COVID-19

Public Health

Community Pediatrics

Clinical Bioethics

Health Equity/Social Determinants of Health

General Pediatrics

Emergency Medicine

Cross-Disciplinary Pathway

Ethical Decisions at the Intersection of Health Care Disparities and Disaster Management

Chair(s)

• 

  Amyna Husain, DO

  Assistant Professor of Pediatrics
  Pediatric Emergency Medicine
  Johns Hopkins University
  Ellicott City, Maryland, United States

Incident command systems, under emergency management are utilized during circumstances when the local systems are overwhelmed and are not sufficient to manage the event or disaster. A hallmark of a disaster is the scarcity of resources. Health resources include but are not limited to medical equipment, medications, areas available to care for victims, transport vehicles to get victims to timely care, personnel to help victims at the scene in a coordinated manor, health care providers to care for injuries or medical problems, and other support staff to provide communication, leadership, and reunification when families are disrupted. For this delicate dance to occur, protocols are built to treat everyone equally at baseline and then prioritizes basic medical needs and resource availability. The COVID-19 Pandemic has underscored a problem that has plagued disaster recovery, the asymmetric impact of disasters on a population. In this panel discussion, emergency management will be examined through a lens of social and physical determinants of the local population. Scenarios in disaster care will be presented addressing a conflict with one of each determinant. The panel will include a specialist in bioethics, disparities in health, and emergency management. Each case will be discussed by each panel expert to gain a full understanding of how the victims and population are impacted. Each panelist will be prompted with questions to gain insight into their reflections on the scenarios. The audience will be polled with each case before and after each panel discussion. A question and answer period will be available at the end of the session for audience inquires not addressed in the discussion.

Presentations:

• 1:00 PM - 1:05 PM US CT

  Introduction
  

  Presenter: Amyna Husain, DO – Johns Hopkins University
• 1:05 PM - 1:20 PM US CT

  Disaster Management
  

  Presenter: Deanna Dahl Grove, MD – UH Rainbow Babies and Children's Hospital Division of Pediatrics
• 1:20 PM - 1:35 PM US CT

  Health Disparities in Disasters
  

  Presenter: Nathaniel Jones, MD, MA – Children's National Medical Center
• 1:35 PM - 1:50 PM US CT

  Ethical principles of Disaster Management
  

  Presenter: Marie Lozon, MD – University of Michigan Michigan Medicine
• 1:50 PM - 2:30 PM US CT

  Scenario Based Discussion
  

  Presenter: Joelle Simpson, MD MPH – Children's National Health System
• 2:30 PM - 3:00 PM US CT

  Q&A
  

  Presenter: Belinda Thomas