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One of the long-standing debates in disaster science and practice is the tension between planning and structure on the one hand and flexibility and adaptation on the other in maximizing the effectiveness of response operations. This research aims to reconcile the divide that currently exists among scholars and practitioners and present a continuum that bridges the above models and ties planning, improvisation, and spontaneous planning together. The main questions that were examined with this research are: First, what role did spontaneous planning and improvisation play in responding to the two disasters. Second, in what ways do hazard characteristics (e.g. speed of onset and scope of impact) influence the roles played by spontaneous planning and improvisation? This is a qualitative study that employed a comparative case study to examine the characteristics of spontaneous planning. The major findings are that spontaneous planning does occur and that variables such as speed of onset, scope, magnitude, and number of organizations involved impact the visibility of spontaneous planning characteristics.
Concerns three main topics: Dynamics of effective international cooperation against terrorism: Facilitators and barriers; Law enforcement response to terrorism in different countries and regions; and Emergency management lessons for Homeland Security.
This study evaluated the utility of the Incident Command System (ICS) in varying disaster management team contexts using a simulated work environment. While ICS is mandated in the United States, recent studies suggest it may be ineffective in emergency events that violate its fundamental assumptions. The Distributed Dynamic Decision-making (DDD-IV) simulator--a military team-in-the-loop simulation system--was customized to model the problems, assets, and command structures found in civilian led disaster management teams. A modified single case design was used to explore posited variations in performance based on team composition--heterogeneous teams were predicted to diminish performance. Further, given that situations that violate the assumptions of ICS may cause disaster management teams to improvise, the relationship between command improvisation and team performance was evaluated. Psychological factors that may play a role in improvisational action were also explored. Finally, in addition to some preliminary empirical findings, the successes and difficulties encountered in adapting the DDD command and control simulator are briefly discussed as part of an effort to achieve greater interdisciplinary integration in this research arena.
Our nation faces the distinct possibility of a catastrophic terrorist attack using an improvised nuclear device (IND), according to international and U.S. intelligence. Detonation of an IND in a major U.S. city would result in tens of thousands to hundreds of thousands of victims and would overwhelm public health, emergency response, and health care systems, not to mention creating unprecedented social and economic challenges. While preparing for an IND may seem futile at first glance, thousands of lives can be saved by informed planning and decision making prior to and following an attack. In 2009, the Institute of Medicine published the proceedings of a workshop assessing the health and medical preparedness for responding to an IND detonation. Since that time, multiple federal and other publications have added layers of detail to this conceptual framework, resulting in a significant body of literature and guidance. However, there has been only limited planning effort at the local level as much of the federal guidance has not been translated into action for states, cities and counties. According to an informal survey of community preparedness by the National Association of City and County Health Officials (NACCHO), planning for a radiation incident ranked lowest in priority among other hazards by 2,800 local health departments. The focus of Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health Considerations for Neighboring Jurisdictions: Workshop Summary is on key response requirements faced by public health and health care systems in response to an IND detonation, especially those planning needs of outlying state and local jurisdictions from the detonation site. The specific meeting objectives were as follows: - Understand the differences between types of radiation incidents and implications of an IND attack on outlying communities. -Highlight current planning efforts at the federal, state, and local level as well as challenges to the implementation of operational plans. -Examine gaps in planning efforts and possible challenges and solutions. -Identify considerations for public health reception centers: how public health and health care interface with functions and staffing and how radiological assessments and triage be handled. -Discuss the possibilities and benefits of integration of disaster transport systems. -Explore roles of regional health care coalitions in coordination of health care response.
Deliver quality healthcare in the most challenging field conditions Full of practical clinical pearls and proven strategies, this indispensible guide shows you how to operate outside your comfort zone and devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable—or when you need to provide care outside of your specialty. Improvised Medicine is a must for anyone who plans to work in global, disaster, or other resource-poor settings. FEATURES: Simple-to-follow directions, diagrams, and illustrations describe practical techniques and the improvised equipment necessary to provide quality care during crises. Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery. Also includes basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. LEARN HOW TO: Make an endotracheal tube in seconds Perform digital-oral and blind-nasotracheal intubations Make plaster bandages for splints/casts Give open-drop ether, ketamine drips, and halothane Use subcutaneous/intraperitoneal rehydration/transfusion Make ORS and standard nutrition formulas Clean, disinfect, and sterilize equipment for reuse Warm blood units in seconds inexpensively Take/view stereoscopic x-rays with standard equipment Quickly and easily stop postpartum hemorrhage Fashion surgical equipment from common items Evacuate patients easily for high-rise hospitals Make esophageal and precordial stethoscopes Quickly improvise a saline lock Make ECG electrode/defibrillator pads and ultrasound gel
Thought-provoking papers on the relatively new field of organizational improvisation, which consider the pressures on organizations to react continually to today's ever-changing environment.
The fire and emergency services is a particularly large industry - in Australia alone it employs 250,000 personnel - yet there is very little by way of published human factors books addressing this sector directly. This book provides an overview of state-of-the-art research that has been conducted within Australia, funded by the Bushfire Cooperative Research Centre. As Karl Weick once commented, emergency events do not 'play by the rules' and these research chapters tell us something about a potential future world of work that is highly dynamic, interdependent and for which improvisation and critical thinking and problem-solving are necessary pre-requisites.
DISASTER RESPONSE AND RECOVERY The new edition of the standard textbook in the field, updated with new studies and practical guidelines for reacting to the complexities of today’s disasters Disaster Response and Recovery: Strategies and Tactics for Resilience provides a thorough overview of the challenges and functions of the emergency management profession, covering the various types of disasters, theoretical frameworks, the different individuals and agencies involved, technological tools, practical response measures, and more. Written by a recognized leader in the field, this comprehensive textbook offers clear guidance on developing disaster resilience through preparedness, planning, improvisation, leadership, and professionalism. Revised and updated throughout, the third edition addresses key response and recovery operations of the COVID-19 pandemic, including human attitudes, political issues, communication challenges, medical surges, and volunteer management. New examples and case studies also highlight lessons learned from Hurricane Irma, the California wildfires, brush fires in Australia, the Midwest derecho windstorm, the Beirut explosion, the Las Vegas shooting, riots and civil unrest in the United States, and other recent disasters. In addition, the book: Describes tools and techniques required to protect lives, reduce property damage, and minimize disruption Features new coverage of climate change, social media, drones and artificial intelligence, racial and social justice, recent legislation and regulations, and emergency management policies and procedures Discusses theoretical approaches to the management of disasters, strategies to revitalize affected communities, and mitigation methods to reduce future vulnerability Contains learning objectives, key term definitions, case studies, real-world examples, summary and review questions, and evaluation tools Includes access to a companion website with an instructor’s manual, a sample syllabus, chapter tests, PowerPoint slides, exam questions, and additional teaching resources Integrating the theory and practice of emergency management, public administration, policy, and sociology, Disaster Response and Recovery: Strategies and Tactics for Resilience, Third Edition is an invaluable resource for advanced students in emergency management programs as??well as emergency planners, emergency management coordinators, risk managers, and other practitioners in the field.
Within the past decade disasters have taken a tremendous humanitarian and economic toll globally. Providing effective relief to the victims of these disasters requires efficient management of a quickly formed supply chain in the context of a rapidly changing and extremely uncertain environment. Supply chain management under these circumstances requires both planning and improvisation. In an effort to help organizations use scarce time and resources more efficiently, this research examines the relationships between planning, capability factors, improvisation, and performance in disaster relief supply chains. Survey data from disaster relief practitioners is analyzed using the partial least squares method of structural equation modeling. Factors and capabilities which affect the effectiveness of planning and the incidence and effectiveness of improvisation in disaster relief supply chain management are presented. Incidence of Improvisation is found to have a positive effect on the performance of disaster relief supply chains. Creative capability, empowerment, and information focus are found to increase the incidence of improvisation. Information focus and empowerment are found to have a positive direct effect on performance. Overall, the factors studied show how planning, capabilities, improvisation, and performance are related in the realm of disaster relief supply chain management.