 | Health Services Organization in the Event of Disaster (PAHO, 1989, 129 pages) |
 |  | (introductory text...) |
| | Health for all by the year 2000 |
| | Preface |
| | Acknowledgments |
|  | Chapter 1: Introduction |
| | (introductory text...) |
| | Purpose and scope |
| | Chapter 2: Organization of the health system |
| | (introductory text...) |
| | Classification of medical care centers for disaster situations |
| | Chapter 3: Organization of medical care units in the disaster area |
| | (introductory text...) |
| | Mobile hospitals |
| | (introductory text...) |
| | Mobile Hospitals for First Aid |
| | Mobile Hospitals for Referrals |
| | Search and Rescue Units |
| | Triage and tagging of casualties |
| | (introductory text...) |
| | Triage at the Scene of an Accident |
| | Tagging |
| | (introductory text...) |
| | Red Tag |
| | Green Tag |
| | Yellow Tag |
| | Black Tag |
| | Evacuation Procedures under the Following Conditions: |
| | Chapter 4: Organization of rural health services in disaster situations |
| | (introductory text...) |
| | Resources and infrastructure |
| | Referral and communications system |
| | The community |
| | Chapter 5: Organization of medical care centers for disaster situations |
| | (introductory text...) |
| | General principles of hospital emergency planning for disaster situations |
| | Plan for disaster situations occurring outside the hospital |
| | Plan for disaster situations occurring inside the hospital |
| | General hospital planning |
| | (introductory text...) |
| | Purpose and Objectives of the Plan |
| | Characteristics of the Plan |
| | Organization of the Plan: Management - Legal Aspects - Name of Plan |
| | Physical Structure |
| | Basic Services |
| | Water |
| | Drains and Sewer Outlets |
| | Electric Energy |
| | Gas |
| | Transportation |
| | Communications |
| | Technical and administrative organization |
| | (introductory text...) |
| | Structure of the Plan |
| | Coordinating Director |
| | Disaster Plan Committee |
| | The Committee's Functions |
| | Implementation |
| | Operating Capacity |
| | Chapter 6: Implementing the plan in hospitals |
| | General objectives of the plan |
| | Activating the plan |
| | Communications Unit |
| | Emergency Unit or Ward |
| | Hospital Security Unit |
| | Chairman of the Disaster Committee |
| | The Hospital Administrator |
| | Triage |
| | Triage at the Hospital Entrance |
| | Triage inside the Hospital |
| | Triage Area |
| | Classification of Casualties |
| | (introductory text...) |
| | Minimal |
| | Immediate |
| | Delayed |
| | Expectant |
| | Deployment to Treatment Areas |
| | Resources for the triage area |
| | Personnel |
| | Material and Equipment |
| | Sterilization Unit Supplies |
| | Casualty identification criteria |
| | Triage Area |
| | Major Treatment Area |
| | Minor Treatment Area |
| | Human resources |
| | Reserve Personnel |
| | Instructions for Staff in Specific Categories |
| | (introductory text...) |
| | Nursing Staff |
| | Administrative Staff |
| | Family information center |
| | Medical and support services |
| | Surgical Unit |
| | (introductory text...) |
| | Casualty Control: Technical Coordinator |
| | Responsibility: Coordinating Nurses |
| | Medical Services |
| | Anesthesia |
| | Medicine |
| | Pediatrics |
| | Gynecology and Obstetrics |
| | Nursing Unit |
| | Pathology |
| | Clinical Laboratory and Blood Bank |
| | Radiology |
| | Administrative Services |
| | Biostatistics |
| | Financial Section |
| | Supply Rooms |
| | General Services |
| | Engineering |
| | Pharmacy |
| | Procurement Section |
| | Capacity and general means of attaining the objectives |
| | Identification of hospital staff |
| | Transportation of hospital staff |
| | Arrival of casualties by air |
| | Ambulance fleet |
| | Press area |
| | Director of the public relations office |
| | Morgue |
| | Workday |
| | Women's volunteer corps |
| | General coordination instructions |
| | Activities of other divisions, departments, or units |
| | Coordinator's instructions to all units and departments |
| | Final considerations |
| | Termination of the disaster plan |
| | Chapter 7: Updating and evaluating the hospital disaster management plan |
| | Updating |
| | Evaluation |
| | (introductory text...) |
| | Evaluation Methods |
| | Drills |
| | (introductory text...) |
| | In-service Drills |
| | Principal Objectives of Drills |
| | Evaluation of the Drill |
| | Simulation |
| | (introductory text...) |
| | Some Objectives of a Simulation Exercise |
| | Method |
| | Performance audits |
| | (introductory text...) |
| | Phases of an Audit |
| | Planning the Audit |
| | Implementing the Audit |
| | Evaluation of the Activity being Audited |
| | Conclusions |
| | Annexes |
| | Annex 1: Disaster behavior: Assumptions and realities1 |
| | Annex 2: Medical care survey form |
| | Annex 3: List of drugs and equipment for major disasters |
| | Annex 4: Design considerations for disaster-prone hospitals |
| | Annex 5: Energy and communications |
| | Annex 6: First aid training checklist |
| | Annex 7: Model triage tag |
| | Annex 8: Classification card |
| | Annex 9: Medical orders record sheet |
| | Bibliography |
(introductory text...)
Primary health centers located some distance away from the major referral centers will be the main focus of this chapter. These small health centers stress primary health care, and their infrastructure is such that their activities are basically limited to disease prevention and heath promotion. Cases requiring specialized treatment are evaluated and referred to other, more specialized, centers.
When a natural disaster hits small, widely scattered communities, the demand for health services increases considerably. This means that the health centers in the particular service area have to assume the immediate responsibility for dealing with the situation. Against this background, an overview of the principal characteristics of the normal organization of health services in rural areas is in order.
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