what about teaching people in the event of a earthquake, bombing or buiding collapse, instead of duck and cover, I read recently that there is a TRIANGLE of safe space created next to any object where a person can lie flat - prior to reading that article or watching that video (I can't remember the source) I did not realize that it was even a possibility. the information came from a man who studied collapsing buildings ...more »
A comprehensive model to train both citizens and emergency, volunteer and risk managers, to work together in disaster response needs to be a national priority. How we as citizens assess our own risk, prepare for and respond to disasters and emergencies effects how society emerges as resilient responders rather than victims, and even how we approach the economic redevelopment of our homes, neighborhoods, businesses and ...more »
Nongovernmental and Voluntary Organizations need more funds for disaster preparedness efforts, especially funds to hire staff who are fully devoted to disaster preparedness tasks! I have represented my agency at NYC Voluntary Organizations Active in Disaster (VOAD) meetings since October 2007. A lack of funds for disaster preparedness is absolutely a barrier for the NYC disaster preparedness community. We have lost some ...more »
We need to utilize our community centers and schools to educate the general public on emergency preparedness! Utilize community centers for older citizens, and people who do not have children in the school district! Utilize the schools, through the PTAs and PTO's to educate that community. A county liason needs to be available in each county to be able to assist in organize such eductional endeavors. If there is no Liason ...more »
Stress individual and family preparedness, rather than government. It's more effective in a deep crisis where government resources are overwhelmed.
In this the anniversary of Katrina/Rita, the need for coordinated planning and response guidelines that are universal for medical facilities is more important than ever before. The medical community gets input from HHS, DHS, FEMA, OSHA, CMS, Joint Commission, ISO, and many others on what is the "best practice" but as of yet there has been NO definitive single authority from which all others take direction. It is time ...more »
Create a unified, web-based, application that involves all DHS enforcement and Emergency Management agencies. This application would allow local & regional citizens, responders and government personnel access to critical emergency information without needing to access numerous websites or data resources. Additionally, give participants the opportunity to sign up for e-mail & text updates for certain agencies or departments ...more »
I suggest that when triaging significant numbers of patients at extremely large incidents (sometimes called Mass Casualty Events as opposed to Mass Casualty Incidents), there can be a need for an additional level of triage. Years ago, that was incorporated in some triage plans as a "Yellow Prime" category. The concept was similar to Expectant. Victims whose injuries were so severe that their chances of survival were ...more »
There are probably thousands of jurisdictions in the USA that have no access to Crisis Information Management Systems (CIMS) due to excessive software and I.T. support labor costs. Even those with access to CIMS commonly don’t use them due to the application’s difficulty of use and/or a lack of cohesive training programs. Counties or States should maintain a CIMS which is available to all first responder organizations ...more »
I suggest we need to modernize triage training and planning. START has been around now for many years. Studies to validate the system have been inconsistent. With a huge body of material now available on Altered or Crisis Standards of Care and extremely large incidents (sometimes called Mass Casualty Events), it's time to incorporate some of this work into EMS and ED plans.
Improve industry involvement with governmental agencies in conduting both table top and field exercises using their techniucal expertise personel,
Dispatch centers and 9-1-1 agencies are not funded properly. 9-1-1 telecommunicators are the first first responders and without them no one would know about an emergency. FEMA does not recognize telecommunicators as a resource. 9-1-1 centers are not eligible for homeland security funding. Design a funding stream like the FEMA Fire Grants. They are not bogged down by online requirements, no passwords to remember ...more »