When disaster strikes you respond with what you have, whatever is around that can help is used.  There have been extraordinary and imaginative efforts to twist squeeze and stretch day to day mobile platforms into a stable reliable self sufficient medical response solution for disasters.  One of the problems when you create something new is the tendency to think your idea is a reprimand on the state of the art.  The work we have done to create Response in a Box was not out of criticisms for others attempts. Response in a box was founded to solve the problems specific to a medical surge event. This gives us the ability to build units that can do what units designed for day to day operations in non-emergency events cannot do. We do not have to alter what our unit was designed for and as a result we can do what no one else can do at a price no one else can. We want to transform what was expected from emergency platforms. So first we are creating a new standard.

If response is to be effective, it must:

  • Operate without any grid support from the typical power and water infrastructure.

  • Be easy enough for any volunteer to set up in an emergency situation.

  • Serve enough of the community in a disaster to make if worth the cost of acquisition.

  • Deploy in rugged, uneven terrain.

  • Only take hours to set up after it arrives on site in the disaster theater

  • Require no skilled labor to install equipment

  • Be able to respond at full capacity even after sitting unused for years.

  • Support an easy to keep clean environment for surgical capabilities.

  • Supports re-supply of instrumentation and materials without interfering with patient flow.

  • Have standard healthcare records keeping to easily transferring patients to long-term care.

  • Have a repeatable infrastructure that the Red Cross, DMAT, CERT or other non-profit response organizations can easily integrate into their response programs.

  • Use typical medical systems so volunteer medical staff can quickly merge into the facility program.

A Higher Expectation