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Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
Appropriate Decision Making in Extreme Situations
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Appropriate Decision Making in Extreme Situations

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Emergency Surgery Workshop Davos 2011: Presentation by Prof Anthony Redmond, MD, Deputy Director, Humanitarian and Conflict Response Institute HCRI, University of Manchester, Manchester, UK

Emergency Surgery Workshop Davos 2011: Presentation by Prof Anthony Redmond, MD, Deputy Director, Humanitarian and Conflict Response Institute HCRI, University of Manchester, Manchester, UK

Published in: Health & Medicine, Technology
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  1. Appropriate Decision Making in Extreme Situations Prof A D Redmond
  2. Decision making is severely adverselyaffected by a feeling of being overwhelmed
  3. Errors in thinking• I’m the only one here• No one else will come• I have to do it all now; there is no second look• TINA• I am all alone (even if I have a mobile phone)
  4. Improving your thinking• Identify what has to be done now• Find other people• Keep warm/cool• Eat and drink• Get some rest
  5. Prepare Practice and have a Plan• Understand the likely nature of what you will be dealing with before deployment• Determine the level of support and infrastructure on arrival
  6. Level of surgery• Should be determined more by local facilities than your technical expertise
  7. Work with local people
  8. Dressing Clinic
  9. Oxygen
  10. laboratory
  11. Safety of Surgery checklists
  12. Tented Hospital • Landmine injuries • Typhoid outbreak • Snake bites • MeningitisProf A D Redmond 12
  13. Prof A D Redmond 13
  14. Prof A D Redmond 14
  15. Complete the surgery
  16. Prof A D Redmond 18
  17. Medicalrecords
  18. “...there were no physicalrecords accompanying patients to indicate their diagnoses, operations or care plan....” Peranteau et al J Am Coll surg 2010
  19. “International organisations providing surgical services are diverse in size and breadth....yet with consistency provide rudimentary analysispostoperative follow up care and both education and integration of health services at the local level” Kelly et al World Journal of Surgery 2009
  20. Humanitarian Assistance• Is not inherently benign• Will impact on the local health economy
  21. Accountability
  22. Medical needs must be put inthe appropriate level of priority • Water • Food • Shelter • Safety Prof A D Redmond 25

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