Emergency Medical Centres
Emergency Medical Centres are established in key locations on Grand Cayman, Cayman Brac and Little Cayman to provide medical care for people whose age, frailty, mobility, functional and/or medical condition make them particularly vulnerable and at risk in disaster situations.
Set up usually in some of the hurricane shelters, these Centres are temporary, emergency-type facilities staffed by trained medical and nursing personnel. These Centres may also be utilised for providing medical care after the disaster, in case of disruption of access to the hospital or health centres.
Admissions to Emergency Medical Centres are limited to level of care needed and resources available. Only those individuals with medical impairments who have been able to maintain activities of daily living in a home environment prior to the disaster or emergency situation and who may need some level of medical monitoring & or assistance are allowed in an Emergency Medical Centre. The caregiver at home must accompany and stay with the person at the shelter. Some examples of clients to emergency medical shelters are:
- Wheelchair bound persons with medical needs;
- Individuals with severely reduced mobility;
- Persons with mental illness who are non-violent;
- Medically impaired individuals who are able to maintain activities of daily living with special assistance: eg. paralysis, colostomy, tracheostomy;
- Persons having continuous IV therapy (pain control, or hydration); or
- Oxygen dependent.
If an individual with one of these medical conditions was homebound at the time of the emergency or disaster, he/she with the caretaker may report to a shelter designated as Emergency Medical Centre; provided power sources, equipment and back-up supplies are available.
All others who do not need medical monitoring or assistance during the passage of a hurricane may report to any shelter. All shelters have first aid service through Red Cross personnel.
Hospitalisation: Persons who require professional medical care and or special medical equipment may need hospitalisation. Physicians decide if hospitalisation is required.
These may include persons who are
- Ventilator dependant;
- Pregnant women who are experiencing contractions and women who are in the seventh month or beyond;
- Persons who report chest pain or have experience chest pain the last 24 hours;
- Persons with shortness of breath;
- Persons who have already experienced a potentially serious injury and have not been evaluated by a physician;
- Uncontrollable or violent persons; and
- Persons with infected wounds.
Emergency Medical Centres
At least one shelter in each district is designated an Emergency Medical Centre (EMC). The following list indicates those shelters that have been designated EMCs in 2013; however, the designation may be reassigned. Residents should look for information pertaining to the current threat.
- Grand Cayman
- Prospect Primary School
- John A. Cumber Primary School Assembly Hall
- William Allen McClaughlin (East End) Civic Centre
- Craddock Ebanks (North Side) Civic Centre
- Clifton Hunter High School Gymnasium
- Bodden Town Primary School Multipurpose Hall
- Savannah Primary School Assembly Hall
- Cayman Brac
- Aston Rutty Centre
- Little Cayman
- Public Works Department Building