DISASTER PREPAREDNESS IN MEDICAL EMERGENCIES

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1 DISASTER PREPAREDNESS IN MEDICAL EMERGENCIES Dr. Wiwat Seetamanotch Deputy Phuket Provincial Chief Medical Officer

2 THE ASIAN TSUNAMI province on Andaman coast 547,845 households 1,976 villages Injured 10,139 Death 5,390 Missing 3,109

3 BY FAILING TO PREPARE, YOU ARE PREPARING TO FAIL Benjamin Franklin

4 LESSON LEARN IN MEDICAL RESPONSE TO TSUNAMI Poor national medical emergency response system No law or regulation of EMS No national EMS institute No standardize for EMS personal Poor coverage/quality of EMS No emergency medical information system No single emergency phone number

5 LESSON LEARN IN MEDICAL RESPONSE TO TSUNAMI Poor quality Emergency medical response in disaster No plan for medical support system No national long distant medical transportation system No sea and helicopter rescue

6 EMERGENCY MEDICAL LAW AND EMERGENCY MEDICAL INSTITUTE Enacted in 2008 EMS policy and direction Coordinating agency Promotion of EMS system Standard operating procedure and guideline Training, Research, M&E

7 ONE TUMBON ONE EMS TEAM Total 11,138 teams >122,945 ALS 1,796 teams ILS/BLS 1,571 teams FR 7,771 teams (Tumbon = sub-district~9,000)

8 IMPROVEMENT OF HELICOPTER RESCUE SYSTEM

9 EMERGENCY MEDICAL INFORMATION SYSTEM AND SINGLE EMERGENCY PHONE NUMBER Information Technology for Emergency Medical System IT EMS Not cover every hospital Need to be improved Single emergency phone number will happen in 1-2 yrs

10 DEVELOPMENT OF EMERGENCY MEDICAL RESPONSE IN DISASTER DMAT Long distant transportation

11 THE CONCEPT BEHIND DMAT PREPAREDNESS

12 A DISASTER Any event that overwhelms local capabilities Need for support from non effected area

13 Conventional health care can be interrupted Infrastructure Lifeline Route staffs

14 Survived rate of those who were rescued under the debris or collapsed building (%) Preventable Death Italian earthquake 1976 Tangshen earthquake 1995 the great Kobe quake (day)

15 Instant Service Disaster How quick we are? Pre-Event The Golden Minute The Golden Hour The First Day Day 14 The Citizen Official Responders Local Rescue & EMS Relief (Volunteer) and Support Organizations 15

16 DMAT 1. Deployable medical response Team 2. Self sustain 3. Mission Patient evacuation Support the hospital Field treatment Medical demand assessment

17 LONG DISTANT TRANSPORTATION DMAT Non Affected area Affected area Disaster core hospital Disaster core hospital Airport SCU Airport Disaster core hospital

18 PHUKET PREPARATION OF DMAT

19 TRAINING AND EXERCISE ICS training 24 July DMAT training Dec. 23 Dec. SCU and long distant transportation exercise 2009 DMAT training 14 southern provinces July Medical Rally 24 July DMAT training 14 southern provinces Dec. 24 Dec. SCU and long distant transportation exercise

20 TRAINING AND EXERCISE Landslide exercise 24 June. DMAT training for provinces in every regions Aug. Medical Rally 20 Aug. Tsunami evacuation exercise 13 Sep. 24 Dec. MOU public work equipment, food, SCU and long distant transportation exercise 2011 Advance DMAT 7 provinces Dec. First International Medical Rally 23 Dec.

21 ADVANCE DMAT TRAINING DEC 2011 JICA SUPPORTED EXPERTS AND EQUIPMENT

22 INTERNATIONAL MEDICAL RALLY 23DEC teams from 4 countries

23 TRAINING LIVING IN THE FIELD FEB 2012

24 TRAINING LIVING IN THE FIELD FEB 2012

25 DMAT PHUKET IN REAL SITUATION

26 HAD-YAI FLOOD, DEC ,104 cases

27 LAND SLIDE, KRABI, MARCH cases

28 FLOOD IN CENTRAL PART OF THAILAND, OCT- NOV DMAT teams -> 6,000 cases

29

30 TIME TO DEPLOY Had-Yai Kra-bi Ayuthaya

31 JAPANESE DMAT RESPONSE TO TSUNAMI 11 MARCH Earth Quake 8.9 RS Near the east cost of Honshu Ministry of Health, Labor and Welfare Set up DMAT headquarter EMIS Reactivated DMAT in Ready state DMAT Deployed Conclusion: 306 DMAT teams 1,400 persons, 384 by plane/helicopter other by ambulances

32 DMAT MISSION SUPPORT IN SCU, HOSPITAL, TRANSPORTATION, FIELD TREATMENT

33 FURTHER DEVELOPMENT

34 THE CITIZEN

35 TIP OF ICEBERG EMS rescue in Disaster How can we save the most? we need to strengthening the community

36 DISASTERS AS THE CONSEQUENCE OF INAPPROPRIATELY MANAGED RISK. Hazard * Vulnerability Risk = Management

37 DISASTER MANAGEMENT CYCLE PREPAREDNESS Pre disaster phase RESPONSE MITIGATION (PREVENTION) RECOVERY Post disaster phase

38 NEXT STEP National/provincial stock pile Community resilience project Emergency Medical Information system

39 'IT DOES NOT MATTER HOW SLOWLY YOU GO AS LONG AS YOU DO NOT STOP.' Confucius

40 THANK YOU

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