Disaster Response - Hospital Authority
Transcript of Disaster Response - Hospital Authority
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Mr. SHUM Kwok-leung Deputy Chief Ambulance Officer
Hong Kong Fire Services Department
Disaster Response
From Scene to Hospitals
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However,
Disasters are often unexpected, sudden and
happened on and off at all times.
Hong Kong “The Asia’s world city” stands out as a safe city.
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“Lamma IV” and “Sea Smooth” ferry collision disaster
1 October 2012 at about 0820 PM
39 died and 101 injured
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“A Kung Ngam Road” fatal traffic accident
19 November 2012 at about 1140 AM
3 died and 56 injured
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“Ma Tau Wai Road” building collapse
29 January 2010 at about 0130 PM
4 died and 2 injured
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“Fa Yuen Street” No.4 alarm fire incident
30 November 2011 at about 0609 AM
9 died and 34 injured
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Infectious Disease
Aircraft Crash Incident
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• Express Rail Link (高鐵)
• Hong Kong–Zhuhai–Macau Bridge
• Kai Tak Cruise Terminal
• HK Airport third runway
Coming Major Infrastructure
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Highly congested city
Nuclear power-plant adjacent
Existing Major Infrastructure
Risk always around
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HKFSD Ambulance Command will remains
Vigilant for any Disaster/Major incident challenge
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1. Disaster Management
2. Preparedness
3. Response Mechanism
4. MCI Multipliers
resentation Outline P
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Disaster
Management
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• Disaster management plans should be risk based
and comprehensive across the spectrum of PPRR:
– Prevention
– Preparedness
– Response
– Recovery
Disaster Management
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Preparedness
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Prepare for Emergency
Preparedness ( 1 2 3 )
1.Planning and arrangements Contingency plans:
• Aircraft crash
• Daya Bay nuclear power-plant
• Infectious disease
Regular joint departmental meetings (with HA, DH and etc.)
Strengthen ambulance depot and resources coverage
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Prepare for Emergency
Preparedness ( 1 2 3 )
2.Exercise and Briefing Intra-departmental drills, training, table-top communication
exercise, within department and required less resources.
Inter-departmental exercise, familiar with the laid-down
instructions and protocols.
Post disaster briefing (How to do it better and experience
sharing with attending officers).
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Prepare for Emergency
Preparedness ( 1 2 3 )
3.Equipments and tools Triage Mat
New digital trunk radio communication equipments
(replacement to previous analogue type)
Paramedic Equipment Tender
(1.9.2012 put into commission)
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Paramedic Equipment Tender
Long Spinal Board 16, KED 3
AED 4, Vacuum Splint 5
Oxygen Cylinder 20, Entonox 10,
Scoop Stretcher 10, Stretcher 10,
Medical Consumables .... etc
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Response
Mechanism
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The response phase of disaster management involves a number of actions simultaneously:
1. Command and Control
2. Triage
3. On-scene Treatment
4. Co-ordination
5. Casualty Diversion
Response for Disaster
On-scene
Treatment
Casualty
Diversion Triage
Co-ordination
Command &
Control
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Command and Control
• Ambulance Incident Officer
(AIO) Command / Control
and related activities
• Mobile Communication Unit (MCU)
On-scene Communication
• Fire Service Communication Centre (FSCC) Overall Communication Base
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Ambulance Incident Officer (AIO)
• Concept adopted by FSD: 1st arrival ambulance
supervisor on disaster/MCI scene.
• Take charge for command and control of all EMS
activities.
• 3 or more ambulance attended is required
attendance of AIO (Holding a rank of Ambulance
Officer or above)
Command and Control
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• Singular command
– One person coordinates the incident.
– Most useful in smaller, single-jurisdictional incidents.
• Unified command
– Officers from different jurisdictions share command
(Fire, EMS, HA, Police, Public Works)
Role and Position of AIO
Command and Control
Unified Singular
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• Assumes command & control.
• Establish communication with stakeholders.
• Request additional resources.
• Accomplish the incident and ensure life safety,
accountability, and welfare of personnel.
• Ensure that all casualties are extricated, triage
(S.T.A.R.T.), treated, and transported to appropriate
medical facilities.
Role and Position of AIO
Command and Control
Simple Triage And Rapid Treatment
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Triage
• AIO or Triage Officer perform initial triage refers to
the categorization & allocation of priority for the
injuries.
– Do as little as possible
– Do as fast as possible
– Do as many as possible.
• Maximum target time for each in initial triage: less
than 1 min. or best within 15 to 30.
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• Determined priority for Rx
– Red - Life / limb threatening condition, require immediate life saving procedures.
– Yellow – Require intervention within 4-6 hrs.
– Green – Less serious, do not require treatment within the times given above.
– Black – Dead
Triage
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On-scene Treatment
Principles:
• Life saving
• Limb saving
• Just enough to make the transport save
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On-scene Treatment
• Ambulance Aid by Auxiliary Services – St. John & AMS
• Paramedic (EMA II) Provider – HKFSD
• Medical Team – A&E Doctor/Nurse
• Multiple Casualties Treatment Centre (MCTC)
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Mobile Casualty Treatment Center
• Disaster and Major Incident
• Casualty Treatment Centre
• Immediate Emergency Treatment by Medical Team
On-scene Treatment
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Not Alone in Disaster
Co-ordination
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Co-ordination
Hospital Authority:
• Head Office Duty Officer
– Overall medical co-ordination
• Medical Control Officer
– Capacity of Hospitals
– Stakeholders’ Liaison
• Medical Team
– Prolonged rescue period
– Advanced Medical Care
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Co-ordination
• Volunteers of Auxilliary Services:
– Auxilliary Medical Service
– St. John Ambulance
Provide support:
– Logistic
Conveyance of less serious
casualties to hospital
– Care and Treatment
Provide ambulance aid and
attention to green casualties
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Casualty Diversion
• Take the RIGHT patient to the RIGHT place at
the RIGHT time.
• Casualties Diversion according to the hospital:
– Resources
– Capacity
• Golden hour
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Casualty Diversion
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MCI
Multipliers
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MCI Multipliers
Factors that can complicate an incident:
1. Communication gaps
FSCC
AIO
HODO
MCO
Medical Team
Receiving hospitals
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2. Time of day
Hospital staff
Ambulance resources
3. Roadway condition
Access/egress complications
4. Hospital backlogs and capabilities
MCI Multipliers
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Building a partnership to make H.K.
a safe place to live & work
Emergency Services
Medical Voluntary Services
Community
Every unit is an essential ring of the Rescue Chain
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With the mission to protect Hong Kong people
We are tasked with providing efficient emergency services to save those
in distress and making Hong Kong a better place to live and work in.
Thank you!