A Convertible Use Rapidly Expandable model for disaster response

Purpose – The general population relies on the healthcare system for needed care during disasters. Unfortunately, the system is already operating at capacity. Healthcare facilities must develop plans to accommodate the surge of patients generated during disasters. The purpose of this paper is to examine a concept for providing independent, technologically advanced medical surge capacity via a Convertible Use Rapidly Expandable (CURE) Center.Design/methodology/approach – To develop this concept, a site was chosen to work through a scenario involving a large earthquake. Although the study‐affiliated hospital was built with then state‐of‐the‐art technologies, there is still concern for its continued functioning should a large earthquake occur. Working within these parameters, the planning team applied the concepts to a specific educational complex. Because this complex was in the initial building stages, required attributes could be incorporated, making the concept a potential reality. Challenges with operat...

[1]  Kelly R Klein,et al.  Blackout 2003: Preparedness and Lessons Learned from the Perspectives of Four Hospitals , 2005, Prehospital and Disaster Medicine.

[2]  M. Lindell,et al.  Household Adjustment to Earthquake Hazard , 2000 .

[3]  J F Waeckerle,et al.  Emergency department impact of the Oklahoma City terrorist bombing. , 1999, Annals of emergency medicine.

[4]  J. Farmer,et al.  Providing critical care during a disaster: The interface between disaster response agencies and hospitals , 2006, Critical care medicine.

[5]  Andrew Price,et al.  Integrating disaster risk management into construction: a UK perspective , 2007 .

[6]  Mark Pelling,et al.  Learning from others: the scope and challenges for participatory disaster risk assessment. , 2007, Disasters.

[7]  E. A. D. Heide.  The importance of evidence-based disaster planning. , 2006 .

[8]  Florida Gulf.  The Lack of Disaster Preparedness by the Public and it's Affect on Communities , 2009 .

[9]  L. Clarke.  Worst Cases: Terror and Catastrophe in the Popular Imagination , 2005 .

[10]  Russell Bennett.  Chemical or Biological Terrorist Attacks: An Analysis of the Preparedness of Hospitals for Managing Victims Affected by Chemical or Biological Weapons of Mass Destruction , 2006, International journal of environmental research and public health.

[11]  Robert E. O'Connor,et al.  Does the simple triage and rapid treatment method appropriately triage patients based on trauma injury severity score , 2008 .

[12]  T Okumura,et al.  The Tokyo subway sarin attack: disaster management, Part 2: Hospital response. , 1998, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[13]  Lee Bosher,et al.  Disaster risk reduction and 'built-in' resilience: towards overarching principles for construction practice. , 2011, Disasters.

[14]  Frédéric Patricelli,et al.  Disaster management and mitigation: the telecommunications infrastructure. , 2009, Disasters.

[15]  Edbert B Hsu,et al.  The Incident Command System in Disasters: Evaluation Methods for a Hospital-based Exercise , 2005, Prehospital and Disaster Medicine.

[16]  Leslie Lenert,et al.  Information technology and emergency medical care during disasters. , 2004, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[17]  Steven L Bernstein,et al.  The effect of emergency department crowding on clinically oriented outcomes. , 2009, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[18]  Jean Vanderbeek,et al.  Enhancing community-based disaster preparedness with information technology. , 2008, Disasters.

[19]  Mary Pat McKay,et al.  The National Report Card on the State of Emergency Medicine: evaluating the emergency care environment state by state 2009 edition. , 2009, Annals of emergency medicine.

[20]  Samuel J Stratton,et al.  Improving hospital surge capacity: a new concept for emergency credentialing of volunteers. , 2007, Annals of emergency medicine.

[21]  J. Martchenke,et al.  Prehospital communications during the Loma Prieta earthquake. , 1995, Prehospital and disaster medicine.

[22]  R. Kravitz,et al.  Frequent overcrowding in U.S. emergency departments. , 2001, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[23]  John R. Moran,et al.  Hospital emergency surge capacity: an empiric New York statewide study. , 2007, Annals of emergency medicine.

[24]  Dan Hanfling,et al.  Health care facility and community strategies for patient care surge capacity☆☆☆ , 2004, Annals of Emergency Medicine.

[25]  R. Merrell,et al.  Telemedicine in extreme conditions: disasters, war, remote sites. , 2008, Studies in health technology and informatics.

[26]  Samuel J Stratton,et al.  Characteristics of medical surge capacity demand for sudden-impact disasters. , 2006, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[27]  David D. Woods,et al.  Hollnagel’s test: being ‘in control’ of highly interdependent multi-layered networked systems , 2010, Cognition, Technology & Work.

[28]  Paul B Spiegel,et al.  Differences in world responses to natural disasters and complex emergencies. , 2005, JAMA.