President's Message: SCCM Emergency Response Process

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Cherylee W.J. Chang, MD, FACP, FNCS, FCCM
09/10/2026

The Society of Critical Care Medicine has developed a structured and coordinated approach to disaster and humanitarian responses.
 
From earthquakes in Haiti, Nepal, Türkiye-Syria, and Venezuela to hurricanes in Puerto Rico, Texas, and Florida, and from armed conflicts in Ukraine and the West Bank to infectious disease outbreaks such as SARS and Ebola, the Society of Critical Care Medicine (SCCM) has developed a structured and coordinated approach to disaster and humanitarian responses.

SCCM’s first organized response dates back to 1990 during the Gulf War, when the Society was asked to identify critical care volunteers who could assist staff hospitals as military clinicians were deployed overseas. Following the September 11, 2001, terrorist attacks, SCCM developed the Fundamental Critical Care Support (FCCS): Crisis Management (previously titled Fundamental Disaster Management) course to help prepare clinicians for disaster response. Since then, when formally requested by governmental agencies that permit access to affected regions, SCCM has deployed volunteers to support critical care efforts during emergencies.

In the wake of the 2009 H1N1 influenza pandemic, SCCM established a formal pandemic response plan, which was subsequently tested during the 2014 Ebola outbreak in West Africa amid concerns about the virus’s potential global spread. The 2015 Nepal earthquake marked another important milestone, as SCCM was asked not only to deploy volunteers but also to help provide critical medical supplies. Through partnerships with humanitarian organizations such as Direct Relief, SCCM expanded its capacity to support disaster-stricken communities and strengthen critical care response efforts worldwide.

As a global organization, SCCM’s mission extends beyond education and research. The Society actively monitors events around the world and activates its crisis response plan when disasters threaten patients, healthcare systems, and communities. Emergencies may include events with the potential to cause widespread injury, illness, loss of life, or significant damage to infrastructure and property. SCCM’s response efforts encompass natural disasters such as hurricanes and earthquakes, infectious disease outbreaks and pandemics, biological or chemical incidents, armed conflicts, and other humanitarian crises. The plan can also be activated to prepare for forecasted major crises such as hurricanes.

Crisis Response Plan Structure
If you are unsure about the components of SCCM’s Crisis Response Plan, you are not alone. The plan is comprehensive and built on four integrated tiers:
  1. Educational Resources: Rapidly distributed, free, easily accessible online materials tailored to the specific disaster and the needs of affected healthcare professionals and communities
  2. Clinical Care Supplies: Delivery of essential medical resources through partnerships with organizations such as Direct Relief
  3. Volunteer Deployment: When formally requested by the affected nation’s government, SCCM volunteers may provide direct clinical or operational support
  4. Hands-On Training: Practical instruction in critical skills, including point-of-care ultrasound (POCUS), and the family of Fundamental courses
The first three tiers are designed to provide rapid, short-term relief during emergencies. In contrast, the training tier focuses on sustainable capacity building through durable skill acquisition and knowledge transfer using a “train-the-trainer” model. While immediate response efforts are often the most visible, long-term educational initiatives may have the greatest and most enduring impact on patient care. Together, these four tiers form a coordinated strategy to strengthen the care of critically ill and injured patients around the world.

Emergency Response Team
The SCCM staff has a standing Emergency Response Team (ERT) that is ready to respond to a crisis. This team provides timely information to suppor2t those in affected areas and inform SCCM leadership, members, media, staff, and the general public.

Core ERT members include:
  • Chief Executive Officer (CEO)/Executive Vice President (Team Leader)
  • Vice President, Global Health, Publications, and Philanthropy
  • Vice President, Marketing, Sales, and Communications
  • Associate Director, Marketing, Sales, and Communications
  • Manager, Marketing and Communications
  • Associate Director, Philanthropy
  • Vice President, Technology
  • Associate Director, Licensing and Publications
  • Manager, Member and Customer Experience
Additional staff partners participate as needed to support the core team’s efforts. More information on SCCM’s crisis response, accessible disaster resources, and past crisis relief efforts is available at sccm.org/response.

How to Inform the ERT

If your hospital or region is experiencing a crisis, please contact SCCM's ERT at emergency@sccm.org. This resource is available to both SCCM members and nonmembers, as well as organizations interested in supporting relief efforts.

  • To help the ERT effectively assess needs and coordinate assistance, please provide information on critical shortages of medications, medical equipment, or clinical supplies
  • Types of injuries being treated (eg, crush injuries, inhalation injuries, blast injuries, burns)
  • Types of care being delivered (eg, infection management, invasive mechanical ventilation, search and rescue)
  • Facilities or regions most severely impacted, including shortages of ICU beds, oxygen, blood products, ventilators, burn supplies, or other essential resources

This information is essential for SCCM’s collaboration with partner organizations and key stakeholders to coordinate relief efforts, facilitate resource distribution, and support life-saving care.

Initial Crisis Response Plan Activation
It is relevant to understand and follow the process when SCCM becomes aware of an emergency event that may require the need for assistance and support.

Once SCCM’s ERT is aware of a disaster, the sequence begins when the SCCM President and SCCM CEO approve the activation of the emergency response plan, which alerts the ERT.

After the crisis response plan is activated, co-leads including the Vice President of Global Health, Publications, and Philanthropy and Vice President of Marketing, Sales, and Communications (with the support of the Associate Director, Philanthropy) direct the response:

  1. The education and global health/publications teams will identify and curate relevant SCCM resources related to the crisis. The communications team distributes a targeted email to SCCM contacts in the affected region, providing links to access these complimentary resources. If responses are received, the ERT will gather information regarding the nature of the injuries or illnesses being encountered, as well as any critical supply or assistance that are needed.
  2. The technology team will update sccm.org/response with a crisis-specific pop-up notification containing relevant educational resources and real-time updates as they become available.
  3. The SCCM philanthropy team will engage with nonprofit and humanitarian organizations that may serve as partners in the response effort. These collaborations will focus on coordinating procurement of the needed supplies and facilitating distribution through organizations with the capability to assess local needs and provide resources to affected hospitals and communities.

Sustained Response
A sustained crisis may need further response, and the ERT may determine that further email communication to the membership and to the affected areas is needed. SCCM may also send a request for donations to support the needs of the impacted area—this email specifically excludes those in the impacted region. Social media communiqués will complement email and website activity to help garner relief aid and donations to support these activities. When funded by an external organization during sustained crises such as the conflict in Ukraine, SCCM may receive a request for training sessions that address critical clinical care needs. These requests may span from critical care fundamentals to more advanced POCUS training to evaluate intravascular volume, the presence of intra-cavity fluid, or cardiac performance. Current and previous ongoing crisis response efforts can be found at sccm.org/response.

Volunteering to Provide Clinical Care
In emergencies, such as the COVID-19 pandemic when SCCM helped deploy around 1,000 volunteer clinicians, the most critical resource was not only medical supplies but also trained healthcare professionals. Volunteer clinicians were essential for staffing both existing and newly established ICUs, as well as other patient care sites.

Requests for an organized call for volunteers to travel on-site must originate from a governmental authority or another entity with the legal authority to oversee medical licensure and credentialing. For international deployments, requests must come through the government of the affected country to ensure appropriate authorization for volunteer participation.

If requested by governments, nonprofit organizations, or hospitals, SCCM will identify and contact clinician experts whose consultation can guide the broader emergency response process with concepts to improve and expand the provision of care during the crisis.

SCCM works directly with the requesting agency to recruit qualified volunteer clinicians from the critical care community who meet the specific needs of the response effort. Additional information on how to request an official call for volunteers is available at sccm.org/response.

Conclusion
Since 1990, SCCM has built a strong legacy of crisis response by providing support through education, training, clinical care resources, and volunteer deployment. Coordinating these responses with the ERT is simple and initiates a clear, scalable, tiered response tailored to local needs. Depending on the situation, SCCM may provide educational resources and supplies without additional authorization; however, the deployment of volunteers for direct patient care requires specific conditions and approvals to be met. When disaster strikes, SCCM members can contribute to disaster relief efforts in a variety of ways, and I hope this overview helps illustrate both the scope of our response capabilities and the many opportunities to support communities in need.

Map of notable and recent SCCM emergency responses.

Map of notable and recent SCCM emergency responses.

 

When I was volunteering with Project Hope on the USNS Comfort in August 2011, I was a surgeon in Port-au-Prince, Haiti. Hurricane Irene was coming in from the east. Because of the earthquake devastation the year prior, the Navy felt that the USNS Comfort would be available as a tertiary hospital as it was just after the earthquake. The medical command asked me to help plan for a surge of 250 acutely ill and injured patients if necessary.

Only one problem: I was the only trauma doctor and intensivist on board. I had two anesthesiologists, three CRNAs, two postoperative nurses, a colorectal surgeon, an otolaryngologist, a respiratory therapist, and an oncologist. Magically, I also had some FCCS books that were previously used by the intensivist crew for the earthquake response.

So, how can we surge up care in a short amount of time? I used the FCCS and FCCS: Crisis Management books to teach the necessary skills and knowledge in preparation! Although Irene missed Hispaniola, we were prepared.

Mary Jane Reed, MD, FCCM, proud member of Project Hope and the SCCM family

Cherylee W.J. Chang, MD, FACP, FNCS, FCCM
Author
Cherylee W.J. Chang, MD, FACP, FNCS, FCCM
Cherylee W.J. Chang, MD, FACP, FNCS, FCCM, is division chief of neurocritical care and a professor of neurology, neurosurgery, and medicine at Duke University in Durham, North Carolina, USA. She is board certified in neurology, critical care medicine, and neurocritical care.
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