An internal disaster can occur in many forms, from a fire in the hospital’s kitchen, to a chemical spill, to a bomb threat. With the multitude of potential hazards, developing a plan to keep your hospital functioning during these times can be quite a challenge.

 

 

 

Just weeks ago, it appeared that the COVID-19 in the U.S. may have been on the ropes. But the rise of the Delta variant and the potential for more variants to come reminded us that this dangerous virus will remain for the foreseeable future.

 

A large fire in the community, a train derailment, a tornado that destroys several homes in town, a bioterrorism attack–these are all examples of external disasters that can bring a sudden influx of patients to your hospital.  Is your hospital ready?

You are about to head out on a call for a 65-year old man who is reported to be suffering from sudden respiratory distress. Few details are known about this man’s medical history, so you aren’t entirely sure what you are about to encounter. You grab your First-In bag, knowing that your airway management tools make you well prepared for any airway emergency.

Every nurse working in a hospital knows to expect the unexpected. Just when the unit seems calm, your shift is well-staffed, and your patients are stable, it can turn on a dime: Your doctor decides he wants STAT blood work on one patient, your other patient’s IV infiltrates, and an admission comes in from the emergency room. Meanwhile, a code is called in the waiting room for a visitor that suddenly collapsed and is not breathing.

 

Suction-Assisted Laryngoscopy and Airway Decontamination, better known as the SALAD technique, can potentially lower morbidities and mortality associated with aspiration and related issues in emergency situations by using aggressive suction to quickly clear the airway before intubation. But a recent simulation suggests the technique can potentially benefit first responders, as well. 

Foreseeable Disasters can come in all shapes and sizes, from a power failure that affects only your facility to an earthquake that sends hundreds of casualties to your emergency department.

Emergency medical responders are responsible for saving lives every day. Their knowledge and skills enable them to quickly assess and treat patients who may be unconscious, unable to communicate or located in remote terrain.

Portable suction is not utilized in the field on every call, and not on an everyday basis. However, when it is needed, it can make the difference between a patient that leaves the hospital and one who dies of aspiration pneumonia after a successful resuscitation.