Research Need for Emergency and Disaster Medicine

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ResearchNeed for Emergency and Disaster Medicine

ResearchNeed for Emergency and Disaster Medicine

Aneffective disaster triage management requires proper functioning ofthe health systems with adequate resources and best practices indisaster triage. However, many countries have no adequateinfrastructure and preparation to respond to a disaster asexemplified by China. For this reason, there is an urgent need toinvest in research areas such as disaster medical responsecapability, disaster preparedness, and laws detailing on theenforcement of disaster management heighten the effectiveness ofdisaster triage practices. Under disaster medical responsecapability, the research investments should seek to identify theavailability of health resources necessary a rapid disaster response.Besides, the research should also seek to establish the localhospitals’ surge capacity, and the triage methods applied.Information on these areas will aid in the proper allocation ofhealth resources and inform the establishment of appropriate standardtriage skills necessary for a particular region. Similarly, researchinvestments in disaster preparedness should seek to find out theexistence of emergency disaster plans, collaboration among healthcare institutions, and training on triage skills. Finally, researchinvestment on supporting legislation in disaster management isimperative(Zhong, Clark, Hou, Zang, &amp FitzGerald, 2014).This research will play an instrumental role in informationgathering, which will result in improved planning on disastermanagement in various regions.

Theprimary purpose of disaster triage aims at limiting the adverseeffects of a disaster on human health and welfare. The most commonlyused triage methods include START, Sacco Triage, and the sieve andsort triage method. START is a basic triage approach applied by thefirst individuals to arrive at an emergency site and aims atoptimizing the minimum resources available. It follows the RPMapproach, which looks at the respiration, pulse, and mental state ofa victim. The Sacco Triage is an advanced triage method that embracestechnology. As such, specialized computer programs are used to matchcasualties with the healthcare resources in place. The process takesplace after conducting basic care, which involves opening therespiration system, decompressing the chest, and stopping anybleeding. The program then generates a patient’s score thatdetermines the allocation of resources. Similarly, the sieve and sortmethod rely on the Revised Trauma Score to conduct a triage. Despitethe availability of various triage methods and China’s growingneeds, China lacks a standard triage method. Most of the triagemethods commonly applied focus on relief during earthquakes. Besides,China lacks clear criteria of triage methods for children and personswith special needs. In this backdrop, China’s Ministry of Healthhas to research and establish standard criteria for triage across thecountry(Chen, Yang, Yang, &amp Zheng, 2015).

Thecurrent change in weather patterns across the United States increasesthe vulnerability of Macomb County, Michigan, to climate change. Forinstance, Macomb County usually experiences very cold and snowywinters however, the county has seen a little snow and experiencedhigh temperatures in the current year. The development places theCounty’s disaster management to task, and they have to be alive tothe climate changes to prepare adequately for any unforeseendisaster. Such preparedness will entail assembling resources andtriage skills capable of an effective response to climate change. Thefindings from a study conducted in Pacific propose the development ofhuman capacity and international collaboration as possible strategiesfor climate change adaptation and related disaster preparedness(Rumsey, et al., 2014).


Chen,J.-H., Yang, J., Yang, Y., &amp Zheng, J.-C. (2015). Mass CasualtyIncident Primary Triage Methods in China. ChineseMedical Journal, 128(19), 2664–2671.

Rumsey,M., Fletcher, S. M., Thiessen, J., Gero, A., Kuruppu, N., Daly, J.,et al. (2014). A qualitative examination of the health workforceneeds during climate change disaster response in Pacific IslandCountries. HumanResources for Health, 12(1), 2-20.

Zhong,S., Clark, M., Hou, X.-Y., Zang, Y., &amp FitzGerald, G. (2014).Progress and challenges of disaster health management in China: ascoping review. GlobalHealth Action, 7.