In medicine, triage is a practice invoked when acute care cannot be provided for lack of resources. The process rations care towards those who are most in need of immediate care, and who benefit most from it. More generally it refers to prioritisation of medical care as a whole. In its acute form it is most often required on the battlefield, or at peacetime when an accident results in a mass casualty which swamps nearby healthcare facilities' capacity.
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
Emergency services and rescue services are organizations which ensure public safety and health by addressing different emergencies. Some of these agencies exist solely for addressing certain types of emergencies whilst others deal with ad hoc emergencies as part of their normal responsibilities. Many of these agencies engage in community awareness and prevention programs to help the public avoid, detect, and report emergencies effectively.
An emergency is a situation that poses an immediate risk to health, life, property, or environment. Most emergencies require urgent intervention to prevent a worsening of the situation, although in some situations, mitigation may not be possible and agencies may only be able to offer palliative care for the aftermath.
A first responder is a person with specialized training who is among the first to arrive and provide assistance at the scene of an emergency, such as an accident, natural disaster, or terrorism. First responders typically include law enforcement officers, paramedics, EMT's and firefighters. In some areas, emergency department personnel are also required to respond to disasters and critical situations, designating them first responders.
Disaster response is the second phase of the disaster management cycle. It consists of a number of elements, for example; warning/evacuation, search and rescue, providing immediate assistance, assessing damage, continuing assistance and the immediate restoration or construction of infrastructure. The aim of emergency response is to provide immediate assistance to maintain life, improve health and support the morale of the affected population. Such assistance may range from providing specific but limited aid, such as assisting refugees with transport, temporary shelter, and food, to establishing semi-permanent settlement in camps and other locations. It also may involve initial repairs to damaged or diversion to infrastructure.
The New Zealand Co-ordinated Incident Management System (CIMS) is New Zealand's system for managing the response to an incident involving multiple responding agencies. Its developers based the system on California's Incident Command System (ICS) - developed in the 1970s - and on other countries' adaptations of ICS, such as Australia's Australasian Inter-Service Incident Management System (AIIMS).
The international response to the 2005 Kashmir earthquake was widespread, as many countries, international organizations and non-governmental organizations offered an abundance of relief aid to the affected regions − particularly Pakistan, which was hit the hardest due to the earthquake's epicentre being around Muzaffarabad, the capital city of Pakistani-administered Azad Jammu and Kashmir. The aid given was in the form of monetary donations and pledges, as well as relief supplies including food, various medical supplies, tents and blankets. Rescue and relief workers as well as peacekeeping troops were sent from different parts of the world to the region, bringing along rescue equipment, including helicopters and rescue dogs. The earthquake displaced some 3.3 million people, while killing around 80,000–100,000.
The National Disaster Medical System (NDMS) is a federally coordinated healthcare system and partnership of the United States Departments of Health and Human Services (HHS), Homeland Security (DHS), Defense (DOD), and Veterans Affairs (VA). The purpose of the NDMS is to support State, local, Tribal and Territorial authorities following disasters and emergencies by supplementing health and medical systems and response capabilities. NDMS would also support the military and the Department of Veterans Affairs health care systems in caring for combat casualties, should requirements exceed their capacity.
In American law enforcement the Emergency Service Unit, or E.S.U., is a multi-faceted element within a law enforcement agency’s Special Operations Command.
Emergency Management BC (EMBC) used to be known as the Provincial Emergency Program and is a division of the Ministry of Public Safety and Solicitor General of British Columbia, Canada. EMBC works with local governments and other provincial and federal agencies year round, providing coordination and support before, during and after emergencies. EMBC is administered under the Emergency Program Act.
Ottawa Paramedic Service is a uniformed municipal public safety agency providing emergency and non-emergency paramedic care to residents and visitors of city of Ottawa, Ontario. It is the sole, licensed, statutory provider and is operated directly by the city. The Service is an independent third service provider. This means that it is part of the Emergency and Protective Services department of the city but functions as an independent and separate agency from other services. The Ottawa Paramedic Service operates in compliance with legislation and licensing standards overseen by the government of Ontario. It also provides routine, non-emergency transports and emergency paramedic coverage for special events. It is the only service provider permitted to service medical emergency calls in the City of Ottawa.
Emergency medical services in France are provided by a mix of organizations under public health control. The central organizations that provide these services are known as a SAMU, which stands for Service d'Aide Médicale Urgente. Local SAMU organisations operate the control rooms that answer emergency calls and dispatch medical responders. They also operate the SMUR, which refers to the ambulances and response vehicles that provide advanced medical care. Other ambulances and response vehicles are provided by the fire services and private ambulance services.
Emergency Medical Service in Germany is a service of public pre-hospital emergency healthcare, including ambulance service, provided by individual German cities and counties. It is primarily financed by the German health insurance companies.
A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995 and the September 11 attacks in 2001 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. However the key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed
IsraAID is an Israel-based non-governmental organization that responds to emergencies all over the world with targeted humanitarian help. This includes disaster relief, from search and rescue to rebuilding communities and schools, to providing aid packages, medical assistance, and post-psychotrauma care. IsraAID has also been involved in an increasing number of international development projects with focuses on agriculture, medicine, and mental health.
Rescue 1122 is an emergency service that serves Punjab Province in Pakistan. The service is accessed by calling 1122 from any phone. It was established under the 2006 Punjab Emergency Service Act to provide management of emergencies such as fire, rescue and emergency medical services. The Punjab Emergency Council and District Emergency Boards have been constituted to ensure management and prevention of emergencies and to recommend measures for mitigation of hazards endangering public safety. Dr Rizwan Naseer is the current Director General of Rescue 1122 Pakistan.
An earthquake struck Nepal at on 25 April 2015 with a moment magnitudeof 7.8 and a maximum Mercalli intensity of IX (Violent). It was the most powerful earthquake to strike Nepal since the 1934 Nepal–Bihar earthquake. Many thousands of people died, with most casualties reported in Nepal, and adjoining areas of India, China, and Bangladesh.
New South Wales Urban Search and Rescue Task Force 1 was first established as a USAR capability in the lead up to the 2000 Sydney Olympics. After earlier large-scale collapses including the 1977 Granville Train Disaster, 1989 Newcastle earthquake and 1997 Thredbo landslide, Fire & Rescue NSW was legislated as the combat authority for responding to major structural collapse incidents within the state of New South Wales.
Emergency medicine reform in Ukraine has been part of Ukraine's healthcare reform program since its launch in 2016. Managed by the Ministry of Healthcare of Ukraine, the program is meant to improve the quality and speed of Ukraine's emergency medical care.
