Disaster management in
Dr Omesh Khurana
Director I/C ,
Medical and health services,
Durgapur Steel Plant, Durgapur
Paradigm shift in Disaster Management
Disaster Management Act,2005
What is Hazard ?
• A hazard is a situation that poses a level of
threat to life, health, property ,or environment
• A hazardous situation that has come to pass is
called an incident
• Hazard and vulnerability interact together to
What is risk?
Exposure to the possibility of loss, injury, or
other adverse or unwelcome circumstance.
What is Vulnerability ?
The degree of fragility of a person, a group, a
community or an area towards defined
– Economic loss
Risk : hazard
• eg.“classical “ SHE-hazards
Network hazards • eg. failure of supplies, transportation.
Environmental • eg. natural hazards
• eg. densely populated areas/buildings
Terrorist threats • eg. plant vulnerability, neighbourhood
Prevention and control of risks
• Minimise hazards ( “Inherent Safety”)
safety measures • Engineering / Security
“Prevention is the best remedy”
Internal • eg. training, drills
External • Towards customers, authorities
Bhopal Gas Disaster
• December 3, 1984
• Toxic gases leaked from the MIC containing
tank, forcing the emergency release of
• About nine thousand people died
Disaster Management experiences in
Oxygen for mass casualties !
• Provision of gas masks for the staff to render
Prepare for CO gas leakage
CO Breath Analyzer
What may go wrong?
What would be the Start
How it may go
Hazard identification wrong?
Quantitative hazard Probabilistic hazard
How likely its
assessment assessment occurrence?
development Fault tree for the Fault tree What maintenance
envisaged scenario development
reduce its likelihood
Consequences of occurrence?
Fault tree analysis
Risk estimation measures and re-
No Suggest maintenance
is in acceptance? measures to control
Incident Command System
Operation Planning/ Organize various emergency functions
Plant Control in a standardized manner while
responding to any disaster
• Communication of messages
• Training of personnel
• Defined roles and responsibilities
• SOP(standard operating procedures)
• Regular mock drills
Training of First and Key responders to build an effective alert system
Disaster Flow of communication
Transportation , logistic support
Emergency Main Hospital
OT Staffs Teams Bank
ITU Radiology Supt.
Regular training on handling
large number of patients
Medical Preparedness and
Mass Casualty Management
• 3 T’s- Triage, Treat, and Transfer
• Triage- carried out by acquainted personnel
• Treat-right treatment is made available for the
right patient at the right time
• Transfer- organizing and prioritizing the
transport of patients to the hospital