1 / 25

Neurosurgical Services For Disaster

Neurosurgical Services For Disaster. Prof Yoko Kato Dept. Of Neurosurgery Fujita Health University Japan. Natural Disaster. Tsunami 2004--India. Landslide 2007- Indonesia. Man Made Disaster. Rail Accident 2005-Japan. Bombing –World Trade Centre. 1993 & 9/11. How to manage disaster?.

flower
Download Presentation

Neurosurgical Services For Disaster

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Neurosurgical Services For Disaster Prof Yoko Kato Dept. Of Neurosurgery Fujita Health University Japan.

  2. Natural Disaster Tsunami 2004--India Landslide 2007- Indonesia

  3. Man Made Disaster Rail Accident 2005-Japan Bombing –World Trade Centre. 1993 & 9/11

  4. How to manage disaster? Example: Wenchuan Earthquake (China)

  5. Earth quakes • 500,000 earthquakes /year. • Significant morbidity and mortality. • More frequent than before . • Eg: Wenchuan , Haiti , Chile… • Head trauma : 2nd most common type of injury. • Head injury : major cause of mortality.

  6. 8.0 on the Richter scale .Sichuan Province on May 12, 2008.

  7. Caused Grave loss and deaths

  8. More than 80,000 killed andover 3,00,000 injured.

  9. GCS in 1281 cases

  10. Waiting for rescue and transfer

  11. Field hospital in Mianzhu

  12. Temporary wards in Mianyang hospital

  13. Temporary wards in Deyang hospital

  14. After the earthquake, many patients escaped from the buildings in hospital.

  15. Many victims were transferred to hospitals in Chengdu.

  16. How to manage disaster? • Pre disaster planning Disaster Mitigation Disaster preparedness No role for a Neurosurgeon in this. • Post disaster management

  17. How to Rescue? Domestic and International aid for the relief. (WHO, Red Cross, NGOs..)

  18. Rescue Organization- Team work GOVERNMENT VOLUNTEERS TROOPS RESCUERS MEDICAL TEAMS

  19. How to manage Patients? Triage • To find patients who require most attention • To refer to appropriate medical facility. Classification: Lightly Injured Seriously Injured Critically injured

  20. Role of a Neurosurgeon First line of management :

  21. Categorize the patients

  22. How to use man power? Head of the Department supervises 3 units

  23. Experiences from Wenchuan earthquake 1 frontline medical stations: first aid 2 medical team or local hospital: basic treatment triage, observation, patient transfer, tackle emergency. 3 tertiary hospitals : comprehensive therapy… ( antibiotics, fluid therapy, surgical therapy and physiological interventions )

  24. Education • Pre disaster MOCK DRILLS WFNS , FIENS and other courses. Online symposiums - skype • Post Disaster Telemedicine / telesurgery Young Neurosurgeons –a big role. Volunteer for working.

  25. Conclusion • Team work- • Network- Domestic & International • Efficient use of manpower. • Every hospital should have a disaster management plan. PREVENTION IS ALWAYS BETTER.

More Related