Mass casualty management trainings conducted by dr abu zar taizai

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This is the Executive Summary of Mass Casualty Management/First Aid Trainings Facilitated by Dr Abu Zar Taizai Coordinator DHIS District Nowshera. This was a Joint venture of Merlin & DoH of the respective districts. District Peshawar, Nowshera, Buner, Swat, of KPK and District Dadu, Badin and Thatta of Sindh Province were included in the Programme

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Mass casualty management trainings conducted by dr abu zar taizai

  1. 1. Mass Casualty Management / First Aid Trainings 1|Page ACKNOWLEDGEMENT:-I am extremely in debt to Mr Ejaz-Ur-Rehman NBCC Merlin, for providing me this opportunityto share my knowledge with the DoH & Merlin staff regarding MCM and First Aid. I am alsothankful to Dr Arshad Ahmad Khan EDO Health Nowshera for allowing me to conduct thesetrainings, Dr Asghar Shah PC Merlin Swat, Haji Mohammad BCC Peshawar. I am also thankfulto all the PMs, BCC Coordinators & Logistic officers working for Merlin throughout the MerlinProject areas who made all the necessary arrangements and provided me the coordination andassistance, I needed, to conduct these training sessions in a successful manner. I will also extendmy sincere wishes to all the EDOs of health department for their exuberant cooperation withMerlin and allowing me to work in their respective districts. I am really impressed by theMerlin’s discipline and the dedication of its work-force. I wish, may this enthusiasm live long toserve poor communities in all types of emergencies. Dr Abu Zar Taizai
  2. 2. Mass Casualty Management / First Aid Trainings 2|Page ABSTRACT:- This report primarily reflects some of the key features of the MCM Nationwide Trainingcampaign launched by the Merlin in Pakistan. Initially District Peshawar was selected for thispurpose which, later, on was extended to the other districts of Khyber Pakhtunkhwa. A total of420 participants from seven different districts, Namely Nowshera, Peshawar, Buner, Swat, Dadu,Badin and Thatta were benefitted from this training. The participant’s knowledge was evaluatedbefore training by a pre-test paper and at the end the improvement in their concepts andknowledge was tested by serving a pre-test paper to all the participants. The over-all averagescore of the participants remained around 25 to 35 % for the pre-test and 80 to 90 % in the posttest, showing a good absorbability of the knowledge about MCM. This capacity buildingintervention will bring an over-all improvement in the skill and efficiency in managing MCMand first Aid in the various cadre staff of DoH, Volunteers and Merlin Dr Abu Zar Taizai
  3. 3. Mass Casualty Management / First Aid Trainings 3|PageINTRODUCTION: - Merlin is one of the pioneers to further improvements in health care service delivery.While primarily focused on clinical care, these improvements also include an emphasis onpreventing illness and promoting good health, health service providers working together,community participation, and a high level of leadership across the system. One mechanismavailable to the health system to contribute to preventing illness and promoting health is toincorporate effective health promotion programs into the routine work of services from acrossthe whole health care continuum (prevention, diagnosis, treatment, rehabilitation and palliativecare). Many parts of the system are already doing this. This time the huge Capacity building workshops on Mass Casualty Management wereproperly planned and successfully conducted across the whole country to promote life savingprocedures and to provide a guide for enhancing the capability of the system to improveManagement of Mass Casualties in Disasters. As recently Pakistan has faced great change andhas lost thousands of precious and innocent human lives because of natural and man- madedisasters so Merlin mainly focused on building capacity of MCM within programs but it isparamount that when thinking about building capacity within programs, or within thecommunity, that it has also focused on building the capacity of the system to support change.Most importantly, my report emphasizes five key action areas in capacity building:organizational change, workforce development, resource allocation, partnerships and leadership.Learning casualty management is like other common learning processes which can beacquired in three different ways:1. Incidental learning Where the learning appears to be by ‘accident’ and people are not aware that they arelearning. For example, in casual conversations or when a person is engaged in activities such asattending the launch of a health promotion program or product. Dr Abu Zar Taizai
  4. 4. Mass Casualty Management / First Aid Trainings 4|Page2. Informal learning When, the learner is aware of being engaged in the learning process. There are threetypes of informal learning activities:● Pro-activitySuch as encouraging people to take on new responsibilities● Creativity,Such as encouraging people to break out of old patterns of thinking● Reflectivity,Which is learning from reframing a problem or issue and looking at new solutions which may besuperior to the ones initially tried by the learner?3. Formal learning Where the learner or their workplace has identified learning or training needs, anddevelops strategies to meet these. For example, mentoring schemes, training programs or postgraduate university courses. Originally Merlin launched the last mentioned way of learning andcapacity building campaign throughout the country project areas but it also gave the participants’an opportunity to touch the other ways of learning as well. The over-all objective of this huge activity was to maximize saving of lives andprevent disabilities during mass casualty incidents.Capacity building is an approach to development that builds independenceIt can be:● A ‘means to an end’, where the purpose is for others to take on programs● An ‘end’ in itself, where the intent is to enable others, from individuals through to governmentdepartments, to have greater capacity to work together to solve problems● A process, where capacity building strategies are routinely incorporated as an importantelement of effective practice. What emerges in discussion and debate about the purpose and Dr Abu Zar Taizai
  5. 5. Mass Casualty Management / First Aid Trainings 5|Pageprocess of capacity building is that different organizations have quite different ways ofconceptualizing capacity buildingIn addition, these trainings highlight the importance of the context within which capacitybuilding happens and reinforces the message that all capacity building is context rich: thatstrategies and approaches need to take account of context at all times. Assessing opportunities to promote incidental learning among other health workers,captures some of the structural and informal links that form part of an effective workforcedevelopment strategy. Capacity building is defined as an approach to ‘the development of sustainable skills,structures, resources and commitment to health improvement in health and other sectors toprolong and multiply health gains many times over’. Capacity building occurs both withinprograms and more broadly within systems and leads to greater capacity of people, organizationsand communities to promote health. This means that capacity building activity may be developedwith individuals, groups, teams, organizations; inter organizational coalitions, or communities. It is also important to remember that the relationship between the program managementgroup and the capacity builder will change as decision making and program management skillsevolve. The relationship may move from being a ‘hands on’ development relationship to a‘hands off consultative or facilitative relationship. All employees, volunteers and communityactivists need to be mindful of, and ready to change their roles and responsibilities as capacity isincreased. Dr Abu Zar Taizai
  6. 6. Mass Casualty Management / First Aid Trainings 6|Page BACKGROUND & RATIONALE:- Major emergencies, crises and disasters have become more frequent during recentdecades, especially in middle and low income countries. They affect more and more people,disrupting health sector programs and essential services, and slowing the process of sustainablehuman development. Many lives could be saved if the affected communities were betterprepared, with an organized scalable response system already in place. In addition, survivors ofmass casualty incidents often suffer disabilities or health impairment – physical or psychological.These can severely strain the health sector and draw scarce resources away from other essentialprograms. Again, much of this is avoidable. Experience shows that the community is the first toprovide emergency assistance in such incidents. For this reason, preparedness planningincreasingly emphasizes building capacity (human, organizational and infrastructural) at thecommunity level. Empowering communities to develop emergency management plans for masscasualty incidents requires strong involvement by health authorities at all levels, especially thenational level, as well as support from other sectors. The common gaps in health systempreparedness around the world are generally well understood, but they are often not addressed ina comprehensive and systematic way. In particular, many countries have not yet developed MassCasualty Management Plans, and communities are too often left alone to develop preparednessand response plans without guidance from higher levels. In September 2006, a GlobalConsultation on Mass Casualty Management was held in Geneva at WHO headquarters. TheGuidelines set out in this document are the direct result of the consultation. They are designed tohelp policy makers, decision makers and emergency managers at all levels, especially atcommunity level, to overcome the gaps in health system preparedness for managing masscasualty incidents. Dr Abu Zar Taizai
  7. 7. Mass Casualty Management / First Aid Trainings 7|Page CONCLUSION:- To improve efficiency and effectiveness of all level workers and community activist inmanaging Mass Casualty and conducting proper first Aid, hence minimizing loss of lives &disability.RECOMMENDATIONS:- Such need based trainings and TOTs are always beneficial and helpful to the communityand health workers and it brings positive results for the organization regarding efficiency. It isrecommended that not only these trainings be expanded to the other regions of Pakistan but it ismandatory to give refreshers on such crucial trainings at least once a year. Dr Abu Zar Taizai
  8. 8. Mass Casualty Management / First Aid Trainings 8|Page A SAMPLE TRAINING/ SESSION PLAIN Session Plan Day: 01 9:00 – 9:45 am Introduction• Recitation• Introduction• Registration and Pre Test 9:45 – 11:30 am Mass Casualty Management • Definition of Mass Casualty • Briefing on Human Anatomy and First Aid • Reporting & Communicating the Mass Casualty Incident • Incident Command 11:30 – 1:30 pm• Prioritizing the casualties• What is Primary & Secondary Triage• Minor• Immediate• & Morgue Dr Abu Zar Taizai
  9. 9. Mass Casualty Management / First Aid Trainings 9|Page Lunch Break 1:40-2:15 2:15 – 3:00 pm  Transportation of the casualties Dealing with Heat Emergencies Response Mechanism SOPs 3:00- 3-30 pm Additional Instructions: Methodologies used• Lecture notes• Demonstrations, Role play• Group discussion/ Group Work• Experience sharing session• Questions Answers Session Dr Abu Zar Taizai
  10. 10. Mass Casualty Management / First Aid Trainings 10 | P a g eSession PlanDay: 029:00 – 9:30 am Recap of Day -19:30 – 11:30 amTopic 01:• First Aid during Mass Casualties• Goals of MCMSTopic 02• What is DRR?• Various types of Disasters.2:20 – 2:50 pmTopic 03: Videos on Unbelievable accidents Maximizing the resources Calling for additional Support • Dealing with media & Crowd during Mass Casualty • Example from Nowshera Flood of 2010 • Challenges and priorDr Abu Zar Taizai
  11. 11. Mass Casualty Management / First Aid Trainings 11 | P a g e • Post-Test SOME PICTURES TAKEN DURING TRAINING BANNER DISPLAYED IN EACH SESSION/TRAINING HALLDr Abu Zar Taizai
  12. 12. Mass Casualty Management / First Aid Trainings 12 | P a g eTHE GROUP LEADER WANTS SOME CLARIFICATION BEFORE STARTING GROUP WORKGroup Leader with his Team, Presenting their Group Work on White BoardDr Javed BCC, Supervising the activityDr Abu Zar Taizai
  13. 13. Mass Casualty Management / First Aid Trainings 13 | P a g eFacilitator appreciating the presentation of this Group and Declares it the Best TeamA Female Participants Explains some Points during a Re-CapDr Abu Zar Taizai
  14. 14. Mass Casualty Management / First Aid Trainings 14 | P a g eCertificates Being Distributed at the End of the SessionPC Giving Certificate to female ParticipantDr Abu Zar Taizai
  15. 15. Mass Casualty Management / First Aid Trainings 15 | P a g eGroup Work In ProgressFacilitator Helping the Participants to Plan for MCMDr Abu Zar Taizai
  16. 16. Mass Casualty Management / First Aid Trainings 16 | P a g eA young Participant Gets Appreciation and a Certificate at the end for his best ParticipationAll females Participated very well in this TrainingDr Abu Zar Taizai
  17. 17. Mass Casualty Management / First Aid Trainings 17 | P a g eParticipants attentively listening to learn the First AidDr Abu Zar Taizai
  18. 18. Mass Casualty Management / First Aid Trainings 18 | P a g eFacilitator Stressing on Triage during a Mass Casualty IncidentAnd Deputy EDO Health Dadu is InteractingDr Abu Zar Taizai
  19. 19. Mass Casualty Management / First Aid Trainings 19 | P a g eDr Salim Sheikh (Group Leader) was the Best among all three groups in DaduDr Abu Zar Taizai
  20. 20. Mass Casualty Management / First Aid Trainings 20 | P a g eDr Salim Sheikh Presenting his excellent Group WorkDr Abu Zar Taizai
  21. 21. Mass Casualty Management / First Aid Trainings 21 | P a g eA slide from TriageDr Abu Zar Taizai
  22. 22. Mass Casualty Management / First Aid Trainings 22 | P a g e A Photo with BCC Dadu Feroz MemonDr Abu Zar Taizai
  23. 23. Mass Casualty Management / First Aid Trainings 23 | P a g eAt the end of Session we had a Group Photo With District Dadu ParticipantsDr Abu Zar Taizai
  24. 24. Mass Casualty Management / First Aid Trainings 24 | P a g ePre and Post Tests ScoresPeshawar/Nowshera Test Scores S. Pre-Test Post-TestNO Name Designation Score Score 1 Mst Tasleem BiBi LHV Pirpai 22 96 2 Mr Mujahid Qureshi JCT Pathology 42 90 3 Dr Javed Khan MO Akbar Pura 56 90 Computer Operator 4 Mr Nauman DHIS 44 100 5 Mist. Kausra Jabeen LHS Pabbi 52 91 6 Shazia Rafiq LHS Banda Mallahan 42 91 Dispenser DHQ 7 Sjjad Khan Afridi Nowshera 42 84 8 Dr M. Shafiq MO DIK 58 98 9 Dr Ashfaq Jan SMO Khair Abad 32 100 Mr.Wali 10 Mohammad CHC Member 22 58 11 Miss. Salma Naz LHV Taru 44 85 12 Mr. M. Fazil Hassan Dispenser 32 93 13 Mr Faridullah Asst Pharmacist 44 100Dr Abu Zar Taizai
  25. 25. Mass Casualty Management / First Aid Trainings 25 | P a g e 14 Mr Javed Iqbal Merlin-4 52 74 15 Miss.Robina Baidar LHV Jallozai 34 100 16 BiBi Saima Sarwar Pabbi 22 100 17 Dr Wasi 52 90 18 Mr Haji Akbar Jallozai-4 62 96 19 Dr Qasim EDO Office NRA 34 100 Mr Mohammad 20 Saeed 44 84 21 Mr Tauseef Abbas 56 100 Dr Mohammad 22 Shoaib J-2 Jallozai 72 84 23 Dr Gohar Saeed RHC DIK 52 74 24 Mr Naheed Shah CHC Member 12 70 25 Mr Hikmat Khan CHC Member 22 60 26 Islam Badshah 42 94 27 Dr Jehanzeb SMO RHC Akora Khattak 54 98 28 Mis Nosheen Amjed LHV 35 70 29 Miss Ashi 31 72 30 Mir Saidul Amin DSM PPHI Nowshera 30 90 Average Score 41 88Dr Abu Zar Taizai
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  27. 27. Mass Casualty Management / First Aid Trainings 27 | P a g eDISTRICT BUNER TEST SCORE (BATCH-1) Total Pre-Test Post-Test S.No Name of the Participant Marks Score Pre-Test % Score Post-Test % 1 Yasmin LHV Merlin DHQ 120 52 43 100 83 2 Zarfarosh Dispenser 120 42 35 38 32 3 M.Haram Dispenser Merlin 120 32 27 60 50 4 Ali Khan THQ 120 72 60 110 92 5 Dr Sajid Iqbal 120 82 68 110 92 6 Hamraj Dispenser Merlin 120 12 10 110 92 7 Bakht Rehman DHQ 120 52 43 104 87 8 Dr Syyed Sajid Ali THQ 120 102 85 90 75 9 Dr Fawad Merlin 120 82 68 110 92 10 Farzana Nurse Daggar 120 52 43 90 75 11 Qiaser Khan DHQ 120 62 52 96 80 12 HaleemaRahim DHQ 120 82 68 94 78 13 Anwar M/N DHQ 120 52 43 100 83 14 M. Tahir Pharmacy Tech THQ 120 50 42 110 92 15 Amir Rehman 120 50 42 92 77 16 Israr Ahmed Anaesthesia Tech 120 52 43 88 73 17 Abdullah RHC Jowar 120 42 35 80 67 18 Gohar Ali Dispenser DHQ 120 92 77 60 50Dr Abu Zar Taizai
  28. 28. Mass Casualty Management / First Aid Trainings 28 | P a g e 19 Sher Rahim Dispenser RHC Jowar 120 42 35 88 73 20 Abullah RHC Jowar 120 50 42 100 83 21 Amjed Ali Merlin Buner 120 42 35 50 42 22 Dr Sayyed Madoon Shah 120 42 35 110 92 23 Inayat Hussain MT DHQ 120 62 52 60 50 24 Amir Khatam DHQ 120 72 60 86 72 25 Bakht Jaaml Pharm Tech 120 32 27 64 53 26 Dr Amanullah CH 120 42 35 100 83 Average Score= 56 46 88 74DISTRICT BUNER TEST SCORES (BATCH-2) Total Pre-Test Post-Test S.No Name of the Participant Marks Score Pre-Test % Score Post-Test % 1 Zafar Ali CH Totalai 120 56 47 110 92 2 M. Zahid BHU Cheena 120 36 30 92 77 3 Abdullah Disp DHQ Dager 120 52 43 104 87 4 Fayyazuddin LHWS Merlin 120 62 52 116 97 5 Dr Sher Alam Khan CH Totalai 120 61 51 118 98 Sardar Alam Khan EPI Tech 6 Nagrai 120 40 33 92 77 7 Fazal Wadood X-Ray Tech 120 64 53 108 90 8 Samina LHV BHU Cheena 120 56 47 86 72Dr Abu Zar Taizai
  29. 29. Mass Casualty Management / First Aid Trainings 29 | P a g e Ezaat Gul Dispenser CH 9 Nawagai 120 22 18 72 60 M. Tahir Lecturer AWK 10 university 120 44 37 74 62 11 Alam Gul 120 42 35 82 68 12 Fazal Rabi X-Ray Tech 120 54 45 62 52 13 Bahram Shah Dispenser THQ 120 42 35 102 85 14 Zari Gul DHQ 120 52 43 54 45 15 Ijaz KarIm Transport Officer 120 44 37 74 62 16 Amir Azam Khan 120 45 38 98 82 17 Abdali Khan CH Pacha 120 32 27 114 95 18 M.Asif THQ Pacha 120 42 35 106 88 19 Mustafa Office Assitt 120 42 35 82 68 20 Saiqa Zafar LHV CH Totalai 120 34 28 90 75 21 Kaosar Saeed Lecturer 120 34 28 82 68 22 Namroz Khan Dispenser 120 64 53 100 83 23 Shah Wazir Khan RHC 120 64 53 118 98 24 Ajmareen Dispenser RHC 120 66 55 106 88 25 Sajjad Ahmed 120 44 37 92 77 26 Abdul Karim DHQ 120 32 27 68 57 Averages 47 39 92 77Dr Abu Zar Taizai
  30. 30. Mass Casualty Management / First Aid Trainings 30 | P a g eDISTRICT BUNER TEST SCORE (BATCH-3) Total Pre-Test Post-Test S.No Name of the Participant Marks Score Pre-Test % Score Post-Test % 1 Anisur Rehman 120 72 60 52 84 2 Wisal Gigyani 120 42 35 66 55 3 Safia DHQ 120 42 35 108 90 4 Zahir Ahmed Lecturer 120 42 35 110 92 5 Basroon Staff Nurse DHQ 120 42 35 92 77 6 Gulzarina Shah 120 12 10 22 18 7 Tofail 120 64 53 102 85 8 Sangeen Khan AWK University 120 74 62 82 68 9 Naik Amal Khan EPI Tech 120 82 68 52 43 10 Gul Shah BHU 120 72 60 70 58 11 Sarhad Ali MSc Student 120 44 37 96 80 12 Shakir Ullah DHQ 120 40 33 102 85 13 Shokat CH Pacha 120 60 50 110 92 14 Abdul Hamid DHQ Dager 120 50 42 82 68 15 Sharafat Nurse DHQ 120 42 35 118 98 16 Nazma DHQ Dager 120 42 35 120 100 17 Bimla Kumari DHQ Dager 120 52 43 118 98 18 Hussain Khan 120 20 17 42 35Dr Abu Zar Taizai
  31. 31. Mass Casualty Management / First Aid Trainings 31 | P a g e 19 Said Amir CH 120 22 18 82 68 20 Akhtar 120 12 10 98 82 21 Mumlikat Farman DHQ 120 42 35 112 93 22 Amjad Khan AWK University 120 62 52 110 92 23 Zafar ALI CH Totalai 120 62 52 72 60 24 Hamid Ur Rehman DHQ 120 72 60 92 77 25 Dr M. Riaz 120 32 27 92 77 26 Naeemullah AWK University 120 32 27 102 85 27 Zaheer Ahmed 120 36 30 102 85 28 Zarim Zada 120 50 36 96 80 29 Rashid Ahmed 120 50 22 96 80 30 Sher Akbar Shah Dispenser 120 46 46 100 83 31 M. Imran DHQ 120 26 22 72 60 32 Ikram 120 32 40 88 73 33 Dr. Syed Zakir Ali 120 32 27 92 77 Average Scores 46 38 89 76Dr Abu Zar Taizai
  32. 32. Mass Casualty Management / First Aid Trainings 32 | P a g eDISTRICT BADIN SINDH TEST SCORE BADIN TEST SCORE S.N Designatioo Name of the Participant n Staff Pre-Test % Post-Test % 1 Dr. Farazana Bukhari W.M.O MoH 29 64 2 Dr.Muhammad Zama M.O MoH 64 100 3 Dr. Ali Razza M.O MoH 36 64 4 Shahriyar Shahzad Dispensor MoH 64 100 5 M.Hanif Soomro Dispensor MoH 14 79 6 Muhammad Arab Vaccinator MoH 21 79 7 Dr. Abdullah M.O MoH 29 71 8 Abdul Munium Vaccinator MoH 21 86 9 Mahboob Ali Vaccinator MoH 29 86 10 Ali Sher Dispensor Merlin 21 79 11 Dr. Farazana W.M.O Merlin 21 57 12 Nusrat.A.Hakeem Staff Nurse C.H.B 36 64 13 Dr. Ashfaque Burgari M.O MoH 50 79 14 Dr.Rukhasana Samoon W.M.O MNCH 29 79 15 Shamim Ara LHV MoH 29 79 16 Shazima Jamali LHV Merlin 21 71Dr Abu Zar Taizai
  33. 33. Mass Casualty Management / First Aid Trainings 33 | P a g e17 Raheela Suleman LHV MoH 36 6418 Asma Lakho LHV Merlin 36 7119 Bashir Ahmed Supervisor Merlin 29 6420 Isharat Khaskhely LHV Merlin 21 7121 Shumaila Qambrani LHV Merlin 21 6422 Tanshad Qambrani LHV Merlin 21 7923 Shafique-ul-Rehman Dispensor Merlin 36 8624 Hava Talpur LHV Merlin 36 9325 Hafiza LHV MoH 57 8626 Ambreen Staff Nurse MoH 57 9327 Dr. Nazir W.M.O MoH 50 9328 Zarnina Akhlaque LHV MoH 50 9329 Tanzeela Kousar LHV Merlin 43 8630 Momal Nizamani Mide wife MoH 29 7131 Nasim Khawaja LHV MoH 21 6432 Kiran Bhatti LHV Merlin 29 7133 Seema Akbar Jamali LHV Merlin 21 6434 Dr. Rais Ahmed M.O Health 36 7135 Mamtaz Dispensor Dispnesor 21 7936 Tanseeem LHV MoH 21 86Average Score 33 77Dr Abu Zar Taizai
  34. 34. Mass Casualty Management / First Aid Trainings 34 | P a g eDr Abu Zar Taizai
  35. 35. Mass Casualty Management / First Aid Trainings 35 | P a g e DISTRICT THATTA TEST SCORES 10-11 October 2012 Name of the Pre- Post- S.No Participant Designation Staff Test % Test % Dr. Mohammad 1 Saeed M.O Merlin 54 86 2 Allah Bachayo Dipensor Merlin 46 79 3 Ameer Bux Dipensor MoH 36 64 4 M.Usman Mallah Dipensor MoH 32 71 5 Sajeela LHV MoH 57 86 6 Sinkandar Ali Vaccinator Merlin 64 79 7 Abdul Hafiz Vaccinator Merlin 57 86 8 Imran Ali Vaccinator Merlin 50 86 9 Razia Aman LHV Merlin 61 86 10 Sikandar Ali Dispnesor Merlin 68 100 11 Gul Bahar Vaccinator Merlin 29 79 12 Dr.Ambreen Ayaz M.O Merlin 64 100 13 Samina Naz LHV Merlin 57 93 14 Lubna Shahzad LHV Merlin 64 100 15 Nazia Ali Abro LHV Merlin 61 86 16 Qurtalain Bhatti LHV Merlin 54 79Dr Abu Zar Taizai
  36. 36. Mass Casualty Management / First Aid Trainings 36 | P a g e 17 Humera Ali LHV Merlin 57 86 18 Isharat Jahan LHV Merlin 61 93 19 Kiran Shahzad LHV Merlin 54 93 20 Saima Umrani LHV Merlin 54 93 21 Shazia Murtaza LHV Merlin 36 79 22 Rooma Hussain Vaccinator Merlin 21 68 23 Shazia Ali Baghul LHV Merlin 18 68 24 Shahnaz Khawaja LHV Merlin 57 71 25 Kanwal Noor LHV Merlin 57 93 26 Gul Shakar Khawaja Vaccinator MoH 39 71 27 Dr. Shamila Memon M.O Merlin 39 71 28 Fahmida Khawaja LHV MoH 25 86 29 Mohammad Yousif Dispnesor MoH 25 86 30 Dr. Kamlesh M.O Merlin 57 93 31 Ghulam Rasool Dispnesor MoH 54 64 32 Muhammad Rizwan Vaccinator Merlin 43 71 33 Zamir Hussain Khoso Vaccinator Merlin 50 86 34 Dr. Jamshed M.O Merlin 68 96 35 Khuda Bachayo Dispnesor MoH 57 79 36 Amir Bux Dispnesor MoH 29 71 37 Rasool Bux Khaskheli M.Supervisor MoH 21 75Dr Abu Zar Taizai
  37. 37. Mass Casualty Management / First Aid Trainings 37 | P a g e 38 Zeb-un-Nisaa Staff Nurse MoH 50 100 39 Sanam Sattar Staff Nurse MoH 21 93 40 Mayam Soomro LHV MoH 29 68 41 Abdul Aziz Vaccinator MoH 39 79 Average Score 47 83Dr Abu Zar Taizai
  38. 38. Mass Casualty Management / First Aid Trainings 38 | P a g e BAHRAIN, DISTRICT SWAT TEST SCORES Pre- Post- Total Test Test S.No Name of the Participant Marks Score Pre-Test % Score Post-Test % 1 1 Affaf Khan 140 20 7 130 93 4 2 Zahoor Ali 140 50 2 125 89 4 3 Abdul Kareem 140 50 2 108 77 3 4 Abdul Hameed Teacher 140 40 3 90 64 2 5 Ayaz 140 30 5 115 82 5 6 Imran Khan LDC Supervisor 140 60 0 130 93 4 7 Ihtasham Govt High School 140 50 2 85 61 4 8 Bakht Bilal Teacher 140 55 6 95 68 1 9 Hanif Jamali Shopkeeper 140 20 7 65 46 2 10 Saminaz 140 25 1 130 93 5 11 M. Ijaz Salik Principal 140 60 0 120 86 5 12 M. Siraj Teacher 140 70 8 140 100 4 13 Saqib 140 50 2 110 79 6 14 Raza Ur Rehman 140 80 7 130 93 4 15 Imran Khan Teacher 140 50 2 140 100 5 16 M. Sadiq Teacher 140 60 0 120 86 3 17 Zarif Khan Merlin 140 40 3 135 96 3 18 Raheela Teacher 140 40 3 90 64 19 Nyela Teacher 140 40 3 140 100Dr Abu Zar Taizai
  39. 39. Mass Casualty Management / First Aid Trainings 39 | P a g e 3 1 20 Rumana Merlin 140 20 7 130 93 21 Tamanna 140 40 33 110 79 1 22 Nahid Braniyal Academy 140 20 7 130 93 5 23 Khan Azam Merlin 140 60 0 72 51 5 24 Ashfaq Volunteer 140 70 8 95 68 4 25 Ghufran Ali Teacher 140 50 2 115 82 7 26 Arshad Teacher 140 90 5 102 73 6 27 Arif Bashir Student 140 80 7 130 93 5 28 Zahuril Haq 140 60 0 110 79 29 Zahoor Shakir 140 30 25 100 71 1 30 Hajra Ali BA 140 20 7 105 75 2 31 Shukria Khan 140 30 5 120 86 2 32 Mehnaz Ali 140 30 5 88 63 5 33 Nadia Rehman Teacher 140 60 0 92 66 4 34 Rabia Teacher 140 50 2 120 86 2 35 Tauheed Rehman BA 140 30 5 130 93 2 36 Perveen Akhtar 140 30 5 65 46 2 37 Salma BA 140 30 5 60 43 6 38 Dr Naveed 140 80 7 140 100 5 39 Bakht Zaiba 140 60 0 120 86 Mujeebur Rehman 2 40 Teacher 140 30 5 115 82 3 41 Mohammad Zeshan 140 40 3 90 64Dr Abu Zar Taizai
  40. 40. Mass Casualty Management / First Aid Trainings 40 | P a g e 3 42 M. Sadeeq 140 40 3 100 71 3 43 Mr Ijazul Haq 140 40 3 140 100 2 44 Khan Azhar 140 30 5 70 50 3 Average Scores 46 8 110 79 Average Average Pre-Test % Post Test age % age Bahrain Test Score 46 79Dr Abu Zar Taizai
  41. 41. Mass Casualty Management / First Aid Trainings 41 | P a g e TEST SCORE OF MINGORA DISTRICT SWATDr Abu Zar Taizai
  42. 42. Post-TestS.NoMass Casualty Management / First Aid Trainings Marks Name of the Participant Total Pre-Test Score Pre-Test % Score Post-Test % 42 | P a g e1 M. Ayaz HC 140 20 17 95 682 Sher Alam Merlin HC 140 20 17 115 823 Khurshid Ali Merlin HC 140 20 17 90 644 Abdul Wahab Surgical Tech 140 70 58 120 865 Aftab Ali X-Ray Attendant 140 60 50 75 546 Bashir Ahmed JCT 140 90 75 95 687 M. Iqbal Merlin HC 140 0 - 90 648 M. Bilal 140 10 8 70 509 M. Tahir 140 20 17 100 7110 Samiullah 140 30 25 100 7111 Salman Farooque 140 30 25 95 6812 M. Younas Chowkidar 140 0 - 100 7113 Rehmat Ali Ward Orderly DoH 140 0 - 130 9314 Shahid Anwar P.Tech 140 30 25 100 7115 Dr M.Atique Swati 140 50 42 120 8616 Raziat Charge Nurse 140 30 25 110 7917 Zakia LHS 140 30 25 110 7918 M. Rehman W/O MoH 140 80 67 110 7919 Bahadur Ali Dispensor 140 70 58 120 8620 Abdul Waheed J/C 140 40 33 110 7921 M. Rafiq Pharmacy Tech 140 50 42 140 10022 M. Shoaib PHC Tech 140 60 50 120 8623 Azmat Ali Male Nurse 140 60 50 130 9324 Ali Mehmood W/O 140 60 50 135 9625 Dr Shah Kamran Khan 140 50 42 135 9626 Saifur PHC 140 90 75 130 9327 Akhtar Zeb Male Nurse 140 90 75 140 10028 Abu ZarM. GhafarDr Taizai 140 30 25 100 7129 Sarwar Iqbal 140 10 8 115 82
  43. 43. Mass Casualty Management / First Aid Trainings 43 | P a g e 100 88 88 88 90 83 83 77 77 79 80 76 70 60 56 Average Pre-Test Score 50 47 46 43 44 41 39 Average Post Test 38 40 33 Score 30 20 10 0 dh dh 1 2 3 dh at at ar ch ch ch Sw Sw in in in aw S S S at at at sh ra n u rB rB rB ta n ai ad di go Pe at hr ne ne ne Ba D Th in Ba Bu Bu Bu MDr Abu Zar Taizai
  44. 44. Mass Casualty Management / First Aid Trainings 44 | P a g e Training Contents First Aid In Mass Casualty ManagementDr Abu Zar Taizai
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