BURNS Disasters Once a disaster is declared, then the disaster is classified according to the level of response needed to cope with the situation. This incident is declared a Level I disaster according to the local community disaster plan. [pic][pic][pic] 1. Which action is included when a Level I disaster is declared? All local hospitals prepare to receive casualties. Feedback: Classification as a Level I disaster indicates that local emergency response personnel and organizations can contain and effectively manage the disaster and its aftermath. Disasters are categorized into three levels, namely minor, major, and catastrophic disasters. Minor Disaster (Level I): A disaster that falls within the response capabilities of …show more content…
[pic] The emergency department RN evaluates Harmony and determines the percentage of body surface burned according to the Rule of Nines. Her injuries include deep partial-thickness and full-thickness burns on her lower abdomen and on both of her anterior and posterior lower legs. [pic][pic][pic] 6. The PN should expect to see which percentage of body surface documented in Harmony’s hospital record? 45%. Feedback: According to the Rule of Nines, the lower extremities are 18% each, and the abdomen is 9%, Therefore, if the abdomen (9%) and both legs (36%) are burned, the total percentage is 45%. [pic] The emergency department physician inserts a central venous catheter via the subclavian vein and prescribes Lactated Ringer's solution at 1,000 ml/hr via infusion pump. Legal Considerations A police officer comes to the emergency department nursing station and asks to speak to Harmony Andrews concerning the accident because she was sitting at the front of the bus and may have witnessed the accident. [pic][pic][pic] 7. Which action should the PN take? Inform the officer that he must first speak to Harmony’s parents. Harmony is a minor, so her parents must be present when she is talking to a representative of the police department. [pic] The police officer then asks to see Harmony’s emergency room medical record. [pic][pic][pic] 8. Which
Disaster is anything that can occur causing damages, an ecological disruption and deterioration of health and the health services. Disaster can be manmade or natural disasters such as floods. When disasters like flooding or tornadoes that may be accompanied by floods occur, the public health personnel and public health nurses are normally the first people who respond to the emergency, given that they are the people who understand and know the available resources used in providing first aids to the affected victims.
Dr. Weber was Hughes treating physician and on October 25, 2006 performed an ablation procedure on her with the use of HTA device. While conducting this procedure, hot liquid leaked from HTA device and caused a three-inch burn on Hughes’s outer perineal body and an area of similar size inside the vaginal introitus. These burns were characterized as second degree burns. Hughes visited Dr. Weber every other day for two weeks, and later once a week for six to eight weeks for treatment.
According to Jack Herrmann is Asst. Professor of Psychiatry at the University of Rochester School of Medicine “Disaster management is the preparation for, response to, and recovery from disaster. While there are different understandings of Disaster Management, it is generally viewed as a cycle with the following five key phases:
Today we had a presentation during class. The presentation goes hand in hand with the material that is being covered in class by Dr. Urby. The main concepts in the presentation were the emergency operational center, tiered response, shelters, demobilization, and demobilization. An emergency operational center is a place where each agency that is involved in the disaster is represented by one individual. Once those everyone is in the room there are decisions to be made to properly handle the disaster. Tiered Response is a basic concept that incidents are handled at the lowest jurisdiction level as possible. The four levels of jurisdiction are local, county, state, and national. National would be the last resource if the disaster cannot be handled
A natural disaster is an event that causes great damage. Such as floods, hurricanes, or a loss of life. Speaking this there was a Wildfire in Colorado Springs, Colorado. In fact, there was a wild fire that occurred on June 23, 2012. Only four miles Southwest of Colorado Springs. Therefore, there were several locations that needed to be evacuated. Even though there was 18,247 acres burnt, the fire was 100 percent contained on July 10, 2012. All in all, 346 homes were burnt. Due to that fact, two families lost a loved one. Eventually the mystery of this wildfire, is still unknown.
Disasters are human made or natural and occur sudden and unexpected. As disasters cannot be prevented, government has to be prepared for any emergency situation. According to Stanhope and Lancaster (2014), there are four stages in the disaster management: Prevention, Preparedness, Response and Recovery. According to Stanhope and Lancaster (2014, p 250), public health professionals study disaster effects on populations while American Red Cross work with local and other communities in preparedness, response and recovery phase of disaster.
During this assessment, three injuries were reported, burned retinas in both eyes, lumbar strain, and a respiratory-related
They began telling them that the skin is an important organ. The skin has many layers that can be damaged when burns happen. According to Marieb, E.N., & Hoehn, K. (2014), the layers that are affected in 2nd and 3rd degree burns are; stratum corneum, stratum granulosum, stratum spinosum, stratum basale, stratum corneum, stratum granulosum, stratum spinosum, stratum basale, papillary layer, & reticular layer. In addition, they began telling them more about the skin. The skin has an epidermis and a dermis. In the epidermis, there are cells that have different functions; Keratin Cells give the epidermis its protective properties, melanocytes form melanin, dendritic cells ingest foreign substances, which helps our immune system and tactile cells are apart of touch Marieb, E.N., & Hoehn, K. (2014). They also went on to tell her that if the burns that she experienced happened to a one year-old infant, that the baby would have experienced 10.5% of the body burned. This time the doctors used the Lund-Browder Chart. 50% of the babies anterior(3.25%) & posterior(3.25%) thorax totaled to 6.5% and the anterior(2%) and posterior(2%) upper arm totaled to 4%=10.5%. Once the doctors finished explaining the skin and burns to Nancy and her grandson, they continued to treat her
Each disaster response should start at the local or state level, and then depending on the magnitude it may grow to the response level only the federal government can provide. The initial response to an emergency by the state should deal with the emergency needs of the public. The State’s responsibility will be to focus around control of communication procedures; warning of the upcoming emergency if possible, providing public information, any information regarding evacuations and shelter (Federal Emergency Management Agency, 1996). Beyond controlling communication, the state will also be responsible to alert and dispatch the required emergency response teams to engage in protection of people and their property, and if needed a request for aid from the Federal Government (Federal Emergency Management Agency, 1996).
Mr. Smith is a 68 year old, white, male brought into the ED with severe third degree burns from home fire. Both of his arms show evidence of third degree burns. His chest shows evidence of second degree burns. This accounts for 36% of his body. Mr. Smith is alert, awake, and oriented. He is not experiencing much pain on arms due to damaged nerve endings, but his chest pain is moderate.
An event is only correctly identified as a disaster when the damage is too great for an affected region or city to handle or respond to the event with their own resources. To be more direct, a disaster is an actual event that results in more disruption and losses than a community is capable of handling on their own and they must therefore rely on assistance from other communities, the state or federal government (Smith 2012). A disaster, regardless of the nature of the event, in one region or city, may not qualify as a disaster in another region or city. It is all based on the impacted area’s capability to cope with the event on their own.
An emergency is a severe, sudden and sometimes risky circumstances requiring urgent action (Salman Sawalha, 2014). Escalation of an emergency situation can lead to disaster; which is an unusual event that can cause lost of life and property (Salman Sawalha, 2014). International Federation of Red Cross and Red Crescent Societies (IFRRCS) define disaster as “unexpected devastating events that disrupts the operations of a population or public which leads to huge losses and overwhelmed the affected community 's ability to respond to the situation with the resources they have at hand”. There are two main types of disaster that can lead to emergency situations; these include natural and man-made disasters.
Electrical, thermal or chemical burns are all included under this category and are diagnosed acordingly.
For children and infants, the Lund and Browder chart is used to assess the burned body surface area. Different percentages are used because the ratio of the combined surface area of the head and neck to the surface area of the limbs is typically
An event classification system, which defines incidents by their level of severity, will used to manage the incident response process and provide guidance for escalation.