Self-reported training needs of emergency responders in disasters requiring military interface
DOI:
https://doi.org/10.5055/jem.2013.0133Keywords:
emergency response, disaster planning, aeromedical evacuationAbstract
Objective: The purpose of this study is to identify perceived training needs of emergency responders to understand their needs to interface effectively with military operations for emergency response in the event of a disaster.
Design: A Web-based survey with civilian medical practitioners and public health professionals was conducted to identify their perceptions of training needs related to civilian-military interface in disaster response.
Setting: Lists of potential survey participants were obtained from local health departments and LISTSERVS in the two regions of interest: the South and the Midwest.
Participants: Participants (n = 673) included health practitioners (medical, emergency care, and public health personnel) from hospitals, public service, and other nonprofit and governmental workers.
Main outcome measure(s): Outcomes include perceived training needs, barriers to training, and preferred training formats and modalities.
Results: Data indicate a perceived knowledge gap of civilian healthcare providers to interface effectively with military healthcare providers. Nearly three-fourths of respondents did not feel well-trained to work with the military during a disaster response or were unsure if they were well trained. Key areas for training include communication, chain of command during a disaster, and logistics of working with military personnel. Barriers to training include expense; ineffective, boring formats; and excessive time requirements. Most respondents favor interactive exercises rather than didactic training.
Conclusions: Poor communication and lack of familiarity with military operations create barriers to effective coordinated response between military units and civilian responders in federal disaster response. Identifying gaps and training needs for these responders have far-reaching implications in public health’s ability to coordinate medical response as part of Emergency Support Function-8.
References
Zoraster RM, Chidester C, Koenig W: Field triage and patient maldistribution in a mass-casualty incident. Prehosp Disaster Med. 2007; 22: 224-249.
Stuart JJ, Johnson DC: Air Force disaster response: Haiti experience. J Surg Orthop Adv. 2011; 20: 62-66.
Slepski LA: Emergency preparedness and professional competency among health care providers during Hurricane Katrina and Rita: Pilot study results. Disaster Manag Response. 2007; 5: 99-110.
Garbutt SJ, Peltier JW, Fitzpatrick JJ: Evaluation of an instrument to measure nurses’ familiarity with emergency preparedness. Mil Med. 2008; 173: 1073-1077.
Phelps S: Mission failure: Emergency medical services response to chemical, biological, radiological, nuclear, and explosive events. Prehosp Disaster Med. 2007; 22: 293-296.
Reiter BL: The history of aeromedical evacuation and the emerging system of tomorrow [Internet].Washington, DC: The Industrial College of the Armed Forces, 1993. Available at http://www.dtic.mil/cgi-bin/GetTRDoc?AD=ADA278375&Location=U2&doc=GetTRDoc.pdf. Accessed January 8, 2012.
Centers for Disease Control and Prevention (US): Budget request summary fiscal year 2007, February 2006. Available at www.cdc.gov/fmo/topic/Budget%20Information/appropriations_budget_form_pdf/FY07budgetreqsummary.pdf. Accessed December 5, 2011.
Savoia E, Testa MA, Biddinger PD, et al.: Assessing public health capabilities during emergency preparedness tabletop exercises: Reliability and validity of a measurement tool. Public Health Rep. 2009; 124: 138-148.
Potter MA, Miner KR, Barnett DJ, et al.: The evidence base for effectiveness of preparedness training: A retrospective analysis. Public Health Rep. 2010; 125(5Suppl); 15-23.
Hites LS, Lafrediers AV,Wingate MS, et al.: Expanding the public health emergency preparedness competence set to meet specialized local and evolving national needs: A needs assessment and training approach. J Public Health Manag Pract. 2007; 13(5): 497-505.
Emergency Support Function #8 – Public Health and Medical Services Annex, Federal Emergency Management Agency: Available at http://www.fema.gov/pdf/emergency/nrf/nrf-esf-08.pdf. Accessed January 10, 2012.
Published
How to Cite
Issue
Section
License
Copyright 2007-2023, Weston Medical Publishing, LLC and Journal of Emergency Management. All Rights Reserved