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THU5.5: Medical emergencies
Development of guidelines for psychosocial support for uniformed services, volunteers and hospital staff in case of a Chemical, Biological, Radiological or Nuclear (CBRN) incident
Impact/Arq Psychotrauma Expert Group, Netherlands, Kingdom of the
The goal of this study is to develop a guideline for uniformed services, volunteers and hospital staff in case of a CBRN incident, as a standard for quality psychosocial support, scientific, expert and consensus based.
The dual use of field hospital in peace time and in war time. The Italian experience of Alpini field hospital during disasters.
1San Raffaele Hospital Scientific Foundation, Milan, Italy; 2Gruppo Intervento Medico-Chirurgico , Ospedale da CampoA.N.A. Italian Association of Alpini, Onlus Foundation; Bergamo, Italy
In a “ disaster “ local health services can be overwhelmed, and damage to clinics and hospitals can render them usefulness. Damage to the health care infrastructure will further compromise the delivery of health services. A field hospital is a large mobile medical unit that temporarily takes care of casualties on-site before they can be safely transported to more permanent hospital facilities. Lessons from past complex disasters such as civil conflicts, wars, humanitarian emergencies showed that field hospitals – as temporary hospital civilian or military plays a significant but sometimes controversial role during disasters. The authors describe an Italian model of mobile field hospital of ANA - Italian association of Alpini, who had worked and works in a case of a disaster or an humanitarian crisis. This field hospital supports the activities of civil protection in national and international context, implementing local emergency services and hospital bed surge capacity in the treatment of mass-casualties for a specific period of time. The hospital on field of Alpines, born in 1976, and actually operates in Italy, jointly with the aid of two major Italian hospitals, the San Raffaele Hospital Scientific Foundation of Milan and “Ospedali Riuniti di Bergamo (Italy) “, and civil protection in different national and international context during disaster emergencies and humanitarian crises. The authors would like to suggest the dual use of a field hospital in supporting countries and population needs during disaster time and peace time. During peace time the use of a field hospital should be suggested as support in mass gatherings events; in public health prevention programs for population, in teaching role activities such as emergency and in disaster preparedness training programs. During war time or disaster time how to use field hospital as support to population affected .
Multi-Agency Surge Tactical Facility (MAST-F) - applicable lessons from a mobile hospital team
1MESH, United States of America; 2Indianapolis EMS, United States of America; 3Developing World Missions, INC., United States of America
MESH is a non-profit healthcare coalition operating in Indianapolis, Indiana, USA. In addition to providing daily healthcare intelligence, policy analysis and training it also provides assistance in the recovery phase. One of the recovery assets is the MAST-F or the Multi-Agency Surge Tactical Facility. The MAST-F is a Western Shelter product used as a 25-bed mobile hospital system, a cooling station, a command post, or a training facility. In this session learn about the intelligence pushed out to the team prior to deployment, training of the team, how MESH uses volunteers, storage and transportation of the system and more. There are many concepts which you could borrow and apply to your unique system.
Medical treatment options and patient preference: the case of the limb-trauma victims of the earthquake in Haiti on January 12, 2010
1LEM UMR 8179, Lille, France; 2ALIMA (Alliance for International Medical Action), Senegal, Republic of
The 2010 earthquake in Haiti raises questions about the optimal management of severe limb trauma patients after natural disasters. SUTRA² (Suivie et traitement du traumatisme des membres en cas d’afflux massif des blessés dans les contextes difficiles) is a longitudinal interdisciplinary study with the objective to determine the most appropriate management of severe limb trauma victims and improve the quality of care provided to them. The SUTRA² data base has been established for two years, commencing the date of the earthquake (12th of January 2010). It consists of the medical files of 306 limb trauma patients, which includes one control cohort, one cohort of amputees and a cohort of patients who received reconstructive surgery. The data is derived from a set of socio-economic, psychological, medical and functional domains. It uses validated methods (SF-36, quota evaluation). The chosen reference scenario is reconstructive surgical care. The method is participative, conforming to ethical principals of clear informed consent. The quota evaluation shows that victims perceive benefit from a reconstructive surgical approach (on average consenting to pay more than 15% of their income for this care). The percentages of those victims consenting to pay are very scattered with some high values, despite a situation of general financial ruin. The results obtained can be explained by a situation of poor medical infrastructure in Haiti and underlines the problems of equity and quality in the health-care system.
One-year follow up of care received by a cohort of patients treated with limb amputation following the earthquake in Haiti
1ALIMA (Alliance for International Medical Action), Senegal, Republic of; 2LEM UMR 8179, Lille, France
Severe limb trauma is common in earthquake survivors. Long term outcome assessment of patients rarely occurs. The aim is an assessment at 12-months of a cohort of people treated with limb amputation for injuries received in the Haiti earthquake.