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Chain of Survival in Industrial Emergencies and Industrial Disasters

Published online by Cambridge University Press:  26 August 2020

Punidha Kaliaperumal Open the ORCID record for Punidha Kaliaperumal [Opens in a new window]  and
Tamorish Kole
Punidha Kaliaperumal*
Affiliation:
International Committee of Red Cross (ICRC), Geneva, Switzerland
Tamorish Kole
Affiliation:
Medeor Institute of Emergency Medicine, Medeor Hospitals, Delhi-NCR, India
*
Correspondence and reprint requests to Punidha Kaliaperumal, MBBS, MEM (GWU), EMDM. ER Specialist, International Committee of Red Cross (ICRC), Geneva, Switzerland (e-mail punidhak@gmail.com).
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Abstract

The Chain of Survival in Industrial Emergencies and Disasters is similar to the cardiac arrest chain of survival of the American Heart Association (AHA) and the trauma chain of survival. It is a sequence of five inter-linked rings, which when practiced, decreases the mortality and morbidity in the concerned population. The first ring is Early Prevention, which should be a combined effort of healthcare professionals and industrial authorities. The second ring is Early Recognition. Industrial workers and surrounding communities should be equally trained in hazard and risk analysis along with vulnerability assessment. The third ring is Access to Care by the Early Response System, involving a universal emergency response number and early intervention by on-site trained medical professionals. This ring emphasizes the importance of a link with the surrounding communities, as they are the first responders and the front-line victims. The fourth ring is Early Advanced Care by EMS for transportation to hospitals or by Emergency Department personnel in referral hospitals. The fifth and the last ring is Early Rehabilitation, which includes integrated post emergency care, overall rehabilitation and early return to work. The key to successful implementation of Chain of Survival is to have identified components of care, training and quality monitoring. When practiced diligently, this could help prevent industrial disasters, and mitigate their harmful effects on occurrence.

Keywords

industrial disasterschain of survivaldisaster preventiondisaster mitigationdisastersearly rehabilitationindustrial emergencies
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 1 , February 2022 , pp. 279 - 284
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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