Presentation is loading. Please wait.

Presentation is loading. Please wait.

Neurosurgical Services For Disaster

Similar presentations

Presentation on theme: "Neurosurgical Services For Disaster"— Presentation transcript:

1 Neurosurgical Services For Disaster
Prof Yoko Kato Dept. Of Neurosurgery Fujita Health University Japan.

2 Natural Disaster Tsunami India Landslide Indonesia

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

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

5 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.

6 8.0 on the Richter scale . Sichuan Province on May 12, 2008.

7 Caused Grave loss and deaths

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

9 GCS in 1281 cases

10 Waiting for rescue and transfer

11 Field hospital in Mianzhu

12 Temporary wards in Mianyang hospital

13 Temporary wards in Deyang hospital

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

15 Many victims were transferred to hospitals in Chengdu.

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

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

18 Rescue Organization- Team work

19 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

20 Role of a Neurosurgeon First line of management :

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

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

23 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 )

24 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.

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

Download ppt "Neurosurgical Services For Disaster"

Similar presentations

Ads by Google