Neurosurgical Services For Disaster

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Presentation transcript:

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

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

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.

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

Caused Grave loss and deaths

More than 80,000 killed and over 3,00,000 injured.

GCS in 1281 cases

Waiting for rescue and transfer

Field hospital in Mianzhu

Temporary wards in Mianyang hospital

Temporary wards in Deyang hospital

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

Many victims were transferred to hospitals in Chengdu.

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

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

Rescue Organization- Team work GOVERNMENT VOLUNTEERS RESCUERS TROOPS MEDICAL TEAMS

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

Role of a Neurosurgeon First line of management :

Categorize the patients Non Operative Critical –shift to CCU Operative Operation Room

Head of the Department supervises How to use man power? Neurosurgical ward Operation room Critical care unit Head of the Department supervises 3 units

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 )

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.

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