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Pediatric Healthcare Providers and Disasters: Have you learned the lessons?

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Pediatric Healthcare Providers and Disasters: Have you learned the lessons? Lou E. Romig MD, FAAP, FACEP Pediatric Emergency Medicine Miami Children s Hospital – PowerPoint PPT presentation

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Title: Pediatric Healthcare Providers and Disasters: Have you learned the lessons?


1
Pediatric Healthcare Providers and
DisastersHave you learned the lessons?
  • Lou E. Romig MD, FAAP, FACEP
  • Pediatric Emergency Medicine
  • Miami Childrens Hospital
  • Team Medical Director, FL5 DMAT

2
Objectives
  • Taking preparedness personally
  • Family and business disaster planning
  • Preparing our patients and their families for
    disasters
  • Institutionalizing preparedness

3
Did we know about the possibilities of a Katrina
scenario before it happened?
FEMA Photo Library
4
Knowing
Doing
5
Medical Model
Disaster Preparedness and Mitigation
Preventive Medicine

6
Do healthcare providers have a role in preventive
medicine?
  • Believe its worth the investment
  • Practice it ourselves
  • Teach our patients and their families
  • Participate in preventive medicine efforts
  • Advocate for institutionalization of preventive
    health measures

7
Do healthcare providers have a role in disaster
preparedness?
  • Believe its worth the investment
  • Practice it ourselves
  • Teach our patients and their families
  • Participate in disaster preparedness and response
    efforts
  • Advocate for institutionalization of disaster
    preparedness and mitigation

8
Culture of Preparedness Believe!
  • Excrement occurs!
  • Disasters dont happen to places.

9
Lou Romig
10
  • Earthquake in Memphis?
  • Hurricane in New York?
  • Tsunami in Alaska?
  • Terrorist bombing in Oklahoma City?
  • Terrorist bombing in Bath, Michigan?

11
Michigan Disasters
  • Bath school disaster, 1927, 45 dead, mostly
    children
  • Tornado outbreak (MI/OH), 1953, 139 dead
  • Great Blizzard of 1978, 20 dead
  • Detroit theater roof collapse, 1898, 15 dead
  • Italian Hall disaster, 1913, Calumet, 73 dead
  • South-central MI earthquake, 1947

12
Culture of Preparedness
  • Disasters dont happen to places.
  • Disasters happen to people.

13
ALL kinds of people!
FEMA Photo Library
Lou Romig
14
Culture of Preparedness
  • Disasters dont happen to places.
  • Disasters happen to people.
  • Disasters can happen to us.

15
Lou Romig
16
  • Disaster preparedness is a personal
    responsibility
  • My family and friends
  • My home
  • My livelihood
  • My patients
  • My community

17
Personal Preparedness
  • Risk assessment
  • Natural hazards
  • Nonintentional man-made hazards
  • Intentional man-made hazards
  • Plan for all reasonable hazards

18
Risk Assessment Natural
  • Weather
  • Geography
  • Home
  • Schools
  • Office/Hospital
  • Epidemiology
  • Port of entry
  • Travel destination

19
Risk Assessment Man-made
  • Industry
  • Chemicals
  • Explosives/Fires

20
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21
Risk Assessment Man-made
  • Industry
  • Chemicals
  • Explosives/Fires
  • Transportation
  • Hubs
  • Through traffic

22
Risk Assessment Man-made
  • Seats of government/politics
  • Symbolic institutions and icons
  • Commerce and industrial centers
  • Transportation centers
  • Military bases
  • Religious and cultural institutions
  • Schools
  • Medical facilities
  • Mass gathering sites

23
All Hazards Planning
24
ADAPT to Environments
Lou Romig
Lou Romig
Lou Romig
FEMA Photo Library
Lou Romig
FL OEM Library
25
STOCK your own resources
All photos Lou Romig
26
Personal Planning
  • Share your plans with family, friends and
    co-workers
  • Know the plans at family members schools and
    workplaces
  • Review and exercise your plans. Involve the kids!
  • Learn from your own experiences and those of
    others

27
Personal and Family Disaster Planning Resources
  • www.aap.org/healthtopics/terrorism.cfm
  • AAP Family Readiness Kit
  • http//www.aap.org/family/frk/frkit.htm
  • www.redcross.org
  • www.ready.gov
  • www.fema.gov
  • http//www.nod.org/research_publications/emergency
    _preparedness_materials/
  • www.jumpstarttriage.com

28
Plan to protect your livelihood
  • Have disaster plans for your office and staff
  • Have appropriate hazard and business interruption
    insurance
  • Protect patient and business records. Make them
    transportable.
  • Plan how to continue your practice if your office
    is not functional
  • Make sure your patients know your plans

29
  • A Disaster Preparedness Plan for Pediatricians
  • Scott Needle MD, FAAP
  • Mississippi Chapter AAP
  • http//www.aap.org/disasters/pdf/DisasterPrepPlanf
    orPeds.pdf

30
Teaching patients and families
  • Disaster preparedness should be a part of
    anticipatory guidance.
  • Clinicians should assist families in disaster
    planning for children with special healthcare
    needs and other chronic illnesses.

31
Teaching patients and families
  • Remember that any acute medical need can be a
    disaster for a family.
  • Use tools like the AAPs Emergency Information
    Form.
  • http//www.aap.org/advocacy/blankform.pdf

32
Start young!
www.ready.gov/kids
www.fema.gov/kids
33
Participate Planning
  • Local planning/training
  • Schools/childcare facilities
  • Shelters
  • Hospitals
  • EMS agencies
  • Community Emergency Response Teams (CERTs)
  • Local NGO programs
  • Faith-based programs

34
Participate Planning
  • Regional/state planning
  • Professional associations
  • AAP, AMA
  • Healthcare networks
  • Public Health Departments
  • State EMS for Children Programs

35
Participate Response
  • Become a part of the system before the disaster
    happens!

36
Great volunteers
  • Know the system in which they are enlisted to
    work
  • Have their credentials established and verified
    before the disaster
  • Understand liability issues
  • Know how to live and work in austere conditions
  • Bring their own supplies and support
  • Have the support of their families and co-workers

37
Institutionalizing Preparedness
38
Institutionalizing Preparedness
  • Teach children about disaster preparedness
  • Incorporate disaster preparedness into workplace
    policies and procedures
  • Teach professions about pertinent aspects of
    disaster preparedness and response

39
Institutionalizing Preparedness
  • Disaster preparedness incentives
  • Overcome financial obstacles to personal
    preparedness
  • Study the tangible value of preparedness and
    mitigation
  • Tackle liability issues

40
Institutionalizing Preparedness
  • Recognize the strengths and limits of generosity
    and use it responsibly
  • Take the best advantage of volunteerism
  • Build strong teams

41
Review
  • Turn knowledge into action
  • Take disasters personally
  • Its OK to be selfish
  • Like injury and illness prevention and workplace
    safety measures, disaster preparedness should be
    a matter-of-fact part of our lives

42
Review
  • Recognize the tangible values of preaction
    instead of reaction
  • Get on a team
  • Play well together

43
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44
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45
Lou Romig
46
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47
Lou Romig
48
Thank you!
Lou Romig
  • www.jumpstarttriage.com
  • louromig_at_bellsouth.net
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