Zohair Al Aseri. MD, FCEM (UK). FRCPC (EM&CCM).

1. Disaster Management KSUMC Zohair Al Aseri. MD, FCEM (UK). FRCPC (EM&CCM). Consultant, Departments of Emergency Medicine & Critical Care. Chairman, Department of Emergency Medicine Director, Disaster Management Master Program. College of MedicineKing Saud University Hospitals. Riyadh, KSA Email: zalaseri@ksu.edu.saFax: +966(11)467-2529 Tel: +966(11)467-0544

2. Definition of a Medical Disaster When the destructive effects of a natural or manmade forces overwhelm the ability of a given area or community to meet the demands for health care

3. Hospital Emergency Incident Command System (HEICS) & Emergency (Disaster) Operations Plan (EOP) serve as an important emergency management foundation for our institute.

4. Basic Features of ICS • Common terminology • Modular organization • Management by objectives • Reliance on an Incident Action Plan (IAP) • Chain of command and unity of command • Unified Command • Manageable span of control

5. ICS Management Organization • Management system not an organizational chart • The ICS organization does NOT correlate to the administrative structure of the agency • Normal roles may not be assumed in ICS

6. ICS Management Functions 1 4 5 3 2

7. Emergency (Disaster) Operations Plan (EOP) Intended to explain in a clear and concise manner the critical components HICS as well as the suggested manner for using the accompanying materials.

8. Two types of emergencies that may impact on this hospital • Internal Emergencies involve only the hospital and its capabilities that may be reduced. • External Emergencies will usually be sited outside the hospital and the hospital’s capabilities may remain intact.

9. Basic components of EOP: 1)Mitigation: find ways to reduce the devastating effects of disaster BEFORE it occurs. 2)Preparedness / Planning 3)Response 4)Recovery / Debriefing

10. 3 temporal phases of injury event • Prevent • Event • Post event

11. Description of Disaster • PICE- Potential Injury Creating Event

12. PICE- Prefixes

13. PICE

14. CTAS

15. Impact Zone Injured & non-injured victims Triage Zone Dead & Uninjured Treatment Transport Hospital or Health Care Area Transport Staging Area

20. Basic components of EOP: • In the Preparedness / Planning part • Activation / Notification (when + how) • Facility protection (especially for terrorism disasters) • Decontamination • Staging area • Evacuation plans • Families care • Expansion of services and alternative care sites • Supplies and Logistics • Resources (Inventory of hospital resources) • Personnel (Fan-out, methods of mobilization) • Phone #, contacts, etc.

21. Basic components of EOP: • In the Preparedness / Planning part • Staff education and Training Exercises • Command and Control • Incident Command System • Incident Commander • Operations Section with Subdivisions • Planning Section (collect and disseminate infos) • Logistic Section (provide materials) • Finance Section • Who does what. • Structure. • Chain of command. • Coordination and Communication • Media

22. Phases of Disaster Response • Activation • Notification • Organization of command post • Implementation • Search and rescue • Triage, stabilization and transport • Definitive management of scene hazards and victims • Recovery • Withdrawal from scene • Return to normal operations • Debriefing

23. HOSPITAL EMERGENCY STATUS Whenever the internal or external emergency plan is activated, the hospital will be considered to be in EMERGENCY STATUS with specific command responsibilities to facilitate resource allocation.

25. ICS Command Staff • The Command Staff include: • Public Information Officer • Safety Officer • Liaison Officer

26. Transfer of Command • Moves the responsibility for incident command from one Incident Commander to another • Must include a transfer of command briefing • Oral • Written • Both oral and written

37. Direct Telephone Number • 467 1362 • 467 1372 • 469 1763 • Fax 469 1764

42. Debrief At the conclusion of the event, a formal debrief and counseling sessions should be made available for all staff. The Psychiatry Department will coordinate this after the emergency is over.

43. Thank YOU ???