Disaster preparedness and management
Alexander P. Isakov
Search for more papers by this authorRyan Carter
Search for more papers by this authorYuko Nakajima
Search for more papers by this authorAlexander P. Isakov
Search for more papers by this authorRyan Carter
Search for more papers by this authorYuko Nakajima
Search for more papers by this authorDavid C. Cone MD
Professor of Emergency Medicine
Yale University School of Medicine, New Haven, Connecticut
Search for more papers by this authorJane H. Brice MD, MPH
Professor of Emergency Medicine
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Search for more papers by this authorTheodore R. Delbridge MD, MPH
Executive Director
Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland
Search for more papers by this authorJ. Brent Myers MD, MPH
Chief Medical Officer ESO Associate Medical Director
Wake County EMS, Raleigh, North Carolina
Search for more papers by this authorSummary
Disasters are natural or manmade events which cause such an overwhelming loss of life, injury, destruction of property, or loss of infrastructure as to prevent a community's ability to respond without outside assistance. All disasters are local. Police, fire, and emergency medical services agencies, in concert with local government, nongovernmental organizations, and the private sector, can manage most incidents locally. When outside assistance is required, regional, state, and federal resources can be requested. The federal government defines a National Preparedness Goal, a national preparedness system and frameworks to define how to best meet the needs of individuals, families, communities, and states in their ongoing efforts to prevent, protect, mitigate, respond to, and recover from any disaster event.
References
- Catlett C , Jenkins J , Millin M . Role of emergency medical services in disaster response: resource document for the national association of EMS physicians position statement . Prehosp Emerg Care . 2011 ; 15 : 420 – 5 .
- Department of Homeland Security . Strategic National Risk Assessment: The Strategic National Risk Assessment in Support of PPD 8: A Comprehensive Risk-Based Approach toward a Secure and Resilient Nation . Available at: https://www.hsdl.org/?abstract&did=695915 . Accessed February 19, 2021.
- Department of Homeland Security . Presidential Policy Directive/PPD-8: National Preparedness . Available at: http://www.dhs.gov/presidential-policy-directive-8-national-preparedness . Accessed February 19, 2021.
- U.S. Department of Homeland Security . National Preparedness Goal . 2nd ed. Washington, DC : Department of Homeland Security , 2015 .
- U.S. Department of Homeland Security . Overview of the National Planning Frameworks, June 2016 . Available at: https://www.hsdl.org/?abstract&did=793539 . Accessed February 19, 2021.
- U.S. Department of Homeland Security . National Response Framework . 4th ed. Washington, DC : Department of Homeland Security , 2019 .
- Federal Emergency Management Agency . National Incident Management System . 3rd ed. Washington, DC : Department of Homeland security , 2017 .
- Federal Emergency Management Agency, Emergency Management Institute . National Incident Management System (NIMS) . Available at: https://training.fema.gov/nims . Accessed February 19, 2021.
- U.S. Department of Health and Human Services . Emergency System for Advanced Registration of Volunteer Health Professionals (ESAR-VHP) . Available at: https://www.phe.gov/esarvhp/Pages/about.aspx . Accessed February 19, 2021.
- U.S. Government Accountability Office . Emergency Management Assistance Compact: Enhancing EMAC's collaborative and administrative capacity should improve national disaster response. Report to the Committee of Homeland Security and Governmental Affairs, U.S. Senate . GAO-07-854. Washington, DC : Government Accounting Office , 2007 .
- Emergency Management Assistance Compact . Continual improvement of the national mutual aid system . Available at: https://www.emacweb.org/index.php/learn-about-emac/emac-history . Accessed February 19, 2021.
- Federal Emergency Management Agency . Stafford Act, as Amended, and Related Authorities . FEMA P-592. Washington, DC : FEMA , 2019 .
- U.S. Department of Health and Human Services . NDMS teams: working together to provide the best of care in the worst of times . Available at: https://www.phe.gov/Preparedness/responders/ndms/ndms-teams/Pages/default.aspx . Accessed February 19, 2021.
- National Disaster Medical System . Federal Coordinating Center Guide . Washington, DC : Department of Health and Human Services , 2018 .
- National Research Council . Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report . Washington, DC : National Academies Press , 2009 .
- Jonsen AR , Edwards KA . Resource Allocation . University of Washington, Department of Bioethics and Humanities , 2018 . Available at: https://depts.washington.edu/bhdept/ethics-medicine/bioethics-topics/detail/78 . Accessed 1February 19, 2021.
- Ashton H. Legal and Ethical Aspects of First Medical Response to Disaster – Background Paper . Rome, Italy : Center for Science, Society and Citizenship : 2008 .
- SALT mass casualty triage: concept endorsed by the American College of Emergency Physicians, American College of Surgeons Committee on Trauma, American Trauma Society, National Association of EMS Physicians, National Disaster Life Support Education Consortium, and State and Territorial Injury Prevention Directors Association . Disaster Med Public Health Prep . 2008 ; 2 : 245 – 6 .
- Centers for Disease Control and Prevention, Ethics Subcommittee of the Advisory Committee to the Director, Ventilator Document Workgroup . Ethical Considerations for Decision Making Regarding Allocation of Mechanical Ventilators During a Severe Influenza Pandemic or Other Public Health Emergency . Atlanta, GA : CDC , 2011 .