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Case 1
A tornado has just hit your community;
dozens of walking wounded are appearing at
your ED, as well as individuals looking for
loved ones
Ambulance communications notifies you to
expect at least 30 patients of varying severity
in the next hour
Case 2
An explosion has occurred at the Bloor
station in the Toronto subway system
CBRN team is responding due to a phone call
to a local TV station from a terrorist group
chanting Death to Canada and claiming
that a radioactive substance has been
released
Case 3
Case 3
Questions to ask:
1. Is my organization prepared to
Phases of an Emergency
(F/P/T National Framework)
1. Risk assessment
2. Mitigation
3. Preparedness
4. Response
5. Recovery
Natural events
Hurricane
Tornado
Extreme heat/cold
Ice storm
Snow storm
Flood
Epidemic/pandemic
Disaster Preparedness Conference
2006
Epidemic/pandemic
Influenza
SARS
E Coli
Smallpox
Technological events
Electrical failure
Transportation emergency
Water emergency
HVAC failure
Structural damage
Fire
HAZMAT exposure (internal)
Disaster Preparedness Conference
2006
Components of Risk
Probability?
Impact?
A. Highly likely?
1. Marginal
B. Likely?
2. Serious
C. Possible?
3. Critical
D. Unlikely?
4. Catastrophic
Probability
Probability
Description
Rating
Detail
Highly Likely
Likely
Possible
Unlikely
Components of Impact
Impact
Human
Property
Business
Impact
1. Marginal
2. Serious
3. Critical
4. Catastrophic
Impact - Human
Unlikely to cause injury, illness or death in
staff or patients
2. Low probability of injury, illness or death in
staff or patients
3. High probability of injury or illness in staff
or patients; low probability of death
4. High probability of death in staff or patients
1.
Impact - Property
1.
2.
3.
4.
Impact - Business
1.
2.
3.
4.
Catastrophic
8-10
Critical
5-7
Serious
3-4
Marginal
Probability Impact
(H+P+B)
Risk
Tornado
3+3+2
B8
Dirty Bomb
B/C/D
3+1+2
B/C/D6
Pandemic
influenza
4+1+4
B9
Risk Rating
A
Highly
Likely
B
Likely
C
Possible
D
Unlikely
11-12:Catastrophic
A11-A12
B11-B12
C11-C12
D11-D12
8 -10: Critical
A8-A10
B8-B10
C8-C10
D8-D10
5 - 7: Serious
A5-A7
B5-B7
C5-C7
D5-D7
3 - 4: Marginal
A3-A4
B3-B4
C3-C4
D3-D4
Impact/Probability
Impact
Rating
Priorities
1. Pandemic flu
2. Tornado
3. Dirty bomb
Priorities
Perform this exercise for all:
Naturally occurring events
Technological events
Human related events
Events involving hazardous materials
Summary
Assessment of risks is first step in
planning
Helps focus efforts and ensures no
possibilities are missed
Helps prioritize efforts in preparedness