Extending a Helping Hand: A Comparison of Israel Defense Forces Medical Corps Humanitarian Aid Field Hospitals (original) (raw)

UKRAINIAN FIELD HOSPITAL OPERATIONS DURING DEPLOYMENTS TO LARGE-SCALE DISASTER ZONES AMONG OTHER FOREIGN DISASTER MEDICINE UNIT

International health assistance is often required after natural disasters in developing countries not only to provide emergency aid to victims, but also for routine medical care in the weeks to months following the disaster. Hypothesis: International Disaster Field Hospitals (IDFH) from multinational sources have similar components and capabilities. Methods: A retrospective analysis of logs and medical records from Ukrainian field hospitals deployed in post-earthquake disasters zones. Results: Organization, qualification of medical staff, and first line recourses for emergency medical assistance are similar between IDFHs. Conclusion: Shared experiences between International Disaster Field Hospitals suggest the optimum term for IDFH duration on-scene without medical staff backfill is 2-3 weeks.. The current model of multifunctional International Disaster Field Hospitals augments the local healthcare system in disaster areas, allowing for improved morbidity and mortality from the event.

Preparation of medical personnel for an early response humanitarian mission – lessons learned from the Israeli defense forces field hospital in the Philippines

Disaster and Military Medicine, 2015

Introduction: Humanitarian aid provision and early medical response missions to areas ravaged by natural disasters are as essential nowadays as in the past, and medical personnel play a pivotal role in these delegations. Case description: In November 2013, tropical cyclone Haiyan (Yolanda) slammed the Philippines archipelago, leaving more than an estimated 6000 dead in its wake while demolishing vital infrastructure and affecting the life of an estimated 25 million locals. The Israeli Defense Forces (IDF) rapidly constructed and sent a humanitarian aid delegation which included a field hospital deployment with medical capabilities from diverse specialty fields.

Health Services in Humanitarian Crises

ESAM [Ekonomik ve Sosyal Araştırmalar Merkezi], 2018

This workshop report was examined in terms of health problems in humanitarian crises, organizational studies, health services and the relational dimensions between them in different ways and it was concluded with the sample of Bangladesh. We hope that our workshop of “Health Services at Humanitarian Crises: Bangladesh Sample” and our report which we believe that it will help increase the quality of activities made for refugees will be beneficial for the health organizations in the first place, all the organizations, official institutions and department serving for the refugees in different regions of the world. Bu rapor, insani krizlerde sağlık sorunları, örgütsel çalışmalar, sağlık hizmetleri ve aralarındaki ilişkisel boyutlar farklı açılarla irdelenerek Bangladeş örneği ile hitama erdirilmiştir. Mültecilere yönelik yapılacak faaliyetlerin niteliğinin artmasına yardımcı olacağını düşündüğümüz “İnsani Krizlerde Sağlık Hizmetleri: Bangladeş Örneği” raporumuzun başta sağlık örgütleri olmak üzere dünyanın farklı bölgelerinde mültecilere yönelik hizmet sunan bütün örgüt, resmi kurum ve kuruluşlara fayda sağlamasını umuyoruz.

Medical disaster response: A critical analysis of the 2010 Haiti earthquake

Frontiers in Public Health

IntroductionOn January 12, 2010, a 7.0 magnitude earthquake struck the Republic of Haiti. The human cost was enormous—an estimated 316,000 people were killed, and a further 300,000 were injured. The scope of the disaster was matched by the scope of the response, which remains the largest multinational humanitarian response to date. An extensive scoping review of the relevant literature was undertaken, to identify studies that discussed the civilian and military disaster relief efforts. The aim was to highlight the key-lessons learned, that can be applied to future disaster response practise.MethodsPreferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidance was followed. Seven scientific databases were searched, using consistent search terms—followed by an analysis of the existent Haitian literature. This process was supplemented by reviewing available grey literature. A total of 2,671 articles were reviewed, 106 of which were included in...

A DESCRIPTIVE ANALYSIS OF PATIENT ENCOUNTER DATA FROM THE FLEET HOSPITAL 5 HUMANITARIAN RELIEF MISSION IN HAITI

Military planners and logisticians determine medical requirements by projecting the number of casualties that can be expected in a given combat scenario. Presently, the Deployable Medical Systems (DEPMEDS) program is used to project, assemble, and deploy the supplies, equipment, and personnel needed for a given combat mission. However, in recent years there has been a shift in US military strategy resulting in an increase in military operations other than war (MOOTW). Since this trend is likely to continue, it is important to update Department of Defense medical planning tools to account for MOOTW, such as humanitarian assistance, peacekeeping, and disaster relief.

A Descriptive Analysis of Patient Encounter Data from the Fleet Hospital FIVE Humanitarian Relief Mission in Haiti

Military Medicine

Problem Military planners and logisticians determine medical requirements by projecting the number of casualties that can be expected in a given combat scenario. Presently, the Deployable Medical Systems (DEPMEDS) program is used to project, assemble, and deploy the supplies, equipment, and personnel needed for a given combat mission. However, in recent years there has been a shift in US military strategy resulting in an increase in military operations other than war (MOOTW). Since this trend is likely to continue, it is important to update Department of Defense medical planning tools to account for MOOTW, such as humanitarian assistance, peacekeeping, and disaster relief. Objective This report describes the patient demographics, type of medical encounter, diagnoses, and medications provided by medical personnel of Fleet Hospital 5 (FH5) during a humanitarian assistance operation in Haiti. Results are presented for clinics, which provided humanitarian relief to Haitian civilians, and for the fleet hospital, which was a treatment facility for US and United Nations military personnel. These data can be used by medical planners to determine MOOTW requirements in the post-Cold War era. Approach Patient encounter data, including type of medical encounter, diagnoses, and medications prescribed, were collected for Haitian civilians who visited FH5 clinics and for military personnel who were treated at the fleet hospital. These data were encoded and entered into a database. The data were analyzed to provide descriptive information about the FH5 humanitarian relief mission in Haiti. Results The database consists of 10,568 records, each representing one patient encounter. The results are presented as descriptive frequencies and/or percentages. The 10,215 Haitian clinic patients were seen at 22 different sites between April 4 and August 5, 1997. Over three fifths (61.6%) were women, and children aged 1 to 10 years were the most frequent age category. Additionally, 353 US military and UN personnel were treated at the fleet hospital during the same period. Men represented 81% of patients, and those who were 21 to 50 years of age were seen most often. The most frequent type of patient encounter was a medical diagnosis based on the International Classification of Diseases, 9 th Revision, Clinical Modification, representing 92.6% of clinic visits and 92.2% of fleet hospital visits. Infectious and parasitic diseases were diagnosed once in every four clinic visits. Injury cases were the most frequent (23.1%) at the fleet hospital. Conclusion The resulting database, with the descriptive statistics that it generated, is a first step toward fulfilling the Medical Readiness Strategic Plan-2004 objective of preparing for and maintaining readiness for MOOTW. Future areas of research for MOOTW medical planning should include the development of denominator data so that rates of occurrence for illnesses and injuries can be established for humanitarian relief as well as other MOOTW scenarios. Comparisons between different types of MOOTW also would provide useful information. n TABLE OF CONTENTS

Post-disaster healthcare:What is missing?

Given the critical importance of this issue, the UN/International Strategy for Disaster Reduction selected the topic of Hospitals Safe from Disasters as the theme of its two-year global awareness campaign for 2008-2009. Health facilities are more than concrete structures-they are made up of people, services, systems and the network of other health facilities, and public safety services like police, fire, civil defence and local government, all of which combine to make a safe hospital. An important component is that it contributes in building the capacity of health facilities to manage emergencies and the development of Emergency Medical Service (EMS). The EMS includes pre-hospital as well as hospital activities which are directly linked together. It is emphasized that they should no longer be regarded as just limited to onsite resuscitation and emergency transport, but rather a system to reduce mortality and morbidity from emergencies and disasters.

Operative trauma in low-resource settings: The experience of Médecins Sans Frontières in environments of conflict, postconflict, and disaster

Surgery, 2015

Operative trauma in low-resource settings: The experience of Médecins Sans Frontières in environments of conflict, postconflict, and disaster. 2015, 157 (5):850-6 Surgery Democratic Republic of the Congo, Tabarre, Port-au-Prince, Ha€ ıti, Timurgara, Lower Dir, Pakistan, Jabal-Akkrad, Syria, and Baltimore, MD Background. Conflicts and disasters remain prevalent in low-and middle-income countries, and injury remains a leading cause of death worldwide. The objective of this study was to describe the operative procedures performed for injury-related pathologies at facilities supported by M edecins Sans Fronti eres (MSF) to guide the planning of future responses. Methods. A retrospective review of a prospectively collected database of all MSF procedures performed between July 2008 and June 2014 for injury-related indications was completed. Individual data points included country of project and date of procedure; age, patient sex, and the American Society of Anesthesiologists' score of each patient; indication for surgery, including mechanism of injury; operative procedure; operative urgency; operative order; type of anesthesia; and intraoperative mortality. Injury severity was stratified according to operative order and urgency. Results. A total of 79,715 procedures were performed in MSF projects that met the inclusion criteria. Of these, 35,756 (44.9%) were performed specifically for traumatic indications across 17 countries. Even after excluding trauma centers, 29.4% (18,329/62,288) of operative cases were for injuries. Operative trauma procedures were performed most commonly for road traffic injuries (29.9%; 10,686/35,756). The most common procedure for acute trauma was extensive wound debridement (31.6%; 3,165/ 10,022) whereas burn dressings were the most frequent planned reoperation (27.1%; 4,361/16,078). Conclusion. Trauma remains an important component of the operative care provided in humanitarian assistance. This review of procedures performed by MSF in a variety of settings provides valuable insight into demographics of trauma patients, mechanisms of injury, and surgical capabilities required in planning resource allocation for future humanitarian missions in low-and middle-income countries. (Surgery 2015;157:850-6.)