Department of Epidemiology & Public Health
Clinical Research Building
DEEP Center - 10th Floor
1120 NW 14 Street
Miami, FL 33136
UM Locator Code: R-669
Maps & Directions
SURGE SORT SUPPORT: Continuous Integrated Triage
SURGE SORT SUPPORT: Continuous Integrated Triage provides healthcare leaders and practitioners with a systematic set of eight strategies for dealing effectively with mass casualty events. These strategies carefully integrate the medical and psychosocial dimensions of disasters and extreme events. Healthcare leadership is presented with strategic guidance in order to “think behaviorally” about how citizens act and react in disasters. Melding the physical and psychological dimensions of the disaster experience facilitates reality-based planning and preparedness for the true dimensions of hospital and community surge during a catastrophic casualty event.
During catastrophic casualty events, the complexity and magnitude of the “surge” is likely to exceed the numbers of casualties typically included in hospital/health system disaster plans, drills, and simulations. SURGE SORT SUPPORT: Continuous Integrated Triage expands the discussion to include medical and psychological casualties, persons searching for missing loved ones who come to hospitals and community care sites, and family members of the casualties. Additional consideration is given to the predictable distress experienced by hospital inpatients, family members of inpatients, and hospital personnel.
SURGE SORT SUPPORT: Continuous Integrated Triage introduces a novel triage approach for efficiently processing the complex surge of casualties. “Continuous integrated triage” is the only disaster-tested approach that fulfills the five criteria of the ideal mass casualty triage system: 1) rapid, 2) scalable, 3) recurring, 4) integrating medical and behavioral triage, and 5) including criteria for exclusion from care. Coupled with the continuous integrated triage model, SURGE SORT SUPPORT: Continuous Integrated Triage describes the activation and operation of a hospital-based Support Center to process the flow of “psychological casualties” and a hospital-affiliated Family Center to accommodate the “surge of the searching.” SURGE SORT SUPPORT: Continuous Integrated Triage illustrates how continuous integrated triage in tandem with activation of treatment and support sites effectively “expands the healthcare highway.” Using this approach, hospitals are able to handle an influx of disaster survivors larger in number than the total bed capacity of the facility!
SURGE SORT SUPPORT: Continuous Integrated Triage adapts DEEP Center’s SAFETY FUNCTION ACTION framework to the support of both hospital staff (building and maintaining resilience for the workforce) and patients served during a mass casualty incident. This framework is the basis for the portion of the SURGE SORT SUPPORT: Continuous Integrated Triage course described as “Supporting Survivors.” SAFETY FUNCTION ACTION strategies and tactics can be applied by hospital personnel in all treatment sites serving disaster survivors.
SURGE SORT SUPPORT: Continuous Integrated Triage is designed for presentation to hospital and community-based healthcare professionals. The leadership focus specifically targets health system corporate officers, division directors, department heads, and others with leadership roles. However, audience members who will find value in this course include all healthcare professionals who will have a response role during disasters, disease outbreaks, pandemics, and other mass casualty events. Administrators of all types, medical personnel, safety and security personnel, and psychosocial professionals will find value in this course. With cross-discipline, all-hazards training as a national priority, SURGE SORT SUPPORT: Continuous Integrated Triage is also highly relevant for pre-hospital responders (paramedics, EMTs, fire/rescue personnel), all ranks of first responders, public health professionals, and mental/behavioral health professionals.
Typical class size: 30-100 participants (No upper limit.)
During 2009, the Florida Department of Health is funding 20 sessions of SURGE SORT SUPPORT: Continuous Integrated Triage training throughout Florida. DEEP Center funding from the Florida Department of Health originates from the Centers for Disease Control and Prevention (CDC) and the Office of the Assistant Secretary for Preparedness and Response (ASPR).
Florida Department of Health funding for the DEEP Center is used to support training conducted for public health professionals and their community preparedness and response partners and training for hospital-based health professionals and their community partners in the State of Florida.
Additional trainings are being conducted in other states upon request for audiences including public health, mental health, healthcare, public safety, and law enforcement professionals.
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