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Emergency preparedness: what every health care worker needs to know

Published online by Cambridge University Press:  21 May 2015

Michael D. Christian ,
Daniel Kollek  and
Brian Schwartz
Michael D. Christian*
Affiliation:
The Centre for Excellence in Emergency Preparedness, Hamilton, Ont. McMaster University, Faculty of Health Sciences, Department of Medicine, Divisions of Infectious Disease and Critical Care, Hamilton, Ont.
Daniel Kollek
Affiliation:
The Centre for Excellence in Emergency Preparedness, Hamilton, Ont. McMaster University, Faculty of Health Sciences, Department of Family Medicine, Emergency Medicine Programme, Hamilton, Ont.
Brian Schwartz
Affiliation:
The Centre for Excellence in Emergency Preparedness, Hamilton, Ont. Sunnybrook Osler Centre for Prehospital Care, Sunnybrook and Women's College Health Sciences Centre, Division of Emergency Medicine, Department of Family and Community Medicine, University of Toronto, Toronto, Ont.
*
Hamilton General Hospital, McMaster Wing, Rm. 627, 237 Barton St E, Hamilton ON L8L 2X2

Abstract

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Canada is moving forward quickly with plans to ensure that it is prepared to deal with emergencies. The National Framework for Health Emergency Management, released Nov. 26, 2004, recommends that a National Health Incident Management System (IMS) be developed. However, although most communities have successfully implemented IMS in the emergency services sector, many are still struggling with the integration of IMS into their health care systems. It is essential that all health care workers, regardless of profession or position, understand at least the basic concepts of emergency preparedness because of the wide variety of roles they may be asked to fulfill in an emergency situation. This article will review the basic concepts in emergency preparedness and management with a specific focus on IMS in health care.

Keywords

emergency preparednessincident management systemincident command systemdisaster
Type
Education • Éducation
Information
Canadian Journal of Emergency Medicine , Volume 7 , Issue 5 , September 2005 , pp. 330 - 337
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

References

1.Nuttall, S, Tyler, S. The crisis of September 11: the emergency response of Ontario hospitals and other health system partners. Hosp Q 2001;5:42–50.Google ScholarPubMed
2.Christian, MD, Poutanen, SM, Loutfy, MR, Muller, MP, Low, DE. Severe acute respiratory syndrome. Clin Infect Dis 2004;38:1420–7.CrossRefGoogle ScholarPubMed
3.A Canadian agency for public health: if not now, when? [editorial]. CMAJ 2003;169(8):741.Google Scholar
4.Berman, MA, Lazar, EJ. Hospital emergency preparedness — lessons learned since Northridge. N Engl J Med 2003;348:1307–8.Google Scholar
5.Bevan, D. SARS 3: Are we ready? [editorial]. Clin Invest Med 2003;26:273–4.Google Scholar
6.Schultz, CH, Mothershead, JL, Field, M. Bioterrorism preparedness. I: The emergency department and hospital. Emerg Med Clin North Am 2002;20:437–55.Google Scholar
7.Federal/Provincial/Territorial Network on Emergency Preparedness and Response. National Framework for Health Emergency Management.Google Scholar
8.Christen, H, Maniscalco, P, Vickery, A, Winslow, F. An overview of incident management systems. Perspectives on Preparedness Series. Belfer Center for Science and International Affairs, Harvard University; 2001. Available: http://www.innovations.harvard.edu/showdoc.html?id=4915 (accessed 2005 Aug 5).Google Scholar
9.US Federal Emergency Management Agency (FEMA). National Incident Management System Training Manual. 2004. Available: http://www.fema.gov/nims/nims_training.shtm (accessed 2005 Aug 9).Google Scholar
10.Aghababian, RV, Teuscher, J. Infectious diseases following major disasters. Ann Emerg Med 1992;21:362–7.Google Scholar
11.Binder, S, Sanderson, LM. The role of the epidemiologist in natural disasters. Ann Emerg Med 1987;16:1081–4.CrossRefGoogle ScholarPubMed
12.Public Health Preparedness and Response Capacity Inventory. US Centers for Disease Control and Prevention, Public Health Practice Program Office (PHPPO). 2004. Available: http://www.bt.cdc.gov/planning/(accessed 2005 Aug 16 ).Google Scholar
13.Freedman, TJ, Gerring, G. Blackout! Are you prepared? Leadersh Health Serv 1992;1:22–6.Google Scholar
14.Henry, S. Mississauga Hospital: largest evacuation in Canada’s history. CMAJ 1980;122:582–6.Google Scholar
15.Schultz, CH, Koenig, KL, Lewis, RJ. Implications of hospital evacuation after the Northridge, California, earthquake. N Engl J Med 2003;348:1349–55.CrossRefGoogle ScholarPubMed
16.Socha, A, Abernethy, S, Birmingham, B, Bloxam, R, Fleming, S, et al; for the Ontario Ministry of Environment and Energy. Plastimet Fire Inc., Hamilton, Ont., July 9–12, 1997. 1997 Oct. Available: http://www.ene.gov.on.ca/envision/techdocs/3598e.pdf (accessed 2005 Aug 16).Google Scholar
17.Wallington, T, Berger, L, Henry, B, Shahin, R, Yaffe, B, Mederski, B, et al.Update: severe acute respiratory syndrome — Toronto, 2003. Can Commun Dis Rep 2003;29:113–7.Google Scholar
18.Kollek, D. Canadian emergency department preparedness for a nuclear, biological or chemical event. Can J Emerg Med 2003;5(1):18–26.Google Scholar
19.Helmreich, RL. On error management: lessons from aviation. BMJ 2000;320:781–5.Google Scholar
20.Gaba, DM. Anaesthesiology as a model for patient safety in health care. BMJ 2000;320:785–8.CrossRefGoogle Scholar
21.Hugh, TB. New strategies to prevent laparoscopic bile duct injury — surgeons can learn from pilots. Surgery 2002;132:826–35.Google Scholar
22.Marsch, SC, Muller, C, Marquardt, K, Conrad, G, Tschan, F, Hunziker, PR. Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation 2004;60:51–6.Google Scholar
23.Morey, JC, Simon, R, Jay, GD, Wears, RL, Salisbury, M, Dukes, KA, et al.Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res 2002;37:1553–81.CrossRefGoogle ScholarPubMed
24.Nolan, TW. System changes to improve patient safety. BMJ 2000;320:771–3.CrossRefGoogle ScholarPubMed
25.Shirely, PJ. Reducing error, improving safety. Crew resource management training should be mandatory in anaesthesia [letter]. BMJ 2000;321:508–9.Google ScholarPubMed
26.San Mateo County Emergency Medical Services Agency. HEICS III. Hospital Emergency Incident Command System. 2004. Available: http://www.emsa.ca.gov/Dms2/heics3.htm (accessed 2005 Aug 9).Google Scholar
27.Aubrey, L. The hard lessons of September. Mod Healthc 2002;32:50.Google Scholar
28.Cushman, JG, Pachter, HL, Beaton, HL. Two New York City hospitals’ surgical response to the September 11, 2001, terrorist attack in New York City. J Trauma 2003;54:147–54.Google Scholar
29.Okudera, H, Morita, H, Iwashita, T, Shibata, T, Otagiri, T, Kobayashi, S, et al.Unexpected nerve gas exposure in the city of Matsumoto: report of rescue activity in the first sarin gas terrorism. Am J Emerg Med 1997;15:527–8.Google Scholar
30.Hojat, M, Nasca, TJ, Cohen, MJ, Fields, SK, Rattner, SL, Griffiths, M, et al.Attitudes toward physician-nurse collaboration: a cross-cultural study of male and female physicians and nurses in the United States and Mexico. Nurs Res 2001;50:123–8.Google Scholar