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Emergency Department Organisation for Disasters: A Review of Emergency Department Disaster Plans in Public Hospitals of Singapore

Published online by Cambridge University Press:  28 June 2012

Francis Chun Yue Lee ,
Siang Hiong Goh ,
Ho Poh Wong  and
V. Anantharaman
Francis Chun Yue Lee*
Affiliation:
Associate Consultant, Emergency Department, National University Hospital, Singapore
Siang Hiong Goh
Affiliation:
Consultant, Accident and Emergency Department, Changi General Hospital, Singapore
Ho Poh Wong
Affiliation:
Senior Consultant and Head, Emergency Department, Tan Tock Seng Hospital, Singapore
V. Anantharaman
Affiliation:
Senior Consultant and Head, Department of Emergency Medicine, Singapore General Hospital, Singapore
*
*Emergency Department, National University Hospital5 Lower Kent Ridge Road, Singapore 119074
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Abstract

Disaster management plans of emergency departments (EDs) in four major public hospitals were reviewed. A comparison was made between these plans, and they were analyzed to gain an understanding of the differing objectives and doctrines behind the practices. These were summarized into five major management concepts, which are considered to be critical to the success of a disaster plan: 1) staff mobilization systems (cascading vs batch mobilization); 2) staff deployment systems; 3) team organization (surgeons vs residents); 4) area management (the role of the area manager); 5) casualty volume management (accommodation vs expansion vs extension concepts). The-concepts derived should serve as a useful guide to the development of an ED disaster plan and potentially influence how new ED facilities could be planned.

Keywords

disaster plansemergency departmentspublic hospitalsSingaporetriage
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 15 , Issue 1 , March 2000 , pp. 28 - 39
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2000

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References

1.Smith, K: Environmental Hazards. 2nd ed.New York: Routledge, 1996, pp 314–340.Google Scholar
2.Lim, SH, Anantharaman, V: Emergency medicine in Singapore: Past, present and future. Ann Emerg Med 1999;33:338–343.CrossRefGoogle ScholarPubMed
3.Champion, HR: A planning model for disaster response. In: Duffy, J (eds), Health and Medical Aspects of Disaster Preparedness. New York: Plenum Publishing Corp, 1990, pp 31–40.CrossRefGoogle Scholar
4.Wallace, WA: It couldn't happen to us. In: Wallace, WA, Rowles, JM, Colton, CL (eds), Management of Disasters and their Aftermath. London: BMJ Publishing Group, 1994, pp 1–9.Google Scholar
5.Clifton, NJ: The M1 plane crash — managing the hospital response. In: Wallace, WA, Rowles, JM, Colton, CL (eds), Management of Disasters and their Aftermath. London: BMJ Publishing Group, 1994, pp 106–120.Google Scholar
6.Rund, DA: A review of medical response to disaster casualties. In: Duffy, J (eds), Health and Medical Aspects of Disaster Preparedness. New York: Plenum Publishing Corp, 1990, pp 101–121.CrossRefGoogle Scholar
7.Seliger, J, Simoneau, JK: Emergency Preparedness. Aspen Publisher, 1986.Google Scholar
8.Lau, PF, Lau, CC: A disaster drill in Hong Kong. Accident and Emergency Nursing 1997;5:34–38.CrossRefGoogle ScholarPubMed
9.Koehler, GA: Cellular communication. Emerg Med Serv 1998;27(4):59–61.Google Scholar
10.Mahoney, BD: Disaster Medical Services. In: Tintinalli, JE, Ruiz, E, Krome, RL (eds), Emergency Medicine. A Comprehensive Study Guide. 4th Ed.Mc-Graw Hill, New York. 1996. pp 26–29.Google Scholar
11.Yoho, DR Jr: Wireless communication technology applied to disaster response. Aviation, Space, and Environmental Medicine 1994;65:839–845.Google ScholarPubMed
12.Emergency preparedness plan: Columbia Presbyterian Hospital Policy and Procedure Manual: Disaster Planning Sourcebook. American Health Consultants, 1997.Google Scholar
13.Nassoura, Z, Hajj, H, Dajani, O, Jabbour, N, Ismail, M: Trauma management in a war zone: The Lebanese War Experience. J Trauma 1991;31:1596–1599.CrossRefGoogle Scholar
14.Brennan, L, Sage, FJ, Simpson, A: Major incident planning in South East Thames region: A survey of medical staff awareness and training. Journal of Accident and Emergency Medicine 1994;11:85–89.CrossRefGoogle Scholar
15.Lomas, GA, Goodall, O: Trauma teams vs non-trauma teams: Accident and Emergency Nursing 1994;2(4):205–210.CrossRefGoogle ScholarPubMed
16.Wood, PR, Foley, MA, Peel, WJ, Lawler, PG: Junior medical staff and the assessment of trauma. Annals of the Royal College of Surgeons England 1990;72(3):196–198.Google ScholarPubMed
17.Slagel, SA, Skiendzielewski, JJ, Martyak, GG, Brotman, S: Emergency medicine and surgery resident roles on the trauma team: A difference of opinion. Ann Emerg Med 1986;15(1):28–32.CrossRefGoogle Scholar
18.American College of Emergency Physicians: Emergency Department Design.Google Scholar
19.Mooney, B, harris, G (eds): Disaster preparedness: Is your facility ready?: Disaster Planning Sourcebook. American Health Consultants: Atlanta 1997.Google Scholar
20.Morris, B, Armstrong, T: Medical response to a natural disaster: The Barre tomado. Can Med Assoc J 1986;134:767–769.Google Scholar
21.Auf der Heide, E: Disaster Response: Principles of Preparation and Coordination. St Louis, Mosby, 1989.Google Scholar
22.Levi, L, Bregman, D, Geva, H, Revah, M: Does the number of beds reflect the surgical capability of hospitals in wartime and disaster? The use of a simulation technique at a national level. Prehospital and Disaster Medicine 1997;12(4):300–304.CrossRefGoogle ScholarPubMed
23.Mooney, B, harris, G (eds): Disaster preparedness: Is your facility ready?: Disaster Planning Sourcebook. American Health Consultants: Atlanta 1997.Google Scholar
24.Johnson, MS: The tale of the Tragedy of Neftegorsk. Prehospital and Disaster Medicine 1998;13(1):59–64.CrossRefGoogle ScholarPubMed
25.Antonini, FC: Psychological training of disaster workers. In: Duffy, J (eds), Health and Medical Aspects of Disaster Preparedness. New York: Plenum Publishing Corp., 1990, pp 131–144.CrossRefGoogle Scholar