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Strategies for Effective Unplanned Hospital Responses to Healthcare Crises

Hospitals face challenges during unplanned health events, leading to staff burnout and resource limitations. As patient numbers surge, emergency services must implement integrated response strategies at community, state, and federal levels. Preparation for a wide range of casualties and effective care for affected populations is crucial. This includes establishing temporary facilities, enhancing communication systems, and ensuring continuity of services. By anticipating needs and utilizing existing medical capabilities, healthcare systems can significantly reduce mortality and suffering in crises.

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Strategies for Effective Unplanned Hospital Responses to Healthcare Crises

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  1. BW RESPONSE ISSUES & STRATEGIES

  2. Unplanned BW Response • Hospitals accept increasing numbers of sick personnel, go on diversion • Hospitals fill available beds; ill and worried-well turned away • Hospitals become non-functional from staff burn out & resource limitations

  3. BW Response Strategy • Need integrated community, base, State, Federal response strategy – before the event • Plan for community based response • Prepare for wide range of casualties • Focus on care of casualties and worried-well • Expand from existing medical capabilities • Anticipate need for outside & non-traditional resources • Plan for protracted duration • Pre-arrange lines of communication

  4. Continuous Surveillance Public Health Surveillance Unusual Health Event (Y/N) Expanded Surveillance Active Investigation Medical Diagnosis Epidemiological Investigation Criminal Investigation Key Decisions • Major public health event (Y/N) • Cause & population at risk • Prophylaxis, treatment, isolation • Appropriate emergency response Emergency Response Command and Control Hazard Assessment Mitigation & Control Prophylaxis & Immunization Care of Casualties Control of Affected Area & Population Public Information Resource & Logistic Support Continuity of Infrastructure Fatality Management Family Support Services BW Response Template and Key Decisions

  5. Triage & Mass Prophylaxis (e.g. Neighborhood Emergency Help Centers) - Triage - Prophylaxis, immunization - Treatment information - Tracking, transportation - Expanded clinics, other temporary facilities Temporary Wards & Supportive Care (e.g. Acute Care Centers) - Triage - Treatment - Supportive care - Satellite off of hospitals - Temporary facilities such as hotels, office buildings C & C Community Outreach - Prophylaxis, immunization - Self help at home - Communication link Modular Emergency Medical System (MEMS) Components

  6. Key Findings • Effective BW response possible for wide range of casualties • Preparations applicable to any catastrophic medical emergency • Emergency response software can help with bio-terrorism & all emergencies (e.g., RAMS – Responder Assets Management System) • Best response may reduce death & suffering by 50% - Prevention of terrorist attack needed • Results applicable to military base & community

  7. QUESTIONS

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