Transportation resource requirements for hospital evacuation
Keywords:
evacuation, hospital, infrastructureAbstract
other large buildings; the physical plant is vulnerable to acts of nature and man.When hospitals need to evacuate the patient population, logistical support for patient transport will be required. However, a disaster impacting a hospital will likely also affect the surrounding community, and transport resources such as ambulances may be limited as they will also be needed to support the community response. To determine the most efficient deployment of limited transportation resources, a hospital survey was designed specifically to assess information on hospital occupancy and patient transportation needs. Information was obtained from 62 hospitals within Los Angeles County and was used to establish a tool for determining transportation requirements in the event of a hospital evacuation.
This survey demonstrated that approximately 20 percent of hospital inpatients could be discharged to home within a few hours, about 40 percent of hospital inpatients could be transported via vans, buses, or private cars; and the remaining 40 percent would need ambulance transportation for evacuation. Additionally, the survey provides information about the distribution of emergency department and intensive care unit patients and the resources they would require during a hospital evacuation.
References
American Hospital Association: Emergency readiness. Available at http://www.aha.org/aha_app/issues/Emergency-Readiness/index.jsp. Accessed December 1, 2009.
Barbera J, Yeatts DJ, Macintyre AG: Challenge of hospital emergency preparedness: Analysis and recommendations. Disaster Med Public Health Prep. 2009; 3 (Suppl 10): S74-S82.
WHO, PAHO, ISDR,World Bank: Hospital safe from disasters: Reduce risk, protect health facilities, save lives; 2008. 2008-2009 World Disaster Reduction Campaign (Report). Available at http://wwww.safehospitals.info/. Accessed December 1, 2009.
Schultz CH, Koenig KL, Auf def Heide E, et al.: Benchmarking for hospital evacuation: A critical data collection tool. Prehosp Disaster Med. 2005; 20(5): 331-342.
Bagaria J, Heggie C, Abrahams J, et al.: Evacuation and sheltering of hospital in emergencies: A review of international experience. Prehosp Disaster Med. 2009; 24(5): 461-467.
Sternberg E, Lee G, Huard D: Counting crises: US hospital evacuations, 1971-1999. Prehosp Disaster Med. 2004; 19(2): 150-157.
Schultz C, Koenig K, Lewis R: Implications of hospital evacuation after the Northridge, California, earthquake. N Engl J Med. 2003; 348: 1349-1355.
Gray BH, Hevert K: After Katrina: Hospital in Hurricane Katrina. Challenges facing custodial institutions in a disaster. Urban Institute Web site; July 2006. Available at http://urban.org/UploadedPDF/411348_katrinahospitals.pdf.Accessed October 10, 2008.
The Joint Commission on Accreditation of Healthcare Organizations: Accreditation Program: Hospital. Chapter: Emergency Management; 2009: 35. Available at http://www.jointcommission.org/NR/rdonlyres/FC01E2E0-A0CB-4A71-AF0B-137AA77D1BD6/0/AllChapters_HAP.pdf. Accessed October 11, 2009.
Greenport P, Harked H, Blazejak J, et al.: Interface between hospital and fire authorities—A concept for management of incidents in hospital. Prehosp Disaster Med. 2002; 17(1): 42-47.
American Hospital Association: Model mutual aid memorandum of understanding. Available at http://www.aha.org/aha/content/2002/pdf/ModelHospitalMou.pdf. Accessed 12 October 2009.
Taaffe K,Kohl R, Kimbler D: Hospital evacuation: Issues and complexities. In Kuhl ME, Steiger NM, Armstrong FB, Joines JA (eds.): Proceedings of the 2005 Winter Simulation Conference. 2005: 943-950. Available at http://www.informs-sim.org/wsc05papers/111.pdf.Accessed August 17, 2010.
Government Accountability Office: Disaster preparedness limitation in federal evacuation assistance for health facilities should be addressed. Available at http://www.gao.gov/cgi-bin/getrpt?GAO-06-826. Accessed 1 December 2009.
U.S. Centers for Diseases Control and Prevention: Bioterrorism and mass casualty preparedness in hospitals: United States, 2003. CDC Advance Data: 364. Atlanta, GA: U.S. Centers for Disease Control and Prevention, September 27, 2005. Available at http://www.cdc.gov/nchs/data/ad/ad364.pdf. Accessed October 10, 2009.
California Emergency Medical Services Authority, Disaster Medical Services Division: Plans, protocols, and reports. California Medical Mutual Aid Plan; September 2007.Available at http://www.emsa.ca.gov/pubs/pdf/emsa218b.pdf. Accessed October 12, 2009.
Agency for Healthcare Research and Quality: Emergency preparedness atlas: State-specific maps. California: Health Care Facilities. Available at http://www/ahrq.gov/prep/nursinghomes/atlas/atlas_ca.htm. Accessed April 12, 2010.
Davis DP, Poste JC, Hicks T, et al.: Hospital bed surge capacity in the event of a mass-casualty incident. Prehosp Disaster Med. 2005; 20: 169-176.
Rice DH, Kotti G, Beninati W: Clinical review: Critical care transport and austere critical care. Crit Care. 2008; 12: 207.
Warren J, Fromm RE, Orr RA, et al.: American College of Critical Care Medicine: Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med. 2004; 32: 256-262.
Kelen GD, McCarthy ML, Kraus CK, et al.: Creation of surge capacity by early discharge of hospitalized patients at low risk for untoward events. Disaster Med Public Health Prep. 2009; 3 (Suppl 1): S10-S16.
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