Evacuation of Hospitals during Disaster, Establishment of a Field Hospital, and Communication

Empty the whole hospital or a part thereof. Because internal and external factors are not safe for patients and their close relatives, moving a person to a safer place is called hospital evacuation. Decisions on complete or partial evacuation of disaster threats are left to the discretion of the hospital disaster planning (HDP) chairman. The Disaster Command Center coordinates the evacuation process. The evacuation process requires a lot of human resources and takes a long time. In addition, the hospital was completely canceled, patients and staff may have been affected. Despite all these disadvantages, evacuation should be fast and safe. For this purpose, the hospital relief committee should keep in touch with the Governor's Crisis Management Center, the State Health Department, the Disaster Emergency Management Authority (AFAD), the security forces and the fire department. And you should get help when you need it. Evacuation guardian and its reserve should be decided for all departments of the hospital based on working hours, night shift and holidays. Results of medical files, laboratories and diagnostic imaging should be sent with patients introduced to other centers. After the evacuation process is complete, the hospital conducts a test to determine whether any part of the hospital can enter into use after the incident [1-3].

Internal (partial) evacuation: In the case of partial influence to the hospital, only the affected area is evacuated; this can be done in two ways, vertical and horizontal. In the case of floods and similar situations the movement from the lower layer to one or more layers or the movement to the lower layer when the roof and top layer are damaged is called vertical exhaust. In the event of fire, explosion, collapse, the type of evacuation takes place simultaneously on several floors or blocks at the same time, some of which are affected but controlled [3].

External (complete) evacuation: If the hospital is completely damaged and unusable, or if the hospital is still threatening, please transfer the patient to the appropriate appropriate hospital [3]

The first line: Children and babies, patients who can walk when not connected to the machine (Group leaders should "export patients to the right area" so that they can quickly evacuate patients who can walk) I can cry) I! "

Places outside the accident area are not affected by disasters, are regarded as safe for patients, their relatives, and workers and are called safe areas. In a safe place, an emergency should happen. Items to be kept in such emergency situations are as follows.

The evacuation decision must be as shown in Figure 1. Evacuation classification and classification should be as shown in Figure 2.

"83,000 buildings were destroyed due to the disaster and 180 thousand people evacuated.When the Japanese Red Cross Society's Emergency Response Team (ERU) stored our outdoor hospital facilities and water system in hospital, we could deploy immediately After the incident, the hospital was opened and fully functioning, saving a lot of lives, "he said. Water supply systems include innovative flocculants for water sanitation and mobile flush toilets that can be placed in the field as a center of a temporary shelter or pre-placed in public facilities. There is also an "Ambulance Unmanned Reconnaissance Machine" with a ready-to-use lithium-ion battery pack and an m-health kit for remote medical examination

Empty the whole hospital or a part thereof. Because internal and external factors are not safe for patients and their close relatives, moving a person to a safer place is called hospital evacuation. Decisions on complete or partial evacuation of disaster threats are left to the discretion of the hospital disaster planning (HDP) chairman. The Disaster Command Center coordinates the evacuation process. The evacuation process requires a lot of human resources and takes a long time. In addition, the hospital was completely canceled, patients and staff may have been affected. Despite all these disadvantages, evacuation should be fast and safe. Evacuation guardians and their reserves should be determined for all departments of the hospital based on working hours, night work and holidays.