Força Nacional do Sistema Único de Saúde (FN-SUS)

A Força Nacional do Sistema Único de Saúde (FN-SUS) é um programa de cooperação criado em novembro de 2011, voltado à execução de medidas de prevenção, assistência e repressão a situações epidemiológicas, de desastres ou de desassistência à população quando for esgotada a capacidade de resposta do estado ou município.

Intervención y salud mental en desastres: capacitación para la actuación de profesionales de la psicología en la gestión de riesgos y desastres / Intervention and Mental Health in Disasters: Training for the Psychologist' Intervention in Risk and Disaster Management

En 2016, el Consejo Federal de Psicología de Brasil emitió nota técnica sobre los requerimentos éticos y técnicos para una intervención competente de la psicología en la gestión integral de emergencias y desastres, acorde con la política de protección y defensa civil. El objetivo del presente artículo es evaluar el curso de intervención y salud mental en desastres, elaborado por el Centro Universitario de Estudios e Investigaciones sobre Desastres de Paraná (CEPED/PR), destinado a capacitar profesionales de la psicologia, especialmente a aquellos que actúan en la red de salud pública municipal y estatal, para intervenir en situaciones de riesgos y desastres. Fue por el Centro Universitario de Estudios e Investigaciones sobre Desastres de Paraná. Este proyecto piloto fue promovido por el CEPED/PR y el Consejo Regional de Psicología y se realizó en las ciudades paranaenses de Curitiba, Maringá, Londrina y Cascavel, entre septiembre y noviembre de 2017

In 2016, the Federal Council of Psychology of Brazil issued a Technical Note on the Ethical and Technical Requirements for a competent intervention of Psychology in comprehensive management of emergencies and disasters, in accordance with the Protection and Civil Defense Policy. The objective of this article is to evaluate the course of intervention and mental health in disasters, prepared by the University Center for Studies and Research on Paraná Disasters (CEPED / PR), aimed at training psychology professionals, especially those acting in the municipal and state public health network, to intervene in situations of risks and disasters. This pilot project was promoted by CEPED / PR and the Regional Council of Psychology and was carried out in the Paraná cities of Curitiba, Maringá, Londrina and Cascavel, between September and November 2017

Saúde Mental e Apoio Psicossocial em Emergências Humanitárias: uma análise crítica entre políticas e práticas atuais de assistência / The Political Economy of Mental Health and Psychosocial Support in Humanitarian Emergencies a critical analysis of current practices

Existe uma tensão extraordinária no sistema humanitário: crises e emergências atingem cada vez mais povos, duram mais e são gradativamente mais complexas. As consequências dos conflitos armados e desastres socioambientais para a saúde mental e bem-estar psicossocial de indivíduos e povos, bem como para a ecologia social e os recursos comunitários significativos, já são reconhecidas e continuamente pesquisadas. Esta tese, a seu turno, explora as práticas e políticas do setor de Saúde Mental em emergências humanitárias e toma como ponto de partida analítico o desenvolvimento das Diretrizes do Comitê Permanente Interagências (IASC) em Saúde Mental e Apoio Psicossocial (SMAPS) em emergências humanitárias, lançadas no ano de 2007, assim como sua subsequente disseminação e configuração de governança, além de sua influência sobre projetos e instituições. As diretrizes IASC representam um marco lógico de importante contribuição para o setor de ajuda humanitária, no entanto, ainda constituem um campo de várias disputas e paradoxos, não só na área das referências teóricas e práticas em SMAPS em emergências humanitárias, como também relativamente à sua inserção em uma economia-política do setor de ajuda humanitária paradoxal nos princípios humanitários e éticos. Essa inserção molda as características particulares do funcionamento das Diretrizes e influencia a maneira como se produzem práticas e políticas. Fundamentando-se na pesquisa-ação, nas experiências do autor, o qual atuou como psicólogo na linha de frente em crises humanitárias na Líbia, Gaza, Síria, Timor-Leste e outros contextos, e em entrevistas com atores internacionalmente renomados e responsáveis pela elaboração e gestão de políticas internacionais do setor global de SMAPS, esta tese examina esse processo em detalhe, considerando o desenvolvimento e evolução das Diretrizes IASC de SMAPS e como, atualmente, a área de SMAPS se configura no interior da economia-política do setor humanitário. Mais explicitamente, analisam-se as maneiras como o discurso e a prática do setor de SMAPS são transformados pela estrutura humanitária que ele engendra. Desse modo, e por meio da discussão de todos esses elementos, este trabalho objetiva realizar uma revisão de elementos que influenciam e permitem o desenvolvimento de assistência humanitária seja cooptada em formas particulares que se articulam a interesses não humanitários, moldando substancial e prejudicialmente os projetos de SMAPS em emergências humanitárias ao redor do mundo

There is extraordinary strain placed on the humanitarian system. Crises and emergencies are occurring more often, affecting more people, and in contexts of increasingly complexity. The impacts of conflict and disaster on mental health as well as on the social ecology and community resources needed for coping and recovery are very well documented. This research explores the politics of mental health and psychosocial programmes in humanitarian settings, and its analytical starting point is the development of the Interagency Standing Committee (IASC) Guidelines on Mental Health and Psychosocial Support (MHPSS) in Emergencies settings launched in the year of 2007. The research explores how the field was developed, its structural governance, trying to explore the political economy configuration of humanitarian organizations providing MHPSS in its discourses, practices and impact. It is demonstrated the MHPSS IASC guidelines unprecedent contribution to the field, however it shows how it is affected by the political economy of aid that it is fundamentally part of. This structural political economy shapes the field and influences the way SMAPS is provided. Using action research, the author\'s own experiences responding to several humanitarian crises for more than 14 years, and interviews with well-known global MHPSS policy makers, this thesis examines this process in detail, considering how the development of the guidelines has developed and evolved, and how the area currently shapes in the political economy of aid. More explicitly, it analyzes the ways in which the discourse and practice of the MHPSS field are transformed by the humanitarian structure it engenders. Despite the field achievements, action research illustrates that this process allows the development of MHPSS response to be co-opted in particular ways that articulate non-humanitarian interests, substantially and harmfully influencing the MHPSS responses

Atención odontológica a damnificados del terremoto 16 de abril de 2016: impacto en la formación de estudiantes de odontología / Dental care to the victims of the earthquake on April 16, 2016: impact on the formation of dental students

Introducción: los estudiantes y profesores de la carrera de Odontología desarrollaron un proceso de atención a los albergados del terremoto del 16A en Manabí Ecuador. Objetivos: identificar las necesidades de atención odontológica, valorar el grado de consolidación de las competencias profesionales y fomentar valores en el marco de la actividad formativa de los estudiantes. Métodos: se realizó un estudio descriptivo de corte transversal con los estudiantes y pacientes involucrados. Los estudiantes realizaron un diagnóstico de necesidades odontológicas y brindaron atención requerida. Se realizó una encuesta diseñada para valorar el grado de consolidación de las competencias profesionales de los estudiantes. Resultados: la población pediátrica representó el 43 por ciento, la adulta el 57 por ciento El COP-D en población adulta fue de 8,6, el ceo-d fue de 1,56, el índice de higiene oral simplificado fue 1,42. El 60 por ciento de los tratamientos en la población adulta fueron restauraciones, en edad pediátrica se realizaron 344 tratamientos. El 67 por ciento consideró muy útil la consolidación de sus competencias especialmente en el diagnóstico y en actividades de periodoncia. Conclusiones: los estudiantes brindaron atención odontológica a la población albergada después del terremoto e identificaron sus necesidades de salud, lo que permitió fortalecer áreas de competencias, valores de solidaridad, responsabilidad y humanismo(AU)

Introduction: The students and professors of the Dental Surgery major developed a process of attention to the victims of the April 16 earthquake in Manabí Ecuador. Objectives: To identify the needs of dental care, to assess the degree of consolidation of professional skills and to promote values ​​within the framework of the training activity of students. Methods: A descriptive, cross-sectional study was conducted with the students and patients involved. The students made a diagnosis of the dental needs and provided the required attention. A survey was conducted, as designed to assess the degree of consolidation of students' professional competences.Results: The pediatric population represented 43 percent and the adult population, 57 percent. The COP-D in the adult population was 8.6, the CEO-D was 1.56, the simplified oral hygiene index was 1.42. 60 percent of the treatments in the adult population were restorations, in pediatric age there were 344 treatments. 67 percent of the participants considered it very useful to consolidate their skills, especially in diagnosis and periodontal activities. Conclusions: The students provided dental care to the population sheltered after the earthquake and identified their health needs, which allowed to strengthen areas of competence, values ​​of solidarity, responsibility and humanism(AU)

Simulacro de Actuación de las Unidades Operativas NRBQ / Training exercise of CBN Operating Units

Antecedentes: Ante la creciente amenaza terrorista, la mayoría de los países han creado Unidades Operativas especializadas en la lucha contra armas de destrucción masiva (ADM). Uno de los puntos críticos en un incidente bioterrorista es la detección e identificación precoz de estos agentes, para lo cual es imprescindible realizar una adecuada toma de muestras, conservación, transporte y custodia de las mismas hasta el laboratorio de referencia. Objetivo: Valorar el entrenamiento de las Unidades de toma de muestras NBQ mediante la realización de simulacros. Lugar de realización: Área de Defensa Biológica del Instituto Nacional de Técnica Aeroespacial «Esteban Terradas» (INTA). Diseño: Se presenta la preparación y desarrollo de un ejercicio de entrenamiento de los Equipos de Reconocimiento (RECO) y de Muestreo e Identificación de Agentes Biológicos, Químicos y Radiológicos (SIBCRA en inglés) del Regimiento de la Defensa NBQ Valencia I (RGTO DNBQ Valencia I). Resultados: Se obtienen muestras NBQ y se evalúa la eficacia de la operativa de la toma de muestras, transmisión de los datos y coordinación general del ejercicio (AU)

Antecedents: Due to the merging terrorist threat, most of the countries have created specialized operating units to fight weapons of mass destruction. One of the critical points in a bioterrorist incident is the early detection and identification of these agents. In this sense, it is essential to perform appropriate procedures for sampling, storage, transportation and custody of them until the reference laboratory. Objective: to train the different NBC Units by means of simulacrums. Place of performance: Biological Defense Area of the National Institute of Aerospace Technique "Esteban Terradas" (INTA). Design: This paper shows the preparation and development of a training exercise of Reconnaissance teams (RECO) and Sampling and Identification of Biological, Chemical and Radiological Agents teams (SIBCRA) from NBC Defense Regiment Valencia I. Results: NBQ samples are obtained and the efficiency of the operations, sampling, data transmission and general coordination of the exercise is evaluated (AU)

Atención odontológica a damnificados del terremoto 16 de abril de 2016: impacto en la formación de estudiantes de odontología / Dental care to the victims of the earthquake on April 16, 2016: impact on the formation of dental students

Introducción: los estudiantes y profesores de la carrera de Odontología desarrollaron un proceso de atención a los albergados del terremoto del 16A en Manabí Ecuador. Objetivos: identificar las necesidades de atención odontológica, valorar el grado de consolidación de las competencias profesionales y fomentar valores en el marco de la actividad formativa de los estudiantes. Métodos: se realizó un estudio descriptivo de corte transversal con los estudiantes y pacientes involucrados. Los estudiantes realizaron un diagnóstico de necesidades odontológicas y brindaron atención requerida. Se realizó una encuesta diseñada para valorar el grado de consolidación de las competencias profesionales de los estudiantes. Resultados: la población pediátrica representó el 43 por ciento, la adulta el 57 por ciento El COP-D en población adulta fue de 8,6, el ceo-d fue de 1,56, el índice de higiene oral simplificado fue 1,42. El 60 por ciento de los tratamientos en la población adulta fueron restauraciones, en edad pediátrica se realizaron 344 tratamientos. El 67 por ciento consideró muy útil la consolidación de sus competencias especialmente en el diagnóstico y en actividades de periodoncia. Conclusiones: los estudiantes brindaron atención odontológica a la población albergada después del terremoto e identificaron sus necesidades de salud, lo que permitió fortalecer áreas de competencias, valores de solidaridad, responsabilidad y humanismo(AU)

Introduction: The students and professors of the Dental Surgery major developed a process of attention to the victims of the April 16 earthquake in Manabí Ecuador. Objectives: To identify the needs of dental care, to assess the degree of consolidation of professional skills and to promote values ​​within the framework of the training activity of students. Methods: A descriptive, cross-sectional study was conducted with the students and patients involved. The students made a diagnosis of the dental needs and provided the required attention. A survey was conducted, as designed to assess the degree of consolidation of students' professional competences.Results: The pediatric population represented 43 percent and the adult population, 57 percent. The COP-D in the adult population was 8.6, the CEO-D was 1.56, the simplified oral hygiene index was 1.42. 60 percent of the treatments in the adult population were restorations, in pediatric age there were 344 treatments. 67 percent of the participants considered it very useful to consolidate their skills, especially in diagnosis and periodontal activities. Conclusions: The students provided dental care to the population sheltered after the earthquake and identified their health needs, which allowed to strengthen areas of competence, values ​​of solidarity, responsibility and humanism(AU)

Estudio exploratorio sobre nivel de preparación del personal sanitario en Defensa NBQ / Exploratory study on preparedness level of health personnel in NBC Defense

Introducción. El personal sanitario debe estar preparado para poder intervenir con eficacia en un incidente NBQ. El objetivo principal de este estudio exploratorio era conocer el nivel de preparación del personal sanitario que trabajaba en el ámbito militar ante incidentes NBQ en general, y químico en particular. Material y métodos: Se realizó un estudio descriptivo transversal mediante un cuestionario autoadministrado en una muestra de 348 oficiales del Cuerpo Militar de Sanidad (50,6% médicos y 49,4% enfermeros) de los que el 71,8% eran mujeres. Resultados: El 68,4% habían recibido formación especifica de Defensa NBQ durante su periodo de formación militar técnica, y el 23% la habían recibido fuera del ámbito militar. El 95,4% consideraban necesario recibir formación en defensa NBQ y el 89,3% no se consideran preparados para intervenir en un incidente NBQ. Dentro de los empleos de la muestra estudiada son los tenientes y capitanes los que muestran más interés en recibir formación. Discusión: A la vista de los resultados obtenidos parece que las actividades formativas no son suficientes para alcanzar la capacidad de intervención en incidentes NBQ. Conclusiones: Los empleos de teniente y capitán son los que refieren una mejor preparación para intervenir con eficacia frente a un incidente NBQ. Se deduce una necesidad en la preparación del personal sanitario por lo que se debe de establecer un sistema de capacitación sanitaria de defensa NBQ (AU)

Introduction: Health workers should be prepared to intervene effectively in a CBRN incident. The aim of this work is to know the preparedness level of health workers who work in NBC incidents in general, and chemical in particular, in military environment. Material and methods: A cross-sectional descriptive study was carried out using a self-administered questionnaire in a sample of 348 officers of the Military Health Corps (50.6% of physicians and 49.4% of nurses), of which 71.8% were women. Results: 68.4% had received specific training of CBRN defense during their military technical training, and 23% had received training in NBC Defense outside. 95.4% they considered necessary to receive training in NBC defense. 89.3% are not considered ready to intervene in a CBRN incident. Within the military ranks of the sample studied are lieutenants and captains who show more interest in receiving training. Discussion: In view of the results obtained, it seems that the training activities are not enough to reach the capacity of intervention in incidents NBC. Conclusion: The positions of lieutenant and captain are those that refer to a better preparation to intervene effectively against an NBC incident. It follows that there is a need for the preparation of health workers, which is why a NBC defense health training system should be established (AU)

Estudio exploratorio de percepción del riesgo NBQ en personal sanitario / Exploratory study on NBC risk perception of health personnel

Introducción. A partir del atentado de Tokio en 1995 y de la crisis de los sobres en 2001, se observa un cambio en la percepción del riesgo NBQ entre los profesionales sanitarios. Un objetivo secundario del estudio era estudiar el nivel de percepción del riesgo NBQ entre los médicos y enfermeros militares. Material y Métodos. Se realizó un estudio exploratorio descriptivo transversal basado en un cuestionario autoadministrado dirigido a la población de médicos y enfermeros militares (348 oficiales del Cuerpo Militar de Sanidad -50,6% médicos y 49,4% enfermeros). Resultados. El 74,7% de los participantes consideraban como probable que se produjera un incidente NBQ en los próximos cinco años. El 78,7% consideraba que se vería implicado. El 42,7% consideraban que el entorno seria militar, mientras que el 24,5% consideraban que lo seria en entorno civil. En torno al 30% de los pertenecientes al Órgano Central y la Armada consideraban como más probable el escenario biológico. Discusión: Se observa una elevada percepción del riesgo NBQ entre el personal sanitario militar, fundamentalmente entre los menores de 30 años, siendo más marcada esta percepción en los hombres que en las mujeres. En relación al empleo militar, el personal con empleos de teniente y coronel son los que referían una mayor percepción del riesgo. Mientras que los tenientes coroneles, fundamentalmente médicos y destinados en el Órgano Central,consideraban que no se verían implicados profesionalmente en un incidente NBQ. Conclusiones: Existe una elevada percepción del riesgo NBQ entre el personal sanitario militar, fundamentalmente entre los tenientes y menores de 30 años. Hecho que se ve corroborado con la idea de la implicación profesional en incidentes NBQ en un futuro (AU)

Introduction. Since the Tokyo terrorist attack in 1995 and the Amerithrax in 2001, there has been a change in the perception of NBC risk among health professionals. A secondary objective of was to evaluate NBC risk perception among military health personnel. Material and Methods. It was made a descriptive cross-sectional study based on a self-administered questionnaire addressed to the population of medical and military nurses (348 348 officials of Health Branch -50,6% physicians and the 49,4% nurses. Results. The 74,7% considered as a possible that occurred a NBC incident in the next five years. The 78,7% considered that would be involved. The 42,7% considered that the incident will be military, while the 24,5% considered that it will be in civil area. Around 30% of personnel enlisted at the DoD (Central Organ) and the Navy considered that the biological scenario was the most probable. Discussion: A high perception of NBC risk is observed among the military health personnel, mainly among those under 30 years, a tendency stressed more in men than in women. Regarding the military employment, lieutenant and colonel are those reporting a greater perception whereas the physicians’ lieutenant colonel thought they would not be involved professionally in a NBC incident. Conclusions: There is a high perception of CBRN risk among the military medical personnel, mainly among lieutenants and those under 30 years old. This fact is corroborated by the idea of professional involvement in CBRN incidents in the future (AU)

Centro de Conhecimento em Saúde Pública e Desastres

Site que integra o Centro de Estudos e Pesquisas em Emergências e Desastres em Saúde (Cepedes), compila material sobre saúde em emergências e desastres, tais como: políticas de saúde, mitigação de riscos, preparação e resposta do setor de saúde para casos de emergências e desastres, além de aspectos de reabilitação e reconstrução e alianças e assistência internacional. Sua referência é o site do Centro de Conhecimento em Saúde Pública e Desastres da Organização Pan-Americana da Saúde (Opas) (disponível em espanhol e em inglês).

Curso extracurricular de primeros auxilios a estudiantes de medicina para el aprendizaje de socorrismo / First aids extracurricular course to medicine students for rescuing learning

Se efectuó un estudio descriptivo y transversal de 62 estudiantes de medicina, quienes asistieron a cursos extracurriculares en la sede de la Cruz Roja provincial de Santiago de Cuba, a fin de aprender a ejecutar primeros auxilios para salvar vidas, así como complementar su formación de actitudes y valores. Se realizaron 3 cursos (2 en el 2014 y uno en el 2015) con 20 horas cada uno, de 5:00 a 9:00 pm. De los alumnos matriculados, concluyeron con la ejecución de un examen final teórico-práctico 55 (88,7 por ciento); 36 cubanos y 19 extranjeros. Aquellos que aprobaron dicho examen recibieron certificados que les acreditarían como entrenados en primeros auxilios básicos y les permitirían trabajar como socorristas voluntarios en casos de desastre(AU)

A descriptive and cross-sectional study of 62 medicine students who attended extracurricular courses in the provincial Red Cross office in Santiago de Cuba, was carried out in order to learn how to carry out first aids to save lives, as well as to supplement their training for attitudes and values. Three courses were carried out (2 in 2014 and one in 2015) with 20 hours each one, from 5:00 to 9:00 pm. Of the registered students, 36 Cubans and 19 foreigners concluded the theoretical-practical final exam (88.7 percent). Those that passed this exam received certificates that would credit them as trained in basic first aids and would allow them to work as voluntary rescuers in cases of disaster(AU)

El delito de omisión del deber de socorro cometido por un profesional sanitario. Análisis de una reciente sentencia. (T.S. 22/10/2.015, Sala Segunda). (El caso del médico de urgencias que llamó al 112) / No disponible

No disponible

La construcción y evolución del concepto de catástrofe-desastre en medicina y salud pública de emergencia / The construction and development of the concept catastrophe-disaster in emergency medicine and public health

Los términos catástrofe y desastre son ampliamente utilizados en Medicina y Salud Pública de Emergencia. Aún así, hasta hace pocos años no hemos dispuesto de definiciones universalmente aceptadas para ambos fenómenos. Este texto examina los diferentes enfoques usados para definir la catástrofe y/o el desastre en las últimas décadas, así como su evolución y la de sus elementos constituyentes. Desde el enfoque inicial surgido en los 80 en el ámbito de las Ciencias Sociales de predominio de una visión centrada en los desastres naturales y la introducción de la dimensión de sus impactos psicológicos, hasta la extensión del concepto en los 90 con la introducción de los elementos del riesgo, la amenaza y la vulnerabilidad dando lugar a la visión actual de un abordaje del desastre basado en la idea de la reducción del riesgo de desastre (RRD) y la Estrategia Internacional de Naciones Unidas para la Reducción de Desastres

The terms catastrophe and disaster are widely used in Emergency Medicine and Public Health. Nevertheless, until recently it has not been available an universally accepted definition for both phenomena. This paper examines different approaches used in the last decades to define the catastrophe and/or disaster concepts, as well as its evolution and its constituent elements. From the initial approach emerged in the 80 in the field of Social Sciences with the predominance of a natural disasters centered vision and the introduction of the dimension of the psychological impacts, to the extent of the concept in the 90s with the introduction of elements of threat, risk and vulnerability leading to the current view of the disaster an approach based on the idea of disaster risk reduction (DRR) and the International United Nations Strategy for Disaster Reduction

Composição de um grupo de trabalho de apoio às equipes da rede básica de saúde: análise em uma situação de desastre / Composition of a working group support teams of basic health network analysis in a disaster situation

Os Grupos de Trabalho (GT) e a Função Apoio são importantes dispositivos desenvolvidos pela Política Nacional de Humanização (PNH). Em situações de desastre, como o incêndio na boate Kiss que vitimou 242 jovens, em Santa Maria/RS, esses dispositivos são essenciais. Este artigo objetiva analisar a composição do GT nomeado Atenção Básica e Redes (GT ABR), que apoiou a Atenção Básica no contexto de desastre em Santa Maria. Foram analisados, via Análise de Conteúdo, entrevistas semiestruturadas com profissionais que coordenaram o grupo e os relatórios que descreviam as atividades diárias do GT. Foram encontradas seis categorias: identificação de experiência teórico-prática dos sujeitos; o "entre" na organização do processo de trabalho, concepção de apoio; lateralidade das relações; cogestão; formação-intervenção. Conclui-se que o GT ABR operou a partir dos conceitos da PNH, além de organizar coletivos para produção de saúde e promover impacto no sistema de saúde de Santa Maria.(AU)

The Working Groups (WG) and the support function are important devices developed by the National Humanization Policy (PNH). In disaster situations, such as the fire at Kiss nightclub that killed 242 young people in Santa Maria / RS, these devices are essential. This article aims to analyze the composition of the GT named Primary and Networks (GT ABR), which supported the Primary Care in the disaster context in Santa Maria. Were analyzed via content analysis, semi-structured interviews with professionals who coordinated the group and reports describing the daily activities of the GT. We found six categories: identification of theoretical and practical experience of subjects; the "between" in the organization of the work process, design support; lateral relations; co-management; training intervention. It follows that the GT ABR operated from the concepts of PNH, and organize collective health to promote production and impact in the health system of Santa Maria.(AU)

Hospitals don't burn! Hospital Fire Prevention and Evacuation

[Introduction]. This guide was created to address the vulnerability of hospitals to fires. All possible steps should be taken to minimize the hazard of fires in hospitals and to stress the need for evacuation. Hospitals Don’t Burn! Hospital Fire Prevention and Evacuation Guide is applicable to existing hospitals that can be retrofitted to improve safety against fires as well as proposed or newly built facilities. The document is formatted into four main sections, namely: Prevention, Suppression, Evacuation, Evacuation Training Drills. The primary aim of a hospital facility is to not evacuate patients unless absolutely necessary. Hence, special attention should be focused on proper prevention and suppression techniques to avoid this worst-case scenario. That being said, evacuation training and preparedness is of paramount importance to avoid and/or minimize loss of life. Section 3 provides a guide on hospital evacuation. It is not a fixed plan that completely details the tasks and responsibilities of each member of the evacuation team. Indeed, the components and personnel suggested in this guide may vary depending on the particular hospital for which the evacuation plan is being developed.