Hello Mohamad,

I see the major requirements as being 1) safely deploy people and equipment to the site of the emergency, 2) initiate triage and field treatment, 3)coordinate transport of the sick and injured to a tertiary facility, 4) interact with other emergency providers to insure their safety and immediate care

Thanks for asking, look forward to seeing your paper

rich

Hello Dear Richard

Thanks for your precise comments.

If we name the main tasks of EMS as "Function", so according to your comment we can classify  them as follows:

• Safely Deployment
• Field Triage
• Treatment
• Transport
• Coordinate

How about the followings?

• Initial Search and Rescue
• Scene Management

Dear Dr. Moradian

 I agree with you.May be in another word we could name ;

- Command/Comunication Post Deployment

- Scene Assessment

- Search & Rescue

- P. Triage

-Trans I

-Treat I

-S. Triage

-Trans II

-Treat II

- Hospital delivery & Report

- Amb. Re-cycle

... of course these are just for outdoor operation part of EMS .

    Tnx for your Q.

Hello again,

Thanks for adding "search and rescue" that is important espeically in those disasters linked to nature (earthquake, hurricane, tornado, flood, etc.)

Also, Dr. Rastegar's scene assessment is an excellent addition as well

Best wishes,

Rich

Hello,

I'm working in an international disaster response team.

Unfortunately there is always two areas that get easily forgotten but can make such a major difference for the people effected in big or small emergencies (in a "small" car accident or in a big earthquake):

• Disaster Childcare / Childprotection
• Psychological First Aid / Trauma counseling

Dear Colleagues;

Thank you for the interesting thoughts. I agree with the issues above. However, it triggered more questions in my mind. I asked myself; "Is disaster a sudden phenomena? Is it not something unfolding gradually and terminating in a hazard for which the answers above work?" Then I ask colleagues, what kind of early warning systems be integrated into the EMS? Why don't early warning systems do not help before we end up in EMS where complexities make the situation uneasy to manage and respond according to demands of different categories of disaster victims? Thank you so much for the thoughts we share here. 

Hello Filmon

A disaster can be an ongoing problem (prolonged drought for example) that, while serious and requiring a response does not look like an emergency (a spontaneous event with a fixed duration).  Early warning systems are crucial, I think, for both.  Why don't people listen to them?  In many cases here in the US, every event is broadcast as a potential emergency (particularly as it refers to weather) which subsequently only turns out to be an inconvenience.  I think emergency managers are risk averse, not a bad thing unless it turns into a "cry wolf" model in which people no longer pay attention to the alarms or warnings.  Thanks for your interesting viewpoint!

Cheers!

Rich

Hello Dear Colleagues

We have an experience regarding the functions; some of them like early warning system are multidisciplinary on the other hand some others like field triage is dedicated to EMS. There are more specific functions for EMS in the above discussion.