Slide 1

Slide 2 Neurosurgical Services For Disaster Prof Yoko Kato Dept. Of Neurosurgery Fujita Health University Japan. Slide 3 Natural Disaster Tsunami 2004--IndiaLandslide 2007- Indonesia Slide 4 Man Made Disaster Rail Accident 2005-Japan Bombing World Trade Centre. 1993 & 9/11 Slide 5 How to manage disaster? Example: Wenchuan Earthquake (China) Slide 6 Earth quakes 500,000 earthquakes /year. Significant morbidity and mortality. More frequent than before. Eg: Wenchuan, Haiti, Chile Head trauma : 2 nd most common type of injury. Head injury : major cause of mortality. Slide 7 8.0 on the Richter scale. Sichuan Province on May 12, 2008. Slide 8 Caused Grave loss and deaths Slide 9 More than 80,000 killed and over 3,00,000 injured. Slide 10 GCS in 1281 cases Slide 11 Waiting for rescue and transfer Slide 12 Field hospital in Mianzhu Slide 13 Temporary wards in Mianyang hospital Slide 14 Temporary wards in Deyang hospital Slide 15 After the earthquake, many patients escaped from the buildings in hospital. Slide 16 Many victims were transferred to hospitals in Chengdu. Slide 17 How to manage disaster? Pre disaster planning Disaster Mitigation Disaster preparedness No role for a Neurosurgeon in this. Post disaster management Slide 18 How to Rescue? Domestic and International aid for the relief. (WHO, Red Cross, NGOs..) Slide 19 Rescue Organization- Team work GOVERNMENT TROOPS MEDICAL TEAMS RESCUERS VOLUNTEERS Slide 20 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 Slide 21 Role of a Neurosurgeon First line of management : Slide 22 Categorize the patients Patient Non Operative Critical shift to CCU Operative Operation Room Slide 23 How to use man power? Neurosurgical ward Operation room Critical care unit Head of the Department supervises 3 units Slide 24 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 ) Slide 25 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. Slide 26 Conclusion Team work- Network- Domestic & International Efficient use of manpower. Every hospital should have a disaster management plan. PREVENTION IS ALWAYS BETTER.