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  • Identify situations that could overwhelm district hospital
      - Trauma disasters: traffic accidents
      - Natural disasters: floods, hurricanes
      - Public Health disasters: water contamination, outbreak of disease
      - War, civil disorder
  • Identify staff, resources required to cope
  • Develop disaster plan, protocols
  • Implement and practice


  • Designating a team leader
  • Defining roles and responsibilities of each member of staff
  • Establishing disaster management protocols
  • Mapping evacuation priorities and designating evacuation facilities
  • Identifying training needs, practicing management
  • Establishing a system for communication with authorities, media

Setting up systems for:

  • Identification of key personnel
  • Communication within the hospital
  • Calling in extra staff
  • Obtaining additional supplies
  • Triage
  • Communicating patients’ triage level and medical need
  • Transportation of patients to other hospitals


  • Ensure that all members of the team know who the leader is
  • Information should flow to and through the leader
      - Know and use the names of members of the team
      - Ensure that they have heard and understood directions
      - Check back to make sure tasks have been completed
      - Ask for input from the team, but all directions should come from only one person, i.e. the team leader

Review of Core Learning Objectives

  • Organizational Management
  • Leadership and team skills
  • Monitoring and evaluation for quality improvement and safety
  • Disaster management
      - Trauma response plan
      - Trauma team activation
      - WHO check list for essential emergency equipment


  • Evaluation and monitoring quality care improvements
  • Recommendations and action plan for improvement in quality of emergency trauma care at first referral health facility
  • Closing remarks
  • Questions


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