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Cultural & Ethical Issues Disaster Medicine in a Foreign Land
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Cultural & Ethical Issues Objectives Preparation Cultural limitations Gender effects Language barriers N Engl J Med. 2010 Mar 11; 362(10): e34.
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Cultural & Ethical Issues Language barriers Professional interpreters optimal
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Cultural & Ethical Issues Language barrier Clinical situation Availability Patient preference Language gap
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Cultural & Ethical Issues Gender bias Women highest mortality Not taught to swim Clothing restricts motion Cannot leave home without male Asia Pacific Forum on Women, Law and Development (APWLD)
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Cultural & Ethical Issues Gender bias Women poorest medical care Males restrict mobility and contacts Women maintain household Asia Pacific Forum on Women, Law and Development (APWLD
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Cultural & Ethical Issues Preparation Stay tuned to World News Hurricanes Wars Famine
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Cultural & Ethical Issues Preparation Earthquakes & Tsunamis demand an immediate response making you dependent on your group
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Cultural & Ethical Issues Preparation Hurricanes Wars Famine Time to study Central Intelligence Agency
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Cultural & Ethical Issues Preparation Hurricanes Wars Famine Time to study U.S. Department of State
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Cultural & Ethical Issues Preparation Hurricanes Wars Famine Time to study
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Cultural & Ethical Issues Preparation Hurricanes Wars Famine Time to study Most important Call
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Cultural & Ethical Issues Haiti, Disaster Medicine: the Tale of Two Earthquakes National Geograhic
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Cultural & Ethical Issues Haiti, Disaster Medicine: the Tale of Two Earthquakes Google Earth
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Cultural & Ethical Issues Haiti before the quake Geography and culture http://svs.gsfc.nasa.gov/vis/a000000/a002600/a00 2640/ Wunderground.com
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Cultural & Ethical Issues Haiti before the quake Geography and culture Population & location
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Cultural & Ethical Issues Haiti before the quake Geography and culture Population & location Law & order wikipedia
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Cultural & Ethical Issues 1994 before LA quake Geography & culture Wunderground.com
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Cultural & Ethical Issues After the quakes neighbors Wunderground.com
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Cultural & Ethical Issues After the quakes Neighbors © 2011 Los Angeles County Fire Department
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Cultural & Ethical Issues After the quakes Neighbors Search & Rescue USAID_IMAGES' photostream © 2011 Los Angeles County Fire Department
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Cultural & Ethical Issues After the quakes Neighbors Search & Rescue Trauma Care U.S. Coast Guard www.gettingprepared.info
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Cultural & Ethical Issues Medicine after a Disaster Principles Cannot do the best for each individual victim Do the best for the largest number of victims http://www.agenciabrasil.gov.br/media/imagens/2010/01/1 4/14.01.10RP5967.jpg/view
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Cultural & Ethical Issues Medicine after a Disaster Principles Cannot do the best for each individual victim Do the best for the largest number of victims Fink S. (2010). Doctors Face Ethical Decisions in Haiti. Retrieved from: http://www.thweorld.org/2010/02/doctors-face- ethical-decisions-in-haiti/
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Cultural & Ethical Issues Medicine after a Disaster Principles Cannot do the best for each individual victim Do the best for the largest number of victims Do what can be sustained locally Ann Intern Med. 2010 Jun 1; 152(11); 733-7.
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Cultural & Ethical Issues Historic Twist Antisepsis Orthopaedics in an Austere Environment
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Cultural & Ethical Issues Open Wound care
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Cultural & Ethical Issues Lack of Fluoro
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Cultural & Ethical Issues Lack of records Lack of follow up
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Cultural & Ethical Issues Women are at a disadvantage before and during a disaster Professional interpreters facilitate medical care everywhere Limit your surgical goals to match environment, culture, materiel and personnel to prevent further dysfunction World history and geography are great hobby
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