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Fatality Management

Capability 5: Fatality Management

Definition: Fatality management is the ability to coordinate with other organizations (e.g., law enforcement, healthcare, 
emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, 
tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/
behavioral health services to the family members, responders, and survivors of an incident.
 
Functions and Associated Performance Measures: This capability consists of the ability to perform the functions listed below. 
At present there are no CDC-defined performance measures for these functions.
Function 1: Determine role for public health in fatality management
Function 2: Activate public health fatality management operations
Function 3: Assist in the collection and dissemination of antemortem data
Function 4: Participate in survivor mental/behavioral health services
Function 5: Participate in fatality processing and storage operations

Fatality Management: Online Trainings

 Responding to a Crisis: Managing Emotions and Stress Scenario [1]
This adaptive scenario covers concepts of Psychological First Aid in responding to disasters. The user makes decisions about how to respond to the emotional needs of disaster victims and volunteers. This course is intended for the public health workforce, as well as anyone involved in post-disaster recovery. Because the training is an adaptive scenario, with an embedded training needs assessment, the user will only receive training based on what he or she doesn't know.

 

 Volunteer Training: Stress Management [2]   
A disaster is a traumatic event for members of the affected community, and can have a negative impact on mental health. It is not only victims who can suffer from traumatic stress. Emergency responders can suffer from it as well. It is vital for individuals involved in the emergency response to manage their stress to whatever degree possible, in order to maintain the safety of themselves and others as they carry out their duties during the event, perform their duties effectively, and to minimize the risk of developing any long-term psychological problems after the event. The goal of this 15-minute training course is to explain how a traumatic event effects people, familiarize you with the symptoms of traumatic stress, both during the event and afterwards, and to provide you with methods to manage your stress, on-site, immediately after the event, and once you return to your everyday life.

 

 Effect of Disasters on Mental Health: Awareness Level [3]   
This course is intended for anyone who will come into professional contact with disaster victims, including DMAT, hospital workers, EMTs, primary care providers and public health workers. There are three modules in this course: Module 1: Disaster, Trauma and Proximity to the Event, Module 2: Psycho-Physiology of Trauma and Fear, and Module 3: Tools for Understanding.

 

 Effect of Disasters on Mental Health: Technical Level [4]   
This course is intended for anyone who will come into professional contact with disaster victims, including DMAT, hospital workers, EMTs, primary care providers and public health workers. In addition to providing general knowledge, this course emphasizes two practical skills: administering psychological first aid to disaster victims in the immediate aftermath of a disaster, and screening disaster victims for common mental health disorders in the months that follow. There are three modules in this course: Module 1: Assessment and Intervention in the Immediate Aftermath of a Disaster Module, 2: Assessment and Intervention in the Weeks/Months after the Disaster, and Module 3: Cultural Awareness. 

 

 Effect of Disasters on Mental Health for Children and Adolescents [5]
This course is intended for anyone who will come into professional contact with disaster victims who are children or adolescents, including DMAT, hospital worksers, EMTs, primary care providers, and public health workers. In addition to providing general knowledge of how disaster trauma affects this particular population, this course emphasizes practical skills: administering psychological first aid to children and adolescents in the immediatet aftermather of a disaster, screening them for mental health disorders in the months that follow, and involving parents and other caregivers throughout the process.

 

IS-360: Preparing for Mass Casualty Incidents: A Guide for Schools, Higher Education, and Houses of Worship [6]
This FEMA course provides leading practices and resources to assist elementary and secondary schools, institutions of higher education, and houses of worship in developing emergency plans for preparing for, responding to, and recovering from mass casualty incidents.

 

Mass Fatalities: Public Health Emergency Training Module [7]
This is one of nine awareness-level online modules, developed by the University of Minnesota in the UM PHET series, that cover critical topics related to emergency preparedness. The Mass Fatalities module defines mass fatalities incidents, describes the operational sites and roles involved in responses to these types of disasters, and identifies key issues related to planning and implementing response efforts. The module, additional information and learning objectives are available at http://cpheo.sph.umn.edu/cpheo/umncphp/phet.html [8]. This module takes between 20-40 minutes to complete.

Fatality Management: Resources

Creating and Operating a Family Assistance Center: A Toolkit for Public Health [9]
This Advanced Practice Center toolkit, developed by Seattle and King County Public Health, gives you a framework for you and your team to plan and operate a Family Assistance Center (FAC) during a mass-casualty or mass-fatality incident. It is intended to serve as a resource to help you develop a plan for family assistance services that can be applied to all hazards. The goals of this toolkit are to help you: understand the context and rationale for operating FACs during mass-casualty or mass-fatality incidents; identify the principles that should guide the operations of a FAC; and develop a plan for a FAC, including strategies for addressing the behavioral health needs of families.
 
Managing Mass Fatalities: A Toolkit for Planning [10]
This comprehensive toolkit, from Santa Clara Advanced Practice Center, evolved from recognition of the need for communities to increase their preparedness for managing mass fatalities. Its focus—the care and management of the dead—is one of the most difficult aspects of disaster response and recovery operations. Toolkit materials are based on lessons learned from actual events, including the Oklahoma City bombing, 9/11, and Hurricane Katrina. The toolkit provides scalable, operational direction and tools to guide jurisdictions in creating a local plan. Highlights include: Identification of stakeholders involved in mass fatality management and recommendations for a planning process that is co-led by public health and the medical examiner/coroners office; Specific guidelines for all medical examiner/coroner responsibilities at the incident site, morgue, and family assistance center Guidance on infection and other health and safety threats; and Requirements and recommendations for managing mass fatalities during a worst-case scenario pandemic influenza.

 
 

Fatality Management: Drills & Exercises


Links
[1] http://go.prepareiowa.com/url/jv
[2] http://go.prepareiowa.com/url/ju
[3] http://go.prepareiowa.com/url/k6
[4] http://go.prepareiowa.com/url/k7
[5] http://go.prepareiowa.com/url/k8
[6] http://emilms.fema.gov/IS360/index.htm
[7] https://cdc.train.org/DesktopModules/eLearning/CourseDetails/CourseDetailsForm.aspx?tabid=62&courseid=1007956&backURL=L0Rlc2t0b3BTaGVsbC5hc3B4P3RhYklkPTYyJmdvdG89YnJvd3NlJmJyb3dzZT1jb21wZXRlbmN5Jmxvb2tmb3I9bm9kZXM6MjMsMjQsMjUsMjYsMjcmY2xpbmljYWw9Ym90aCZsb2NhbD1hbGwmQnlDb3N0PTE=
[8] http://cpheo.sph.umn.edu/cpheo/umncphp/phet.html
[9] http://www.apctoolkits.com/family-assistance-center/
[10] http://apc.naccho.org/Products/APC20091595/Pages/Overview.aspx