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Disaster Management

Disaster Management. Dr. Ahmad Sadeem Sheri. Identification of the problem . Earthquake 2005 Islamabad. Flood 2010. Earthquake 2005 Balakot. Numerical message . Reflect. Actuality of Problem. Low resource environment Non-existent infrastructure Unavailability of trained staff

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Disaster Management

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  1. Disaster Management Dr. Ahmad Sadeem Sheri

  2. Identification of the problem

  3. Earthquake 2005 Islamabad

  4. Flood 2010

  5. Earthquake 2005 Balakot

  6. Numerical message

  7. Reflect

  8. Actuality of Problem • Low resource environment • Non-existent infrastructure • Unavailability of trained staff • Continued burden of disasters • Earthquake 2005 • Flood 2010 • Ongoing • Retrospective analysis, e.g. Tsunami 2004

  9. Infrastructure • Ideological starvation or lack of initiative • Human resource • Material resource • Technological resource • Building institutional resources

  10. Study the problem

  11. What qualifies as disaster ???

  12. Anything beyond coping abilities

  13. Place of disaster management in today’s Pakistan • Non-existent emergency rooms • Ongoing disasters with high chances of more • Lack of understanding about emergency services in population at large. • Still evolving pre-hospital services • 1122 • Edhi • Chhipa

  14. Inference • Effective disaster management requires comprehensive emergency services infrastructure

  15. Broad classification • Natural • Man made • Violence • Ineffective water management!

  16. TYPES

  17. Stages in management • Pre disaster • During disaster • Post disaster

  18. Pre Disaster • Perception • Planning • Practice

  19. During Disaster • Rescue/relief • Mitigation • Primary rehabilitation

  20. Post Disaster • Consolidation of rehabilitation • Recovery • Analysis and learning for the future

  21. From strategy to tactics

  22. What actually is disaster medicine • Type of disaster • Area of disaster involvement/terrain • Cordoning the area /landmark sectoring • Triage • Setting of camps and team formation • Division of affected • Allocation of team • Distribution of available resource • Food, sanitation, basic requirements and medical outpost.

  23. Medical outpost in disaster medicine • Establishment of Hierarchy • Mobile ER • Field hospital • Infection control • Evacuation facilities • Communication/ liaison with the referral center • Role of telemedicine

  24. Flood 2010

  25. Flood 2010

  26. Importance of multiagency cooperation • Highest executive level agencies • National level agencies (NDMA) • Provincial level agencies • District level • Disaster response force: Rescue 1122 • Fire brigade, civil defense • NGO’s • Volunteer • Foreign Assistance

  27. Hierarchy

  28. System vs No system

  29. Chaos

  30. Shelter?

  31. Shelter

  32. Food distribution?

  33. Food distribution

  34. Solution

  35. Generally • Good governance • Education • Training • Get involved in some form • Encourage peers

  36. Expected role of conscientious physician/paramedics • Create awareness • Get educated and trained • ACLS • BCLS • PALS • ATLS • Disaster management seminars • Exposure with pre-hospital services • Structured training in Emergency medicine • Short term courses. Like certification in EM at SIH • Complete residency` • Volunteer

  37. Volunteerism Without training volunteer cannot be effective.

  38. Summary • Acute deficiency • Capacity building • Human resource and material resource • Volunteer registry for future disaster help.

  39. Q & A

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