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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 1 (01-10 January)


Hospital Evacuation; Learning from the Past? Flooding of Bangkok 2011


A. Khorram-Manesh1,2*, C. Angthong3, A. Pangma4, S. Sulannakarn5, R. Burivong6, R. Jarayabhand7 and P. Örtenwall1,2

1Prehospital and Disaster Medicine Centre, Gothenburg, Sweden.
2Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
3Department of Orthopedic Surgery, Thammasat University, PathumThani, Thailand.
4Emergency Medical Institute of Thailand (EMIT), Bangkok, Thailand.
5Department of Internal Medicine, Cardiology, Rajvithi Hospital, Bangkok, Thailand.
6Department of Emergency Medicine, Ayutthaya Hospital, Ayutthaya, Thailand.
7Department of Orthopedic Surgery, BhumibolAdulyadei Hospital, Bangkok, Thailand.

Article Information


(1) William Ebomoyi, Department of Health Studies, College of Health Sciences, Chicago State University, Chicago Illinois 60628-1598, USA.


(1) Anonymous.

(2) Ahmadreza Djalali, Università Degli Studi del Piemonte Orientale, Novara, Italy.

(3) Ishmael Norman, University of Ghana, Ghana.

(4) Charles Stewart, University of Oklahoma, USA.

Complete Peer review History: http://www.sciencedomain.org/review-history/2077


Aims: To evaluate hospital evacuation in light of recent hospital evacuations in Bangkok and surrounding areas. This information was compared with results reported in the literature.
Study Design: Retrospective and qualitative.
Place and Duration of Study: Bangkok, Thailand, December 1 to December 11, 2011.
Methodology: Four facilities were included in this study, three hospitals and one “prehospital” facility, each of which had either experienced evacuation or had been receiving facilities during disaster response operations. Data were obtained using questionnaires and interviews to characterize facility backgrounds and capacities. Responses were obtained from one representative of each of the four Thai facilities. The questionnaire was designed for this study following recommendations by an earlier Swedish study that employed “risk and vulnerability analysis” (RVA), and was further adapted according to results of a literature review.
Results: Overall, consistent results in the literature, as well as in the recent Thai disaster experience, about hospital evacuation indicate shortcomings in planning (including training), command and control, communication, support, resources and transportation. Patient safety, transfer of medical data, care and treatment of patients during transportations showed positive outcomes in recent Thai evacuations.
Conclusion: Despite numerous previous findings and recommendations found in the literature, the need exists for continuous improvement in evacuating a hospital, especially in improving planning (coordinated emergency plans and synchronized exercises), leadership, communications and collaboration and implementation of best medical facility response to disasters.

Keywords :

Hospital evacuation; flooding; Bangkok; leadership; recommendations.

Full Article - PDF    Page 395-415

DOI : 10.9734/BJMMR/2014/5059

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