Hospital Emergency Response Teams

1st Edition

Triage for Optimal Disaster Response

Print ISBN: 9781856177016
eBook ISBN: 9780080964959
Imprint: Butterworth-Heinemann
Published Date: 10th December 2009
Page Count: 256
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Hospital Emergency Response Teams aims to provide authoritative training for hospital personnel in the emergency department, as well community-level medical service personnel, assisting them in times of disaster and emergency.

Comprised of six chapters, the book covers various aspects of emergency response. Some of the aspects are the National Incident Management System (NIMS) implementation activities for hospitals and health care systems and the Hospital Incident Command System (HICS) IV missions. The book also explains the implementation issues, requirements, and timelines in establishing an internal HICS IV program. It presents the assessment of likely mass casualty events and potential hospital impact. The book also features appendices for emergency response team checklists, PPE donning and doffing guide, ambulatory and non-ambulatory decontamination setup, ETA exercises, and ETA drills.

The book is intended to provide understanding of emergency response to first emergency medicine professionals, first responders, security staff, community-level disaster planners, and public health and disaster management researchers.

Key Features

  • Common sense approach shows what really works, not what is theoretically achievable
  • Forms, checklists, and guidelines can be used to develop concrete response plans, validate existing operations, or simply expand knowledge base
  • The latest from OSHA, Joint Commission and NIMS (National Incident Management System)
  • Cross-disciplinary author team ensures material is appropriate for all member of this important collaboration


Emergency medicine professionals and first responders; hospital security staff; community-level disaster planners. Researchers in public health and disaster management.

Table of Contents


  1. Command and Control Introduction History of Incident Command Systems Development
  2. Assessment of Likely Mass Casualty Events and Potential Hospital Impact Planning Practicality Chemical, Biological, Radiological and Explosive Threats Radiation Doses Blast Injuries Summary References
  3. Personal Protective Equipment (PPE) Introduction Local Hazard Assessment and Selection Criteria Components of Protective Ensembles Hazards Associated with Utilization of PPE Logistical Considerations Related Worldwide Considerations—International Look References
  4. Emergency Treatment Area Introduction Purpose of the Emergency Treatment Area (ETA) ETA Decontamination Zone Summary
  5. Triage Principles Introduction Triage Stages Summary
  6. Decontamination Introduction Decontamination Principles Technical Decontamination Reference Appendix A: Checklist for Developing HERT Appendix B: HERT Level C PPE Donning and Doffing Guide Appendix C: HERT Ambulatory/Non-Ambulatory/Technical Decontamination: Decontamination Lane Setup Appendix D: HERT Decontamination Techniques Appendix E: HERT Emergency Treatment Area Exercise (7-hour exercise) Appendix F: HERT Emergency Treatment Area (ETA) Drill (short, intense 2.0-hour drill) Index


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" excellent starting point for someone about to embark on the process of building a decontamination program in his or her facility."--Anjanette Hebert, Director of Security and Safety, Lafayette General Medical Center, Lafayette, LA