Padua-Barrio J, Ortiz-Pérez I, Céspedes-Cabala F

Language: Spanish
References: 7
Page: 8-15
PDF size: 59.41 Kb.

ABSTRACT

Victims of disasters will have greater possibilities of survival if emergency services follow pre-established protocols on organization and care, favoring in this way the optimal use of resources. The cornerstone of these protocols is the quick implementation of a commanding post in disaster (CPD), which is held by a single person and avoids initiation of independent actions by the personnel that lead chaotic situations. This CPD must coordinate all other sectors (of rescue or extraction, of treatment, of transportation, of expectation, of supplies or replenishment and, optionally, of triage or patient selection according to severity of lesions), each one focused in a specific objective and directed by a leader. Coordinated activity of all these sectors under a unified plan allows a more efficacious assistance to victims. It is essential that the community has an agency that plans, coordinates and provides assistance in disasters, and emergency medical services have moral and ethic obligation to collaborate with these plans and procedures.

REFERENCES

1. Auf der Heide E. Disaster response: principles of preparation and coordination. Saint Louis (MO): Mosby ; 1989.

2. Brunacini AV. Fire command. Quincy (MA): National Fire Protection Association; 1985.

3. Hafen B, Karren K. Prehospital emergency care and crisis intervention. 4th ed. Englewood Cliffs (NJ): Prentice-Hall; 1992.

4. Leonard RB. Approach to mass garberings and terrorism. Dallas: American College of Emergency Physicians; 1992.

5. Lilja GP, Madsen MA. Medical aspects of disaster management. In: Kuehl A (editor). EMS medical directors handbook. Saint Louis (MO): Mosby; 1989. p. 119-132.

6. START: A triage method. Newport Beach (CA): Hoag Memorial Hospital Presbyterian; 1989.

7. Proceedings of the Reunión Internacional de Preparativos Hospitalarios para Casos de Desastre; 1993 Sep 1-3; México: CIESS-IMSS; 1993.