International events and issues - Global Health Care · International events and issues George W....
Transcript of International events and issues - Global Health Care · International events and issues George W....
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International events and issues
George W. Contreras, MPH, MS, CEMMini‐Summit Chair
Ali M. Gheith, MS, CEMDisaster Mental Health: A report from Chile
Nancy Zionts, MBALessons from Israel
Tami Rougeau, RN, MSDeployment‐
Do you know where you are really going?
6th
Annual National Emergency Management SummitSeptember 6, 2012
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Disaster Mental Health Post Earthquake and Tsunami:
A Report from Chile
George W. Contreras, MPH, MS, CEMAli M. Gheith, MS, CEM
6th
Annual National Emergency Management SummitSeptember 6, 2012
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Presenters
• Ali M. Gheith, MS, CEM– Program Director
– MCNY, Emergency and Disaster Management
• George W. Contreras, MPH, MS, CEM– Adjunct Professor, MCNY
– Director, Allied Health Sciences• Kingsborough Community College (CUNY)
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Background
• Earthquake and subsequent tsunami
• Feb 27,2010• 8.8 Richter scale• Concepcion/ Constitution/ Talca/ Linares• Healthcare community severely affected
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Magnitudes de Terremoto en Chile el 27 de febrero 2010
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Background
• MCNY EDM Program traveled to Chile with 35 graduate students and 5 Professors (5/2011)
• Exchange of information between MCNY and Chilean government agencies such as Ministry of Health and Finance
• Historic event‐
Osama Bin Laden killed during our visit to Chile
– Our trip then became high‐profile throughout the country
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• Th
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• The
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Tsunami Tirúa
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Talca• Public hospital
– People were evacuated as best as possible– No plans prior to earthquake– No intention to prepare for earthquake since a new
hospital was being built• Private hospital (Maule)
– Staff demonstrated commitment to patients– Eg. Nurse stayed with pediatric patient in ICU– Shelter in place
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Talca• EMS
– SAMU– On duty crew shared experience– MCNY professor and students participated on ride
alongs on their calls
• Three people in ambulance– “reanimator”‐‐
lead person who is MD, RN,
midwife or physical therapist– “paramedic”‐‐
equivalent to U.S. EMT
– Driver‐‐
no medical training
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Linares• Public hospital
– Heard lessons learned from on duty staff
– Staff did as best they could with limited planning and resources
– Discussed several issues regarding post traumatic stress disorder among staff
– Requested assistance in Incident Command System
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Constitucion• Public hospital
– Restructured departments in hospital
– Hospital• On duty staff experiences
• Lessons learned– No re‐existing emergency operations plan
– Need to communicate better with field hospital
– No Incident Command System
– Need to conduct tabletops and drills with staffNational Emergency Management Summit
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Lessons learned (as told by them)• Communication was unreliable
• Power was limited
• Decisions were made with very limited info
• Poor coordination among international aid
• Motivated to improve EOCs and obtain healthcare input in planning phases
• Hospitals will be built with more disaster management training for clinical and
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Lessons learned (as told by them)• Very limited knowledge of military field
hospitals
• Initial poor coordination between public health and other disaster agencies
• Poor response plans at the national and local levels especially regarding healthcare sector
• Severe damage to hospitals that took them out of service for extended period of time
post‐earthquake
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Lessons learned (as told by them)• Very extensive damage to infrastructure such
as housing, power plants, drinking water, basic sanitation
• Each one of the above had severe consequences to healthcare sector
• Motivated to improve emergency management focusing on the healthcare
sector including all phases of emergency management
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Next steps: Project 1
• Elaborate on the partnership between MCNY and UAC
– Post graduate certificate programs• Eg‐
five courses from current MPA program
• Eg‐
combination of online and onsite classes
• No need to create something new
• Can customize a certificate program for Chileans
• Memorandum of agreement signed
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Next steps: Project 2• Host and coordinate a visit of Chilean
delegation of leaders– Introduction to emergency management
– Take COOP course– Take ICS course– Take public health course– Field visit to NYC OEM, PA OEM, hospital EOC,
ground zero, etc
• March 2012‐
MCNY hosted a group from Chile
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Next steps: Project 3• Emergency Medical Services
– Coordinate week‐long training in Talca for SAMU counterparts
• BCLS, ACLS, PALS, trauma course, WMD
– Coordinate through UAC and MCNY
• November 2011– Conducted full scale exercise with FD, ONEMI,
UAC and SAMU with 75 simulated victims
• Next FS exercise –
November 2012
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Mutual benefits• UAC
– Partner with US university in a graduate program
– Develop certificate programs for their private and public sector organizations
– Become leaders for training in emergency management
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Mutual benefits• MCNY
– Assist professionals in emergency management (support from IAEM)
– Increase visibility, credibility and reputation at the national and international level as leaders in
emergency management (buy in from FEMA)
– Become a resource for Chilean private and public sector organizations (support from IAEM)
– Increase international collaborations
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Final notes….• The healthcare sector needs more disaster
training for staff (administrative and clinical)
• Severe need for more disaster mental health training and services
• More interagency disaster drill planning and participation
• We can learn from each other
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SEGUIMOS
ADELANTE…….
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