During the past several years, the management of large-scale incidents has undergone dramatic changes resulting from events such as the September 11, 2001 tragedy, and the awareness of possible future terrorist activities

Few, if any hospitals in America today, could handle 100 patients suddenly demanding care. There is no metropolitan area; no geographically contiguous area that could handle 1000 people suddenly needing advanced medical care in this country right now.

A familiar concept to health care organizations, surge capacity is a health care system’s ability to expand quickly beyond normal services to meet an increased demand for medical care. Surge hospitals have been defined as facilities designed to supplement existing hospitals in the case of an emergency and build their plans based on the needs of the community as well as the resources available to the organization. There may be a situation where federal support is disqualified or local personnel and resources need to be utilized until federal assistance arrives.

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