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Disaster Management

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DISASTER MANAGEMENT

Department of Family and Community Medicine

JULY 2021

BLOCK-3 Group 4

● Ignacio, Pearl Yzza

● Macarubbo, Joieanne Marie

● Pantoja, John Nicholas

● Ramos, Patrick Daniel

Case scenario 4:

➢ At around 10pm, a huge fire broke out suddenly at a tertiary hospital.

Instructions
•Imagine and create a more specific scenario on the incident
•Identify all possible medical scenarios for triage.
•Apply all triage principles on the case assigned to your group.

1. Metro Manila (May 16) — A fire hit the state-run Philippine General Hospital at Taft
Avenue, Manila early Sunday morning, according to the Bureau of Fire Protection.
Authorities said the blaze started in an operating room on the third floor of the facility.
It reached first alarm at 12:41 a.m. and was quickly raised to the second level at
12:58 a.m., the BFP-National Capital Region reported.

2. A fire broke out at the storage facility of the Pasig City General Hospital late
Wednesday morning, May 12, prompting the transfer of some of its patients to
another hospital. Firefighters took more than four hours to put out the blaze that
reached the third alarm. No injuries and major damage to equipment were reported.

Before applying any first-aid measures, you as the Doctor must ensure your own safety.
Calmly make your way to a safe area, an open space with ample ventilation and free of the
fire. Assess self for any injuries. Once firefighters are onsite and the scene is secured, you
could introduce yourself as a medical professional and a licensed first responder.

START (Simple Triage and Rapid Treatment) helps responders rapidly assess victims’
ability to walk and their mental status, blood flow, and respiration. The evaluation is designed
to work within 60 seconds. Based on the assessment, patients are placed in 1 of 4 color-
coded categories:

RED
severely injured patients who will receive the most care and fastest transportation (eg:
Extensive burn injuries) They are the top priority for treatment.

YELLOW
stable patients who need medical care within 2-4 hours. Injuries may become life-threatening
if ignored, but can wait until Red tags are treated. (eg: Scrapes,Bleeding, and Burn injuries)
GREEN
Generally stable patients with minor injuries, or the “walking wounded'' but may need some
medical care.

BLACK
victims who are either deceased or are not expected to live.

WHAT TO DO IN CASE OF FIRE AND EXPLOSION

What to do

● Report a fire by calling Public Safety


● Sound the fire alarm.
● Evacuate the building.
● Notify Building Marshals and or Public Safety if you suspect anyone may be trapped
in the building.
● If clothing catches fire: STOP, DROP AND ROLL. DO NOT RUN.
● If caught in heavy smoke, drop to your hands and knees and crawl, hold breath as
much as possible, breathe shallowly through your nose, and breathe through a
blouse, shirt or jacket.
● If trapped by fire, place a wet towel or other clothing at the base of the door to
prevent smoke from seeping in. Use a phone to request assistance by calling an
emergency response or yell out a window for assistance.
● If possible, retreat. Close as many doors as possible between you and the fire. Be
prepared to signal from windows, but do not break glass unless absolutely necessary
as outside smoke may be drawn in.

What Not to Do

● Do not attempt to extinguish a fire by yourself unless it is very small and localized.
Always call for assistance.
● Do not ignore alarms or assume they are false alarms.
● Do not use the elevators.
● Do not return to your building until you are notified by University officials that it is safe
to do so.

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