**9. Conclusion**

Resilient hospital and health system disaster response is dependent on understanding the role hospitals play in disasters, their vulnerabilities and ways to support them. The importance of realizing hospital and health systems changing roles during a disaster, its dependence on other parts of society and perhaps most importantly the challenges faced by its workforce drives disaster planning. Additionally, the threats to hospitals targeted or not, guides planning and response framework. Emergency medicine with its function as the entry way into the health system, understanding of diverse and all encompassing clinical pathology, practice involving surge and triage and its training in disaster medicine gives it a key role in disaster resilience for hospitals and health systems.
