Suner Selim
Department of Emergency Medicine, The Warren Alpert Medical School of Brown University, USA.
Turk J Emerg Med. 2016 Mar 9;15(Suppl 1):8-10. doi: 10.5505/1304.7361.2015.59365. eCollection 2015 Oct.
Initial stage of a disaster is managed with existing resources. The following stages of disaster response often involve assistance from outside of the disaster zone. This may consist of mutual aid from neighboring communities for small-scale incidents but in major disasters, the response is from federal or international agencies or often both. Rapid needs assessment after an incident is a collaborative effort between responding agencies and local emergency preparedness and health authorities. Ideally, a team from responding agencies with intimate knowledge and experience regarding the capabilities and assets of the responding entity along with local authorities, with decision making capacity, who have knowledge of the community, the limitations of the responding agencies and can obtain near real-time information about the incident and subject matter experts (engineering, medical, law enforcement, etc.) comprise the needs assessment team.
灾难的初始阶段由现有资源进行管理。灾难应对的后续阶段通常需要灾区以外的援助。对于小规模事件，这可能包括邻近社区的互助，但在重大灾难中，响应来自联邦或国际机构，或者通常两者皆有。事件发生后的快速需求评估是响应机构与当地应急准备和卫生当局之间的协作努力。理想情况下，需求评估团队由来自响应机构的团队组成，他们对响应实体的能力和资产有深入了解和经验，同时还有当地当局，这些当局具有决策能力，了解社区情况、响应机构的局限性，并且能够获取有关事件的近实时信息，此外还包括主题专家（工程、医疗、执法等）。
