Building awareness – be ready to strengthen national response mechanism: different actor’s lessons with experiences to improve preparedness - PART 2
INSARAGMedical considerations O. Hagon MD INSARAG Medical Working Group member
INSARAG• UNITED NATIONS• High international reputation• Well established (1991)• Well organized (Regional groups, focus point…)• Existing guidelines (languages)• Classification process (Peer review) (IEC;IER)• Pre-assessment and assessment• Mentoring system• Ongoing Working groups (Training, Medical…)• INSARAG community• “Successful story” ( XX teams classified)
INSARAG: Entry point• countries to require support of the international community Challenge:• Level of “emergency medicine included prehospital ” • Baseline = foundation
INSARAG Structure ManagementSearch Rescue Logistic Medical
Medical supplement F11 INSARAG Guidelines• Improvement of quality for the victims and staff• Increase the requirements• Increase human resources and skills• Increase costDecrease access for organizations tointernational deployment
Requirements (medical unit)• Organization• Human resources• Skills• Materiel and equipment• Training• Logistic
Organization• Military or paramilitary organization (army, Civil defence)• “Strong”organization• Logistic powerful• Hierarchy issues• Challenging “Decision making process”
Human resources• No mention of the type of professionals in the INSARAG Guidelines• Any worldwide standardization for education and competences• No existing competence• Lack of internal human resources within the organization itself (Doctors, Nurses, Advanced paramedics..• Partnership with Hospitals or…• Gender balance
Skills• Any description in INSARAG Guidelines of the pre-requirements and the professional involved.• INSARAG Medical Working Group MWG) “speak about achievement”.• Difference international and national mission• Sometimes, it doesn’t exist in the country!• Medical Baseline in the country
Training• Any USAR INSARAG “certified” training• Any predefined contents of training courses (introduction / basic courses / in-service training)• MWG and Training WG are working on the “USAR First aid responders” course.
Materiel and equipment• Limited resource and support• Self sustainable• Autonomy (battery, electricity, oxygen…)• Specific• Storage• Medevac (specific, available in anytime)• Logistic constraints• ….
Logistic• Specialized• Autonomy• Availability during transit• Specific issues (Oxygen, narcotics…)• Expiration date, sterilization; battery cycle• Storage (Cool chain)• Dangerous goods IATA• Authorization of export/import• Manifest of equipment• Donation in kind• …