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• Bali bombing 2002
• Masters Disaster Medicine
• Philippines: Super-typhoon Haiyan
• Nepal: Earthquake
• MIMMS
My XP
Definition of a disaster
• Defined in terms of the ability of a service to cope with the number of casualties
• Involves police, fire and health services (sometimes military) to varying degrees depending on the incident
Classification of a disaster
• Simple or compound
• Natural or man made
• Industrial
• Transport
• Sporting or mass gathering
• War or terrorism
• Compensated or Uncompensated
• Staff
• Stuff
• Space or structure
• System
• Integrated all-hazards response
• Helmuth Von Moltke
Science of Surge
• Infrastructure is just part of it
• Sanitation and basic services
• Children / Govt. / Business
• Medicine
• Chronic health conditions
• Psychological recovery can take months or years
• Infectious disease?
Recovery
What is ED’s Response?
• Preparation of facilities and staff
• Evacuation of stable patients
• Rapid, high-volume turnover of mass casualties
• Return to normal activities
• Dispatch Site Team or DMAT
• Staff a mobile hospital