The UK International Emergency Trauma Register The incorporation of rehabilitation professionals

Transcription

1 The UK International Emergency Trauma Register The incorporation of rehabilitation professionals Alice Harvey, BSc, MSc, MCSP Handicap International

2 Overview Background to why rehabilitation is essential in sudden onset disasters / conflict Introduction to the UK International Emergency Trauma Register Setting the scene for later session on BACPAR involvement and Gaza deployment

3 Rehabilitation In Emergencies

4 Importance of rehabilitation in emergencies Prevent and minimise impairment Address co-morbidities Teach essential selfmanagement for discharge Ensure long term follow up looking at disability NOT just impairment.

5 Who provides rehabilitation in response to conflict and catastrophe? Depends on existing national rehab framework (governmental, private, DPOs) Existing structures may need support due to structural/staff loss and overwhelmed services May be scarce or no rehab services pre existing Rehab focussed INGOs/NGOs More frequently as part of INGOs with a broader focus Capacity building should be a focus

6 Main injuries requiring rehabilitation Amputations Fractures and dislocations Spinal cord injuries Traumatic nerve injuries Burns and significant soft tissue injuries + Second wave of increased NCDs, neuro developmental, infections etc.

7 Essential emergency rehabilitation Positioning and early mobilisation Early mobilisation speeds recovery and discharge and reduces complications Avoid contractures and potentially lethal pressure sores Identifies complications

8 Essential emergency rehabilitation Range of motion and strengthening

9 Essential emergency rehabilitation Mobility and positioning devices Preparation for prosthetic limb fitting

10 Essential emergency rehabilitation Pain management Patient education Psychosocial support Holistic thinking

11 Continuity into the community

12 Why? Rehabilitation specialist support embedded within the team can offer triage and peri-operative advice as well as rehabilitation post surgery, and have been shown to reduce length of stay. (Norton et al 2013) Surgery provided without any immediate rehabilitation can result in a complete failure in restoring functional capacities of the patient. Early rehabilitation can greatly increase survival and enhance the quality of life for injured survivors. (Sphere 2011)

13 Rehabilitation in Haiti Earthquake: just some of the issues Overwhelmed and weak rehab network Quantity and experience of rehab providers who arrived Equipment under availability/over availability (and quality) Co-ordination Need to build capacity Sustainability of programmes

14 Rehabilitation in Catastrophe: Haiti Earthquake 4 months after the earthquake more than half patients accessing rehab services were not earthquake related

15 Background of this project Goal: The integration of a minimum of 30 trained experienced rehabilitation professionals into an emergency roster for rapid deployment to natural disasters Rationale: Rehabilitation realities in emergencies. Evidence base and guidelines. Reducing impairment and disability.

16 Handicap International and the UKIETR

17 Handicap International and the UKIETR Technical training to rehab staff on the register Supervision to rehab staff deployed with register Rehab and disability input into surgical platform development and other trainings Rehab Project Manager currently deploys in initial phase deployments. Link other field teams to the UK-EMT to support discharge planning, with a focus on long term care and rehab.

18 Progress so far 60 PTs and OTs (13%) registered with UK IETR Rehab Project Manager in initial deployments to Philippines and Gaza Three multidisciplinary teams deployed to Gaza Initial core training conducted, 20 trained Further trainings Nov/Dec 2014 Special interest groups involved in developing highly specialised face to face and on line trainings

19 Progress so far

20 Progress so far

21 Training opportunities Essential UK Med Pre-deployment course Opportunity to take part in under canvas course 3 day highly specialised core rehab training E-learning modules 1 day specialised top up trainings Amputation PNI and splinting SCI

22 Who should join the register? Anyone with HCPC registration can join the register Particularly Looking for broad Brush acute skills, ideally across Paeds and Adults Or Clinical Specialists to deliver highly specialised training in appropriate fields including BACPAR! Minimum 4 years clinical experience Demonstrable experience of working in a high pressure environment Experience of working abroad an advantage Must have attended core rehab and pre-departure trainings in order to deploy.

23 What are the commitments? Willing to commit to attending free trainings offered in your own time at your own cost. To be available to be deployed at short notice To be willing to travel to insecure environments Willing to work exceptionally long hours with little or no break

24 What are the benefits for your employer? Free specialist clinical training or staff Staff learn advanced management and coping strategies Cross cultural experience for staff Positive media exposure for the organisation Posts are funded by DfID while on deployment

25 What now? Register with UK Med to join the UK IETR to re Further queries: Pete Skelton, Rehab Programme Manager Alice Harvey Handicap International UK