Hospital disaster planning should encompass events that affect the saf
ety of the hospital environment and address those measures that ensure
the availability of necessary services. Although most of the emphasis
has been placed on general disaster planning, there is little written
about disasters occurring within a hospital. In recent years, several
incidents at our medical center involving fire, flood, and power fail
ure resulted in a reevaluation of our preparedness to handle such situ
ations. These experiences prompted this discussion and literature revi
ew of internal disaster planning. Every hospital should have a compreh
ensive internal disaster plan because it is likely that at some time a
n internal emergency may occur