Have you ever viewed a news report depicting the aftermath of a devastating natural disaster? The damage to human life and property are both staggering and heartbreaking. All parts of the world face the possibility of floods, hurricanes, tornados, fires, landslides, earthquakes, tsunamis, and other natural phenomena. Are you prepared if disaster would strike you? This course will help you prepare! The course is appropriate for any learner who is proactive about developing the core competencies of disaster readiness and survival planning. It is especially useful if you are seeking techniques that can ensure your personal protection, as well as the safety of your family, property, and belongings, during a natural disaster. In addition, it offers essential preparation for a variety of emergency situations and inconveniences, even if you do not live in major tornado, flood, hurricane, tsunami, or earthquake zone. For instance, could you and your loved ones manage without access to potable water, electricity, fuel, and banking facilities? If you are unsure of your ability to respond in any of these possible scenarios, this course is for you! Throughout the course, you will be introduced to the Disaster Cycle, specifically the Mitigation and Recovery phases, and will create an extensive personal preparedness plan for survival in the absence of common amenities, such as food and water, shelter, and communication. You will also acquire practical, easy-to-apply strategies for maintaining a healthy attitude during disaster which can allow you to remain calm, avoid panic, and draw upon inner and outer resources in dire circumstances. Although death may be an inevitable outcome of extreme circumstances, a balanced outlook can provide comfort for all parties involved. Finally, issues of how institutions and governments can aid in disaster are also discussed. If you are interested in this topic you may be interested in other online programs at the University of Pittsburgh School of Nursing. Learn more about those programs by visiting our website: http://www.online.pitt.edu/nursing/nursing.php
Disaster Response Panel Discussion Part 1 (optional)
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Do curso por University of Pittsburgh
Preparação para Emergências e Desastres
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Introduction & Disaster Cycle
A disaster can be defined in several ways, but in all cases is a destructive event that overwhelms all available resources. A disaster may originate as natural or manmade and may be intentional or accidental. A natural disaster is caused by the forces of nature such as a hurricane, tornado, or earthquake. A manmade disaster may be the result of a terrorist act or industrial accident. Depending on the scope of the disaster, the available resources may be local, state, federal, or multinational. In this module, I will introduce the phases of the disaster cycle. The disaster cycle is a process that we constantly review and strive to improve for the future. It is important for you to understand each phase because clear expectations will enable you to develop an effective plan to keep you and your family safe. At the end of the module, be sure to complete the quiz.
Conheça os instrutores
Michael BeachAssistant Professor
School of Nursing
[LAUGH]
Hi folks, my name
is Mike Beach.
I'm an instructor here at the University of Pittsburgh in the school of nursing.
And this is a panel discussion concerning disaster response.
I'd like to introduce
[COUGH]
my panel, and, and and then have them talk a little bit about themselves.
first it's Rob Skertich.
>> My day job, if you want to call it that, is I'm a professor of public
administration at Point Park University here in Pittsburgh.
my public safety background, though, goes back about 30 some years.
At the local level and foreign emergency
medical services, but also disaster management at
all levels.
county national non-governmental and international.
>> And Roy Cox.
[COUGH]
>> I'm still curious what his night job is, but maybe
[LAUGH]
we don't want to know. >>
[LAUGH]
>> What he does for tips or something.
>> We'll leave that for another, another discussion.
>> Yes.
>> My name is Roy Cox I'm A paramedic as well
as a, a faculty member at several universities, wherever I can teach.
as far as experience it's similar to Rob's.
involved with some major charity
organizations as well as other organizations.
Like the Civil Air Patrol and, And some
other federal groups that have been involved with disaster over the years.
So I think between the three of us right here,
the, we've either created disasters or have been to many.
[LAUGH]
>>
[LAUGH]
>>
[LAUGH]
That's true.
my experience goes back to, gosh, I think 1990 or before.
I'm involved with Search and rescue on a local
level, and then disaster response through the American Red Cross
and some federal agencies in in a more recent aspect of my life.
So, when Katrina
struck, one a the first images I saw on
TV was a woman running down the street screaming, "Where's FEMA?
you know "Where's my trailer? I need to be
taken care of." Is there an attitude
that people need to adopt, at a real basic level?
In a disaster you, you cannot assume that the
normal functions are going to function, yet people do.
>> You know, I think personal preparedness
is really important no matter who you are.
>> Right.
>> Having three days, at least three days worth
of food, clothing, medicine, all that kind of stuff, you
know, understanding how to take care of yourself because we've
done a very good job at telling people, call 9-1-1.
>>
[LAUGH]
That's right.
>>But, we've gotten away from the self-help, buddy-help kind of thing.
>>Right.
>>Uh, in 1998 we had a microburst that hit our neighborhood.
And I'm married to this lovely civilian, who doesn't
under, didn't understand what I did for a living.
and we had no electricity for a couple of days.
Her elderly parents live a couple of blocks away, we had some issues there.
So Y2k is coming.
So she didn't get crazy, but she started thinking,
we need extra food in the house.
So, you know, she you know, buys ahead, she
doesn't buy weird stuff we're never going to use.
>>Right.
>>We always have a stocked pantry. We always have a supply of food.
You know, we have, one of the problems you do run
into with, with personal preparedness is, how do you get extra medications?
Because if you're on a certain time.
>> That's difficult.
>> That's another issue that you run into.
So we figured that, you know, my parents lived close
by, her parents lived close by, that we could you know,
help them in an emergency.
So Y2K comes along, and, you know, again, she didn't get weird and go
out and buy, you know, dehyrated water and all that other kind of stuff.
but this was kind of sad.
You know, a couple of weeks before Y2K, cat food was
on sale, so she bought a whole bunch of cat food.
>>
[LAUGH]
>>And then. >> You do have cat don't you?
[LAUGH]
>> A week before well we didn't
[UNKNOWN].
>>He was eating, he was eating cat food for a while.
>> That is sad.
>>We had to, we had to have the cat put to sleep
before y2k, so that was, she was going to eat the cat food
[UNKNOWN]
. >>
[LAUGH]
>>So, but another, another thing to look at.
Is you have to be able to step outside of your normal role.
>> Right.
>> and, you know?
We had, again gone back to some pretty signifigant
flooding that we had when I worked for the county.
somebody called and said, you know?
There's a, you know, an emergency management coordinator that wants to talk
to somebody from county emergency medical services about such and such a dam.
What do I have to do with the dam? Okay, well I'm going to go cause
they asked specifically for us.
So I get there and it had nothing to do me and its like
okay well you know, let's get you in touch with the person and everything else.
So my boss says to me, he says we don't do dams.
Well you know I went because I was requested.
Well the next day he was doing something that had nothing to do with the
EMS and he looked at me and said Well sometimes we have to do dams.
>>
[LAUGH]
>> So that became kind of like our
inside joke that sometimes you have to do dams.
>> Right.
>>You know if you, if you are med-surg, sometimes you may have to do ER.
>>Right, right.
>>If you're ER sometimes you may have to do dietary.
>>Or pediatrics
[LAUGH]
. >>Yeah, yeah.
And.
>>But if you're a cop you might have to be babysitting
[LAUGH]
. >>
[LAUGH]
>>Yeah.
>> Yeah, so you know in, in you know, that's the you know the
inside joke for my whole office was sometimes you know, you have to do dams.
And I may be the best person available.
I may be the only person available to take care of that.
But how do you balance that with mission creep?
In disasters sometimes you have to say no.
>>Yeah.
>> It's almost like you need to be a Type A personality
to be in public safety but you have to have a laissez-faire attitude
when it comes to disasters to say well I really would like a cup of
coffee but I'll take this cold coffee, and put ice in it and it's iced coffee.
[LAUGH]
>>
[LAUGH]
>> You know, I mean, you just have to go with the flow.
>> Right, so you make do.
You make do, you go with the flow. Yeah.
>> Yeah. >> Right, right, right.
And, maybe you're like this, go to the
bathroom in a warm building, but, pretend you're camping.
[LAUGH]
>> You're not going to.
[LAUGH]
>> Sometimes you're camping, sometimes you're camping.
>> Absolutely.
>> Yeah.
It's an, it's an attitude adjustment.
>> And you, you'll see people
that have difficulties with attitude adjustments because
they let the moment, in the heat of the disaster, affect their behavior.
And I think most medical people and public
safety people go with the flow pretty well.
sometimes it's hard dealing with the citizens or the patients and the families.
>> Right. >> And that can get to you.
And that gets back to one of the things that we want to talk about, too.
Is, critical incident stress management.
One of the things we've seen in the city is, our public safety department has
taken the approach where if we have
a house fire, where we've lost three children.
>> Mm-hm.
>> Or we had an incident where we lost three public safety personnel.
Our public safety department has said,
okay, call critical incident stress management team.
Have them go to the station. And waiting
for the crew so in case they need to talk to somebody, or at least they
can give them the information on, on what to do, or in case it does bother them.
because some public safety people and medical
people are like sponges, you can take
this call, this call or this situation,
this situation but eventually the sponge gets full.
>> Right
>> And we see that if you have someone just there to
offer you know, a bottle of water or say how you doing,
you know here's a pamphlet on the signs and symptoms of
stress and you know, let us know if we can help you.
That's all they need.
They don't really need anything, they need to know someone cares.
And having that person there as in
some disasters they'll, they'll call you a couple
weeks later after the disaster and say how
are you doing, you know, is everything okay.
And it's knowing that someone cares about you as an individual can be a big help.
>> You know, another thing
for, for people working in disasters is, you know, and, and
Roy is certainly much more involved with the CISM kind of stuff.
You know, when you look at the personal, occupational,
and organizational stressers that people have, where my frustration
comes in, and where my stress in a disaster
comes in is not personal and occupational, its organizational.
You know, because I'll get in, I'll see something that I need to be done and
I have to wait for mission assignment.
Or I have to, I, I need to do this,
but I'm waiting on logistics to come through for me.
So, I get stressed in a disaster situation because things
aren't going as fast as I want them to go.
where some people get stressed because its going too fast.
The other thing that we run into with
disaster responders, and this is a personal choice,
>> Mm hm.
>> If you are a hospital person or a public safety person,
you have no choice.
You're going to be involved in a disaster sometime.
>> Right. >> But if you're going to join a
[UNKNOWN],
or a D Mat team. Or, you know?
Get involved with one of the non profits, or something like that.
you have to, you have to make some hard decisions.
>> Mm hm.
>> You know?
I may be.
You know some sort of surgeon and that's where my skills lie.
But the situation doesn't require those skills.
That doesn't mean that you sit back and say well this is below me.
>> Right.
>> And I'm not thinking about surgeons, I'm just choosing that as an extreme.
>> No, no. >> You know this is, no.
You know this and, and a doc that we know and love you know a well respected
emergency physician, retired navy commander a captain you know, is, is not
beyond, you know, going over and taking care of, you know, you know, some
sort of minor issue; or, or going and setting up a tent; or lifting boxes.
Or, you know,
you know, yeah this is not a medical emergency that
I need to take care of, but there's, you know, my
job right now has nothing to do with me being a
doc or me being a pharmacist or me being a whatever.
It has, this is what the need is right now.
This is what, this is what we're expected to do.
And those are the people that work well.
worked with a nonprofit that had nurses
that were, that were part of the structure.
And we had nurses that, you know, said, you know what,
I don't want to go out on a disaster as a nurse this time.
Can I go out on logistics?
You know
>> you know, I want to drive a forklift today.
and >>
>> you know, that's fine.
That's fine. >> Yeah.
>> you know, what did you do for a living?
you know, I was a corporate CEO.
What are you doing now? Well, I'm making lunch.
>> Making lunch.
[LAUGH]
. >> Making coffee.
>> Yeah.
>> Yeah, setting up a tent. >> Right.
>> That gets into cross training, which is important.
>> Yeah. >> And we're seeing more and more
>> Absolutely.
>> That you know the nurse needs to be able to do this and this
and we were trying to do that with DMAT, we wanted to train EMS people
to be pharm techs and then they changed the pharm tech exam to be the
pharmacist exam and we're like, we're still
trying it we're going to give it a shot.
It's trying to train different people to do different jobs is a challenge.
>>Yeah.
>>Yeah, and you know and again looking at, at all the teams
within the national disaster medical system,
it doesn't matter what your specialty is.
You have to know how to put up a tent. >> That's right.
>> And you're go figure out how to put that sink unit together.
Or the, you know, what's in tote 206, and things like that.
So, you know, there are, there are some equalizers and, you
know, if you're going to be involved in any of those systems.
And MDMS is just one example.
Any of the non profits, non governmentals any of the FEMA teams you need to realize
that, you know, the job that needs to be done may not be what your specialty is.
>> Right.
And, even within your, your field you
know, physicians, in a hospital setting, or in
a disaster where they're responding as medical
personnel, may have to act like a nurse.
Or a nurse
>> No.
>> May have to act, may have to step up and
act more like an advanced practice or some other type of practitioner.
You, you have to be able to adjust, and. >> Yeah.
>> And I think that's, that's the attitude that I'm getting at.
Those who aren't able to do that,
those who want that normalcy, they're not helpful.
>> And I think creativity is another thing.
Like, when we're taking care of patients in
a medical tent that's remote to the disaster.
Remembering you have to maintain sepsis and have clean hands.
Well, that might not be as easy to do, but you still have to strive for it.
Whether its wipes, or, you have to go the extra mile
to still maintain patient safety and patient contact in a safe manner.
>> Do no harm still applies.
>> Exactly. But a sterile,
>>
[CROSSTALK]
>> but a a sterile dressing change >> Right.
>> may not be >> Right.
Right.
You might have to come up with another way.
>>absolutely possible.
Yeah. >> And like Rob was saying, first aid.
I think the way we, we can be better prepared as
a country and as, as an agency is think back to basics.
I think everyone needs a good first aid course.
Because you need to know how to treat
people and do things creatively with what you have.
And that's in a disaster where I think
we would really suffer is. Okay, no gas.
How do you do things? Or, no electricity, well, no water, no.
>> Right. How do you make due.
>> Right. >> How do you make due.
And how do you be happy while you're making due.
>> Right.
>> I mean, you don't have to be miserable.
It's a disaster May not be comfortable, but you don't have to be miserable.
You know, I, you know, I, I've, I've traveled all
around on, on, on various disaster assignments, different types of disasters.
And I have seen such extremes.
I have
seen, what are you going to give me? >> Yeah.
>> And then, I was on a, a, on a tornado.
It struck this small town, and it just so
happened that the, the day that the tornado struck.
The, the pastor of the local church had, had died.
So the fam, the, the community was upset about that,
the community was, you know, certainly upset about the tornado.
I got there a couple of days later.
and you know he, he didn't have a house, you know what, what can we do?
You know what go take care of Mrs so and
so down the street, you know she really needs help.
Or, "Hey, our interim pastor is here.
Can you go down and check on him and make sure he's okay"?
You see the best in the, in the community.
We had one in the city of Pittsburgh. We had a flood.
There was a guy that didn't fit into the neighborhood.
He had on a anklet.
He was on some sort of release. >> yes.
>> So we're walking down the street, John
[UNKNOWN]
and I were walking down the street, and
this guy came out, he's mucking out his basement,
and he'd get out there and throw the
bucket down and then run back in the house.
And, we're watching this, and, you know, what the heck's going on here?
So, every time that he went out to the curb, the anklet
went beyond how far he was allowed to go, because he was a.
>>
[LAUGH]
>> So you know, he, him just trying to clean my house
[INAUDIBLE]
So you know, we were able you know, John
was able to you know, get something taken care.
Where he was allowed to extend his range or something like that.
But you know, he was kind of, an outcast in the neighborhood.
Because he was this.
>> Yeah.
Guy that was on house arrest, or whatever.
By the end of the week, he was, you know, one of the family.
You know, the neighborhood came together.
you know, they accepted him.
They realized that he had the same kind of things.
So, you know, I think that, you know, when you look at,
at community dynamics, and there's another course for you.
>> Oh yeah.
>> Looking at the community dynamics of, of disaster
response, and how we as responders need to be
cognizant that those problems exist that same disaster that
was done on Colera Street, the area near Hayes.
It didn't matter what religion you were, everybody knew Father
so and so, and Father so and so knew you.
So we made friends with
him pretty quickly, because he could make things happen.
He knew who had needs, and, and if you
need to find those, those idiosyncrasies within that community.
That can help you as a responder, or as the
recovery person, help them where their needs are the most.
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