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13 posters, 
5 sessions, 
27 authors, 
13 institutions

P08

How to handle mass trauma patients during disasters. Medical , cooperation and transportation issues.

Friday, 25 May, 2012 - 11:00
Board 4

Disaster medical relief activities depend on nature and phase of disaster. If zone of disaster is narrow and restricted (point) like collapse of a building or a traffic accident, the most important activity must be evacuation. Confined space medicine may be necessary in some cases. First aid is essential in these cases but field hospital is by no means necessary. Traffic control, establishment of command system, triage, and bidirectional good communication with hospitals followed by appropriate transport are necessary and the bundle of them must improve the outcome. Long distant transport is not essential. Important is to send the injured within “golden hour” to appropriate trauma centers. If zone of disaster is linear like tornado or tsunami, the most important thing is to keep usual medical service. Surrounding area out of “the line” remains unaffected and therefore access to the affected area is not so difficult to supply devices and/or medicines or to evacuate those who need help outside. Long distant transport may be necessary for those who need special treatment like hemodialysis. If zone of disaster is “plane” like earthquake, flood, or nuclear pollution, the affected area is vast and hard to assess. Accessibility is bad and information is poor and moreover, damage is worse than any others. Mass migration and secondary damage like malnutrition, outbreak of contagious diseases are not uncommon in this type of disasters. Refugees those who are old and less active in refugee camp often develop deep venous thrombosis and pulmonary embolism.
Part of Session

General Critical Care

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