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First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

BCRN Management Perspectives. Nasser H. Al- Azri BSc , MD, MRCS(A&E), MACEP PDO. First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman. Introduction Disaster M anagement: an overview BCRN: Definition and Historical Overview

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First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

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  1. BCRN Management Perspectives Nasser H. Al-Azri BSc, MD, MRCS(A&E), MACEP PDO • First National Course on Public Health Emergency Management • 12 – 23 March 2011. Muscat, Oman

  2. Introduction • Disaster Management: an overview • BCRN: Definition and Historical Overview • BCRN: the unique disasters • BCRN Disasters: management perspectives • BCRN Disasters • Pre-Event • Event • Pre-Hospital • Hospital • Post-Event • Discussion

  3. Earthquakes Wars Fire Fires Cyclones CBRN Transportation

  4. Communication Resources & Capabilities Families Patient Tracking Staffing Surge PLAN Hospital Care Triage Treat Transport Supporting Agencies Command & Roles Calling List Hospital Disaster Notification Staff Care System Testing Testing Pre-Event Pre-Hospital Hospital Post-Event

  5. Planitis Syndrome • Symptoms: itchy need to have a plan placed over your desktop or on the shelf of the department • Signs: neat clean document seen only by HoD and heard of by staff • Investigations: on testing staff knowledge, none, or very few, aware of the involved procedures!

  6. Planitis Syndrome • Treatment: Advanced Plan Life Support! • Prognosis: Very good if treated early

  7. Strategic Plan • Prevention • Preparedness • Response • Recovery

  8. Multi-Organisation Failure Coordination Acute Incident Failure Success Deafness Communication Paralysis Capacity

  9. Disaster Management: All Hazards Approach • 80% Generic (to all disasters) • 15% Specific (to the hazard) • 5% Unique (to the event)

  10. BCRN - Definition • Biological Agents • Chemical Agents • Radiological • Nuclear

  11. Bioterrorism • Industrial settings • Healthcare facilities

  12. BCRN Threat Assessment Threat Assessment: Threat ∞ Intent x Capability x Vulnerability

  13. BCRN – Brotherhood? • (relatively) New threats • Unconventional weapons • Less predictable targets • Mass effects beyond the scene

  14. BCRN Threats are Unique

  15. PRE-EVENT

  16. Multi-Organisation Failure Coordination Acute Incident Failure Success Deafness Communication Paralysis Capacity

  17. Pre-Event: Coordination • RA (variables, data) • Maintaining surveillance/ monitoring • Dividing roles and responsibilities • Incident Command System • Finance/ administration

  18. Pre-Event: Communication • Risk communication training • Community education • Communicating with action parties

  19. Pre-Event: Prevention • Biosafety • Bio-security • Infection Control • Quarantine • Early Warning • Environmental detection and monitoring

  20. Pre-Event: Capacity • Developing protection/ sheltering programmes • Reviewing response plans • Emergency treatment/ triage/ decontamination/ facilities/ training • Logistics

  21. BCRN – Building Capacity • Emergency care training

  22. BCRN – Building Capacity • Emergency care facilities

  23. BCRN - Building Capacity • Emergency exercises

  24. DURING THE EVENTPREHOSPITAL

  25. Multi-Organisation Failure Coordination Acute Incident Failure Success Deafness Communication Paralysis Capacity

  26. Pre-Hospital: Coordination • EMS • Police • Army • Firemen • Logistics • Others

  27. Pre-Hospital: Communication • Intra-agency communication • Inter-agency communication • Community communication

  28. Pre-Hospital: Capacity • EMS and supporting services • PPE for first responders • On-site incident management system • Mass casualty/ fatality management • Preparing hospitals for surge

  29. DURING THE EVENTHOSPITAL

  30. Multi-Organisation Failure Coordination Acute Incident Failure Success Deafness Communication Paralysis Capacity

  31. Hospital: Coordination

  32. Hospital: Communication • Inter-departmental communication • Families • Non-diagnosed cases

  33. Hospital: Capacity • Trained staff • PPE/ Occupational safety • Isolation facilities / control measures • Decontamination/ Treatment/ Vaccination • Protection of facility infrastructure • Waste management

  34. POST-EVENT

  35. Multi-Organisation Failure Coordination Acute Incident Failure Success Deafness Communication Paralysis Capacity

  36. Post-Event: Coordination

  37. Post-Event: Communication

  38. Post-Event: Capacity • Long-term health effects

  39. BCRN Management • Hazards • Vulnerabilities • Risks • Management • Prevention • Preparedness • Response • Recovery

  40. Thank You

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