J Korean Med Assoc.  2019 May;62(5):247-251. 10.5124/jkma.2019.62.5.247.

Disasters and the disaster medicine

Affiliations
  • 1Department of Emergency Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 2Department of Emergency Medicine, Ulsan University College of Medicine, Ulsan, Korea. cocahite@ulsan.ac.kr

Abstract

The definition of a disaster varies across research institutions, although it is generally regarded as a sudden event that demands more resources than the community can offer. Disaster medicine originates from military medicine. It is a new field of medicine that has much in common with emergency medicine, but focuses more on disaster management, targeting populations. It plays a key role both in the pre-event period by helping with disaster preparedness and in the event of a disaster by providing disaster medical services, including on-scene emergency life-saving interventions, thereby contributing to a decrease in the preventable mortality rate. Triage is a system used to sort mass disaster victims according to severity, enabling resources to be allocated, distributed, and utilized more efficiently. During disasters, a hospital should respond to the surge in patients in accordance with the standards and principles of disaster medicine by activating its emergency operation plan, converting the usual medical system into the emergency system, and putting disaster response teams into operation. Disaster medicine is the key discipline for all aspects of preparedness and response to conventional disasters, and even to chemical, biological, radiological, nuclear, and explosive events.

Keyword

Disasters; Disaster medicine; Triage

MeSH Terms

Disaster Medicine*
Disaster Victims
Disasters*
Emergencies
Emergency Medicine
Humans
Military Medicine
Mortality
Triage

Reference

1. Rutherford WH, de Boer J. The definition and classification of disasters. Injury. 1983; 15:10–12.
Article
2. United Nations. Disaster preparedness for effective response: guidance and indicator package for implementing priority five of the Hyogo framework [Internet]. Geneva: United Nations;2008. cited 2019 Mar 30. Available from: http://www.unisdr.org/files/2909_Disasterpreparednessforeffectiveresponse.pdf.
3. World Health Organization. Mass casualty management system: strategies and guidelines for building health sector capacity. Geneva: World Health Organization;2007.
4. Centre for Research on the Epidemiology of Disasters. World disaster report 2000 [Internet]. Brussels: Centre for Research on the Epidemiology of Disasters;cited 2019 May 31. Available from: https://www.cred.be.
5. Department of Health Emergency Preparedness Division. NHS emergency planning guidance 2005: mass casualties incidents [Internet]. [place unknown]: GOV.UK;2006. cited 2015 May 31. Available from: http://www.dh.gov.uk/emergencyplanning.
6. Centre for Research on the Epidemiology of Disasters. EM-DAT: the international disaster database [Internet]. Brussels: Centre for Research on the Epidemiology of Disasters;2015. cited 2015 May 31. Available from: http://www.emdat.be/disaster_trends/index.html.
7. Dara SI, Ashton RW, Farmer JC, Carlton PK Jr. Worldwide disaster medical response: an historical perspective. Crit Care Med. 2005; 33:1 Suppl. S2–S6.
Article
8. Wang SJ. Principles and system of disaster medicine. J Korean Med Assoc. 2014; 57:985–992.
Article
9. Lim KS, Hwang SO, Ahn ME, Ahn HC. Disaster medicine. Seoul: Kunja Publishing;2009.
10. Holloway RM. Medical disaster planning. II. New York City's preparations. N Y State J Med. 1971; 71:692–694.
11. Haynes BE, Freeman C, Rubin JL, Koehler GA, Enriquez SM, Smiley DR. Medical response to catastrophic events: California's planning and the Loma Prieta earthquake. Ann Emerg Med. 1992; 21:368–374.
Article
12. Lerner EB, Schwartz RB, Coule PL, Weinstein ES, Cone DC, Hunt RC, Sasser SM, Liu JM, Nudell NG, Wedmore IS, Hammond J, Bulger EM, Salomone JP, Sanddal TL, Markenson D, O'Connor RE. Mass casualty triage: an evaluation of the data and development of a proposed national guideline. Disaster Med Public Health Prep. 2008; 2:Suppl 1. S25–S34.
Article
13. Bazyar J, Farrokhi M, Khankeh H. Triage systems in mass casualty incidents and disasters: a review study with a worldwide approach. Open Access Maced J Med Sci. 2019; 7:482–494.
Article
14. Benson M, Koenig KL, Schultz CH. Disaster triage: START, then SAVE. A new method of dynamic triage for victims of a catastrophic earthquake. Prehosp Disaster Med. 1996; 11:117–124.
Article
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr