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Slide 9: 

DR. D.Y. PATIL MEDICAL COLLEGE PIMPRI , PUNE - 411018

DISASTER STRIKES - BE PREPARED : 

DISASTER STRIKES - BE PREPARED Introduction : Geeta Kutty Effects of disaster : Pushkar Anand Field casualty : Farheen Khan Administrative set up : Aditi Shinde

INTRODUCTION : 

INTRODUCTION What is a Disaster? “ A sudden ecological phenomenon affecting both human health and health services to a sufficient magnitude as to require external assistance”

Classification of Disasters : 

Classification of Disasters DISASTER Man-made disasters Natural disasters

We deal with… : 

We deal with… Earthquake Floods Tsunami

Physics of Disaster : 

Physics of Disaster

EARTHQUAKE : 

EARTHQUAKE Movements of the tectonic plates Stress Rupture along fault line Seismic waves Theory of the Tectonic Plates

FLOODS : 

FLOODS Causes Constant heavy rainfall Bursting of a dam Excessive ice cap melting Flash floods (Cloud burst)

Slide 19: 

Tsunami “A series of waves created by sub-oceanic disturbances” 2004 Tsunami affecting South-East Asia

Physics of Tsunami : 

Physics of Tsunami

4 – E PLAN : 

4 – E PLAN arly Detection E vacuation ducation quipments Tidal Apparatus HAM Radios Global Positioning Satellites , With Space RADAR system Action Pre-Impact Phase

Slide 22: 

Be aware …… Be prepared

Slide 23: 

when sorrows come , they come not as single spies, but in battalions …… - Shakespeare, Hamlet,Act IV

Slide 24: 

EFFECTS

EFFECTS OF EARTHQUAKE : 

EFFECTS OF EARTHQUAKE Fractures Crush injuries Mangled extremities Contusions Lacerations Injuries:

Slide 26: 

Muscle ischaemia Reperfusion Decreased blood flow Bleeding, exudate & swelling Increased interstitial pressure COMPARTMENT SYNDROME

Slide 27: 

AMPUTATIONS 1. Upper limbs 2. Lower limbs

Slide 28: 

DUST - Early Mortality ( In Trapped Victims) - Airway Obstruction - Delayed Mortality – Dust Induced Pulmonary Edema Pulmonary Disease

EFFECTS OF TSUNAMI : 

Causes of Extensive Effect : - Short warning time - Infrastructural inadequacies INJURIES EFFECTS OF TSUNAMI

Slide 30: 

NON SURVIVABLE INJURIES Injuries to : Head Spine Thorax Abdomen (Accounts for 80% of deaths)

Slide 31: 

7.Others. 6. Dehydration 5. Heat injuries & Sunburn 4. Hypothermia 3. Orthopedic injuries 2. Aspiration pneumonia 1. Near drowning SURVIVABLE INJURIES

EFFECTS OF FLOODS : 

INJURIES ILLNESS SPRAINS STRAINS LACERATIONS ABRASIONS CONTUSIONS ELECTRICAL HAZARDS COMMUNICABLE DISEASES MASS MIGRATIONS CHEMICAL HAZARDS SKIN CONDITIONS EFFECTS OF FLOODS

POST TRAUMATIC STRESS DISORDER : 

POST TRAUMATIC STRESS DISORDER 2. Symptoms 1. Classification of victims

TRIAGE : 

TRIAGE Derived “trier” (French ) = TO SORT Aim : Identification of individuals with greatest chances of survival with immediate medical interventions Focus : Specified range of Casualties Color coding : Red , Yellow , Green , Black.

Slide 35: 

Lightly Seriously Hopelessly Critically TRIAGE AT EXTREMES Low NEED FOR TRANSPORTATION High

Slide 36: 

“….willingly or unwillingly we’ll battle it out”

EVALUATION OF VICTIMS : 

EVALUATION OF VICTIMS Primary survey Triage Secondary Survey

PRIMARY SURVEY : 

B.) Breathing A.) Airway E.)Examination D.)Deficit-neurological C.)Circulation Airway Breathing Circulation Deficits- neurological Examination PRIMARY SURVEY

SECONDARY SURVEY : 

SECONDARY SURVEY 1. HNF and cervical trauma 2. Chest and abdomen trauma 3. Trauma in pregnancy 4. Drowning cases

HNF and Cervical Trauma : 

IMMOBILISATION MANAGEMENT 4. Respiratory arrest 3. Altered mental status 2. Cervical spine injury 1. Head and neck trauma CLINICAL FEATURES HNF and Cervical Trauma

Chest and Abdomen Trauma : 

MANAGEMENT 1. AIRWAY 2. HEMOSTASIS 3. IV ACCESS Chest and Abdomen Trauma

Trauma in Pregnancy : 

Note : Immobilization in Spinal cord injury 4. Examination 3. Maximize Fetal Blood Flow Relieve IVC compression AIRWAY Trauma in Pregnancy

DROWNING : 

DROWNING 1. CPR Caution !!!— Fluid drainage from lung 2. Cardiac massage 3. Oxygen administration Complications : Seizure , Hypotension , Hypothermia

CHAIN OF COMMAND : 

CHAIN OF COMMAND

At Centre : 

National Crisis Management Committee (NCMC) Crisis Management Group : Executive At Centre

State Level : 

State Level Crisis Management Group Chairman : Chief Secretary

At District Level : 

At District Level Chairman : Collector Purview of Collector :NUCLEUS

Show me the money ? : 

Finances Available : Rs. 7000 Crores Show me the money ? Central Relief Fund State Resources National Fund for Disaster Relief (Rs. 700 Crores ) Voluntary funds collected

Non Govt. Organisations : 

Non Govt. Organisations CARE International Red Cross Federation (ICRF) International Council For Voluntary Agencies ( ICVA)

International Effort : 

International Effort UN Agencies : Coordination of Human Affairs WHO UNICEF FAO Inter Government Org. ECHO , OAS , Caribbean Disaster Emergency Response Centre

Futuristic Trends : 

Futuristic Trends Member of Tsunami network Creation of Indian ocean Tsunami watch Funds sanctioned and International aid assured. Research :National center for disaster management ( Indian Institute of Public Administration , New Delhi )

Conclusion : 

Conclusion