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Disasters: What you could have known… What you wished you would have known… What you can do now!. Lou E. Romig MD, FAAP, FACEP Pediatric Emergency Medicine Miami Children’s Hospital Medical Director, FL5 DMAT. Did we know about the possibilities of a “Katrina scenario” before it happened?.

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Disasters what you could have known what you wished you would have known what you can do now l.jpg

Disasters:What you could have known…What you wished you would have known…What you can do now!

Lou E. Romig MD, FAAP, FACEP

Pediatric Emergency Medicine

Miami Children’s Hospital

Medical Director, FL5 DMAT


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Did we know about the possibilities of a “Katrina scenario” before it happened?

FEMA Photo Library


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Believing

Committing

Knowing

Doing


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Medical Model

Disaster Preparedness

and

Mitigation

Preventive Medicine

=


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Do pediatricians have a role in preventive medicine?

  • Believe it’s worth the investment

  • Practice it ourselves

  • Teach our patients and their families

  • Participate in preventive medicine efforts

  • Advocate for institutionalization of preventive health measures


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Do pediatricians have a role in disaster preparedness?

  • Believe it’s 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


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Culture of Preparedness: Believe!

Excrement occurs!

Disasters don’t happen to places.



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Earthquake in Memphis?

Hurricane in New York?

Tsunami in Alaska?

Terrorist bombing in Oklahoma City?

Atlanta?


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Culture of Preparedness

Disasters don’t happen to places.

Disasters happen to people.



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Culture of Preparedness

Disasters don’t happen to places.

Disasters happen to people.

Disasters can happen to us.



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Disaster preparedness is a personal responsibility:

My family and friends

My home

My livelihood

My patients

Mycommunity


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Personal Preparedness

  • Risk assessment

    • Natural hazards

    • Nonintentional man-made hazards

    • Intentional man-made hazards

  • Plan for all reasonable hazards


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Risk Assessment: Natural

  • Weather

  • Geography

    • Home

    • Schools

    • Office/Hospital

  • Epidemiology

    • Port of entry

    • Travel destination


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Risk Assessment: Man-made

  • Industry

    • Chemicals

    • Explosives/Fires

  • Transportation

    • Hubs

    • Through traffic


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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


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Environment

Resources

All Hazards Planning


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ADAPT to Environments

Lou Romig

Lou Romig

Lou Romig

FEMA Photo Library

Lou Romig

FL OEM Library


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STOCK your own resources

All photos Lou Romig


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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


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Personal and Family Disaster Planning Resources

  • www.aap.org/healthtopics/terrorism.cfm

    • AAP Family Readiness Kit

  • www.redcross.org

  • www.ready.gov

  • www.fema.gov

  • www.fifionline.org/disaster_planning.htm

  • www.nod.org (Emergency Preparedness)

  • www.jumpstarttriage.com


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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


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A Disaster Preparedness Plan for Pediatricians

Scott Needle MD, FAAP

Mississippi Chapter AAP

www.aap.org/healthtopics/terrorism.cfm


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Teaching patients and families

  • Disaster preparedness should be a part of anticipatory guidance.

  • Physicians should assist families in disaster planning for children with special healthcare needs and other chronic illnesses.


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Teaching patients and families

Remember that any acute medical need can be a “disaster” for a family.

Use tools like the AAP’s Emergency Information Form.

www.aap.org/advocacy/emergprep.htm


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Start young!

www.ready.gov/kids

www.fema.gov/kids


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Participate: Planning

  • Local planning/training

    • Schools/childcare facilities

    • Shelters

    • Hospitals

    • Community Emergency Response Teams (CERTs)

    • Local NGO programs

    • Faith-based programs


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Participate: Planning

  • Regional/state planning

    • Professional associations

      • AAP, AMA

    • Healthcare networks

    • Public Health Departments

    • State EMS for Children Programs


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Participate: Response

Become a part of the system before the disaster happens!


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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


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Nightmare on Sesame Street!

DHS

NRP

FEMA

JFO

ESF

EMAC

SNS

NIMS

USAR


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Federal Alphabet Soup

  • US Citizen Corps

    • Community Emergency Response Teams (CERTs)

    • Medical Reserve Corps (MRCs)

    • www.citizencorps.gov

    • Volunteer Protection Act of 1997

  • National Disaster Medical System (NDMS)

    • Disaster Medical Assistance Teams (DMATs)

    • International Medical-Surgical Response Teams (IMSuRTs)

    • Covered by USERRA regulations and Federal Tort Claims Act



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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


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Institutionalizing Preparedness

  • Disaster preparedness incentives

  • Overcome financial obstacles to personal preparedness

  • Study the tangible value of preparedness and mitigation

  • Tackle liability issues


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Institutionalizing Preparedness

  • Recognize the strengths and limits of generosity and use it responsibly

  • Take the best advantage of volunteerism

  • Build strong teams


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Review

  • Turn knowledge into action

  • Take disasters personally

  • It’s 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


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Review

  • Recognize the tangible values of preaction instead of reaction

  • Get on a team

  • Play well together



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Thank you!

Presentation available at www.jumpstarttriage.com

[email protected]

Lou Romig


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