Medical Countermeasures        in the context of:Organization & Delivery of Burn Care in a Mass Casualty Setting          ...
Burn Center PlanningPlanning from the burn center perspective   should reflect (minimally) three levels;• Local:    – Intr...
Governmental PlanningPlanning from the governmental perspective should    reflect:Local:  First Responder (EMS system)    ...
Three windows of time            in a Burn Disaster:Immediate:  best you can with what you have     and know who to call f...
Three types of events:                       (NIMS Typing)• Type III Burn Disaster:   – Isolated burn disaster such as the...
Think in terms of       Surge Capacity/Capability• Space• Staff • Supplies, Medicine & Equipment (SME) (Stuff)  – Leaning ...
Conclusions• Plans – Relationships  – Local, State, Regional• Who to call and what can you bring?  – Space, Staff, Stuff –...
Thanks• Randy_kearns@med.unc.eduBruce_cairns@med.unc.eduJholmes@wakehealth.eduKearns RD, Holmes IV JH, Cairns BA. Burn Dis...
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Kearns Presentation at the FDA Medical Countermeasures

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Kearns Presentation at the FDA Medical Countermeasures

  1. 1. Medical Countermeasures  in the context of:Organization & Delivery of Burn Care in a Mass Casualty Setting ‐ Planning ‐ Randy D. Kearns, DHA MSA CEM Program Director University of North Carolina, School of Medicine September 27, 2012
  2. 2. Burn Center PlanningPlanning from the burn center perspective  should reflect (minimally) three levels;• Local:  – Intrafacility (your hospital/system)• State:  – Interfacility/instrastate (burn and trauma  centers) (state ESF‐8)• Regional:  – Interstate (burn and trauma centers) NDMS or  EMAC through state ESF‐8
  3. 3. Governmental PlanningPlanning from the governmental perspective should  reflect:Local:  First Responder (EMS system)  First Receiver(s) (local hospital[s])State:  Mutual Aid EMS, Intrastate regional  response teams, burn and trauma  centersRegional:  Interstate Burn Centers, Regional  Response Teams through EMAC or  NDMS
  4. 4. Three windows of time  in a Burn Disaster:Immediate:  best you can with what you have  and know who to call for what you need6‐120 hrs:  leaning forward with response  teams, transport agencies, and push packs  of equipment (staff, space, stuff)>72‐120 hrs: high census but normal operation
  5. 5. Three types of events: (NIMS Typing)• Type III Burn Disaster: – Isolated burn disaster such as the Station Night Club Fire – Burn Care System Impact• Type II Burn Disaster: – Multiple aspect disaster, such as an explosion with  significant numbers of traumatic as well as burn injured  patients such as the 05 London or 04 Madrid Bombings – Healthcare System Impact • Type I Burn Disaster:  – Catastrophic/wide spread event, multi‐state such as 9/11  attacks or Earthquakes such as Northridge or Loma Prieta  – Infrastructure Impact
  6. 6. Think in terms of  Surge Capacity/Capability• Space• Staff • Supplies, Medicine & Equipment (SME) (Stuff) – Leaning Forward what can you bring and where  will it come from?
  7. 7. Conclusions• Plans – Relationships – Local, State, Regional• Who to call and what can you bring? – Space, Staff, Stuff – Transport resources• Future Needs – Continue to improve dealing with the basics – Better products from patient care to technology,  longer shelf life – Weave caches of equipment into the supply chain
  8. 8. Thanks• Randy_kearns@med.unc.eduBruce_cairns@med.unc.eduJholmes@wakehealth.eduKearns RD, Holmes IV JH, Cairns BA. Burn Disaster Preparedness and the Southern Region of the United States. Southern Medical Journal Dec 2012 (planned):9. (accepted for publication)Hick JL, Barbera JA, Kelen GD. Refining surge capacity: conventional, contingency, and crisis capacity. Disaster Med Public Health Prep. Jun 2009;3(2 Suppl):S59‐67.

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