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:: Volume 7, Issue 3 (Military Caring Sciences 2020) ::
MCS 2020, 7(3): 277-288 Back to browse issues page
Review of the Protocol for Evacuation and Transfer of Patients in the Intensive Care Unit in Disasters
Ebrahim Hazrati *1 , Reza Mosaed2 , Ramin Hamidi Farehani3 , Jalil Rajabi3 , Arash Akhavan Rezayat4
1- Associate Professor, Anesthesiology and critical care Department, Aja University of Medical Sciences, Tehran, Iran.
2- MD, Clinical Pharmacology, Assistant Professor, Clinical Pharmacy Department, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran.
3- Assistant Professor, Infectious dieases Department , Aja University of Medical Sciences, Tehran, Iran.
4- MD, Centre for Infectious Disease, Aja University of Medical Sciences, Tehran, Iran.
Abstract:   (3175 Views)
Introduction: Natural or human-made disasters are the main reasons for hospital evacuation. Health officials must pre-plan hospital programs for complete or partial evacuation and establish an optimal management structure for the area of ​​operation. In the present study, we outlined some points for dealing with the possibility of hospital discharge. Despite the high risk of the evacuation of intensive care units in crises, service providers in these wards unfortunately do not receive adequate training on the safe and effective evacuation of intensive care units.
Objective: The present study aimed to determine the extent of readiness of hospitals to evacuate and transfer patients hospitalized in the intensive care unit in accidents and disasters.
Materials and Methods: In the present review study conducted in 2019, a protocol for evacuating patients in the intensive care unit during disasters has been studied. PubMed and Scopus databases were reviewed. For this purpose, the keywords Disaster, Evacuation, and Intensive Care Unit were used. Then, databases were searched with the help of keywords.
 Results: In the present study, fifteen steps have been considered for before, during, and after the evacuation of an intensive care unit during disasters. These steps are introduced as a protocol according to the papers reviewed.
Discussion and Conclusion: While patients are at risk, the hospital manager often decides on how evacuate facilities for protecting patients and staff. Hospital evacuation had a dramatic effect on staff, family members, the community, and even the country, as well as the consequences for patients. Successful evacuation of the ICU in the event of a disaster requires readiness, participation, effective communication, and leadership by special care providers.
Keywords: Disaster, Intensive Care Unit, Transport.
Full-Text [PDF 377 kb]   (2578 Downloads)    
Type of Study: Review Article | Subject: Special
Received: 2020/01/14 | Revised: 2021/02/28 | Accepted: 2020/06/1 | Published: 2020/12/30
References
1. Flood Management Assessment In Iran Problems And Solutions. In: Badfar M, Doğan E, editors. 2nd International Symposium on Natural Hazards and Disaster Management; 04-06 May 2018; Sakarya-Turkey Sakarya University Culture and Congress Center; 2018.
2. Yamani M, Enayati M. The relation between basins geomorphologic characteristics and flooding potential (analyzing of the flood data by geomorphologic compare of the Fashand and Behjatabad Basins). Geograph Res. 2005;54:47-57.
3. Einav S, Hick JL, Hanfling D, Erstad BL, Toner ES, Branson RD, et al. Surge capacity logistics: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest. 2014; 146(4 Suppl):e17S-43S. [DOI] [PubMed]
4. Khankeh H, Mohammadi R, Ahmadi F. Health care services at time of natural disasters: a qualitative study. Iran J Nurs. 2007; 20(51): 85-96.
5. Nasiri-Pour A, Raeissi P, Mahbobi M. Border hospital readiness in handling border related crisis in Kermanshah Province, Iran, 2007. J Health Administrat. 2007; 10(28): 41-8.
6. Daugherty EL, Rubinson L. Preparing your intensive care unit to respond in crisis: considerations for critical care clinicians. Crit Care Med. 2011;39(11):2534-9. [DOI] [PubMed]
7. Schultz CH, Koenig KL, Lewis RJ. Implications of hospital evacuation after the Northridge, California, earthquake. N Engl J Med. 2003;348(14):1349-55. [DOI] [PubMed]
8. Iwashyna TJ, Christie JD, Moody J, Kahn JM, Asch DA. The structure of critical care transfer networks. Med Care. 2009;47(7):787-93. [DOI] [PubMed]
9. Carlascio D, McSharry M, LeJeune C, Lewis J, Schneider C, Marshall W. Air medical response to the 1990 Will County, Illinois, Tornado. J Air Med Transport. 1991; 10(10): 7-16. [DOI]
10. Fuzak JK, Elkon BD, Hampers LC, Polage KJ, Milton JD, Powers LK, et al. Mass transfer of pediatric tertiary care hospital inpatients to a new location in under 12 hours: lessons learned and implications for disaster preparedness. J Pediatr. 2010; 157(1): 138-43 e2. [DOI] [PubMed]
11. Cryer HG, Hiatt JR, Eckstein M, Chidester C, Raby S, Ernst TG, et al. Improved trauma system multicasualty incident response: comparison of two train crash disasters. J Trauma. 2010; 68(4): 783-9. [DOI] [PubMed]
12. Kanter RK. Regional variation in critical care evacuation needs for children after a mass casualty incident. Disaster Med Public Health Prep. 2012; 6(2):146-9. [DOI] [PubMed]
13. Stamell EF, Foltin GL, Nadler EP. Lessons learned for pediatric disaster preparedness from September 11, 2001: New York City trauma centers. J Trauma. 2009; 67(2 Suppl): S84-7. [DOI] [PubMed]
14. Gray BH, Hebert K. Hospitals in Hurricane Katrina: challenges facing custodial institutions in a disaster. J Health Care Poor Underserved. 2007;18(2):283-98. [DOI] [PubMed]
15. Orlando S, Bernard ML, Mathews P. Neonatal nursing care issues following a natural disaster: lessons learned from the Katrina experience. J Perinat Neonatal Nurs. 2008;22(2):147-53. [DOI] [PubMed]
16. Koyama A, Fuse A, Hagiwara J, Matsumoto G, Shiraishi S, Masuno T, et al. Medical relief activities, medical resourcing, and inpatient evacuation conducted by Nippon Medical School due to the Fukushima Daiichi Nuclear Power Plant accident following the Great East Japan Earthquake 2011. J Nippon Med Sch. 2011; 78(6): 393-6. [DOI] [PubMed]
17. Farmer JC, Carlton PK, Jr. Providing critical care during a disaster: the interface between disaster response agencies and hospitals. Crit Care Med. 2006; 34(3 Suppl): S56-9. [DOI] [PubMed]
18. Sexton KH, Alperin LM, Stobo JD. Lessons from Hurricane Rita: the University of Texas Medical Branch Hospital's evacuation. Acad Med. 2007; 82(8): 792-6. [DOI] [PubMed]
19. Mason WL. The incomplete circle of the National Disaster Medical System: what Arkansas hospitals learned from hurricane Gustav. Biosecur Bioterror. 2010;8(2):183-91. [DOI] [PubMed]
20. Sternberg E, Lee GC, Huard D. Counting Crises: US hospital evacuations, 1971-1999. Prehosp Disaster Med. 2004; 19(2): 150-7. [DOI] [PubMed]
21. Murphy GR, Foot C. ICU fire evacuation preparedness in London: a cross-sectional study. Br J Anaesth. 2011; 106(5): 695-8. [DOI] [PubMed]
22. Uppal A, Evans L, Chitkara N, Patrawalla P, Mooney MA, Addrizzo-Harris D, et al. In search of the silver lining: the impact of Superstorm Sandy on Bellevue Hospital. Ann Am Thorac Soc. 2013; 10(2): 135-42. [DOI] [PubMed]
23. Taylor I. Hurricane Katrina's impact on Tulane's teaching hospitals. Trans Am Clin Climatol Assoc. 2007; 118:69-78.
24. DeBoisblanc BP. Black Hawk, please come down: reflections on a hospital's struggle to survive in the wake of Hurricane Katrina. Am J Respir Crit Care Med. 2005; 172(10): 1239-40. [DOI] [PubMed]
25. Gildea JR, Etengoff S. Vertical evacuation simulation of critically ill patients in a hospital. Prehosp Disaster Med. 2005; 20(4): 243-8. [DOI] [PubMed]
26. Manion P, Golden I. Vertical evacuation drill of an intensive care unit: Design, implementation, and evaluation. Disaster Management & Response. 2004; 2(1): 14-9. [DOI]
27. Hon KL, Olsen H, Totapally B, Leung TF. Air versus ground transportation of artificially ventilated neonates: Comparative differences in selected cardiopulmonary parameters. Pediatr Emerg Care. 2006; 22(2): 107-12. [DOI] [PubMed]
28. Franck L, Epstein B, Adams S. Disaster preparedness for the ICN: Evolution and testing of one unit's plan. Pediatr Nurs. 1993; 19(2): 122-7.
29. Mozingo DW, Barillo DJ, Holcomb JB. The Pope Air Force Base aircraft crash and burn disaster. J Burn Care Rehabil. 2005; 26(2): 132-40. [DOI] [PubMed]
30. Annibale D, Cahill J, Tuttle D, Williford W, Wagner C, Purohit D. Preparation of the critically ill neonate for transport. J South Carolina Med Associat 2002; 98(3): 129-36.
31. Powell T, Hanfling D, Gostin LO. Emergency preparedness and public health: the lessons of Hurricane Sandy. JAMA. 2012; 308(24): 2569-70. [DOI] [PubMed]
32. Bayard D. Haiti earthquake relief, phase two-long-term needs and local resources. N Engl J Med. 2010; 362(20): 1858-61. [DOI] [PubMed]
33. King MA, Niven AS, Beninati W, Fang R, Einav S, Rubinson L, et al. Evacuation of the ICU: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest. 2014; 146(4 Suppl): e44S-60S. [DOI] [PubMed]
34. Verni C. A hospital system's response to a hurricane offers lessons, including the need for mandatory interfacility drills. Health Aff (Millwood). 2012; 31(8): 1814-21. [DOI] [PubMed]
35. Adini B, Laor D, Cohen R, Israeli A. Decision to evacuate a hospital during an emergency: the safe way or the leader's way? J Public Health Policy. 2012; 33(2): 257-68. [DOI] [PubMed]
36. Zoraster R, Amara R, Fruhwirth K. Transportation resource requirements for hospital evacuation. American J Disaster Med. 2011; 6(3): 173-86.
37. Sternberg E, Lee GC. New York City's healthcare transportation during a disaster: a preparedness framework for a wicked problem. Prehosp Disaster Med. 2009;24(2):95-107. [DOI] [PubMed]
38. Franco C, Toner E, Waldhorn R, Inglesby TV, O'Toole T. The national disaster medical system: past, present, and suggestions for the future. Biosecur Bioterror. 2007; 5(4): 319-25. [DOI] [PubMed]
39. Sprung CL, Zimmerman JL, Christian MD, Joynt GM, Hick JL, Taylor B, et al. Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Intensive Care Med. 2010; 36(3): 428-43. [DOI] [PubMed]
40. Dickson RP, Hotchkin DL, Lamm WJ, Hinkson C, Pierson DJ, Glenny RW, et al. A porcine model for initial surge mechanical ventilator assessment and evaluation of two limited-function ventilators. Crit Care Med. 2011; 39(3): 527-32. [DOI] [PubMed]
41. Barkemeyer BM. Practicing neonatology in a blackout: the University Hospital NICU in the midst of Hurricane Katrina: caring for children without power or water. Pediatrics. 2006; 117(5 Pt 3): S369-74. [DOI] [PubMed]
42. Hanfling D, Altevogt B, Viswanathan K, Gostin L. Committee on guidance for Establishing Crisis Standards of Care for Use in Disaster Situations; Board on Health Sciences Policy (HSP); Institute of Medicine (IOM). Crisis Standards of Care. A Systems Framework for Catastrophic Disaster Response 2012.
43. Cancio LC, Horvath EE, Barillo DJ, Kopchinski BJ, Charter KR, Montalvo AE, et al. Burn support for Operation Iraqi Freedom and related operations, 2003 to 2004. J Burn Care Rehabil. 2005; 26(2): 151-61. [DOI] [PubMed]
44. Burns BJ, Habig K, Reid C, Kernick P, Wilkinson C, Tall G, et al. Logistics and safety of extracorporeal membrane oxygenation in medical retrieval. Prehosp Emerg Care. 2011; 15(2): 246-53. [DOI] [PubMed]
45. Noah MA, Peek GJ, Finney SJ, Griffiths MJ, Harrison DA, Grieve R, et al. Referral to an extracorporeal membrane oxygenation center and mortality among patients with severe 2009 influenza A(H1N1). JAMA. 2011; 306(15): 1659-68. [DOI] [PubMed]
46. Forrest P, Ratchford J, Burns B, Herkes R, Jackson A, Plunkett B, et al. Retrieval of critically ill adults using extracorporeal membrane oxygenation: an Australian experience. Intensive Care Med. 2011; 37(5): 824-30. [DOI] [PubMed]
47. Beninati W, Meyer MT, Carter TE. The critical care air transport program. Crit Care Med. 2008; 36(7 Suppl): S370-6. [DOI] [PubMed]
48. Teichman PG, Donchin Y, Kot RJ. International aeromedical evacuation. N Engl J Med. 2007; 356(3): 262-70. [DOI] [PubMed]
49. Alm A, Gao T, White D. Pervasive patient tracking for mass casualty incident response. AMIA Annu Symp Proc. 2006: 842.
50. Bouman JH, Schouwerwou RJ, Van der Eijk KJ, van Leusden AJ, Savelkoul TJ. Computerization of patient tracking and tracing during mass casualty incidents. Eur J Emerg Med. 2000; 7(3): 211-6. [DOI] [PubMed]
51. Tanaka H, Iwai A, Oda J, Kuwagata Y, Matsuoka T, Shimazu T, et al. Overview of Evacuation and Transport of Patients Following the 1995 Hanshin-Awaji Earthquake. The J Emergency Medicine. 1998; 16(3): 439-44. [DOI]
52. Blake N, Stevenson K. Reunification: keeping families together in crisis. J Trauma. 2009;67(2 Suppl):S147-51. [DOI] [PubMed]
53. Buono C, Chan T, Killeen J, Huang R, Brown S, Liu F, et al., editors. Comparison of the effectiveness of wireless electronic tracking devices versus traditional paper systems to track victims in a large scale disaster. AMIA Annu Symp Proc; 2007.
54. DeMers G, Kahn C, Buono C, Chan T, Blair P, Griswold W, et al. Secure scalable disaster electronic medical record and tracking system. 2011 IEEE International Conference on Technologies for Homeland Security (HST)2011. p. 402-6.
55. Hamilton J. An internet-based bar code tracking system: coordination of confusion at mass casualty incidents. Disaster Management & Response. 2003;1(1):25-8. [DOI]
56. Murphy G, Foot C. ICU fire evacuation preparedness in London: a cross-sectional study. Br J Anaesth. 2011;106(5):695-8. [DOI] [PubMed]
57. Wigmore T. Evacuation of the ICU Due to Fire. J Intensive Care Society. 2014;15(4):281-2. [DOI]
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Hazrati E, Mosaed R, Hamidi Farehani R, Rajabi J, Akhavan Rezayat A. Review of the Protocol for Evacuation and Transfer of Patients in the Intensive Care Unit in Disasters. MCS 2020; 7 (3) :277-288
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