灾害医学讲座.pdfVIP

Disaster Medicine Introduction Experiencs Andrea Orlandini, MD, EMDM Emergency Dep, San Mary Hospital, Reggio Emilia, Italy Italian Rep EuSEM Prehospital Section University of Oriental Piemonte who I am Summary • introduction • epidemiology • casualty’s role: what we can do immedately • Case study: a real earthquake • What we can do during, after and before a disaster ? • conclusions DISASTER: great disproportion between number of patients and rescuer number of rescuer number of patients Types of Disaster • NATURAL DISASTER: earthquakes, tsunamis, floods • TECHNOLOGICAL: fires, explosions, major traffic accidents, rail, chemical and biological incidents • SOCIAL: incidents in mass events. Terrorist attacks, epidemics (N1H1) NATURAL DISASTER Italian Earthquake, 2009 NATURAL DISASTER Italian Earthquake, 2009 NATURAL DISASTER Katrina Hurricane, US, 2009 NATURAL DISASTER Katrina Hurricane, US, 2009 TECHNOLOGICAL DISASTER TECHNOLOGICAL DISASTER TECHNOLOGICAL DISASTER TECHNOLOGICAL DISASTER TECHNOLOGICAL DISASTER DISASTER IN SOCIAL EVENTS DISASTER IN SOCIAL EVENTS DISASTER IN SOCIAL EVENTS EPIDEMIOLOGY Natural Disasters EPIDEMIOLOGY Natural Disasters + Technological Disasters EPIDEMILOGY • more damage in developing countries • worsening of preexisting conditions PREHOSPITAL RESCUE THE FOUR PHASES OF DISASTER THE FOUR PHASES OF DISASTER RISK ANALYSIS PREHOSPITAL PLAN OPERATIONAL PHASE (DURING DISASTER) DISASTER REVIEW RISK ANALYSIS MANY METHODS: FEMA MODEL FEMA MODEL: