1. Disaster Relief: Coordinating Committee of International Initiatives WFNS Interim Meeting, Recife, Brazil 14 th September 2011 1200 – 1300 Hrs Hall E, Beach Class Resort Chairmen: Wai S Poon (Hong Kong) Alexander Potapov (Russia ) Merwyn Bagan (USA) Chile : Top ten in the history of earthquakes Dr. Leónidas Quintana Chief of Neurosurgery Service – Van Buren Hospital Cathedra of Neurosurgery Valparaíso University School of Medicine, Chile

2. Valdivia-Llanquihue earthquake South region of Chile May 22, 1960, 15:11 hours Valdivia-Llanquihue earthquake South region of Chile May 22, 1960, 15:11 hours TSUNAMI XI a XII grade in Mercalli´s scale 9,5 grade in Richter scale XI a XII grade in Mercalli´s scale 9,5 grade in Richter scale

3. Valdivia, Calle Calle river ….after the earthquake and tsunami May, 1960

4. Chile EQ 8.8 Richter And more recently, February 27th, 2010 ………

5. Emergencies in Disasters What is the real situation in disasters as an Earthquake ? Isolation Communications fail Prompt action in the devastated places difficult Health cares difficult to perform Traumatic cases increase Also, another pathologies

6. How to arrive ?

7. Ambulances – small mobile hospitals Mobile Emergency Unit Mobile Neurosurgical Unit Adapted for telecommunications: TELEMEDICINE How to move and enter in action for health cares?

8. MEU Some management you can do in the site of the disaster – Stabilize the patient´s conditions Another, to send and to receive intructions from the base hospital, and transport the patient in the best possible conditions.