation as per format and
proper identification will be given by a number as
Date/ Ward/Case Number.
• Primary Cardio-respiratory resuscitation will be
carried out on Priority1 cases if time permits.
Otherwise shift the patient to EMERGENCY/ICU .
• Radiological and other relevant urgent
investigations should be done for preparation and
planning operation/intervention.
• Management of causalities in all wards will be
planned and executed as per clinical condition.
• Life saving Surgery and procedures should be
carried out during 1st 24 hours which may be
followed by Advance Life Support measures. Phase
III and IV constitutes definitive management and
rehabilitation respectively.
To meet the requirement of Blood:
Available blood groups in our blood bank should be
made ready .Relatives/ friends of victims will also
be motivated to donate blood. Assistance from
sitapur district hospital Blood Bank may also be
bought, if required.

 Security establishment and safe

custody of personal belongings of the victims is the
responsibility of Security in-charge.
Welfare of visitors of patients from far off
place will be taken care by providing
accommodation in hospital.
Dead bodies:
Will be handed over to civil police and
thereafter handed over directly to relatives.
Mortuary will be kept ready for preservation
if required. Adequate arrangements to be
made for respectable last rights of unclaimed
bodies, if civil administration desires.
Thank you