Student Name
Chamberlain University
NR-442 Community Health Nursing
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Date
Disasters, whether natural or human-made, often overwhelm the capacity of affected communities to respond effectively. Vulnerable populations—such as the elderly, individuals with disabilities, low-income groups, and those with limited access to healthcare—are disproportionately impacted. The extent of damage and the number of casualties determine whether an event qualifies as a mass or multiple casualty incident. A mass casualty incident affects over 100 people, while a multiple casualty event involves 2 to 99 individuals. Individuals involved in such incidents can be categorized as direct victims (those physically affected), indirect victims (those affected emotionally or economically), displaced persons (those forced to evacuate), and refugees (those who cross borders for safety).
Disasters are commonly classified into natural, man-made, or combination types. Natural disasters include weather-related events, geological activities like earthquakes and volcanic eruptions, and disease outbreaks. Man-made disasters encompass armed conflicts, structural failures, industrial accidents, civil unrest, pollution, and terrorism. A hybrid form, known as NA-TECH disasters, occurs when a natural disaster triggers widespread technological hazards, such as chemical spills following an earthquake.
Disasters are characterized by several key factors:
Characteristic | Description |
---|---|
Frequency | How often a disaster occurs in a specific area |
Predictability | The ability to anticipate or forecast an event’s occurrence |
Mitigation | Strategies designed to reduce the severity of impacts |
Imminence | The warning time and speed with which a disaster strikes |
Scope | The geographic and demographic extent of the disaster’s impact |
Number of Casualties | The count of individuals killed, injured, or otherwise affected |
Intensity | The magnitude of destruction and level of disruption caused |
Geographic mapping plays a crucial role in disaster preparedness and response. A risk map identifies zones likely to be affected by disasters, while a resource map outlines available emergency support infrastructure, such as shelters and healthcare facilities.
Effective disaster management necessitates coordination among various sectors and agencies. A well-structured plan enhances the speed and efficiency of the response, ensuring that resources are adequately allocated and responsibilities are clearly defined among official and unofficial stakeholders.
Level of Government | Key Responsibilities |
---|---|
Local | Develop emergency preparedness plans, conduct public education, and perform drills |
State | Support local planning efforts, provide training, and serve as a liaison to federal resources |
Federal | Includes agencies such as the Department of Homeland Security and FEMA, which coordinate national response and recovery efforts |
Federal Emergency Management Agency (FEMA): FEMA’s role is to enhance the nation’s capacity to mitigate, prepare for, respond to, and recover from disasters. The agency has evolved significantly, especially following major events like Hurricane Katrina. One of its notable contributions is the publication of Are You Ready?, a comprehensive guide for individual and community preparedness.
Centers for Disease Control and Prevention (CDC): The CDC focuses on post-disaster public health, including ensuring the safety of food, water, shelter, and medical care.
American Red Cross: As a congressionally chartered nonprofit, the Red Cross plays a central role in providing relief, promoting preparedness, and supporting recovery operations.
Disaster management operates through four primary phases:
Prevention involves proactive measures to minimize risks and mitigate damage before disasters occur. It includes identifying hazards using risk maps, public education campaigns, and strategic planning. At the individual and community levels, efforts focus on reducing vulnerabilities and planning for potential scenarios.
Preparedness encompasses actions taken before a disaster strikes to ensure readiness. Individuals and families are encouraged to:
Preparedness also includes coordination of evacuation procedures, authority roles, and communication strategies.
The response phase begins immediately after the onset of a disaster. It may involve shelter-in-place protocols, evacuation, search and rescue operations, and triage.
Triage Category | Criteria |
---|---|
Red (Immediate) | Respiratory rate > 30, no airway, capillary refill > 2 sec, can’t follow commands |
Yellow (Delayed) | Respiratory rate < 30, airway intact, capillary refill < 2 sec, can follow commands |
Black (Deceased) | No signs of life or survivability |
Green (Minor) | Walking wounded |
Mnemonic: “30 & 2 CAN DO”
START (Simple Triage And Rapid Treatment) and SALT (Sort, Assess, Lifesaving interventions, Treatment/Transport) systems are used to manage triage efficiently. Ensuring scene safety is the first priority to avoid additional casualties, including emergency responders.
Recovery begins while the response is still underway and continues long after the immediate crisis has passed. The focus is on rebuilding infrastructure, restoring services, and supporting emotional and financial recovery for survivors. This phase also includes evaluating the response to improve future planning.
Communities experience disasters through distinct psychological and emotional phases:
Phase | Description |
---|---|
Heroic Phase | Immediate altruism and rescue efforts |
Honeymoon Phase | High emotional bonding and shared storytelling |
Disillusionment Phase | Realization of losses, frustration, and fatigue |
Reconstitution Phase | Gradual return to normalcy, rebuilding homes and routines |
Psychological effects, such as post-traumatic stress disorder (PTSD), are common and can have lasting impacts on individuals and communities. Support services should be available to assist in emotional recovery.
Centers for Disease Control and Prevention. (n.d.). Emergency preparedness and response. Retrieved from https://emergency.cdc.gov
Federal Emergency Management Agency (FEMA). (n.d.). Are you ready? An in-depth guide to citizen preparedness. Retrieved from https://www.ready.gov
Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). Elsevier.
U.S. Department of Homeland Security. (n.d.). National response framework. Retrieved from https://www.fema.gov/emergency-managers/national-preparedness/frameworks/response
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