SlideShare uma empresa Scribd logo
1 de 52
DISASTER MANAGEMENT
                      DR. N. C. DAS
DISRUPTION

INDUCED
SITUATION

AFTER
SEVERE
TRANSFORMATION OF
ECOLOGICAL

RESPONSE
WHAT IS DISASTER

DISASTER- French word,
(Des-bad & Astre -star)
W.Nick carter defined:
“An Event, Natural/ Manmade, Sudden/Progressive,
which impacts with such severity that the community has
to respond taking exceptional Measures.”


2.It is a phenomenon involving extensive
ecological disruption leading risk to life,
property and health to an extent warranting
extra ordinary response from outside the
affected area.
MAJOR DISASTERS IN INDIA


Highly disaster prone country
8 natural calamities /yr
5 fold increase in the frequency of disasters
during last 30yrs.
Bhopal gas tragedy.
Cyclones (AP)& Orissa.
Earthquake in Uttarkashi in 1990,latur .
1993,Gujarat 2001. Skkim 2011
Tsunami,2004.
Train accidents.
Bomb blasts in Delhi and Mumbai
TYPES OF DISASTER




                         • Aircrash
• Flood
                         • Sinking ship
• Cyclone
                         • Train accidents
• Earthquake
                         • Building collapse
• Volcanic eruption
                         • Bridge collapse
• Epidemics
                         • Bomb blasts
•Tsunami
                         • Warfare (conventional,
                         chem. bio, nuclear)
DISASTER MANAGEMENT

                PRE HOSPITAL
PLANNING




                                HOSPITAL
                  DISASTER
                  MANAGMENT




                 OFF HOSPITAL
DISASTER MANAGEMENT




Predict       Rescue
Prevent       Relief
Prepare       Rehabilitation
DISASTER MANAGEMENT




     PLANNING
1.PLANNING
A.PREDICT


Measures for efficient forecasting and warning
systems
Developing GIS for early detection and warning
Information Technology for effective communication
network.
Pro-active measures for disaster preparedness and
mitigation – administrative, financial, Legislative &
techno- legal
Developing public awareness to build up society’s
strength to face disasters.
National networking for immediate medical response
Emphasis on risk reduction, mitigation & awareness,
while strengthening response.
B.PREVENT

-Evoke existing system of response mechanism in the wake of
natural and man-made disasters at all levels of government and
steps to minimize the response time through effective
communication & measures to ensure adequacy of relief
operations.
- Develop strategies for inclusion of disaster reduction
components in the on-going plan/ non – plan schemes.
-Prepare the community to face the challenge and respond in case
of impending disaster
-Lay stress on preparedness including prevention/ mitigation of
Chemical Industrial Disasters while strengthening their emergency
response.
-Stay up to date with the latest international best practices and
recent developments within the country
-Highlight the salient gaps evaluated based upon the critical review
of the present status for future action.
C.PREPARE
PREPARE DISASTER ACTION PLAN


It is planned and systematic approach towards
understanding and solving the disaster to minimize the
effect.
• The approach should be multi sectoral.
• Plan should be realistic and easily adoptable
• Plan should be clearly laid down defining the role and
responsibility of different agencies.
• Should be exercised in between to evaluate it.
• It should be prepared at the country, state, district and
institutional level.
• National disaster management authority(NDMA) facilitate
state with support and advice while plan and implementation
by SDMA
CAPACITY DEVELOPMENT

Creation of trained Medical First Response Teams
Initiation of training of paramedics for disaster
management.
Creation of detection, decontamination facilities.
Uniform Causality Profile and Classification of
Casualties.
Risk Inventory and Resources Inventory.
Proper Casualty Treatment Kits.
Crisis Management Plan at Hospitals.
Mobile Hospitals/ Mobile Teams .
Medical Response to Long Term Effects.
Psychosocial Care for management of community
behavior and response .
Issues related to public health response and medical
rehabilitation and harmful effects on the environment.
 Efficient transport system
D.ORGANISATIONAL DEVELOPMENT

National Disaster Management Authority (NDMA)
Constituted in Dec 2005 ,DM Act.
•NDMA Chairman PM
•SDMA are constituted there after
•SDMA Chairman CM
•DDMA Constituted




                                   CABINATE SECRETARY
                                   NDMA SECRETARIATE
•DDMA Chairman DM/ DC



                 DM-I                                        DM-II

        •   MITIGATION                                  • CAPACITY DEV.
        •   PREPAREDNESS                                • TRAINING
        •   PLANS                                       • KNOWLEDGE
        •   RECONSTRUCTION                                MANAGEMENT
        •   COMMUNITY AWARENESS
        •   FINANCIAL ASPECTS
2. PRE-HOSPITAL PLAN
DDMA


DISTRICT DISASTER COMITTE
•Head Local Administration
• Representatives of Police
• Representatives of Fire services
• Representatives of CATS
• Representatives of Corporate body
• Representatives of Voluntary
organization
• Representatives of Media
• Hospital representatives.
•Army should be called into action as and
when required
GUIDELINES FOR DDMA

Preparation of Action Plan
 Allocation of adequate resources
 Ensure implementation
Laying down role and responsibilities of different services
Regulatory framework.
Code of Practices, Procedures and Standards.
Statutory Inspection, Safety Auditing and Testing of Emergency Plans.
Technical and technological information and Preparedness.
Education and Training.
Creation of DDMA Infrastructure.
Capacity Development of all teams.
Awareness Generation among Public.
Institutional Framework at all levels.
Networking and Information sharing.
Medical Preparedness by medical Teams.
Research and Development.
Response, Relief and Rehabilitation.
Evacuation plan and Mock drill
RESPONSE BY DDMA

 Instantaneous instruction for forthwith movement of
  rescue team with personal protective equipment
  (PPE)
 Simultaneously, QRMT(Quick Response Medical
  Team) with PPE on will reach to Mishap site
  immediately along with Resuscitation, protection,
  detection and decontamination equipment and
  materials.
 Decontamination , Resuscitation, triage and
  evacuation work must be done as per SOPs.
 DDMA will immediately inform State and National
  Disaster Management Authorities appraising about
  situation and extent of damage so that SDMA &
  NDMA can plan to send relief teams and supports.
HOSPITAL DISASTER PLAN
HOSPITAL DISASTER PLAN

Hospital Disaster plan is prepared to reduce the pressure
on the hospital management when a large number of
casualties arriving suddenly in the hospital at a time,
requiring different level of care.
The plan should be activated immediately to provide
efficient care to the patients within a short span of time.
Mock drill to be conducted periodically to acquaint the
staff to meet any eventuality
The action plan begins with formation of Disaster
committee
Keeping adequate storage of supplies in the emergency
department.
 Keeping disaster SOP in the casualty.
HOSPITAL DISASTER ACTION
    PLAN



                       CARE IN HOSPITAL
CARE AT THE SITE
HOSPITAL DISASTER COMMITTEE

Each hospital must have a hospital disaster committee to give
effect to the disaster action plan as and when required.




CMO I/C CASUALTY
                                •ALL HODS
  ECRO                          (Surg,Med,Ortho,Neuro,Lab, Radio)
CMO(CASUALTY)                   • DD(A)       •Nursing Supdt.
                                              •Officer I/C TPS
 SISTER I/C                     •CMO (store) •Officer I/C Maintain.
                                •Dietician    •CPWD Rep.
 OTHER PARAMED. STAFF
1.CARE AT THE SITE


• Do not allow Golden hour to expire,, 1st hour
•It is best if services can be provided in first 10 minutes (Platinum minute)
• BLS               ABC= Air way. Breathing. Circulation
• ALS               DEF= Defibrillator. ET intubation, ECG . Fluid & electrolyte
• Constitute the field team:
   1.Ambulance
   2.Anesthetist                  To be identified and roaster made on daily,
   3.OT Tech                      Weekly and monthly basis.
   4.Bearers
   5.Drivers


  • Dispatch the team to site
  • Assess the situation in the site.
  • Render first aid at the site and during transport
  • Stabilize the serious cases.
  • Transport serious cases to the hospital under direct supervision.
2.INTERNAL DISASTER PLAN

It is activated when the hospital buildings are effected in
disaster. Action plan should clearly mention:
• Alternate site (dharmashala,Temple,Schools,Playground
nearby)
• Folding tents, cots, trolleys for temporary shelters
• Identify a nearby tent house to provide beds,blankets
• TPT for transportation of cases to alternate sites or hospital
• First aid and drug kits, potable lights.
• Portable communication system.
• Identify local voluntary organization, who can provide
services of care,food and water.
3.EXTERNAL DISASTER PLAN
              (TEN STEPS)
• 3.1.DISASTER RESPONSE   • 3.7. PUBLIC RELATION
• 3.2. AUTHENTICATE       • 3.8. TRAFFIC CONTROL
  SOURCE                  • 3.9.PERSONAL
• 3.3. ACTIVATION OF        PROTECTION
  DISASTER PLAN           • 3.10.CHEMICAL
• 3.4. CREATION OF          DECONTAMINATION
  ADDITIONAL SPACE
• 3.5. AUGMENTATION OF
  SERVICES
• 3.6. MAINTENANCE OF
  RECORD
3.EXTERNAL DISASTER PLAN
3.1.DISASTER RESPONSE:
STEP 1 ONE CASUALTY   - Approach using normal
                        procedures
STEP 2 TWO CASUALTIES - Approach with caution,
                         consider all options
                        i).Report on arrival, update control.
STEP 3 THREE CASUALTIES or MORE Do NOT wait
                        i).Evoke Disaster action plan
                        ii).Call for specialist help.
Disaster response depends on:
• Time available between the first information and arrival of
casualties.
• Type of preparedness and training of staff.
• Accessibility to disaster manual.
• Role played by different category of staff.
3.EXTERNAL DISASTER PLAN
3.1.DISASTER RESPONSE:
STEP 1 ONE CASUALTY   - Approach using normal
                        procedures
STEP 2 TWO CASUALTIES - Approach with caution,
                         consider all options
                        i).Report on arrival, update control.
STEP 3 THREE CASUALTIES or MORE Do NOT wait
                        i).Evoke Disaster action plan
                        ii).Call for specialist help.
Disaster response depends on:
• Time available between the first information and arrival of
casualties.
• Type of preparedness and training of staff.
• Accessibility to disaster manual.
• Role played by different category of staff.
3.2. AUTHENTICATE SOURCE OF INFORMATION:
•Media, Telephone, Police, CATS on arrival of
casualties.
• Authenticate the information received.
• Try to know the type of disaster, time of
occurrence.
• Estimate number or type of casualty expected.
DISASTER MANAGEMENT
NOTIFY KEY PERSONS                                                       INITIATE PREPARATION
                                                             o       All the dept & designated staff get into
                                        INITIAL ALERT        o
                                                                     readiness to attend casualties
                                                                     Crisis expansion of hospital beds.
                                           (POLICE, TV,      o       Preparation for decontamination area
                                       TELEPHONE ,PATIENT)


RESUSCITATION                             COLLECT                   MOBILIZATION OF RESOURCES
                                                                 o Manpower: Disaster Management
                                        INFORMATION                Team medical , nursing and other
                      INVESTIGATION                                Personnel
                                                                 o Material and supply eg: antidotes
                                                                 o Transportation means
     ICU
                                           TRIAGE
                     TREATMENT                                         DUCUMENTATION


     OT


  IN DOOR                             DECONTAMINATION


     OPD                                                                         DEATH
                                            ARRIVAL
                                              OF
                     DISCHARGE              PATIENT
                                                                                MORTURY
3.3. ACTIVATION OF DISASTER PLAN:
On confirming about the information the MS
should be informed and others to be informed
through hospital exchange.
The CMO on duty is responsible for
activation of the disaster plan.
All the available doctors and staff to be
alerted about the incidence.
3.4. CREATION OF ADDITIONAL SPACE:
A. Triage/shorting area:
This is the area where the specialists will be there to
   categorize the patients as per priority.
• Primary treatment area Resuscitation
• Secondary treatment area Stabilization &
   treatment (Disaster ward)
• Evacuation area First aid To wards & discharge
   /death
• Control room and information center
• Volunteer reception area (porter services)
• Relatives waiting area
• Media and communication area
• Traffic control
TRIAGE/SHORTING


Priority I: Serious cases     Red band       Resus.        ICU.


Priority II: operation        Yellow band     Resus.       OT      Ward
                                                                           O
                                                                           U
                                                                           T
Priority III: Requiring admission     Blue band      First aid     Ward



Priority IV: Minor injuries    Green band         First aid


Priority V: Dead         Black band       Identification          Morgue
3.5. AUGMENTATION OF SERVICES:
•All supporting and utility services to be augmented.
• Staff strength in different areas to be increased.
• OTs to run round the clock.
• CSSD, Laundry, Kitchen time to be extended to
compensate
• Sanitation & Security services to be augmented
• Continuous supply of electricity and water.
• Communication service to run round the clock(Tel.
Exchange)
• Medical record section to be augmented.
• Investigation services to run round the clock.
•Medical store to be opened round the clok
3.6. MAINTENANCE OF RECORD:
Proper record of all cases to be made for identification.
MLC to be made in all cases with name, address, injuries
and treatment given.
All records to be preserved for future compensation and
Legal evidence
A copy of the list to be handed over to police and inquiry
counter.
Documentation, follow up and research programs should
be used as feedback for future improvement and lessons
learnt.
3.7. PUBLIC RELATION:
An inquiry counter be opened round the clock for
information of public and relatives.
Media briefing to be made by Med. Supdt. Only
Public announcement be made for voluntary blood
donation.
Information centre displaying information to public, to
relatives of victims and media with warning guidelines,
“DOs and DON’Ts” and condition of patients in the
hospital.
Adequate place for waiting relatives, toilet and drinking
facilities.
3.8. TRAFFIC CONTROL:
This is very essential in a disaster situation
Adequate measures to be made to control the traffic
There should be clear area for off loading patients
from Ambulances
Necessary arrangement should be made for VIP visits
Assistance of local police and volunteers may be short.
PERSONAL PROTECTION

    3.9A. PPE:
PPE, when decontamination, of specific agents, diagnosis
& immediate management of chemical incidents, radiation
facts, emergency contacts.
PPE will protect you, the patient, and other patients and
colleagues from infection and from other hazards, but only if
selected, worn, and discarded correctly.
Remove PPE as you have been instructed in training.
For advice on choosing and using PPE contact your
infection control team (infection hazards) or for chemical/
radiation, Health Protection Team
3.9B.HAND HYGIENE:
If your hands are visibly dirty, or contaminated with blood or body fluids, use
soap and water to clean your hands
If your hands are not visibly dirty, use an alcohol-based hand rub, or soap and
water
Always clean your hands:
– Before any patient contact (even if you are ‘only’ going to examine them)
– Before any clinical procedure
– Before you eat
– After any patient contact
– After completing a clinical procedure
– After handling or touching any contaminated item or equipment (eg bed pan,
suction apparatus, toilet flush-button)
– After removing your gloves
– After leaving an isolation room
– After using the lavatory
Never try to clean visibly soiled disposable gloves by cleaning your gloved
hands: it doesn’t work. Remove gloves, clean your hands, and reglove
3.10.CHEMICAL DECONTAMINATION:
Decontaminate according to protocols for clinical, emergency or
mass decontamination.
Decontamination of the injured and emergency decontamination is
led and managed by the Ambulance Service
Removing the casualty from the source and prompt
decontamination may be life-saving; as may prompt administration
of the specific antidotes that are available for some chemicals (eg
cyanide, organophosphates)
Decontamination to be done by shower jet with plenty of water.
 Record any treatment given on the triage tag attached to the
casualty
Feedback relevant information regularly to MIO/Ambulance Control
Ensure that you and your equipment remain in the contaminated
area until decontaminated.
Collect samples and send for Lab test for confirmation of the
OFF HOSPITAL
POST DISASTER MANAGEMENT
RESCUE
Emergency Management at the incident Site:
    •Personal Protective Equipment will be made available
    • Temporary decontamination facility
    • On-Site Triage, Resuscitation.
Safe transportation of the casualties in ALS ambulances
Evacuation Plans for nearby affected communities.
 Earmarking of health care facilities able to cater different
types of casualties like chemical burns, respiratory problems
etc.
Hospital to be informed to initiate disaster management
plans to deal with mass casualty events caused due to CBRN
disasters.
Preparation of Trained Medical First Responders.
Identification of Casualty Profile & their classification for
transfer.
Risk and Resource Inventories and supplies augmentation.
DISASTER ZONES
                                  PUBLIC PASSAGE

MEDIA
COMAND CENTRE
AMBULANCE




                                              WIND DIRECTION
   TRIAGE
  FIRST-AID
DECONTAMINATIO
      N



 EVACUATION
 TEAM
                       DANGE
                       R ZONE

 NO ENTRY
RELIEF

1.   Prime responsibility of Public Health authorities.
2.   They must ensure safe water supply, clean food
     availability.
3.   Maintenance of hygiene and sanitation by proper bio-
     waste disposal.
4.   Water testing and food inspection must be carried
     out.
5.   Decontamination of the area, equipment, vehicles
     and disposal of left over contaminants.
6.   Removal of dead bodies from site has to be carried
     out in the Post-disaster Scenario and their disposal.
7.   It also involves restoring life of victims to normalcy
     in resettlement colonies.
3. REHABILITATION


It involves providing temporary shelters with minimal hygiene
sanitation to the affected, restoring “normalcy” through ensuring
resumption of family’s daily living patterns.
Psychological impact of chemical disaster manifested as post
traumatic stress disorders (PTSD) in displaced people due lo disaster,
needs care by a psychologist and psychiatrist.
In post-disaster scenario some of the casualties will develop
sequel due to chemical/Radiation injuries.
These cases may need regular follow-up, medical care,
reconstructive surgery and rehabilitation.
Close monitoring is required to see any long term health effects like
blindness, interstitial lung fibrosis and neurological deficiencies etc.,
and need to be treated as well.
EFFECTS OF IMPACT


   Psychological vulnerability and
    Neuropsychological Sequel
   Fear of unknown calamities.
   Fleeing of affected community.
   Exponential spread of disaster victims.
   Over crowding of hospitals by people believing
    themselves to be affected.
   Hoarding of food, water and essential items.
   Decreased efficiency of system.
   Collapse of civil management and lack of
    essential services.
POST DISASTER DOCUMENTATION AND
            ANALYSIS

 Information will be prepared by a medical administrator.
 During response in hospital an information centre will
  provide information to public, to relatives of victims and
  media
 Warning guidelines, “DOs and DON’Ts” and condition of
  patients in the hospital.
 Dissemination of information to electronics and prints
  media will also be carried out by medical team.
 Documentation, follow up and research programs should
  be used as feedback for future improvement and lessons
  learnt.
MEDICAL RESPONSE TO LONG TERM
                EFFECTS


1. In post-disaster scenario some of the casualties will
   develop sequel due to chemical/Radiation injuries.
2. These cases may need regular follow-up, medical
   care, reconstructive surgery and rehabilitation.
3. Close monitoring is required to see any long term
   health effects like blindness, interstitial lung fibrosis
   and neurological deficiencies etc., and need to be
   treated as well.
hospiad
  Hospital Administration Made Easy




               http//hospiad.blogspot.com
    An effort solely to help students and aspirants
       in their attempt to become a successful
               Hospital Administrator.
                                               DR. N. C. DAS

Mais conteúdo relacionado

Mais procurados

Disaster management in hospital setting
Disaster management in hospital setting Disaster management in hospital setting
Disaster management in hospital setting jenishaadhikari
 
Disaster management
Disaster management Disaster management
Disaster management Mahesh Chand
 
Disaster management cycle
Disaster management cycleDisaster management cycle
Disaster management cycleumang talpara
 
Emergency Services
Emergency ServicesEmergency Services
Emergency ServicesJisa Anna M
 
Disaster management-ppt
Disaster management-pptDisaster management-ppt
Disaster management-pptVinod Kumari
 
Disaster management ppt
Disaster management pptDisaster management ppt
Disaster management pptAniket Pingale
 
International disaster management
International disaster management  International disaster management
International disaster management freelance
 
Disaster management and role of nurse
Disaster management and role of nurseDisaster management and role of nurse
Disaster management and role of nurseAIIMS, Rishikesh
 
National policy on disaster management
National policy on disaster management National policy on disaster management
National policy on disaster management Ankita Khobragade
 
Disaster management ppt
Disaster management pptDisaster management ppt
Disaster management pptMeely Panda
 
Disaster preparedness and mitigation
Disaster preparedness and mitigation Disaster preparedness and mitigation
Disaster preparedness and mitigation Dr. Mamta Gehlawat
 
Principles of disaster management
Principles of disaster managementPrinciples of disaster management
Principles of disaster managementSCGH ED CME
 
Disaster management cycle, mitigation and preparedness
Disaster management cycle, mitigation and preparednessDisaster management cycle, mitigation and preparedness
Disaster management cycle, mitigation and preparednessShivani Khandelwal
 
Disaster Managment
Disaster ManagmentDisaster Managment
Disaster ManagmentKeerthi Rao
 
Disaster management slide show
Disaster  management slide showDisaster  management slide show
Disaster management slide showSUDIPTA PAUL
 

Mais procurados (20)

Disaster management in hospital setting
Disaster management in hospital setting Disaster management in hospital setting
Disaster management in hospital setting
 
Disaster
DisasterDisaster
Disaster
 
Disaster management
Disaster management Disaster management
Disaster management
 
Disaster management cycle
Disaster management cycleDisaster management cycle
Disaster management cycle
 
Disaster management cycle
Disaster management cycleDisaster management cycle
Disaster management cycle
 
Triage In Disaster Management
Triage In Disaster Management Triage In Disaster Management
Triage In Disaster Management
 
Disater nursing
Disater nursingDisater nursing
Disater nursing
 
Emergency Services
Emergency ServicesEmergency Services
Emergency Services
 
Disaster management-ppt
Disaster management-pptDisaster management-ppt
Disaster management-ppt
 
Disaster management
Disaster managementDisaster management
Disaster management
 
Disaster management ppt
Disaster management pptDisaster management ppt
Disaster management ppt
 
International disaster management
International disaster management  International disaster management
International disaster management
 
Disaster management and role of nurse
Disaster management and role of nurseDisaster management and role of nurse
Disaster management and role of nurse
 
National policy on disaster management
National policy on disaster management National policy on disaster management
National policy on disaster management
 
Disaster management ppt
Disaster management pptDisaster management ppt
Disaster management ppt
 
Disaster preparedness and mitigation
Disaster preparedness and mitigation Disaster preparedness and mitigation
Disaster preparedness and mitigation
 
Principles of disaster management
Principles of disaster managementPrinciples of disaster management
Principles of disaster management
 
Disaster management cycle, mitigation and preparedness
Disaster management cycle, mitigation and preparednessDisaster management cycle, mitigation and preparedness
Disaster management cycle, mitigation and preparedness
 
Disaster Managment
Disaster ManagmentDisaster Managment
Disaster Managment
 
Disaster management slide show
Disaster  management slide showDisaster  management slide show
Disaster management slide show
 

Destaque

PPT on 10th disaster management
PPT on 10th disaster managementPPT on 10th disaster management
PPT on 10th disaster managementAniruddha Kawade
 
Disaster Risk Reduction and Management
Disaster Risk Reduction and ManagementDisaster Risk Reduction and Management
Disaster Risk Reduction and ManagementRyann Castro
 
Natural disasters' Impacts & Prevention
Natural disasters' Impacts & PreventionNatural disasters' Impacts & Prevention
Natural disasters' Impacts & PreventionKatie Chan
 
Natural disasters
Natural disasters Natural disasters
Natural disasters avy123
 
Natural disaster powerpoint
Natural disaster powerpointNatural disaster powerpoint
Natural disaster powerpointNbort
 
Emergency Department/Hospital Inpatient Initiative
Emergency Department/Hospital Inpatient InitiativeEmergency Department/Hospital Inpatient Initiative
Emergency Department/Hospital Inpatient InitiativeGroup Health Cooperative
 
Emergency preparedness seminar
Emergency preparedness seminarEmergency preparedness seminar
Emergency preparedness seminarJun Falcon
 
Principles of Emergency Management slides
Principles of Emergency Management slidesPrinciples of Emergency Management slides
Principles of Emergency Management slidesJoão Canas
 
Chapter4 emergency preparedness
Chapter4 emergency preparednessChapter4 emergency preparedness
Chapter4 emergency preparednesspokjak80
 
Study of natural disasters in india
Study of natural disasters in indiaStudy of natural disasters in india
Study of natural disasters in indiaAnchit Garg
 
Disaster nursing
Disaster nursingDisaster nursing
Disaster nursingJasmi Manu
 
Disaster management A case Study: How to fight the inevitable
Disaster management A case Study:  How to fight the inevitableDisaster management A case Study:  How to fight the inevitable
Disaster management A case Study: How to fight the inevitableAsalan Ahmed Malik
 
Disaster management- case study on 26 July 2005 Mumbai flood
Disaster management- case study on 26 July 2005 Mumbai floodDisaster management- case study on 26 July 2005 Mumbai flood
Disaster management- case study on 26 July 2005 Mumbai floodmadhura92
 
Hospital emergency services
Hospital emergency servicesHospital emergency services
Hospital emergency servicesNc Das
 
Role of a nurse in disaster management
Role of a nurse in disaster managementRole of a nurse in disaster management
Role of a nurse in disaster managementDr.Nilima Sonawane
 

Destaque (20)

PPT on 10th disaster management
PPT on 10th disaster managementPPT on 10th disaster management
PPT on 10th disaster management
 
Disaster
Disaster Disaster
Disaster
 
Disaster Risk Reduction and Management
Disaster Risk Reduction and ManagementDisaster Risk Reduction and Management
Disaster Risk Reduction and Management
 
Natural disasters' Impacts & Prevention
Natural disasters' Impacts & PreventionNatural disasters' Impacts & Prevention
Natural disasters' Impacts & Prevention
 
Natural disasters
Natural disasters Natural disasters
Natural disasters
 
Natural disaster powerpoint
Natural disaster powerpointNatural disaster powerpoint
Natural disaster powerpoint
 
Emergency Department/Hospital Inpatient Initiative
Emergency Department/Hospital Inpatient InitiativeEmergency Department/Hospital Inpatient Initiative
Emergency Department/Hospital Inpatient Initiative
 
Emergency preparedness seminar
Emergency preparedness seminarEmergency preparedness seminar
Emergency preparedness seminar
 
Principles of Emergency Management slides
Principles of Emergency Management slidesPrinciples of Emergency Management slides
Principles of Emergency Management slides
 
Chapter4 emergency preparedness
Chapter4 emergency preparednessChapter4 emergency preparedness
Chapter4 emergency preparedness
 
Study of natural disasters in india
Study of natural disasters in indiaStudy of natural disasters in india
Study of natural disasters in india
 
Disaster nursing
Disaster nursingDisaster nursing
Disaster nursing
 
Polycythemia
PolycythemiaPolycythemia
Polycythemia
 
Nursing in emergencies
Nursing in emergenciesNursing in emergencies
Nursing in emergencies
 
Disaster management A case Study: How to fight the inevitable
Disaster management A case Study:  How to fight the inevitableDisaster management A case Study:  How to fight the inevitable
Disaster management A case Study: How to fight the inevitable
 
Natural disasters of india
Natural disasters of indiaNatural disasters of india
Natural disasters of india
 
Disaster management- case study on 26 July 2005 Mumbai flood
Disaster management- case study on 26 July 2005 Mumbai floodDisaster management- case study on 26 July 2005 Mumbai flood
Disaster management- case study on 26 July 2005 Mumbai flood
 
Disaster preparedness
Disaster preparednessDisaster preparedness
Disaster preparedness
 
Hospital emergency services
Hospital emergency servicesHospital emergency services
Hospital emergency services
 
Role of a nurse in disaster management
Role of a nurse in disaster managementRole of a nurse in disaster management
Role of a nurse in disaster management
 

Semelhante a Disaster Management

New microsoft office word document (6)
New microsoft office word document (6)New microsoft office word document (6)
New microsoft office word document (6)Rajesh Nair
 
DISASTER NURSING/EMERGENCY NURSING MANAGEMENT
DISASTER NURSING/EMERGENCY NURSING MANAGEMENTDISASTER NURSING/EMERGENCY NURSING MANAGEMENT
DISASTER NURSING/EMERGENCY NURSING MANAGEMENTachish321
 
Emergency and Disaster Nursing.pptx
Emergency and Disaster Nursing.pptxEmergency and Disaster Nursing.pptx
Emergency and Disaster Nursing.pptxTheaIlao1
 
3 . Disaster management.ppt
3 . Disaster management.ppt3 . Disaster management.ppt
3 . Disaster management.pptSushilaHamal
 
Unit 3 Disaster Management and emergency preparedness (2) (1).pptx
Unit 3 Disaster Management and emergency preparedness (2) (1).pptxUnit 3 Disaster Management and emergency preparedness (2) (1).pptx
Unit 3 Disaster Management and emergency preparedness (2) (1).pptxOSCAR212326
 
Disaster management ppt
Disaster management pptDisaster management ppt
Disaster management pptshwetaGejam
 
DISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWAT
DISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWATDISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWAT
DISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWATNehaKewat
 
Disaster Preparedness and Disaster Response.pptx
Disaster Preparedness and Disaster Response.pptxDisaster Preparedness and Disaster Response.pptx
Disaster Preparedness and Disaster Response.pptxAbbieNunez
 
Dm jmi asc 25 feb15
Dm jmi asc 25 feb15Dm jmi asc 25 feb15
Dm jmi asc 25 feb15Rajive Kohli
 
Disaster-Preparedness-and-Disaster-Response.pptx
Disaster-Preparedness-and-Disaster-Response.pptxDisaster-Preparedness-and-Disaster-Response.pptx
Disaster-Preparedness-and-Disaster-Response.pptxAbbieNunez
 
Industrial Disaster Management
Industrial Disaster Management Industrial Disaster Management
Industrial Disaster Management Spunky Padrone
 
Disaster Management
Disaster Management Disaster Management
Disaster Management Rajive Kohli
 
Disaster (leadership and management) ppt.
Disaster (leadership and management) ppt.Disaster (leadership and management) ppt.
Disaster (leadership and management) ppt.KhusbuLama
 
Disaster Management.ppt
Disaster Management.pptDisaster Management.ppt
Disaster Management.pptZaid Azhar
 
FLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptx
FLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptxFLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptx
FLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptxIgbashio
 
Disaster preparedness & Management for Optometry.pptx
Disaster preparedness & Management for Optometry.pptxDisaster preparedness & Management for Optometry.pptx
Disaster preparedness & Management for Optometry.pptxHarsh Rastogi
 

Semelhante a Disaster Management (20)

New microsoft office word document (6)
New microsoft office word document (6)New microsoft office word document (6)
New microsoft office word document (6)
 
DISASTER NURSING/EMERGENCY NURSING MANAGEMENT
DISASTER NURSING/EMERGENCY NURSING MANAGEMENTDISASTER NURSING/EMERGENCY NURSING MANAGEMENT
DISASTER NURSING/EMERGENCY NURSING MANAGEMENT
 
Emergency and Disaster Nursing.pptx
Emergency and Disaster Nursing.pptxEmergency and Disaster Nursing.pptx
Emergency and Disaster Nursing.pptx
 
3 . Disaster management.ppt
3 . Disaster management.ppt3 . Disaster management.ppt
3 . Disaster management.ppt
 
Unit 3 Disaster Management and emergency preparedness (2) (1).pptx
Unit 3 Disaster Management and emergency preparedness (2) (1).pptxUnit 3 Disaster Management and emergency preparedness (2) (1).pptx
Unit 3 Disaster Management and emergency preparedness (2) (1).pptx
 
Disaster management ppt
Disaster management pptDisaster management ppt
Disaster management ppt
 
DISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWAT
DISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWATDISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWAT
DISASTER MANAGE-WPS Office-1.pptx PREPARED BY NEHA KEWAT
 
Disaster Preparedness and Disaster Response.pptx
Disaster Preparedness and Disaster Response.pptxDisaster Preparedness and Disaster Response.pptx
Disaster Preparedness and Disaster Response.pptx
 
Dm jmi asc 25 feb15
Dm jmi asc 25 feb15Dm jmi asc 25 feb15
Dm jmi asc 25 feb15
 
Disaster management
Disaster managementDisaster management
Disaster management
 
Disaster-Preparedness-and-Disaster-Response.pptx
Disaster-Preparedness-and-Disaster-Response.pptxDisaster-Preparedness-and-Disaster-Response.pptx
Disaster-Preparedness-and-Disaster-Response.pptx
 
DISASTER MANAGEMENT -GENERAL
DISASTER MANAGEMENT -GENERALDISASTER MANAGEMENT -GENERAL
DISASTER MANAGEMENT -GENERAL
 
Industrial Disaster Management
Industrial Disaster Management Industrial Disaster Management
Industrial Disaster Management
 
Disaster management
Disaster managementDisaster management
Disaster management
 
disaster nursing
disaster nursingdisaster nursing
disaster nursing
 
Disaster Management
Disaster Management Disaster Management
Disaster Management
 
Disaster (leadership and management) ppt.
Disaster (leadership and management) ppt.Disaster (leadership and management) ppt.
Disaster (leadership and management) ppt.
 
Disaster Management.ppt
Disaster Management.pptDisaster Management.ppt
Disaster Management.ppt
 
FLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptx
FLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptxFLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptx
FLOOD DISASTER MANAGEMENT OPERATIONS IN BENUE STATE 2012.pptx
 
Disaster preparedness & Management for Optometry.pptx
Disaster preparedness & Management for Optometry.pptxDisaster preparedness & Management for Optometry.pptx
Disaster preparedness & Management for Optometry.pptx
 

Mais de Nc Das

Engineering hazards
Engineering hazardsEngineering hazards
Engineering hazardsNc Das
 
Maintaining equipment
Maintaining equipmentMaintaining equipment
Maintaining equipmentNc Das
 
Hospital. engineering service
Hospital. engineering serviceHospital. engineering service
Hospital. engineering serviceNc Das
 
Right To Information Act, Hospital :: Hospiad
Right To Information Act, Hospital :: HospiadRight To Information Act, Hospital :: Hospiad
Right To Information Act, Hospital :: HospiadNc Das
 
Nursing Audit
Nursing AuditNursing Audit
Nursing AuditNc Das
 
Disability & Rehabilitation approach
Disability & Rehabilitation approachDisability & Rehabilitation approach
Disability & Rehabilitation approachNc Das
 
Fire Safety Management
Fire Safety ManagementFire Safety Management
Fire Safety ManagementNc Das
 
Patient safety
Patient safetyPatient safety
Patient safetyNc Das
 
Medico legal case
Medico legal caseMedico legal case
Medico legal caseNc Das
 
Patient satisfaction
Patient satisfactionPatient satisfaction
Patient satisfactionNc Das
 
Patient Consent
Patient ConsentPatient Consent
Patient ConsentNc Das
 
Quality Assurance in Hospitals
Quality Assurance in HospitalsQuality Assurance in Hospitals
Quality Assurance in HospitalsNc Das
 
Legal aspect of medical care
Legal aspect of medical careLegal aspect of medical care
Legal aspect of medical careNc Das
 
Clinilal audit
Clinilal auditClinilal audit
Clinilal auditNc Das
 
Hospital security services
Hospital security servicesHospital security services
Hospital security servicesNc Das
 
Organization of Medical Record
Organization of Medical RecordOrganization of Medical Record
Organization of Medical RecordNc Das
 
Hosp. transport services
Hosp. transport servicesHosp. transport services
Hosp. transport servicesNc Das
 
Management information system
Management information systemManagement information system
Management information systemNc Das
 
Planning & Manag. of Hospital Laundry
Planning & Manag. of Hospital LaundryPlanning & Manag. of Hospital Laundry
Planning & Manag. of Hospital LaundryNc Das
 
Hospital pharmacy
Hospital pharmacyHospital pharmacy
Hospital pharmacyNc Das
 

Mais de Nc Das (20)

Engineering hazards
Engineering hazardsEngineering hazards
Engineering hazards
 
Maintaining equipment
Maintaining equipmentMaintaining equipment
Maintaining equipment
 
Hospital. engineering service
Hospital. engineering serviceHospital. engineering service
Hospital. engineering service
 
Right To Information Act, Hospital :: Hospiad
Right To Information Act, Hospital :: HospiadRight To Information Act, Hospital :: Hospiad
Right To Information Act, Hospital :: Hospiad
 
Nursing Audit
Nursing AuditNursing Audit
Nursing Audit
 
Disability & Rehabilitation approach
Disability & Rehabilitation approachDisability & Rehabilitation approach
Disability & Rehabilitation approach
 
Fire Safety Management
Fire Safety ManagementFire Safety Management
Fire Safety Management
 
Patient safety
Patient safetyPatient safety
Patient safety
 
Medico legal case
Medico legal caseMedico legal case
Medico legal case
 
Patient satisfaction
Patient satisfactionPatient satisfaction
Patient satisfaction
 
Patient Consent
Patient ConsentPatient Consent
Patient Consent
 
Quality Assurance in Hospitals
Quality Assurance in HospitalsQuality Assurance in Hospitals
Quality Assurance in Hospitals
 
Legal aspect of medical care
Legal aspect of medical careLegal aspect of medical care
Legal aspect of medical care
 
Clinilal audit
Clinilal auditClinilal audit
Clinilal audit
 
Hospital security services
Hospital security servicesHospital security services
Hospital security services
 
Organization of Medical Record
Organization of Medical RecordOrganization of Medical Record
Organization of Medical Record
 
Hosp. transport services
Hosp. transport servicesHosp. transport services
Hosp. transport services
 
Management information system
Management information systemManagement information system
Management information system
 
Planning & Manag. of Hospital Laundry
Planning & Manag. of Hospital LaundryPlanning & Manag. of Hospital Laundry
Planning & Manag. of Hospital Laundry
 
Hospital pharmacy
Hospital pharmacyHospital pharmacy
Hospital pharmacy
 

Último

Bitdefender-CSG-Report-creat7534-interactive
Bitdefender-CSG-Report-creat7534-interactiveBitdefender-CSG-Report-creat7534-interactive
Bitdefender-CSG-Report-creat7534-interactivestartupro
 
Data Contracts In Practice With Debezium and Apache Flink
Data Contracts In Practice With Debezium and Apache FlinkData Contracts In Practice With Debezium and Apache Flink
Data Contracts In Practice With Debezium and Apache FlinkHostedbyConfluent
 
Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...
Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...
Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...HostedbyConfluent
 
Web Development Solutions 2024 A Beginner's Comprehensive Handbook.pdf
Web Development Solutions 2024 A Beginner's Comprehensive Handbook.pdfWeb Development Solutions 2024 A Beginner's Comprehensive Handbook.pdf
Web Development Solutions 2024 A Beginner's Comprehensive Handbook.pdfSeasia Infotech
 
Automation Ops Series: Session 3 - Solutions management
Automation Ops Series: Session 3 - Solutions managementAutomation Ops Series: Session 3 - Solutions management
Automation Ops Series: Session 3 - Solutions managementDianaGray10
 
Apache Kafka's Common Pitfalls & Intricacies: A Customer Support Perspective
Apache Kafka's Common Pitfalls & Intricacies: A Customer Support PerspectiveApache Kafka's Common Pitfalls & Intricacies: A Customer Support Perspective
Apache Kafka's Common Pitfalls & Intricacies: A Customer Support PerspectiveHostedbyConfluent
 
Event Modeling Anti-patterns | Kafka Summit London
Event Modeling Anti-patterns | Kafka Summit LondonEvent Modeling Anti-patterns | Kafka Summit London
Event Modeling Anti-patterns | Kafka Summit LondonHostedbyConfluent
 
Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...
Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...
Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...HostedbyConfluent
 
Build Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQL
Build Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQLBuild Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQL
Build Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQLHostedbyConfluent
 
Tecnogravura, Cylinder Engraving for Rotogravure
Tecnogravura, Cylinder Engraving for RotogravureTecnogravura, Cylinder Engraving for Rotogravure
Tecnogravura, Cylinder Engraving for RotogravureAntonio de Llamas
 
Case Study: Implementing a Data Mesh at NORD/LB
Case Study: Implementing a Data Mesh at NORD/LBCase Study: Implementing a Data Mesh at NORD/LB
Case Study: Implementing a Data Mesh at NORD/LBHostedbyConfluent
 
Real-time Customer Impact Calculation on a Telecom Scale Knowledge Graph
Real-time Customer Impact Calculation on a Telecom Scale Knowledge GraphReal-time Customer Impact Calculation on a Telecom Scale Knowledge Graph
Real-time Customer Impact Calculation on a Telecom Scale Knowledge GraphHostedbyConfluent
 
Dynamical Context introduction word sensibility orientation
Dynamical Context introduction word sensibility orientationDynamical Context introduction word sensibility orientation
Dynamical Context introduction word sensibility orientationBuild Intuit
 
How to Build an Event-based Control Center for the Electrical Grid
How to Build an Event-based Control Center for the Electrical GridHow to Build an Event-based Control Center for the Electrical Grid
How to Build an Event-based Control Center for the Electrical GridHostedbyConfluent
 
Transcript: Green paths: Learning from publishers’ sustainability journeys - ...
Transcript: Green paths: Learning from publishers’ sustainability journeys - ...Transcript: Green paths: Learning from publishers’ sustainability journeys - ...
Transcript: Green paths: Learning from publishers’ sustainability journeys - ...BookNet Canada
 
The Critical Role of Spatial Data in Today's Data Ecosystem
The Critical Role of Spatial Data in Today's Data EcosystemThe Critical Role of Spatial Data in Today's Data Ecosystem
The Critical Role of Spatial Data in Today's Data EcosystemSafe Software
 
Data Contracts Management: Schema Registry and Beyond
Data Contracts Management: Schema Registry and BeyondData Contracts Management: Schema Registry and Beyond
Data Contracts Management: Schema Registry and BeyondHostedbyConfluent
 
Bridge to the Future: Migrating to KRaft
Bridge to the Future: Migrating to KRaftBridge to the Future: Migrating to KRaft
Bridge to the Future: Migrating to KRaftHostedbyConfluent
 
#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdf
#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdf#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdf
#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdfREFASHIOND
 
How Do You Query a Stream? | Kafka Summit London
How Do You Query a Stream? | Kafka Summit LondonHow Do You Query a Stream? | Kafka Summit London
How Do You Query a Stream? | Kafka Summit LondonHostedbyConfluent
 

Último (20)

Bitdefender-CSG-Report-creat7534-interactive
Bitdefender-CSG-Report-creat7534-interactiveBitdefender-CSG-Report-creat7534-interactive
Bitdefender-CSG-Report-creat7534-interactive
 
Data Contracts In Practice With Debezium and Apache Flink
Data Contracts In Practice With Debezium and Apache FlinkData Contracts In Practice With Debezium and Apache Flink
Data Contracts In Practice With Debezium and Apache Flink
 
Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...
Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...
Leveraging Tiered Storage in Strimzi-Operated Kafka for Cost-Effective Stream...
 
Web Development Solutions 2024 A Beginner's Comprehensive Handbook.pdf
Web Development Solutions 2024 A Beginner's Comprehensive Handbook.pdfWeb Development Solutions 2024 A Beginner's Comprehensive Handbook.pdf
Web Development Solutions 2024 A Beginner's Comprehensive Handbook.pdf
 
Automation Ops Series: Session 3 - Solutions management
Automation Ops Series: Session 3 - Solutions managementAutomation Ops Series: Session 3 - Solutions management
Automation Ops Series: Session 3 - Solutions management
 
Apache Kafka's Common Pitfalls & Intricacies: A Customer Support Perspective
Apache Kafka's Common Pitfalls & Intricacies: A Customer Support PerspectiveApache Kafka's Common Pitfalls & Intricacies: A Customer Support Perspective
Apache Kafka's Common Pitfalls & Intricacies: A Customer Support Perspective
 
Event Modeling Anti-patterns | Kafka Summit London
Event Modeling Anti-patterns | Kafka Summit LondonEvent Modeling Anti-patterns | Kafka Summit London
Event Modeling Anti-patterns | Kafka Summit London
 
Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...
Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...
Mastering Kafka Consumer Distribution: A Guide to Efficient Scaling and Resou...
 
Build Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQL
Build Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQLBuild Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQL
Build Copilots on Streaming Data with Generative AI, Kafka Streams and Flink SQL
 
Tecnogravura, Cylinder Engraving for Rotogravure
Tecnogravura, Cylinder Engraving for RotogravureTecnogravura, Cylinder Engraving for Rotogravure
Tecnogravura, Cylinder Engraving for Rotogravure
 
Case Study: Implementing a Data Mesh at NORD/LB
Case Study: Implementing a Data Mesh at NORD/LBCase Study: Implementing a Data Mesh at NORD/LB
Case Study: Implementing a Data Mesh at NORD/LB
 
Real-time Customer Impact Calculation on a Telecom Scale Knowledge Graph
Real-time Customer Impact Calculation on a Telecom Scale Knowledge GraphReal-time Customer Impact Calculation on a Telecom Scale Knowledge Graph
Real-time Customer Impact Calculation on a Telecom Scale Knowledge Graph
 
Dynamical Context introduction word sensibility orientation
Dynamical Context introduction word sensibility orientationDynamical Context introduction word sensibility orientation
Dynamical Context introduction word sensibility orientation
 
How to Build an Event-based Control Center for the Electrical Grid
How to Build an Event-based Control Center for the Electrical GridHow to Build an Event-based Control Center for the Electrical Grid
How to Build an Event-based Control Center for the Electrical Grid
 
Transcript: Green paths: Learning from publishers’ sustainability journeys - ...
Transcript: Green paths: Learning from publishers’ sustainability journeys - ...Transcript: Green paths: Learning from publishers’ sustainability journeys - ...
Transcript: Green paths: Learning from publishers’ sustainability journeys - ...
 
The Critical Role of Spatial Data in Today's Data Ecosystem
The Critical Role of Spatial Data in Today's Data EcosystemThe Critical Role of Spatial Data in Today's Data Ecosystem
The Critical Role of Spatial Data in Today's Data Ecosystem
 
Data Contracts Management: Schema Registry and Beyond
Data Contracts Management: Schema Registry and BeyondData Contracts Management: Schema Registry and Beyond
Data Contracts Management: Schema Registry and Beyond
 
Bridge to the Future: Migrating to KRaft
Bridge to the Future: Migrating to KRaftBridge to the Future: Migrating to KRaft
Bridge to the Future: Migrating to KRaft
 
#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdf
#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdf#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdf
#SCIT 2024 LatAm Delegation Overview + SPONSORSHIP.pdf
 
How Do You Query a Stream? | Kafka Summit London
How Do You Query a Stream? | Kafka Summit LondonHow Do You Query a Stream? | Kafka Summit London
How Do You Query a Stream? | Kafka Summit London
 

Disaster Management

  • 1. DISASTER MANAGEMENT DR. N. C. DAS
  • 3. WHAT IS DISASTER DISASTER- French word, (Des-bad & Astre -star) W.Nick carter defined: “An Event, Natural/ Manmade, Sudden/Progressive, which impacts with such severity that the community has to respond taking exceptional Measures.” 2.It is a phenomenon involving extensive ecological disruption leading risk to life, property and health to an extent warranting extra ordinary response from outside the affected area.
  • 4. MAJOR DISASTERS IN INDIA Highly disaster prone country 8 natural calamities /yr 5 fold increase in the frequency of disasters during last 30yrs. Bhopal gas tragedy. Cyclones (AP)& Orissa. Earthquake in Uttarkashi in 1990,latur . 1993,Gujarat 2001. Skkim 2011 Tsunami,2004. Train accidents. Bomb blasts in Delhi and Mumbai
  • 5. TYPES OF DISASTER • Aircrash • Flood • Sinking ship • Cyclone • Train accidents • Earthquake • Building collapse • Volcanic eruption • Bridge collapse • Epidemics • Bomb blasts •Tsunami • Warfare (conventional, chem. bio, nuclear)
  • 6.
  • 7. DISASTER MANAGEMENT PRE HOSPITAL PLANNING HOSPITAL DISASTER MANAGMENT OFF HOSPITAL
  • 8. DISASTER MANAGEMENT Predict Rescue Prevent Relief Prepare Rehabilitation
  • 11. A.PREDICT Measures for efficient forecasting and warning systems Developing GIS for early detection and warning Information Technology for effective communication network. Pro-active measures for disaster preparedness and mitigation – administrative, financial, Legislative & techno- legal Developing public awareness to build up society’s strength to face disasters. National networking for immediate medical response Emphasis on risk reduction, mitigation & awareness, while strengthening response.
  • 12. B.PREVENT -Evoke existing system of response mechanism in the wake of natural and man-made disasters at all levels of government and steps to minimize the response time through effective communication & measures to ensure adequacy of relief operations. - Develop strategies for inclusion of disaster reduction components in the on-going plan/ non – plan schemes. -Prepare the community to face the challenge and respond in case of impending disaster -Lay stress on preparedness including prevention/ mitigation of Chemical Industrial Disasters while strengthening their emergency response. -Stay up to date with the latest international best practices and recent developments within the country -Highlight the salient gaps evaluated based upon the critical review of the present status for future action.
  • 14. PREPARE DISASTER ACTION PLAN It is planned and systematic approach towards understanding and solving the disaster to minimize the effect. • The approach should be multi sectoral. • Plan should be realistic and easily adoptable • Plan should be clearly laid down defining the role and responsibility of different agencies. • Should be exercised in between to evaluate it. • It should be prepared at the country, state, district and institutional level. • National disaster management authority(NDMA) facilitate state with support and advice while plan and implementation by SDMA
  • 15. CAPACITY DEVELOPMENT Creation of trained Medical First Response Teams Initiation of training of paramedics for disaster management. Creation of detection, decontamination facilities. Uniform Causality Profile and Classification of Casualties. Risk Inventory and Resources Inventory. Proper Casualty Treatment Kits. Crisis Management Plan at Hospitals. Mobile Hospitals/ Mobile Teams . Medical Response to Long Term Effects. Psychosocial Care for management of community behavior and response . Issues related to public health response and medical rehabilitation and harmful effects on the environment.  Efficient transport system
  • 16. D.ORGANISATIONAL DEVELOPMENT National Disaster Management Authority (NDMA) Constituted in Dec 2005 ,DM Act. •NDMA Chairman PM •SDMA are constituted there after •SDMA Chairman CM •DDMA Constituted CABINATE SECRETARY NDMA SECRETARIATE •DDMA Chairman DM/ DC DM-I DM-II • MITIGATION • CAPACITY DEV. • PREPAREDNESS • TRAINING • PLANS • KNOWLEDGE • RECONSTRUCTION MANAGEMENT • COMMUNITY AWARENESS • FINANCIAL ASPECTS
  • 17.
  • 19. DDMA DISTRICT DISASTER COMITTE •Head Local Administration • Representatives of Police • Representatives of Fire services • Representatives of CATS • Representatives of Corporate body • Representatives of Voluntary organization • Representatives of Media • Hospital representatives. •Army should be called into action as and when required
  • 20. GUIDELINES FOR DDMA Preparation of Action Plan  Allocation of adequate resources  Ensure implementation Laying down role and responsibilities of different services Regulatory framework. Code of Practices, Procedures and Standards. Statutory Inspection, Safety Auditing and Testing of Emergency Plans. Technical and technological information and Preparedness. Education and Training. Creation of DDMA Infrastructure. Capacity Development of all teams. Awareness Generation among Public. Institutional Framework at all levels. Networking and Information sharing. Medical Preparedness by medical Teams. Research and Development. Response, Relief and Rehabilitation. Evacuation plan and Mock drill
  • 21. RESPONSE BY DDMA  Instantaneous instruction for forthwith movement of rescue team with personal protective equipment (PPE)  Simultaneously, QRMT(Quick Response Medical Team) with PPE on will reach to Mishap site immediately along with Resuscitation, protection, detection and decontamination equipment and materials.  Decontamination , Resuscitation, triage and evacuation work must be done as per SOPs.  DDMA will immediately inform State and National Disaster Management Authorities appraising about situation and extent of damage so that SDMA & NDMA can plan to send relief teams and supports.
  • 23. HOSPITAL DISASTER PLAN Hospital Disaster plan is prepared to reduce the pressure on the hospital management when a large number of casualties arriving suddenly in the hospital at a time, requiring different level of care. The plan should be activated immediately to provide efficient care to the patients within a short span of time. Mock drill to be conducted periodically to acquaint the staff to meet any eventuality The action plan begins with formation of Disaster committee Keeping adequate storage of supplies in the emergency department.  Keeping disaster SOP in the casualty.
  • 24. HOSPITAL DISASTER ACTION PLAN CARE IN HOSPITAL CARE AT THE SITE
  • 25. HOSPITAL DISASTER COMMITTEE Each hospital must have a hospital disaster committee to give effect to the disaster action plan as and when required. CMO I/C CASUALTY •ALL HODS ECRO (Surg,Med,Ortho,Neuro,Lab, Radio) CMO(CASUALTY) • DD(A) •Nursing Supdt. •Officer I/C TPS SISTER I/C •CMO (store) •Officer I/C Maintain. •Dietician •CPWD Rep. OTHER PARAMED. STAFF
  • 26. 1.CARE AT THE SITE • Do not allow Golden hour to expire,, 1st hour •It is best if services can be provided in first 10 minutes (Platinum minute) • BLS ABC= Air way. Breathing. Circulation • ALS DEF= Defibrillator. ET intubation, ECG . Fluid & electrolyte • Constitute the field team: 1.Ambulance 2.Anesthetist To be identified and roaster made on daily, 3.OT Tech Weekly and monthly basis. 4.Bearers 5.Drivers • Dispatch the team to site • Assess the situation in the site. • Render first aid at the site and during transport • Stabilize the serious cases. • Transport serious cases to the hospital under direct supervision.
  • 27. 2.INTERNAL DISASTER PLAN It is activated when the hospital buildings are effected in disaster. Action plan should clearly mention: • Alternate site (dharmashala,Temple,Schools,Playground nearby) • Folding tents, cots, trolleys for temporary shelters • Identify a nearby tent house to provide beds,blankets • TPT for transportation of cases to alternate sites or hospital • First aid and drug kits, potable lights. • Portable communication system. • Identify local voluntary organization, who can provide services of care,food and water.
  • 28. 3.EXTERNAL DISASTER PLAN (TEN STEPS) • 3.1.DISASTER RESPONSE • 3.7. PUBLIC RELATION • 3.2. AUTHENTICATE • 3.8. TRAFFIC CONTROL SOURCE • 3.9.PERSONAL • 3.3. ACTIVATION OF PROTECTION DISASTER PLAN • 3.10.CHEMICAL • 3.4. CREATION OF DECONTAMINATION ADDITIONAL SPACE • 3.5. AUGMENTATION OF SERVICES • 3.6. MAINTENANCE OF RECORD
  • 29. 3.EXTERNAL DISASTER PLAN 3.1.DISASTER RESPONSE: STEP 1 ONE CASUALTY - Approach using normal procedures STEP 2 TWO CASUALTIES - Approach with caution, consider all options i).Report on arrival, update control. STEP 3 THREE CASUALTIES or MORE Do NOT wait i).Evoke Disaster action plan ii).Call for specialist help. Disaster response depends on: • Time available between the first information and arrival of casualties. • Type of preparedness and training of staff. • Accessibility to disaster manual. • Role played by different category of staff.
  • 30. 3.EXTERNAL DISASTER PLAN 3.1.DISASTER RESPONSE: STEP 1 ONE CASUALTY - Approach using normal procedures STEP 2 TWO CASUALTIES - Approach with caution, consider all options i).Report on arrival, update control. STEP 3 THREE CASUALTIES or MORE Do NOT wait i).Evoke Disaster action plan ii).Call for specialist help. Disaster response depends on: • Time available between the first information and arrival of casualties. • Type of preparedness and training of staff. • Accessibility to disaster manual. • Role played by different category of staff.
  • 31. 3.2. AUTHENTICATE SOURCE OF INFORMATION: •Media, Telephone, Police, CATS on arrival of casualties. • Authenticate the information received. • Try to know the type of disaster, time of occurrence. • Estimate number or type of casualty expected.
  • 32. DISASTER MANAGEMENT NOTIFY KEY PERSONS INITIATE PREPARATION o All the dept & designated staff get into INITIAL ALERT o readiness to attend casualties Crisis expansion of hospital beds. (POLICE, TV, o Preparation for decontamination area TELEPHONE ,PATIENT) RESUSCITATION COLLECT MOBILIZATION OF RESOURCES o Manpower: Disaster Management INFORMATION Team medical , nursing and other INVESTIGATION Personnel o Material and supply eg: antidotes o Transportation means ICU TRIAGE TREATMENT DUCUMENTATION OT IN DOOR DECONTAMINATION OPD DEATH ARRIVAL OF DISCHARGE PATIENT MORTURY
  • 33. 3.3. ACTIVATION OF DISASTER PLAN: On confirming about the information the MS should be informed and others to be informed through hospital exchange. The CMO on duty is responsible for activation of the disaster plan. All the available doctors and staff to be alerted about the incidence.
  • 34. 3.4. CREATION OF ADDITIONAL SPACE: A. Triage/shorting area: This is the area where the specialists will be there to categorize the patients as per priority. • Primary treatment area Resuscitation • Secondary treatment area Stabilization & treatment (Disaster ward) • Evacuation area First aid To wards & discharge /death • Control room and information center • Volunteer reception area (porter services) • Relatives waiting area • Media and communication area • Traffic control
  • 35. TRIAGE/SHORTING Priority I: Serious cases Red band Resus. ICU. Priority II: operation Yellow band Resus. OT Ward O U T Priority III: Requiring admission Blue band First aid Ward Priority IV: Minor injuries Green band First aid Priority V: Dead Black band Identification Morgue
  • 36. 3.5. AUGMENTATION OF SERVICES: •All supporting and utility services to be augmented. • Staff strength in different areas to be increased. • OTs to run round the clock. • CSSD, Laundry, Kitchen time to be extended to compensate • Sanitation & Security services to be augmented • Continuous supply of electricity and water. • Communication service to run round the clock(Tel. Exchange) • Medical record section to be augmented. • Investigation services to run round the clock. •Medical store to be opened round the clok
  • 37. 3.6. MAINTENANCE OF RECORD: Proper record of all cases to be made for identification. MLC to be made in all cases with name, address, injuries and treatment given. All records to be preserved for future compensation and Legal evidence A copy of the list to be handed over to police and inquiry counter. Documentation, follow up and research programs should be used as feedback for future improvement and lessons learnt.
  • 38. 3.7. PUBLIC RELATION: An inquiry counter be opened round the clock for information of public and relatives. Media briefing to be made by Med. Supdt. Only Public announcement be made for voluntary blood donation. Information centre displaying information to public, to relatives of victims and media with warning guidelines, “DOs and DON’Ts” and condition of patients in the hospital. Adequate place for waiting relatives, toilet and drinking facilities.
  • 39. 3.8. TRAFFIC CONTROL: This is very essential in a disaster situation Adequate measures to be made to control the traffic There should be clear area for off loading patients from Ambulances Necessary arrangement should be made for VIP visits Assistance of local police and volunteers may be short.
  • 40. PERSONAL PROTECTION 3.9A. PPE: PPE, when decontamination, of specific agents, diagnosis & immediate management of chemical incidents, radiation facts, emergency contacts. PPE will protect you, the patient, and other patients and colleagues from infection and from other hazards, but only if selected, worn, and discarded correctly. Remove PPE as you have been instructed in training. For advice on choosing and using PPE contact your infection control team (infection hazards) or for chemical/ radiation, Health Protection Team
  • 41. 3.9B.HAND HYGIENE: If your hands are visibly dirty, or contaminated with blood or body fluids, use soap and water to clean your hands If your hands are not visibly dirty, use an alcohol-based hand rub, or soap and water Always clean your hands: – Before any patient contact (even if you are ‘only’ going to examine them) – Before any clinical procedure – Before you eat – After any patient contact – After completing a clinical procedure – After handling or touching any contaminated item or equipment (eg bed pan, suction apparatus, toilet flush-button) – After removing your gloves – After leaving an isolation room – After using the lavatory Never try to clean visibly soiled disposable gloves by cleaning your gloved hands: it doesn’t work. Remove gloves, clean your hands, and reglove
  • 42. 3.10.CHEMICAL DECONTAMINATION: Decontaminate according to protocols for clinical, emergency or mass decontamination. Decontamination of the injured and emergency decontamination is led and managed by the Ambulance Service Removing the casualty from the source and prompt decontamination may be life-saving; as may prompt administration of the specific antidotes that are available for some chemicals (eg cyanide, organophosphates) Decontamination to be done by shower jet with plenty of water.  Record any treatment given on the triage tag attached to the casualty Feedback relevant information regularly to MIO/Ambulance Control Ensure that you and your equipment remain in the contaminated area until decontaminated. Collect samples and send for Lab test for confirmation of the
  • 45. RESCUE Emergency Management at the incident Site: •Personal Protective Equipment will be made available • Temporary decontamination facility • On-Site Triage, Resuscitation. Safe transportation of the casualties in ALS ambulances Evacuation Plans for nearby affected communities.  Earmarking of health care facilities able to cater different types of casualties like chemical burns, respiratory problems etc. Hospital to be informed to initiate disaster management plans to deal with mass casualty events caused due to CBRN disasters. Preparation of Trained Medical First Responders. Identification of Casualty Profile & their classification for transfer. Risk and Resource Inventories and supplies augmentation.
  • 46. DISASTER ZONES PUBLIC PASSAGE MEDIA COMAND CENTRE AMBULANCE WIND DIRECTION TRIAGE FIRST-AID DECONTAMINATIO N EVACUATION TEAM DANGE R ZONE NO ENTRY
  • 47. RELIEF 1. Prime responsibility of Public Health authorities. 2. They must ensure safe water supply, clean food availability. 3. Maintenance of hygiene and sanitation by proper bio- waste disposal. 4. Water testing and food inspection must be carried out. 5. Decontamination of the area, equipment, vehicles and disposal of left over contaminants. 6. Removal of dead bodies from site has to be carried out in the Post-disaster Scenario and their disposal. 7. It also involves restoring life of victims to normalcy in resettlement colonies.
  • 48. 3. REHABILITATION It involves providing temporary shelters with minimal hygiene sanitation to the affected, restoring “normalcy” through ensuring resumption of family’s daily living patterns. Psychological impact of chemical disaster manifested as post traumatic stress disorders (PTSD) in displaced people due lo disaster, needs care by a psychologist and psychiatrist. In post-disaster scenario some of the casualties will develop sequel due to chemical/Radiation injuries. These cases may need regular follow-up, medical care, reconstructive surgery and rehabilitation. Close monitoring is required to see any long term health effects like blindness, interstitial lung fibrosis and neurological deficiencies etc., and need to be treated as well.
  • 49. EFFECTS OF IMPACT  Psychological vulnerability and Neuropsychological Sequel  Fear of unknown calamities.  Fleeing of affected community.  Exponential spread of disaster victims.  Over crowding of hospitals by people believing themselves to be affected.  Hoarding of food, water and essential items.  Decreased efficiency of system.  Collapse of civil management and lack of essential services.
  • 50. POST DISASTER DOCUMENTATION AND ANALYSIS  Information will be prepared by a medical administrator.  During response in hospital an information centre will provide information to public, to relatives of victims and media  Warning guidelines, “DOs and DON’Ts” and condition of patients in the hospital.  Dissemination of information to electronics and prints media will also be carried out by medical team.  Documentation, follow up and research programs should be used as feedback for future improvement and lessons learnt.
  • 51. MEDICAL RESPONSE TO LONG TERM EFFECTS 1. In post-disaster scenario some of the casualties will develop sequel due to chemical/Radiation injuries. 2. These cases may need regular follow-up, medical care, reconstructive surgery and rehabilitation. 3. Close monitoring is required to see any long term health effects like blindness, interstitial lung fibrosis and neurological deficiencies etc., and need to be treated as well.
  • 52. hospiad Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. DR. N. C. DAS