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an occurrence of a severity and magnitude that normally results in deaths, injuries, and property damage and that cannot be managed through the routine procedures and resources of government. It requires immediate, coordinated, and effective response by multiple government and private sector organizations to meet human needs and speed recovery. (FEMA,1984)
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Death without access to appropriate treatment Lives, which need not have been lost if common treatment (ex., airway control, release of tension pneumothorax) have been taken
Disaster cycle
2013/8/7
Disaster cycle
Disaster cycle
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Disaster cycle
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Sub-acute phase
Two or three weeks after the event For patients with chronic disease
hypertension, diabetes, cardiac disease, mental disorder A patient with kidney disease who requires dialysis treatment should be transported to outside of the affected area Psychological issues: ASD, PTSD Infectious diseases
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Psychological issues
grief, distress, insomnia, hopelessness, and intrusive re-experience are normal responses under the abnormal situation like a disaster.
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2013/8/7
A Shelter
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Water
Foods
The appropriate diet for a person per a day : 1,900 to 2,500 kilo calorie Attention to the special needs
the aged the disabled Sugar for diabetes patients Salt for hypertension patients
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Disaster cycle
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CSCATTT
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Sub-acute phase
Chronic diseases, infectious disease Public health issues Psychological care
Chronic phase
Psychological care Reconstruction of community health care
Ts
Triage Treatment Transport
urgency and severity
Triage
To define the priority of treatment according to the degree of
Emergency phase
To eliminate preventable death Not to aim to help all victims Care first a man who will be able to be rescued under limited medical resources To define a priority is the most important Triage is a way to define a priority
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Triage tagsurface
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2013/8/7
Triage tagreverse
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Black tag Death or non-treatment 1. Already died 2. No chance of successful resuscitation even with cardiopulmonary resuscitation 3. The last order of transport, of non-transport However, black tag does not confirm a death in medical diagnosis
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Even if being triaged to green tag, do not send them home right away, but gather them to one place, and re-triage them, to avoid a miss of under-triage and changes in the condition.
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Goal of triage
Right Patient Right Place Right Time Create priorities assess the degree of urgency
MIMMS Advanced Course
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Report
Describe about the systems of disaster medical response in your country, which you think the most important and emergency to prepare. Express your opinion.
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