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Pain Therapy in crisis areas (clinical images)
 

Pain Therapy in crisis areas (clinical images)

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Minutes from the EMERGENCY's presentation at the World Anaesthesia Congress 2011, 11-15 April in Rome (Italy). http://www.worldanesthesia.com

Minutes from the EMERGENCY's presentation at the World Anaesthesia Congress 2011, 11-15 April in Rome (Italy). http://www.worldanesthesia.com

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    Pain Therapy in crisis areas (clinical images) Pain Therapy in crisis areas (clinical images) Presentation Transcript

    • Pain Therapy in crisis areasWorld Anaesthesia Congress 2011, Rome 11-15 AprilMedical Division/Board of Anaesthesiology & Intensive care
    • EMERGENCY / RationaleIn today’s conflicts 90% of the victims are civilians.Poverty causes great Public Health crises.Scarcity of high standard, free-of-chargeHealth facilities and local specialized staff.Lack of lasting effectiveness in co-operation. Pain Therapy in crisis areas – NWAC 2011 / 2
    • EMERGENCY / WhatFounded in Italy in 1994.Provides high-quality and free-of-chargehealth care to the victims of war, anti-personnel mines and povertyPromotes a culture of peace, solidarity,and respect for human rights Pain Therapy in crisis areas – NWAC 2011 / 3
    • EMERGENCY / HowWe assess health needs and make a projectproposal to local communities.We plan, build and run in the long-term Healthfacilities overseas.We deliver quality care equally, on the solebasis of needs.We strive to effectively train local staff. Pain Therapy in crisis areas – NWAC 2011 / 4
    • EMERGENCY / WhereToday operational in 7 countries.Officially recognised charity in Italy, USA, UK,Japan and Switzerland.Partner of the United Nations, DPI/NGO Pain Therapy in crisis areas – NWAC 2011 / 5
    • PAIN THERAPY / The issue for usArticle 1All human beings are born free and equal in dignity and rights.Article 27Everyone has the right (…) to share in scientific advancements and its benefits.Universal Declaration of Human Rights, 10 December 1948We works to implement Human Rights basedHealth projects.Effective pain management in countries whoare low-resource dependent is part of thisvision. Pain Therapy in crisis areas – NWAC 2011 / 6
    • PAIN RELIEF / WhyNOT EFFECTIVE PAIN RELEIF> Increase in morbidity and mortality> Increase in clinical complications> May lead to chronic pain conditions> Decreased quality of lifePROBLEMS IN LOW-RESOURCES SETTINGS> Lack of education and cultural barriers> Inadequate resources (drugs and equipment)> Financial constraints> Lack of government priority Pain Therapy in crisis areas – NWAC 2011 / 7
    • PAIN MANAGEMENT / HowTRAINING AND EFFICIENCY> Education> Effective training programmes> Appropriate use of available drugs> Multimodal Analgesia> Reliable suppliers, on-the-field whenever is possible Pain Therapy in crisis areas – NWAC 2011 / 8
    • PAIN MANAGEMENT / HowGUIDELINES AND PROTOCOLS> Simple to understand> Simple to use> Easy to implement> Adapted to operational context Pain Therapy in crisis areas – NWAC 2011 / 9
    • PAIN MANAGEMENT / HowPAIN ASSESSMENT> Visual Analogue Scale (VAS)> Faces Pain Scale for low-compliance patients & children> CHEOPS Scale for children aged < 3PAIN TREATMENT> Protocols based on WFSA Analgesic Ladder> Protocols based on available drugs, facilities & equipment Pain Therapy in crisis areas – NWAC 2011 / 10
    • PAIN MANAGEMENT / WhenTO BE APPLIED> From the admission in OPD, also in case of Mass Casualty Plan> In emergency and elective surgical cases> Surgical and medical pain> Acute and chronic pain> As part of daily therapeutic plan Pain Therapy in crisis areas – NWAC 2011 / 11
    • EMERGENCY/ Treatment of painWAR INJURIES> traumatic amputation> penetrating injuries> vascular injuries> fractures> mine/shell/bullet injuries Pain Therapy in crisis areas – NWAC 2011 / 12
    • EMERGENCY/ Treatment of painWAR INJURIES> traumatic amputation> penetrating injuries> vascular injuries> fractures> mine/shell/bullet injuries Pain Therapy in crisis areas – NWAC 2011 / 13
    • EMERGENCY/ Treatment of painROAD/TRAFFIC> accidents (FFH) Pain Therapy in crisis areas – NWAC 2011 / 14
    • EMERGENCY/ Treatment of painBURNS> war-related or not Pain Therapy in crisis areas – NWAC 2011 / 15
    • EMERGENCY/ Treatment of painPAINFUL medical diseases> Abdominal pain & colic> Treatment of labour> Sickle cell disease Pain Therapy in crisis areas – NWAC 2011 / 16
    • EMERGENCY/ LearntEFFECTIVE PAIN RELIEF IN CRISIS AREAS> Is not only a crucial part of high quality health care, is POSSIBLE> Can be managed efficiently by means of local resources> Should be respectful of local culture Pain Therapy in crisis areas – NWAC 2011 / 17
    • WORK WITH US/ recruiting@emergency.it