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Published on: January 15, 2017
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US Trauma Center Preparation for a Terrorist Attack in the Community
1Oregon Health and Science University, Portland, OR, 97239, USA. trunkeyd@ohsu.edu.
Summary
Trauma centers are vital for disaster response, but preparedness varies. A survey of 175 centers revealed key vulnerabilities and resource gaps, highlighting the need for broader assessment and improvements in mass casualty incident readiness.
Area of Science:
- Disaster medicine
- Emergency preparedness
- Trauma surgery
Background:
- Post-2001 terrorist attacks, increased federal funding for hospital preparedness.
- Trauma centers played critical roles in the 2001 attacks response.
- Congressional focus on trauma center preparedness for national emergency management.
Purpose of the Study:
- To survey trauma center capability and capacity for mass casualty incidents (MCIs).
- To assess preparedness for terrorism-related catastrophes.
- To identify vulnerabilities and resources within trauma centers.
Main Methods:
- A one-year grant funded a survey of US Level I and II trauma centers.
- Survey R 49 CE000792-01 was distributed by the CDC/NCIPC.
- 175 trauma centers (33% response rate) provided data.
Main Results:
- Results categorized by preparedness scoring, vulnerability, threats, and funding.
- Key areas examined include planning, communication, surge capacity, diversion, sustainability, special populations, and finance.
- Specific findings on resource allocation and identified vulnerabilities were reported.
Conclusions:
- Trauma centers are essential resources for disaster management.
- The survey provided candid insights into the resources and vulnerabilities of 175 centers.
- Expansion of this inventory to all trauma centers is recommended, along with proposed improvements.
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