National Journal of Emergency Medicine
Volume 1 | Issue 3 | Year 2023

In-hospital Disaster Management: Strategies, Challenges, and Innovations-with a Focus on the Role of Emergency Departments

Mamta Madhiyazhaganhttps://orcid.org/0000-0001-9163-6212

Department of Emergency Medicine, Ng Teng Fong General Hospital, Jurong East, Singapore

Corresponding Author: Mamta Madhiyazhagan, Department of Emergency Medicine, Ng Teng Fong General Hospital, Jurong East, Singapore, Phone: +8870891659, e-mail: drmamta.91@gmail.com

How to cite this article: Madhiyazhagan M. In-hospital Disaster Management: Strategies, Challenges, and Innovations-with a Focus on the Role of Emergency Departments. Natl J Emerg Med 2023;1(3): 86–87.

Source of support: Nil

Conflict of interest: None

Keywords: Disaster, Emergency department, In-hospital, Strategy.


Disasters, whether natural or man-made, can significantly strain the resources and capabilities of healthcare facilities. This article explores the intricate landscape of in-hospital disaster management, delving into the strategies, challenges, and innovative approaches employed within healthcare settings.

Integration of Emergency Departments (EDs) in Disaster Management

Emergency departments are often the frontline of response during disasters, serving as the initial point of contact for those seeking medical attention. Their integration into the broader disaster management framework is crucial. This involves aligning ED protocols with the overarching hospital incident command structure, ensuring seamless communication, and specialized training for ED staff in disaster response.

Disaster Management Framework

To understand the dynamics of in-hospital disaster management, it’s crucial to grasp the foundational framework that guides these efforts. The Incident Command System (ICS) serves as a cornerstone, facilitating organized and efficient response strategies within hospital settings. The adaptation of the Hospital Incident Command System (HICS) to address the unique challenges posed by disasters within healthcare institutions.1

Preparedness Strategies

Effective disaster management begins with meticulous preparedness. Hospitals must develop comprehensive plans encompassing personnel training, resource stockpiling, and communication protocols. The intricacies of preparedness strategies, emphasise the importance of drills, simulations, and continuous training to ensure a well-coordinated response when disaster strikes.

Response and Resource Management

The immediate aftermath of a disaster demands swift and well-coordinated responses. This section delves into the challenges of patient triage, resource allocation, and the utilization of cutting-edge technologies for real-time monitoring and decision-making. Case studies and examples highlight successful response strategies and the importance of adaptability in the face of evolving situations.2

Patient Surge and Triage

One of the primary challenges during disasters is the sudden influx of patients. Emergency departments are at the forefront of managing patient surges, requiring effective triage systems to prioritize care based on the severity of injuries or illnesses.3 Strategies for optimizing patient flow, bed capacity, and staff allocation become critical aspects of ED disaster preparedness.

Supply Chain Resilience

Disasters can disrupt supply chains, impacting the availability of essential medical resources. Emergency departments must establish resilient supply chain management, ensuring a continuous inventory of medications, medical equipment, and consumables.4 Collaboration with suppliers and contingency planning are essential to address potential disruptions.

Communication Challenges

Communication breakdowns can exacerbate the chaos during a disaster. Hospitals face unique challenges in maintaining effective communication channels. Whether dealing with overwhelmed communication networks or the need for secure and private channels, this section explores the various communication challenges inherent in in-hospital disaster management.4

Psychosocial Support and Staff Resilience

Beyond the physical impact, disasters take a toll on the mental and emotional well-being of healthcare workers. This section emphasizes the importance of psychosocial support systems for staff and explores initiatives aimed at building resilience within hospital teams, ensuring sustained effectiveness during prolonged disaster scenarios.5

Technological Innovations

The integration of technology in disaster management has ushered in new possibilities. From telemedicine solutions to data analytics for resource optimization, this section examines the role of technological innovations in enhancing hospital disaster management capabilities. Telemedicine plays a transformative role in disaster response within EDs. It enables remote consultations, allowing medical professionals to assess and provide guidance to individuals in remote or inaccessible locations.6 Telemedicine also facilitates real-time communication between EDs and other healthcare units, enhancing coordination and information exchange.

Global Perspectives and Collaborative Approaches

Disasters do not respect borders, and healthcare facilities worldwide share common challenges. This section provides a global perspective, comparing in-hospital disaster management approaches across different countries. Emphasis is placed on the importance of collaborative initiatives and information sharing on an international scale.7


In conclusion, effective in-hospital disaster management requires a multifaceted approach that addresses the unique challenges within healthcare settings. Emergency departments stand as critical pillars in the in-hospital disaster management framework. By addressing challenges related to patient surge, supply chain resilience, communication infrastructure, and embracing innovative approaches like telemedicine, EDs contribute significantly to the overall resilience of healthcare institutions. Through ongoing training, collaboration, and a commitment to global cooperation, emergency departments play an indispensable role in safeguarding public health during times of crisis.


Mamta Madhiyazhagan https://orcid.org/0000-0001-9163-6212


1. Cristian B. Hospital resilience: A recent concept in disaster preparedness. J Crit Care Med (Targu Mures) 2018;4(3):81–82.DOI: 0.2478/jccm-2018-0016.

2. Khan Y, O’Sullivan T, Brown A, et al. Public health emergency preparedness: A framework to promote resilience. BMC Public Health 2018;18:1344.DOI: https://doi.org/10.1186/s12889-018-6250-7.

3. Manoj BS, Baker HA. Communication challenges in emergency response. Commun ACM 2007;50(3):51–53.DOI: 0.1145/1226736.1226765.

4. Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: A narrative review of the literature and practical recommendations. Int J Clin Pract 2015;69(11):1257–1267.DOI: 0.1111/ijcp.12686.

5. Williams R, Drury J. Psychosocial resilience and its influence on managing mass emergencies and disasters. Psychiatry 2009;8(8): 293–296.DOI: 0.1016/j.mppsy.2009.04.019.

6. Lakbala P. Hospital workers disaster management and hospital nonstructural: A study in bandar abbas, Iran. Glob J Health Sci 2015;8(4):221–226.DOI: 0.5539/gjhs.v8n4p221.

7. Melnychuk E, Sallade TD, Kraus CK. Hospitals as disaster victims: Lessons not learned? J Am Coll Emerg Physicians Open 2022;3(1): e12632.DOI: 0.1002/emp2.12632.

© The Author(s). 2023 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.